Thesis (M.S.)--Duquesne University, 2006. / Title from document title page. Abstract included in electronic submission form. Includes bibliographical references (p.38-40) and index.

In 2013 Burma, the country of origin for many refugees of whom have resettled in the U.S. was in the top three countries for notification of suspected Latent Tuberculosis Infection (LTBI). Approximately 5%-10% of individuals diagnosed with LTBI are at risk of developing active tuberculosis (TB) disease; the highest risk occurs within two years following the diagnosis. Burmese refugees face a high potential of developing LTBI during resettlement in the U.S. and are at high risk for subsequent TB. Currently, we have limited knowledge of the Burmese Chin refugees' explanatory model (EM) of LTBI. Understanding the EM of these refugees is important because one's EM facilitates the recognition and response to illness, including early diagnosis and treatment. In the context of LTBI, this relates to the potential prevention of active TB disease. The purpose of this ethnographic study was to discover the Burmese Chin refugees' EM of LTBI and to describe the barriers experienced in receiving LTBI treatment. Kleinman's EM provided a conceptual framework to guide this study. A Burmese refugee gatekeeper assisted with community immersion and participant recruitment. Purposive and snowball sampling were used to recruit participants. Data were collected through participant observation and semi-structured interviews. Three data analysis strategies for ethnography that were used included domain, taxonomic, and componential analyses. Domain analysis began after open, inductive coding of the data. Data saturation was reached and the research questions were answered with eight participants. Data from 15 key informant interviews were abstracted into three domains: EM of LTBI, Fear and Stigmatization, and Barriers to Receiving LTBI Treatment. The over-arching theme, LTBI: My Shadowbox was derived from these three domains, 11 categories, and 25 subcategories through iterative and inductive data analysis. The analysis revealed the participants' language, behavior patterns, beliefs, values and health seeking experiences of LTBI in the U.S. The findings from this study will help to inform culturally tailored interventions to reduce LTBI and TB health disparities among Burmese Chin refugees and potentially other Burmese refugee subgroups in the U.S. Knowledge of the Burmese Chin refugees' EM of LTBI can inform health policy for reducing LTBI treatment barriers.

abstract: Parenting approaches that are firm yet warm (i.e., authoritative parenting) have been found to be robustly beneficial for mainstream White Americans youths, but do not demonstrate similarly consistent effects among Chinese Americans (CA) adolescents. Evidence suggests that CA adolescents interpret and experience parenting differently than their mainstream counterparts given differences in parenting values and child-rearing norms between traditional Chinese and mainstream American cultures. The current study tests the theory that prospective effects of parenting on psychological and academic functioning depends on adolescents' cultural frameworks for interpreting and understanding parenting. CA adolescents with values and expectations of parenting that are more consistent with mainstream American parenting norms were predicted to experience parenting similar to their White American counterparts (i.e., benefiting from a combination of parental strictness and warmth). In contrast, CA adolescents with parenting values and expectations more consistent with traditional Chinese parenting norms were predicted to experience parenting and its effects on academic and psychological outcomes differently than patterns documented in the mainstream literature. This study was conducted with a sample of Chinese American 9th graders (N = 500) from the Multicultural Family Adolescent Study. Latent Class Analysis (LCA), a person-centered approach to modeling CA adolescents' cultural frameworks for interpreting parenting, was employed using a combination of demographic variables (e.g., nativity, language use at home, mother's length of stay in the U.S.) and measures of parenting values and expectations (e.g., parental respect, ideal strictness & laxness). The study then examined whether prospective effects of parenting behaviors (strict control, warmth, and their interaction effect) on adolescent adjustment (internalizing and externalizing symptoms, substance use, and GPA) were moderated by latent class membership. The optimal LCA solution identified five distinct cultural frameworks for understanding parenting. Findings generally supported the idea that effects of parenting on CA adolescent adjustment depend on adolescents' cultural framework for parenting. The classic authoritative parenting effect (high strictness and warmth leads to positive outcomes) was found for the two most acculturated groups of adolescents. However, only one of these groups overtly endorsed mainstream American parenting values. / Dissertation/Thesis / Ph.D. Psychology 2011

