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Articles 15031 - 15060 of 662559
Full-Text Articles in Social and Behavioral Sciences
Systematic Literature Review: Elevating Black Voices Through Universal Social-Emotional Learning Interventions, Natasha J. Hogg
Systematic Literature Review: Elevating Black Voices Through Universal Social-Emotional Learning Interventions, Natasha J. Hogg
Electronic Theses & Dissertations (2024 - present)
This systematic literature review examined the outcomes of culturally responsive universal Social-Emotional Learning (SEL) interventions for Black students in K-12 school settings addressing mental health, racial trauma, and racial disparities. Following the PRISMA protocol, a comprehensive search was conducted across PsycINFO, EBSCO, and five academic journals by April 2025. Results yielded 11 peer-reviewed articles with 2,246 Black participants published between 1994 and 2024. Exclusion criteria included sole focus of Tier 2 or 3 interventions, lacking Black student populations, or lacking outcomes aggregated by race. Seven SEL interventions were identified with risk of bias assessed by a secondary reviewer. Thematic analysis …
Examining The Role Of Transformational Leadership In Reducing Employee Burnout In Vitas Healthcare: The Impact Of Leadership Behaviors On Morale And Job Satisfaction., Sabrina L. Clarke
Examining The Role Of Transformational Leadership In Reducing Employee Burnout In Vitas Healthcare: The Impact Of Leadership Behaviors On Morale And Job Satisfaction., Sabrina L. Clarke
Doctor of Strategic Leadership (DSL) Capstone Abstracts
The capstone project, Curing the Caregivers: Ending the Burnout Epidemic, examined how transformational leadership can address employee burnout among healthcare professionals. This seminar was an applied leadership project with four modules. The project aimed to educate healthcare employees about burnout and introduce transformational leadership strategies that could create healthier, more supportive work environments. This seminar took place at Vitas Healthcare in Lakeland, Florida. Pre-seminar and post-seminar questionnaires were used to evaluate participants' understanding of transformational leadership. The capstone project addressed five major themes: employee burnout, transformational leadership, employee morale, job satisfaction, leadership strategies for reducing burnout, and supportive workplace environment. …
Statewide Corridor Evacuation Response And Re-Entry Behaviors In Florida During Hurricane Irma, Xin Wang, Yuan Zhu, Hong Yang, Kun Xie
Statewide Corridor Evacuation Response And Re-Entry Behaviors In Florida During Hurricane Irma, Xin Wang, Yuan Zhu, Hong Yang, Kun Xie
Electrical & Computer Engineering Faculty Publications
Hurricane Irma stands as one of the most destructive tropical storms to make landfall in the United States, particularly impacting the State of Florida, where it prompted the largest evacuation in history with approximately 7 million residents. The profound consequences of mass evacuation underscore the critical need to understand travel behaviors during hurricane evacuation and the recovery process. This research analyzes statewide evacuation and re-entry patterns, leveraging diverse datasets, including TTMS data from main corridors and GIS data. A statewide corridor-based empirical analysis framework is constructed to characterize evacuation and re-entry response patterns using sensor-based traffic observations. The results show …
Automated Writer And Acquisition-Condition Classification Of Digitally Captured Handwriting Using Statistical Dynamic Features And Support Vector Machines, Long-Huang Tsai, Hsiang-Ju Lai, Wen-Chao Yang, Jiajun Jiang, Chung-Hao Chen
Automated Writer And Acquisition-Condition Classification Of Digitally Captured Handwriting Using Statistical Dynamic Features And Support Vector Machines, Long-Huang Tsai, Hsiang-Ju Lai, Wen-Chao Yang, Jiajun Jiang, Chung-Hao Chen
Electrical & Computer Engineering Faculty Publications
Digitally captured handwriting preserves pen trajectories and dynamic signals, but it also records hardware- and input-dependent properties that can confound forensic interpretation. This study revises a support vector machine (SVM) screening framework using 16,500 samples from 30 writers, 11 writing-content categories, and five acquisition conditions spanning three tablets and stylus or finger input. Twenty-four raw and derived time-series variables were summarized by maximum, minimum, mean, median, and standard deviation, yielding 120 features; the mode statistic was removed. Writing direction and angular velocity were recalculated with atan2-based vector formulas. Unavailable device/API channels were encoded as zero, and Z-score parameters were estimated …
Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson
Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson
Graduate Theses, Dissertations, and Problem Reports (ETD)
Racial discrimination is recognized as a race-based traumatic stressor that has been associated with posttraumatic stress symptoms (PTSS) and suicide ideation (SI). However, there remains a paucity of research investigating the impact of racial and other forms of discrimination on understudied populations, including Black Americans residing in Appalachian regions. The current study used an online self-report survey to examine PTSS as a mediator in the association between perceived discrimination and SI and to examine the moderating effect of the number of identity factors with which one experienced discrimination (i.e., race, gender, region) on the relationship between perceived discrimination and PTSS. …
Exploring Youth Soccer Coach Recruitment Practices, Han-Earl Lim
Exploring Youth Soccer Coach Recruitment Practices, Han-Earl Lim
Graduate Theses, Dissertations, and Problem Reports (ETD)
This qualitative single-case study examined how a private-interest, nonprofit youth soccer club in the Midwestern United States recruits coaches, what coach qualities are prioritized in hiring, and how organizational and sociocultural conditions shape those practices. The study was guided by three research questions focused on (a) recruitment and early support processes, (b) hiring criteria and decision rationales, and (c) the organizational and sociocultural contexts influencing recruitment. Data were generated through five semi-structured interviews with four participants who were involved in recruitment practices (the Executive Director, the Assistant Director, and two full-time head coaches). Additional sources included an organizational mapping survey …
Do The Adaptogenic Mushrooms, Cordyceps Militaris And Hericium Erinaceus, Produce Caffeine-Like Discriminative-Stimulus Effects?, Stephen James Cullinan
Do The Adaptogenic Mushrooms, Cordyceps Militaris And Hericium Erinaceus, Produce Caffeine-Like Discriminative-Stimulus Effects?, Stephen James Cullinan
Graduate Theses, Dissertations, and Problem Reports (ETD)
Caffeine is one of the most widely consumed drugs in the United States, but its excessive consumption increases the risk of heart disease, sleep problems, and anxiety. In response to these issues, there has been a rise in efforts to find safer alternatives to caffeine while maintaining similar subjective effects. The adaptogenic mushrooms, cordyceps and lion’s mane, are claimed to have similar energy- and mood-enhancing effects as caffeine; however, there is limited research directly comparing their effects to caffeine. A drug-discrimination paradigm, in which rats were trained to discriminate between caffeine and saline, was used to compare the discriminative-stimulus effects …
Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer
Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer
Graduate Theses, Dissertations, and Problem Reports (ETD)
To explain how different facets of mindfulness were associated with task performance in distinctive ways, Lindsay and Creswell (2017) proposed the Monitor and Acceptance Theory (MAT). According to this model, the mindfulness facet of monitoring present state awareness was thought to influence task performance differently than the nonjudgmental acceptance facet of mindfulness, but no studies to date have examined this model with respect to an individual's physiological response to stressful tasks. Because dispositional mindfulness has been associated with both increased and decreased physiological and affective reactions to stress in previous studies, the present study tested whether the Monitoring facet of …
Effect Of Delay On Reinforcer Preference And Efficacy, Ciara Jasmine Rodriguez
Effect Of Delay On Reinforcer Preference And Efficacy, Ciara Jasmine Rodriguez
Graduate Theses, Dissertations, and Problem Reports (ETD)
Behavior intervention plans are used to increase desired behavior and decrease problem behavior, and these plans require the use of effective reinforcers. High-quality reinforcers that are delivered immediately tend to be the most effective, but optimal reinforcement parameters are not always feasible or appropriate in applied settings. Some reinforcers may be disruptive, teachers’ competing responsibilities may introduce delays to reinforcer delivery, and reinforcers may not be immediately accessible. Stimuli may lose their reinforcing value with delay to their receipt, and this is referred to as delay discounting. Thus, there is likely a point where a less preferred but immediately delivered …
An Assessment Of The Reinforcing And Aversive Properties Of Transition-Related Stimuli, Lillian Louise Skiba-Thayer
