Domestic violence (DV) is a major social and public health issue in countries such as India and Pakistan where patriarchy is the way of life and cultural norms, and beliefs hold a greater say in community decision-making. Women in these countries are discriminated against from birth and face hurdles in...
Unmet healthcare needs and/or delays in needed care are widespread among patients with serious mental illness (SMI). Mental healthcare delivery has changed dramatically over the last two decades. Although access to mental health specialists remains challenging, mental healthcare is now increasingly provided in primary care settings. However, it is unclear...
Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death in the United States. Patients with cirrhosis are more likely to develop HCC. More than 80% of HCC patients are found have preexisting cirrhosis. The prevalence of cirrhosis increased from 0.26% to 0.3.% between 1999 to 2010 and...
Background: Prenatal care (PNC) is an important preventive health service that can influence the health of the four million women who give birth annually in the United States, and the health their infants. Despite efforts to increase women’s access to PNC services, significant disparities in PNC utilization and maternal/child health...
The purpose of this project is to paint a picture of the state of Oregon’s Skilled Nursing Facilities for the 2015 state fiscal year. Skilled Nursing Facilities are an important part of Oregon’s Long Term care continuum that provides care to individuals needing post-acute or on-going care. The URAP student...
Research Objective: Nearly 60 million people in the United States reside in a rural area. Residents in rural areas have higher rates of chronic disease, risky health behaviors, disability, infant mortality, and age-adjusted mortality than their urban counterparts. Health insurance and access to care mitigate those risks, in part because...
Health disparity scholars and researchers call to expand the conceptualization of health disparities research beyond the predominant and long-standing race-based analyses. The call requests the inclusion of frameworks and theories that reflect the complex, multi-level and multifactorial social processes that yield health disparities. Intersectionality is a theoretical framework that is...
Background. Total knee arthroplasty, or replacement, is a common, generally successful, and expensive procedure. Tools to predict outcomes following orthopedic procedures are abundant, yet no commonly used assessment accounts for an individual’s propensity to engage in adaptive health behavior. The 13-item Patient Activation Measure (PAM) questionnaire is a tool that...
A critical component in diabetes management is diabetes self-management education (DSME). Additionally, poor self-management behavior and negative health outcomes are associated with participants that do not complete diabetes education (Gurdiacci et al., 2007). Despite the widespread use of DSME, many do not obtain the wide range of benefits these programs...
In real life, reputation and community can shape a person’s identity, actions, and fate. The goal of this thesis is to explore those connections through the lens of a fantasy universe where humans and fictional gods clash and coexist. These gods are not all-knowing and powerful, but fallible individuals who...
In intensively managed forest plantations in the northern Oregon Coast Range, herbicides are often applied during site preparation and early stand regeneration to reduce competition for resources for planted conifer seedlings. In addition to reducing competition for crop trees, herbicide applications may affect soil processes including decomposition and nutrient cycling,...
BACKGROUND: We conducted a national level assessment of the quality of clinical care practice in the Ukrainian healthcare system for two important causes of death and chronic disease conditions. We tested two hypotheses: a) quality of care is predicted by physician and facility characteristics and b) health status is predicted...
Background: Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being implemented by multiple provider practices and health systems, little is known about what facilitates their implementation. The purpose of this study was to assess...
Full Text:
-centered
medical home implementation
Gale, R. C., Asch, S. M., Taylor, T., Nelson, K. M., Luck, J
Background: Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being implemented by multiple provider practices and health systems, little is known about what facilitates their implementation. The purpose of this study was to assess...
Background: Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being implemented by multiple provider practices and health systems, little is known about what facilitates their implementation. The purpose of this study was to assess...
The enactment of the Patient Protection and Affordable Care Act (ACA) can be considered an important policy intervention in the context of the U.S. health care. The ACA supported non-elderly adults to obtain health insurance coverage. While Medicare provided health insurance to almost all elderly-adults (persons over 65), the ACA...
