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Family Medicine Theses and Dissertations

This collection contains theses and dissertations from the Department of Family Medicine, collected from the Scholarship@Western Electronic Thesis and Dissertation Repository

Theses/Dissertations from 2023 2023

The Attainment of Obstetrical Competency in Postgraduate Family Medicine Training: A Qualitative Study , Nisha Arora

The Population-Centered Medical Model: A Theory of Practice for Public Health and Preventive Medicine , Sudit Ranade

Jumping Ship and Going to the Other Side: Experiences of Nurses who retrain as Doctors , Anne Robinson

Theses/Dissertations from 2020 2020

The experiences of Family Medicine teachers and Family Medicine residents in multimorbidity care and education , Julie A. Copeland

The Health Experiences of Long-haul Truck Drivers and their Relationship with their Primary Care Provider , Jennifer K. Johnson

Gestational Weight Gain - Its Importance To Pregnant Women And Their Children , Helena Piccinini-Vallis

Utilization of Healthcare by Immigrants in Canada: A Cross-Sectional Analysis of the Canadian Community Health Survey , Nisanthini Ravichandiran

Theses/Dissertations from 2019 2019

Japanese patients' preference for Patient-centered medicine and its association with the satisfaction of patients with their family physicians , Tesshu Kusaba

Measuring Multimorbidity , Eng Sing E S Lee

Focused Practice and Enhanced Skills PGY3 Training in Family Medicine: A Mixed Methods Study. , Melad I. Marbeen

Family Physician's Clinical Inertia in the Management of Hypoglycemia , Caroline V. Martignoni Rebicki

Knowledge and Attitudes Towards Breastfeeding Among Medical Students at Memorial University , Amanda L. Pendergast

Theses/Dissertations from 2018 2018

Transitions in Medical Education , Britta Laslo

Theses/Dissertations from 2017 2017

The impact of an EMR on the management of adult patients with type two diabetes by family physicians in ruralnewfoundland , John A. Campbell

Patient-centered Primary Care of Adults with Severe or Profound Developmental Disabilities: The Patient–Physician Relationship , Katherine C. Stringer

Theses/Dissertations from 2016 2016

An Evaluation of the Determinants of Job Satisfaction in Canadian Family Physicians , Jana L. Malhotra

Theses/Dissertations from 2015 2015

Psychotherapy in Family Medicine , Saadia N. Hameed

How Family Physicians in Saskatchewan Make Lung Cancer Screening Decisions , Nusrat Jamil

"A family doctor can do that!" Is there a role for a formalized referral network for office procedures in family practices of Newfoundland and Labrador? , Annabeth J. Loveys

Theses/Dissertations from 2014 2014

Integrating Spirituality and Medical Education: What Students and Teachers Have to Say - A Qualitative Study , Sharon N. Hatcher

Theses/Dissertations from 2013 2013

Bio-Identical Hormone Therapy: Understanding Women's Decision-Making Process and Family Physicians' Views , Lemmese AlWatban

What Shapes Family Physicians' Patterns of Care for Community Patients at End of Life? , Joshua D. Shadd

Theses/Dissertations from 2012 2012

Functional Recovery and Caregiver Support of Stroke Patients Admitted for Rehabilitation in Singapore Community Hospitals (1996 to 2005) , Gerald Koh

The Role of Religion and Spirituality in the Care of Patients in Family Medicine , Michael F. Lee-Poy

Understanding Compassion in Family Medicine: A Qualitative Study , Jane Melek Uygur

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MARK H. EBELL, MD, MS, AND ROLAND GRAD, MD, MSc

June 8, 2020 Editor's Note: The hypertension study (reference 5) is under investigation by the editor of the journal in which it was published due to inconsistencies in the data noted by others. Caution is warranted regarding applying these findings to clinical care.

Am Fam Physician. 2020;101(10):608-617

Author disclosure: Dr. Ebell is cofounder and editor-in-chief of Essential Evidence Plus. See Editor's Note . Dr. Grad has no relevant financial affiliations.

In 2019, regular surveillance of 110 English-language research journals identified 254 studies that met the criteria to become POEMs (patient-oriented evidence that matters). Physician members of the Canadian Medical Association rated these POEMs for their relevance to patients in their practices. This article summarizes the clinical questions and bottom-line answers from the top 20 POEMs of 2019. Taking blood pressure medications at night results in a large mortality reduction over six years compared with morning dosing. Automated devices are the best way to measure blood pressure. Nonfasting lipid profiles are preferred over fasting lipid profiles, and nonfasting and fasting lipid profiles are equally effective at predicting risk. The benefit of statins for primary prevention in people 75 years and older is uncertain at best. Aspirin has no net benefit for primary prevention of cardiovascular disease and has no effect on cancer outcomes. An Italian study found fecal immunochemical testing over five biennial screening cycles has a similar colorectal cancer yield as screening colonoscopy, whereas a meta-analysis found that taking aspirin, an anticoagulant, or a nonsteroidal anti-inflammatory drug has no impact on the positive predictive value of fecal immunochemical testing. Regarding infections, a meta-analysis showed that patients presenting with symptoms of acute respiratory tract infection are unlikely to have pneumonia if vital signs and the lung examination findings are normal. For streptococcal pharyngitis (strep throat), penicillin V at a dosage of 800 mg four times a day for five days is at least as effective as a dosage of 1,000 mg three times a day for 10 days. A primary care study in the United Kingdom reinforced that clinicians should counsel parents of children with lower respiratory tract symptoms to be patient, because these infections can take three weeks or more to fully resolve. Among direct oral anticoagulants, apixaban has the lowest bleeding risk, and cotreating with a proton pump inhibitor significantly reduces bleeding risk. Single ibuprofen doses from 400 to 800 mg significantly reduce acute pain to a similar degree. The two-dose recombinant zoster vaccine is much more effective than the single-dose live, attenuated vaccine but with a greater risk of injection site pain. Exercise helps reduce the risk of falls in older adults. Practice guidelines from 2019 on antithrombotics for atrial fibrillation, the management of type 2 diabetes mellitus, and screening for breast cancer were judged to be especially relevant.

Every year for the past 21 years, a team of experts in evidence-based medicine have systematically reviewed more than 110 English-language research journals to identify the original research most likely to change and improve primary care practice. The team includes experts in family medicine, pharmacology, hospital medicine, and women's health. 1 , 2

The goal of this process is to identify POEMs (patient-oriented evidence that matters). A POEM must report at least one patient-oriented outcome, such as improvement in symptoms, morbidity, or mortality. It should also be free of important methodologic bias, making the results valid and trustworthy. Finally, if applied in practice, the results would change what some family physicians do in patient care by prompting them to adopt a beneficial new practice or discontinue one that is ineffective or harmful. This should improve patient outcomes. Of more than 20,000 research studies published in 2019 in the journals reviewed by the POEMs team, 254 met criteria for validity, relevance, and practice change.

The Canadian Medical Association (CMA) purchases a subscription to POEMs for its members, many of whom receive the daily POEM by email. When members read a POEM, they can rate it with a validated questionnaire called the Information Assessment Method. POEM ratings address the domains of clinical relevance, cognitive impact, use in practice, and expected health benefits if that POEM were to be applied in patient care. 3 , 4 In 2019, each of the 254 POEMs were rated by an average of 1,530 physicians.

In this article, we present the 20 POEMs rated highest for clinical relevance by CMA members in 2019. This installment of our annual series ( https://www.aafp.org/afp/toppoems ) summarizes the clinical question and bottom-line answer for each research study identified as a top 20 POEM, organized by topic and followed by a brief discussion. We also present the three most relevant practice guidelines identified by CMA members. The full text of the POEMs in this article are available at https://www.aafp.org/journals/afp/content/top-poems/2019.html .

Hypertension

Hypertension is among the most common conditions managed by primary care physicians and is the topic of the two POEMs rated most relevant to readers in 2019 ( Table 1 ) . 5 , 6 Researchers randomized 19,168 adults with hypertension to take their antihypertensive medications at bedtime or first thing in the morning. 5 Patients were prescribed an antihypertensive from an approved list of the most common therapies. Patients taking their medications at bedtime had a lower likelihood of the composite outcome of myocardial infarction (MI), coronary revascularization, heart failure, stroke, or cardiovascular death (hazard ratio = 0.55; 95% CI, 0.50 to 0.61; number needed to treat to prevent one event over 6.3 years = 20). All-cause mortality was reduced to a similar extent. This is a large effect for a six-year study, and a practice-changer for many patients and physicians. Best of all, it costs nothing to make this change. See Editor's Note

How we measure blood pressure continues to be a subject of research. The next POEM was a meta-analysis of 31 studies, which included a total of 9,279 patients and compared automated in-office blood pressure readings with in-office manual measurements or ambulatory automated recordings during waking hours (the reference standard). 6 Automated in-office measurements were performed without anyone present to activate the machine and used three to five readings separated by one- to two-minutes. Ambulatory automated measurements were 13.4/5.9 mm Hg lower than the manual in-office measurements and were similar to the in-office automated measurements. To avoid starting or intensifying antihypertensive medication unnecessarily, it is critical to measure blood pressure using an automated device. Patients should also bring in their home device so that it can be calibrated with the office device.

Behavioral Medicine

Behavioral medicine POEMs are summarized in Table 2 . 7 – 9 The first POEM in this group was a well-executed network meta-analysis of medical therapy for generalized anxiety disorder. 7 A network meta-analysis includes studies comparing drugs with each other and with placebo, allowing for direct and indirect comparisons. The meta-analysis included 89 studies involving 25,000 patients and 22 different drugs; none of the studies were longer than 26 weeks. After excluding drugs that were poorly tolerated such as quetiapine (Seroquel), paroxetine (Paxil), and benzodiazepines, the most effective commercially available drugs overall were, in order of effectiveness, bupropion (Wellbutrin), duloxetine (Cymbalta), mirtazapine (Remeron), hydroxyzine, sertraline (Zoloft), pregabalin (Lyrica), venlafaxine, escitalopram (Lexapro), fluoxetine (Prozac), buspirone (Buspar), and citalopram (Celexa). Drugs that did not significantly decrease anxiety scores included imipramine, maprotiline, opipramol (not available in the United States), tiagabine (Gabitril), vilazodone (Viibryd), and vortioxetine (Trintellix). The drugs with the best combination of effectiveness and tolerability were duloxetine, pregabalin, venlafaxine, and escitalopram.

The next POEM included videotaped encounters between 252 patients and 15 English primary care physicians. 8 Patients were asked about the main reason for their visit beforehand, and this reason was almost always addressed during the visit. However, of the 139 patients who identified at least one symptom in the previsit interview, 43 failed to disclose a total of 67 symptoms during the visit, most often stress, worries or sadness; tiredness or sleep problems; problems passing urine; headache; and intimate or other personal problems. Although physicians cannot ask every patient about all of their problems during a visit, it is important to know that patients may not fully disclose symptoms. Physicians should make patients feel as safe as possible while looking for cues to undisclosed symptoms, and routinely asking, “Is there anything else I can help you with?”