An Assessment Of The Reinforcing And Aversive Properties Of Transition-Related Stimuli, Lillian Louise Skiba-Thayer
Graduate Theses, Dissertations, and Problem Reports (ETD)
Transitions from relatively favorable (rich) to relatively unfavorable (lean) activities have been shown to disrupt behavior. Transition-related disruptions in behavior have been observed across laboratories, species, and procedural arrangements. The most commonly reported disruption in basic research is a pause in the reinforced behavior in the signaled transition from a relatively rich to a relatively lean condition of reinforcement (Perone & Courtney, 1992). The present study assessed the function of the stimuli associated with transitions as either reinforcing, punishing, or neutral across two experiments using eight pigeons as subjects. Experiment 1 tested the function of two stimuli, one correlated with …
The Bleeding Edge Of Misogyny: How Gender-Based Harassment And Infrastructural Neglect Shape Menstrual Distress, Mackenzie J. Miller
The Bleeding Edge Of Misogyny: How Gender-Based Harassment And Infrastructural Neglect Shape Menstrual Distress, Mackenzie J. Miller
Graduate Theses, Dissertations, and Problem Reports (ETD)
Despite growing attention to menstrual health, organizational research has largely overlooked how workplace conditions shape menstrual experiences. Dominant perspectives frame menstruation as an individual issue that negatively affects work, neglecting how features of the work environment – such as gender-based harassment and access to menstrual-related infrastructure – contribute to menstrual distress. Addressing this gap, this dissertation adopts a bidirectional perspective, examining how social and material workplace conditions shape menstrual distress, defined as the extent to which menstrual symptoms interfere with daily functioning. Drawing on the transactional model of stress and objectification theory, I hypothesized that gender-based harassment would predict menstrual …
Early Life Adversity And Reward Reactivity In Humans, Maria C. Potts
Early Life Adversity And Reward Reactivity In Humans, Maria C. Potts
Graduate Theses, Dissertations, and Problem Reports (ETD)
Both animal and human research has identified early life adversity (ELA) as a prominent risk factor for substance use disorder (SUD). However, the underlying mechanisms linking ELA to SUD development remain unclear. Animal studies point to differences in reward responsiveness as the primary explanation; specifically, that ELA could lead to individual differences in the attribution of incentive salience to reward-predictive cues, or the “sign-tracking” behavioral phenotype. Sign-tracking has been linked to addiction-related behaviors in both animal and human studies, but no human studies have examined whether sign-tracking could partially explain the link between ELA and SUD. In fact, human studies …
Social Media Addiction And Its Influence On The Physical Social Interactions Among West Virginia University Students, Blessing Ochom Omaleko
Social Media Addiction And Its Influence On The Physical Social Interactions Among West Virginia University Students, Blessing Ochom Omaleko
Graduate Theses, Dissertations, and Problem Reports (ETD)
ABSTRACT
Social Media Addiction and its Influence on the Physical Social Interactions Among West Virginia University Students
Blessing O. Omaleko
This qualitative study investigated social media addiction and its perceived influence on face-to-face interactions among 14 West Virginia University students using an open-ended qualitative survey. Grounded in Griffiths' (2013) behavioral addiction components, salience, mood modification, conflict, and relapse, the data were analyzed using Thematic Analysis (Braun & Clarke, 2006). Findings revealed that while students characterized their social media use as a habit rather than an addiction, their descriptions aligned with multiple addiction components. Students consistently valued in-person interactions over online …
Difficult Tasks And Strained Ties: Irritation As A Mediator For Relationship Quality And Caregiver Distress, Payton Elisabeth Radcliffe
Difficult Tasks And Strained Ties: Irritation As A Mediator For Relationship Quality And Caregiver Distress, Payton Elisabeth Radcliffe
Graduate Theses, Dissertations, and Problem Reports (ETD)
Caregiving, defined as providing regular unpaid assistance to individuals with chronic illness or disability, is a widespread role associated with both societal benefit and psychological strain (Berg et al., 2021; Schulz et al., 2020). Prior research indicates that perceived caregiving difficulty is a key predictor of caregiver distress, though the mechanisms underlying this association remain unclear (Blom et al., 2024; Gérain & Zech, 2022). Drawing on the Stress Process Model (Pearlin et al., 1990), the present study examined irritation as a mediator linking perceived caregiving difficulty to relationship quality and caregiver distress, while also testing whether caregiver relationship type moderates …
