Social and Behavioral Sciences Commons^™

Mortality In Medicine, Maren Dougherty

Honors Projects

Practitioners in the medical field attend to health issues across one’s lifespan from birth to death and everything in between. A common conflict in today’s practice of medicine is establishing the true function of medicine. The complete reliance on medicine to ward off death proliferates the biomedicalization of natural life processes, like death. Biomedicalization is the process in which medical authority and its accompanying technology begin to control other aspects of daily life. With medicine’s ultimate goal being to cure disease and fight death, it interferes with the inevitability of human mortality. End-of-life treatment can be taken too far without …

Mass Tourism Management In Sintra World Heritage Site: The Role Of Tourist Guides, Luis Miguel Brito, Ilidia Carvalho

International Journal of Tour Guiding Research

Information is power. Tourist guides hold this power as information givers, representatives of the tourists in the sites they visit and vice versa, and they can also persuade the tourists to do what is more convenient in each situation, thus contributing to sustainability through their interpretation. Arguably, in a situation of mass tourism, they can be very helpful. Mass tourism is viewed negatively by various intellectual currents and some critics in the field. It is usually associated with a lack of interest in culture, and it is understood as harmful to nature. It is in opposition to alternative, responsible, and …

Applied Theatre For Peacebuilding: Exploring The Value Of Embodied Practice, Emily Machin-Mayes

Capstone Collection

Arts, storytelling, theatre, and drama have been woven into strategic approaches to peacebuilding after conflict to engage with people’s experiences and emotions, share silenced stories, and build trust and empathy. Applied theatre challenges audience members to take a more active role, either through participating in the storytelling or acting itself or through dialogue and reflection activities. This collaborative art form has been used for community-building, reconciliation efforts as well as in post-conflict settings. This study examines the impact and value of an intensive applied theatre workshop, using participant-observation, and semi-structured interviews. Some of the qualitative findings include the value participants …

We Are Family: Queer And Transgender Family Building, Jennifer M. Gess, Nattalie Wolff-Tseng, Kaitlin J. Phelps, Madison Morley

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

LGBTQ+ people experience resiliency and discrimination when attempting to build families. There are massive systemic barriers and oppressive walls LGBTQ+ people face when forming either a blended family, trying at-home insemination, using assisted reproductive technology, working with a gestational carrier, or attempting to become a foster parent or adopt a child. Queer reproductive justice provides a foundation for counselors to support clients by using affirmative counseling, providing positive mandatory interactions clients are ordered to during family building, and advocating with and on behalf of their LGBTQ+ clients building families.

Developing A Taskforce To Improve Digital Health Equity, Samuel Wilson, Natalia Queenan, Julianna Lenoir, Alexzandra Gentsch, Jay Trivedi, Rohith Tudi, Nikita Nair, Akshay Krishnan, Andrew Vanichkachorn,, Tien Vu, Alexandra Cohen, Eleanor Jenkins, Marissa Witmer, David Rigas, Jeffrey Ndubisi, Isabella Muti, Kristin Rising, Md

Health Equity and Quality Improvement (HEQI) Summit

Our Population

• Thomas Jefferson University Hospital (TJUH) is a tertiary care center and L1 trauma center, and we serve patients from all areas in Philadelphia for acute health crises
• In Philadelphia, major disparities exist regarding health factors and health outcomes
• When stratifying by neighborhood or zip code, these disparities become even more apparent
• Several studies have also shown that these geographic demarcations coincide with racial disparities for access to health resources, like primary care physicians, COVID-19 vaccinations, and public health interventions
• Accessibility of health resources for our inpatients is thus highly variable.

Identifying Inappropriate Dual Anti-Platelet Therapy (Dapt) Utilization In The Outpatient Setting, Youssef Elfatatry, Julia Palecki, Nevin Varghese, Amry Majeed, Alexis Wickersham

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

• Dual anti-platelet therapy (DAPT) is a cornerstone in management of many cardiovascular and cerebrovascular conditions; however, inappropriate and prolonged use can lead to increased bleeding risk. Despite guidelines on optimal DAPT duration for various clinical scenarios, a proportion of patients receive inappropriately extended courses of therapy, exposing them to unnecessary risk.