The last POEM in the behavioral medicine group was an individual patient data meta-analysis of how early treatment response impacts later outcomes in patients with depression. 9 The researchers combined the individual patient data from 30 randomized trials, with 2,184 patients receiving placebo and 6,058 receiving active therapy. After six weeks of treatment, about 50% of patients in the active treatment group responded to treatment, with 32% achieving remission of symptoms. Response was defined as at least a 50% reduction in the Hamilton Rating Scale for Depression score, and remission was defined as a score of 7 points or less. By 12 weeks, the response rate was 68% in the active treatment group, with 49% achieving remission. Patients with improvement at two weeks were more likely to respond by six weeks, whereas among patients without early improvement, 33% responded by six weeks and 43% by 12 weeks. The absence of an early response does not preclude later response; therefore, physicians should not be too quick to change antidepressant medications.

Cardiovascular

Cardiovascular medicine POEMs are summarized in Table 3 . 10 – 14 The first two POEMs in this group address statin use. Many physicians and laboratory staff continue to insist that patients be fasting for lipid profile testing. The first POEM compared fasting and nonfasting lipid profiles in the same patients four weeks apart. 10 There was little difference between fasting and nonfasting measurements of low-density and high-density lipoprotein cholesterol levels and only a small increase in triglyceride levels (25 mg per dL [0.28 mmol per L]) with nonfasting measurements. Most importantly, the association between lipid levels and subsequent cardiovascular events was identical for fasting and nonfasting lipid measurements. Guidelines support nonfasting lipid measurements. 15 , 16 It is time to simplify our patients' lives and educate local laboratory staff, who often turn away patients who disclose that they are not fasting.

In the next POEM, data were pooled from 28 randomized trials of statins with more than 186,000 total patients. 11 This report focused on the 14,000 patients who were 75 years or older; the median follow-up was five years. There was only a small reduction in the composite outcome of MI and cardiovascular death among all patients (2.6% with statins vs. 3.0% with placebo; number needed to treat = 250 per year); the benefit was significant only in patients with preexisting cardiovascular disease. Statins had no effect on revascularization, stroke, cancer incidence, or cancer mortality.

This was a big year for aspirin studies. The next three POEMs, from two separate trials, examine the benefits and harms of aspirin therapy for primary prevention in contemporary populations. Prior studies that found a net benefit of aspirin for the primary prevention of cardiovascular disease and cancer (mostly colorectal) all recruited patients before 2002. In more recent years, fewer patients smoke or have uncontrolled hypertension, more are taking a statin, and we have widespread colorectal cancer screening. In this context, does aspirin still have a role?

Two aspirin POEMs were from the ASPREE (Aspirin in Reducing Events in the Elderly) trial, which included 19,114 adults 70 years and older in the United States and Australia (65 and older if black or Hispanic). Patients without known cardiovascular disease were randomized to aspirin, 100 mg, or placebo and were followed for a median of 4.7 years. The first POEM found no significant reduction in the likelihood of cardiovascular disease with aspirin, including fatal cardiovascular disease, fatal or nonfatal MI, and fatal or nonfatal ischemic stroke. However, they found a significant increase in major hemorrhages with aspirin. 12 The second POEM from the ASPREE trial found no difference between groups for disability-free survival, defined as a composite of death, dementia, or persistent physical disability. 13 A separate report from the ASPREE investigators (not one of the top 20 POEMs) found an increase in all-cause mortality with aspirin, primarily due to a significant increase in cancer-specific mortality (3.1% vs. 2.3%).

The third aspirin POEM was from the ASCEND (A Study of Cardiovascular Events in Diabetes) trial and included 15,480 adults 40 years and older with diabetes mellitus but no known cardiovascular disease. The patients were randomized to aspirin, 100 mg, or placebo and were followed for a median of 7.4 years. 14 There was a reduction in the composite of nonfatal MI, nonfatal stroke, or cardiovascular death with aspirin, but a corresponding increase in major hemorrhage with no effect on cardiovascular or all-cause mortality.

What do we tell our patients? A recent meta-analysis compared trials of aspirin therapy that recruited patients from 1978 to 2002 with four large trials that recruited patients since 2005. 17 The newer studies showed fewer cardiovascular benefits and no reduction in cancer incidence or mortality with aspirin as primary prevention. Based on a meta-analysis of the four most recent studies with a total of 61,604 patients, for every 1,200 patients taking aspirin instead of placebo for five years, there would be four fewer major cardiovascular events and three fewer ischemic strokes but eight more major hemorrhages, including three more intracranial hemorrhages. This study agrees with recent European guidelines that no longer recommend aspirin for primary prevention. 18 The 2016 U.S. Preventive Services Task Force (USPSTF) and 2019 American College of Cardiology guidelines recommend consideration of aspirin for primary prevention only in selected patients at high cardiovascular risk and low bleeding risk. 19 , 20 The USPSTF recommendation is currently being updated. 21

Cancer Screening

The three POEMs on cancer screening ( Table 4 ) address colorectal cancer. 22 – 24 Fecal immunochemical testing (FIT) is the recommended method for colorectal cancer screening in most countries that have screening programs and is the subject of the first two POEMs in this group. The first POEM is an Italian study that reported the diagnostic yield of five rounds of biennial FIT in persons 50 to 69 years of age submitting a single specimen. 22 The highest rates of detection occurred in the first round, as prevalent cancers were detected, and declined and then stabilized in later rounds. Over the 10-year study, about 25% of men and 18% of women had a positive test result requiring a follow-up colonoscopy. The cumulative rate was 6% for advanced adenoma and 0.85% for colorectal cancer, which are similar to findings in studies of colonoscopy in Italy and the United States. 25 , 26 These results mean we can have confidence in FIT as a screening test while we wait for the results of ongoing randomized trials of FIT vs. colonoscopy-based screening.

The second POEM about FIT was a meta-analysis evaluating the impact of aspirin, nonsteroidal anti-inflammatory drugs, and anticoagulants on the positive predictive value of the test. 23 It could theoretically go in either direction, increasing false positives by making noncancerous lesions more likely to bleed or increasing true positives by making cancers and adenomas more likely to bleed. The researchers found that the use of any of these medications had almost no effect on the positive predictive value, which was approximately 6% for colorectal cancer and 40% for advanced neoplasia. FIT requires only a single specimen and no dietary preparation, and now we know that patients undergoing FIT can continue to take medications that increase bleeding risk.

Finally, a study used a Swedish cancer registry with 173,796 patients to determine the impact of family history on the risk of colorectal cancer. 24 The relative risk of colorectal cancer using no affected relatives as the reference was 1.2 for a single second-degree relative with a history of colorectal cancer, 1.6 for a single first-degree relative or two second-degree relatives, 2.3 for one first-degree relative and one second-degree relative, 2.5 for two first-degree relatives, and 5.4 for one first-degree and two second-degree relatives. However, a previous study found that this family history–related risk is attenuated once patients reach 55 years of age. 27

POEMs on managing infections are summarized in Table 5 . 28 – 30 The first POEM is a meta-analysis of studies that recruited outpatients with acute respiratory tract infections who received chest radiography. 28 The goal was to identify the best sign, symptom, or combination that allows clinicians to rule out community-acquired pneumonia (CAP). The researchers found that for patients with the combination of normal vital signs and normal lung examination findings, the likelihood of CAP is low at 0.4%. This could help reduce unnecessary chest radiography if applied consistently.

The second POEM in this group was selected as one of the top three research studies out of more than 400 presented at the 2019 North American Primary Care Research Group meeting. 29 This Swedish study included 422 adults and children presenting to a primary care physician with moderately severe streptococcal pharyngitis (strep throat). Patients were randomized to penicillin V at a dosage of 800 mg four times a day for five days or 1,000 mg three times a day for 10 days. Those receiving the higher dose over a shorter course of treatment had similar cure rates as those receiving longer-duration therapy, with quicker symptom resolution and no increase in recurrence. Many other studies have found similar results with antibiotics for a range of infections.

An accurate prognosis can potentially help patients avoid unnecessary antibiotic use and return visits. The third POEM in this group recruited 485 healthy children in the United Kingdom, and parents were instructed to contact the researchers every time the child had a respiratory tract infection. 30 One-half of the children had at least one infection, with a median duration of nine days; 90% recovered by day 23. Lower respiratory tract infections were associated with a longer duration of symptoms and ear infections were associated with a shorter duration. This reinforces that clinicians should counsel parents of children with lower respiratory tract symptoms to be patient.

Miscellaneous

Four additional POEMs are summarized in Table 6 . 31 – 34 The first is a cohort study of more than 1.6 million Medicare beneficiaries who started an anticoagulant between 2011 and 2015. 31 Bleeding rates were compared, adjusting for available covariates using propensity score matching (i.e., matching patients who were similar other than choice of anticoagulant). The adjusted incidence of hospitalization for upper gastrointestinal tract bleeding was significantly higher in those who received rivaroxaban (Xarelto) compared with those who received dabigatran (Pradaxa), warfarin (Coumadin), or apixaban (Eliquis); 144 per 10,000 person-years vs. 120, 113, and 73, respectively). For all agents combined, adding a proton pump inhibitor significantly reduced bleeding risk (76 out of 10,000 per year vs. 115 out of 10,000 per year; number needed to treat = 256), although rivaroxaban still had the highest bleeding rate.

The next POEM identified 225 adults presenting to the emergency department with acute pain (mostly musculoskeletal); the average pain score was 6 to 7 out of 10. 32 They were then randomized to a single dose of 400-mg, 600-mg, or 800-mg ibuprofen. An hour after taking the medication, there was no difference between groups, which all had pain scores between 4.4 and 4.5.

The third POEM in this group is a meta-analysis of studies comparing two doses of the recombinant zoster vaccine (Shingrix) with one dose of the live, attenuated vaccine (Zostavax) for the prevention of shingles. 33 Shingrix was more effective but caused more systemic adverse events, although mild, and more injection site pain.

Finally, a systematic review identified 46 studies of the impact of exercise on fall risk in patients 59 years or older. 34 Most of the programs used moderate-intensity exercise, with about one hour of exercise three times per week. The researchers found that exercise significantly decreased the overall risk of falls and resulting injuries but did not affect the risk of multiple falls, hospitalization, or mortality. Fractures were less likely in the exercise group but not significantly.

