Medicine and Health Commons^™

Nourishing Births: A Program Evaluation Proposal For Community-Based Nutrition Education, Food Access, And Garden Engagement Among Black Birthing People, Naa Deedei-Vera Hammond

Master's Projects and Capstones

Black birthing people in the United States continue to experience unequal maternal health outcomes, shaped in part by racism and barriers to nutritious food, culturally relevant health education, and supportive community spaces. While prenatal nutrition education and food assistance programs can provide important resources, information alone cannot address the challenges many people face when trying to access healthy and affordable food during pregnancy. The Nourishing Births Initiative is a proposed community-based maternal health program designed to respond to these needs by bringing together prenatal nutrition education, help connecting to food resources, community gardening, and peer support for Black birthing people …

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

With Students, As A Student: Using Reflexive Autoethnography To Make Sense Of Navigating Student–Researcher Liminality In A Ph.D., Melody Bishop

The Qualitative Report

Postgraduate researchers (PGRs) are increasingly encouraged to practice reflexivity. But there is a lack of PGR-authored literature about what it means to negotiate multiple identities, particularly for student–researchers doing research with students. This paper explores challenges experienced during a longitudinal Ph.D. project involving undergraduate students with long-term health conditions. I present outcomes of a reflexive autoethnographic analysis of a diary kept making sense of research challenges, including holding dual positions as a student–researcher at the same institution. Drawing on the notion of liminality, I argue that the boundaries between my student–researcher identities, and between myself and participants, have been consistently …

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …

Corruption In The Service Of The Common Good: The Legitimation Of Traditional Practitioners In Cameroon, Victorine Oyane Ossah

Journal of Law and Public Policy

This article shows how health law and public policy, in seeking to regulate traditional medicine, without fully recognising it, paradoxically end up producing the very social conditions for the corruption that they are supposed to combat. The aim is to identify, based on the experience of traditional healers, the various factors that contribute to establishing corruption not as a moral choice, but as a pragmatic strategy for preserving their knowledge, resources, and place in the healthcare system. The analysis presented is based on a qualitative survey of 30 traditional medicine practitioners in Yaoundé and Douala between 2021 and 2026, in …

Bridging Fiscal Sustainability And Health Equity: A Policy Analysis Of California’S Healthcare Coverage Safeguards, Guadalupe Castaneda Martinez

Master's Projects and Capstones

Without structural policy intervention, approximately 4.6 million Californians remain at risk of being uninsured by 2030, worsening racial and ethnic health disparities and hospital uncompensated care burdens. This policy analysis advocates for a hybrid universal coverage model combining sliding-scale subsidies (California Senate Bill 78) with full-scope Medi-Cal expansion for all income-eligible residents regardless of legal status (California Assembly Bill 133). The framework relies on existing funding mechanisms, including the Managed Care Organization tax and the Health Care Affordability Reserve Fund. Comparative analysis indicates that market-only subsidies leave severe equity gaps, whereas immediate single-payer transitions pose substantial fiscal and administrative risks. …

State Medicaid Expansion And Mental Health In The Poorest States: Examining Differences In States That Expanded Medicaid Compared To Those Which Did Not, Steven Kyle Yates

Master's Theses

Medicaid expansion is a contentious issue in U. S. political debates, especially regarding its impact on public health outcomes. The Republican Party often shows hesitation to support government funding initiatives, citing concerns about creating dependency on entitlement programs like Medicaid. As a result, state legislatures have significant authority to shape their Medicaid programs, including setting eligibility requirements and defining the scope of benefits and services. In this study, I examine disparities in mental health indicators between economically disadvantaged states that expanded Medicaid and those that did not expand Medicaid. The dependent variables include medical costs, measured by how often individuals …

Sari-Sari Stores As Community Pharmacies? A Qualitative Exploration Of Sari-Sari Stores Selling Medicines In The Philippines, Melissa Louise M. Prieto, Gamaliel P. Galigao, Ana Rica S. Navarra-Cruz, Louise Gabriel R. Jimenez, Gideon Lasco