Project AIM:

• We aim to (1) identify inappropriate DAPT use using established clinical guidelines at two academic primary care clinics and (2) develop and implement a targeted best practice advisory (BPA) in EPIC to address gaps in adherence to DAPT guidelines to enhance patient safety and …

Socioeconomic Status And Comorbidity Burden Influence On Mortality Index In Spinal Neurological Surgery Operations, Carey Preston, Bs, Pious Patel, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• Pre-existing comorbidities are generally thought to increase risk of undergoing surgical procedures
• Low socioeconomic status (SES) has been correlated with increased comorbidity burden previously
• Patients with low SES undergoing spinal neurological surgery operations may have existing comorbidities that impact expected surgical outcomes
• Vizient Inpatient Mortality uses pre-existing comorbidities during an inpatient stay to estimate post-operative expected mortality
• With increased comorbidity burden, expected mortality in low SES patients may not be accurately represented by

Timely Ambulatory Follow Up After Emergency Department Discharge, Kevin Endersby, Jackson Weber, Marisyl De La Cruz

Health Equity and Quality Improvement (HEQI) Summit

Background

Problem Statement:

Patients over the age of 65 lack timely ambulatory follow up after discharge from the ED, leading to increased return to the ED, resource utilization, and mortality.

Project AIM:

Within 6 months of intervention, 70% of patients over the age of 65 who were recently discharged from the ED will follow up with their PCP within 7 days of the timeline recommended by the ED provider.

Social Needs Screenings Programs: Factors For Success, Varun Jayanti, Akshay Krishnan, Zachary Goldberg, Md, David Nash, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Abstract

Introduction: In January 2024, the Centers for Medicare and Medicaid Services (CMS) implemented Health Quality Measure (HQM) 487, which required participating hospitals to annually screen admitted patients for the 5 domains of the Social Determinants of Health (SDOH). These requirements allowed hospitals to develop individualized, but compliant, screening programs. Previous SDOH screening research has focused on measurement tools, but not the mechanisms of screening present in various hospitals.

Research Objectives: This study will investigate the mechanism(s) for a social needs screening program (which is reflective of underlying SDOH disparity) in a large, multi-hospital academic health system in the Northeastern …

Key Stakeholder Perceptions Of Doula Support For Persons With Perinatal Opioid Use Disorder, Meghan Gannon, Phd, Msph, Dennis Hand, Phd, Vanessa Short, Phd, Taylor Carrubba, Grace Thiele, Samantha Pancoe, Sarah Lawson, Nadia H-Yazdi, Phd, Scott Keith, Phd, Diane Abatemarco, Phd

Health Equity and Quality Improvement (HEQI) Summit

Background

• Maternal child health disparities are prevalent among pregnant and parenting women in treatment for opioid use disorder (OUD).
• Doulas have been utilized as a perinatal support in other vulnerable populations to increase healthcare utilization and improve birth outcomes.
• While research demonstrated that doula services can be feasibly implemented for populations experiencing poverty and trauma, there are limited studies to support that this could be true for patients with OUD as well.

Quemando Leña En Guatemala: Salud, Sostenibilidad Y Costumbres, Sydney Underhill

World Languages and Cultures Senior Capstones

In the Central American country of Guatemala, firewood is an important fuel source. Eighty-eight percent of households in rural areas use wood stoves and open fires to cook and heat their homes. This tradition has fundamental roots in the culture and customs of Guatemala. Unfortunately, these methods contribute to air pollution. Consequently, it also results in smoke inhalation, which causes health problems. Additionally, the massive agriculture of other crops decreases the amount of firewood available to these households, affecting the sustainability of the resource. Some communities resist changing their use of firewood due to the profound nature that firewood holds …

Picturing Consumer Culture, Cultural Hybridity, And Womanhood: Farah Al Qasimi’S Photographs From 2012 To 2020, Minji Lee

Theses and Dissertations

This thesis examines Farah Al Qasimi’s 2012-2020 color photographs, arguing that this work presents a distinctive and salient critique of domesticity, material culture, and womanhood in the UAE. Through her lens as a woman and a culturally hybrid subject, Al Qasimi explores the tensions of modernization, globalization, consumerism, and gender.