abstract: Identifying modifiable causes of chronic disease is essential to prepare for the needs of an aging population. Cognitive decline is a precursor to the development of Alzheimer's and other dementing diseases, representing some of the most prevalent and least understood sources of morbidity and mortality associated with aging. To contribute to the literature on cognitive aging, this work focuses on the role of vascular and physical health in the development of cognitive trajectories while accounting for the socioeconomic context where health disparities are developed. The Assets and Health Dynamics among the Oldest-Old study provided a nationally-representative sample of non-institutionalized adults age 65 and over in 1998, with biennial follow-up continuing until 2008. Latent growth models with adjustment for non-random missing data were used to assess vascular, physical, and social predictors of cognitive change. A core aim of this project was examining socioeconomic and racial/ethnic variation in vascular predictors of cognitive trajectories. Results indicated that diabetes and heart problems were directly related to an increased rate of memory decline in whites, where these risk factors were only associated with baseline word-recall for blacks when conditioned on gender and household assets. These results support the vascular hypotheses of cognitive aging and attest to the significance of socioeconomic and racial/ethnic variation in vascular influences on cognitive health. The second substantive portion of this dissertation used parallel process latent growth models to examine the co-development of cognitive and functional health. Initial word-recall scores were consistently associated with later functional limitations, but baseline functional limitations were not consistently associated with later word-recall scores. Gender and household income moderated this relationship, and indicators of lifecourse SES were better equipped to explain variation in initial cognitive and functional status than change in these measures over time. Overall, this work suggests that research examining associations between cognitive decline, chronic disease, and disability must account for the social context where individuals and their health develop. Also, these findings advocate that reducing socioeconomic and racial/ethnic disparities in cognitive health among the aging requires interventions early in the lifecourse, as disparities in cognitive trajectories were solidified prior to late old age. / Dissertation/Thesis / Ph.D. Sociology 2011

