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UKnowledge > College of Public Health > Public Health M.P.H. Theses & Dr.P.H. Dissertations

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Theses/dissertations from 2024 2024.

Cardiovascular Disease among commercially insured adults with type 1 diabetes in the US , 2016-2019 , Orighomisan F. Agboghoroma

Improving Black Maternal Outcomes in Christian County, KY: A Social Marketing Approach to Perinatal Provider Change , Ariel A. Arthur

Current Linkage to Treatment and Recovery Support Services for Patients with a Substance Use Disorder: A Survey of Kentucky Physicians , Seif Atyia, Terry Bunn, Dana Quesinberry, and Timothy S. Prince

Empirical Insights into Survivorship Care: A Cross-Sectional Study of CoC Accredited Hospitals in Kentucky , Amanda M. Beckett

Changes in Primary Care Availability in Appalachia , Whitney Beckett

Redefining ED Utilization: A Rabies Post-Exposure Prophylaxis Perspective , David Bennington

The Relationship Between Social Vulnerability and Cardiovascular Disease Outcomes in Kentucky , Karcyn Brummett

The Effects of Stigma within the PrEP Care Cascade Among People Who Inject Drugs in Rural Kentucky , Abby Burton

Implementation of a Postpartum Depression Program in a Rural Kentucky County , Abby Cecil

Dental Outreach in Academic Dental Settings , Tisha Clayborn

A Case Study in Prospective Program Evaluation , Sarai Rosemary Combs

A Case Study in Program Evaluation: A Prospective Program Evaluation of Timely Reporting and Action of an Infectious Disease Outbreak , Destiny Cozart

INVESTIGATING THE CORRELATION BETWEEN SOCIAL DETERMINANTS OF HEALTH AND DRUG SELLING AMONG PEOPLE WHO USE DRUGS IN RURAL APPALACHIA, KENTUCKY , Grace A. Debo

Fall 2023 COVID-19, Influenza, and Respiratory Syncytial Virus Vaccine Uptake in Kentucky , Abigail Dial

Human papilloma virus type 16 seroprevalence among men living with HIV , Ashley Duff

Adolescent Vaccination Rates and Pharmacists' Ability to Prescribe and Administer , Paul Jake Faulkner

McCovid Campaign – A Social Media Implementation to Decrease Vaccine Hesitancy in Rural Counties , Harper Ford

Interprofessional Collaboration in a Lung Cancer Screening Learning Collaborative , Angela Fu

Novel cannabinoid use among young adults in Lexington, Kentucky , Victoria A. Hamilton

Evaluating a High School MRSA Prevention Program: A Case Study , Jamie Henning

The Distribution of CP-CRE cases from 2013-2020 in the Commonwealth of Kentucky , Hannah Hiscox

DEMOGRAPHIC AND BEHAVIORAL CHARACTERISTICS OF PEOPLE WHO HELP OTHERS INJECT DRUGS: A STUDY OF PEOPLE WHO INJECT DRUGS IN APPALACHIA KENTUCKY , Ryli Hockensmith

EVALUATION OF PUBLIC RADON MESSAGING IN KENTUCKY AS COMPARED TO THREE OTHER STATES , Abigail Knapp

Characterizing the Relationship Between the Presence of Depression Risk, Post-Traumatic Stress Disorder, and Benzodiazepine Use to Get High , Julia Kollitz

Trust in Local Health Departments: A Cross-Sector Analysis of Urban and Rural Communities , Kelsie Kwok

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Home > USC Columbia > Public Health, Arnold School of > SPH_HEALTH_PROMOTION_EDUCATION_BEHAVIOR > Health Promotion, Education, and Behavior Theses and Dissertations

Health Promotion, Education, and Behavior Theses and Dissertations

Theses/dissertations from 2023 2023.

Exploration of the Association Between Obesogenic Environments and Childhood Overweight/Obesity Rates In Rural Counties in the United States , Kara Lea Ferguson Davis

Social Network Attributes Associated With Conversations About Smoking And Cessation And Differences By Socioeconomic Status , Victoria Catherine Lambert

Babe (Body Appreciation and Better Eating), Just Add a Dash of Self-Compassion: A Randomized Controlled Pilot Study for Black/African American Teenage Girls , Nkechi Bianca Okpara

No More Loosies: A Mixed-Methods Study on the Implementation and Enforcement of the Loose Cigarette and Bidi Sale Ban in India , Mayank Sakhuja

Theses/Dissertations from 2022 2022

Food Insecurity Resilience of Refugee Families in the United States: A Qualitative Study , Maryam Suliman Alhabas

Homestead Vegetable and Poultry Production and Related Practices: An Assessment in Nepal , Shiva Bhandari

Living With Ulcerative Colitis: Exploring Dietary Inflammatory Intake, Physical Activity, and Methods to Manage the Burden of Illness , Kelli E. DuBois

Exploration of the Role of Neighborhood Residential Segregation by Race and Ethnicity in Obesity Risk Among School-Aged , Melissa L. Fair

Perspectives About Food Safety in Diverse Low- And Middle-Income Countries , Sejla Isanovic

Nutrition Facts Label Use Among U.S. Adolescents , Jennifer Beth Mandelbaum

HIV-Related Stigma, Sexual and Gender Minority-Related Stigma, and Health Outcomes Among MSM Living With HIV: Measurement, Impact, and Intersectionality , Tianyue Mi

Greenspace Across the United States: Exploring Equity and Associations With Physical Activity, Obesity, and Health-Related Quality of Life , Ellen W. Stowe

Theses/Dissertations from 2021 2021

Pre-Exposure Prophylaxis (PrEP) Knowledge, Willingness to Use & Uptake Among Black Heterosexual Men , Akeen Lowell Hamilton

A Contextual Evaluation of the Fresh Fruit and Vegetable Program in South Carolina and Related Child Health Behaviors , Kathryn Irene Hoy

Food Choice Decision-Making Among School-Going Adolescents Amidst the Nutrition Transition in Urban Accra, Ghana , Krystal Krsna Rampalli

Neighborhood Socioeconomic Status, Green Space, and Walkability and Risk for Falls and Fracture Among Postmenopausal Women: The Women’s Health Initiative , Marilyn Elizabeth Wende

Evaluation of a Clinic-Based Peer Navigation Program (PNP) For African Americans Living With HIV In South Carolina , Kimberly Butler Willis

Applying Health Stigma Framework to Examine the Mechanisms Of HIV-Related Stigma on Clinical Outcomes , Chengbo Zeng

Theses/Dissertations from 2020 2020

Determinants of Nutrition Agenda Setting in the Context of the Double Burden of Malnutrition in Tamil Nadu, India , Shilpa Vimalananda Constantinides

Understanding the Role of Political Commitment and Coherence Across Sectors and Across National and Sub-National Levels in Enabling Improvements in Nutrition in Rwanda , Elyse Iruhiriye

Rethinking the Customer Experience: An Empirical Comparison of Airbnb and Hotels , Jing Li

Does Marriage, Employment and Having Children Matter? A Secondary Analysis on Physical Activity Levels, Leisure Time Physical Activity, and Social Roles Among Women in the United States , Tramaine Paul McMullen

Influences on Parents’ Food Shopping for Children’s Consumption in South Carolina , Nazratun Nayeem Monalisa

Social Networks, the Local Food Environment, and Maternal Food Choice for Children Ages 1 to 5 Years Old in Rural Mexico , Ligia Ivette Reyes

Studying the “Snip”: A Multi-Methods Exploration of Vasectomy in the Southern United States , Ashley Lauren White

Examining the Organizational Capacity of Public Libraries That Offer Obesity Prevention Programs , Olivia Whitt

Theses/Dissertations from 2019 2019

Women’s Socio-Economic Empowerment and Uptake of HIV Testing in Ethiopia , Dawit Alemu

Role of Resources for Care in Improving Care Behaviors, Children’s Nutritional Status and Early Childhood Development in Low- and Middle-Income Countries , Sulochana Basnet

Social Networks, Social Support, and Contextual Factors That Affect Blood Glucose Control Among Individuals with Type 2 Diabetes Mellitus in Urban Ghana , Marian O. Botchway

Examining the Relationships Between Stress, Depressive Symptoms, and the Neighborhood Food Environment on Diet Quality Among Racially-Diverse Pregnant Women in South Carolina , Alycia K. Boutté

Experience of Persistent Pain Among Military Service Members Participating in an Interdisciplinary Intensive Outpatient Program , Barbara Katarzyna Bujak

The Plant-Based and Soul-Full Study (PASS): Examining How Owners of Local Vegan Soul Food Restaurants Promote the Consumption of Vegan Foods in the African American Community , Anthony Crimarco

Applying the Health Action Process Approach (HAPA) in Program Evaluation of a Theory-Based Parental HIV Disclosure Intervention Among Parents Living With HIV (PLH) in China , Wendi Da

Sociocultural Factors Influencing Cervical Cancer Prevention and Control Behaviors in Cusco, Peru , Venice Elizabeth Haynes

Evaluating Impacts of a Multilevel Resilience-Based Psychosocial Intervention on Mental Health of Children Affected by Parental HIV in China , Yanping Jiang

Expanding Immediate Postpartum Contraceptive Options: South Carolina’s Medicaid Policy , Amy Mattison-Faye

Parenting and Child Self-Regulation as Mechanisms for the Relationship of Household Food Insecurity with Child Dietary Behavior , Hoa Thi Mai Nguyen

Helping South Carolina’s Children Thrive: Promoting Protective Factors to Prevent the Long-Term Impact of Adverse Childhood Experiences Through the Development of Evidence-Based Public Health Policies , Aditi Srivastav

Pre-Exposure Prophylaxis (PrEP) for HIV Prevention: A Mixed-Methods Study of Sexual Risks and Knowledge, Perceptions, and Willingness of PrEP Use Among African American Women in the South , Jamie Troutman

Theses/Dissertations from 2018 2018

Healthy Motivations for Moms-To-Be (Healthy MoM2B) Study: A Mobile Health Intervention Targeting Gestational Weight Gain among U.S. Women , Alicia Anne Dahl

The Impact of False Positive Mammography Results on Breast Cancer Screening Intention Among Black Women , Deeonna E. Farr

Examining Faith-Based Communities As Leverage Points For The Prevention Of Childhood And Adolescent Obesity , Caroline Glagola Dunn

Body Mass Index Trajectories And The Relationship Between Stressful Life Changes And Nutrition-Related Health Outcomes Among United States Army Soldiers , Julianna Marie Jayne

Understanding The Mechanisms Linking Gendered Intrahousehold Bargaining Power And Child Nutrition In Rural Nepal , Shibani Kulkarni

Interpersonal Communication About Cigarette Warning Labels Among U.S. Smokers: Differences Between Latinos And Whites , Victoria Catherine Lambert

The Effects Of The Affordable Care Act On The Receipt Of Colonoscopies Among Insured Elderly , Min Jee Lee

Racism, Black College Students’ Mental Health, And The Efficacy Of Diversity And Inclusion Initiatives: A Case Study. , Kaleea R. Lewis

Intervention For Women In Costa Rica Who Are Discouraged And Have Food Insecurity And Excess Body Weight , Tatiana Martínez-Jaikel

The Effect Of Neighborhood Characteristics And Acculturation On Vegetable Intake Among U.S. Hispanics , Anna Victoria Mesa

A Qualitative Exploration Of Experiences And Motivations For Diabetes Self-Management In African American Men Between The Ages Of 40-85 With Type 2 Diabetes , Anthony Q. Walker

Theses/Dissertations from 2017 2017

Effectiveness of Pictorial Health Warning Labels for Indonesia's Cigarette Packages , Dien Anshari

“An Uphill Battle”: Psychosocial Health and Self-Care among Advocates who work Against Gender-Based Violence in South Carolina , Ebru Cayir

Exploring Spatial Patterning and the Impact of Obesogenic built Environments for Youth Obesity , S. Morgan Hughey

Involvement Of Men In Responsible Parenthood In Croatia, India, And Mexico: Major Factors, Correlates, And National Policy , Salima Kasymova

Multilevel and Multisectoral Processes of Implementing Nutritionsensitive Ideology and Programming in Ethiopia’s Development Landscape , Andrea Marie Warren

Theses/Dissertations from 2016 2016

Breastfeeding Among Working Mothers in Saudi Arabia , Maryam Suliman Alhabas

Social Capital And Social Networks: The Importance Of Social Ties For Health Among Residents Of Disadvantaged Communities , Stephanie Child

Implementation Processes And Impacts Of School Store Policies In South Korea , Seul Ki Choi

Conversations About Sexuality On A Public University Campus: Exploring Perspectives From Campus Ministry Leaders And Students , Charis Rebecca Davidson

Sleep Disruption and Cancer Incidence in a Southeastern Veteran Population , Alexandria F. Delage

Non-Steroidal Anti-Inflammatory Drug Effects On Core Temperature, Hydration, Gastrointestinal Distress, And Performance In Exercising Humans , Dawn Marie Emerson

Sustainability Of Food And Nutrition Security Policies During Presidential Transitions: Integrating Socio-Political And Nutritional Sciences , Jessica Liana Escobar-Alegría

A Qualitative Study Of How Communities Think About And Act Upon Hunger In The Presence Of A Food Banking System , Eliza Miriam Fishbein

