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Food insecure populations suffer from the ability to access affordable and nutritious foods as a result of financial and transportation needs. Often these populations are concentrated in areas referenced as food deserts. A food desert is an area that does not have a supermarket or large grocery store within a

Food insecure populations suffer from the ability to access affordable and nutritious foods as a result of financial and transportation needs. Often these populations are concentrated in areas referenced as food deserts. A food desert is an area that does not have a supermarket or large grocery store within a mile and often is saturated with small non-traditional food stores and fast- food establishments. In this study, 21 food deserts along Grand Avenue in Downtown Phoenix were analyzed to better understand their access to food, population statistics and barriers to being food secure. The research question analyzed is the impact food insecurity has on communities in Phoenix, Arizona. The findings are presented in the form of a research paper, as well as 15 black and white film photographs accompanied by descriptions. There is primary qualitative data presented through photographs and observations, as well as secondary quantitative data analyzed from Census data. The food deserts studied consist of communities that are low-income and majority minority with little to no access to nutritious food in their area. The economics of food insecurity and grocery stores, racial discrimination, access to transportation, impacts on health and education and the sustainability of food deserts are all aspects of food insecurity discussed in the research. Possible solutions such as community gardens and subsidized grocery stores are also presented. The study revealed that food insecurity has several negative impacts on the affected populations and communities and disproportionately impacts low-income and minority communities.

ContributorsHollinshead, Samantha Nadine (Author) / Liao, Chuan Liao (Thesis director) / Bavousett, Brigitte Bavousett (Committee member) / School of Sustainability (Contributor) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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As the prevalence of childhood obesity in the United States rises, opportunities for children to be physically active become more vital. One opportunity for physical activity involves children walking to and from school. However, children that live in areas with a pedestrian-unfriendly built environment and a low degree of walkability

As the prevalence of childhood obesity in the United States rises, opportunities for children to be physically active become more vital. One opportunity for physical activity involves children walking to and from school. However, children that live in areas with a pedestrian-unfriendly built environment and a low degree of walkability are less likely to be physically active and more likely to be overweight. The purpose of this study was to study walking routes from schools in low-income neighborhoods in Southwestern United States to a local community center. Walking routes from the three study schools (South Mountain High School, Percy Julian Middle School, and Rose Linda Elementary School) were determined by distance, popularity, and the presence of a major thoroughfare. Segments and intersections, which formed the routes, were randomly selected from each school's buffer region. The walking routes as a whole, along with the segments and intersections, were audited and scored using built environment assessments tools: MAPS, PEQI and Walkability Checklist. These scores were utilized to develop interactive mapping tools to visualize the quality of the routes, segments and intersections and identify areas for improvement. Results showed that the routes from Percy Julian to the Kroc Center were, overall, rated higher than routes from the other two schools. The highest scoring route, from the seven routes studied, was route 2 from Percy Julian to the Kroc Center along Broadway Road. South Mountain High School was overall the worst starting point for walking to the Kroc Center as those three walking routes were graded as the least walkable. Possible areas for improvement include installing traffic calming features along major thoroughfares and reducing the perceived risk to pedestrian safety by beautifying the community by planting greenery. Future directions include studying the built environment in South Phoenix communities that surround the Kroc Center.
ContributorsZeien, Justin Lee (Author) / Buman, Matthew (Thesis director) / Hekler, Eric (Committee member) / Fellows, Brian (Committee member) / Barrett, The Honors College (Contributor) / School of Sustainability (Contributor) / Department of Chemistry and Biochemistry (Contributor)
Created2015-05
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This paper was born of the researcher's personal interest. As someone who commutes by bike and plans to continue to do so for the foreseeable future, the researcher was intrigued by the growing bicycle culture in Phoenix, Arizona, a city that can sometimes make commuting without a car quite difficult.

