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University of North Carolina
1.
Wong, Rachael S.
Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States.
Degree: 2011, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:5f170048-41a4-4569-ab74-28f62d362330
► Background: Evidence shows that Americans increasingly use complementary and alternative medicine (CAM): 36% in 2002, to 38.3% in 2007. Though a significant part of received…
(more)
▼ Background: Evidence shows that Americans increasingly use complementary and alternative medicine (CAM): 36% in 2002, to 38.3% in 2007. Though a significant part of received care, it is not considered an integrated component of our health care system in literature, practice, or policymaking. Few studies have examined CAM use by the hundreds of thousands of solid organ (kidney, pancreas, lung, heart, liver, small bowel) transplant recipients in the United States. These individuals often live with chronic medical conditions and are high-use patients in our health care system, which invests heavily in transplantation as a medical intervention. Methods: An online survey program collected self-reported data on CAM use and integrative health care (IHC) preferences by U.S. solid organ transplant recipients (reached via email requests for participation) in 2010. The survey incorporated 2007 National Health Interview Survey CAM questions and IHC questions developed for this study. Results: Transplant recipient subjects (n=788) used CAM at a higher rate (56.9%) than the general public and most commonly sought CAM for musculoskeletal and mental health issues. Higher education and female gender were correlates for CAM use. Nearly half (49.7%) integrate their own CAM and medical care although 49.6% want others serving as integrators. Medical doctors ranked highest (46.9%) as desired integrators; trained IHC professionals (21.3%) followed. Conclusions: This study found that transplant recipients utilize CAM at higher rates and for different reasons than the general population, they are willing to share health care opinions via online surveys, and additional research is needed to better understand transplant recipients' beliefs and behaviors. There are implications for clinical care, training, research, federal policy, and strategic collaborations to improve care and outcomes for transplant recipients. These include recommendations to: 1) incorporate increasing graft and recipient survival rates as a federal transplantation policy goal, 2) provide CAM and IHC training for transplant professionals, and 3) plan a strategic initiative to obtain recognition of solid organ transplant recipients as a special chronic disease population for inclusion in the rollout of patient-centered medical home demonstration projects under the Patient Protection and Affordable Care Act of 2010.
Advisors/Committee Members: Wong, Rachael S., Brooks, Edward F..
Subjects/Keywords: Gillings School of Global Public Health; Public Health Leadership Program
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APA (6th Edition):
Wong, R. S. (2011). Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:5f170048-41a4-4569-ab74-28f62d362330
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Wong, Rachael S. “Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States.” 2011. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:5f170048-41a4-4569-ab74-28f62d362330.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Wong, Rachael S. “Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States.” 2011. Web. 13 Apr 2021.
Vancouver:
Wong RS. Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States. [Internet] [Thesis]. University of North Carolina; 2011. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:5f170048-41a4-4569-ab74-28f62d362330.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Wong RS. Complementary and Alternative Medicine Use by Solid Organ Transplant Recipients in the United States. [Thesis]. University of North Carolina; 2011. Available from: https://cdr.lib.unc.edu/record/uuid:5f170048-41a4-4569-ab74-28f62d362330
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
2.
Pozella, Patricia Marie.
STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER.
Degree: Health Policy and Management, 2014, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:d1c0ec2b-d137-4556-9890-a43d20b646fa
► Background: More than 228,000 people are diagnosed with non-small cell lung cancer (NSCLC) each year in the United States, and most die within a year.…
(more)
▼ Background: More than 228,000 people are diagnosed with non-small cell lung cancer (NSCLC) each year in the United States, and most die within a year. Newer targeted medications, including erlotinib and afatinib, work at a molecular level to produce profound and sustained benefit for a small percentage of patients. Specific genetic mutations, including changes in the EGFR gene, identify individuals more likely to respond to targeted therapies. Published literature shows that using results of EGFR testing to guide treatment decisions results in significantly better treatment outcomes. Mutation testing is done routinely at most academic medical centers and cancer centers; however, use in community settings is highly variable and significantly less common. Reasons for the disparity in testing rates are unknown. Methods: Twenty-three key informant interviews were conducted with community oncologists practicing in southeastern states to identify facilitators and barriers to use of EGFR testing in community settings. Results: Two characteristics predicted an increased likelihood of EGFR testing of patients with advanced or metastatic NSCLC, including less time passed since completion of oncology training, and treating a higher number of patients with NSCLC each month. The most frequently mentioned facilitator was clinical literature and treatment guidelines. The most commonly cited barriers to testing included patient-related reasons, such as patient health and unwillingness to be tested, and oncologist-specific reasons. Eight-seven percent of oncologists who reported testing some or none of their patients expressed confidence in their abilities to make optimal treatment decisions based on clinical judgment and experience instead of relying on test results. Conclusions: This study suggests there is much work to be done to increase use of EGFR testing by oncologists practicing in community settings. The first step involves convening a task force with representatives from a variety of constituencies that will develop and implement an integrated communications plan focusing on three audiences – community oncologists, other healthcare professionals, and patients, families, caregivers, and advocates located in
North Carolina. Each tactic will be measured and evaluated after completion based on pre-established objectives. Regional and national expansion of the communications plan will be based on the results of the
North Carolina pilot.
