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Hemingway Drunk: A Study Of Prohibition, Medico-Legal Rhetoric, And The Autonomy Of Masculinity, Graham P. Studdard 2021 University of Central Florida

Hemingway Drunk: A Study Of Prohibition, Medico-Legal Rhetoric, And The Autonomy Of Masculinity, Graham P. Studdard

Honors Undergraduate Theses

This thesis uses a combination of medical humanities, queer public theory, and literary analysis to showcase the uniquely American connections between alcoholism and masculinity in the literature of Ernest Hemingway. By situating both Hemingway and his characters within the medico-legal rhetoric of modernism’s famous Parisian Jazz-age, which occurred at the same time as American prohibition, I reveal changes in white American men’s relationships with gender, bodily autonomy, and the patriarchy that are often overlooked due to Hemingway’s publicly constructed masculine persona. My work provides new queer interpretations of The Sun Also Rises (1926) and the posthumous Garden of Eden (1986) …


Implementación De Políticas De Prevención Y Control De La Obesidad Infantil En Estados Unidos Y Latinoamérica: Lecciones Para La Investigación Y La Práctica Transfronterizas, Mireya Vilar-Compte, Rafael Perez-Escamilla, Elizabeth Rhodes, Olga L. Sarmiento, Camila Corvalan, Rachel Sturke, Susan Vorkoper 2021 Montclair State University

Implementación De Políticas De Prevención Y Control De La Obesidad Infantil En Estados Unidos Y Latinoamérica: Lecciones Para La Investigación Y La Práctica Transfronterizas, Mireya Vilar-Compte, Rafael Perez-Escamilla, Elizabeth Rhodes, Olga L. Sarmiento, Camila Corvalan, Rachel Sturke, Susan Vorkoper

Department of Public Health Scholarship and Creative Works

Aunque se han hecho avances en el desarrollo y aplicación a gran escala de inter-venciones eficaces contra la obesidad infantil, los retos siguen siendo importantes. Nuestro objetivo era comprender las causas del éxito de Estados Unidos y los países latinoamericanos en la implementación de políticas y programas (PYP) contra la obe-sidad e identificar oportunidades de mejora aplicando los principios de la ciencia de la implementación. Seleccionamos tres estudios de comparación de casos: (1) el etique-tado frontal en los envases de alimentos (México y Chile), (2) los programas de calles abiertas y calles para el juego (Colombia y Estados Unidos) y …


Is There A Relationship Between Leadership Characteristics And Services Provided Among Ihs Urban Indian Health Programs?, George Grant Tribble 2021 University of Alabama at Birmingham

Is There A Relationship Between Leadership Characteristics And Services Provided Among Ihs Urban Indian Health Programs?, George Grant Tribble

All ETDs from UAB

IS THERE A RELATIONSHIP BETWEEN LEADERSHIP CHARACTERISTICS AND SERVICES PROVIDED AMONG IHS URBAN INDIAN HEALTH PROGRAMS?GEORGE G. TRIBBLE HEALTHCARE LEADERSHIP ABSTRACT The Native American population has faced and been impacted by a wide range of actions throughout the last few hundred years. The loss of cultural norms and way of life continues to manifest itself through various socioeconomic concerns. At the center of the Native American leadership model is a disciplined and culturally specific guidance structure. The Urban Indian Health Program (UIHP) was created by the Indian Health Service to establish a culturally appropriate health care delivery model for Native …


The Role Of Obesity, Gdm, And Lifestyle Factors On Metabolic Syndrome Scores In Mothers And Their Children 4-10 Years After Pregnancy, Makenzie Callahan 2021 University of Alabama at Birmingham

The Role Of Obesity, Gdm, And Lifestyle Factors On Metabolic Syndrome Scores In Mothers And Their Children 4-10 Years After Pregnancy, Makenzie Callahan

All ETDs from UAB

Metabolic syndrome (MetS) is a cluster of symptoms that increase risk for heart disease and type 2 diabetes. Therefore, early detection of MetS is vital for disease prevention. Gestational diabetes (GDM) and/or obesity during pregnancy are associated with a greater risk for MetS in mothers and their children compared to mothers with no GDM. However, little is known about how much a GDM history or in utero exposure to maternal GDM contributes to MetS risk years after that pregnancy in addition to risk attributable to obesity itself. Therefore, the overall objective of this dissertation was explore how a history of …


Comics For Pediatric Oncology Patients And Families: Education And Empowerment, Natalie Johns 2021 University of Nevada, Las Vegas

Comics For Pediatric Oncology Patients And Families: Education And Empowerment, Natalie Johns

