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External Environmental Dimensions And Financial Performance Of Major Teaching Hospitals In The U.S, Karima Lalani 2019 UTHealth School of Public Health

External Environmental Dimensions And Financial Performance Of Major Teaching Hospitals In The U.S, Karima Lalani

Dissertations and Theses (Open Access)

Background: Teaching hospitals have a unique mission to not only deliver graduate medical education, but to also provide both inpatient and ambulatory care, and to conduct clinical and medical research; therefore, they are under constant financial pressure, and it is important to find out what types of external environmental components affect their financial performance. No recent studies have been comprehensively conducted for all major teaching hospitals in the U.S. to examine if there is an association between the external environmental dimensions based upon Resource Dependence Theory (Munificence, Uncertainty, Complexity) and the short-term financial performance, measured by days cash on hand …


Access To Antibiotics Without Prescription For Travelers And Colombian Citizens At Community Pharmacies In Bogota, Colombia, Marie Kasbaum 2019 UTHealth School of Public Health

Access To Antibiotics Without Prescription For Travelers And Colombian Citizens At Community Pharmacies In Bogota, Colombia, Marie Kasbaum

Dissertations and Theses (Open Access)

The misuse of antibiotics has been shown to exacerbate the global antibiotic resistance crisis, which could have major consequences on public health worldwide (Auta et al., 2018). In Bogotá, Colombia, the non-prescription sale of antibiotics still occurs in pharmacies despite national regulations requiring a prescription from a physician or health agency before dispensing antibiotics to a patient (Vacca et al., 2011). The purpose of this study was to investigate the non-prescription sale of antibiotics in community pharmacies to foreign travelers and Colombian citizens in Bogotá, Colombia. Trained Simulated Clients (SCs) gathered experimental data in pharmacies distributed throughout 20 geographic districts …


Examining Differences In Physical Activity By Socio-Demographics, Employment, And Social Support Among U.S. Adolescents, Ashleigh Marie Johnson 2019 UTHealth School of Public Health

Examining Differences In Physical Activity By Socio-Demographics, Employment, And Social Support Among U.S. Adolescents, Ashleigh Marie Johnson

Dissertations and Theses (Open Access)

The overall decline in physical activity levels during adolescence supports the examination of intrapersonal-, interpersonal-, and behavior-level factors that may influence physical activity behavior among this population. The three papers within this dissertation aimed to examine associations of socio-demographics and socio-environmental factors with physical activity among U.S. adolescents. Papers 1 and 3 used data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) Study. Paper 1 examined differences in adolescent physical activity by gender and race/ethnicity, and examined modification by grade and socioeconomic status (SES). Paper 3 examined the association of parent- and adolescent-reported parental social support with adolescent …


Nonlinear Functional Models On Causal Inference, Rong Jiao 2019 UTHealth School of Public Health

Nonlinear Functional Models On Causal Inference, Rong Jiao

Dissertations and Theses (Open Access)

Statistical analysis has experienced significant progress on association study, but it remains elusive to understand the etiology and mechanism of complex phenotypes. As a major analytical platform, association analysis may hamper the theoretic development of biomedical science and its application. Thus, many researchers suggest making the transition from association to causation. The mainstream of research in genetics and epigenetics data analysis focuses on statistical association or exploring statistical dependence between variables. Despite significant progress in dissecting the genetic architecture of complex diseases by genome-wide association studies (GWAS), the signals identified by association analysis can only explain a small proportion of …


Understanding The Relatlonships Between Survivorship Care Plans And Survivor Level Outcomes Among Breast And Colorectal Cancer Survivors, Jessica Danielle Austin 2019 UTHealth School of Public Health

Understanding The Relatlonships Between Survivorship Care Plans And Survivor Level Outcomes Among Breast And Colorectal Cancer Survivors, Jessica Danielle Austin

Dissertations and Theses (Open Access)

PURPOSE: Cancer survivors have complex journeys following the completion of active treatment. The Institute of Medicine and other high-profile organizations have recommended and mandated the use of a survivorship care plan (SCP) despite mixed evidence supporting the impact of SCPs on key survivor-level outcomes. The purpose of this dissertation was to understand the complex relationship linking the delivery of SCPs and to relevant survivorlevel outcomes. STUDY GROUP: This dissertation focuses on breast and colorectal cancer survivors because they comprise nearly 30% of the entire cancer survivor population in the US and are the two most prevalent cancers in men and …