Advisors/Committee Members: Pozella, Patricia Marie, Brooks, Edward F..
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Pozella, P. M. (2014). STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:d1c0ec2b-d137-4556-9890-a43d20b646fa
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Pozella, Patricia Marie. “STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER.” 2014. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:d1c0ec2b-d137-4556-9890-a43d20b646fa.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Pozella, Patricia Marie. “STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER.” 2014. Web. 13 Apr 2021.
Vancouver:
Pozella PM. STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER. [Internet] [Thesis]. University of North Carolina; 2014. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:d1c0ec2b-d137-4556-9890-a43d20b646fa.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Pozella PM. STRATEGIES FOR INCREASING EGFR MUTATION TESTING OF PATIENTS WITH NON-SMALL CELL LUNG CANCER. [Thesis]. University of North Carolina; 2014. Available from: https://cdr.lib.unc.edu/record/uuid:d1c0ec2b-d137-4556-9890-a43d20b646fa
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
3.
Center, Jill K.
Applying the Public Health Code of Ethics to the Federal Workforce.
Degree: 2010, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:67294984-eecf-4da1-928f-4e0ef7afca12
► Although the public health code of ethics was published in 2002, it has not been widely disseminated or formally adopted by the two largest public…
(more)
▼ Although the public health code of ethics was published in 2002, it has not been widely disseminated or formally adopted by the two largest public health institutions within the U.S. Public Health Service – the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH). In order to determine the applicability and feasibility of implementing the public health code of ethics within the federal government, this study examines the ethics programs in the two largest public health agencies; how the current ethics programs at these agencies compare with the principles in the public health code of ethics; and where benefits to adopting the code are identified, how barriers to implementing it can be addressed. Results from this study revealed that both agencies are addressing most of the principles in the code of ethics with their current practices, policies, and ethics activities. CDC officials interviewed for this study had a high degree of familiarity with the code and indicated that it is an integral part of the agency's public health ethics program. The code of ethics is a tool that aligns with the CDC's mission and is well-suited for formal adoption by the agency. The NIH has an ethics program that is appropriately geared toward research ethics. While there would be little benefit from NIH adopting the public health code of ethics agency-wide, NIH should consider the code for the segment of its workforce that designs, manages, and evaluates public health education, campaigns, and research programs. In addition, the Public Health Leadership Society should clarify the rationale for the public health code of ethics, thereby extending its reach. There is a role for the public health code of ethics in the federal workforce. The CDC should adopt the code for use agency-wide and the NIH should use the code with the segment of its employees doing direct public health outreach and research in communities. In addition, the Public Health Leadership Society should take a more active role in articulating the need for the code and engage in activities that will facilitate wider awareness and use of it.
Advisors/Committee Members: Center, Jill K., Brooks, Edward F..
Subjects/Keywords: Gillings School of Global Public Health
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Center, J. K. (2010). Applying the Public Health Code of Ethics to the Federal Workforce. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:67294984-eecf-4da1-928f-4e0ef7afca12
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Center, Jill K. “Applying the Public Health Code of Ethics to the Federal Workforce.” 2010. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:67294984-eecf-4da1-928f-4e0ef7afca12.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Center, Jill K. “Applying the Public Health Code of Ethics to the Federal Workforce.” 2010. Web. 13 Apr 2021.