Practice Guidelines

POEMs sometimes summarize high-impact practice guidelines from important organizations. Key messages from the three highest-rated guidelines are summarized in Table 7 . 35 – 37

The American College of Chest Physicians recommends initiating direct oral anticoagulant therapy in patients with newly diagnosed atrial fibrillation, avoiding aspirin or aspirin plus clopidogrel (Plavix) to prevent thromboembolism, using risk scores for stroke and bleeding, and avoiding cotreatment with aspirin and an anticoagulant if possible. 35

The American Diabetes Association/European Association for the Study of Diabetes guideline for type 2 diabetes mellitus continues to recommend educating patients about diabetes self-management and providing support as the cornerstone of therapy, and metformin as the preferred initial therapy. 36 If a second agent is needed, there are many options, although glucagon-like peptide 1 receptor antagonists or sodium-glucose cotransporter 2 inhibitors are recommended for patients with established heart disease; sodium-glucose cotransporter 2 inhibitors are preferred for patients with heart failure or chronic kidney disease.

The American College of Physicians recommendations for breast cancer screening generally parallel those of the USPSTF, which are supported by the American Academy of Family Physicians. Recommendations include shared decision-making in women 40 to 49 years of age, biennial mammography from 50 to 74 years of age or until the woman's life expectancy is less than 10 years, and eliminating the clinical breast examination as a screening test for women who undergo regular mammography. 37 – 39

The full text of the POEMs discussed in this article is available at https://www.aafp.org/journals/afp/content/top-poems/2019.html .

A list of top POEMs from previous years is available at https://www.aafp.org/afp/toppoems .

Editor's Note: This article was cowritten by Dr. Mark Ebell, who is deputy editor for evidence-based medicine for AFP and cofounder and editor-in-chief of Essential Evidence Plus, published by Wiley-Blackwell, Inc. Because of Dr. Ebell's dual roles and ties to Essential Evidence Plus, the concept for this article was independently reviewed and approved by a group of AFP 's medical editors. In addition, the article underwent peer review and editing by three of AFP 's medical editors. Dr. Ebell was not involved in the editorial decision-making process.—Sumi Sexton, MD, Editor-in-Chief.

The authors thank Wiley-Blackwell, Inc., for giving permission to excerpt the POEMs; Drs. Allen Shaughnessy, Henry Barry, David Slawson, Nita Kulkarni, and Linda Speer for their work in selecting and writing the original POEMs; the academic family medicine fellows and faculty of the University of Missouri–Columbia for their work as peer reviewers; Pierre Pluye, PhD, for his work in codeveloping the Information Assessment Method; and Maria Vlasak for her assistance with copyediting the POEMs for the past 26 years.

Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: a guidebook to the medical information jungle. J Fam Pract. 1994;39(5):489-499.

Ebell MH, Barry HC, Slawson DC, et al. Finding POEMs in the medical literature. J Fam Pract. 1999;48(5):350-355.

Grad RM, Pluye P, Mercer J, et al. Impact of research-based synopses delivered as daily e-mail: a prospective observational study. J Am Med Inform Assoc. 2008;15(2):240-245.

Pluye P, Grad RM, Johnson-Lafleur J, et al. Evaluation of email alerts in practice: Part 2. Validation of the information assessment method. J Eval Clin Pract. 2010;16(6):1236-1243.

Hermida RC, Crespo JJ, Domínguez-Sardiña M, et al. Bedtime hypertension treatment improves cardiovascular risk reduction: the Hygia Chronotherapy Trial [published online October 22, 2019]. Eur Heart J . 2019. Accessed March 10, 2020. https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehz754/5602478

Roerecke M, Kaczorowski J, Myers MG. Comparing automated office blood pressure readings with other methods of blood pressure measurement for identifying patients with possible hypertension. A systematic review and meta-analysis. JAMA Intern Med. 2019;179(3):351-362.

Slee A, Nazareth I, Bondaronek P, et al. Pharmacological treatments for generalised anxiety disorder [published correction appears in Lancet . 2019;393(10182):1698]. Lancet. 2019;393(10173):768-777.

Paskins Z, Sanders T, Croft PR, et al. Non-disclosure of symptoms in primary care: an observational study. Fam Pract. 2018;35(6):706-711.

de Vries YA, Roest AM, Bos EH, et al. Predicting antidepressant response by monitoring early improvement of individual symptoms of depression: individual patient data meta-analysis. Br J Psychiatry. 2019;214(1):4-10.

Mora S, Chang CL, Moorthy MV, et al. Association of nonfasting vs fasting lipid levels with risk of major coronary events in the Anglo-Scandinavian Cardiac Outcomes Trial–lipid lowering arm. JAMA Intern Med. 2019;179(7):898-905.

Cholesterol Treatment Trialists' Collaboration. Efficacy and safety of statin therapy in older people: a meta-analysis of individual participant data from 28 randomised controlled trials. Lancet. 2019;393(10170):407-415.

McNeil JJ, Wolfe R, Woods RL, et al.; ASPREE Investigator Group. Effect of aspirin on cardiovascular events and bleeding in the healthy elderly. N Engl J Med. 2018;379(16):1509-1518.

McNeil JJ, Woods RL, Nelson MR, et al.; ASPREE Investigator Group. Effect of aspirin on disability-free survival in the healthy elderly. N Engl J Med. 2018;379(16):1499-1508.

Bowman L, Mafham M, Wallendszus K, et al.; ASCEND Study Collaborative Group. Effects of aspirin for primary prevention in persons with diabetes mellitus. N Engl J Med. 2018;379(16):1529-1539.

Nordestgaard BG, Langsted A, Mora S, et al. Fasting is not routinely required for determination of a lipid profile—a joint consensus statement from the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine. Eur Heart J. 2016;37(25):1944-1958.

Grundy SM, Stone NJ. 2018 cholesterol clinical practice guidelines: Synopsis of the 2018 American Heart Association/American College of Cardiology/Multisociety cholesterol guideline. Ann Intern Med. 2019;170(11):779-783.

Moriarty F, Ebell MH. A comparison of contemporary versus older studies of aspirin for primary prevention [published online November 21, 2019]. Fam Pract . 2019. Accessed March 10, 2020. https://academic.oup.com/fampra/advance-article/doi/10.1093/fampra/cmz080/5637484

Piepoli MF, Hoes AW, Agewall S, et al.; The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2016;37(29):2315-2381.

Arnett DK, Blumenthal RS, Albert MA, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines [published correction appears in J Am Coll Cardiol . 2019;74(10):1429–1430]. J Am Coll Cardiol. 2019;74(10):e177-e232.

Bibbins-Domingo K. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2016;164(12):836-845.

U.S. Preventive Services Task Force. Aspirin use to prevent cardiovascular disease and colorectal cancer: preventive medication. April 2016. Accessed February 14, 2010. https://bit.ly/343LnT6

Zorzi M, Hassan C, Capodaglio G, et al. Long-term performance of colorectal cancer screening programmes based on the faecal immunochemical test. Gut. 2018;67(12):2124-2130.

Nieuwenburg SAV, Vuik FER, Kruip MJHA, et al. Effect of anticoagulants and NSAIDs on accuracy of faecal immunochemical tests (FITs) in colorectal cancer screening: a systematic review and meta-analysis. Gut. 2019;68(5):866-872.

Tian Y, Kharazmi E, Sundquist K, et al. Familial colorectal cancer risk in half siblings and siblings: nationwide cohort study. BMJ. 2019;364:l803.

Imperiale TF, Ransohoff DF, Itzkowitz SH, et al. Multitarget stool DNA testing for colorectal-cancer screening. N Engl J Med. 2014;370(14):1287-1297.

Segnan N, Senore C, Andreoni B, et al. Comparing attendance and detection rate of colonoscopy with sigmoidoscopy and FIT for colorectal cancer screening. Gastroenterology. 2007;132(7):2304-2312.

Schoen RE, Razzak A, Yu KJ, et al. Incidence and mortality of colorectal cancer in individuals with a family history of colorectal cancer. Gastroenterology. 2015;149(6):1438-1445.e1.

Marchello CS, Ebell MH, Dale AP, et al. Signs and symptoms that rule out community-acquired pneumonia in outpatient adults: a systematic review and meta-analysis. J Am Board Fam Med. 2019;32(2):234-247.

Skoog Ståhlgren G, Tyrstrup M, Edlund C, et al. Penicillin V four times daily for five days versus three times daily for 10 days in patients with pharyngotonsillitis caused by group A streptococci: randomised controlled, open label, non-inferiority study. BMJ. 2019;367:l5337.

Hay AD, Anderson E, Ingle S, et al. Respiratory tract infections in children in the community: prospective online inception cohort study. Ann Fam Med. 2019;17(1):14-22.

Ray WA, Chung CP, Murray KT, et al. Association of oral anticoagulants and proton pump inhibitor cotherapy with hospitalization for upper gastrointestinal tract bleeding. JAMA. 2018;320(21):2221-2230.

Motov S, Masoudi A, Drapkin J, et al. Comparison of oral ibuprofen at three single-dose regimens for treating acute pain in the emergency department: a randomized controlled trial. Ann Emerg Med. 2019;74(4):530-537.

Tricco AC, Zarin W, Cardoso R, et al. Efficacy, effectiveness, and safety of herpes zoster vaccines in adults aged 50 and older: systematic review and network meta-analysis. BMJ. 2018;363:k4029.

de Souto Barreto P, Rolland Y, Vellas B, et al. Association of long-term exercise training with risk of falls, fractures, hospitalizations, and mortality in older adults. A systematic review and meta-analysis. JAMA Intern Med. 2019;179(3):394-405.

Lip GYH, Banerjee A, Boriani G, et al. Antithrombotic therapy for atrial fibrillation: CHEST guideline and expert panel report. Chest. 2018;154(5):1121-1201.

Davies MJ, D'Alessio DA, Fradkin J, et al. Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2018;41(12):2669-2701.

Qaseem A, Lin JS, Mustafa RA, et al. Screening for breast cancer in average-risk women: a guidance statement from the American College of Physicians. Ann Intern Med. 2019;170(8):547-560.

U.S. Preventive Services Task Force. Breast cancer: screening. January 2016. Accessed February 14, 2020. https://bit.ly/2ykUZwU

American Academy of Family Physicians. Clinical preventive service recommendation. Breast cancer. Accessed February 14, 2020. https://www.aafp.org/patient-care/clinical-recommendations/all/breast-cancer.html

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Yale Medicine Thesis Digital Library

Starting with the Yale School of Medicine (YSM) graduating class of 2002, the Cushing/Whitney Medical Library and YSM Office of Student Research have collaborated on the Yale Medicine Thesis Digital Library (YMTDL) project, publishing the digitized full text of medical student theses on the web as a valuable byproduct of Yale student research efforts. The digital thesis deposit has been a graduation requirement since 2006. Starting in 2012, alumni of the Yale School of Medicine were invited to participate in the YMTDL project by granting scanning and hosting permission to the Cushing/Whitney Medical Library, which digitized the Library’s print copy of their thesis or dissertation. A grant from the Arcadia Fund in 2017 provided the means for digitizing over 1,000 additional theses. IF YOU ARE A MEMBER OF THE YALE COMMUNITY AND NEED ACCESS TO A THESIS RESTRICTED TO THE YALE NETWORK, PLEASE MAKE SURE YOUR VPN (VIRTUAL PRIVATE NETWORK) IS ON.