Differences In Dry Matter Intake In Grazing And Drylot Beef Cattle, Tylor John Yost
Differences In Dry Matter Intake In Grazing And Drylot Beef Cattle, Tylor John Yost
Graduate Theses, Dissertations, and Problem Reports (ETD)
Accurate measurement of individual dry matter intake (DMI) in grazing cattle remains a major challenge for evaluating feed efficiency traits in beef production systems. This study evaluated relationships among intake and efficiency traits measured in both pasture and drylot environments and assessed the potential for predicting pasture DMI using water intake and machine learning approaches. A total of 163 beef cattle across four experimental groups were evaluated in one of two grazing seasons (2024 or 2025). Drylot feed and water intake were measured using automated intake monitoring equipment, whereas pasture intake was determined using a long short-term memory …
Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar
Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar
Graduate Theses, Dissertations, and Problem Reports (ETD)
In behavior analysis, staff are often trained to percentage-based criteria to demonstrate that they have mastered a skill. However, percentage-based mastery criteria may not result in long-term maintenance of the skill. In other areas of instruction, fluency criteria resulted in multiple positive outcomes such as maintenance, endurance, and application of the skill beyond the training context, but these outcomes have not yet been widely demonstrated in the context of teaching behavior support plan (BSP) content and implementation. Across two experiments, we attempted to evaluate the extent to which training individuals to a fluency-based or percentage-based criterion resulted in maintenance and …
Taxpayers Willingness To Use Ai Conversational Tools, Nessrine Mesto-Assaad
Taxpayers Willingness To Use Ai Conversational Tools, Nessrine Mesto-Assaad
Graduate Theses, Dissertations, and Problem Reports (ETD)
With the rapid emergence of Artificial Intelligence Conversational Tools (AICTs), such as ChatGPT and Google Gemini, and their widespread use, the need to understand users’ acceptance of this emerging technology has increased. Prior research has investigated users’ acceptance of AICTs in hospitality, tourism, e-commerce, and retail industries. However, users’ acceptance of the use of AICTs for tax information remains relatively underexplored in the tax context. Therefore, this study investigates taxpayers’ willingness to accept and use AICTs for tax-related questions when e-filing their tax returns. Drawing on the Artificial Intelligence Device Use and Acceptance (AIDUA) model as a research framework, this …
Acts Of Becoming: A Phenomenological Investigation Into The Lived Experiences Of West Virginia Teacher-Activists, 1990 To The Present, Phillip Elias Howard
Acts Of Becoming: A Phenomenological Investigation Into The Lived Experiences Of West Virginia Teacher-Activists, 1990 To The Present, Phillip Elias Howard
Graduate Theses, Dissertations, and Problem Reports (ETD)
This critical phenomenological dissertation explores the lived realities of becoming a West Virginia teacher-activist. Presenting the experiential accounts of three participants, its semi-structured questions Show the lifeworld forces, inherited (factical) self-identities, and occupational, "on-the-ground" classroom experiences that inspired its research collaborators to assert themselves as unionists and natural teacher-organizers. This dissertation utilizes a collection of Marxian, phenomenological, and post-structural interpretation devices to develop robust, sensemaking themes which reveal the meaning of participants’ lived reflections. It also provides thick descriptions of co-researchers' historic and current political, economic, and socio-cultural backdrops amid West Virginia’s right-wing political realignment of the 2010s, the eternal …
Statistical Analysis Of Evidence In Criminal Cases, Giuliana Leon Carrillo
Statistical Analysis Of Evidence In Criminal Cases, Giuliana Leon Carrillo
Graduate Theses, Dissertations, and Problem Reports (ETD)
Ideally, the evaluation of relevant forensic evidence must corroborate the hypotheses that the prosecution and/or the defense holds regarding the commitment of a crime. Therefore, optimal forensic evidence would be the one that can be found all the time under the same circumstances, and cannot be found otherwise, making the forensic scientist able to evaluate this evidence given the hypotheses provided. Nevertheless, this is hard to find, as ideal evidence being only a concept.