Calvert Undergraduate Research Awards

The major objective is to develop the first book of a boxed set series of comic vignettes that will serve as a clinical educational tool for pediatric patients with a recent cancer diagnosis and their caregivers. These comics are hypothesized to improve patient and family understanding of the disease, its treatment, side effects, and outcomes in an engaging and aesthetically pleasing way. The overall goals of this project are to reduce anxiety and increase health literacy in patients and their families while assisting the oncology team in providing optimal medical care, thus improving the overall quality of treatment. Comics aimed …


The Medicalisation Of Gender Nonconformity Through Language: A Keywords Analysis, Angelo Cosma Galluzzo 2021 University of Brighton

The Medicalisation Of Gender Nonconformity Through Language: A Keywords Analysis, Angelo Cosma Galluzzo

sprinkle: an undergraduate journal of feminist and queer studies

Language is an important part of the way gender nonconformity is legislated and medicalised. In 2012, the American Psychiatric Association (APA) changed the nomenclature of the ‘gender identity disorder’ (GID) to ‘gender dysphoria in the ‘Diagnostic and Statistical Manual of Mental Disorders (DSM) to reduce the social stigma attached to transgender identities. While the recognition of gender nonconformity by the medical authorities has led to some beneficial consequences, scholars have shown that the language of pathology has narrowed the definitions of gender nonconformity and has created social stigma. I use the web pages of five major health providers of English-speaking …


Death, Discipline, And The Dead: Biopolitical Rhetoric In Early Modern English Texts, Leslie Raybuck Malland 2021 University of Kentucky

Death, Discipline, And The Dead: Biopolitical Rhetoric In Early Modern English Texts, Leslie Raybuck Malland

Theses and Dissertations--English

Death, Discipline, and the Dead: Biopolitical Rhetoric in Early Modern English Texts locates allusions to the biopolitical culture of Early Modern England within popular English texts. Through my examination of the period’s fascination with death—public executions, newly-authorized anatomies—and the ways in which death, as well as the treatment of the dead, was authorized by and supported the ideological aims of the state, my research identifies how those themes carry over into the most popular works of the day, reviewing instances of both verbal and nonverbal rhetoric across genres to find allusions to biopower — or, state control of the biological. …


Developing And Evaluating Strategies To Implement An Insulin Patient Decision Aid In An Academic Primary Care Clinic In Malaysia, Tong Wen Ting 2021 Universiti Malaya

Developing And Evaluating Strategies To Implement An Insulin Patient Decision Aid In An Academic Primary Care Clinic In Malaysia, Tong Wen Ting

Student Works (2020-2029)

Patient decision aids (PDAs) are decision-making tools to facilitate shared decision-making; however, their routine use in clinical consultations is still lacking. This study aims to develop and evaluate strategies to effectively implement a locally developed insulin PDA in an academic primary care clinic in Malaysia. This implementation study began with a qualitative exploration to identify PDA implementation barriers in Malaysian public healthcare settings (Phase 1). In Phase 2, an implementation intervention was systematically developed for the insulin PDA in an academic primary care clinic. This involved stakeholders using a multi-voting technique to prioritise Phase 1 barriers. Next, strategies were identified …


Mutilated Masculinity: Intersections Of Disability, Gender, And Mental Health In Modernist Fiction, Sara Thames 2021 University of Central Florida

Mutilated Masculinity: Intersections Of Disability, Gender, And Mental Health In Modernist Fiction, Sara Thames

Electronic Theses and Dissertations, 2020-2023

This thesis investigates the impact of the intersection of physical disabilities and mental health conditions on the masculine identities presented in modernist texts. Here, I analyze a collection of works by Ernest Hemingway, D.H. Lawrence, Claude McKay, and Wilfred Owen. Utilizing a combination of theoretical approaches: trauma theory, gender and sexuality studies, narratology, disability studies, and insights from the medical humanities, I revisit well-known novels like The Sun Also Rises and Lady Chatterley's Lover and illuminate lesser-studied works like "A Natural History of the Dead" and the recently published Romance in Marseille. I recognize here the psychosocial struggles faced by …


How Does Direct Volunteering Affect The Onset Of Alzheimer’S Dementia In Elderly Patients With Preexisting Cardiac Comorbidities?, Sneha R. Gade 2021 Virginia Commonwealth University

How Does Direct Volunteering Affect The Onset Of Alzheimer’S Dementia In Elderly Patients With Preexisting Cardiac Comorbidities?, Sneha R. Gade