Theses/Dissertations from 2023 2023

Radiomics: A Methodological Guide And Its Applications To Acute Ischemic Stroke , Emily Avery

Characterization Of Cutaneous Immune-Related Adverse Events Due To Immune Checkpoint Inhibitors , Annika Belzer

An Investigation Of Novel Point Of Care 1-Tesla Mri Of Infants’ Brains In The Neonatal Icu , Elisa Rachel Berson

Understanding Perceptions Of New-Onset Type 1 Diabetes Education In A Pediatric Tertiary Care Center , Gabriel BetancurVelez

Effectiveness Of Acitretin For Skin Cancer Prevention In Immunosuppressed And Non-Immunosuppressed Patients , Shaman Bhullar

Adherence To Tumor Board Recommendations In Patients With Hepatocellular Carcinoma , Yueming Cao

Clinical Trials Related To The Spine & Shoulder/elbow: Rates, Predictors, & Reasons For Termination , Dennis Louis Caruana

Improving Delivery Of Immunomodulator Mpla With Biodegradable Nanoparticles , Jungsoo Chang

Sex Differences In Patients With Deep Vein Thrombosis , Shin Mei Chan

Incorporating Genomic Analysis In The Clinical Practice Of Hepatology , David Hun Chung

Emergency Medicine Resident Perceptions Of A Medical Wilderness Adventure Race (medwar) , Lake Crawford

Surgical Outcomes Following Posterior Spinal Fusion For Adolescent Idiopathic Scoliosis , Wyatt Benajmin David

Representing Cells As Sentences Enables Natural Language Processing For Single Cell Transcriptomics , Rahul M. Dhodapkar

Life Vs. Liberty And The Pursuit Of Happiness: Short-Term Involuntary Commitment Laws In All 50 US States , Sofia Dibich

Healthcare Disparities In Preoperative Risk Management For Total Joint Arthroplasty , Chloe Connolly Dlott

Toll-Like Receptors 2/4 Directly Co-Stimulate Arginase-1 Induction Critical For Macrophage-Mediated Renal Tubule Regeneration , Natnael Beyene Doilicho

Associations Of Atopic Dermatitis With Neuropsychiatric Comorbidities , Ryan Fan

International Academic Partnerships In Orthopaedic Surgery , Michael Jesse Flores

Young Adults With Adhd And Their Involvement In Online Communities: A Qualitative Study , Callie Marie Ginapp

Becoming A Doctor, Becoming A Monster: Medical Socialization And Desensitization In Nazi Germany And 21st Century USA , SimoneElise Stern Hasselmo

Comparative Efficacy Of Pharmacological Interventions For Borderline Personality Disorder: A Network Meta-Analysis , Olivia Dixon Herrington

An Examination Of Honor Society Membership, Mistreatment, And Discrimination By Medical Student Demographics , Katherine Ann Hill

Factors Influencing Decision For Contralateral Prophylactic Mastectomy Versus Unilateral Mastectomy , Julian Huang

Beta-Catenin Nuclear Transport In Wnt Signaling: Kap-Beta2/transportin Mediates Nuclear Import Of Beta-Catenin Via A Py-Nls Motif In A Ran Gtpase Dependent Manner , Woong Y. Hwang

Perspectives On Emergency Department-Initiated Buprenorphine Among Clinical Pharmacists , Marissa Justen

Examination For Independent Predictors Of Seasonality Of Birth Across Forty-Nine Low- And Middle-Income Countries: Analyses Of The United States Agency For International Development Demographic And Health Survey Data , Jehanzeb Kayani

Pediatricians, Social Identity, And The Law In The Early-Twentieth-Century United States , Christopher R. Keys

Single Neuronal Firing Dynamics In A Mouse Model For Absence Seizures , Waleed Khan

The Impact Of Cannabidiol In Patients With Early Psychosis: A Randomized Controlled Trial , Sreeja Kodali

Renalase Agonist Therapy And The Cardiac Response To Pressure Overload In Chronic Kidney Disease , Govind Krishna Kumar Nair

Sociodemographic And Insurance Disparities In Urologic Oncology Care Access And Surgical Outcomes , Folawiyo Laditi

How Ethics Committees Deliberate Resource Allocation For Undocumented Children, A Qualitative Analysis , YuKyung Lee

Mental Health Service Use Among Immigrant And U.S. Born Asian American Pacific Islanders , Hieronimus Loho

Severity And Operative Age In Metopic Synostosis: The Association With Neurocognitive Outcomes , Aaron Samuel Long

Comparison Of The Bone Bruise Patterns In Contact And Non-Contact Acute Anterior Cruciate Ligament Injuries , Jay Thomas Moran

Multi-Omic Differences Between Right And Left Sided Colorectal Cancer Liver Metastases , Montana Tremaine Morris

Almajiri Health; A Scoping Review On Disease, Health Literacy And Space For Participatory Research , Muzzammil Imran Muhammad

Investigating Effects Of Glycolysis Inhibition On Metabolism And Extracellular Ph In A Mouse Model Of Hepatocellular Carcinoma , David Nam

Applying Deep Learning To Identify Imaging Biomarkers To Predict Cardiac Outcomes In Cancer Patients , Aishwarya Kishore Nene

Incarcerated Patients Have Higher Mortality After Trauma: An Unreported Healthcare Disparity , Harry NewmanPlotnick

The Association Between Social Needs Care Coordination And Social Needs Status Amongst Patients In A Federally Qualified Health Center , Autumn Nobles

Diagnosis Of Polycystic Ovary Syndrome And Non-Hispanic Black Race Are Predictive Of Hypertension In Reproductive Age Women -Analysis Of Real World Electronic Medical Record Data , Nyerovwo Okifo

Utility Of Shear Wave Elastography In Breast Cancer Diagnosis: A Systematic Review And Meta-Analysis , Aishwarya Pillai

“I Was Reaching Out For Help And They Did Not Help Me”: Mental Healthcare In The Carceral State , Anna Grace Preston

Associations Of Frailty With Tumor Characteristics & Longitudinal Outcomes In Patients With Meningiomas , Hanya M. Qureshi

A Single Nucleotide Polymorphism In An Rgs6 Enhancer Regulates Heart Rate Variability And Parasympathetic Modulation , Namita Ravi

Firearm Injury Prevention Strategies In Children And Young Adults , Christopher Schenck

Assessing Quality Of Oral Cancer Care Across A Health System And Region: Opportunities To Improve Care , Hemali Parimal Shah

Single-Cell Transcriptomic Atlas Reveals Molecular Drivers Of Human Inner Ear Development , Amar H. Sheth

More Than Meets The Eye: Improving Recognition Of Child Abuse In Emergency Departments , May Shum

A Novel Smarcc1-Mutant Bafopathy Implicates Epigenetic Dysregulation Of Fetal Neural Progenitors In The Pathogenesis Of Congenital Hydrocephalus , Amrita K. Singh

Baseline Skin Cytokine Profiles Determined By Rna In Situ Hybridization Correlate With Response To Dupilumab In Patients With Eczematous Dermatitis , Katelyn Singh

Barriers To Identifying Learning Disabilities: A Qualitative Study Of Clinicians And Educators , Lauren Stone

"Come On. I Need An Answer." A Mixed-Methods Study Of Barriers And Disparities In Diagnostic Odysseys , Zeyu Tang

Cognitive Impairment And Long-Term Health Outcomes In Patients With Coronary Microvascular Dysfunction , Abriana Tasillo

Family Dyads, Emotional Labor, And The Theater Of The Clinical Encounter: Co-Constructive Patient Simulation As A Reflective Tool In Child And Adolescent Psychiatry Training , Isaiah Thomas

Comparative Effectiveness Of Digital Breast Tomosynthesis For Breast Cancer Screening In Older Women , Akhil Upneja

Analysis Of Prices And Outcomes For Common Hospitalized Conditions In 2021 , Lina Vadlamani

Recording Multiunit Activity Of The Locus Coeruleus In An Awake Mouse Model Of Focal Limbic Seizures , Marcus Valcarce-Aspegren

Improving Cancer Classification With Domain Adaptation Techniques , Juliana Veira

Soil-Transmitted Helminthiases And Deworming Response In School-Aged Children In Retalhuleu, Guatemala , Rebeca Esther Vergara Greeno

The Synergy Between Physiologic Dendritic Cells And Mrna-Loaded Lipid Nanoparticles And Its Potential As A Cellular Immunotherapy , Brian Myles Wei

Lipid Profiles Help Explain Protection From Atherosclerosis In Ascending Aortic Aneurysm Patients , Gabe Weininger

The Impact Of Peer Interventions On Physical Activity For Individuals Living With Mental Illness , Julia Wolfe

Perioperative Outcomes In Patients With Systemic Sclerosis: An Analysis Of A Large Case Series , Luying Yan

Engineering And Evaluating Biodegradable Bioadhesive Nanoparticle-Encapsulated Sunscreens , Beverly Xi Yu

Theses/Dissertations from 2022 2022

Contested Spaces, Stigmatized Treatment: Methadone In 1970s New York, Boston, And New Orleans , Zoe Miranda Adams

Comorbid Pad And Mvd: A Retrospective Nrd Analysis Of Trends, Outcomes, And Readmissions , Miguel Algara

Epidemiology Of Domestic Violence-Related Ocular Injuries Among Adult Patients , Joana E. Andoh

Longitudinal Modeling Of Early Hiv Burden In The Central Nervous System , Victor Diego Armengol

Generating Clinical Evidence Using Real World Data And Personal Digital Devices , Victoria L. Bartlett

Incidence And Prognosis Of Cranial Neuropathies In Children With Covid-19: A Systematic Review And Meta-Analysis , Priyanka Bisarya

A Deep Dive In Head & Neck Cancer: Machine Learning Applications In Diagnostic And Prognostic Evaluations , Alexandra Tan Bourdillon

A Serological Survey Of Sars-Cov-2 Infection In Casino Employees , Julian Campillo Luna

The Real Cause Of The Broken Rib: Developments In Pediatricians' Approach To Child Abuse; 1960 - 2020 , Sofia Charania

Identification Of A Novel Link Between Adiposity And Visuospatial Ability , Herbert Alexander Chen

Predictors Of Very Late Onset Infection In Kidney Transplant Recipients At Least Ten Years Post Transplant , Harry Cheung

Deep Learning Algorithms For Predicting Response To Neoadjuvant Chemotherapy For Breast Cancer , Rachel Choi