Examining Crowdsourced Social Media Platforms And Their Association With College Students' Alcohol Consumption, Perceived Risk, And Behaviors , Danielle Gentile

Quality Over Quantity: Positive Interactions During Family Meals In Food-Insecure Households Compensate For The Negative Impacts Of Household Chaos On Child Emotional Well-Being, But Not Diet Quality , Tiara Nicόl Rosemond

Enhancing Parent-Child Communication and Promoting Physical Activity and Healthy Eating Through Mobile Technology: A Randomized Trial , Danielle E. Schoffman

Examining Infant Health Outcomes Impacted By South Carolina's Regionalized System of Perinatal Care , Michael Grady Smith

Understanding Conceptualizations and Structural Environment for Improving Pre-Pregnancy Planning for Adolescent Girls and Young Women in Harare, Zimbabwe , Chiwoneso Beverley Tinago

Bayesian Semiparametric Quantile Regression for Clustered Data , Xin Tong

The Roots Of Perspective In The American Context: News Media Discourse And Stakeholder Perspectives About The Supplemental Nutrition Assistance Program , Nicholas Younginer

Theses/Dissertations from 2015 2015

Telling a Different Narrative: Exploring the Values and Challenges of Performing Enslaved Community Members’ Stories at U.S. Southern Plantation Museums , Stefanie Kate Benjamin

Post-Fall Decision Making Among Older Women Living in Continuing Care Retirement Communities: A Mixed Methods Study , Caroline D. Bergeron

eCPAT: Development and Testing of Mobile Technology to Engage Youth in Active Living Policy, Systems, and Environmental Health Promotion Efforts , Gina M. Besenyi

Building Capacity for Advocacy for Local Food Systems Change: An Ethnographic Study Documenting the Process of Change in South Carolina Communities , Casey Denise Childers

Refinement and Pilot Testing Social Networks for Encouraging Healthy Behaviors: The Social Pounds Off Digitally (Social POD) Study , Sarah B. Hales

A Qualitative Study of the Massage Therapy Foundation's Best Practices Symposium: Clarifying Definitions and Creating a Framework for Practice , Ann Blair Kennedy

Support for Comprehensive Sexuality Education and Adolescent Access to Condoms and Contraceptions in South Carolina , Sarah H. Kershner

By Word of Mouth: A Qualitative Approach to Understanding the Integration of Preventive Dental Health in Primary Care Settings , Joni D. Nelson

Ethnic Discrimination: Measurement And Associations With Smoking-Related Outcomes Among Arab Male Current And Former Smokers In Israel , Amira Osman

Addressing Disparity: one Unique School’s Efforts to Provide Holistic Education in a low-income, Black Community , Allison Anne Parsons

The Influence of Self-Reported Degree of Masculinity/Femininity on Condom Use Among Black Men Who Have Sex with Men in the Deep South , Elizabeth D. Peeler

Framing Risk, Responsibility, and Resolution: A Mixed-Methods Study Exploring Traditional and Social Media Coverage of the 2014 Elk River Chemical Spill , Tracey Thomas

Statewide Scale-up of Group Prenatal Care in South Carolina , Kristin M. Van De Griend

Theses/Dissertations from 2014 2014

The Emergence of U.S. Hospital-Based Doula Programs , Violet Dawn Beets

The Association between the Social Context of Mealtime, Children's Diet, Caregiver's Experiences with Discrimination and Household Food Insecurity , Michael Patrick Burke

The Comparative Effectiveness of Group Prenatal Care on Women's Psychosocial Health , Emily Heberlein

The Development, Implementation, and Testing of an Interactive Sexual Health Web-Based Application Intervention to Reduce Sexual Risk Behaviors Among College Students , Dawnyéa Dominique Jackson

A Community-Driven Approach to the Development of a Digital Decision Aid to Facilitate Informed Decision Making for Prostate Cancer Screening among African-American Men in Communities of Faith , Otis LaShaun Owens

Elucidating Perceived and Actual Cancer Risk in Disadvantaged Neighborhoods Differentially Impacted by Environmental Hazards to Inform Future Public Health Interventions , LaShanta J. Rice

Food Insecurity and Physical Activity among U.S. populations , Quyen G. To

Theses/Dissertations from 2013 2013

Understanding Online and offline Sex Seeking Behavior Among Young Men Who Have Sex With Men: Implications For HIV/AIDS Interventions , Winston Eromosele Abara

Smokers' Neurological Responses to Imagery From Cigarette Package Warning Labels , Johann Fridrik Fridriksson

Exploring African American and White 18-19 Year Old Males' Communication Experiences With Their Parents and Partners About Sex and Contraception , Charlotte Toole Galloway

Investigating Developmental Patterns of Symptom and Impairment Change Among Youth With ADHD, Subthreshold ADHDand Youth Without ADHD , Lorie Love Geryk

Understanding the Early Stages of Development of A Global Health Partnership , Wendy Raquel Gonzalez Navarrete

Promoting Early Childhood Development Through Community Health Worker Interventions: Implementation and Measurement Issues In Rural Pakistan , Zaeem Haq

Evaluation of Mass Media Campaigns to Change Smokers' Knowledge, Attitudes, and Behaviors In China and Taiwan , Li-Ling Huang

Race, Ethnicity, and Differential Perceptions of Sexual Victimization (Assault) , Kaleea Regina Lewis

Postnatal Depression In Mexico: Healthcare Provider Conceptualizations and Policies In the Public Health Sector , Jean Marie Sims Place

Examining the Relationships Between Religiosity, Spirituality, Internalized Homonegativity, and Sexual Risk Behaviors Among African-American Men Who Have Sex With Men: The Sexual Health In Faith Traditions (SHIFT) Study , Stacy Whichard Smallwood

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Home > UTHealth > SPH > Dissertations/Theses (Open Access)

Dissertations & Theses (Open Access)

Dissertations posted directly to DigitalCommons@TMC by UTHealth School of Public Health from 2018-current.

Theses/Dissertations from 2024 2024

A CONTINUOUS LOCAL ANCESTRY MEASURE FOR EFFICIENT LOCAL-ANCESTRY-AWARE ASSOCIATION TESTS , Hanxiao Sun

Theses/Dissertations from 2023 2023

Assessing Effective Communication Styles And Preferences Between Health Researchers And State Policymakers , Shelby Flores-Thorpe

Diet By Genomic Interactions In Determining Metabolic Traits And Profiles On Glucose Metabolism Among Mexican Americans In Starr County, Texas , Shinhye Chung

Difference In Smoking Patterns And Quitting Status Between Premium And Non-Premium Cigar Users After Two Years Of Follow Up In Us Adults: Findings From The Population Assessment Of Tobacco And Health (Path) Study, 2016-2019 , Sarah Valencia

ECONOMIC AND POLICY DETERMINANTS OF NATIONAL ABORTION RATES: A CROSS-NATIONAL STUDY , Olufunke Akiyode

LIFESTYLE BEHAVIORS BEFORE AND AFTER DIAGNOSIS OF TYPE 2 DIABETES: FINDINGS FROM THE NURSES’ HEALTH STUDIES , Amelia E. Roebuck

PREVALENCE OF SARS-COV-2 ANTIBODIES BY RURAL-URBAN RESIDENTIAL STATUS IN TEXAS , Breanna Bailey Ellis

THE SUBSTANCE USE DISORDER PEER WORKFORCE IN TEXAS AND THE UNITED STATES: ASSESSING AND ADDRESSING THE WORKFORCE DEVELOPMENT AND ECONOMIC EVALUATION GAPS , Sierra Castedo De Martell

Viral Particle Detection In Wastewater , Katelyn Clark

Theses/Dissertations from 2022 2022

Good Faith: Surveillance And Evaluation Of 911 Good Samaritan Laws In The United States , Shane W. Reader

Investigating Fruit And Vegetable Variety In A National Food Co-Op: A Brighter Bites Evaluation , Katherine G. Hearne

Understanding Young Adult Tobacco And Marijuana Use , Shazia Rangwala

What Is Contributing To Covid-19 Mortality In Harris County, Texas? , Rachel Roy

Theses/Dissertations from 2021 2021

Assessing Sleep Efficiency Of Nulliparous Women In The Third Trimester Of Pregnancy , Ran Hu

Theses/Dissertations from 2020 2020

A Comparison Of Interdisciplinary Palliative Care Teams And Leadership Attitudes Of Nci-Designated And Non-Nci-Designated Cancer Centers In The United States From 2009-2018 , Joseph Chen

A Geospatial Examination Of The Association Between Geographic Food Access And Food Insecurity In Central Texas: The Role Of Race/Ethnicity And Urbanicity , Kathryn Janda

A Mixed- Methods Examination Of The Healthcare, Social Support, And Religious Needs Of Sexual And Gender Minority (Sgm) Older Adults In Texas , Jennifer Lynn Holcomb

An Assessment Of Outpatient Clinic Room Ventilation Systems And Possible Relationship To Disease Transmission , Kristin G. King

A Partial Likelihood Approach To Longitudinal Categorical Data Using A Continuous Time Semi-Markov Chain Model , Kusha A. Mohammadi

Applications Of Statistical Methods Studying The Impact Of Mobilization Regimes On The Total Collection Yield Of Hematologic Stem Cell , Mengchen Ding

A Qualitative Inquiry Exploring Help-Seeking Behaviors And Resilience Strategies Women With Disabilities Utilize When Experiencing Gender-Based Violence In Rural Communities , Kimberly Ann Aguillard

Area-Level Landfill Density And Asthma Prevalence In Urban Texas Areas , Jessica Meighan Herrin

Asthma-Copd Overlap Syndrome And Disease Progression In The Copdgene Cohort Study , Caitlyn Winter

Atitiudes Tow Ards Computer Games For Learning And Pl.A Yer Archetypes: An Exploration Of Measures On Preintervention Player Characteristics For Serious Game-Based Interventions , Benjamin Lee

Bayesian Modeling Of Censored Data With Application To Meta-Analysis Of Immunotherapy Trials , Xinyue Qi

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Dissertations

The following is a complete listing of successful PHS PhD dissertations to-date, including:

• Field of Study
• Cohort Year
• Last/First Names of Doctoral Degree Recipients
• Dissertation Titles
• Faculty Advisor/Doctoral Committee Chairs

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Home > Health Sciences > Health Services ETDs

Health Services Research Dissertations

Theses and dissertations published by graduate students in the Program of Health Services Research, College of Health Sciences, Old Dominion University, since Fall 2016 are available in this collection. Backfiles of all dissertations (and some theses) have also been added.

In late Fall 2023 or Spring 2024, all theses will be digitized and available here. In the meantime, consult the Library Catalog to find older items in print.

Theses/Dissertations from 2023 2023

Dissertation: Tobacco Smoking Among Saudi College Students: Validation of an Arabic Health Belief Model Instrument , Saad Abdullah S. Alotaibi

Dissertation: Dental Care Utilization Among U.S. Children Participating in Early Head Start Programs , Ahlam Ibraheem Joufi

Theses/Dissertations from 2022 2022

Dissertation: Examining the Roles of Acculturative Stressors and Cultural Factors in Major Health and Safety Issues Among Hispanic/Latino Farmworkers , Brenda Berumen-Flucker

Theses/Dissertations from 2021 2021

Dissertation: The Assessment of Clinical Reasoning in Preceptors Across the Athletic Training Profession , Gary Wayne Cohen Jr.