UROP Posters

Alzheimer's Dementia is a disease that affects memory, thinking, and behavior. The Alzheimer's Association reported Alzheimer's as the sixth-leading cause of death in the United States, and a cure does not exist. Donepezil, a cholinesterase inhibitor drug, is frequently prescribed to treat Alzheimer's disease. Still, patients must continuously take the medication for years to receive any measurable improvement in quality of life after developing Alzheimer's Dementia. Further, research shows prolonged use of Donepezil can lead to other health problems, such as QTc prolongation, for cardiac disease patients. Therefore, the effectiveness of non-drug interventions, such as volunteering to prevent the disease's …


The Effect Of Medicaid Expansion On Hospitals Allowance For Bad Debt, Tara B. Dixon 2021 University of Alabama at Birmingham

The Effect Of Medicaid Expansion On Hospitals Allowance For Bad Debt, Tara B. Dixon

All ETDs from UAB

The management of bad debt is a complex issue for hospitals, and if mismanaged, can impact the organization's current and future financial stability. The expansion of Medicaid through the Patient and Affordable Care Act (ACA) was expected to lessen the bad debt reported by hospitals by increasing the number of insured lives. Hospital managers understand that a certain percentage from the accounts receivables will end up being uncollectable; however, strategically planning for bad debt and estimating a more accurate allowance requires a specific level of strategic planning. Allowance for bad debt should not be a guessing game but should be …


Pain-Related Injustice Appraisal And Chronic Low Back Pain Among Arabs In The United States, Albatool Homoud Alnojeidi 2021 University of Alabama at Birmingham

Pain-Related Injustice Appraisal And Chronic Low Back Pain Among Arabs In The United States, Albatool Homoud Alnojeidi

All ETDs from UAB

Pain-related injustice appraisal has emerged as a psychosocial predictor of deleterious chronic low back pain (CLBP) outcomes. The appraisal is defined as the individual’s perception regarding the magnitude and irreparability of pain-related loss and suffering, externalized blame, and unfairness. Research in diverse samples revealed racial differences in pain-related injustice appraisal, suggesting that it may reflect broader racial/ethnic, sociocultural, and socioeconomic factors. This agrees with theories recognizing the role of ethnic and cultural characteristics in ethnic minorities’ health. Despite global data showing that Arabs represent the population with the second-highest prevalence of CLBP worldwide, a reliable characterization of CLBP among Arabs …


Identifying Factors To Inform The Development Of Adaptive Interventions For Increasing Physical Activity Behavior Among People With Multiple Schlerosis, Yumi Kim 2021 University of Alabama at Birmingham

Identifying Factors To Inform The Development Of Adaptive Interventions For Increasing Physical Activity Behavior Among People With Multiple Schlerosis, Yumi Kim

All ETDs from UAB

People with multiple sclerosis (MS) can benefit from physical activity, specifically exercise, for the management of disease symptoms, including walking impairments, fatigue, and depression, and improvements in quality of life. However, people with MS do not engage in adequate amounts of physical activity for the accrual of health benefits. Researchers have focused on the delivery of exercise training and behavioral interventions to improve levels of physical activity in MS. To date, there is an emerging body of research supporting the efficacy of these interventions for increasing and potentially sustaining physical activity behavior in people with MS. Yet, people with MS …


The 340b Drug Pricing Program: Are 340b Covered Entities Providing More Services And More Uncompensated Care?, Isabell M. Pacheco 2021 University of Alabama at Birmingham

The 340b Drug Pricing Program: Are 340b Covered Entities Providing More Services And More Uncompensated Care?, Isabell M. Pacheco

All ETDs from UAB

The 340B Drug Pricing Program enacted in 1992 requires pharmaceutical manufacturers participating in the Medicaid program to provide statutorily defined discounts on "covered outpatient drugs" purchased by government-supported facilities, known as covered entities, that are expected to serve the nation's most vulnerable patient populations. The Program has been under copious scrutiny by industry stakeholders and Presidential Executive Orders that threaten its macrocosm. While previous research suggests that health systems with a mix of 340B participating and non-participating locations are not associated with expanded access to care, additional research is needed to determine if entities participating in the 340B Drug Pricing …


The Relationship Of Debt Ratio And Financial Performance For Large Nfp Health Systems, Mark Lombardi 2021 University of Alabama at Birmingham

The Relationship Of Debt Ratio And Financial Performance For Large Nfp Health Systems, Mark Lombardi

