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“MEDICATION IS ONLY 10% OF RECOVERY”: A MIXED-METHOD ANALYSIS OF FACILITATORS AND BARRIERS TO THE EQUITABLE IMPLEMENTATION OF MEDICATIONS FOR OPIOID USE DISORDER TREATMENT
No full textMedications for opioid use disorder (MOUD), the gold standard treatment for OUD, are underutilized. Yet, research on MOUD clinical encounters is limited. Attention to social determinants of health (SDOH) can help improve engagement and retention in MOUD treatment. This dissertation project describes development of a clinical vignette-based survey using a two phase exploratory sequential design to examine the extent to which SDOH influence clinical decision-making among MOUD providers. Study 1 included interviews with 23 providers to learn their perspectives on facilitators/barriers to MOUD treatment and the clinical and social determinants most influential to their clinical decision-making. Study 2 involved development and pre-testing of a clinical vignette-based survey utilizing three rounds of cognitive interviewing. This dissertation project represents an initial step in detecting MOUD implementation inequities relevant to SDOH to inform implementation strategies to improve MOUD outcomes and better attend to the needs of individuals disproportionately influenced by effects of SDOH
Maria Firmina dos Reis: The Erasure of an Author and the Recuperation of a Legacy
No full textThe very first woman to write a novel in Brazil was Afro-Brazilian: Maria Firmina dos Reis published Ursula in 1859. The novel, published with her own savings, was the first abolitionist piece ever written in the country in which Black enslaved characters were treated as equals to white ones. Tragically, the book disappeared from shelves in Brazil for almost a century. Maria Firmina was not only Afro-Brazilian and a woman, but also from Nordeste, a region that is discriminated against by other parts of Brazil. I believe her erasure in the Brazilian literary canon was not a mere coincidence. Her multiple unprivileged identities “intersected” and contributed to the “memoricide’ of the author. Her unique story, her strong and groundbreaking voice against racism, and her lack of presence in Brazilian libraries, will be analyzed to better understand the structural racism that took place in literary production in Brazil. Additionally, her visual portrayals today will be examined to analyze a possible whitewashing of the author. This research will contribute to the field of Afro-Brazilian literature with further implications to the fields of Latin American studies and Brazilian Cultural Studies. The goal is to analyze the probable political motivations and results of such erasure, and how they relate to Black literature development and marginalization in Brazil over the last two centuries
A Study of Machine Learning Techniques in Solving Biochemical and Chemical Problems
No full textData-driven approaches to solving problems in biology and chemistry require utilization of reliable techniques and machine learning algorithms are the modern reliable approach. This work presents three problems that involve use of supervised learning techniques when classification is the goal and unsupervised learning techniques when global data representation is the goal.
In the first problem, we demonstrate the use of unsupervised clustering techniques, self-organizing maps and K-means, to ascertain analyte detection capabilities of carbon nitride dots. In the second problem, we add scalability features to a functional group classification model applied to infrared data and evaluate its ability to inform technologists of materials aging trends. In the last problem, we compare stacking and mixture of experts ensemble techniques’ aptitudes for base calling in new microarray resequencing technologies for evolving viral genomes
A Temporal Neutrosophic Nano–Interior Ideal Framework for Performance Boundary Optimization in University Volleyball Courses
No full textA Plithogenic–Neutrosophic Carbon Budget and Contradiction Model for Sustainable Logistics Enterprises under Carbon Peak and Neutrality Targets
No full textNormal Pythagorean Neutrosophic Set for Ethnic Costume Design Effectiveness as an Educational Tool in Cultural Transmission
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New Mexico SNAP-Ed College Food Insecurity Report
No full textIn New Mexico, 58% of college students experience some form of food insecurity. The College Food Insecurity Project—conducted by the University of New Mexico’s Division of Prevention and Population Sciences with support from the New Mexico Health Care Authority and USDA SNAP-Ed—examined how campus food pantries address student food needs across the state. Using a mixed-methods design, the study included semi-structured interviews with food pantry coordinators and staff at 13 institutions of higher education, on-site assessments using the Nutrition Environment Food Pantry Assessment Tool Plus (NEFPAT+), and content analysis of 15 college food pantry websites.
Findings revealed that campus food pantries are increasingly integrated into student support services but face persistent challenges related to funding, storage, and staffing. Common barriers to student access include stigma, transportation, and lack of kitchen facilities in dorms. Facilitators included committed staff, institutional investment, student employment, and partnerships with local food banks and farms. Strategies that helped reduce stigma and improve access included mobile distribution, flexible hours, minimal eligibility screening, privacy during visits, and inclusive messaging. NEFPAT+ assessments indicated room for improvement in offering a wider variety of fruits, vegetables, whole grains, and dairy products, and in establishing formal guidelines for food safety, nutrition, and customer service.
The study highlights the importance of sustainable funding, ongoing evaluation, and student-centered practices to reduce stigma, improve accessibility, and strengthen nutrition education and food security initiatives across New Mexico’s higher education institutions