Keep The Faith Not The Guilt: Demonization Of Sex Workers, Jessica Hodges 2019 Murray State University

Keep The Faith Not The Guilt: Demonization Of Sex Workers, Jessica Hodges

Steeplechase: An ORCA Student Journal

Previous research shows that religiosity and attitudes about sexual topics are strongly correlated and typically negative. That is, as religiosity increases, views toward sexual topics tend to become more conservative or generally more negative in valence. However, current research also suggests that one’s sexual guilt may be the mediating influence in the relationship between religiosity and negative sexual attitudes. The present study seeks to replicate and extend research that examined the extent to which an individual's religiosity and sexual guilt influence their perspective of pornography and sex workers (Study 1). To replicate this (Study 2), a survey containing relevant measures …


Utilizing The Community-Based Research Approach To Examine Mental Health And Support Services Issues Related To Hiv-Associated Neurocognitive Disorder, Renato M. Liboro 2019 University of Nevada, Las Vegas

Utilizing The Community-Based Research Approach To Examine Mental Health And Support Services Issues Related To Hiv-Associated Neurocognitive Disorder, Renato M. Liboro

Psychology Faculty Research

Human immunodeficiency virus (HIV)-associated neurocognitive disorder is an emergent public health problem known to HIV researchers and scientists, but unfortunately, is a concern that still needs to be better recognized by people living with HIV and HIV service providers. Research studies have reported that between 30 to 50% of people living with HIV who have access to combination antiretroviral therapy are and will be affected by this disorder. This raises the need to find more appropriate research approaches for examining issues that will significantly impact people living with HIV experiencing or at risk of developing neurocognitive impairments. People living with …


P-06 Spirituality And Life Skills And Their Relationship With Reasons For Attending Four Selected Adventist Universities In Asia, Jimmy Kijai, Rachelle E. Pichot 2019 Andrews University

P-06 Spirituality And Life Skills And Their Relationship With Reasons For Attending Four Selected Adventist Universities In Asia, Jimmy Kijai, Rachelle E. Pichot

Celebration of Research and Creative Scholarship

The purposes of this study are: (a) to report on the reasons for attending four Adventist universities in Asia; (b) to describe the universities’ perceived influence on student development of spirituality and life skills; and (c) to determine if reasons for attending and perceived influence on development of religiosity and life skills may be related. Survey research methodology was the design used to collect data using printed questionnaires. We designed the questionnaire to elicit information on reasons for attending the universities, engagement in curricular and extra-curricular activities, and the extent to which the university influenced student development of life skills, …


Unl Digital Commons: Presentation For Center On Children, Families And The Law, Paul Royster 2019 University of Nebraska-Lincoln

Unl Digital Commons: Presentation For Center On Children, Families And The Law, Paul Royster

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Predicting Change In Autism Symptomatology In Young Children At Risk For Autism Spectrum Disorder: Fragile X Syndrome, Down Syndrome And Non-Syndromic Asd, Kelly Elizabeth Caravella 2019 University of South Carolina

Predicting Change In Autism Symptomatology In Young Children At Risk For Autism Spectrum Disorder: Fragile X Syndrome, Down Syndrome And Non-Syndromic Asd, Kelly Elizabeth Caravella

Theses and Dissertations

This dissertation is comprised of two manuscripts which examine the longitudinal development of autism symptomatology in young children at risk for developing autism spectrum disorder (ASD); individuals with Fragile x syndrome (FXS) and Down syndrome (DS). The first study is a within group analysis of the longitudinal development of ASD symptomatology in young children with FXS, and how diagnostic stability, language and non-verbal cognitive functioning may predict these trajectories. This paper provides insight into ASD diagnostic stability patterns within FXS, and how symptoms change over time across these groups. The second paper will extend this work by presenting a pilot …


The Psychological Impacts Of Being Environmentally Active, Allie White 2019 SIT Study Abroad