Dissertation: Examining the Use of Immersive Clinical Experiences in Athletic Training Education , Bailey Christine Jones

Theses/Dissertations from 2020 2020

Dissertation: Predictors of Dental Students’ Behavioral Intention Use of Teledentistry: An Application of the Unified Theory of Acceptance and Use of Technology (UTAUT) Model , Jafar Hassan Alabdullah

Dissertation: The Determinants of Physical Activity, Self-Monitoring of Blood Glucose, and Poor Glycemic Control Among Individuals Diagnosed With Type 2 Diabetes in Saudi Arabia: A Cross-Sectional Study Based on the Saudi Health Interview Survey (SHIS) , Mohammed Abdulrahman S. Alsuliman

Dissertation: Aging, Gait Variability, and Adaptability , Collin Douglas Bowersock

Dissertation: Nursing Students’ Knowledge and Attitudes About Pain Management and Opioids , Hedieh Hatami Sirjani

Dissertation: A Three Article Study Examining Sexual and Gender Minority Competency of Health Service Providers , Corrine N. Wilsey

Theses/Dissertations from 2019 2019

Dissertation: Examine Predictors of BMI Classification and Perception of Overweght Status of Caregivers of Preschool Children , Beth H. Chopp

Dissertation: Depression Among Expectant and New Mothers: A Multi-Study Investigation of Rates, Correlates, and Training for Healthcare Providers , Molly M. Long

Dissertation: Understanding Young Adult Survivors of Childhood Cancers’ Participation in Late Effects Screening: A Mixed Methods Approach , Kristen Trost Mantlo

Dissertation: Asthma-Related Health Outcomes in New Jersey After a Natural Disaster Event , My Ngoc Thuy Nguyen

Dissertation: Usefulness of an Expanded Health Belief Model With Added Constructs (Self-Efficacy And Ecological System Measures) in Modeling Compliance With Healthy Lifestyle Recommendations in Women With a Recent History of Gestational Diabetes , Phyllis M. Woodson

Theses/Dissertations from 2018 2018

Dissertation: An Examination of Athletic Directors' Perceptions of the Utilization of Athletic Trainers in the Secondary School Setting , Stephanie H. Clines

Dissertation: Behavioral Determinants of Exercise-Related Injury Prevention Program Participation , Emily M. Hartley

Dissertation: Examining the Association of Environmental Degradation and Poor Cardiovascular and/or Respiratory Health Outcomes in a Disadvantaged Community , Khyati Niranjan Kantaria

Dissertation: Sexual Violence Victimization, Mental Health, and University-Based Health Service Use Among College Females , Julie E. Stoner

Theses/Dissertations from 2017 2017

Dissertation: Alcohol and Substance Use Knowledge, Attitudes, Subjective Norms, Self-Efficacy, Perceived Behavioral Control, and Behavioral Intentions Among Omani College Students , Muna S. Bait Ajzoon

Dissertation: Healthcare Outcomes and Resource Utilization Associated with Neonatal Hypoglycemia: Analysis of Data from the HCUP Kid’s Inpatient Database , Brook T. Alemu

Dissertation: Effects of a Collaborative Care for Depression Intervention on Health Service Utilization and Depression Severity , Girlyn Arganza Cachaper

Dissertation: Measuring Outcomes in Competence and Confidence in Clinical Skills Through the Use of Standardized Patients , Jennifer W. Cuchna

Dissertation: Unmet Needs And Service Utilization by Informal Caregivers , Ryan Marie Diduk-Smith

Dissertation: Sleep Disorders and Kidney Transplant Outcomes: Findings From an 18-Year (1997-2015) Historical Cohort Study , Margaret M. Lubas

Dissertation: A Web-Based Interprofessional Education Program for School Nurses and Athletic Trainers: A Pilot Study , Lauren Ashley Welsch

Theses/Dissertations from 2016 2016

Dissertation: The Information-Motivation-Behavioral Skills Model: An Examination of Obesity Prevention Behavioral Change in Children Who Participated In The Afterschool Program Virginia Beach Let’s Move , Marilyn Miroshlava Bartholmae

Dissertation: Application of a Theory-Based Educational Intervention to Increase the Frequency of Performing Oral Health Assessments on Children Among Advanced Practice Registered Nurses and Nurses , Denise Michelle Claiborne

Dissertation: A Model to Predict Pre-Hospital Endotracheal Intubation Success , Leigh Ann Diggs

Dissertation: School Policy, Food and Physical Activity Environment, and Childhood Obesity , Ruicui Liu

Dissertation: A Test of the Behavioral Model of Health Services Use on Non-Emergent Emergency Department Use , Moira Crosby McManus

Dissertation: Response Shift and Functional Outcomes in Individuals with Chronic Ankle Instability , Cameron J. Powden

Theses/Dissertations from 2015 2015

Dissertation: Diabetes Status, Predisposing, Enabling, and Oral Health Illness Level Variables as Predictors of Preventive and Emergency Dental Service Use , Sabha Alshatrat

Dissertation: A Study of a Simulated Infectious Disease on Healthcare Workers' Reaction, Knowledge, Attitudes, and Performance Towards Hand Hygiene , Lydia Wigglesworth-Ballard

Theses/Dissertations from 2014 2014

Dissertation: Utilizing the Technology Acceptance Model to Predict System Use of an Interactive Behavior Change Technology to Deliver Virtual Diabetes Health Education , Koren Sher'Keyer Goodman

Dissertation: Assessing the Fit Between Child Welfare Information Systems and Frontline Workers: Development of a Task-Technology Fit Instrument , Kurt William Heisler

Dissertation: Factors Associated with Quality of Life Among Mothers of Children with Autism Spectrum Disorder , Marian Marconyak

Dissertation: Modeling Solutions for Prevention of Medicare Insolvency for the Baby Boomer Generation (Born 1946 - 1964) , Gregory Thomas Scott

Theses/Dissertations from 2012 2012

Dissertation: Factors That Influence Nonadherence Outpatient Medical Follow-Up by African Americans with HIV/AIDS at an Outpatient Infectious Disease Clinic , Cynthia Burrell Banks

Dissertation: Intimate Partner Physical Violence Against Women in Saudi Arabian Primary Healthcare Clinics , Halah M. Eldoseri

Dissertation: An Examination of Factors Affecting Non-Urgent Use of Emergency Department Services by Patients with "Universal" Healthcare , Gregory Smith Feltenberger

Dissertation: Multilevel Analysis of Physical Activity Among US Adults Across US Census Regions: The Role of Environmental Contexts , Sariyamon Tiraphat

Theses/Dissertations from 2011 2011

Dissertation: Using Modeling and Simulation to Improve Oral Health Services Delivery in Hampton Roads, Virginia , Mohammad J. Alzahrani

Dissertation: Adoption of Electronic Health Records by Admitting Physicians: A Heuristic Model , John Sharon Hudson

Dissertation: The Relationship of Financial Performance, Quality Indicators, and the Role of Nurse Executives in Virginia Nursing Homes , Jeany V. Murphy

Dissertation: Early Diagnosis of Pulmonary Embolism: Review and Cost-Effectiveness Analysis , Efstathios Polychronopoulos

Theses/Dissertations from 2010 2010

Dissertation: Using the Andersen Behavioral Model of Health Services Use to Examine Adult Uninsured Patient Health Services Use at a Community Health Center , Jewel Shonette Goodman

Dissertation: A GIS Analysis of the Environmental Variables Related to Rift Valley Fever Outbreaks , Jacqueline Florette Jackson

Dissertation: Patient Centered Care Approach to Adherence with Cardiovascular Medications: Self-Determination Theory Integration , David S. Li

Dissertation: Predictors of Developmental Screenings for Young Children , Janice Chandler Ranne

Theses/Dissertations from 2009 2009

Dissertation: Test of a Multidisciplinary Health Behavior Model of Medicare Elders' Antihypertensive Acquisitions , Ann Marie Kopitzke

Theses/Dissertations from 2008 2008

Dissertation: Modeling Physical Activity in Working Adults: How Suitable Is the Expanded Parallel Process Model? , Adwoa B-H-Sam

Dissertation: Application of the Interactional Model of Cultural Diversity to Identify Diversity Climate Factors Associated with Organizational Effectiveness in Accredited U.S. Physical Therapist Education Programs , Elizabeth Francis Giles

Dissertation: Identifying Determinants of Physical Activity in Maritime Union Members Using the Theory of Planned Behavior , Susan Atkinson Tweed

Theses/Dissertations from 2007 2007

Dissertation: Changes in Formal-Informal Caregiving in Elderly Stroke Survivors , Holly Anne Beard

Dissertation: Psychometric Evaluation of an instrument for Assessing Policy Outcomes for Families with Children Who Have Severe Developmental Disabilities: The Beach Center Family Quality of Life Scale , Joni Taylor McFelea

Theses/Dissertations from 2006 2006

Dissertation: The Use of the Tripartite Model of Attitudes to Explain EMS Providers' Attitudes About the EMS Agenda for the Future , Carolyn Angela Rinaca

Theses/Dissertations from 2005 2005

Dissertation: Factors That Influence Mammography Use of Community Health Workers , Cynthia M. Kratzke

Dissertation: The Great Pestilence: Yellow Fever in Portsmouth, Virginia, 1855 , Burden Susan Lundgren

Dissertation: Using Social Cognitive Theory to Model Health Behaviors Among Chinese Children , Yan Zhang

Theses/Dissertations from 2003 2003

Dissertation: Predictors of Oral Health Behaviors: Examining the Effect of Patient Perceived Humanistic Attitude in the Context of the Health Belief Model , Linda Leigh Hawkins Carroll

Dissertation: Application of the Traditional Epidemiological Model to Predict Occupational Injury Rates in Manufacturing Industries , Gary A. Morris

Theses/Dissertations from 2001 2001

Dissertation: A Longitudinal Study Examining the Stability of Occupational Stressors Identified by Nursing Home Administrators , Gay Lynne Andrucci-Armstrong

Dissertation: A Study of the Factors That Impact Female Military Beneficiaries Obtaining Preventive Health Services , Cynthia Andrea Chargois

Dissertation: A Health System Analysis Approach to Health Outcomes in Medicare Clients With Chronic Illnesses , Christine A. Elnitsky

Dissertation: An Examinaton of the Enhanced Primary Care Model for the Organization of Team Care in Managing Type 2 Diabetes Mellitus in the Elderly Population , Carolyn Morcom Rutledge

Dissertation: Barrier to Utilization of Primary Healthcare Resources in Children Two Years of Age and Under , Ruth A. Waibel

Theses/Dissertations from 2000 2000

Dissertation: The Pediatric Breathing Survey , Linda J. Galloway

Dissertation: Factors Associated with Asthma Readmissions in Children's Hospitals , Maria Acedo Kronenburg

Dissertation: Explanatory Power of the Behavior Model of Utilization for Pediatric Asthma Health Care in an Urban Managed Care Setting , Kathie Marie Sawyer Zimbro

Theses/Dissertations from 1999 1999

Dissertation: Classification of Participants Into Two Health Resource Utilization Groups By the Health Enrollment Assessment Review (HEAR) Survey , Jody W. Donehoo

Dissertation: A Study of the Knowledge and Attitudes of Physicians Toward Victims of Spouse Abuse , Ramani N. Garimella

Dissertation: Factors Which Affect Post-Hospital Resource Use and Patient Health Outcomes Among Taiwanese Older Adults , Chouh-Jiaun Lin

Theses/Dissertations from 1998 1998

Dissertation: Measurement of Hospital Performance: Environmental and Organizational Factors Associated with Cost , Debra Kay Dierksmeier Anderson

Theses/Dissertations from 1997 1997

Dissertation: The Effects of a Maternal Childhood Lead-Poisoning Education Program on Knowledge, Health Beliefs, and Compliance , Sylvia Elaine Johnson

Dissertation: Coping Processes Used by Mothers of Triplets , Susan Mullen Kaplan

Dissertation: The Detoxification of Petroleum Contaminated Coastal Plain Sandy Soil Using an Amended Vermicomposting Approach , John Charles Kraemer

Dissertation: A Survey of Health Care Personnel's Perceptions Toward Diversity in the Workplace , Jacqueline Elaine Sharpe

Dissertation: A Comparison of Factors Associated With Referrals, Service Placements and Length of Service for African-American and Caucasian Youth With Serious Emotional and Behavioral Disturbances Served Through the Comprehensive Services Act in Virginia , Vanessa B. Sheppard

Theses/Dissertations from 1995 1995

Dissertation: An Assessment of the Descriptors and Determinants of Academic Success of Selected Allied Health Students in Virginia , Theodora Christine Gordon

Dissertation: A Comparison of the Utilization of Health Services in the Presence or Absence of Prescriptive Drug Insurance in a Managed Care Environment , Martha Groblewski

Dissertation: The Association Between Perceived Family Support and Psychological Well-Being in Infertile Couples , Linda Marquardt Mintle

Dissertation: Effect of Nutrition Intervention on the Outcomes of Pregnancy: A Rural Urban Comparison , Ranjita Misra

Dissertation: The Influence of National Culture on Work-Related Values and Job Satisfaction Between American and Filipino Registered Nurses , Karin Polifko-Harris

Dissertation: The Effects of Partial Hospitalization on Acute Psychiatric Hospital Readmission Days , William E. Turner III

Theses/Dissertations from 1994 1994

Dissertation: Psychosocial Determinants of Age-Appropriate Immunizations of Infants in Norfolk, Virginia , Hoda Youssef Atta

Dissertation: The Contribution of Selected Cognitive and Noncognitive Variables to the Academic Success of Medical Technology Students , Mildred Keels Fuller

Dissertation: An Assessment of Personal Characteristics, Job Satisfaction and Semantic Descriptors of Virginia Acute and Tertiary Care Hospitals' Chief Executive Officers , Justin C. Matus

Dissertation: The Effect of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program on Knowledge, Attitudes and Sexual Behavior of Selected College Students , Arlene Jaine Jackson Montgomery

Dissertation: Immunologic Evaluation of Ectopic Gestation , Tawfig Amin Nasser

Dissertation: An Assessment of Management Practices Among Virginia Acute Care Hospitals , Ogbonnia Godfrey Ochonma

Theses/Dissertations from 1993 1993

Dissertation: A Multiple Case Study of Selected Individuals Who Facilitate the Successful Adoption of Environmental Public Policy , John H. Austin

Dissertation: A Comparison of the Effectiveness of Two Types of Clinical Instruction on Selected Variables Among Urban Baccalaureate Nursing Students , Janice Parks Hylton

Dissertation: The Relationship of Locus-of-Control and Altruism to Prehospital Emergency Medical Care Providers Universal Precaution Practices , Joanne L. Wakeham

Theses/Dissertations from 1992 1992

Dissertation: A Comparison of Two Theories of Resistance to Innovation in Medical Record Administration Baccalaureate Degree Programs , Joyce Brown-Harvey

Theses/Dissertations from 1991 1991

Dissertation: History and Analysis of Food Guides in the United States , Barbara B. Carlson

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Theses and Dissertations (Health Studies)