In the realms of psychology and sociology two new theoretical models have arisen to describe the forces influencing altruistic human behavior. The first Empathy-Altruism Hypothesis (EAH), by C.D. Batson. The second is the Conceptual Continuum of Altruism (CCA), by K.R. Monroe. Both models have proven to be highly useful in...
In August 2012, Oregon began enrolling Medicaid beneficiaries in coordinated care organizations (CCOs), a unique mandatory-enrollment accountable care organization (ACO) model with payment methods strongly tied to preventive care; care coordination; and integration of physical, mental and dental health care through patient-centered medical homes. This dissertation, consisting of two studies,...
In 2012, Oregon began it enrolling its Medicaid beneficiaries in an accountable care model called Coordinated Care Organizations (CCOs). As one of the of the earliest state-wide efforts to implement this type of healthcare reform among Medicaid enrollees, and thus one of the most mature, Oregon’s CCO implementation provided a...
Drug policies in the United States are rapidly changing at the state and national level paralleling a shift in drug culture from a societal perspective. This dissertation addresses current public health policy topics with a focus on three recent drug policies. As of 2015, medical cannabis is legal in 23...
BACKGROUND: Effective implementation of the patient-centered medical home (PCMH) in primary care
practices requires training and other resources, such as
online toolkits, to share strategies and materials. The
Veterans Health Administration (VA) developed an online
Toolkit of user-sourced tools to support teams
implementing its Patient Aligned Care Team (PACT)
medical...
Background: Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being implemented by multiple provider practices and health systems, little is known about what facilitates their implementation. The purpose of this study was to assess...
Background:
The number of people diagnosed with chronic physical conditions is increasing in the United States. Chronic mental illnesses are also common in the country. Low-income women and those on Medicaid bear a disproportionate burden of chronic conditions and these conditions significantly contribute to obstetric morbidity. Prioritizing preventive measures and...
Implementation climate is the most proximal organizational predictor of implementation success. First-level supervisors are in a pivotal position to influence implementation climate, as they directly oversee frontline staff who deliver evidence-based interventions (EBIs). First-level supervisors who exhibit strong leadership and utilize best practices in supervision may be able to establish...
Four sampling techniques were evaluated to estimate clover aphid, Nearctaphis bakeri
(Cowen), abundance in red clover fields in the Willamette Valley. The Berlese funnel method
detected one to four times more aphids than other sampling techniques. Visual assessment
often underestimated the high aphid densities during the flowering and seeding of...
Background: Prior research has shown that distance learning courses have higher failure rates at community colleges then equivalent face-to-face to courses. There are a few programs and courses, however, that consistently achieve completion rates as high as or higher than their equivalent face-to-face courses. The research to date has not...
The fungus Cochliobolus victoriae causes Victoria blight of oats and Arabidopsis and is pathogenic due to its production of a compound called victorin, which induces programmed cell death in sensitive plants. Victorin sensitivity in Arabidopsis is conferred by the dominant gene LOCUS ORCHESTRATING VICTORIN EFFECTS1 (LOV1), which encodes a coiled-coil-nucleotide...
Island systems and species are susceptible to extinction because of their small population size and an ecological naiveté from an evolutionary past lacking strong competition and predation. For example, only one-fifth of the world’s bird species occur on islands, yet more than 90% of the avian extinctions witnessed during historic...
Quantum mechanics is increasingly being taught with a spins-first approach where instructors use simple spin systems to introduce the principles of quantum mechanics rather than systems with wavefunctions. One of the defining characteristics of a spins-first approach is that systems studied have discrete bases, whereas systems with wavefunctions have continuous...
This is a collection of eight short stories, all of which deal on some level with
alienation and the struggle to find meaning in one's life. Although most of the stories deal
with issues related to women or feature female protagonists, I did not set out to create a
political...
These five stories investigate characters who must deal with their unresolved,
emotionally troubling pasts. The characters attempt to journey back to life having
recognized that their isolation, safe and undisturbing as it is, is worse than a life in which
the possibility of joy is mixed with the inevitability of...