Medical Anthropology

Background and Objective. Despite laws prohibiting the sale of pharmaceuticals outside licensed pharmacies, sari-sari stores continue to informally sell medicines, bridging access challenges especially in remote areas. The study explores the roles and perceptions of sari-sari stores as informal medicine providers. Methods. The study draws on ethnographic insights from key informant interviews with fourteen (14) sari-sari store owners or tinderas, probing into medicines sold in sari-sari stores and their perceived effectiveness. Data were analyzed using thematic analysis. Results. Sari-sari stores serve as informal yet critical points of access to common medicines for everyday illnesses, especially in remote areas where …

Oral History With John Barry, Dan Royles

History Faculty Scholarship

Oral history interview with John Barry, who has served as Executive Director of the Southern Tier AIDS Program (STAP) since 2008. He was born in Endicott, New York in 1966, grew up in Vestal, and attended high school at Seton Catholic Central in Binghamton before serving in Germany with the United States Army during the early 1980s. When he returned to Broome County in 1987, some of his friends had been affected by HIV/AIDS and, while earning a degree at SUNY Binghamton, Barry became involved in mutual aid efforts to help people affected by the disease. He went to work …

An Investigation Into The Attitudes Of People Living In Ireland Towards The Legalisation Of Euthanasia, Aoife Crowley, Katie Dwyer, Caoimhe Kelleher

International Undergraduate Journal of Health Sciences

Euthanasia or assisted dying is currently illegal in Ireland. This research project aimed to investigate the attitudes of people living in Ireland towards the potential legalisation of euthanasia through analysis of results from a survey created on Google forms. This survey was distributed to 294 people, aged 18-75 years old, focusing on factors that could possibly influence an individual’s opinion towards the legalisation of euthanasia such as religious beliefs, age, gender and area of study/work. Upon analysis of the responses, participants who did not have strong religious beliefs were more likely to support the legalisation of euthanasia than those who …

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 6, Issue 1, July 2026

International Undergraduate Journal of Health Sciences

Full Issue: The International Undergraduate Journal of Health Sciences, Volume 6, Issue 1, July 2026.

Public Responses About Air Quality In The World’S Ten Most Populous Countries, Noah Lim, Alessandro Del Ponte, Lina Ang, Wei Jie Seow

Political Science Faculty Articles and Research

Understanding how people view and react to outdoor air quality is crucial to effectively managing and responding to air pollution, which is a major threat to global public health. Using a quota sample of 10,618 respondents from 1,372 localities across the world’s ten most populous countries (Bangladesh, Brazil, China, Indonesia, India, Mexico, Nigeria, Pakistan, Russia, and the United States), we assessed the association between exposure to fine particulate matter with diameter ≤ 2.5 micrometers (PM2.5) and people’s knowledge, attitudes, perceptions, practices, and concern about air quality. Overall, we find an inverse association between air pollution exposure and knowledge about air …

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …

Affirming Farmer Assets And Visions: Results From A Pilot Appreciative-Inquiry-Based Asset-Mapping Workshop, Andrew R. Smolski, Elisabeth Ramsey, Cathy Royal, Michael Schulman

Journal of Human Sciences and Extension

Cooperative Extension Services and non-profit farm advocacy organizations assist farmers through network development and resource referrals to access information and services needed to operate resilient farms. One method for building networks and assessing existing resources is through participatory asset-mapping tools to document community strengths. In this research brief, we describe the results of a pilot study to test, evaluate, and refine an asset-mapping tool based on Appreciative Inquiry principles. Our goal in the pilot project was to assist the assembled farmers in identifying objectives for a sustainable future and understanding the existing set of resources that would empower them toward …

The Contentious Politics Of Abortion: Understanding The Black Protests And Women’S Strikes In Poland, Taubie Sanders

Undergraduate Theses, Capstones, and Recitals

In 1993, the Polish Parliament, the Sejm, passed a law called ‘The Abortion Compromise’ permitting abortion only in cases when there is a serious threat to the life or health of the woman, pregnancy is the result of a crime, or prenatal tests show the fetus to be severely or incurably damaged. The current abortion laws in Poland are the most restrictive in all of Europe. Poland’s abortion laws have undergone much contestation in recent years. In 2016, the Black Protests erupted across the country in opposition to a proposed total ban on abortion. In 2020, the Women’s Strikes commenced …

Examining Data Access Gaps For Tribal Epidemiology Centers: Qualitative Interviews And A 50-State Syphilis Data Audit, Kathleen P. Conte, Ashley Hoover, Levi Mattoon, Brigg Reilley, Jessica Leston

Homelessness Research & Action Collaborative Publications and Presentations

Context: Federal law establishes American Indian and Alaska Native Tribes and Tribal Epidemiology Centers (TECs) as public health authorities with rights to state data to conduct public health activities. Tribal authorities, however, struggle to access public health data.