Vancouver:
Center JK. Applying the Public Health Code of Ethics to the Federal Workforce. [Internet] [Thesis]. University of North Carolina; 2010. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:67294984-eecf-4da1-928f-4e0ef7afca12.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Center JK. Applying the Public Health Code of Ethics to the Federal Workforce. [Thesis]. University of North Carolina; 2010. Available from: https://cdr.lib.unc.edu/record/uuid:67294984-eecf-4da1-928f-4e0ef7afca12
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
4.
Ichter, Joseph Thompson.
Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions.
Degree: Health Policy and Management, 2010, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:5c907362-eacb-4908-ade7-9a953217e82f
► Physician opinions on patient access in health care reform are a valuable contribution to the design, implementation and success of health policy changes. As part…
(more)
▼ Physician opinions on patient access in health care reform are a valuable contribution to the design, implementation and success of health policy changes. As part of a more broadly defined stakeholder group including patients, providers, policy makers, insurers, and private industry, physicians offer unique perspectives on the health care system and the challenges patients face in accessing care under current policy. This dissertation examines physician attitudes toward health care reform on St. Maarten, NA using interviews with primary care physicians. Although physicians identified barriers and solutions to health care access that were often specific and actionable, most physicians also saw a need for the development of an overall vision of reform for the health care system. The St. Maarten physicians' presented barriers and solutions that closely paralleled those of the Pan American Health Organization's (PAHO) Primary Health Care-Based System approach. For the island nation to succeed in health reform, the PAHO framework provides the necessary vision for a health care system whose primary purpose is to improve the population's health under difficult circumstances, including St. Maarten's limited resources and relative geographic isolation. Leadership in reform is a key element in St. Maarten's ability to address health reform in an efficient and effective manner. This dissertation research presents a unified voice for physicians as a stakeholder group and an open path to active participation in health reform.
Advisors/Committee Members: Ichter, Joseph Thompson, Brooks, Edward F., University of North Carolina at Chapel Hill.
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Ichter, J. T. (2010). Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:5c907362-eacb-4908-ade7-9a953217e82f
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ichter, Joseph Thompson. “Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions.” 2010. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:5c907362-eacb-4908-ade7-9a953217e82f.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ichter, Joseph Thompson. “Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions.” 2010. Web. 13 Apr 2021.
Vancouver:
Ichter JT. Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions. [Internet] [Thesis]. University of North Carolina; 2010. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:5c907362-eacb-4908-ade7-9a953217e82f.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ichter JT. Patient access to care in health reform: opinions of primary care physicians on St. Maarten, NA, identifying barriers and developing solutions. [Thesis]. University of North Carolina; 2010. Available from: https://cdr.lib.unc.edu/record/uuid:5c907362-eacb-4908-ade7-9a953217e82f
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
5.
Odiachi, Angela.
The impact of disclosure on health outcomes in HIV-infected Nigerian children.
Degree: Health Policy and Management, 2015, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:0bf33af2-8f7e-438f-b914-8ac969f9a1e0
► AIM: The study aimed to determine the prevalence, age and main agent of disclosure among Nigerian children on antiretroviral treatment. The study also sought to…
(more)
▼ AIM: The study aimed to determine the prevalence, age and main agent of disclosure among Nigerian children on antiretroviral treatment. The study also sought to elicit barriers to, and facilitators of disclosure, and the context and process of disclosure. METHODS: In this cross-sectional, facility-based study, a semi-structured questionnaire was administered to 110 parents/caregivers of children ≥ 6 years, to determine child’s disclosure status. This was followed by a more detailed interview with 15 parent/caregivers of disclosed children. CD4, viral load, opportunistic infections and adherence information were also extracted from medical records for all 110 children. RESULTS: The mean age (SD) of the children in the study was 10.15 (2.97) years, with a median (range) of 9.50 (6 – 18) years. According to parents/caregivers’ accounts 34 (30.9%) children knew they were living with HIV, while 74 (67.3%) did not know. Mean age (SD) at disclosure was 10.47 (2.62) years, with a median (range) of 10.00 (6 - 17) years. Most of the children (79.4%) were disclosed at home by their parent(s)/caregiver. The rest were disclosed at the hospital: five were disclosed by a health care provider, while two were accidental disclosure. The most common reasons for disclosure were related to adherence issues – either to help prepare the children to take their medicines or that the child had refused to take his/her medicines (39.4%). This was followed by the child asking a lot of questions related to his/her health, frequent visits to the hospital, or why s/he was taking a lot of medicines even though s/he did not feel ill (27.3%). Most parents/ caregivers did not disclose because the child was considered too young (84.0%) or will not be able to keep their HIV status a secret (10.7%). Disclosure was mostly unplanned and a one-off event. Children’s reaction to disclosure ranged from no reaction to shock and crying. Multivariate logistic regression showed that only child’s age was a statistically significant predictor of status disclosure (OR 1.69, p=0.002; 95% CI 1.21 – 2.34). The study did not show any association between disclosure and other child and parent/caregiver characteristics. There was no association between disclosure and self-reported adherence (p=0.615).