In this project, the probabilistic interpretation of relevant forensic evidence investigated in criminal cases with the aid of Wigmore charts and Bayesian networks was proposed. Using …
Three Essays In Cpi Bias And Health Economics, Auderta Amoako-Nuamah
Three Essays In Cpi Bias And Health Economics, Auderta Amoako-Nuamah
Graduate Theses, Dissertations, and Problem Reports (ETD)
The first essay estimates bias in the Consumer Price Index (CPI) for elderly individuals in the United States using Engel curve methodology and household-level data from the Panel Study of Income Dynamics (1999–2023). The analysis focuses on how well the CPI reflects changes in the cost of living for older Americans, with particular attention to differences by gender and marital status. Results show that from 1999–2011, the CPI overstated the increase in the cost of living for both elderly and non-elderly households. In contrast, from 1999–2023, the CPI understated cost increases, with the bias generally larger for non-elderly households. Within …
Impact Of Occupational Therapy Within The Rosenbaum Family House: How Program Development Supports Health And Well-Being For Caregivers And Care Recipients, Zaccardi P. Muniz
Impact Of Occupational Therapy Within The Rosenbaum Family House: How Program Development Supports Health And Well-Being For Caregivers And Care Recipients, Zaccardi P. Muniz
Graduate Theses, Dissertations, and Problem Reports (ETD)
Healthcare hospitality houses (HHH) are designed to accommodate patients and caregivers receiving medical treatment far from home. The Rosenbaum Family House (RFH) acts as the HHH adjacent to J.W. Ruby Memorial Hospital in Morgantown, West Virginia. The RFH offers amenities that meet the basic needs of guests; However, there is an opportunity for occupational therapy-based program development to help further assist caregivers and care recipients both inside and outside the RFH. During the doctoral capstone experience (DCE), a three-phase project was developed to support the health and well-being of guests and WVUMedicine clients through group programming, resource guide development, and …
An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz
An Evidence-Based Practice Initiative To Promote Debriefing Within The Obstetrics Surgical Team, Rachel Lynn Runatz
Graduate Theses, Dissertations, and Problem Reports (ETD)
Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.
Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.
Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and …
Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan
Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan
Graduate Theses, Dissertations, and Problem Reports (ETD)
Childhood traumatic event exposure (CTE) involves exposure to extreme events that overwhelm one’s ability to cope. Childhood traumatic event exposure has been linked to a wide range of adverse mental and physical health consequences, including posttraumatic stress symptoms (PTSS). Fewer studies have examined positive trajectories following childhood traumatic event exposure, such as posttraumatic growth (PTG), especially in understudied regions such as Appalachia. The current study used a cross-sectional design to examine posttraumatic growth in 14 youths aged 9 to 15 years seeking trauma-focused therapeutic services at an outpatient pediatric trauma specialty clinic in West Virginia. In line with previous research, …
Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler
Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler
Graduate Theses, Dissertations, and Problem Reports (ETD)
While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …
Three Essays On Personnel And Labor Economics, Chengyuan Hua
Three Essays On Personnel And Labor Economics, Chengyuan Hua
Graduate Theses, Dissertations, and Problem Reports (ETD)
Labor market dynamics are not only relevant for worker welfare, but also matter for firm productivity. This dissertation investigates the dynamic interactions between firms and workers, with a particular focus on the determinants and effects of human resources management practices. Using professional sports labor markets as a natural laboratory, I examine three distinct but interconnected mechanisms: managers, hiring decisions, and contract setting.
The first chapter studies how managers matter for worker productivity by exploiting manager moves in Major League Baseball. I first show that manager effects are primarily match-specific using an AKM-type model. Then, staggered difference-in-differences results show positive effects …
Walking In The Footsteps Of My Ancestors: A Deep Map Of Cherokee Forced Removal, Deborah Lyn Kirk
Walking In The Footsteps Of My Ancestors: A Deep Map Of Cherokee Forced Removal, Deborah Lyn Kirk
Graduate Theses, Dissertations, and Problem Reports (ETD)
In this study of the place of Cherokee forced removal, I use a Third Space approach to blend Indigenous Methodologies, Deep Mapping, Geospatial mapping and analysis, and 3D Geography. Using a hybrid platform that provides a mélange of media types, storytelling forms, and interactive tools, I reimagine and retell the story of the Cherokee “Trail of Tears.”