Testing Ictal Conscious Awareness: Responsiveness Versus Recall Of Experiences During Seizures , Violeta Contreras Ramirez

Mechanisms Of Progestin Resistance In Reproductive-Age Women With Atypical Endometrial Hyperplasia , Katherine Mcmaster Cooke

Biomarkers Of Egfr Decline After Pediatric Cardiac Surgery In The Assess-Aki Cohort , Christina Anne-Josiane De Fontnouvelle

Amd3100 Administration For The Treatment Of Asherman’s Syndrome In A Murine Model , Pablo Antonio Delis

Fracture Callus Evaluation In The Setting Of Breast Cancer Metastasis And Rescue Of Healing Via Inhibition Of Erk1/2 , Christopher Dussik

Primary Care Characteristics And Medication Management Among Patients Receiving Office Based Opioid Treatment With Buprenorphine , Xinxin Du

Factors Impacting Trauma-Specific Quality Of Life Following Injury: A Multi-Center Assessment In Lebanon , Ali Elreichouni

Consciousness: Mechanisms And Neuropsychiatric Outcomes , Isaac Gilbert Freedman

Investigation Of Outcomes Following Cervical Spine Surgery In Patients With Pre-Existing Non-Spinal Neurological Conditions , Anoop Raj Galivanche

Medical Students’ Experiences, Knowledge, And Perceptions Of Patients With Substance Use Disorder , Sophia Francesca Gamez

“people Fall Through The Cracks”: Prolonged Lengths Of Stay Beyond Medical Necessity , Lucy Gao

Housing As Healthcare: The Role Of Homelessness In Patient Characteristics And Retention In Outpatient Medication For Opioid Use Disorder Treatment , Marina Gaeta Gazzola

Sleep Apnea In Veterans With Schizophrenia: Estimating Prevalence And Impact On Cognition , Stephen Edward Ghazikhanian

Self-Injurious Behavior And Problematic Video Gaming In Adolescents With Problematic Shopping , Norman Robert Greenberg

Importance Of Social Support In Older Adults After Hospitalization For Acute Myocardial Infarction , Yaakov Green

In-Vivo Nanoparticle Delivery To Fetal Mouse Pancreas And Liver , Mary Elizabeth Guerra

Characteristics Of Inpatient Behavioral Health Services And Hormonal Treatment Decision-Making In Transgender/gender-Expansive Youth , Justin William Halloran

Preferential Utilization Of Resident Physicians To Care For Patients With Medicaid And Persons Of Color At Us Academic Health Centers , Samer Hassan

Atypical Presentation Of Hereditary Hypophosphatemic Rickets With Hypercalciuria Due To Digenic Mutations , Bryan Bo-Ran Ho

Gender Differences In Outcomes Of Coordinated Specialty Care For Early Psychosis , Seong Im Hong

Resident Physician Thriving And The Residency Experience During The Covid-19 Pandemic: A Qualitative Study , Joshua Hyman

Early Experience With The Fda’s Breakthrough Devices Program And Potential Payment Mechanisms , James Johnston

Page 1 of 31

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

Community and Family Health Theses and Dissertations

Theses/dissertations from 2023 2023.

The Influence of Psychosocial Factors on Opioid Decision-Making for Cancer-Related Pain Among Breast Cancer Survivors: A Mixed Method Study , Melody Nichole Chavez

Improving Interview Skills through Virtual Reality with Behavior Skills Training for Students with Disabilities , Garrit DuBois

Theses/Dissertations from 2022 2022

Exploring Parenthood and the Influence of Lived Experiences on Parenting Behaviors Among Child Welfare-Involved Adults , Veronica Howell

Theses/Dissertations from 2021 2021

Multi-object Localization in Robotic Hand , Tsing Tsow

Theses/Dissertations from 2019 2019

Cancer-Related Risk Behaviors and Screening Intention among Recreational Sport Athletes , Aldenise P. Ewing

Understanding the Family Planning Care Experiences of Young Black Women Using an Intersectionality Mixed Methods Approach , Rachel G. Logan

Understanding the Implementation of Integrated Care for People Living with HIV , Vickie A. Lynn

Effects of an Academic Enrichment Program on Elementary-Aged Students' Performance , Lauren E. Nieder

Risk and Resilience Pertaining to Mental Health of Youth Attending a College in Kathmandu Who Were Exposed to the 2015 Earthquakes During Their Adolescence: A Mixed Method Study , Vinita Sharma

Understanding the adoption process of an HPV vaccine school-entry requirement in Puerto Rico , Coralia Vázquez-Otero

Theses/Dissertations from 2018 2018

The Nutrition Transition Among the Andean Kichwas of Ecuador , Vanessa Alicia Chee

Teaching Debit Card Skills Using General Case Programming , Kristin More

An Examination of Factors that Affect the Utilization of Mental Health Services by Adolescents , Nichole A. Murray

An examination of the relationship between health literacy and dietary practices among college students: A test of the Integrated Model of Health Literacy , Alison B. Oberne

Through the Lens of Objectification Theory: Social Media Use and Women's Behavioral Health , Gina-Maria Roca

Theses/Dissertations from 2017 2017

Exploring Nutritional Needs, Roles, and Expectations of Latina Breast Cancer Survivors , Pamela Carolina Birriel

Mixed Method Study of Condom Use among Emerging Adults with New Sex Partners Met Online or Offline , Shana M. Green

Neighborhood Deprivation, Food Insecurity and Gestational Weight Gain , Sabrina Luke

An Exploration of Social Determinants of Health Constructs as Potential Mediators between Disability and Condom Usage , Karina Pineda

Reducing Caregiver Burden: Fostering Healthy Aging and Social Support , Maria A. Rodriguez

Theses/Dissertations from 2016 2016

Using Auditory Feedback to Improve Striking for Mixed Martial Artists , Frank Krukauskas Krukauskas

Contextual Factors and the Syndemic of Alcohol Use and Risky Sexual Behaviors Among Men Who Have Sex with Men , Humberto López Castillo

Exploration of the Pregnancy-Related Health Information Seeking Behavior of Women who Gave Birth in the Past Year , Laura Kathleen Merrell

Investigating Pakistan’s Contraception Rate Plateau: A Multilevel Analysis to Understand the Association between Community Contextual Factors and Modern Contraception Use , Mahmooda Khaliq Pasha

An Assessment of Elementary School Children’s Diet and Physical Activity Levels , Karen Tamara Serrano Arce

Smoking Among Youth Living with HIV: The Intersection of Behavioral Health and Chronic Disease , Todd Wells

Theses/Dissertations from 2015 2015

Food Insecurity and Hunger Experiences and their Impact on Food Pantry Clients in the Tampa Bay , Nora Brickhouse Arriola

Exploring the Underlying Mechanisms of Comorbid ADHD and Eating Disorders , Jennifer Rebecca Bleck

Theoretically Guided Examination of Caregiver Strain and its Relationship with School-Based Mental Health Services Utilization and Parent Engagement in Services , Amy Lynn Green

Pathogenic Policy: Health-Related Consequences of Immigrant Policing in Atlanta, GA , Nolan Sean Kline

Associations between Social Determinants of Health and Adolescent Pregnancy: An Analysis of Data from the National Longitudinal Study of Adolescent to Adult Health , Sarah Britney Maness

Reproductive Health Seeking Behaviors Among Female University Students: An Action Oriented Exploratory Study , Robin Emily Mowson

Women’s Use Of and Decision‐Making Regarding Geo‐Social Networking Applications to Arrange Sexual Experiences , Shireen Mary Noble

HEALTH INFOR[M-ED] : Black College Females Discuss a Virtual Reality (VR) Platform for Sexual Health Education and Training , Henry Arnett Ross

The Influence of Relationship Status on HPV Vaccine Decision-Making among Young Adult Women , Erika L. Thompson

HPV Vaccine Decision-Making among Male Sexual Minorities: An Integrative Theoretical Framework for Vaccine Promotion , Christopher W. Wheldon

Implementation of Medicaid Managed Long-term Services and Supports for Adults with Intellectual and/or Developmental Disabilities: A State’s Experience , Heather Jeanne Williamson

Theses/Dissertations from 2014 2014

Use of System Dynamics Modeling to Explicate the Theory-of-Change of a Social Marketing Innovation , Brian J. Biroscak

Risk Factors for Recurrent Major Depressive Disorder in a Nationally Representative Sample , Graig Charles DeFeo

Residency Education in Preparing Adolescent and Young Adults for Transition to Adult Care: A Mixed Methods Pilot Study , Janet S. Hess

Paternal Support for Breastfeeding: A Mixed Methods Study to Identify Positive and Negative Forms of Paternal Social Support for Breastfeeding As Perceived by First-time Parent Couples , Amy Lester

Monitoring and Use of Social Media In Emergncy Management In Florida , Leila Martini

An Exploration of the Health Experiences of Youth Who Were Trafficked for Sex , Christine Ann Meister

Individual and Partner Characteristics Associated with Genital Herpes Disclosure and the Relationship between Disclosure Outcomes, Rejection, and Future Intentions to Disclose , Jaime L. Myers

Understanding Factors Determining Early Termination from a Government Assistance Program for Maternal and Child Health: The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) , Anthony Dominic Panzera

An Examination of Coalition Functioning and Use of Evidence-Based Practices: A Case Study of Four Community Substance Abuse Coalitions , Nichole M. Snyder

Religiosity, Spirituality, and Depressive Symptoms in Older Adults in an Active Living Community , Monica D'adrianne Solomon

Long-Term Mindfulness Meditation: Anxiety, Depression, Stress And Pain, Is There A Connection For Public Health? , Sara Spowart

Substance Abuse Prevention in American Indian and Alaska Native Communities: Exploration of Guiding Theoretical Underpinnings and Theoretical Fit in Practice , Margaret L. Walsh

Theses/Dissertations from 2013 2013

Universal Tumor Screening for Lynch Syndrome: Identification of system-level implementation factors influencing patient reach , Deborah Le Cragun

The Water Culture Beliefs of Embera Communities and Maternal and Child Health in the Republic of Panama , Ilenia Anneth Forero

An Exploration of the Meaning and Consequences of Unintended Pregnancy among Latina Cultural Subgroups: Social, Cultural, Structural, Historical and Political Influences , Natalie Dolores Hernandez

The Relationship between High School Coaches' Beliefs about Sports Injury and Prevention Practice Readiness , Siwon Jang

Parent Distress in Life with a Child with Type 1 Diabetes , Lauren Nicole Johnson

Parent Pathways: Recognition and Responses to Developmental Delays in Young Children , Jennifer Marshall

The Role of Connectedness and Religious Factors on Bullying Participation among Preadolescents in Puerto Rico , Melissa C. Mercado-Crespo

Utilizing Habit Reversal and Contingency Contracting to Impact Eating Habits With Obese Individuals , Christopher Thomas Scull