Advisors/Committee Members: Odiachi, Angela, Thirumurthy, Harsha, Brooks, Edward F., Paul, John, Golin, Carol E., Tepper, Vicki.
Subjects/Keywords: Public health; Macroecology; Gillings School of Global Public Health; Department of Health Policy and Management
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Odiachi, A. (2015). The impact of disclosure on health outcomes in HIV-infected Nigerian children. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:0bf33af2-8f7e-438f-b914-8ac969f9a1e0
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Odiachi, Angela. “The impact of disclosure on health outcomes in HIV-infected Nigerian children.” 2015. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:0bf33af2-8f7e-438f-b914-8ac969f9a1e0.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Odiachi, Angela. “The impact of disclosure on health outcomes in HIV-infected Nigerian children.” 2015. Web. 13 Apr 2021.
Vancouver:
Odiachi A. The impact of disclosure on health outcomes in HIV-infected Nigerian children. [Internet] [Thesis]. University of North Carolina; 2015. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:0bf33af2-8f7e-438f-b914-8ac969f9a1e0.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Odiachi A. The impact of disclosure on health outcomes in HIV-infected Nigerian children. [Thesis]. University of North Carolina; 2015. Available from: https://cdr.lib.unc.edu/record/uuid:0bf33af2-8f7e-438f-b914-8ac969f9a1e0
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
6.
Carter, Jason.
Automatic Difficulty Detection.
Degree: Computer Science, 2014, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:a7dcfe9b-f509-4715-85a0-e167b4976c25
► Previous work has suggested that the productivity of developers increases when they help each other and as distance increases, help is offered less. One way…
(more)
▼ Previous work has suggested that the productivity of developers increases when they help each other and as distance increases, help is offered less. One way to make the amount of help independent of distance is to develop a system that automatically determines and communicates developers' difficulty. It is our thesis that automatic difficulty detection is possible and useful. To provide evidence to support this thesis, we developed six novel components: * programming-activity difficulty-detection * multimodal difficulty-detection * integrated workspace-difficulty awareness * difficulty-level detection * barrier detection * reusable difficulty-detection framework Programming-activity difficulty-detection mines developers' interactions. It is based on the insight that when developers are having difficulty their edit ratio decreases while other ratios such as the debug and navigation ratios increase. This component has a low false positive rate but a high false negative rate. The high false negative rate limitation is addressed by multimodal difficulty-detection. This component mines both programmers' interactions and Kinect camera data. It is based on the insight that when developers are having difficulty, both edit ratios and postures often change. Integrated workspace-difficulty awareness combines continuous knowledge of remote users' workspace with continuous knowledge of when developers are having difficulty. Two variations of this component are possible based on whether potential helpers can replay developers' screen recordings. One limitation of this component is that sometimes, potential helpers spend a large amount of time trying to determine if they can offer help. Difficulty-level and barrier detection address this limitation. The former is based on the insight that when developers are having surmountable difficulties they tend to perform a cycle of editing and debugging their code; and when they are having insurmountable difficulties they tend to spend a large amount of time a) between actions and b) outside of the programming environment. Barrier detection infers two kinds of difficulties: incorrect output and design. This component is based the insight that when developers have incorrect output, their debug ratios increase; and when they have difficulty designing algorithms, they spend a large amount of time outside of the programming environment. The reusable difficulty-detection framework uses standard design patterns to enable programming-activity difficulty-detection to be used in two programming environments, Eclipse and Visual Studio. These components have been validated using lab and/or field studies.