All ETDs from UAB

This dissertation was a quasi-experimental research study exploring the relationship between long-term to debt capitalization ratio and financial performance in an environment where interest rates remained historically low and stable, while investment returns in the U.S. equity markets increased year over year. The study reviewed 142 not for profit health systems and examined total and non-operating margins along with long-term debt to capitalization ratio to determine if margins increased as long-term debt increased. Researchers have discussed the opportunity that not for profit health systems have to utilize low cost, tax-exempt debt to maintain or grow their endowments and in turn …


The Assessment Of Neuro-Mechanics Of Inspiratory Muscles During Mechanical Ventilation, Hassan Y. AbuNurah 2021 University of Alabama at Birmingham

The Assessment Of Neuro-Mechanics Of Inspiratory Muscles During Mechanical Ventilation, Hassan Y. Abunurah

All ETDs from UAB

The decline in inspiratory muscles function for patients undergoing mechanical ventilation may further extend the duration of mechanical ventilation leading to lethal complications. Thus, the assessment of neuro-mechanics of inspiratory muscles may help us understand the pathophysiology for mechanical ventilation failure to avoid its complications. In this dissertation, we assessed the characteristics of inspiratory neuromechanics under different conditions. This dissertation is reported in three different papers. In the first paper, we sought to assess the quality of the available literate that used surface EMG of extra-diaphragmatic muscles during invasive mechanical ventilation. We demonstrated that the use of sEMG of extra-diaphragmatic …


Joint Specificity Of Stretch-Shortening Cycle Potentiation, Marzouq Khalaf Almutairi 2021 University of Alabama at Birmingham

Joint Specificity Of Stretch-Shortening Cycle Potentiation, Marzouq Khalaf Almutairi

All ETDs from UAB

The stretch-shortening cycle (SSC) is a well-known phenomenon to enhance an individual’s muscular performance, and it is an area of active focus of research scientists for decades. However, it is not known whether SSC potentiation is a joint-specific event and shows a joint-specific temporal behavior. It is also unclear if constraints of joint and movement specificity of SSC potentiation can be captured via isokinetic dynamometer. Therefore, the purposes of this dissertation were to examine joint specificity of SSC potentiation via isokinetic dynamometer and kinetic-kinematic analysis of jump test performance and investigate joint-specific temporal behavior of SSC potentiation. My first study …


Fqhcs, Health Center Controlled Network Affiliation And Performance, Armika Jessica Berkley 2021 University of Alabama at Birmingham

Fqhcs, Health Center Controlled Network Affiliation And Performance, Armika Jessica Berkley

All ETDs from UAB

Since the mid-1960s, Federally Qualified Health Centers (FQHCs) have been funded by the U.S. federal government to provide access to preventative and primary care for medically underserved communities. The federal government’s involvement in the funding of FQHCs was a response to extreme poverty, economic instability, and civil unrest related to the Civil Rights movement. Adoption of value-based care delivery practices to improve clinical and financial performances among FQHCs has been slow. This slow adoption has been attributable to cost, lack of expertise, and support. Since August 1994, the Department of Health Resources and Services Administration (HRSA), the funding source for …


Do Outcomes From A Behavioral Weight Loss Intervention Differ In Alabama Vs Colorado?, Julianne Clina 2021 University of Alabama at Birmingham

Do Outcomes From A Behavioral Weight Loss Intervention Differ In Alabama Vs Colorado?, Julianne Clina

All ETDs from UAB

There are well-established regional differences in obesity prevalence in the U.S., but relatively little is known about whether these differences impact efforts for weight loss. The objective of the study was to determine whether changes in body weight, engagement in physical activity (PA), and psychosocial factors differed in Colorado (CO) vs Alabama (AL) in response to a 16 week standardized behavioral weight management program. We hypothesized that weight loss would be greater in Colorado due to a more favorable physical and social environment.This is an ancillary study to a weight loss intervention being conducted simultaneously in AL and CO with …


Central Vestibular Integration In Concussion And Multiple Sclerosis, Graham Dean Cochrane 2021 University of Alabama at Birmingham

Central Vestibular Integration In Concussion And Multiple Sclerosis, Graham Dean Cochrane

All ETDs from UAB

Dizziness and imbalance are commonly reported by people with concussion and people with multiple sclerosis (MS). Dysfunction of the vestibular system is likely a major cause of dizziness and imbalance in both diseases, but it is not well understood whether this dysfunction typically occurs in peripheral vestibular organs and pathways or higher-level central vestibular integration pathways. As these systems are assessed and targeted with rehabilitation differently, understanding how both are affected in these diseases will improve management of dizziness and imbalance. In addition, balance has been demonstrated to correlate with self-reported fatigue in people with MS, presumably through shared dysfunction …


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