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• Perceptions of clients with eye problems before cataract surgery at a public hospital in Sedibeng district, Gauteng Province  Modise, Hluphekile Maria ( 2023-11-23 ) Despite efforts to convince patients to undergo cataract surgery, over 50 million people are blind and at least 135 million people worldwide have significant vision impairments, with cataracts accounting for 51% of these ...
• An inclusive clinical trial Research Education Programme for investigators in Health Sciences  Pelser, Wilma ( 2023-07 ) Upscaling the pool of clinical trial investigators is critical to address the evolving challenges of clinical trials and meet the increasing demand for skilled health professionals. By developing an inclusive clinical trial ...
• A programme to empower caregivers of children who are differently abled at non-governmental organisations  Tayob, Sharifa Moosa ( 2021-02-18 ) The purpose of this study was to develop a programme to empower caregivers who care for children who are differently abled at Non-Governmental Organisations (NGOs) with skills and knowledge to effectively address the ...
• A framework for the management of nurse educator bullying in nursing education institutions  Tshabalala, Matilda ( 2023-12 ) Bullying remains a hidden yet insidious issue within nursing education institutions (NEIs). This study aimed to create and validate a framework for managing bullying among nurse educators in these settings. Conducted in ...
• The quality of recordkeeping during intrapartum care in Limpopo Province : a mixed method analysis  Maesela, Phogole Crawford ( 2023-10 ) Quality medical and nursing care requires detailed recordkeeping, which includes complete and accurate recording. Data sourced from the Ministry of Health indicated that Limpopo Province is the second-highest province in ...
• Global capitalism and the commodification of breastfeeding: An investigation of its impact on the African conception of family life and motherhood  Seabela, Mosito Jonas ( 2023-05 ) Breastfeeding in public has become a contentious issue in contemporary society. Mothers are often subjected to unfair discrimination and harassment for simply responding to their maternal instinct to breastfeed their ...
• The occurrence, socio-demographic characteristics, circumstances, and forensic evaluation outcomes of child sexual asssault in a selected province, in Mozambique  Matsinhe, Stela Saulina Carlota Ocuane ( 2023-06 ) This study aimed to describe the occurrence, socio-demographic characteristics, circumstances, and forensic evaluation outcomes of child sexual assault in Maputo City and Province, Mozambique. A quantitative, descriptive ...
• Factors contributing to low uptake of isoniazid preventive therapy amongst health care workers in a hospital of Manzini Region, Swaziland  Dlamini, Nondumiso ( 2022-09 ) The purpose of this study was to determine the factors that contribute to the low uptake of isoniazid preventive therapy amongst health care workers (HCWs) in a hospital of Manzini region, Swaziland. A quantitative, ...
• Personnel experiences of AIDS patient management : clinic in Nelson Mandela Municipality, Eastern Cape  Mrwebo, Ncediswa Caroline ( 2021-09 ) Healthcare personnel are the first point of contact for ill people at adequately resourced healthcare facilities. Accordingly, the main purpose of this qualitative study was to explore, describe and analyse the role, ...
• Strategies to promote responsible sexual behaviour among school-going adolescents in Mpumalanga province of South Africa  Mudzana, Priscilla Shupikayi ( 2023-01 ) The purpose of the study was to develop strategies to promote responsible sexual behaviour among school-going adolescents in the Mpumalanga Province of South Africa utilising a sequential explanatory mixed-method design. ...
• Evaluation of the implementation of the national policy for school health in Namibia  Katangolo-Nakashwa, Ndasilohenda ( 2022-08 ) Background: A school health policy is intended to improve learners’ quality of life; however, three challenges are faced in the policy implementation: i) low coverage of health assessments; (ii) poor and inequitable ...
• An evaluation of a sexual and reproductive health (SRH) project on friendly health services utilisation by adolescents in Lesotho  Thaanyane-Kabi, Tsepang Celestinah ( 2022-11 ) Background: Lesotho is one of the countries that have adopted and implemented strategies to address the challenges that impede negatively on utilisation of adolescent- friendly sexual and reproductive health services. In ...
• Strategies to promote mental health among students in higher education institutions in Ethiopia  Adem Esmael Roba ( 2023-03 ) Pieces of evidence show that due to various factors mental health problems are on the rise among students in higher education institutions globally and particularly in Ethiopia. The level of positive mental health and ...
• Investigation of socio-economic impact of HIV/AIDS experienced by people living with HIV in Zululand municipality  Nzuza, Nkosikhona Mphumuzeni ( 2023-09 ) Background: People living with HIV and AIDS generally experience a range of social, economic and other challenges as a result of their condition. Purpose: It is in that regard, that the purpose of the study was to investigate ...
• Knowledge and perceptions of adolescents on sexual reproductive health and rights in Kwazulu-Natal Province  Lubuta, Betty ( 2023-07 ) Adolescent access to comprehensive sexual and reproductive health (SRH) and rights (SRHR) has been a problem in developing countries. The purpose of this study was to determine adolescents in schools’ knowledge and ...
• Factors affecting student nurses' selection of psychiatric hospitals for community placement: KwaZulu Natal college of nursing  Mngomezulu, Nokwanda Innocentia ( 2021-10 ) The purpose of this study was to determine the factors impacting on student nurses’ selection of psychiatric hospitals for community service placement. The study was conducted at the campuses under KwaZulu-Natal College ...
• Guidelines to facilitate adaptation in South African expatriate nurses working in the Kingdom of Saudi Arabia and upon their return to South Africa  Van Bommel, Michelle ( 2020-08-27 ) The purpose of this study was to gain an understanding of the lived experiences of migration and adaptation of South African expatriate nurses who lived and worked in the Kingdom of Saudi Arabia and returned to South Africa. ...
• The attitudes of the Xhosa community towards indigenously uncircumcised men in Bizana  Mntungwana, Michael ( 2022-06-25 ) The purpose of the study: Was to explore and describe the cultural values related to the indigenous circumcision that leads to attitudes towards indigenously uncircumcised men in the AmaXhosa community. To explore and ...
• Strategies to implement mobile health interventions for diabetes management in Ethiopia  Robel Tezera Zegeye ( 2023-01 ) Rapid mobile device penetration allows developing countries like Ethiopia to integrate Mobile Health (mHealth) technologies to improve healthcare delivery and diabetes management effectiveness. The high diabetes prevalence ...
• High school students’ experiences attending HIV and AIDS services at Ethekwini Metropolitan Municipality  Ngidi, Thina Siphelele ( 2023-02 ) Background: Globally, the spread of HIV and AIDS among the youth is a widespread public health concern. In the South African context, there has been a realisation of high school learners’ poor access and usage of HIV and ...

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Home > College of Public Health > Environmental, Agricultural & Occupational Health > Theses & Dissertations

Theses & Dissertations: Environmental Health, Occupational Health, and Toxicology

Theses/dissertations from 2023 2023.

Nitrous Oxide Exposure in the Workplace: A Study of Pediatric Dental Clinics in Saudi Arabia , Badr Alhemayyed

Theses/Dissertations from 2022 2022

Grip Characterization of Protective Gloves , Doris Burns

A systematic literature review of the prevalence, distribution, exposure, and human health risks of tire microplastics and the contribution of their physicochemically diverse properties , Luke Glastad

Hepatocyte-Hepatic Stellate Cell Axis in Potentiation of Alcohol and HIV-Induced Liver Injury , Moses O. New-Aaron

Agrichemicals (Nitrate and Atrazine) In Drinking Water and Adverse Health Outcomes in Children in Nebraska , Balkissa S. Ouattara

Environmental exposures and human health challenges: Evidence-based insights from health surveillance systems , Jagadeesh Puvvula

Theses/Dissertations from 2021 2021

Investigation of Environmental Lead Exposures in Children at A Midwestern City with Superfund Site , Zijian Qin

Theses/Dissertations from 2019 2019

Modulation of Estrogen Metabolism and Prevention of Pathologies , Bodhisattwa Mondal

Theses/Dissertations from 2018 2018

Hearing Loss and Hearing Protection Use Among Midwestern Farmers , Josie J. Ehlers

An Assessment of Preparations Made in the United States for Highly Hazardous Communicable Diseases Following the 2014-2016 Ebola Virus Disease Epidemic , Jocelyn J. Herstein

Theses/Dissertations from 2017 2017

Organizational Effects of Defeminizing Toxicants: Lessons Learned From an Environmental Sentinel Organism, The Fathead Minnow. , Jonathan Ali

Theses/Dissertations from 2016 2016

Aldehyde Adducts and Lung Injury , Muna Sapkota

Theses/Dissertations from 2015 2015

Postural Responses to Perturbations of the Vestibular System During Walking in Healthy Young and Older Adults , Jung Hung Chien

Risk factors for agricultural injury : an evaluation using systematic review and injury surveillance , Rohan Mahadeo Jadhav

Risk Factors for Agricultural Injury: An Evaluation Using Systematic Review and Injury Surveillance , Rohan Mahadeo Jadhav

Occupational exposure to isoflurane anesthetic gas in the research environment , Andrea R. Mulvenon

Community, environmental, and occupational health risks associated with fossil fuel energy production , Mark A. Shepherd

Theses/Dissertations from 2014 2014

Functional and proteomic study of KIAA1199 in breast cancer , Hong Peng

Characterization of 3-Dehydroquinate Dehydratase from Francisella tularensis and Pseudomonas aeruginosa , Scott Reiling

Theses/Dissertations from 2013 2013

Perception and production of complex movement variability , Joshua Lewis Haworth

Quantifying stride-to-stride fluctuations in amputee gait: implications for improved rehabilitation , Shane R. Wurdeman

Theses/Dissertations from 2012 2012

Cigarette smoke extract (CSE) stimulates vascular endothelial growth factor (VEGF) release by human lung fibroblasts through TGF-beta/Smad3 pathway , Maha Farid

Quantitative proteomics and its application in studying the functions of microrna-155 in diffuse large B-cell lymphoma , Xin Huang

Biomarkers for organophosphorus agent exposure , Wei Jiang

Exposure to tri-ortho-cresyl phosphate as a possible explanation of aerotoxic syndrome , Mariya Sergeyevna Liyasova

Reducing the impact of distraction using augmented feedback on robot-assisted surgical skills training , Irene H. Suh

Theses/Dissertations from 2011 2011

Protein drug delivery using block ionomer complexes , Andrea Rose Mulvenon

Theses/Dissertations from 2010 2010

Inhibition of poly (ADP-ribose) polymerase (PARP) and ataxia telangiectasia mutated (ATM) on the chemosensitivity of mantle cell lymphoma to agents that induce DNA strand breaks , Radha M. Golla

Evaluation of the mode of action and human relevance of peroxisome proliferator activated receptor gamma agonist-induced hemangiosarcomas in mice , Satoko Kakiuchi-Kiyota

Reaction of human albumin with aspirin in vitro : mass spectrometric identification of acetylated amino acids , Mariya Sergeyevna Liyasova

Risk of non-hodgkin lymphoma and drinking water contaminants in Nebraska : atrazine and nitrate , Martha Grace Rhoades

Endocrine disruption in agriculturally-intense Nebraska watersheds , Marlo K. Sellin

Association of estrogen metabolism and risk of breast or prostate cancer or non-hodgkin lymphoma : detection of novel biomarkers from case-control studies , Li Yang

Theses/Dissertations from 2008 2008

The XRCC1 Arg399GIn polymorphism in breast cancer , Mohamed Fouad Irbrahim Ali

Theses/Dissertations from 2007 2007

Critical role of estrogen metabolizing enzymes in breast cancer initiation via a direct genotoxic mechanism , Fang Lu

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Home > Academic Units > Graduate Studies > Student Theses & Dissertations - Subject > Public Health Theses & Dissertations

Public Health Theses & Dissertations

About this collection.

The works in this student research collection have been approved by the Graduate Faculty of Georgia Southern University as partial fulfillment of the requirements for the Master's and Doctorate degrees in Public Health from the Jiann-Ping Hsu College of Public Health.