The Psychological Impacts Of Being Environmentally Active, Allie White

Independent Study Project (ISP) Collection

There are many psychological impacts that come with being environmentally active. The impacts that people tend to focus more on recently are the negative impacts, such as eco-anxiety or activist burnout. Much less attention is given to the potential positive impacts associated with being environmentally active. Thus, this research aims to look at whether there are positive psychological impacts of being environmentally active, and if there are, what specifically about being environmentally active creates those positive impacts. This is important because, if there are positive impacts of being environmentally active, they could be used to motivate people to become more …


Logistic And Structural Considerations For The Use Of Psychological First Aid In Humanitarian Emergencies, Taylor Johnson 2019 SIT Study Abroad

Logistic And Structural Considerations For The Use Of Psychological First Aid In Humanitarian Emergencies, Taylor Johnson

Independent Study Project (ISP) Collection

Following the IASC recommendations for implementation of psychological first aid (PFA) in 2007, providing PFA in humanitarian emergencies as a method of psychosocial support has become one of the standard interventions in the wake of crises. However, the impact of PFA on future mental health outcomes remains largely unstudied and many structural and logistic factors (e.g. training of PFA providers, reviewing evidence to inform practice, and policy considerations) must be managed in order to ensure appropriate, high-quality PFA in humanitarian emergencies. This research aims to synthesize both primary interview data and the existing literature surrounding PFA in humanitarian emergencies to …


Salud Mental Comunitaria: Implementación En Chile Actual, Emma Baker 2019 SIT Study Abroad

Salud Mental Comunitaria: Implementación En Chile Actual, Emma Baker

Independent Study Project (ISP) Collection

This study explores how familiar community mental health organizations in Valparaíso follow an established model of community mental health, derived from a variety of essays, books, and reports on the topic. Additionally, it serves to present the effect of this relationship on the contemporary social revolution in Chile. The present social and political unrest, manifesting itself in massive protests throughout the country, presents a unique moment in which these themes can be examined. Additionally, Chile encounters high rates of psychological disorders among its population, a lack of protection for the mental health of children and adolescents, and a lack of …


Paws For Thought: The Importance Of Dogs In A Seniors Social Intervention, Elisa Maria Concetta Papotto, Jessica Lee Oliva Dr 2019 Monash University

Paws For Thought: The Importance Of Dogs In A Seniors Social Intervention, Elisa Maria Concetta Papotto, Jessica Lee Oliva Dr

People and Animals: The International Journal of Research and Practice

As Australia faces an aging population with an unprecedented life expectancy, it is the community’s obligation to ensure seniors are offered resources to support their well-being. Studies investigating loneliness in aged-care facilities attest to the therapeutic properties of dogs for residents’ sense of well-being. Consequently, this study aimed to ascertain the effectiveness of a community-based dog lover’s initiative for the self-management of well-being among senior citizens. Our qualitative research investigated whether community gatherings including dogs would produce greater feelings of subjective well-being among senior citizens compared to community gatherings without dogs. A conventional content analysis provided support for the supposition …


The Impact Of Racial Microaggressions And Major Discriminatory Events On Mental Health, Florence Lui 2019 CUNY Graduate Center

The Impact Of Racial Microaggressions And Major Discriminatory Events On Mental Health, Florence Lui

Dissertations, Theses, and Capstone Projects

The current study, a secondary data analysis, sought to determine the number and nature of latent groups for experiences of spectrum racial discrimination (i.e., both major and microaggressive racial discrimination) in a sample of emerging adults from a people of color (POC)-majority public university setting in the United States, and to understand the role of socio-demographic variables in defining each group. In addition, the study aimed to ascertain the extent to which endorsing spectrum racial discrimination experiences predicted anxiety and/or depression above the effects of general, non-race-related stress. Finally, the analyses gauged the mediating and/or moderating role of coping in …


Self-Transcendent Emotions And Social Media: Exploring The Content And Consumers Of Inspirational Facebook Posts, Katherine R. Dale, Arthur A. Raney, Qihao Ji, Sophie Janicke-Bowles, Joshua Baldwin, Jerrica T. Rowlett, Cen Wang, Mary Beth Oliver 2019 Florida State University

Self-Transcendent Emotions And Social Media: Exploring The Content And Consumers Of Inspirational Facebook Posts, Katherine R. Dale, Arthur A. Raney, Qihao Ji, Sophie Janicke-Bowles, Joshua Baldwin, Jerrica T. Rowlett, Cen Wang, Mary Beth Oliver

