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Maternal health and mental health have recently become globally recognized as critical areas of focus. The continued research into the relationship between maternal health and mental health—in particular, how they are affected by public policy and infrastructure—is vital to the improvement of general health outcomes. An investigation of literature, current

Maternal health and mental health have recently become globally recognized as critical areas of focus. The continued research into the relationship between maternal health and mental health—in particular, how they are affected by public policy and infrastructure—is vital to the improvement of general health outcomes. An investigation of literature, current health landscape and indicators, gray literature, and the current policy landscape in an exemplar country (Australia), Bangladesh and Nepal was done. Bangladesh and Nepal were chosen due to the recent amounts of change seen in each country’s maternal health status. Both Bangladesh and Nepal are severely lacking in official mental health services, facilities, and personnel. The analysis revealed flaws and disparities in each country’s current policy landscape. Despite these disparities it should be recognized that policies and programs are being implemented – just in a very piecemeal manner, and not entirely by each country’s respective government. Integration of maternal health services and mental health services is recommended to improve functionality of already existing services. The addition of minimal but necessary components to health systems is recommended.
ContributorsCiampaglio, Kaitlyn Rae (Author) / Gaughan, Monica (Thesis director) / Hagaman, Ashley (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Sustainability (Contributor)
Created2015-05
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Currently conventional Subtitle D landfills are the primary means of disposing of our waste in the United States. While this method of waste disposal aims at protecting the environment, it does so through the use of liners and caps that effectively freeze the breakdown of waste. Because this method can

Currently conventional Subtitle D landfills are the primary means of disposing of our waste in the United States. While this method of waste disposal aims at protecting the environment, it does so through the use of liners and caps that effectively freeze the breakdown of waste. Because this method can keep landfills active, and thus a potential groundwater threat for over a hundred years, I take an in depth look at the ability of bioreactor landfills to quickly stabilize waste. In the thesis I detail the current state of bioreactor landfill technologies, assessing the pros and cons of anaerobic and aerobic bioreactor technologies. Finally, with an industrial perspective, I conclude that moving on to bioreactor landfills as an alternative isn't as simple as it may first appear, and that it is a contextually specific solution that must be further refined before replacing current landfills.
ContributorsWhitten, George Avery (Author) / Kavazanjian, Edward (Thesis director) / Allenby, Braden (Committee member) / Houston, Sandra (Committee member) / Civil, Environmental and Sustainable Engineering Programs (Contributor) / Barrett, The Honors College (Contributor)
Created2013-05
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2015 marks the deadline for the UN Millennium Development Goal 5 to reduce global maternal mortality rate (MMR) by 75% since 1990. As of 2015, MMR has only been reduced by 45%. Many international organizations claim that more medically trained midwives can meet global maternal health care needs. This study

2015 marks the deadline for the UN Millennium Development Goal 5 to reduce global maternal mortality rate (MMR) by 75% since 1990. As of 2015, MMR has only been reduced by 45%. Many international organizations claim that more medically trained midwives can meet global maternal health care needs. This study investigates two major questions. What is the role of midwives in diverse international maternal healthcare contexts? How do midwives in these different contexts define their roles and the barriers to providing the best care for women? From May to August 2015, I conducted over 70 interviews with midwives in Netherlands, Sweden, Rwanda, Bangladesh, Australia and Guatemala, interviewing between 6 and 13 midwives from each country. The majority of midwives defined their roles as supporting women's individual capacities and power through normal birth, and knowing when to refer when high-risk complications arise. Although thematic barriers vary by country, midwives in all countries believed that maternal healthcare can be improved by increased collaboration between midwives and other health care professionals, better access to culturally appropriate services, and greater public awareness of the role of midwives.
ContributorsCarson, Anna Elizabeth (Author) / Hruschka, Daniel (Thesis director) / Maupin, Jonathan (Committee member) / School of International Letters and Cultures (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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The rising national maternal mortality rate has brought international attention to the United State's maternal healthcare crisis. This literature review consolidates and compares academic research on the best practices for lowering maternal mortality rates and reducing racial disparities in healthcare.

ContributorsDavey, Skylar Lauren (Author) / O'Flaherty, Katherine (Thesis director) / Lynch, Jacquie (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Policy trends show that pregnant women have been detained in ICE facilities since as early as 2015. As the laws and policies have continued to shift, pregnant women have become more exposed to being detained. Executive Order 13768 made by former President Donald Trump effectively removed all protections against being