Rehearsing Attention: Contemporary Dance As A Practice Of Sustained Focus, Eve J. Jacobs

Theses and Dissertations

This paper contextualizes the influences, details the creative process, and reflects on the relevance of choreographer Eve Jacobs' artistic research for her MFA thesis, "Four Statements on Attention." She draws upon the legacies of choreographers Merce Cunningham and Anna Halprin; publications by Mihaly Csikszentmihalyi, Johann Hari, Jenny Odell, and others; and resources from the activist coalition Friends of Attention to articulate how her dance practice continues to shape her capacity for sustained attention in an age of distraction.

Seeing Is Believing: Religious Views, Perceptions Of Pollution, And Environmental Attitudes, Katelynn (Sage) Shadoan

Department of Sociology: Dissertations, Theses, and Student Research

This study explores the intersection of religious beliefs, perceptions of pollution, and environmental attitudes among Americans. Drawing upon Lynn White's seminal argument regarding Christian theology and its implications for environmental stewardship, this research investigates the role of biblical literalism in shaping environmental attitudes, particularly among conservative Christians. Using nationally representative survey data and logistic regression models, the study examines how the perceptions of pollution moderate the effects of views of the Bible on environmental concern. The findings reveal that while perceived pollution exposure is strongly associated with environmental attitudes, it does not moderate the association between biblical literalism and environmental …

Salt: A Tribute To Ghana's Fishers, Vanessa F. Jaiteh

Green Humanities: A Journal of Ecological Thought in Literature, Philosophy & the Arts

This poem is a tribute to my fieldwork on fisher safety, labour abuses and human rights violations in Ghana’s fisheries.

Lep Prevalence In Southern New Jersey And The Use Of Interpreting Services In Healthcare Settings, Katherine Chavarria, Ariana Blake, Marlyn Valentin

Rowan-Virtua Research Day

Language barriers pose a great challenge to populations of Limited English Proficiency (LEP) in understanding their health, diagnosis, and treatments in healthcare settings. Our research aimed to gain a better understanding of the language access needs in Southern New Jersey. We analyzed census data in order to determine the prevalence of LEP populations in Southern New Jersey, as well as the languages most spoken by LEP populations. Additionally, our research looked at the use of interpreting services in healthcare settings. In Camden county, specifically we found that the top 3 languages spoken by LEP populations were Spanish, Vietnamese, and Chinese. …

Evaluation Of Unexplained Bone Fractures In A 3-Month-Old Infant – A Case Report, Hannah Ngo, Rachel Silliman Cohen

Rowan-Virtua Research Day

Child physical abuse is a significant cause of injury in infants and young children and can present in a variety of ways. Failure to recognize abuse in infants and young children can be life-threatening and is often recurrent until safety interventions occur. Consequently, it is of paramount importance that providers strongly consider child physical abuse on the differential, along with metabolic bone disease and accidental traumatic injury, when evaluating fractures in young children and infants. This case report will focus on the evaluation of a 3-month-old male infant who was admitted to the hospital with irritability and decreased right arm …

Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer

Rowan-Virtua Research Day

Childhood lead exposure poses a significant risk to health and well-being, adversely affecting brain function, nervous system development, and behavioral patterns. This study examines the health disparities and inequities associated with childhood lead exposure in Philadelphia, focusing on structural racism and residential segregation as crucial lenses for analysis. By delving into the sociocultural context of lead exposure, this study underscores the imperative of collaborative efforts among stakeholders to safeguard Philadelphia's most vulnerable populations. Healthcare professionals and policymakers play pivotal roles in enhancing funding and prevention strategies. Addressing this issue through the prism of structural racism allows for the identification and …

Is There An Association Between Living In A Rural Area And The Incidence Of Postoperative Complications Or Hospital Readmissions Following Left Ventricular Assist Device (Lvad) Implantation, Compared To Urban Lvad Recipients?, Samrat Gollapudi, Abhiram Gollapudi, Srinidhi Banala, Sheraj Singh, Bhaumik Patel

Rowan-Virtua Research Day

Background: Left ventricular assist devices (LVADs) are utilized as a therapeutic option for patients with end-stage heart failure. While LVAD implantation can significantly improve survival rates and quality of life, the procedure is not without risks, and postoperative complications are common. This review aims to investigate whether there is an association between living in a rural area and the incidence of postoperative complications or hospital readmissions following LVAD implantation, compared to urban LVAD recipients.