Resumo: Considerando a importância da compreensão da dinâmica espaço temporal dos componentes do balanço de energia (BE) em escala regional para o gerenciamento de recursos hídrico e o manejo agrícola, o objetivo principal desta tese foi construir e analisar uma série temporal dos componentes do BE adequada às condições de clima subtropical úmido do Estado do Rio Grande do Sul. Para tanto, inicialmente foi avaliada a adequação de modelos de estimativa de BE para o Estado. Nesta etapa foram utilizados produtos MODIS e dados de referência medidos em uma torre micrometeorológica instalada em Cruz Alta – RS, usando valores instantâneos para um período de estudo de 2009 a 2011. Na sequência foi avaliada a adequação dos modelos em representar a variabilidade espacial dos componentes do BE. Nesta etapa foram usados produtos MODIS, dados de reanálise ERA Interim, dados de referência da torre micrometeorológica e dados de estações meteorológicas do INMET, para o mesmo período de estudo. Na última etapa do trabalho foi construída a série temporal dos componentes do BE usando o modelo METRIC, a qual abrangeu um período de 14 anos, de 2002 a 2016. Os resultados demonstraram que os três modelos analisados apresentam coerência com as medidas de referência, sendo as maiores limitações apresentadas pelo modelo SEBAL, as quais se atribui principalmente às condições ecoclimáticas do Estado e a baixa resolução espacial das imagens. Na análise da variabilidade espacial, o modelo METRIC apresentou maior consistência nos resultados e proporcionou maior número de dias com resultados válidos, sendo assim apontado como o mais apto para realização do restante do estudo. A série temporal construída possibilitou a compreensão dos padrões de distribuição espaço temporal dos componentes do BE no estado do Rio Grande do Sul. Há uma marcada sazonalidade nos componentes do BE, com maiores valores no verão e menores no inverno. G (fluxo de calor no solo) é o componente de menor magnitude e sua distribuição espacial e temporal é determinada pela distribuição de Rn (saldo de radiação). Já os componentes LE (fluxo de calor latente) e H (fluxo de calor sensível), são os que mostram magnitude maior e apresentam padrões de distribuição espacial e temporal coerentes com as condições climáticas e com os tipos de uso e cobertura na área de estudo. Observase um padrão inverso, com um gradiente de LE no sentido noroeste para sudeste e para o componente H, no sentido sudeste para noroeste. Sendo estas informações de grande importância para gerenciamento de recursos hídricos em escala regional, para estudos de zoneamento agrícola. / Abstract: Given the importance of understanding the temporal and spatial dynamics of of the energy balance (EB) components in a regional scale for the management of water resources and agricultural, the main objective of this thesis was to construct and analyze a time series of the components of BE appropriate to the subtropical humid climate conditions of the State of Rio Grande do Sul. In order to reach the objective initially, the adequacy of the models for the humid climate conditions was evaluated, in this step we used MODIS data and reference data measured in a micrometeorological tower installed in Cruz Alta - RS. The analyzes performed with instantaneous values and the study period was from 2009 to 2011. The next step evaluate the spatial variability of the BE components, the data used were the MODIS products, ERA Interim reanalysis data, reference data of the micrometeorological tower and INMET meteorological stations, for the same study period. In the last stage the time series of the BE components was constructed from the METRIC model. The period series was 14 years from 2002 to 2016.The results showed that the three models analyzed were consistent with the reference measurements, with the greatest limitations presented by the SEBAL model, which are mainly attributed to the state's eco-climatic conditions and the low spatial resolution of the images In the analysis of the spatial variability, the METRIC model presented greater consistency in the results and provided greater number of days with valid results, this model thus indicated as the most suitable for the rest of the study. The time series constructed allowed us to understand the temporal distribution patterns of BE components in the state of Rio Grande do Sul. There is a marked seasonality in the BE components, with higher values in summer and lower in winter. G is the smallest magnitude component and its spatial and temporal distribution is determined by the Rn distribution. On the other hand, the LE and H components are those that show higher magnitude and present spatial and temporal distribution patterns consistent with the climatic conditions and the types of use and coverage in the study area. An inverse pattern is observed, with a LE gradient from north-west to south-east and for H-component, from southeast to northwest.

The aim of this work was the verification and comparison of knowledge of the general biology curriculum learnt by students of eight year courses and four year courses in grammar schools. The set up and verification of the didactic test identifying the level of knowledge of general biology of students, its introduction and results assessment in the selected schools were a part of the assessment. The test was taken by the students of the fifth and eight classes of the eight year grammar schools and by students of the first and fourth class (of the four year grammar school). The objective of the test was to show what the students remembered immediately after the general biology curriculum had been taught (students of the fifth and first classes), and what they were able to recall after a certain time (students of the eight and fourth classes). The assessment of the results of the individual classes was carried out in detail and was drawn up in tables for clarity.

Efforts to objectively inform cannabis discourses include research on the epidemiology of cannabis abuse and dependence disorders or, collectively, cannabis use disorder (CUD). For my dissertation I identified classes of individuals based on intraindividual CUD trajectory patterns and contrasted trajectory classes with respect to clinical characteristics of CUD, developmental risk factors, and psychosocial outcomes. Identifying differences between trajectory classes provides evidence for the validity of trajectory-based CUD constructs and informs the development of comprehensive models of CUD epidemiology and trajectory-specific intervention approaches. My dissertation used data from the Oregon Adolescent Depression Project, a prospective epidemiological study of the psychiatric and psychosocial functioning of a representative community-based sample randomly selected from nine high schools across western Oregon. Four waves of data collection occurred between mid-adolescence and early adulthood and included diagnostic interviews and self-report questionnaires. Onset and offset ages of all CUD episodes were recorded. The reference sample included 816 participants who completed all diagnostic interviews. A series of latent class growth models revealed three distinct CUD trajectory classes through age 30: (1) a persistent increasing risk class; (2) a maturing out class, marked by increasing risk through age 20 and then a decreasing risk through early adulthood; and (3) a stable low risk class. Rates of cannabis dependence were similar across the persistent increasing and the maturing out classes. Trajectory classes characterized by a history of CUD were associated with a variety of childhood risk factors and measures of psychosocial functioning during early adulthood. Participants who were male, had externalizing disorders, and had psychotic experiences during early adulthood discriminated between the persistent increasing and the maturing out classes. Future research based on more diverse samples is indicated, as are well-controlled tests of associations between risk factors, trajectory class membership, and psychosocial outcomes. A better understanding of these relationships will inform etiological theories of CUD and the development of effective intervention programs that target problematic cannabis use at specific developmental stages. Designing targeted versus undifferentiated interventions for those at greatest risk for adult psychosocial impairment could be a cost-effective way to mitigate the consequences of CUD.