Objectives: To examine TECs’ access and barriers to public health surveillance data, and using syphilis as a case study, to assess data availability and timeliness nationwide.

Design: In-depth qualitative interviews and a desk audit of syphilis data by states.

Setting: All 12 TECs who collectively provide epidemiologic and public health support to 574 Tribes and 41 Urban Indian Centers nationwide.

Participants: Sixteen …

Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef

Theses and Dissertations

Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …

Assessing Indoor Heat Vulnerability And Cooling Strategies In Three Mobile Home Communities In Boulder, Colorado, Usa, Mehdi P. Heris, Skye Niles, Alana Wilson, Megan Mccurdy, Amy Lacourse, Nick Lankau

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Extreme heat is an increasing public health and environmental threat shaped by both physical and social factors. This study assesses the vulnerability of mobile homes and their residents at three mobile home parks in Boulder, Colorado. We examined indoor temperature, housing conditions, and social and personal risk factors of the households. We monitored indoor and outdoor temperatures using 27 indoor and 5 outdoor temperature data loggers, comparing mobile homes with air conditioning, swamp coolers, and passive cooling designs. This work provides a detailed analysis of indoor temperature patterns and demonstrates how evaluating trends yields insights into the performance and effectiveness …

Quality Improvement (Qi) Project Aimed At Reducing Unnecessary Antibiotic Usage Among Older Adult Patients By Addressing Inappropriate Antibiotic Prescribing In Primary And Long-Term Care Settings, Pamela M. Thomas

Seton Hall University Dissertations and Theses (ETDs)

Antibiotic overuse among older adults remains a significant patient safety and public health concern. Recent national data indicate that approximately 30%–50% of outpatient antibiotic prescriptions may be unnecessary, particularly for viral or self-limiting conditions (Chua et al., 2021). Antimicrobial resistance has been associated with more than 1.27 million deaths globally (Murray et al., 2022). This quality improvement project evaluated a multifaceted antimicrobial stewardship intervention in primary and long-term care settings. Baseline review of 167 antibiotic cases revealed 37.1% were inappropriate or questionable, and 28.7% lacked adequate diagnostic documentation. The intervention incorporated provider education, electronic health record decision-support tools, audit and …

Strategies For Improving Preventive Health Outcomes In Long-Term Care Case Management At Molina Healthcare Of Wisconsin, William W. Feilbach Jr.

M.S. in Human Services Administration

This research evaluates strategies to improve preventive health outcomes in long-term care case management at Molina Healthcare of Wisconsin, with a specific focus on improving participation in annual wellness visits.  Increasing health care costs and gaps in preventive care engagement among Medicare and Medicaid populations underscore the need for effective interventions. A systematic literature review of recent peer-reviewed and governmental sources was conducted to examine the relationship between preventive care, health outcomes, and cost containment. Findings show that greater engagement in preventive services, including annual wellness visits and screenings, supports early detection, reduces high-cost service utilization, and improves overall health …

Values-Based Clinical Ethics: A New Model Of Health And Ethics Consultation For Patients Suffering In Extremis, Adam Trainer

Electronic Theses and Dissertations

This dissertation argues that contemporary clinical ethics is inadequately equipped to support patients suffering in extremis because it relies on an insufficiently discriminating account of health and a constrained model of moral reasoning. Drawing on Bernard Lonergan, it reconceives health as an emergent, multi-layered, heuristic notion shaped by biological, psychological, social, and existential goods. On that basis, it critiques principlism’s global applicability thesis and the undergirding claim that its principles form part of the common morality, arguing that this justificatory structure is philosophically insufficient and practically limited for clinical ethics in cases marked by profound suffering, moral plurality, and normative …

El Papel Del Bilingüismo En La Atención Médica A Pacientes Hispanohablantes, Ariela Deleon