This paper was born of the researcher's personal interest. As someone who commutes by bike and plans to continue to do so for the foreseeable future, the researcher was intrigued by the growing bicycle culture in Phoenix, Arizona, a city that can sometimes make commuting without a car quite difficult. The researcher aimed to uncover why cycling is becoming more popular as a mode of transportation in a city that can often be hostile towards cyclists. This paper first reviews some previous studies done on alternative commuting. Next, it details a commute-shed analysis conducted with the help of the US Census Bureau's On The Map program. After that, the researcher describes the methods used to gather qualitative data about attitudes from local commuters and discusses the results. Finally, suggestions and speculations are made about ways to improve the bikeability of the Phoenix metropolitan area. The research found that cyclists in the area are motivated to commute by bike by factors including cost-savings, health benefits, and others. This data is important because it shows that the target demographic, who are able to exert their desires politically, feel strongly enough about commuting by bicycle to go out of their way to do it.
ContributorsParma, Alexander John (Author) / Kelley, Jason (Thesis director) / Shrestha, Milan (Committee member) / Valandra, Patrick (Committee member) / Barrett, The Honors College (Contributor) / Department of Supply Chain Management (Contributor) / School of Sustainability (Contributor)
Created2014-05
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Exploration of the history of the managed care industry and the key drivers of profitability using Cigna as a case study. Four key current issues facing the industry are explained and contemplated in different DCF scenario analyses using both fundamental projections as well as modifications to the CAPM formula. Lastly,

Exploration of the history of the managed care industry and the key drivers of profitability using Cigna as a case study. Four key current issues facing the industry are explained and contemplated in different DCF scenario analyses using both fundamental projections as well as modifications to the CAPM formula. Lastly, the recent price action of Cigna is compared to forecasted predictions and explained using the discounted cash flow model.
ContributorsFallin, John Michael (Author) / Simonson, Mark (Thesis director) / Sacks, Jana (Committee member) / Department of Finance (Contributor) / Economics Program in CLAS (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
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Description
REACT is a student-led venture which strives to address the healthcare disparities from geographic, linguistic and cultural isolation of the refugee community in Arizona/Phoenix. We will achieve this by Understanding the needs of the community, Engaging the community directly, Educating through the use of culturally appropriate materials, and providing access

REACT is a student-led venture which strives to address the healthcare disparities from geographic, linguistic and cultural isolation of the refugee community in Arizona/Phoenix. We will achieve this by Understanding the needs of the community, Engaging the community directly, Educating through the use of culturally appropriate materials, and providing access to supplemental Patient Care.
This venture is unique in that it is an interdisciplinary fusion between students, health professionals, and non-profit organizations empowering underserved refugees. A refugee is an individual forced to leave their country because of persecution, war, or violence. Once they arrive in the United States, they are forced to restart their lives, often with little to no financial assets, minimal English literacy, and a lack of transferable skills from their previous occupations in their home countries. In addition to these socioeconomic disparities, it is common for refugees to face health disparities. Consequently, refugees are one of the most vulnerable populations in our society.
Our organization provides value to the refugee community through our three key services. These are made up of supplemental resources, educational workshops, and clinical services. Our supplemental materials include resources that our clients will use after they have left our care to further improve their health and quality of life. These items include personal hygiene kits, informational pamphlets, and nutritional foods.
The educational workshops we provide specifically address identified knowledge gaps that impede the autonomy of our clients’ health and wellbeing. Several of the topics that we cover (but are not limited to) are diabetes, postpartum depression, nutrition, dental hygiene, AHCCCS, and nutrition. The clinical services that the clinic will provide will be supplementary primary care services that will encompass basic physical exams, A1C blood pressure checks, and vaccinations. These services all are aimed at alleviating the barriers to health that refugees face and ultimately improve their quality of life.
Our venture seeks to maintain positive and sustained relationships with our client segments through continuous community engagement. In conjunction with providing educational workshops and clinical care in the future, REACT continually engages the community by planning formal and informal programming with the refugees based on the needs and wishes of individual communities.

REACT generates these services through the work of medical students from Mayo Clinic Alix School of Medicine and undergraduates from Arizona State University. Our team brings together the experience from hundreds of hours of work in the community, collaborations with refugee community leaders, and the insight of professionals in the healthcare/social-work industry.
Further, our members have had extensive experience working with refugees, training in culturally sensitive practices, and delivering care to those that need it most. With the cost of healthcare exponentially rising, there is little hope for refugees to find adequate culturally competent healthcare. This leads to an increase in chronic diseases, preventable health issues, and increased hospitalization costs. Supporting REACT is not only an investment in the health of the refugees but the health of our entire healthcare system.
ContributorsMarostica, Chance William (Author) / Ferry, Lara (Thesis director) / Smith, Diana (Committee member) / Economics Program in CLAS (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
My thesis explores the development of a new treatment option for children with Amblyopia. I did a lot of research into existing treatment options as well as interviewing patients and their parents do figure out why these treatments were not working. I interviewed a pediatric ophthalmologist to better understand this