Un Paseo Encantado, an enchanted walk, is a collection of my observations and experiences in a study abroad program in Oviedo, Spain. My commentary on Spanish culture is based on reading I did prior my departure, in combination with my observations while in Spain. In six chapters, I explore the...
In western conifer-dominated forests where the abundance of old-growth stands is decreasing, species
such as the Brown Creeper (Certhia americana) may be useful as indicator species for monitoring the health
of old-growth systems because they are strongly associated with habitat characteristics associated with old growth
and are especially sensitive to...
In recent years, there has been a steady increase in the number of English Language Learners (ELL) in the United States. According to the Education Commission of the States, ELLs have significantly lower achievement levels than their non-ELL peers. Further, numerous research studies report that teacher education programs lack ELL...
The Columbia River Gillnetter is the pilot of the Lower Columbia River commercial fishing industry, keeping fishermen and the public in touch with today's important issues.
These six stories investigate characters who must
begin to understand their own actions, which are often
made in response to authority. In the lives of these
characters, there are schemas which they believe they
fit, certain rules placed on them by society that they
each feel they must obey. It...
Over one third of the earth’s land surface has been modified to some extent for agricultural purposes. The large global footprint of agriculture, combined with the knowledge that existing reserve networks are likely insufficient for long-term conservation of native biodiversity, has necessitated that agricultural systems contribute to conservation of native...
Prostate cancer is the second most common cancer in men and the fourth most common cancer overall, causing an estimated 307,000 deaths in 2012. Prostate cancer is distinct from other cancers in that there are numerous treatment options, yet very few guarantees in relation to outcome. The most common treatments...
The capability of Pluronic® F68 to stabilize human recombinant Factor VIII in solution was
assessed using zeta potential measurements. Hemophilia A is a genetic disorder in which the
body is missing Factor VIII (FVIII) from the blood coagulation cascade. The pharmaceutical
industry developed recombinant Factor VIII (rFVIII), the largest cloned...
Zora Neale Hurston was a Black American writer
during the period of the Harlem Renaissance. The
purpose of this study is to show that three of her four
novels form a protracted discussion of a particular
type of freedom which was of especial interest to
Hurston. The study seeks to...
The purpose of this study was to compare the levels of bone
mineral density (BMD) of the whole body (WB) and proximal
femurs of physically active men with spinal cord injuries (SCI) to
nonactive men with spinal cord injuries. Also, the lean muscle
mass (LMM) of active men with SCI...
Much work is presently being done concerning small scale heterogeneities in the
earth's crust. These heterogeneities range from pores in sedimentary rocks up to
fluctuations in the density and seismic constants of the earth's crust with scale lengths
of kilometers. The ability to study and quantify these heterogeneities using seismic...
An inventor seeks to leverage his unique means in order to create and commercially exploit new technologies. Until new technologies are sufficiently developed, they have the theoretical potential for commercial exploitation in a wide range of markets. Those opportunities are limited by physical bounds that are often only discovered through...
Autobiography is usually categorized with essays and other technical writings, and rarely considered creative or artistic literature in the public eye. This project explores the elements of autobiography and two authors who break the barriers of conventional practices to create works that also function as creative and artistic literature. Maya...
Asians are a minority group that are scarcely represented throughout Hollywood and the film industry. Even when there is some type of inclusion, they are often subjected to stereotypes that have been perpetuated for decades. This contributes to shaping how Asian and Asian Americans are perceived, as well as the...
In 1992, hundreds of buildings in Taiwan were discovered to have ⁶⁰Co contamination in the structural rebar. The contamination resulted from improper handling of ⁶⁰Co contaminated scrap metal in 1982 and 1983 that was subsequently recycled and used throughout Taiwan. One example was the Hsin-hsin Kindergarten (HHK) school which had...