Theses/Dissertations from 2012 2012

A Study of Potential Risk Factors of Depression among Latina Breast Cancer Survivors , Claudia Ximena Aguado Loi

Assessing the Psychometric Properties Of A Self-Efficacy Measure Within A Patient Navigation Research Program , Mariana Arevalo

A Cross-National Analysis of the Human Papillomavirus, Sexually Transmitted Infections, and Sexual Behavior among Men , Euna Marie August

A Systematic Review of Interventions to Increase Mental Health Service Use , Jennifer Greene

Beliefs of and Attitudes Toward Sexual Violence by a Diverse Group of Self-Identified Male Collegiate Athletes , Belinda-Rose James

Theses/Dissertations from 2011 2011

Drug Courts Work, but How? Preliminary Development of a Measure to Assess Drug Court Structure and Processes , Blake Barrett

The Role of Male Partners in Childbirth Decision Making: A Qualitative Exploration with First-Time Parenting Couples , Sharon Dejoy

Navigating the Child Welfare System: An Exploratory Study of Families' Experiences , Lianne Fuino Estefan

An Evaluation of the Early Steps Referral Process in Hillsborough County to Detect Delays in Access to Early Intervention Services , Jessica Fry Johnson

Understanding the Psychosocial Aspects of Waterpipe Smoking Among College Students , Mary Pautler Martinasek

Theses/Dissertations from 2010 2010

Low Documented Risk Cesarean Sections and Late-Preterm Births: The Florida Experience , Heather Breeze Clayton

An Exploratory Study of the Intrapersonal, Socio-cultural, and Behavioral Factors that Influence HIV Risk Behaviors Among Ethnic Subgroups of Black Heterosexual Men: The Intersection of the Beliefs and Perceptions of Black Women , Shalewa Noel-Thomas

Before the Storm: Evacuation Intention and Audience Segmentation , Homer J. Rice

The Relationship Between Knowledge and Beliefs About Human Papillomavirus, Acceptance of the Human Papillomavirus Vaccine, and Intentions to Practice Safer Sex Behaviors Among Female College Students , Theresa Scorcia-Wilson

Exploring Colorectal Cancer Diagnosis Disclosure to First-Degree Relatives: An African American Family Case Series , Kamilah B. Thomas

Theses/Dissertations from 2009 2009

Determinants of Nutrition Appointment Non-Attendance among Male Veterans , Claire Fontenot Bell

Exploring the Effects of BMI Health Report Card Letters Among 6 th Grade Students and Parents: An Application of the Social Cognitive Theory , Jenna M. Kaczmarski

Examining the Title X Family Planning Program’s (Public Law 91-572) Legislative History through a Feminist Lens: A Thematic Analysis and Oral Histories with Key Stakeholders in Florida , Cheryl A. Vamos

Theses/Dissertations from 2008 2008

The Getting Ready to Learn Program: An Impact Report , Rosa M. Avila

The Cumulative Effects of Victimization, Community Violence, and Household Dysfunction on Depression and Suicide Ideation in a Cohort of Adolescent Females , Katherine Best

Dental Hygienists' Beliefs, Norms, Attitudes, and Intentions Toward Treating HIV/AIDS Patients , Barbara Clark-Alexander

Organizational Culture in Children's Mental Health Systems of Care , Jessica Mazza

A Modified Obesity Proneness Model in the Prediction of Weight Status Among High School Students , Joyce E. Nickelson

The Role of Pharmacists and Emergency Contraception: An Assessment of Pharmacy School Curricula in the U.S. and the Knowledge, Attitudes, and Dispensing Practices of Florida Pharmacists. , Alice R. Richman

Measuring Culture Change as an Evaluation Indicator: Applying Cultural Consensus Analysis to Cultural Models of Lymphatic Filariasis in Haiti , Kelly M. Simpson

Association among Neonatal Mortality, Weekend or Nighttime Admissions And Staffing in a Neonatal Intensive Care Unit , Leisa J. Stanley

The Social Construction of a Special Needs Program for Hurricanes , Robert E. Tabler Jr., M.A., C.H.E.S.

Theses/Dissertations from 2007 2007

Attitudinal factors related to driving behaviors of young adults in Belize: An application of the precaution adoption process model , Ismael A. Hoare

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Objectives of the PhD Program:

The main goal of the PhD is to produce family physicians who will be competitive family medicine researchers at the highest levels of grantsmenship internationally. The discipline of family medicine from a research perspective is at a critical juncture and in order to ensure the future of family medicine research PhD trained family physicians are fundamental.

Understand the theoretical foundations of Family Medicine.
Design and conduct research relevant to significant issues in the discipline of Family Medicine.
Demonstrate a commitment to the advancement of knowledge in the discipline of Family Medicine.

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“I went into family medicine to have a broader expertise. Completing a PhD in primary care helps me stand out as a researcher. It helped open the door to more opportunities.”

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“Pursuing an MSc in Family Medicine is one of the best decisions I’ve ever made. I’m learning innovative approaches to improve the health of not only individuals, but also families, communities, and society.”

Research-oriented, thesis-based graduate programs in family medicine and primary health are offered at both MSc and PhD levels. Postdoctoral training opportunities are also available.

Research topics in the field of family medicine and primary health care cross conventional discipline boundaries and research traditions. Our training program incorporates an interdisciplinary approach with an emphasis on community engagement. The program provides rigorous training in qualitative, quantitative, mixed methods, knowledge synthesis and participatory research approaches.

The dynamism and uniqueness of our Graduate Program stem from the pairing of dedicated supervisors with our passionate students . Through this matching process, students receive personalized mentorship and supportive guidance towards excellence in research and professional next steps.

Close links are maintained with the many family medicine clinical sites located across Montreal and in Quebec, as well as with the McGill Primary Care Research Network.

If you are a motivated learner, interested in rigorous training in methods appropriate for research in family medicine, and primary care with world-class faculty, this is the program for you. Our faculty represents academic excellence and applied expertise across a broad range of topic areas, including cultural safety, infectious diseases, non-communicable and chronic diseases, safe motherhood, aging, HIV, community-engaged healthcare, and indigenous health, among others. We admit students from a vast variety of disciplines , with diverse academic and career trajectories.

Our programs prepare our graduates for diverse positions in industry, government and academic institutes, health care organizations and beyond. They regularly find enriching opportunities where competencies in community engagement, quantitative and qualitative and participatory approaches, scientific inquiry, data analysis and knowledge translation are highly sought after. Our graduates stand out for their exposure to interdisciplinary approaches to health and wellbeing and their ability to apply these approaches on both local and global scales .

Our department is in the beating heart of Montreal’s care networks in Côte-des-neiges with a recently renovated department space , including a dedicated workspace for graduate students and a new student lounge . We offer competitive funding for multi-year tuition assistance and financial support to attend international conferences to present your thesis work.

Our students build their peer networks by joining our dynamic and active student society , the Family Medicine Graduate Student Society which leads many social and career-oriented activities.

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Master's and doctoral theses in family medicine and their publication output, Suez Canal University, Egypt

Affiliation.

1 Department of Family Medicine, Suez Canal University, Ismailia, Egypt.
PMID: 25949959
PMCID: PMC4408693
DOI: 10.4103/2249-4863.154622

Background: The completion of a thesis is a significant requirement for both a Master's and a doctorate degree in general practice/family medicine (GP/FM). A postgraduate thesis is a well-planned, time-intensive activity carried out over several years. The quality of the theses can be judged by the proportion of published papers.

Objective: This study aimed to describe Master's and doctoral theses in family medicine and their publications between 1982 and 2014.

Materials and methods: GP/FM degree theses were reviewed at the Faculty of Medicine and central Suez Canal libraries. Several characteristics were extracted from each thesis relating to the main researcher, supervisors, themes, and study methods according to predefined criteria. Publications from the theses were described.

Results: Over 33 years, 208 theses were completed by 173 GP/FM researchers. The majority of the theses were for Master's degrees (84.1%). Regarding the study design, most of the degree theses were cross-sectional studies (76.9%). The adult population was targeted in 33.7% of research theses. Nonprobability sampling was used in 51%. Rural communities were the setting of research in 43.8%, and primary health center (PHC)-based studies in 59.1%. The "Patient" category exceeded the other categories (28.4%). Publication from theses started in the second decade of research production. Of the degree theses, 21.6% original articles were published. Only 13.3% of articles from theses were published in PubMed-indexed journals. The researcher was first author in 62.2% of published articles.

Conclusion: The production of GP/FM theses and their publications are going to increase. Continuous assessment and planning for GP/FM studies are recommended.

Keywords: Family medicine; general practice; medical journal Egypt; publication bias; research.

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Li Li, MD, PhD, Writes Forward for Storylines of Family Medicine

April 30, 2024 by [email protected]

Li Li, MD, PhD

As the field of family medicine celebrates 55 years, the April issue of a leading international journal Family Medicine and Community Health (FMCH), published by BMJ Journals, is dedicated to reflections on the profession of family medicine. The April issue titled “Storylines of Family Medicine: Reflections on History, Theories, and Practice” includes contributions from primary care/family medicine scholars worldwide, and a forward written by Li Li, MD, PhD, Editor-in-Chief of FMCH. Dr. Li is the Walter M. Seward Professor and chair of Family Medicine, director of population health, and co-director of the Cancer Prevention and Population Health program.

Dr. Li states, “The 99 short essays authored by 136 frontline family physicians, educators, and scholars share profound wisdom and insight into what defines and differentiates family medicine. These rich articles go beyond Starfield’s 4Cs of comprehensiveness, first contact, coordination, and continuity, to bring to life family medicine’s integrating, personalizing focus on the whole person in their family and community context.”

This special issue celebrating the profession of family medicine is being highlighted by the Society of Teachers of Family Medicine at their annual meeting in Los Angeles, CA, on May 5.

Original Source

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Heritage College of Osteopathic Medicine faculty recognized as Ohio’s top osteopathic family physicians

Ohio University Heritage College of Osteopathic Medicine faculty and alumni were standouts in family medicine this year, sweeping the annual awards given by the Ohio State Society of the American College of Osteopathic Family Physicians.

Shandra Basil, D.O., who was a student in the first class that attended the Heritage College’s Dublin campus, received the Ohio ACOFP Young Family Physician of the Year. This award recognizes physicians who have practiced five years or less. Basil owns a direct primary care family medicine practice that uses a subscription membership model of care in which patients pay a monthly fee that covers basic care and insurance is not billed. Her practice has locations in Columbus, Chillicothe, Johnstown and Athens.

In addition to her clinical work, Basil is also an assistant clinical professor with the Heritage College and teaches osteopathic manipulative medicine.

“The students challenge me to a be a better physician, and I’m inspired by their passion and enthusiasm,” said Basil, explaining that physicians are lifelong learners and teachers.