My thesis explores the development of a new treatment option for children with Amblyopia. I did a lot of research into existing treatment options as well as interviewing patients and their parents do figure out why these treatments were not working. I interviewed a pediatric ophthalmologist to better understand this condition from their point of view. I also did a competitive analysis to see who else was in this marketplace. From the insights I gathered I was able to create a user journey map to see where the most problems arose during the experience from Diagnoses to end of treatment. With this research I was able to design a new treatment plan that was focused on empathizing with the user. I developed several concepts ranging from lo-fi to blue sky. I tested these concepts by making models and getting feedback from the user. I developed the actual design of the glasses through sketching and model making. I tested the ergonomics and design with the help of my classmates. The solution is a combination of smart glasses and an app. The smart glasses function as a replacement of traditional and popular patching by dimming one lens to block vision to the strong eye. This forces the weak eye to be used. The app is used to encourage kids to use the glasses more often through games and challenges. The challenges give rewards for wearing the glasses for an extended period of time. The games are used to increase of effectiveness of the treatment. Research showed that video games like Tetris forces the eye to focus and be used more than in daily life. This solution makes the treatment experience positive instead of negative as it was with other treatments.
ContributorsMeling, Erlend Henry Olav (Author) / Shin, Dosun (Thesis director) / Feil, Magnus (Committee member) / School of Sustainability (Contributor) / The Design School (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Asthma is one of the most common chronic conditions in the United States, being diagnosed in over 20 million Americans. The condition is even more common among young children, and their academic performance and ability to attend school can be negatively impacted by poorly-managed asthma. Digital therapeutics are therapeutic interventions

Asthma is one of the most common chronic conditions in the United States, being diagnosed in over 20 million Americans. The condition is even more common among young children, and their academic performance and ability to attend school can be negatively impacted by poorly-managed asthma. Digital therapeutics are therapeutic interventions driven by high quality software programs to prevent, manage, or treat a medical disorder or disease. Technology in the healthcare space is rapidly improving, and smart devices are becoming more common everyday. How can digital therapeutics and evolving technology be implemented to make life easier for those that suffer from asthma and chronic obstructive pulmonary disease? My research seeks to answer the overarching question: How might we improve the day-to-day experience of children with asthma? Airie is a system of devices and products that educate both asthmatic children and their parents about the condition, facilitate self-monitoring and asthma management skills, and improve overall quality of life.
ContributorsChen, Jane Jialin (Author) / Shin, Dosun (Thesis director) / Feil, Magnus (Committee member) / The Design School (Contributor) / School of Sustainability (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
The following paper is a comparison between the Mercato di Sant’Ambrogio (Sant’Ambrogio Market) in Florence, Italy and the Open Air Farmers’ Market in Phoenix, Arizona. Farmers’ markets, such as these, serve to rekindle a relationship with food that over time has been lost, particularly due to the green revolution, globalisation,

The following paper is a comparison between the Mercato di Sant’Ambrogio (Sant’Ambrogio Market) in Florence, Italy and the Open Air Farmers’ Market in Phoenix, Arizona. Farmers’ markets, such as these, serve to rekindle a relationship with food that over time has been lost, particularly due to the green revolution, globalisation, and the mechanization of agriculture. In addition, farmers’ markets serve to foster relationships between community members and farmers, and they are an important element of a movement to create food sovereignty within local communities. Food sovereignty gives people the right to decide their food choices. In our modern system where many agricultural decisions are made by the government or large corporations, reclaiming food sovereignty is a larger effort to take back control of personal rights, individual health and the health of the environment.
Using Sant’Ambrogio and Open Air as case studies for the research, this paper provides insight on the degree of impact that local farmers’ markets can have on creating food sovereignty within communities; and how pre-existing factors and negative forces diminish the benefits of farmers’ markets and local food movements. Among many, some of these negative forces include the effects of social and cultural pressures that promote fast food and convenience; a broken agricultural system controlled by monopoly companies; industrial food items priced cheaper than small farmers can compete with; and an underscore of unethical behavior across all sectors (including organic and local) that inhibit honest farmers from making enough profit to survive.
The comparison between Sant’Ambrogio and Open Air Market indicates that big agriculture undermines the success of local farming movements in both countries, but Phoenix can still learn from the movement in Florence, which is rooted in a deep history of outdoor markets and rich food culture. Italy is fortunate in terms of their agriculture capacity because their climate allows for a diverse variety of crops; while Arizona does not have the same agricultural capacity as the Mediterranean climate of Italy, it is still valuable to mimic the network of local food systems that Italy has. In order to do so, Phoenician consumers should take advantage of the food that grows locally and then supplement it with more diverse crops from other areas of Arizona or the southwest.
The Open Air Market in Phoenix currently does not play an important role in the food system except for helping people to relate community and socialization to food. Transparency, communication and education are required to actually increase the success of small local farmers and to help the Open Air Market play a real role in the local food movement and the establishment of food sovereignty.
ContributorsAnderson, Layla (Author) / Vitullo, Juliann (Thesis director) / McGregor, Joan (Committee member) / School of Sustainability (Contributor) / Dean, W.P. Carey School of Business (Contributor) / Department of Management and Entrepreneurship (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
The growing Hispanic population in Phoenix, Arizona frequently lacks financial resources which may limit their access to health care. The goal of this study was to identify the ideal factors in a health insurance plan for the Hispanic/Latino population in Phoenix, AZ. A survey was designed to gather information regarding