Terrestrial evapotranspiration (ET) is a significant component of the energy and water balances at the land surface. However, direct, continuous measurements of ET are spatially limited and only available since the 1990s. Due to this lack of observations, detecting and attributing long-term regional trends in ET remains difficult. This dissertation aims to alleviate the data limitation and detect long-term trends by developing a method to infer ET from data collected at common weather stations, which are spatially and temporally abundant. The methodology used to infer ET from historical meteorological data is based on an emergent relation between the land surface and atmospheric boundary layer. We refer to this methodology as the Evapotranspiration from Relative Humidity at Equilibrium method, or the “ETRHEQ method”. In the first section of this dissertation, we develop the ETRHEQ method for use at common weather stations and demonstrate the utility of the method at twenty eddy covariance sites spanning a wide range of climate and plant functional types. Next, we apply the ETRHEQ method at historical weather stations across the continental U.S. and show that ET estimates obtained via the ETRHEQ method compare well with watershed scale ET, as well as ET estimates from land surface models. From 1961 to 1997, we find negligible or increasing trends in summertime ET over the central U.S. and the west coast and negative trends in the eastern and western U.S. From 1998 to 2014, we find a sharp decline in summertime ET across the entire U.S. We show that this decline is consistent with decreasing transpiration associated with declines in humidity. Lastly, we assess the sensitivity of ET to perturbations in soil moisture and humidity anticipated with climate change. We demonstrate that the response of ET to changing humidity and soil moisture is strongly dependent on the biological and hydrological state of the surface, particularly the degree of water stress and vegetation fraction. In total, this dissertation demonstrates the utility of the ETRHEQ method as a means to estimate ET from weather station data and highlights the critical role of vegetation in modulating ET variability.

abstract: The purpose of this study was to examine under which conditions "good" data characteristics can compensate for "poor" characteristics in Latent Class Analysis (LCA), as well as to set forth guidelines regarding the minimum sample size and ideal number and quality of indicators. In particular, we studied to which extent including a larger number of high quality indicators can compensate for a small sample size in LCA. The results suggest that in general, larger sample size, more indicators, higher quality of indicators, and a larger covariate effect correspond to more converged and proper replications, as well as fewer boundary estimates and less parameter bias. Based on the results, it is not recommended to use LCA with sample sizes lower than N = 100, and to use many high quality indicators and at least one strong covariate when using sample sizes less than N = 500. / Dissertation/Thesis / M.A. Psychology 2012

Correlated ordinal data typically arises from multiple measurements on a collection of subjects. Motivated by an application in credit risk, where multiple credit rating agencies assess the creditworthiness of a firm on an ordinal scale, we consider multivariate ordinal regression models with a latent variable specification and correlated error terms. Two different link functions are employed, by assuming a multivariate normal and a multivariate logistic distribution for the latent variables underlying the ordinal outcomes. Composite likelihood methods, more specifically the pairwise and tripletwise likelihood approach, are applied for estimating the model parameters. Using simulated data sets with varying number of subjects, we investigate the performance of the pairwise likelihood estimates and find them to be robust for both link functions and reasonable sample size. The empirical application consists of an analysis of corporate credit ratings from the big three credit rating agencies (Standard & Poor's, Moody's and Fitch). Firm-level and stock price data for publicly traded US firms as well as an unbalanced panel of issuer credit ratings are collected and analyzed to illustrate the proposed framework.