• All Electronic Theses and Dissertations (1964-present)
• Electronic Theses and Dissertations by Subject Area (1964-present)
• Legacy Theses and Dissertations (1964-2006)

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Theses/Dissertations from 2023 2023

Factors Associated With Patient Portal Utilization, Preventive Services Utilization, and Health Promoting Behaviors Among Adults in the United States , Elizabeth Ayangunna

Theses/Dissertations from 2022 2022

ASSOCIATION OF VITAMINS, CAFFEINE, AND DEPRESSION USING A NATIONALLY REPRESENTATIVE SURVEY , Neil S. Mistry

Theses/Dissertations from 2021 2021

Passing the Baton: An Integrated Approach to Succession Planning for Local Health Departments , Isabella M. Hardwick

Theses/Dissertations from 2020 2020

The Effect of Patient and Hospital-level Factors on 30-Day Readmission After Initial Hospitalization Due to Stroke , Emmanuel Akowuah

Standardized Knowledge and Behavior of Food-Protection Staff to Help Reduce the Potential for Incidences of Foodborne Illness , Joshua A. Dufresne

Application of the Andersen Health System Utilization Framework in the Investigation of the use of Traditional Medicine in Kumasi, Ghana , Pascal Felix

Life Table Analyses of the Impact of Eliminating Particular Causes of Death Using the United States 2016 Population , Deborah A. Kanda

A New Measure of Diagnostic Accuracy With Cut-Points Criterion for k-Stage Classification Disease Based on Concordance and Discordance , Jing X. Kersey

Nonparametric Misclassification Simulation and Extrapolation Method and Its Application , Congjian Liu

Exploring The Relationship between Social Determinantes of Health and Oral Health-related Quality of life (OHRQOL) Among Adults: A Case Study in a Public Health Dental Clinic in Georgia , Rakhi Trivedi

A Content Analysis of Institutions of Higher Education's Sexual Assault Policies: Assessing Response to Sexual Assault in Georgia , Brianna Williams

Theses/Dissertations from 2019 2019

Community Perceptions on Access to and Communication Gaps Regarding Dementia-Specific Health Resources and Services , Randi G. Bastian

Emissions of Pollutants from Tire Burning for Meat Processing, Associated Biomarker of Exposure, and Respiratory Function: A Cross-Sectional Study in Ghana , Alicia A. Brown

Exploring The Factors Associated With Social Media Use In Local Health Departments , Suzanne Lamarca Madden

Variable Selection in Accelerated Failure Time (AFT) Frailty Models: An Application of Penalized Quasi-Likelihood , Sarbesh R. Pandeya

Public Health Workforce Perceived Impact of Emerging Issues in Public Health , Kristie C. Waterfield

Maternal Smoking During Pregnancy and Offspring Obesity: An Association Effect-Modified by Gestational Age , Felicia Yeboah

Theses/Dissertations from 2018 2018

Factors Associated with Continuous Improvement by Local Boards of Health , Tran Nguyen

Examining the Issue of Compliance With Personal Protective Equipment Among Wastewater Workers Across the Southeast Region of the United States , Tamara L. Wright

Theses/Dissertations from 2017 2017

Exploring Job Satisfaction and Preceptorship Capacity Among Applied Epidemiologists , Jessica C. Arrazola

An Analysis of Factors Impacting Adherence to Follow-up Care for Cervical Cancer among Women in Georgia Using Andersen’s Healthcare Utilization Model , LaTisha Oliver

Universal Coverage in Developing Countries: A Summative Evaluation of Maternal Policies in Ghana and Burkina Faso , Kiswendsida Aida Sawadogo

Application of the Misclassification Simulation Extrapolation (Mc-Simex) Procedure to Log-Logistic Accelerated Failure Time (Aft) Models In Survival Analysis , Varadan Sevilimedu

Theses/Dissertations from 2016 2016

A Simpler Approach for Mediation Analysis for Dichotomous Mediators in Logistic Regression: An Application to Children’s Health Conditions Associated with Obesity , Jingxian Cai

Missing Data in Clinical Trial: A Critical Look at the Proportionality of MNAR and MAR Assumptions for Multiple Imputation , Theophile B. Dipita

Choosing the Function of Baseline Run-in Data for use as a Covariate in the Analysis of Treatment Data from Phase III Clinical Trials in Hypertension , Yi Hao

Evaluating the Efficiency of Treatment Comparison in Crossover Design by Allocating Subjects Based On Ranked Auxiliary Variable , Yisong Huang

Bayesian Multivariate Regression for High-dimensional Longitudinal Data with Heavy-tailed Errors , Viral Panchal

Evaluation of Tattoo Artists' Perceptions of Tattoo Regulations in the United States , Jessica L.C. Sapp

Theses/Dissertations from 2014 2014

Public Health Professionals’ Prepardness and Challenges In Implementing Certified Electronic Health Records Technology , Vibha Kumar

Explicit Estimates for Cell Counts and Modeling The Missing Data Indicators in Three-Way Contingency Table by Log-Linear Models , Haresh D. Rochani

Theses/Dissertations from 2013 2013

A Study of Suicide: A Latent Class-Evidence Based Model for Screening of Suicidal Behaviors among Adolescents Living in the United States from 1991-2011 , Ryan Christopher Butterfield

Robustness of Multiple Imputation under Missing at Random (MAR) Mechanism: A Simulation Study , Priyanka Garg

Theses/Dissertations from 2012 2012

Size and Power of Tests of Hypotheses on Parameters When Modeling Time-to-Event Data with the Lindley Distribution , Macaulay Okwuokenye

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Digital Commons @ USF > USF Health > College of Public Health > Global Health > Theses and Dissertations

Global Health Theses and Dissertations

Theses/dissertations from 2024 2024.

Genetic Counseling Student Self-Efficacy, Exam Anxiety, and Opinions Related to Study Materials for the Genetic Counseling Board Certification Exam. , Jessica F. Stanton

Theses/Dissertations from 2023 2023

Evaluation of the Humoral Immune Responses to Plasmodium vivax Circumsporozoite Protein (CSP)-based Pre-Erythrocytic Vaccine Candidates , Jack Esquenazi

Healthcare Decision Makers' Perspectives on Barriers and Facilitators to Hiring Genetic Counselors in Huntington Disease (HD) Clinic Settings , Bailey Hummel

Theses/Dissertations from 2022 2022

Inaccuracies in Patient Self-Report of Genetic Testing Results for Hereditary Cancer Risks Could Impact Risk-Management Practices , Brittany Faye Sears

Theses/Dissertations from 2021 2021

Evaluation of a Spanish-language Educational Tool for Inherited Cancer , Stefania Alastre

Using Artificial Intelligence to Decipher Epigenetic Code of Drug Resistance in the Deadliest Human Malaria Parasite , Samira Jahangiri

Investigation of an Alternative Protocol for the Production of SARS-CoV-2 Antigenic Proteins , Nichole Ninaltowski

The Perceived Utility of Direct-to-Consumer Genetic Testing Marketed for Athletic Ability , Katherine L. Zimmerman

Theses/Dissertations from 2020 2020

The Development and Testing of the Genetic Counseling Communication Checklist (GCC): A Novel Process Measure , Katherine N. Hehmeyer

CARE: Collecting and Assessing Cancer Family History to Identify at Risk Individuals Educational Intervention for Community Health Workers , Laura Moreno

Counseling Skills and Behaviors of Genetic Counselors: A Qualitative Study , Abigail Zale

Theses/Dissertations from 2019 2019

Medical Decision Making among Individuals with a Variant of Uncertain Significance in a Hereditary Cancer Gene and those with a CHEK2 Pathogenic Variant , Deanna J. Almanza

Localization of Five Target Proteins in Tachyzoites of Toxoplasma gondii , Abigail M. Kaiser

A Feasibility Analysis of a Pilot Study Comparing Prenatal Genetic Service Delivery Outcomes Using the Self-Determination Theory , Lindsey N. Victoria

Theses/Dissertations from 2018 2018

Identification of Novel Hits Against , Ala A. Azhari

Partial Characterization Of Plasmodium Falciparum Protein Kinase ABCk2 (PfABCk2) , Muhammad Khalid

A Multivariate Approach for an Improved Assessment of Pre-erythrocytic Stage Therapies Targeting Plasmodium vivax and Plasmodium falciparum , Alison E. Roth

Theses/Dissertations from 2017 2017

Evaluation of a microsphere-based immunoassay (MIA) in measuring diagnostic and prognostic markers of dengue virus infection , Jason H. Ambrose

Analysis of Antibody-Induced Plasmodium falciparum Sporozoites Through Scanning Electron Microscopy , Sagorika Bera

Validation of Chimeric Viruses in Plaque Reduction Neutralization Test in Arboviral Disease Diagnostics , Jasmine Boykin

Development of Tools for Stable Transfection in the Human Filarial Parasite Brugia malayi via the piggyBac transposon system , Johan Chabanon

A Novel Abi-domain Protein Controls Virulence Determinant Production in Staphylococcus aureus , Stephanie Michelle Marroquin

The Effect of Antigen Polymorphisms on Serological Antibody Detection Assays Based Upon the , Kristi M. Miley

Development of a Transfection System for the Free-Living Amoeba Naegleria fowleri Using the piggyBac Vector , Kati Räsänen

Spatial-temporal Distribution of Mosquito Larval Hot Spots in Papoli, Uganda: A Community-Based Approach to Mosquito Control , Ryan E. Tokarz

Geospatial and Negative Binomial Regression Analysis of Culex nigripalpus, Culex erraticus, Coquillettidia perturbans, and Aedes vexans Counts and Precipitation and Land use Land cover Covariates in Polk County, Florida , Joshua P. Wright

Theses/Dissertations from 2016 2016

The Ecological Succession of Mosquitoes Inhabiting Waste Tires in a Subtropical Swamp and Upland Forest in Central West Florida , Emily Thuong Nguyen Dinh

Development and Validation of a Remote Sensing Model to Identify Anthropogenic Boreholes that Provide Dry Season, Refuge Habitat for Anopheles Vector Mosquitoes in Sub-Saharan Africa , James Pkemoi Kukat

An Examination of The Distribution of Diabetes Mellitus Among TB Patients with Pulmonary Tuberculosis and Drug Resistant Tuberculosis In The State Of Florida, USA. , Mandzisi Mbongeni Mkhontfo

Predictive Mapping of Mycobacterium Tuberculosis at the County Level in the State of Florida , Ali Moradi

Development of a RT-PCR-ELISA Wuchereria bancrofti Detection Assay for the Monitoring Of Mosquito Vector Infection and Infectivity , Nompumelelo Mzizi Mzizi

Quantifying the Association between Active Tuberculosis Incidence and Migrant Farm Worker Populations among Florida Counties, 2009-2013: An Ecological Study , Ryan Nicolas Ortega

Reclaiming the Activity of Lost Therapeutics , Rallya Telussa

Theses/Dissertations from 2015 2015

Applying Voronoi Tessellations as a Non-Orthogonal Grid Methodology to Inform Public-Private Mix Efforts in Nigeria: An Examination of the Distribution of Private Healthcare Providers in Six States and the Covariates Underlying Their Utilization , Trinadh Dontamsetti

Efficacy and Resistance Potential of JPC-3210 in Plasmodium falciparum , Siobhan Marie Flaherty

MMV Malaria Box Activity Screening in Dormant Plasmodium falciparum Phenotypes , Sandra Galusic

Gene Expression Analysis Of Upregulated Genes By 20-OH Ecdysone in Brugia malayi , Monica Lazaro

Effect of Timely Treatment on Malaria Gametocytemia in Esmeraldas, Ecuador , Miguel Reina-Ortiz

A Forward Genetic Screen Identifies Factors Associated with Fever Pathogenesis in Plasmodium falciparum , Phaedra J. Thomas

Theses/Dissertations from 2014 2014

Overwintering and Early Season Amplification of Eastern Equine Encephalitis Virus in the Southeastern United States , Andrea Bingham

Molecular Evidence for Vector Implication of Onchocerca lupi in Los Angeles County, CA , Shanna June Bolcen

Perspectives of HIV + Women on the Mother to Child Transmission of HIV in Addis Ababa, Ethiopia , Kimberly Anne Fleek

Development of an efficient human hepatocyte culture platform for assessing novel therapeutic efficacy against Plasmodium liver parasites , Steven Patrick Maher

Differentiating Geo-Spatiotemporal Aquatic Larval Habitats of Anopheles gambiae complex in Urban Agriculture and Urban Non-Agriculture Environments in Accra, Ghana , Samia Mckeever

Water and Health in the Nandamojo Watershed of Costa Rica: Community Perceptions towards Water, Sanitation, and the Environment , James Mcknight

Pathogenic mechanisms and signaling pathways in Plasmodium falciparum , Jennifer L. Sedillo

Theses/Dissertations from 2013 2013

The Effect of Drug Resistance on Plasmodium falciparum Transmission and Gametocyte Development , Samantha Olivia Aylor

Partial Characterization of PF13_0027: A Putative Phosphatase of Plasmodium falciparum , Christopher Campbell

Development of a Confirmatory PCR Assay to Detect Onchocerca volvulus in Pools of Vector Black Flies , Alex Jeanne Talsma

Eco-Epidemiology of Eastern Equine Encephalitis Virus , Patrick Vander Kelen

Complete Genome Sequences and Phylogeny of West Nile Virus Isolates from Southeastern United States, 2003-2012 , Crystal Wedin

Theses/Dissertations from 2012 2012

Cloning of the Gene, Purification as Recombinant Protein and Functional Characterization of Leishmania mexicana Cytochrome b5 Reductase , Ala Azhari

Analysis of Variable Effects on Presence of Cryptosporidium Oocysts and Giardia Cysts in Effluent Water from Wastewater Treatment Utilities in Florida from 1998 to 2010 , Katherine Jane Barkan

Theses/Dissertations from 2011 2011

Development of an ELISA for Eastern Equine Encephalitis Virus that can Differentiate Infected from Vaccinated Horses , Andrea Bingham

Discovery of a Functional Ecdysone Response Element in Brugia malayi , Tracy Enright

Theses/Dissertations from 2010 2010

Core Promoter Function in Brugia malayi , Michelle Bailey

Inactivation of Ascaris suum by Ammonia in Feces Simulating the Physical-Chemical Parameters of the Solar Toilet Under Laboratory Conditions , Ligia Maria Cruz Espinoza

Characterization of Unidentified Viruses from Florida , Jessie L. Dyer

Epidemiological Study of Contributing Factors in the Development of Peptic Ulcer and Gastric Cancer Initiated by Helicobacter Pylori Infection in India , Rahul Suresh Mhaskar

Phenotypic and Genotypic Analysis of In Vitro Selected Artemisinin Resistant Plasmodium falciparum , Matthew Scott Tucker

Theses/Dissertations from 2009 2009

Active Surveillance and Incidence Rate of Dengue Infection in a Cohort of High Risk Population in Maracay, Venezuela. , Carlos Espino

Factors Surrounding and Strategies to Reduce Recapping Used Needles by Nurses at a Venezuelan Public Hospital , Luis J. Galindez Araujo

Maternal knowledge, attitudes and practices and health outcomes of their preschool-age children in urban and rural Karnataka, India , Angela Lloyd

Functional characterization of cytochrome b5 reductase and its electron acceptor cytochrome b5 in Plasmodium falciparum , Lucio Malvisi

Artemisinin-Based Combination Therapy (ACTs) Drug Resistance Trends in Plasmodium falciparum Isolates in Southeast Asia , Jessica L. Schilke

Theses/Dissertations from 2008 2008

Luminex Microsphere Immunoassay Offers an Improved Method in Testing for Antibodies to Eastern Equine Encephalitis Virus in Sentinel Chicken Sera , Kelly Ann Fitzpatrick

Impact of West Nile Virus on the Natural History of St. Louis Encephalitis Virus in Florida , Christy L. Ottendorfer

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Below is a list of positions from Alumni of the PhD Concentration in Health Services Research and Policy.