Advisors/Committee Members: Carter, Jason, Dewan, Prasun, Brooks, Edward F., Kelly, Diane, Stotts, P. David, Wang, Wei.
Subjects/Keywords: Computer science; College of Arts and Sciences; Department of Computer Science
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Carter, J. (2014). Automatic Difficulty Detection. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:a7dcfe9b-f509-4715-85a0-e167b4976c25
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Carter, Jason. “Automatic Difficulty Detection.” 2014. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:a7dcfe9b-f509-4715-85a0-e167b4976c25.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Carter, Jason. “Automatic Difficulty Detection.” 2014. Web. 13 Apr 2021.
Vancouver:
Carter J. Automatic Difficulty Detection. [Internet] [Thesis]. University of North Carolina; 2014. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:a7dcfe9b-f509-4715-85a0-e167b4976c25.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Carter J. Automatic Difficulty Detection. [Thesis]. University of North Carolina; 2014. Available from: https://cdr.lib.unc.edu/record/uuid:a7dcfe9b-f509-4715-85a0-e167b4976c25
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
7.
Hoemeke, Laura.
TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING.
Degree: Health Policy and Management, 2015, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:0d7a5254-5029-4a0c-b2fd-b68208c2f4c6
► Laura Miniea Hoemeke: To Help, or at Least Do No Harm: The Evolving Roles of Global Health NGOs in Health Systems Strengthening (Under the direction…
(more)
▼ Laura Miniea Hoemeke: To Help, or at Least Do No Harm: The Evolving Roles of Global Health NGOs in Health Systems Strengthening (Under the direction of Suzanne Hobbs) Background: International non-governmental organizations (INGOs) have proliferated over the past several decades. As significant actors in global health and development, they can help strengthen health systems in the countries in which they operate. INGOs sometimes, however, engage in practices that weaken health systems, including creating additional management burdens and distorting labor markets, as well as exacerbating inequities by offering higher quality care to some segments of a population. Health systems strengthening (HSS) is an evolving concept and, while little agreement exists on effective HSS metrics, there is consensus in the global health community that strong health systems are essential to achieve global health goals. In May 2008, several INGOs developed the NGO Code of Conduct for HSS to address factors related to the potential negative impact of INGOs; the Code, however, has not garnered significant attention within the global health community. Study design: This research seeks to understand how INGOs can best support HSS without unintentionally harming national health systems and explores factors preventing the NGO Code of Conduct from gaining momentum. The methodology consists of a comprehensive literature review identifying evolving concepts regarding HSS and INGOs, a review of the NGO Code of Conduct, and analysis of key informant interviews with representatives of 20 INGOs. Findings: INGOs can mitigate potential negative impact of their work by engaging in more systems thinking and self-analysis to develop greater awareness of their effects on health systems, especially their work on projects that are disease-focused or implemented in selected districts and not nation-wide. Donor agencies can facilitate INGOs' work to mitigate potential negative impact by dedicating funding to HSS, especially – but not only – in vertically funded projects, and creating more flexible funding mechanisms that allow for systems investments. In countries where ministries of health have greater management capacity, the work of INGOs and all health sector partners contributes more efficiently and effectively to HSS. Nearly all key informants shared challenges related to the NGO Code of Conduct for Health Systems Strengthening; they believe the Code should be modified and updated, or replaced by a simpler list of principles to guide INGOs in HSS.
Advisors/Committee Members: Hoemeke, Laura, Hobbs, Suzanne Havala, Gaye, Pape, Brooks, Edward F., Paul, John, So, Anthony.
Subjects/Keywords: Public health; International relations; Gillings School of Global Public Health; Department of Health Policy and Management
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APA (6th Edition):
Hoemeke, L. (2015). TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:0d7a5254-5029-4a0c-b2fd-b68208c2f4c6
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hoemeke, Laura. “TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING.” 2015. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:0d7a5254-5029-4a0c-b2fd-b68208c2f4c6.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hoemeke, Laura. “TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING.” 2015. Web. 13 Apr 2021.