Methods: A comprehensive review of the literature was conducted, examining studies that compared postoperative outcomes between rural and urban LVAD recipients. Data were extracted on adverse …

Improving Primary And Gynecological Care In Transmasculine Patients, Alison N. Mautner, Joanna Petrides

Rowan-Virtua Research Day

Introduction: This study aimed to assess the healthcare experiences of transmasculine individuals in primary and gynecological care settings. An online, anonymous survey was conducted to gather insights into positive and adverse encounters, factors influencing care-seeking behaviors, and strategies for improving care delivery in this population.

Methods: A survey was administered between June 1st and July 23rd, 2023, recruiting participants from three LGBTQ+ affirming healthcare offices in South Jersey and via Reddit. Data analysis involved SPSS to gain information from 499 valid responses.

Results: The majority of participants (55%) were aged 18-24, with 51% identifying as transgender men. Over two-thirds (68.5%) …

The Impact Of The Covid-19 Mask Mandate On Effective Communication Between Healthcare Providers And Deaf/Hoh Patients, Antonia J. Conti, Alexa Gingerich

Rowan-Virtua Research Day

During the peak of the COVID-19 pandemic, many countries mandated the use of facial masks in public environments, especially in healthcare settings.[3] While this was beneficial in reducing the spread of the coronavirus disease, it created many challenges for the deaf/HoH community.[4] In particular, it limited effective communication between healthcare providers and deaf/HoH patients. It was found that masks limit word recognition for both deaf/HoH and non-deaf/HoH individuals. Additionally, both surgical and N95 masks hinder word recognition for deaf/HoH individuals and significantly impact communication during medical appointments.

Investigating Risk Factors Contributing To The High Incidence Of Covid-19 Among The Diné People Of The Navajo Nation, Elizabeth Lila Reynolds

Rowan-Virtua Research Day

Background: COVID-19 became international news in December 2019 and subsequently impacted global health. The research shows that the Diné people of the Navajo Nation were one of the most severely impacted populations¹. The Navajo Nation is a region spanning Arizona, New Mexico, and Utah that is composed of North American indigenous people known as the Diné. Purpose: To explore the risk factors contributing to the increased rates of COVID-19 infection and severity of infection among the Diné people. Methods: This literature review research process utilized PubMed and JAMA to find scholarly articles on this topic. Search terms …

Association Between Cultural Factors And Postpartum Depression, Usha Modukuru

Rowan-Virtua Research Day

Postpartum depression (PPD) is present in 17.22% of the world population. The negative physical and psychological impacts of PPD impact not only the mother, but also those around her. This raises the importance of identifying factors contributing to its onset. Studies have shown that PPD prevalence rates vary between non-Western and Western regions of the world. Cultural postpartum practices differed significantly region to region. Search terms including postpartum depression and cultures were used to find peer-reviewed articles, primary surveys, and patient interviews between 2013-2023. Qualitative analyses were performed on the results. Ethnokinship cultures, commonly present in non-Western countries, prioritized social …

Barriers To Healthcare Access Between English And Spanish Speakers In An Underserved Population, Adeena Javed, Dale Johnson, Gerardo J. Rivera-Colón, Nathaniel J. Byrnes, Kristin Bertsch, Anne C. Jones

Rowan-Virtua Research Day

• According to the NJ State Department of Health, Atlantic County has higher rates of smoking, respiratory disease, hypercholesterolemia, as well as death rates due to coronary heart disease, HIV, and all cancers compared to the NJ state average1,2.

• With over 20% of Atlantic County's population identifying as Hispanic, Spanish speakers encounter greater obstacles compared to their English-speaking counterparts in accessing healthcare services and improving health outcomes1,2 .

• Existing research indicates that various factors, including health insurance coverage, proximity to healthcare facilities, transportation options, health literacy levels, and trust in the medical profession, significantly influence access to healthcare …

A Brief Overview Of Food Insecurity In Southern New Jersey, Lisa Ting Huang, Krisha Darji, Jariatou Diallo, Amin Abdul Khan

Rowan-Virtua Research Day

Atlantic County, located off the Jersey Shore, faces the highest level of food insecurity in New Jersey, with a rate of 11.2% as of 2021, surpassing the state's overall rate of 8.8%. This situation contributes to health issues such as hypertension, diabetes, and heart disease.