• Associate Research Director: HealthCore Inc
• Program Analyst: HHS Office of Healthcare Finance Policy
• Health Researcher: Mathematica Policy Research
• Assistant Professor of Medicine: Indiana University School of Medicine
• Assistant Professor: Department of Health Services Administration, University of Maryland, College Park
• Associate Staff: Cleveland Clinic
• Research Public Health Analyst: RTI International
• Assistant Professor: Department of Rehabilitation Medicine, University of Washington
• Associate Professor: McMaster University’s Department of Oncology

Search this website

Ph.d. in public health with a concentration in health promotion and disease prevention or health disparities.

Our doctoral programs provide research-based training to seek effective behavioral, social, and structural solutions to public health problems.  Students need to complete 75-course credits (inclusive of MPH credits) to graduate and are expected to graduate within four to five years.

The Department of Health Promotion and Disease Prevention offers the following two doctoral degrees:

• Doctor of Philosophy (PhD) in Public Health with a concentration in Health Promotion and Disease Prevention (HPDP)

Our students conduct health promotion research, and advocate for continual improvements in public health programs and policies to achieve health and well-being for all. 

• Doctor of Philosophy (PhD) in Public Health with a concentration in Health Disparities

Our students conduct health disparities research in areas such as HIV, substance abuse, and obesity among underserved populations in South Florida, Latin America and the Caribbean

Our doctoral students

• Srijana Acharya Gautam, Graduate Assistant
• Islamiyat Adebisi
• Yaray Agosto
• Wissam Al Khoury, Graduate Assistant
• Talegria Brown, Graduate Assistant
• Olivia Ceavers, Graduate Assistant
• Sebastian Escarfuller, Research Assistant
• Tienna Fenton, Graduate Assistant
• Mickey Fuentes
• Gemma Galvez, CV Starr Fellowship
• Amanda Ichite, UGS Dissertation Year Fellowship
• Karen Iglesias
• Shaina Johnson, FIU Health Disparity Initiative (HDI)
• Islam Khalil
• Christie Kirchoff , UGS Dissertation Year Fellowship
• Ian Lee, Graduate Assistant (FIU Embrace)
• Osmari Novoa, FIU Health Disparity Initiative (HDI)
• Peace Nwagbo
• Alvonee Penn, CV Starr Fellowship
• Christofer Rodriguez, FIU Veterans Fellowship
• Lakisha Thomas
• Vicky Vazquez, F-31 NIH

Ari Hozman Dissertation title: Longitudinal Association between Video Game Use and Physical, Mental, and Social Health Outcomes in Early Adulthood in the United States.

Major professor: Dr. Bastida. Defended Spring 2020.

Cassandra Renee Dissertation title: Psychosocial and Structural Barriers to Seeking, Reaching, and Receiving Care for Obstetric Emergencies and Peripartum Cardiomyopathy Among Pregnant and Early Post-partum Women in Haiti.

Major professor: Dr. Devieux. Defended in Summer 2020.

Etinosa Oghogho

Dissertation title: Psychosocial and Structural Factors Related to Vesico-Vaginal Fistula and its Impact on the Quality of Life of Women in Ibadan, Nigeria: A Mixed Methods Study.

Major Professor: Dr. Devieux. Defended in Fall 2020.  

Raed Jannadi Dissertation title: Border Epidemiological Study of Aging: The Role of Psychosocial Factors on Mortality of Mexican Americans in South Texas.

Major Professor: Dr. Bastida. Defended in spring 2021.

Rumi Agarwal

Dissertation title: Measurement and Predictors of Mental Health among Parents of Children with Intellectual and Developmental Disabilities.

Major Professors: Dr. Bastida/Shanna Burke. Defended in summer 2021.

Valerie Daniel

Dissertation title: Intersectional Stigma and Barriers to Engagement in Care among Haitian Women with HIV.

Major professor: Dr. Devieux. Defended in Summer 2021.   

Sarah Suarez Dissertation title: HIV Risk Factors, Enacted Stigma, and Testing Outcomes among Men Who Have Sex with Men in Florida.

Major Professor: Dr. Devieux. Defended in Summer 2021.

Gabriella Wuyke

Dissertation title: The moderating role of traditional Latino gender norms on stressors and depressive symptoms among immigrant Latino men in Miami-Dade County.

Major Professor: Dr. Rojas. Defended in Summer 2021.

Derrick Forney Dissertation title: The Impact of HIV-Related Stigma on the Racial/Ethnic Disparities Across the HIV Care Continuum Among Adults Living with HIV in Florida.

Major Professor: Dr. Sanchez. Defended in Fall 2021.

Amani Othman

Dissertation title: Mental Health, Intersectionality of Religious Identity Struggles, and Islamophobia in Muslim Young Adults in South Florida : An Exploratory Study.  

Major Professor: Dr. Bastida. Defended in Fall 2021.

Afrah Saad Saif (Farah )

Dissertation title: Examining the Role of Knowledge and Cultural values on Utilization of Mammograms among a Sample of Saudi Women.

Major professor: Dr. Bastida. Defended in Fall 2021.

Program contact

Comments, questions or concerns? We're here to help.

For information about the Ph.D. program, contact the program advisor below.

Mariana Sanchez Associate Professor, Health Promotion & Disease Prevention; Program Director, FIU-[...]   [email protected]

Elena Sebekos Assistant Teaching Professor and Graduate Program Director   [email protected]

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Dissertations on Health

Health is the general condition of the body or mind. The World Health Organization defines health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”

View All Dissertation Examples

Latest Health Dissertations

Including full dissertations, proposals, individual dissertation chapters, and study guides for students working on their undergraduate or masters dissertation.

Impact of Chronic Illness on the Social Functioning and Emotional Wellbeing of Children

Dissertation Examples

This dissertation aims to identify how chronic illness impacts on the child and their healthy siblings’ social and emotional wellbeing....

Last modified: 25th Feb 2022

Glutamine Supplementation in Athletic Performance, Body Composition and Immune Function

This study was conducted to evaluate the effect of GLN supplement on athletic performance, body composition and immune function....

Last modified: 24th Feb 2022

The Impact of Cultural Diversity on the Workforce Performance in a London-based NHS Hospital

This study aimed to identify whether the recruitment of more culturally diverse employees to a central London based NHS Trust has had an impact on workforce performance....

Last modified: 23rd Feb 2022

Nursing Labour Force in the United States Health Care System

This research paper will provide a brief description and statistics of the nurse labor force in the USA, the educational requirement needed to be a nurse, the challenges face by the nurses in the healthcare system....

Last modified: 22nd Feb 2022

Evidence-based Changes in Prescription Drug Monitoring Programs

Evidence-based practice is the result when clinical practice and scholarship are integrated into clinical decision-making....

What Causes Fear of Childbirth and How Can Midwives Support Women?

Fear of childbirth may lie behind a woman’s request for elective caesarean section and may lead to unnecessary caesarean section without medical indication if FOC is untreated....

Utilisation, Expectations, Experiences and Perspectives of Birth Plans

The utilisation of birth plans in childbirth and the expectations, experiences and perspectives of both women and healthcare professionals....

Physical and Mental Health Outcomes Among HIV Patients Receiving Integrated Care Treatment

The purpose of this archival study was to further contribute to the existing literature evaluating integrated care approaches to HIV treatment in community based settings....

Simulation for acute gynaecological emergencies - a training needs analysis

The aim of the survey was to assess the impact of a gynaecological simulation exercise in gynaecological emergencies....

Self Stigma in Opioid Use Disorder (OUD) Methadone Maintenance Treatment (MMT)

While the advent of MMT has dramatically improved treatment adherence among individuals with OUD, nearly 25% of patients will drop out of treatment within one year....

Last modified: 21st Feb 2022

What Are the Health Effects of Type 2 Diabetes for the Elderly Asian People Living in England?

This project overviews the research question of 'what are the health effects of T2D for the elderly Asian people living in England?' and the aim in finding the strategies in preventing, reducing and controlling the health effects of T2D....

Last modified: 18th Feb 2022

Effect of Internet Interventions for Depression and Alcohol Use

This study will examine the impact of combining two of the most widely evaluated and empirically supported Internet interventions for depression (MoodGYM) and drinking (Check Your Drinking)....

Quantitative Evaluation of the Adverse Effect of Nitrate on Human Health

The discussion of the paper is involved with the adverse effect of the nitrate intake on the health of a human being through different intake mediums....

Last modified: 17th Feb 2022

Epigenetics and Drug Abuse: Implications for the Biological Underpinnings of Abuse

This paper discusses the characteristics of drug use, neural structures and epigenetic processes involved in addiction, and several biological treatments for addictions....

Last modified: 16th Feb 2022

Post-discharge Health Outcomes of Aboriginal Patients

Outcome Evaluation of the effect of an Aboriginal Health Linking Information database on remote area discharge planning from metropolitan hospitals for Aboriginal patients living in the Pilbara and Kimberley regions of Western Australia....

Last modified: 4th Feb 2022

Effects of Dietary Nitrate on Vascular Function, Platelet Reactivity and Restenosis in Stable Angina

This project aims to assess whether the enterosalivary circulation remains intact in patients with stable angina....

Last modified: 3rd Feb 2022

What Factors May Influence Uninsured Rates in the United States?

Despite the availability through federal programs aiding citizens to have access to basic health care needs, there remains a considerable portion of society uninsured in the United States....

Last modified: 1st Feb 2022

Tumorigenesis and Tumour Permissive Phenotypes

Dissertation Introductions

Introduction to a dissertation studying how the aberrant acetylation of mitochondrial proteins, can result in an inbalanced redox environment and energy homeostasis, therefore promoting tumorigenesis and tumor permissive phenotypes....

Predicting Risk of Hospitalization in a Pediatric Population

This paper describes the development of predictive risk models for the paediatric population using the RER’s regional longitudinal administrative healthcare database to help identify children who are at risk of hospitalization....

Drug and Alcohol Interventions: Analysis of Benefits

Dissertation Proposals

This study seeks to look at whether drug and alcohol interventions are of benefit to that of the service user, especially from an adult perspective....

Last modified: 31st Jan 2022

Determining BMD through Pulse-Echo Ultrasound

Pulse-echo ultrasound technique sounds promising as it uses only one transducer rather than two as the through transmission technique which could possible test BMD at the hip as the gold standard DEXA diagnosis....

Family Involvement and Sustained Recovery in Substance Abuse

This research proposal would allow for the research to be done to see what the difference is in recovery for those that have family involved in their treatment, and those that continue with business as usual....

Mind-Body Therapies (MBTs) for Paediatric Cancer Pain Control

This proposal is intended to examine the use of Mind-Body Therapies (MBTs) during and alongside the treatment as a way to possibly improve the long-term outcomes....

Risk of Cancer Among Firefighters

This research project suggests the need for further analysis on the risk of exposure to carcinogens and the need to develop better personal protective equipment....

Experiences of Lakeshore People in Relation to HIV/AIDS: Dissertation Introduction

The overall purpose of this study is to investigate the lived experiences of lakeshore communities in relation to HIV/AIDS and relate these to current policy interventions for addressing risk to infection....

Last modified: 26th Jan 2022

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Stories from The University of Texas Health Science Center at Houston (UTHealth Houston)

Robyn Stassen's public health degree and personal experience drive her research on heat and pregnancy

Her doctoral dissertation revealed information gaps in communicating the dangerous impact of heat on pregnant women and their babies.

Written by: Jennifer Norris | Updated: June 25, 2024

Growing up in a small town in Minnesota with a severe lack of sex education, Robyn Stassen couldn't have known that one day she would be teaching at a large university in a big Texas city and publishing research on pregnancy and heat-related illnesses.  