Vancouver:
Hoemeke L. TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING. [Internet] [Thesis]. University of North Carolina; 2015. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:0d7a5254-5029-4a0c-b2fd-b68208c2f4c6.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hoemeke L. TO HELP, OR AT LEAST DO NO HARM: THE EVOLVING ROLES OF GLOBAL HEALTH NGOS IN HEALTH SYSTEMS STRENGTHENING. [Thesis]. University of North Carolina; 2015. Available from: https://cdr.lib.unc.edu/record/uuid:0d7a5254-5029-4a0c-b2fd-b68208c2f4c6
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
8.
Robertson, Tausha D.
Characteristics of Effective University-Industry Research Relationships.
Degree: Health Policy and Management, 2006, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:e4cbd85b-2d38-4844-b57b-c28b43aaff21
► The landscape of interactions between private industry and academia was changed by the passage of the Bayh-Dole act in 1980. This legislation allowed research institutions…
(more)
▼ The landscape of interactions between private industry and academia was changed by the passage of the Bayh-Dole act in 1980. This legislation allowed research institutions to retain the rights to discoveries made through federally funded research. The newfound ability to capitalize on scientific discoveries through patents and licensing created a new revenue source for universities. In addition, the preamble to the Act lists the promotion of collaboration between commercial concerns and nonprofit organizations as an objective. In recent years, researchers have also faced the reality that public funds for research are decreasing, further contributing to an increased reliance on corporate funding for research. Overall, corporate giving to universities grew from 850-million in 1985 to 4.25-billion a decade later. As industry support increases some argue that the risk to academic integrity may increase as well. In response to this concern, a myriad of documents have published documenting failures of industry - academic research relationships, warning of potential conflicts of interests and the threats to academic integrity. However, few have translated their growing discomfort into a forceful call for the changes needed to safeguard the autonomy and integrity of universities. Since the interaction between industry and universities will continue, it is iv important to identify ways to help them work together in the most effective manner while protecting the integrity of the research. The goal of this study was to develop guidelines to inform future academic-industry research relationships. The study's aims included: (1) identifying the characteristics of effective partnerships from the literature, (2) determining whether the characteristics of
university-industry research relationships were similar to the characteristics identified in the literature, (3) assessing the degree to which these characteristics impacted perceived effectiveness of the
university-industry research relationship. This study utilized mixed research methods approach -literature review, interviews, subject self rating using effectiveness scale, and expert panel review. The literature review identified the characteristics of effective partnerships from various disciplines. Semistructured interviews were conducted with principal investigators at major universities who received industry funding for research and industry representatives of companies that provided funding for
university research. Subjects also self-rated the perceived effectiveness of their research relationship. The findings from the literature and the interviews were combined to develop guidelines that were reviewed by an expert panel. This research found that successful academic-industry research relationships possessed the characteristics of effective partnerships found in the literature. The research also identified specific processes that should be in place to ensure the success of the relationship and the maintenance of academic integrity. The recommended guidelines include…
Advisors/Committee Members: Robertson, Tausha D., Brooks, Edward F..
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Robertson, T. D. (2006). Characteristics of Effective University-Industry Research Relationships. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:e4cbd85b-2d38-4844-b57b-c28b43aaff21
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Robertson, Tausha D. “Characteristics of Effective University-Industry Research Relationships.” 2006. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:e4cbd85b-2d38-4844-b57b-c28b43aaff21.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Robertson, Tausha D. “Characteristics of Effective University-Industry Research Relationships.” 2006. Web. 13 Apr 2021.
Vancouver:
Robertson TD. Characteristics of Effective University-Industry Research Relationships. [Internet] [Thesis]. University of North Carolina; 2006. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:e4cbd85b-2d38-4844-b57b-c28b43aaff21.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Robertson TD. Characteristics of Effective University-Industry Research Relationships. [Thesis]. University of North Carolina; 2006. Available from: https://cdr.lib.unc.edu/record/uuid:e4cbd85b-2d38-4844-b57b-c28b43aaff21
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
9.
Verbiest, Sarah Beth.
The postpartum visit: an overlooked opportunity for prevention.