The objective of this research is to understand and address the persistence of food insecurity in Atlantic County. Community stakeholders and local physicians were interviewed to identify barriers and disparities contributing to food insecurity.

Methods included a literature review using keywords like "food insecurity" and "southern New Jersey". Proposed interventions suggest collaboration with health centers …

Cut The Pressure: Blood Pressure Screening In A Community Based Setting, Harold Kareem Knight Jr., Katharine Milani

Rowan-Virtua Research Day

This study addresses the pressing issue of cardiovascular health disparities in African American males through community-based interventions, specifically blood pressure screenings and surveys conducted in a local barbershop setting. Despite a preference among participants for clinical settings, an overwhelming 97.7% expressed high comfort levels in the community-based environment, highlighting the importance of culturally sensitive approaches in healthcare delivery. With 92.5% indicating willingness to return for future screenings, the study underscores the efficacy of non-traditional settings in fostering healthcare engagement. Findings suggest the potential for broader impact through scalable, community-centric initiatives, offering promising avenues for improving health outcomes in underserved populations.

Exploring Hypertension Prevalence Among Ill-Housed Individuals In Urban Environments, Lia Goldberg, Sameer Shah, Nikhila Archakam, Murod Khikmatov, Kesha Choksi, Anddee White

Rowan-Virtua Research Day

This study explores the interrelations of hypertension, homelessness, and access to healthcare in urban ill-housed populations. It was found that conditions such as heart disease and diabetes significantly exacerbate hypertension, which remains highly prevalent due to the population's limited access to consistent medical care. Homelessness further complicates the management of hypertension due to unstable living conditions, making adherence to treatment and follow-up with healthcare providers challenging. Additionally, factors like higher rates of substance abuse and malnutrition among homeless populations contribute to worsening hypertension, which, if untreated, can lead to severe health crises including heart attacks and strokes.

The research underscores …

Pictorial Bionomics: Santa Ana River Record And Survey, Caleb Lachelt

Student Scholar Symposium Abstracts and Posters

Intense conflict is unfolding in Southern California, and it runs right through our cities every day. It goes unnoticed by most, but its outcome will decide the future for humans and nature alike. This conflict is between human development and the natural majesty of our waterways. The foundation of Orange and surrounding areas is historic wetlands, which have caused massive flooding that destroys human lives and buildings. In response to this destruction, we have unleashed our own damage, paving entire sections of our rivers and erecting dams and levees wherever we can. Through this process we have successfully protected those …

“Everybody Loves A Conjurer:” The Fake Artworks Of Elmyr De Hory (1906-1976) And Their Consequences On The Art World, Caroline Grinstead

Student Scholar Symposium Abstracts and Posters

Art institutions such as museums, galleries, and auction houses have for many years been characterized as reliable and trustworthy. The act of art forgery threatens this integrity and causes these institutions to rethink how they acquire artworks. My research focuses on a specific art forger, Elmyr de Hory, who became notorious for being able to reproduce works in the style of notable artists such as Picasso, Matisse, and Modigliani. By successfully selling his forgeries to multiple museums and galleries, only to be discovered later, de Hory forced institutions to reconstruct their approaches in authenticating and acquiring works of art. As …

Review Of Missing Data Elements For Client Enrollment In The Minority Aids Initiative For High-Risk Men Of Nj, Vrushank Shah

Rowan-Virtua Research Day

The Minority AIDS Initiative study funded in NMI seeks to enhance healthcare outcomes for underserved individuals. Implementing outreach programs, the initiative provides healthcare and post-treatment follow-up to this demographic. The proposed project, a component of this study, concentrates on individuals with substance abuse disorder, specifically targeting those who have been onboarded but subsequently lost to follow-up. In the United States, approximately 20 million people are diagnosed with substance abuse disorder, yet in 2016, only 3.8 million received treatment. Within this cohort, between 20% and 70% of individuals undergoing residential substance abuse treatment disengage before completion. Various factors hinder the sustained …