Her journey to becoming a public health leader in San Antonio started when she was still deciding what to major in while pursuing her bachelor's degree at Bemidji State University in Bemidji, Minnesota. 

"When I first went to college, I wanted to be a teacher, but I knew I didn't want to teach in schools," Stassen said. "But in one of my entry level classes, we read a book on community health, and I didn't know that that even existed, and I thought, 'That's what I want to do.' That was my moment. It was like a little spark in my brain. I was so excited from that moment forward to do community health." 

While earning her bachelor's degree, Stassen felt her world expand as she realized how much she had never been taught about health and sexuality.  

"In my second year I took a human sexuality class, and I didn't know any of the information," Stassen said. "I was like, 'Why do I not know this?' I knew that for pregnancy you had to have sex, but I didn't even know all the parts involved with that." 

As she studied health and sexual education, Stassen gradually realized she had a passion to share this knowledge and make sure other young adults had all the important information she had missed out on. 

"In my internship, they had me put together a contraception PowerPoint to teach to high school kids, and I was really excited about that opportunity," Stassen said. "I just felt like this is my thing. I'm really educated about it, and I can talk about it and not be embarrassed." 

But after graduating with her bachelor's degree from St. Cloud State University in St. Cloud, Minnesota it was difficult for Stassen to find work in her field as public health jobs were scarce in the rural areas of Minnesota where she lived. Even after interning with a prominent public health organization, Stassen found herself working as a cashier at Goodwill and a medical assistant for a podiatrist.  

When she worked in a retirement home for a short period, Stassen was appalled at how often the elderly residents were mistreated or neglected. The experience only fueled her desire to work in a field where she could educate and protect the health of vulnerable populations. 

In 2011, Stassen and her boyfriend, who would later become her husband, decided to make a life-changing decision and move down to San Antonio, Texas to live closer to family members. Stassen decided to look into master's programs and saw that UTHealth Houston School of Public Health had a master's in public health program and a San Antonio location, making it easy for her to get involved.  

After completing her MPH in 2013, Stassen worked with Healthy Futures of Texas, focusing on teen pregnancy prevention, and later joined the Metro Health Department and San Antonio College, where she led sexual health and substance use education initiatives. 

During her seven years at San Antonio College, Stassen decided to continue her education at the UTHealth Houston School of Public Health and began pursuing a Doctor of Public Health (DrPH), which she completed in 2022.  

By the time Stassen graduated with her doctorate she had two little children, her youngest born while she was a doctoral student. Experiencing pregnancy and childbirth firsthand helped her see the many ways that she felt pregnant women weren't being heard or respected in these difficult situations, which gave her a renewed desire to advocate for them.  

With a push from her mentor, Lisa Zottarelli, PhD, Stassen channeled her interest in maternal and child health into exploring the impact of environmental factors, particularly heat, on pregnancy outcomes in her doctoral dissertation.  Stassen's research uncovered a critical gap in public health communication, specifically a lack of information provided to pregnant women about the dangers of heat exposure.  

Through a comprehensive analysis of federal, state, and city websites, she discovered that only a small fraction identified pregnant women as at risk from heat, and even fewer provided detailed information on the associated risks. 

Stassen's findings, published this year by Cambridge University Press , highlighted the severe consequences of heat exposure during pregnancy, including preterm birth, stillbirth, and congenital defects.  

Despite the scientific literature indicating these risks, public health messaging often failed to communicate them effectively. Stassen said finding this gap in communication made her realize the need for better public health strategies and for further research on the topic. 

"I was kind of in shock," Stassen said. "I just couldn't believe that we would have all this research that says heat may be doing X, Y, and Z, but then not telling pregnant women to be cautious." 

Stassen's dissertation laid the foundation for a new NOAA-funded grant project aimed at improving public health communication regarding heat exposure and pregnancy. The project involves surveying 200 women to understand where they seek information about weather and health and developing guidelines for disseminating this critical information effectively. 

Last year, before her final dissertation was published, and one year after completing her doctorate, Stassen was hired as a lecturer in the public health department at University of Texas at San Antonio (UTSA). Although she said there are challenges to starting over at a new institution, she has found the role to be fulfilling and helping new students understand the reality and importance of public health feels like a job she will always be passionate about.  

"What we really need to do is attract people to the public health programs," Stassen said. "You don't have to be working at the health department to be in public health. You can be a nutritionist, a biologist, an epidemiologist doing data science. Literally almost anything can be connected to public health. We do more than pandemics." 

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Perkison publishes nine-year study on heat illness prevention in outdoor workers

Published: June 27, 2024

William “Brett” Perkison, MD, MPH, the occupational medicine residency program director for the Southwest Center for Occupational and Environmental Health (SWCOEH), was the first author on a study of heat illness prevention in outdoor workers published in April by the Journal of Occupational and Environmental Medicine (JOEM).

The study,   “Outcomes for a Heat Illness Prevention Program in Outdoor Workers: A 9-Year Overview” , examined the effects of removing the medical surveillance component from a heat illness prevention program (HIPP) for outdoor workers in Central Texas. The study found a decrease in heat related illness (HRI) after four years of the heat illness prevention program (HIPP).

“The decrease in heat related illness is attributed to the implementation of the heat illness prevention program,” Dr. Perkison said. “Its implementation of medical screening procedures and acclimatization helped to identify those most at risk for heat stress. Moreover, it allowed employers to either modify their duty, improve management of their medical condition, or properly acclimatize the employers to decrease heat related illness in their work environments.” 

After four years, the study implemented a modified heat illness prevention program, which included training and acclimatization, but without medical surveillance. Aligning with the modification, heat related illness increased.

“Dropping the medical screening process prevented the medial surveillance group from identifying those most at risk for heat stress,” Dr. Perkison said.

Traditional public health surveillance approaches do not adequately capture the true impact of heat-related illness, especially in the occupational setting. This study attempted to address the shortage of accurate data.

“When people present to clinics and ERs for heat stress the coding is often for the symptoms they are having, such as dizziness, rapid heart rate, fainting etc.” Dr. Perkison said. “The heat related aspect of it gets missed unless it in the most severe of cases. Large-scale research is needed to test the statistical significance of these programs and evaluate program delivery methods across industries.” 

“Employers are looking for ways of decreasing HRI in their workers without lowering productivity. This is especially urgent considering rising temperatures from climate change. Medical screening and surveillance programs have the potential to be a cost-effective way of accomplishing lowered HRIs without lowering productivity.”

The SWCOEH provides a variety of graduate-level training opportunities for occupational and environmental health professionals through our industrial hygiene, occupational and environmental medicine, occupational epidemiology, and   Total Worker Health ®   programs.

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Supporting Dissertation Writers Through the Silent Struggle

While we want Ph.D. students to be independent, our practices can signal that we’re not available to support them when they need it, writes Ramon B. Goings.

By  Ramon B. Goings

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Consider the following discussion. A student tells me, “I have so much going on right now. I’m trying to write this dissertation, take care of my mom and raise my kids. I’m giving to everyone else and have nothing left to write.”

“Thanks for sharing,” I respond. “Have you reached out to your adviser to discuss what is happening and see what resources you might be able to access?”

“My adviser said they will meet with me when I have a document ready for them to review. They are too busy,” the student says. “I’ve just been struggling in silence and don’t know what to do.”

This conversation highlights the reality for many doctoral students—they may experience hardships in silence. The doctoral journey is an interesting experience during which students are provided structure through coursework and then, once they enter the dissertation phase, that structure is removed. They usually are in a position where they have to manage everything themselves.

As faculty members, we try to provide the space of intellectual curiosity for our students and allow them to explore their dissertation topics. However, while we want students to be independent, our practices can signal that we are not available to support them when they need it. What are some strategies that we should consider implementing to support our students who too often struggle in silence? Below are three that I have implemented in my chairing process.

Create an environment where students can share. Students want to meet our expectations and standards. Yet in efforts to not burden us, some students may choose not to reach out to us when they are experiencing challenges. In some instances, they also do not come to us due to the fear—and, at times, the reality—that they will face adverse consequence for doing so. While that can occur during the coursework phase, it is even more common when students are writing their dissertations, because they believe they must be independent scholars and figure everything out on their own.

To combat those situations, we as dissertation chairs must first create an environment where students can feel comfortable to share what they are going through. One simple way to foster that type of relationship is to first ensure that you make time to meet regularly with your advisees. While that may seem to be an obvious practice, I often hear from doctoral students, like the one in the opening vignette of this article, that they find it challenging just to get on their chair’s calendar. That can unintentionally signal to them that we as faculty members are not available. As a faculty member, I know we have many demands on our time. To support my students, I have dedicated times each week when students can meet with me as needed. Making the time consistent on my calendar allows me to ensure other activities do not get in the way of meeting with students. To be more efficient, I created a special Calendly meeting link that has time slots open for students to schedule.

Programs should also have regular faculty meetings to discuss student academic progress, along with any well-being challenges such as mental health and/or life challenges. Sometimes a student is more comfortable talking with a faculty member who is not on their dissertation committee, and having such conversations can provide a space for all faculty members to learn what is going on and potentially troubleshoot before a student’s difficulties gets worse.

Choose your words with care. As dissertation chairs, our words hold significant power with our advisees. Those words become even more important when our students are experiencing personal and/or professional challenges. To illustrate this point, I offer you one word that, when used, can be a trigger for students: concern.

Students have told me that if we use the word “concern” when talking with them, it signals something is drastically wrong with what they are doing. So if I am relaying information—especially feedback—to students, I ask myself the following before I speak:

• Is what I need to share truly a concern? For example, some students receive a concern comment when minor or moderate editorial changes—grammar, syntax, formatting and the like—are needed. While those must be fixed, they don’t usually rise to the level of concern that impacts the integrity of the study, a misalignment between the research questions and methodology.
• Can I express my thoughts in a more detailed way rather than just expressing concern? In the example above, if I thought the student’s editorial work needed updates, I would explain that to them and provide examples on how the student can make the changes that I am requesting.

I am certainly aware that interpretation is important, but while students can take feedback from us on their work, I have learned to be reflective about what I say. It can influence their self-confidence, a key component for completing the dissertation process.

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Understand your role is not a problem solver but solution facilitator. When I talk with other faculty members, some are quick to declare they are scientists, not therapists, so supporting their students’ distinct life challenges isn’t in their job description. I also agree that it’s not our role as faculty members to solve students’ problems for them. But we can provide a listening ear and, most of all, connect students to the various resources that can support them in their decision making.

For instance, a chair I know was advising a doctoral student who was communicative when writing their proposal and moved through the process fairly quickly. Then, after the student collected their data, the chair noticed that the student slowed down their progress and that when they met the student exhibited some uncharacteristic behaviors. Fortunately, the two had established a positive rapport, so the faculty member was able to learn that the student was unexpectedly taking on caregiving responsibilities for a sibling while experiencing some housing instability. In that case, the faculty member was able to connect the student with a campus resource for caregivers and, through it, the student was able to find housing support.

I know many faculty members are already engaging in the practices that I’ve suggested, but I continue to encounter doctoral students at the dissertation phase who are suffering in silence.

I invite you to share with me in conversations on X any other successful strategies you’ve implemented to support your doctoral students. My mission is to bring to light some of these ideas so we can make our graduate programs spaces where our students can flourish.

Ramon B. Goings ( @ramongoings ) is an associate professor in the language, literacy and culture doctoral program at the University of Maryland, Baltimore County, and founder of Done Dissertation .

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SPH Snapshot: Summer Send-off

Income, Urbanicity Influence Perceptions of Factors that Shape Health

A clear path through murky waters: alum finds meaningful career studying water contamination ..

Beth Haley (SPH’24) during an early attempt at foraging for mushrooms in Oregon. During this trip, she learned these mushrooms were not edible, which she happily figured out before tasting them.

A Clear Path through Murky Waters: Alum Finds Meaningful Career Studying Water Contamination

Beth Haley’s PhD dissertation in environmental health linked sewage overflows with illness in Massachusetts and now her current post-doctoral research with the Environmental Protection Agency aims to tackle water quality in Pacific coastal areas.

Megan jones.

Upon finishing her PhD in environmental health at the School of Public Health, Beth Haley (SPH’24) moved to Oregon, drawn, she says, to the vast natural landscapes more commonly found out West. As a post-doctoral researcher with the Environmental Protection Agency (EPA), Haley aims to tackle threats to water quality specific to the Pacific Northwest.

“There are a lot of intact ecosystems here and the connection is, in some ways, even stronger between human communities and natural communities,” says Haley, whose dissertation work at SPH laid the foundation for her growing expertise at the intersection of water and public health. Haley and her advisor Wendy Heiger-Bernays , clinical professor of environmental health, recently published the results of a study Haley led linking overflows of sewage systems that combine wastewater and stormwater drainage with gastrointestinal illness in communities along the Merrimack River in Massachusetts.

Haley grew up on the North Shore of Massachusetts, earned her bachelor’s degree in conservation biology from Boston University, then lived in Colorado and New Mexico for eight years. She held several research positions that enabled her to explore her interest in ecology before she pivoted to working full-time for a TEDx program in Albuquerque, N.M. There, she found herself most inspired by the speakers whose work applied science in service of communities, she says.