Degree: Health Policy and Management, 2008, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:8e1d70e9-7cab-425f-b6f5-bb2395d70784
► Women's postpartum health needs affect the woman, her ability to care for her infant, and the health of babies she may have in the future.…
(more)
▼ Women's postpartum health needs affect the woman, her ability to care for her infant, and the health of babies she may have in the future. The postpartum visit provides an opportunity to help women transition from pregnancy to well-woman care, playing an important role in continuity of health services. This dissertation included a comprehensive literature review of the postpartum visit. Using the data from key informant interviews, surveys, and a chart review, this study examined factors that impact the postpartum visit provided by the
University of
North Carolina's Obstetric Program, including: a) the health care system; b) provider attitudes and practice; c) the content of care; and d) the woman's medical needs and access to care. The study found that certain populations of patients are less likely to receive a postpartum visit and when they do receive a visit they receive fewer services than other mothers. The content of the visit is variable and not as complete as it could be. Postpartum screening for conditions such as gestational diabetes and hypertension warrants further attention. Communication among providers across the system is incomplete. Low-income mothers are likely to leave their postpartum visit without a plan in place for follow up services. The research determined that there are things that could be done within the UNC Obstetric Clinic to improve the postpartum visit and the care new mothers receive. Eight recommendations for improvements were generated from this study, including: 1) developing a comprehensive interconception care initiative; 2) building a
University-wide research consortium; 3) marketing the postpartum visit to mothers; 4) improving postpartum visit compliance by strengthening the continuity of care given by providers; 5) improving the information available about mothers at the postpartum visit by adopting an electronic prenatal medical record; 6) enhancing the quality of the postpartum visit by implementing improvement initiatives; 7) expanding the information mothers receive at the postpartum visit by increasing the number of educational materials they receive; and 8) linking low-income mothers back to local health departments and clinics after their postpartum visit. The postpartum visit is key in the journey toward improved interconception care for mothers.
Advisors/Committee Members: Verbiest, Sarah Beth, Brooks, Edward F., University of North Carolina at Chapel Hill.
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
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Record Details
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Verbiest, S. B. (2008). The postpartum visit: an overlooked opportunity for prevention. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:8e1d70e9-7cab-425f-b6f5-bb2395d70784
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Verbiest, Sarah Beth. “The postpartum visit: an overlooked opportunity for prevention.” 2008. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:8e1d70e9-7cab-425f-b6f5-bb2395d70784.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Verbiest, Sarah Beth. “The postpartum visit: an overlooked opportunity for prevention.” 2008. Web. 13 Apr 2021.
Vancouver:
Verbiest SB. The postpartum visit: an overlooked opportunity for prevention. [Internet] [Thesis]. University of North Carolina; 2008. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:8e1d70e9-7cab-425f-b6f5-bb2395d70784.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Verbiest SB. The postpartum visit: an overlooked opportunity for prevention. [Thesis]. University of North Carolina; 2008. Available from: https://cdr.lib.unc.edu/record/uuid:8e1d70e9-7cab-425f-b6f5-bb2395d70784
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
10.
Stobbe, Michael.
The Surgeon General and the bully pulpit.
Degree: Health Policy and Management, 2008, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:7c225bda-2084-4869-a09f-ab5bee0f0dd4
► This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the…
(more)
▼ This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the administrative powers of the Surgeon General, to explain what factors affect how a Surgeon General utilizes the office's "bully pulpit," and assess changes in the political environment and in who oversees the Surgeon General that may affect the Surgeon General's future ability to influence public opinion and health. This research involved collecting and analyzing the opinions of journalists and key informants such as current and former government health officials. I also studied public documents, transcripts of earlier interviews and other materials.
Advisors/Committee Members: Stobbe, Michael, Brooks, Edward F., University of North Carolina at Chapel Hill.
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Stobbe, M. (2008). The Surgeon General and the bully pulpit. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:7c225bda-2084-4869-a09f-ab5bee0f0dd4
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Stobbe, Michael. “The Surgeon General and the bully pulpit.” 2008. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:7c225bda-2084-4869-a09f-ab5bee0f0dd4.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Stobbe, Michael. “The Surgeon General and the bully pulpit.” 2008. Web. 13 Apr 2021.
Vancouver:
Stobbe M. The Surgeon General and the bully pulpit. [Internet] [Thesis]. University of North Carolina; 2008. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:7c225bda-2084-4869-a09f-ab5bee0f0dd4.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Stobbe M. The Surgeon General and the bully pulpit. [Thesis]. University of North Carolina; 2008. Available from: https://cdr.lib.unc.edu/record/uuid:7c225bda-2084-4869-a09f-ab5bee0f0dd4
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of North Carolina
11.