Policy trends show that pregnant women have been detained in ICE facilities since as early as 2015. As the laws and policies have continued to shift, pregnant women have become more exposed to being detained. Executive Order 13768 made by former President Donald Trump effectively removed all protections against being detained for pregnant women. While the previous policy exempted pregnant women from being detained aside from in extraordinary cases, this executive order puts women at increased risk of being detained while pregnant. The Trump Administration's goal of protecting the American people and promoting national security puts women in a position in which their health status is no longer seen as a detention exemption. There is almost no published work on this topic. It is extremely under-researched and there is an urgent need for more academic, legal, and medical research on the impacts of detaining pregnant women. This paper functions to fill a very pressing research gap in order to highlight the experiences of pregnant women in detention centers and the health outcomes they face as a result of their status as detainees. I argue that detaining pregnant women is a form of gendered violence as it puts them at increased risk of maternal health complications, such as preterm birth, low birth weight, and more. While more women migrate to the United States, the laws and policies regarding detaining pregnant women are often contradictory and it is difficult to ascertain the true number of pregnant women in detention centers. In this paper, I examine the preceding factors to female migration, the climate of detention in the United States, the policies regarding pregnancy, and the outcomes that women experience.

ContributorsNabaty, Samantha Fadi (Author) / Wheatley, Abby (Thesis director) / Cotton, Cassandra (Committee member) / School of Human Evolution & Social Change (Contributor) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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This research highlights the experiences of mothers diagnosed with preeclampsia and HELLP syndrome through qualitative data analysis of social media comments. I collected 300 comments from the Instagram accounts @preeclampsia.foundation and @HELLPsyndrome. The two overarching themes found were: (1) Experiences with maternal healthcare and (2) Virtual Healing Spaces. These Instagram

This research highlights the experiences of mothers diagnosed with preeclampsia and HELLP syndrome through qualitative data analysis of social media comments. I collected 300 comments from the Instagram accounts @preeclampsia.foundation and @HELLPsyndrome. The two overarching themes found were: (1) Experiences with maternal healthcare and (2) Virtual Healing Spaces. These Instagram accounts represented unique communities that provide support and information that cannot be found elsewhere. These findings address gaps in the literature on maternal experience with preeclampsia and HELLP syndrome and identify directions for further research. The conclusions drawn add to current research that points to the need for reform in maternal healthcare.

ContributorsWhipple, Teagan (Author) / Haskin, Jennifer (Thesis director) / Ingram-Waters, Mary (Committee member) / Barrett, The Honors College (Contributor) / School of Molecular Sciences (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2021-12
Description

The goal of this thesis was to better understand the lived experiences of an ethnically and linguistically diverse sample of mothers who gave birth during the COVID-19 pandemic. Pregnant women experience higher risk for severe COVID-19 outcomes compared to non-pregnant women. Yet the impact on women’s psychosocial wellbeing may be

The goal of this thesis was to better understand the lived experiences of an ethnically and linguistically diverse sample of mothers who gave birth during the COVID-19 pandemic. Pregnant women experience higher risk for severe COVID-19 outcomes compared to non-pregnant women. Yet the impact on women’s psychosocial wellbeing may be just as problematic, given new mothers’ increased risk for depression postpartum coupled with the loss of multiple forms of support so critical during the postpartum period and new stressors created by the pandemic. A universal testing strategy at a Labor & Delivery Unit at a hospital in the Southwestern U.S early in the pandemic identified that Communities of Color – particularly resettled refugee women - experienced COVID-19 infection at higher rates compared to White women. Therefore, this study investigates stressors and coping strategies specific to the pregnancy, birth, and postpartum periods in a linguistically diverse sample of 140 women (Swahili n=18 , Kinyarwanda n=18 , Burmese n=13, Arabic=11, Spanish n=35, English n=45) who gave birth between May and December 2020. Across groups, the most severe health stressor was fear of self or infant contracting COVID-19, leading to strict adherence to prevention measures among women, and feelings of social isolation. This was followed by anxiety for lack of social support at birth, and, in some women, management of other health concerns related to increased risk for adverse pregnancy or severe COVID-19 outcomes. Coping strategies included looking to religion or spirituality for comfort, as well as spending more time with family. This analysis of how the pandemic affected women’s psychosocial wellbeing from pregnancy to postpartum informs adaptation of care for linguistically and ethnically minoritized groups and their infants.

ContributorsAdkins, Caroline (Author) / Attasseril, Hannah (Co-author) / Schuster, Roseanne (Thesis director) / Wachter, Karin (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2023-05
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Environmentally harmful byproducts from solid waste’s decomposition, including methane (CH4) emissions, are managed through standardized landfill engineering and gas-capture mechanisms. Yet only a limited number of studies have analyzed the development and composition of Bacteria and Archaea involved in CH4 production from landfills. The objectives of this research were to