“She is a great example of an excellent osteopathic primary care physician, caring for the whole patient and successfully utilizing osteopathic manipulative medicine to facilitate their health. The importance of this cannot be overestimated when students are looking for mentors and role models - the proximity of her training being completed assists greatly in developing the sense of ‘can do’ in a novice student taking on what seems to be overwhelming amounts of information and skill development, compared to more experienced faculty who have cultivated their abilities over decades,” said Shawn Kerger, D.O. (’96) chair of the Heritage College Department of Osteopathic Manipulative Medicine. “In addition, Dr. Basil brings her own unique experiences, skill sets, and knowledge that strengthens our department. And if all this weren't enough, just talk to her for five minutes and you'll find out immediately what a compassionate, caring, and genuine human being she is. “

Cheryl Hammes, D.O., a 1998 graduate of the Heritage College, was named Family Physician of the Year, an award that recognizes excellence in clinical practice, community involvement and professionalism.

In clinical practice, Hammes works mostly with patients with autoimmune disorders and allergies. As an associate clinical professor with the Heritage College, she also teaches osteopathic manipulative medicine on the Cleveland campus.

“Being an excellent osteopathic physician is looking at everything like a detective and finding the missing piece others have not noticed or addressed. Often it takes time, patient centered listening and empathy,” said Hammes.

A patient who nominated her for the award said they met with Hammes after their primary health provider dismissed some of their health symptoms. They said Hammes spent more than an hour listening to them and investigating potential causes for their illness.

“She is genuinely compassionate and truly cares about her patients. She models humanism and good medicine for her students and residents,” the nominator wrote.

Cheryl Hammes, DO, works with student in OMM lab

Kerger said he has known Hammes since they attended medical school together and from the beginning, she has been focused on improving the world around her.

“If there's a more passionate osteopathic physician educator currently in the world, I have yet to meet them,” said Kerger. “Dr. Hammes strives to assist everyone she comes into contact with, and always with a multifold consideration for their wellness from what can be only described as an osteopathic approach toward their mind, body, and spirit. It's my view that Dr. Hammes was given an innate osteopathic view of the world at birth, and our medical school training allowed her to practice medicine the way that she was born to do.”

Heritage College 2023 graduate Frances “Frankie” Kokos, D.O., a first-year resident at Cleveland Clinic Akron General, was named Ohio ACOFP Family Medicine Resident of the Year.

Kokos was a student in the college’s Transformative Care Continuum, an accelerated three-year program in which graduates are matched to a family medicine residency program at Cleveland Clinic. In earning the Family Medicine Resident of the Year award, she was recognized for collaborating with Ohio Family2Family to create a program that eases the transition of patients with intellectual and developmental disabilities (IDD) as they move from pediatrics to adult primary care. She has also trained fellow residents on how to care for patients with IDD.

“Her strong passion for this underserved and vulnerable population is commendable. She cares deeply not only about this patient population but also training her colleagues to increase awareness and competence in caring for them,” said Jill Porter, D.O., immediate past president of Ohio ACOFP. She described Kokos as a physician who “has hit the ground running in terms of her commitment to her patients and the art of family medicine.”

Melinda Ford, D.O., received the Ohio ACOFP Distinguished Service Award. As a resident she served on the Ohio ACOFP board of governors and in 2013 served as Ohio ACOFP president. She currently serves on the OOA board of trustees. In her many leadership roles, she has shaped policy and position statements for the osteopathic profession and worked to improve health care access, quality and equity. Ford is an assistant clinical professor of primary care at the Heritage College.

Porter said Ford “embodies the values of compassion, integrity and excellence that define osteopathic family medicine and throughout her career, she has consistently provided quality care to her patients.”

Ford said she when she learned she had received the award she was surprised.

“I had to re-read the email a couple of times to believe it. Then, I felt blessed but humbled,” she said, adding that her father, who is a minister, fireman and EMT, has been a source of inspiration. “I watched him give of himself to the whole community and think that his service really shaped me as a person. I am thankful to have had that example in my life.”

The awards were given during the Ohio Osteopathic Symposium recently held in Columbus. The symposium is a continuing medical education event for osteopathic physicians co-sponsored by the Ohio University Heritage College of Osteopathic Medicine Society of Alumni & Friends and the Ohio Osteopathic Association.

Below is the complete list of award winners:

Ohio Chapter of the American College of Osteopathic Family Physicians

Distinguished Service – Melinda E. Ford, D.O.
Family Medicine Resident of the Year – Frances “Frankie” Kokos, D.O. (’23)
Family Physician of the Year – Cheryl A. Hammes, D.O. (’98)
Young Family Physician – Shandra C. Basil, D.O. (’18)

Heritage College Society of Alumni & Friends

Alumnus of the Year - Sarah Ondrejka, D.O. (’08)
Outstanding Recent Graduate – Stephanie Deuley, D.O. (’18)
Medal of Merit – Ralph Crew, D.O. (’81)
Distinguished Service – Douglas W. Harley, D.O. (’02)
Honorary Alumnus – Laura Yamarick

Ohio Osteopathic Association Awards

George L. Eckert Jr., DO Mentor of the Year – Paul M. Levy, D.O. (’08)
Distinguished Service – Paul A. Martin, D.O.
J.O. Watson, D.O. Memorial Lecture Award – Paul A. Martin, D.O.
M. Bridget Wagner, DO Humanitarian – Robert S. Pema, D.O. (’90)
Meritorious Service – John D. Schriner, Ph.D.
Trustee – David A. Bitonte, D.O.

Cheryl Hammes, DO, poses with family at OOS

Family & Preventive Medicine

2024 award recognition, 2024 poster summit awards.

The Education Committee of the Department of Family and Preventive Medicine is pleased to announce award recipients for the 2021 Virtual Poster Summit that took place through Canvas April 2024. Work by learners across all four Divisions of the Department were available for viewing, and live interactions with authors took place through videoconferencing. Award recognition is as follows:

Best Masters Level Poster: Maria von Ellm-McKenna “Community Health Needs Assessment of Children with Mental and Behavioral Health Conditions” View poster

Best PhD Level Poster: Elena Gardner “Shared reading trends and early childhood literacy interventions” View poster

Best Resident / Post-doc Level Poster: Naveen Naveed “Assessing the difference in Covid-19 Period Prevalence between Utah Healthcare Personnel and First Responders” View poster

Best DFPM Research Poster: Robert Owens “Maternal Health Perceptions in Rural and Underserved Utah” View poster

Best Poster Design: Tracy Hunter “Inequities in Healthcare: Do language barriers result in decreased completion of preventive care services in a University setting?” View poster

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Immunobiology Graduate Student Arya Ökten wins the 3-Minute Thesis Competition

Arya ökten and dean cooley.

Arya Ökten, a fourth year student in the labs of Dr. Joe Craft and Dr. Craig Wilen competed in the 3-minute thesis competition on April 12, 2024 in the Marsh Auditorium. She was one of several finalists from the preliminary divisional rounds. Amongst fierce competition, a panel of Yale alumni judges ultimately awarded Arya with the top prize.

The title of her talk was 'Making a Norovirus Vaccine: All Good Things Take Time'. Norovirus infects up to 700 million people each year, predominantly killing children under the age of five. Currently, there is no commercially available norovirus vaccine. Although there are a few vaccine candidates now in development, clinical trials have shown that they provide largely incomplete protection. Arya 's thesis work is focused on understanding the shortcomings of current vaccine candidates and determining how we can improve them; in particular, by identifying the immune factors most important for preventing norovirus infection. In a murine model, Arya has shown that the presence of intestinal antibodies correlates with protection against norovirus infection. Furthermore, she has shown that mice must be infected for an extended period (≥ 2 weeks) in order to generate these protective, intestinal antibodies, and that short-term infections (≤ 1 week) are insufficient. Arya 's work has important implications for norovirus vaccine design, suggesting that developers should prioritize vaccine platforms that are delivered to the intestine and promote prolonged antigen presentation.

The full video of the competition can be found here: https://www.youtube.com/watch?v=Wl1yjGmBOGg&ab_channel=YaleUniversity

Congratulations Arya!

Featured in this article

Joseph Craft, MD Paul B. Beeson Professor of Medicine (Rheumatology) and Professor of Immunobiology; Paul B. Beeson Professor of Medicine, Internal Medicine: Rheumatology; Program Director, Investigative Medicine, Internal Medicine: Rheumatology
Craig B. Wilen, MD, PhD Associate Professor Term; Medical Director, Immune Monitoring Core Facility

Mays Family Foundation Donates $25 Million For Graduate Education Building

Group photo at the awards presentation of John Sharp, Nate Sharp, Kathy Mays Johnson, Paige Johnson and Tyson Voelkel

A $25 million gift from the Mays Family Foundation will support the construction of a new graduate education building in the Mays Business Education Complex (BEC) at Texas A&M University. This gift was announced during a ceremony Friday, April 26.

The foundation’s donation is the largest single donation in Mays Business School’s history, and it is one of the largest gifts to an academic program at Texas A&M University. The gift, provided through the Texas A&M Foundation, continues the philanthropic legacy of the Mays family and highlights the powerful commitment of Texas A&M’s former students to their alma mater.

“Lowry Mays and his family have been giving back to Texas A&M for a lifetime,” said General (Ret.) Mark A. Welsh III, president of Texas A&M University. “This incredible gift adds another layer to their contributions to Texas A&M and to Aggies who want to follow in Mr. Mays’ remarkable footsteps.”

This gift also marks an important milestone in Mays Business School’s drive to become the nation’s preeminent public business school. “This generous investment by the Mays Family Foundation will help us continue to fulfill our vision of building a better future through business,” said Mays Dean Nate Sharp. “Having a building dedicated specifically to excellence in graduate education showcases our school’s commitment to recruiting the best and brightest graduate students and developing leaders of character who exemplify the Aggie Core Values throughout their careers.”

Mays continues to make its mark in graduate education. Several of the school’s graduate programs are among the top programs in the nation, such as the M.S. Analytics Program (ranked #1 online program in 2024 by Fortune ) and the Executive MBA Program (ranked #1 in Texas in 2024 by Fortune ).

The new building will support increased enrollments and innovative graduate learning opportunities for current programs as well as new programs designed to meet emerging needs, including a suite of new Mays Flex Online master’s programs and the new Engineering MBA program.

Enhancing and expanding graduate programs at Mays Business School will support the school’s drive to preeminence.

“Our foundation has a history of using philanthropy as a source of capital to fund projects for all types of nonprofits to generate free cash flow in support of their mission,” said Mays Family Foundation Chair Kathy Mays Johnson . “This is a perfect example of that strategy, so it is fitting that the Mays name will be associated with this project, which will be a tipping point for the Mays Business Education Complex. We believe Dean Sharp and his leadership team have a compelling vision and plan for Mays Business School, and it is our honor to help facilitate it.”