Student Scholar Symposium Abstracts and Posters

Spanish-speaking patients in the United States frequently face significant barriers to quality healthcare due to language differences between themselves and their providers. This project examines how English-Spanish bilingualism among healthcare professionals meaningfully improves the quality of care delivered to Spanish-speaking patients. To analyze this, the project draws on a review of academic literature on bilingualism, language concordance, medical interpretation, and health outcomes, as well as interviews with healthcare professionals across various fields who possess different levels of Spanish fluency and regularly work with Spanish-speaking patients. This project argues that bilingualism among healthcare providers is not merely a supplementary skill but …

A Survey On Knowledge-Enhanced Healthcare Question Answering Systems, Junnan Su, Pu Han, Jianxiang Wei

Journal of Scientific Information Research

[Purpose/significance] This paper aims to review the research progress and applications of knowledge enhancement techniques in healthcare question answering systems, in response to the limitations of traditional systems in knowledge representation and reasoning, as well as challenges faced by current large language model-based systems, such as insufficient domain knowledge, privacy concerns, and hallucination. The review provides a systematic reference for improving the precision and knowledge reliability of such systems. [Process/method] Focusing on knowledge enhancement strategies, this paper firstly outlines their fundamental concepts and overall framework. The strategies are then categorized into explicit and implicit types, with an analysis of their …

Beyond The Cycle: How Menstruation Influences Gender Identity And Well-Being In Binary And Non-Binary Adults, Rin Nguyen

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Approximately 1.8 billion people worldwide menstruate, including transgender and gender-diverse (TGD) people, yet their experiences remain underrepresented in research. Given that menstruation can affect gender alignment and psychological well-being, understanding its impact on TGD people is critical. Gender congruence, or alignment between one’s gender identity and expression, is a key factor influencing well-being, with research linking it to reduced depression and anxiety. Furthermore, emerging research on gender euphoria, the joy experienced when gender congruence is experienced, suggests it may serve as a protective factor for mental health and well-being. Gender euphoria has been associated with reduced psychological distress and increased …

“Better Late Than Never” – Exploring The Challenges And Triumphs From Late-Diagnosed Autistic Women, Angela C. Altomare

Electronic Theses and Dissertations

The diagnostic process for adult autistic women is a transformative experience that reshapes identity, their histories, and self-understandings. This study examines the impact of a late-in-life autism diagnoses on women through the examination of narratives from the Reddit community r/AutismInWomen, and autoethnography.

Drawing on personal experience as a late-diagnosed autistic researcher, and the shared stories within r/AutismInWomen, the research demonstrates the challenges experienced, such as navigating stigma, negotiating identity, and seeking support.

The research reveals that online platforms serve as critical spaces for stigma negotiation, identity validation, self-advocacy, and community building among autistic women. Furthermore, these narratives underscore …

Mitigation Of Race-Based Antihypertensive Prescribing, Victoria Scaccia Msn Rn Cnl Dnp, Bridget O'Brien Dnp, Stephanie Crane Md, Amanda Bradke Md

North American Conference to End Race-Based Medicine

No abstract provided.

Six Steps To Squats: A Training Protocol To Guide Functional Rehabilitation Following Isolated Lower Extremity Fractures, Batoul Baydoun, Abdurrahman Ehsan, Manar Chebli, Zarrar Chauhdri, Ahmed Memon, Ahmad Almaat Bs, Omar Abdalla Bs, Haytham Alqasmi Bs, Ameen Suhrawardy Md, Rahul Vaidya Md

North American Conference to End Race-Based Medicine

No abstract provided.

Reconsidering The Use Of Race & Ethnicity In Clinical Decision-Making: The Path Towards Liberation Medicine, Donna Ahmadian Ms, Mph

North American Conference to End Race-Based Medicine

No abstract provided.

Sleeve Gastrectomy Vs. Glp-1 Agonists (Semaglutide): A Cost-Effectiveness Perspective On Long-Term Obesity Management, Naushad Khan, Luv Agarwal, Ritesh Sheth Md

North American Conference to End Race-Based Medicine

No abstract provided.

Contemplating Race In Clinical Algorithms: Educating The Physicians Of Tomorrow, Adam Gaetz

North American Conference to End Race-Based Medicine

No abstract provided.