Environmentally harmful byproducts from solid waste’s decomposition, including methane (CH4) emissions, are managed through standardized landfill engineering and gas-capture mechanisms. Yet only a limited number of studies have analyzed the development and composition of Bacteria and Archaea involved in CH4 production from landfills. The objectives of this research were to compare microbiomes and bioactivity from CH4-producing communities in contrasting spatial areas of arid landfills and to tests a new technology to biostimulate CH4 production (methanogenesis) from solid waste under dynamic environmental conditions controlled in the laboratory. My hypothesis was that the diversity and abundance of methanogenic Archaea in municipal solid waste (MSW), or its leachate, play an important role on CH4 production partially attributed to the group’s wide hydrogen (H2) consumption capabilities. I tested this hypothesis by conducting complementary field observations and laboratory experiments. I describe niches of methanogenic Archaea in MSW leachate across defined areas within a single landfill, while demonstrating functional H2-dependent activity. To alleviate limited H2 bioavailability encountered in-situ, I present biostimulant feasibility and proof-of-concepts studies through the amendment of zero valent metals (ZVMs). My results demonstrate that older-aged MSW was minimally biostimulated for greater CH4 production relative to a control when exposed to iron (Fe0) or manganese (Mn0), due to highly discernable traits of soluble carbon, nitrogen, and unidentified fluorophores found in water extracts between young and old aged, starting MSW. Acetate and inhibitory H2 partial pressures accumulated in microcosms containing old-aged MSW. In a final experiment, repeated amendments of ZVMs to MSW in a 600 day mesocosm experiment mediated significantly higher CH4 concentrations and yields during the first of three ZVM injections. Fe0 and Mn0 experimental treatments at mesocosm-scale also highlighted accelerated development of seemingly important, but elusive Archaea including Methanobacteriaceae, a methane-producing family that is found in diverse environments. Also, prokaryotic classes including Candidatus Bathyarchaeota, an uncultured group commonly found in carbon-rich ecosystems, and Clostridia; All three taxa I identified as highly predictive in the time-dependent progression of MSW decomposition. Altogether, my experiments demonstrate the importance of H2 bioavailability on CH4 production and the consistent development of Methanobacteriaceae in productive MSW microbiomes.
ContributorsReynolds, Mark Christian (Author) / Cadillo-Quiroz, Hinsby (Thesis advisor) / Krajmalnik-Brown, Rosa (Thesis advisor) / Wang, Xuan (Committee member) / Kavazanjian, Edward (Committee member) / Arizona State University (Publisher)
Created2022
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Zero-Valent Metals (ZVM) are highly reactive materials and have been proved to be effective in contaminant reduction in soils and groundwater remediation. In fact, zero-Valent Iron (ZVI) has proven to be very effective in removing, particularly chlorinated organics, heavy metals, and odorous sulfides. Addition of ZVI has also been proved

Zero-Valent Metals (ZVM) are highly reactive materials and have been proved to be effective in contaminant reduction in soils and groundwater remediation. In fact, zero-Valent Iron (ZVI) has proven to be very effective in removing, particularly chlorinated organics, heavy metals, and odorous sulfides. Addition of ZVI has also been proved in enhancing the methane gas generation in anaerobic digestion of activated sludge. However, no studies have been conducted regarding the effect of ZVM stimulation to Municipal Solid Waste (MSW) degradation. Therefore, a collaborative study was developed to manipulate microbial activity in the landfill bioreactors to favor methane production by adding ZVMs. This study focuses on evaluating the effects of added ZVM on the leachate generated from replicated lab scale landfill bioreactors. The specific objective was to investigate the effects of ZVMs addition on the organic and inorganic pollutants in leachate. The hypothesis here evaluated was that adding ZVM including ZVI and Zero Valent Manganese (ZVMn) will enhance the removal rates of the organic pollutants present in the leachate, likely by a putative higher rate of microbial metabolism. Test with six (4.23 gallons) bioreactors assembled with MSW collected from the Salt River Landfill and Southwest Regional Landfill showed that under 5 grams /liter of ZVI and 0.625 grams/liter of ZVMn additions, no significant difference was observed in the pH and temperature data of the leachate generated from these reactors. The conductivity data suggested the steady rise across all reactors over the period of time. The removal efficiency of sCOD was highest (27.112 mg/lit/day) for the reactors added with ZVMn at the end of 150 days for bottom layer, however the removal rate was highest (16.955 mg/lit/day) for ZVI after the end of 150 days of the middle layer. Similar trends in the results was observed in TC analysis. HPLC study indicated the dominance of the concentration of heptanoate and isovalerate were leachate generated from the bottom layer across all reactors. Heptanoate continued to dominate in the ZVMn added leachate even after middle layer injection. IC analysis concluded the chloride was dominant in the leachate generated from all the reactors and there was a steady increase in the chloride content over the period of time. Along with chloride, fluoride, bromide, nitrate, nitrite, phosphate and sulfate were also detected in considerable concentrations. In the summary, the addition of the zero valent metals has proved to be efficient in removal of the organics present in the leachate.
ContributorsPandit, Gandhar Abhay (Author) / Cadillo – Quiroz, Hinsby (Thesis advisor) / Olson, Larry (Thesis advisor) / Boyer, Treavor (Committee member) / Arizona State University (Publisher)
Created2019