In accordance with Cherokee philosophies of duyuktv, harmony, and “a good mind” I first sought out Cherokee sponsorship from community respected and culturally knowledgeable Cherokee citizens; partnered with the National Trail of Tears Association (NTOTA); submitted my research proposal to the Cherokee …
I Think, Therefore I Can: Self-Efficacy, Self-Regulation, And Sense Of Belonging In Introductory Physics, Danielle Christine Maldonado
I Think, Therefore I Can: Self-Efficacy, Self-Regulation, And Sense Of Belonging In Introductory Physics, Danielle Christine Maldonado
Graduate Theses, Dissertations, and Problem Reports (ETD)
Cognitive and affective beliefs in physics classrooms are important indicators of student success beyond traditional measurements of academic performance. This body of work explores major beliefs and processes, including self-efficacy, self-regulation, and sense of belonging, as they relate to academic achievement among introductory undergraduate physics students. First, this dissertation explores the development of physics self-efficacy and physics sense of belonging, two highly correlated variables. This work identifies unique sources of physics self-efficacy and sense of belonging development from current and prior academic experiences, personality factors, and demographic variables. Then, relationships between early- semester self-efficacy and sense of belonging, mid-semester …
Racial Differences In Adverse Pregnancy Outcomes And Incident Hypertension: A Mediation Analysis, Lucia C. Petito, Xiaoning Huang, C. Noel Bairey, Natalie Bello, Janet Catov, Ernesto Licon, Abbi Lane, David M. Haas, Lisa D. Levine, Rebecca B. Mcneil, Eliza Miller, Uma M. Reddy, Bethany Barone Gibbs, George Saade, Lauren Theilen, Laura E. Wiener, Brian M. Mercer, Hyagriv N. Simhan, Lynn M. Yee, Philip Greenland, William A. Grobman, Sadiya S. Khan
Racial Differences In Adverse Pregnancy Outcomes And Incident Hypertension: A Mediation Analysis, Lucia C. Petito, Xiaoning Huang, C. Noel Bairey, Natalie Bello, Janet Catov, Ernesto Licon, Abbi Lane, David M. Haas, Lisa D. Levine, Rebecca B. Mcneil, Eliza Miller, Uma M. Reddy, Bethany Barone Gibbs, George Saade, Lauren Theilen, Laura E. Wiener, Brian M. Mercer, Hyagriv N. Simhan, Lynn M. Yee, Philip Greenland, William A. Grobman, Sadiya S. Khan
Department of Obstetrics & Gynecology Faculty Publications
Background
Adverse pregnancy outcomes (APOs) are associated with increased hypertension risk. Black women experience higher rates of APOs and hypertension compared with White women, but whether APOs contribute to Black-White hypertension disparities remains unknown.
Methods
The nuMoM2b-HHS (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be-Heart Health Study) prospectively recruited nulliparous pregnant people at 8 US centers (2010-2013) with follow-up 2 to 7 years postpartum (2014-2017). Race, which represents a social construct, was self-identified. The primary outcome was incident hypertension at follow-up. APOs included hypertensive disorders of pregnancy, preterm birth, and small-for-gestational age birth. Potential confounders (psychological health, social factors, and health behaviors) …
Differential Impact Of Admission Type And Clinical Complexity On Diabetes Hospitalization Costs Among African American And Hispanic Patients In Southeastern Virginia, Ismail El Moudden, Asra Amidi, Reem Sharaf-Alddin, Michael C. Bittner, Qi Zhang
Differential Impact Of Admission Type And Clinical Complexity On Diabetes Hospitalization Costs Among African American And Hispanic Patients In Southeastern Virginia, Ismail El Moudden, Asra Amidi, Reem Sharaf-Alddin, Michael C. Bittner, Qi Zhang
Department of Obstetrics & Gynecology Faculty Publications
Background
Diabetes mellitus (DM) imposes substantial healthcare costs with documented disparities among African Americans and Hispanic patients. To inform care delivery and resource allocation, this study identified hospitalization cost predictors among African American and Hispanic patients with diabetes in Southeastern Virginia.
Methods
We analyzed 6,011 hospital discharges from the Virginia Health Information database (2016-2020) for adults aged 18-85 with diabetes. Discharges were classified by Medicare Severity Diagnosis-Related Groups: DM with complications/comorbidities (DCC, n = 3,328), DM with major complications/comorbidities (DMCC, n = 1,518), and DM without major complications/comorbidities (DWO, n = 1,165). Because cost distributions were right-skewed (skewness 3.5-8.24), we …
Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan
Biomechanical Integrity Of The Female Pelvic Floor: A Comparison Of Military And Civilian Women, Vladimir Egorov, Peter Takacs, Vincent Lucente, Heather Van Raalte, Joy A. Greer, Noune Sarvazyan
Department of Obstetrics & Gynecology Faculty Publications
Introduction
The health of the pelvic floor depends on the integrity of its muscles, connective tissue, ligaments, and their innervation. The female pelvic floor may be more vulnerable to repetitive heavy loads in a military environment than the male pelvic floor because of anatomical and physiological differences. The study aim was to identify and explore possible differences in the female pelvic floor conditions between active military and civilian women with similar demographics.To identify and explore possible differences in the conditions of the female pelvic floor between active military women and civilian women with similar demographics.
Materials and Methods
Military active …