“There are a lot of issues in ecology and conservation where there is an ethical gray area, where there are a lot of complicating factors and it can be difficult to discern right and wrong,” says Haley, who, in the years after college, found herself reevaluating her relationship with her field. For example, a traditional Western approach to conservation of endangered species often advocates for reducing the human footprint on an animal’s environment, such as by restricting hunting, she says. However, indigenous people have frequently coexisted with wildlife in these habits for generations, employing their own methods of land stewardship. Determined to serve both natural ecosystems and human communities in her career, Haley found that the sustainable management of water in support of human and non-human communities offered greater clarity.

“Water quality and access to water are issues where I feel there is no gray area,” she says. “It is very ethically black and white, and from an ecological standpoint, clean water used to be much more readily accessible before anthropogenic changes to land use and pollution. When an ecosystem has a lot of integrity, the water in rivers and lakes is generally quite clean.”

Bolstered by her belief that access to clean water is a human right, Haley sought a program of advanced study that would integrate her passions for ecology, human health, water quality, and climate change.  “The Boston University URBAN program stood out,” she says.

In 2018, Haley joined the first cohort of students to embark on their PhD studies through Boston University’s Graduate Program in Urban Biogeoscience and Environmental Health (URBAN) . The interdisciplinary degree program aims to equip professionals with the science, management, policy, communication, and governance skills necessary for collaborating with governments, non-profits, and the private sector to address urban environmental challenges.

Haley discussed her experience participating in the BU URBAN program as an EH student, and how she is applying her education to her post-doctoral research in Oregon.

With Beth Haley (SPH‘24)

Did you go into the BU URBAN program knowing you were going to study combined sewage overflows (CSO)? How did you come up with that project?

I knew that I wanted to work with Dr. Heiger-Bernays because she studies a lot of different water-related issues, but [I] did not have a specific project in mind. I remember in my first year we were talking, and she said, ‘You know, there is something going on in the Merrimack,’ and we started talking about CSOs. [They are] interesting as a public health issue because we have known for a very long time that when people are exposed to sewage, they tend to get sick—that is a pretty straightforward relationship—but combined sewers still exist in our communities, especially because they are such large systems that are so expensive to change, and have not actually been studied that much in terms of their relationship with health. A lot of these [combined] sewers were built when sewer systems were new in this country in the first place, and the design is no longer used for new systems. When some of them were built, germ theory was not even widely accepted. There were bigger perhaps or more visible issues at the time than whether there was pollution in the river. We have so many issues with water infrastructure in this country—it seemed like contributing to that literature could be beneficial to decisionmakers.

Could you provide an example of a place where these systems have been retrofitted?

Boston is a good example. One of the ways to reduce the number of overflow events is to introduce a lot of storage into the system. The pipes just receive a ton of volume of water during heavy rain events, so if you can take a bunch of that water and just store it until it stops raining, then later on you can slowly send that to the wastewater treatment plant to be treated. One of the things Boston has done is put a very large storage facility in South Boston, below ground, that has reduced a lot of the overflow events that used to happen in those South Boston and Dorchester beaches. That has cleaned up the water quite a bit.

Another way people have managed [CSOs] is to introduce more green stormwater infrastructure into cities. Putting in things like rain gardens that collect rainfall and allow it to infiltrate into the soil, mimicking natural processes, can help reduce some of that stormwater runoff volume in the first place.

Before you took your current position with EPA, you worked as an ORISE postdoctoral fellow with the U.S. Forest Service . Could you share what your research there entailed?

During my ORISE postdoc with the Forest Service, I was part of an interdisciplinary project focused on wildfire and water security project. [After wildfires,] there is often a lot of erosion and runoff from burned landscapes that complicates drinking water treatment processes. We are in the early stages of understanding on how wildfires impact water quality and drinking water treatment and how that varies over different landscapes, different burn severities, things like that. When wildfires impact distribution systems or other built infrastructure directly, you can also get a lot of chemicals that hang around in the water system at that point. The team is very interdisciplinary with hydrologist, watershed modelers, biologists, and environmental economists who are thinking about this issue of wildfire and water security from the perspective of communities and ecosystems. I contributed specifically to projects looking at the human dimensions of wildfire and water issues that are especially relevant for communities and drinking water utilities.

This project was motivated by the 2020 fires in Oregon. Around Labor Day in 2020, there were a number of very intense and large fires in western Oregon, which is where most of the population in Oregon lives, that impacted some watersheds that provide drinking water for some of the cities in that area. It drew a lot of attention to this issue, especially in Oregon and in the Pacific Northwest. Much of the research that has been done on drinking water impacts from wildfire had been done in more of the Intermountain West , like Colorado, as well as California, so there was a gap in the Pacific Northwest, and it is looking like those Pacific Northwest watersheds vary in how they behave compared to the Intermountain West systems.

And what is the focus of your new role with EPA?

Every five years or so, the EPA will offer these federal post docs where you are actually a federal employee for your term. They can be a little bit longer than ORISE positions, and you can invest more as an employee. I began on June 2 and will be in this position for three years. I am in the Pacific Coastal Ecology Branch (PCEB) and so my focus is to connect some of the coastal, marine, and estuarine ecology research that has been done here with human with human health and wellbeing outcomes. We are thinking about things like contaminants in water and shellfish, harmful agal blooms—we are talking about a lot of ideas right now. The work we do will fit within the overall priorities of the [EPA] Office of Research and Development and bring in more of that connection between ecosystem health and human health.

I am also going to carry over some of the projects I was working on with the Forest Service and continue contributing to those. My time with the Forest Service was really wonderful. I would not have necessarily made this jump to EPA had this opportunity not been so in line with my research interests. The federal agency postdoc world is a very specific set of opportunities, so it has also been interesting to learn about that and experience the differences between different kinds of positions.

[Wendy Heiger-Bernays and I] are still working on some projects too. We have one dissertation paper that still needs to be published, hopefully. Then, we have two side projects that I did not get to as part of my dissertation, but other BUSPH students have contributed to those efforts and we are working towards finishing those as well. One of them is a modeling project, led by Talia Feldscher (SPH’23), a research data analyst with the Center for Climate and Health, working on developing a model that will predict E. coli concentrations in the Merrimack [River]. The other uses a risk assessment approach to understand the risk of gastrointestinal illness for people who are recreating in the Merrimack, and recent MPH graduate Emily Gant (SPH’24) has been working with us on that project. The nature of a post doc is you have some unfinished projects from previous experiences.

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Doctoral Dissertation Presentation

Please join us on Friday, June 28, from 9:30 a.m. to 11:30 a.m. , for EdD candidate Theresa Gouveia’s dissertation presentation. Her phenomenological study examined special education teachers’ lived experiences with compassion satisfaction, compassion fatigue, and the influence of these on their professional quality of life.

See link and details on the flyer below. 

Doctor of Nursing Practice project focuses on multidisciplinary collaboration to increase ICU patient early mobility

When considering a Doctor of Nursing Practice (DNP) as the next step in their education, many nurses share concerns regarding the program’s final project. Unlike a traditional doctoral dissertation, the goal of a DNP project is to allow students to showcase their ability to translate knowledge and research into practical applications and solutions to real-world problems, impacting health care outcomes at a systems or population level.

At UC College of Nursing, students work with faculty advisors to choose a DNP project topic that relates to their advanced-practice specialty. The nature of projects varies and can include:

• A quality improvement initiative
• Implementation and evaluation of evidence-based practice guidelines
• Policy analysis
• Design and evaluation of new models of care or health care programs

To provide additional insight into the planning and steps of a DNP final project, we interviewed Paige Dahlke, BSN, RN, CCRN, an adult-gerontology acute care DNP candidate whose project ranked top at the college’s Annual Doctoral Student Project Showcase .

Dahlke received her Bachelor of Science in Nursing from the University of Northern Colorado in 2016, before relocating with her husband to Dayton, Ohio where she worked closely with ICU nurse practitioners at Kettering Health Dayton.

“Watching my leadership exercise higher level thinking when making impactful decisions for patients inspired me to go back to school,” she says. “I enjoyed caring for critically ill patients and wanted to progress in my ability to care for them, so I decided the DNP in adult-gerontology acute care program was the path for me, since it allows me to not only care for patients at a higher level, but also implement quality improvement projects, teach and so much more.”

Given her previous work experience, Dahlke decided to pursue a quality improvement project focused on early mobility interventions for ICU staff.

Paige Dahlke, RN

“ICU patient care requires life-saving treatments that frequently relate to increased immobility. My literature review showed that prolonged immobility is detrimental to all systems and functional ability; even when patients recover from what landed them in the ICU, they’re still not doing great due to adverse effects such as ICU-acquired weakness,” Dahlke shares. “Getting patients up and moving leads to better patient outcomes, decreased length of stay, increased functional ability and better recovery after illness.”

Aware that the lack of collaboration among different disciplines providing patient care in the ICU is a consistent barrier to early mobility intervention completion, Dahlke decided to create and deliver an education module showcasing the safety and feasibility of early mobility interventions and shared a Level of Function Mobility (LOF) scale to assist in consistent care and seamless communication for care providers in the ICU.

Dahlke partnered with Kelsey Schweikert, BSN, RN, clinical nurse manager at Kettering Health, to present the education module and explain the LOF scale at the hospital’s ICU multidisciplinary meeting. She also showed where the LOF mobility scale and documentation for rating would be found in ICU patient rooms. To assess staff perceptions of the intervention and interdisciplinary collaboration, Dahlke collected surveys pre- and post-LOF scale use, in addition to data on length of stay and Morse Fall Risk Assessment before and after intervention and scale implementation. A statistical analysis showed an improvement in ICU length of stay, change in Morse Fall Risk and staff perceptions of early mobility. As the changes were not statistically significant, Dahlke concluded that, although the improvement in each of the metrics shows potential for the project, further evaluation—including longer implementation and additional resources—is necessary to potentially produce statistically significant results.

“My goal is to decrease the burden of one single discipline to complete early mobility interventions within the complex ICU,” says Dahlke. “A multidisciplinary approach will encourage collaboration and improve patient outcomes.”

When asked about her steps towards a successful DNP project, Dahlke praises the support she has received at the UC College of Nursing.

“Dr. Eilleen Werdman, my project chair, has been supportive of the project since day 1. DNP projects entail three well-defined phases—planning, implementation and data collection—each covered throughout the classes that walk you through the process for a successful project. You follow a well-defined process guided by faculty and your chair.”

Dahlke, who will welcome her first baby in July, graduate in August and move alongside her husband in September, is excited about her future professional options.

“I feel that the DNP has prepared me to do anything I want in my career. I may pursue cardiology or pulmonology, or another specialty. Even if I end up not going back to work in the ICU, I’m glad to have contributed to patient outcomes through my project,” she says.

Want to learn more about our DNP program? Let us know here .

• College of Nursing

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[Molecular genetic analysis of TUB18 and TUB20 intragenic polymorphism and various mutations of the CFTR gene in the Moscow region]

• PMID: 9445824

Allelic frequencies of two intron polymorphisms in the cystic fibrosis transmembrane regulator (CFTR) gene, TUB18 and TUB20, were estimated on chromosomes of 67 cystic fibrosis patients and on that of 37 healthy donors from Moscow and the Moscow oblast. Allele 2 of the TUB 18, and allele 1 of the TUB20 were 2.1 and 1.5 times more frequent on the non-delta F508 chromosomes of the cystic fibrosis patients than on chromosomes of healthy donors, i.e. these alleles were in linkage disequilibrium with the CFTR gene. Allele 1 of the TUB18 marker and allele 2 of the TUB20 marker demonstrated absolute linkage disequilibrium with the delta F508 mutation of the CFTR gene. The degree of association between the TUB18 and TUB20 intron polymorphisms and the GATT and T854T intragenic polymorphisms was analyzed. Of all 62 delta F508 chromosomes tested, 98.3% shared the 2-1-1-2 GATT- T854T-TUB18-TUB20 haplotype. Eight major (more frequent) GATT-T854T-TUB18-TUB20 haplotypes were found in 89.5% of normal, and in 97.9% of non-delta F508 chromosomes of cystic fibrosis patients from the Moscow region. Three of these major haplotypes, 2-1-1-2, 1-2-2-1, and 2-2-1-2, were respectively 2.5, 2, and 1.5 times more frequent on non-delta F508 cystic fibrosis chromosomes than on normal chromosomes. Data on screening for the G542X, N1303K, and 394delTT mutations of the CFTR gene, carried out on 134 chromosomes of cystic fibrosis patients from the Moscow region are presented. The frequencies of the G542X and 394delTT mutations were estimated as 1.5%, while the frequency of the N1303K mutation was 2.2%.

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• [Cystic fibrosis: molecular genetics and new perspectives of prevention and therapy]. Garnerone S, Restagno G, Santini B, Carbonara A. Garnerone S, et al. Ann Ital Med Int. 1994 Apr-Jun;9(2):67-73. Ann Ital Med Int. 1994. PMID: 7917764 Review. Italian.
• [Analysis of various polymorphic markers of the CFTR gene in cystic fibrosis patients and healthy donors from the Moscow region]. Amosenko FA, Sazonova MA, Kapranov NI, Trubnikova IS, Kalinin VN. Amosenko FA, et al. Genetika. 1995 Apr;31(4):532-5. Genetika. 1995. PMID: 7607440 Russian.
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