The Mays family’s involvement with Texas A&M began with Lowry Mays ’57, who earned a bachelor’s degree in petroleum engineering.

“My father credited his time at Texas A&M, which included serving in the Corps of Cadets and his studies in the School of Petroleum Engineering, as being one of the most important influences in his life,” Johnson said. “He was proud to say the lessons he learned at Texas A&M solidified his core values while the education he received enabled him to accomplish the success he had in his life.”

After a short period working in petroleum engineering, Mays changed direction to pursue a business career.

“Dad earned an MBA from Harvard, so he saw the value of that type of training firsthand,” Johnson said. “He wanted future Aggies to be able to benefit from a similarly top-notch MBA program but one that is steeped in Texas A&M’s Core Values.”

Mays initially entered investment banking in San Antonio and eventually formed his own company. He was asked to co-sign a note for the purchase of an FM radio station in the 1970s — and eventually became the station’s owner. His willingness to learn about the media industry, combined with his strong entrepreneurial sense and business acumen, led to the founding of Clear Channel Communications, a market leader in media and advertising.

Despite the professional demands of being Clear Channel’s CEO, Mays made time for his alma mater. The San Antonio businessman served two non-consecutive terms (1985-1991 and 2001-2007) on The Texas A&M University System Board of Regents, including a term as chairman from 2003-2005.

Over the years, he also provided significant financial support to the business school. His giving included a $15 million endowment to the school of business in 1996 that resulted in the naming of the school in his honor and another $25 million across multiple gifts to the school in 2017. The new $25 million gift now brings the Mays family’s support for Mays Business School to $72 million.

Lowry Mays passed away on Sept. 12, 2022, at 87 years of age. However, his influence lives on through his family’s involvement at Texas A&M. His granddaughter, Paige Johnson ’21, is a graduate of Mays Business School and a member of the Mays Dean’s Advisory Board.

The Mays Family Foundation’s latest gift will support the school’s commitment to extending and enhancing its graduate programs, something the school’s namesake would applaud.

“Dad was known for his entrepreneurial acumen and his leadership skills,” Johnson said. “He played a pivotal role in growing Mays Business School and we are looking forward to seeing the MBA program and other graduate programs grow beyond measure while meeting changing industry needs, so that we are the preeminent public business school in the country.”

This article originally appeared on the Mays Business School website .

Sixth Annual Aggie PITCH Awards McFerrin Cup, Cash Prizes

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Pam and Larry Little posing for a portrait by a fountain at the Texas A&M Foundation with Kyle Field in the background.

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Susan Liu, Gen. Eric Smith and Lee Thornton pose for a photo

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Karl Marx 1845

Theses On Feuerbach

Written : by Marx in Brussels in the spring of 1845, under the title “1) ad Feuerbach”; Marx’s original text was first published in 1924, in German and in Russian translation, by the Institute of Marxism-Leninism in Marx-Engels Archives, Book I, Moscow. The English translation was first published in the Lawrence and Wishart edition of The German Ideology in 1938. The most widely known version of the Theses is that based on Engels’ edited version, published as an appendix to his Ludwig Feuerbach in 1888, where he gave it the title Theses on Feuerbach ; Translated : by Cyril Smith 2002, based on work done jointly with Don Cuckson.

The main defect of all hitherto-existing materialism — that of Feuerbach included — is that the Object [ der Gegenstand ] , actuality, sensuousness, are conceived only in the form of the object [ Objekts ] , or of contemplation [ Anschauung ] , but not as human sensuous activity, practice [ Praxis ] , not subjectively. Hence it happened that the active side, in opposition to materialism, was developed by idealism — but only abstractly, since, of course, idealism does not know real, sensuous activity as such. Feuerbach wants sensuous objects [ Objekte ] , differentiated from thought-objects, but he does not conceive human activity itself as objective [ gegenst�ndliche ] activity. In The Essence of Christianity [ Das Wesen des Christenthums ] , he therefore regards the theoretical attitude as the only genuinely human attitude, while practice [ Praxis ] is conceived and defined only in its dirty-Jewish form of appearance [ Erscheinungsform ] [1] . Hence he does not grasp the significance of ‘revolutionary’, of ‘practical-critical’, activity.

The question whether objective truth can be attributed to human thinking is not a question of theory but is a practical question. Man must prove the truth, i.e. , the reality and power, the this-sidedness [ Diesseitigkeit ] of his thinking, in practice. The dispute over the reality or non-reality of thinking which is isolated from practice is a purely scholastic question.

The materialist doctrine that men are products of circumstances and upbringing, and that, therefore, changed men are products of changed circumstances and changed upbringing, forgets that it is men who change circumstances and that the educator must himself be educated. Hence this doctrine is bound to divide society into two parts, one of which is superior to society. The coincidence of the changing of circumstances and of human activity or self-change [ Selbstver�nderung ] can be conceived and rationally understood only as revolutionary practice .

Feuerbach starts off from the fact of religious self-estrangement [ Selbstentfremdung ] , of the duplication of the world into a religious, imaginary world, and a secular [ weltliche ] one. His work consists in resolving the religious world into its secular basis. He overlooks the fact that after completing this work, the chief thing still remains to be done. For the fact that the secular basis lifts off from itself and establishes itself in the clouds as an independent realm can only be explained by the inner strife and intrinsic contradictoriness of this secular basis. The latter must itself be understood in its contradiction and then, by the removal of the contradiction, revolutionised. Thus, for instance, once the earthly family is discovered to be the secret of the holy family, the former must itself be annihilated [ vernichtet ] theoretically and practically.

Feuerbach, not satisfied with abstract thinking , wants sensuous contemplation [ Anschauung ] ; but he does not conceive sensuousness as practical , human-sensuous activity.

Feuerbach resolves the essence of religion into the essence of man [ menschliche Wesen = ‘human nature’] . But the essence of man is no abstraction inherent in each single individual. In reality, it is the ensemble of the social relations. Feuerbach, who does not enter upon a criticism of this real essence is hence obliged:

1. To abstract from the historical process and to define the religious sentiment regarded by itself, and to presuppose an abstract — isolated - human individual.

2. The essence therefore can by him only be regarded as ‘species’, as an inner ‘dumb’ generality which unites many individuals only in a natural way.

Feuerbach consequently does not see that the ‘religious sentiment’ is itself a social product , and that the abstract individual that he analyses belongs in reality to a particular social form.

All social life is essentially practical . All mysteries which lead theory to mysticism find their rational solution in human practice and in the comprehension of this practice.

The highest point reached by contemplative [ anschauende ] materialism, that is, materialism which does not comprehend sensuousness as practical activity, is the contemplation of single individuals and of civil society [ b�rgerlichen Gesellschaft ] .

The standpoint of the old materialism is civil society; the standpoint of the new is human society or social humanity.

Philosophers have hitherto only interpreted the world in various ways; the point is to change it.

1. “Dirty-Jewish” — according to Marhsall Berman, this is an allusion to the Jewish God of the Old Testament, who had to ‘get his hands dirty’ making the world, tied up with a symbolic contrast between the Christian God of the Word, and the God of the Deed, symbolising practical life. See The Significance of the Creation in Judaism , Essence of Christianity 1841

Deutsch | 1938 translation of Marx’s original | 1969 Selected Works translation | Engels’ 1888 version

Marx/Engels Works Archive | Study Guide | Engels on Feuerbach | Image of Thesis 11 | Works Index

Nevada Today

Family-friendly casino areas contain unhealthy levels of second-hand smoke, new study finds, unsafe levels were found regardless of size, age or ventilation system in the facility, according to school of public health study.

Second-hand smoke in indoor casino areas is up to 18 times more harmful than outdoor levels, according to a University of Nevada, Reno study published this month in the Environmental Analysis Health and Toxicology Journal.

According to the study, led by Associate Professor Eric Crosbie in the School of Public Health , of the indoor casino locations, including family-friendly locations that are designated as non-smoking such as arcades and restaurants, measured unsafe levels of second-hand smoke, even when only a small proportion of smokers are actively smoking in a casino.

The research found that ventilation systems do not work in preventing unsafe levels of second-hand smoke from drifting to areas where smoking is not allowed, and this finding has nationwide implications for any indoor facility that allows smoking, as there is no safe level of second-hand smoke regardless of the age, size or ventilation systems.

“People should be aware that when they go into any establishment that allows smoking, there is an unhealthy level of second-hand exposure, especially for those individuals who have acute risk factors,” Crosbie said. “The only way to eliminate involuntary exposure is to prohibit smoking in all indoor areas.”

Crosbie and his team of researchers measured the amount of PM 2.5 (atmospheric particulate matter) levels present, which consistently exceed safe thresholds. PM 2.5 levels, when compared with the more commonly known Air Quality Index, rank within the “unhealthy for sensitive groups” category. Exposure to secondhand smoke can cause heart disease, stroke and lung cancer among nonsmokers, and even brief exposure can cause harm, including heart attacks, according to the Centers for Disease Control and Prevention (CDC).

The study calls for policy changes to protect minors, casino employees and other vulnerable populations exposed to unhealthy air during a casino visit.

“Establishing comprehensive smoke-free casinos is the only way to protect against the harms of second-hand smoking,” Crosbie said. “Given that several casinos in the Reno-Sparks area advertise their establishments as family-friendly, they should be aware that even during brief visits by minors in smoking and non-smoking areas, minors may be exposed to harmful levels of second-hand smoke. These findings underscore the critical need for immediate action to create healthier indoor environments.”

Other studies have also found PM 2.5 levels in casinos, including those located in Nevada. A study published last year by the CDC and the University of Washington examined casinos in Las Vegas and found that average PM 2.5 levels were 5.4 times higher in gaming areas where smoking is allowed when compared with a smoke-free casino in Las Vegas. That study also concluded that tens of thousands of casino employees and tens of millions of tourists are exposed to elevated levels of secondhand smoke in Las Vegas casinos each year, and the only way to protect people from this known health hazard is to prohibit smoking in all indoor areas.

Crosbie recommends that Nevada policymakers amend the Nevada Clean Indoor Act and prohibit smoking in all public places, including casinos and bars statewide.

About the study

Crosbie and his team visited 14 casinos and 18 distinct types of indoor casino locations throughout Washoe County, Nevada. High levels of tobacco smoke markers were found in casino locations even when zero or a small percentage of active smokers were observed.

The research team observed a relatively small portion of active smokers (1.4 percent to 20 percent) in casinos that allowed smoking. Consistent with these findings, a small proportion of smokers can still contribute to high levels of PM 2.5 and contaminate non-smoking areas.

This was also the first-known study to use the AtmoTube, an off-the-shelf, low-cost, user-friendly consumer device with custom mobile apps that measures real-time personal exposure.

Health & Medicine

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