The growing Hispanic population in Phoenix, Arizona frequently lacks financial resources which may limit their access to health care. The goal of this study was to identify the ideal factors in a health insurance plan for the Hispanic/Latino population in Phoenix, AZ. A survey was designed to gather information regarding demographics, health insurance, preferences, and affordability. The survey was completed by 260 participants. Several multivariate regressions were run using SAS Statistical Software. The final model generated explained 4.48% of the variation in the data set. It showed that an individual who identified as Hispanic/Latino was 8.2% less likely to have health insurance. In addition, an individual who identified as a US Citizen was 23% more likely to have health insurance. To improve access and enrollment among the Hispanic/Latino population, further investigation is needed to identify relevant communication techniques that increase enrollment among this high-risk community.
ContributorsToo, Rachel Yun-May (Author) / Whisner, Corrie (Thesis director) / Calvin, Samantha (Committee member) / Cook, Aaron (Committee member) / Economics Program in CLAS (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
Biosimilar pharmaceuticals are new lower-cost drugs awaiting large-scale approval within the United States (U.S). Biosimilar pharmaceuticals or simply biosimilars, are complex, large-molecule, and biologically-derived drugs that are deemed molecularly similar to currently approved reference biologics. Biologics and biosimilars both treat a wide range of conditions with no clinically meaningful difference

Biosimilar pharmaceuticals are new lower-cost drugs awaiting large-scale approval within the United States (U.S). Biosimilar pharmaceuticals or simply biosimilars, are complex, large-molecule, and biologically-derived drugs that are deemed molecularly similar to currently approved reference biologics. Biologics and biosimilars both treat a wide range of conditions with no clinically meaningful difference between them. However, numerous states, with help from large pharmaceutical companies lobbying, are passing legislation complicating the prescribing and dispensing process for biosimilars by mandating a "notification" or "communication" requirement. The notification requirement requires pharmacists to contact prescribers when dispensing an interchangeable biosimilar in place of its reference biologic. This type of mandate is not only unprecedented in current U.S. pharmaceutical law, but it also incentivizes pharmacists to dispense more expensive biologics in place of biosimilars. The notification or communication requirement also falsely gives consumers the appearance that biosimilars are more dangerous in comparison to other types of biological medicines. These two factors, pharmacist hesitation and consumer distrust, serve as barriers to successful biosimilar market entry. High research and development costs and forecasted poor sales inhibit biosimilar companies from making the investment in innovating new drugs. The lack of investment in research and development prevents new biosimilars from entering the market to compete with currently approved biologics. In turn, current biosimilar legislation is reducing pharmaceutical competition and increasing drug prices. Information Measurement Theory supports the notion that in climates without competition (caused by a lack of transparency) sparks low quality and high costs. Transparency and improved biosimilar market conditions can be achieved through repealing the large pharmaceutical company backed notification requirement.
ContributorsFelthouse, Karis Renee (Author) / Kashiwagi, Dean (Thesis director) / Kashiwagi, Jacob (Committee member) / School of Politics and Global Studies (Contributor) / School of Film, Dance and Theatre (Contributor) / School of Sustainability (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05