Linear solvers are often used to solve neutron diffusion problems. These tools have two significant shortcomings. First, parallel implementations provide only a modest speedup. The operations cannot be divided cleanly between processors. Second, for large matrices they can be very slow. Our primary goal is to find a new method...
Hamilton Falls is a screenplay about a young attorney who
returns home from WWII, is appointed District Attorney,
and begins investigating an old murder. In the course of
the investigation, he discovers that his mentor, the
former district attorney, may have been the murderer.
The story follows the film noir...
The effect of sweeteners on fruit flavor perception was studied
through the use of fruitiness power functions for unsweetened and
sweetened model systems. In the first part of the study, two
isosweet concentrations of aspartame and sucrose were determined
and combined with five concentrations of orange and strawberry
flavorants. Fruitiness...
Septoria canker remains the most important disease of poplars in intensively managed forest plantations. Genetic resistance has long been considered the best way to manage for this disease. Transgenic resistance mediated by RNA silencing against pathogens and pests (HIGS: host-induced gene silencing) has shown promise in other pathosystems but has...
Migration and spawning phenology of Pacific Salmon is linked to the hydroregime, and thought to be triggered by increases in river discharge and decreases in water temperature. However, little data exists that describes direct fine-scale linkages between the hydroregime and spawning in Coho Salmon. This study evaluated the spatial and...
The creative writing project Circles in the Sand began as a collection of
interrelated short stories but is now the three opening chapters of a novel, a chapter and an
early draft of what was originally the ending to a novella, and one short story. The
landscape is the upper...
Habitat loss causes a reduction in available resources for wildlife, alters the configuration of remaining habitat, and may isolate wildlife populations. White-breasted nuthatches (Sitta carolinensis) are experiencing long-term population declines in the Willamette Valley of Oregon, where they are historically associated with oak woodlands. As secondary cavity-nesters, white-breasted nuthatches may...
Intercollegiate wrestling at Oregon State University had its
inception on March 20, 1909. On that day, the Oregon Agricultural
College wrestling team wrestled in a home meet against the team
from Washington State College. The Beavers, under the tutelage of
their first coach Eddie O'Connell, won their first intercollegiate meet,...
Elie Wiesel’s Night has become a canonical work in the genre of Holocaust literature. This thesis examines the process by which Night achieved this status. An argument will be composed using, as evidence, analysis of Elie Wiesel’s life, the broad history of Holocaust literature, and the complexities surrounding Night’s publication...
Subsistence hunting and fishing in Alaska is a political, social, and cultural issue. Since statehood in 1959 the state of Alaska has managed fish and wildlife resources on all its lands. But because the state has been unable to come into compliance with federal regulations mandating a subsistence rural priority,...
Rare plant reintroductions are a critical conservation tool for the augmentation of diminishing populations, or re-establishment of extirpated populations. Analysis of reintroduction failures suggests that a sophisticated understanding of species biology, ecology, and habitat is essential for producing self-sustaining rare plant populations. This study sought to generate that background knowledge...
The purpose of this study was to determine if a 5-month
progressive-resistance exercise program would affect measures
of activities of daily living (ADLs) and functional stability
in elderly women. All subjects were ambulatory women, 80 to
93 years old, who lived in assisted-care facilities. Eight
exercise and 7 control subjects...
As recreation and tourism visitation increases and government budgets decrease, public
land management agencies are using private commercial operators as an alternative
source of offering products and services. Changes and trends in commercial outdoor
recreation and tourism such as a large scale increase in the number of visitors can affect...
The Willamette Basin Conservation Project was created to help people and programs work together toward positive results in Oregon’s Willamette Basin for people, lands, communities, waters and native species.
Full Text:
through
luck that they enrolled in the Wildlife Habitat
Conservation and Management Program.
Yolanda
Due to inefficiencies and unsustainable growth in health expenditures, a new
approach needed to be taken in the realm of healthcare. There was a need to increase
efficiency and value in order to achieve health outcomes. Hence, arose the concept of the
Coordinated Care Organization (CCO). CCOs are seen as...