Communication Faculty Articles and Research

Although a great deal of research has examined the potential negative effects of Facebook, studies also show that Facebook use can lead to various positive effects. This study builds on this positive effects scholarship: together, the two studies presented herein aim to provide an understanding of the inspirational content available on Facebook and the way social media users in the United States encounter, recall, and interact with this content. Results from the quantitative content analysis in Study 1 show that inspirational Facebook posts contain similar frequencies of hope and appreciation of beauty and excellent elicitors when compared with other forms …


Ashtanga For Addiction: A Qualitative Web-Based Open-Ended Survey To Assess Outcomes From Ashtanga Yoga Practice In Individuals In Long-Term Recovery From Substance Abuse Disorder, Shaun M. Jones 2019 UTHealth School of Public Health

Ashtanga For Addiction: A Qualitative Web-Based Open-Ended Survey To Assess Outcomes From Ashtanga Yoga Practice In Individuals In Long-Term Recovery From Substance Abuse Disorder, Shaun M. Jones

Dissertations and Theses (Open Access)

Over 72,000 people die from overdose or secondary health issues related to substance use disorder (SUD) annually. Studies support mind-body interventions in reducing stress, anxiety, depression, and craving symptoms. There is a growing body of literature supporting yoga as a mind-body intervention for individuals recovering from SUD. These interventions promote improved physical awareness, greater awareness of mental states, non-reactivity, and reduced perception of pain, allows for more successful coping with cravings. Ashtanga yoga (AY) is a tradition of yoga wherein students work on a one-on-one basis with highly qualified teachers following an invariant sequence of yoga postures. AY is characterized …


Mhealth Childhood Obesity Prevention: A Look Into The Hispanic Mother’S Perspective, Veronica Isabel Gonzalez 2019 UTHealth School of Public Health

Mhealth Childhood Obesity Prevention: A Look Into The Hispanic Mother’S Perspective, Veronica Isabel Gonzalez

Dissertations and Theses (Open Access)

Along with increasing physical activity, improving nutrition is an important behavior to target to reduce the risk of obesity in children and adolescents. To date, a nutrition-focused mHealth intervention used to promote obesity prevention and healthy living among Hispanic children and adolescents has not been specifically developed for Hispanic mothers. The purpose of this study was to provide information on feasibility and acceptability of a mHealth child nutrition intervention among Hispanic mothers. The data was collected from an online survey and telephone interviews from 30 mothers of 8-12-year-old Hispanic girls. Most mothers were 40 years old or younger (70%), identified …


Climate Change And Chagas Disease In The Americas: A Qualitative Systematic Review, Brittany N. Graves 2019 UTHealth School of Pubic Health

Climate Change And Chagas Disease In The Americas: A Qualitative Systematic Review, Brittany N. Graves

Dissertations and Theses (Open Access)

While many studies have found associations between climate change and factors affecting Chagas disease transmission, the future impact of climate change on the global spread of Chagas disease remains debatable. A qualitative, systematic review was conducted to assess the impact of climate change on Chagas disease transmission in the Americas (Central America, South America, and North America). The literature search was performed in January 2019 using the keywords climate, Chagas, and “trypanosoma cruzi” and the electronic databases PubMed, Scopus, and Ovid. Searches retrieved records from 1982 through 2019. The initial electronic database search identified a total of 191 record documents …


Perceived Discrimination From Providers On Latina Mothers’ Decision-Making On Hpv Vaccination Initiation And Completion In Houston, Tx, Fatima Frausto 2019 UTHealth School of Public Health

Perceived Discrimination From Providers On Latina Mothers’ Decision-Making On Hpv Vaccination Initiation And Completion In Houston, Tx, Fatima Frausto

Dissertations and Theses (Open Access)

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infections (STI) in the United States (US). Certain HPV strains have the potential to develop into cervical, anal, penile, vulvar, and throat cancers. Latinos in the U.S. have the highest rates of cervical and penile cancers compared to non-Hispanic Whites. Despite the availability of HPV9v, uptake of the vaccine is suboptimal in the Latino community. Previous research has found factors such as provider recommendation and communication are important in HPV vaccine series initiation and completion. Discrimination in the medical setting is linked to poorer health outcomes and delayed …


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