Flynn, Priscilla.
Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy.
Degree: Health Policy and Management, 2008, University of North Carolina
URL: https://cdr.lib.unc.edu/record/uuid:345d06ab-12f0-4d2a-895f-3a9248c08d17
► Foreign birth is largely protective against infant preterm birth as noted by the "Latina paradox". As women acculturate to American lifestyles, this protective effect dissipates.…
(more)
▼ Foreign birth is largely protective against infant preterm birth as noted by the "Latina paradox". As women acculturate to American lifestyles, this protective effect dissipates. This study investigated the effect of acculturation on Somali refugee women's birth outcomes. Results indicated that while individual factors identified to reflect acculturation changed significantly over time, changes in birth outcomes in Somali women were not attributable to these factors. Methods: Data were extracted from medical records of 584 Somali women delivering infants at a Minnesota hospital between 1993 and 2006. Independent variables included maternal factors, fertility history, pregnancy complications, health behaviors, prenatal care history and acculturation. Dependent variables were infant birthweight and gestational age. Chi-square tests, t-tests and ANOVA determined changes in like variables between two time periods (1993-1999 and 2000-2006). Bivariate analyses measured relationships between independent and dependent variables for the total sample and each time period. Structural equation modeling (SEM) then determined the fit between factors hypothesized to reflect acculturation (structural model) and the data (measurement model). Results. Significant increases noted over time include substance use/exposure (chi-square = 4.83, p = .0280), body mass index (chi-square = 4.19, p = .0406), hemoglobin levels (t = 6.96, p = .0086), gestational diabetes (chi-square = 6.0, p = .0140) and preterm birth (chi-square = 3.87, p = .0491). A significant reduction in interpreter use was noted between groups with time (chi-square = 9.47, p = .0021). Bivariate analyses showed significance between increased adequacy of prenatal care utilization and reductions in both preterm birth and gestational age. SEM results indicated a poor fit between the hypothesized model and existing data. A post hoc model limited to variables with significant bivariate analysis results indicated a moderate to good fit between the new model and available data (CFI = .985, NFI = .979, RMSEA = .067). A comparison between time periods using the post hoc model showed no differences in the cumulative factors reflecting acculturation (CFI = .996, NFI = .909, RMSEA = .016). Conclusion. Individual factors shown to reflect acculturation in foreign-born women have increased significantly in Somali women over time. While preterm births among Somali women were shown to increase significantly, the factors identified to reflect acculturation in this study were not significantly related to this change. However, the increase in maternal obesity, gestational diabetes and preterm birth are of concern among this population. Recommendations. Clinicians should prospectively collect data hypothesized to reflect acculturation associated with preterm birth and low birthweight to identify foreign-born women at increased risk of poor birth outcomes. Policy makers should support and clinicians should implement programs to provide prenatal education for Somali women aimed at reducing risk…
Advisors/Committee Members: Flynn, Priscilla, Brooks, Edward F., Hobbs, Suzanne Havala, Brost, Brian, Foster, E. Michael, Knauff, Lynn.
Subjects/Keywords: Gillings School of Global Public Health; Department of Health Policy and Management
Record Details
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❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Flynn, P. (2008). Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy. (Thesis). University of North Carolina. Retrieved from https://cdr.lib.unc.edu/record/uuid:345d06ab-12f0-4d2a-895f-3a9248c08d17
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Flynn, Priscilla. “Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy.” 2008. Thesis, University of North Carolina. Accessed April 13, 2021.
https://cdr.lib.unc.edu/record/uuid:345d06ab-12f0-4d2a-895f-3a9248c08d17.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Flynn, Priscilla. “Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy.” 2008. Web. 13 Apr 2021.
Vancouver:
Flynn P. Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy. [Internet] [Thesis]. University of North Carolina; 2008. [cited 2021 Apr 13].
Available from: https://cdr.lib.unc.edu/record/uuid:345d06ab-12f0-4d2a-895f-3a9248c08d17.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Flynn P. Effects of Acculturation on Somali Women's Birth Outcomes: Implications for Healthcare Policy. [Thesis]. University of North Carolina; 2008. Available from: https://cdr.lib.unc.edu/record/uuid:345d06ab-12f0-4d2a-895f-3a9248c08d17
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
.