Digital Commons Network^™

Restorative Streetscapes: Promoting Positive Mental Health Outcomes Through Urban Landscape Design In Winooski, Vermont, Sean R. Fitzsimmons

Landscape Architecture & Regional Planning Studio and Student Research and Creative Activity

The global health burden of mental health disorders is immense. The World Health Organization ranks depression as the single largest contributor to global disability; anxiety disorders alone rank sixth. One in four people will have a diagnosable mental illness in their lifetime and mental health conditions are increasing worldwide, rising 13% in the last decade. The economic implications are also immense, costing the global economy US $1 trillion each year. Mental health is more than the absence of disorders or disabilities, however. It is defined by the WHO as “a state of well-being in which an individual realizes his or …

Barriers And Facilitators To Implementation Of Value-Based Care Models In New Medicaid Accountable Care Organizations In Massachusetts: A Study Protocol, Sarah L. Goff, Deborah Gurewich, Matthew Alcusky, Aparna G. Kachoria, Joanne Nicholson, Jay Himmelstein

Health Promotion and Policy Faculty Publication Series

Introduction: Massachusetts established 17 new Medicaid accountable care organizations (ACOs) and 24 affiliated Community Partners (CPs) in 2018 as part of a large-scale healthcare reform effort to improve care value. The new ACOs will receive $1.8 billion dollars in state and federal funding over 5 years through the Delivery System Reform Incentive Program (DSRIP). The multi-faceted study described in this protocol aims to address gaps in knowledge about Medicaid ACOs' impact on healthcare value by identifying barriers and facilitators to implementation and sustainment of the DSRIP-funded programs. Methods and analysis: The study's four components are: (1) Document Review to characterize …

Projecting Sex Imbalances At Birth At Global, Regional And National Levels From 2021 To 2100: Scenario-Based Bayesian Probabilistic Projections Of The Sex Ratio At Birth And Missing Female Births Based On 3.26 Billion Birth Records, Fengqing Chao, Patrick Gerland, Alex Richard Cook, Christophe Z. Guilmoto, Leontine Alkema

Biostatistics and Epidemiology Faculty Publications Series

Introduction Skewed levels of the sex ratio at birth (SRB) due to sex-selective abortions have been observed in several countries since the 1970s. They will lead to long-term sex imbalances in more than one-third of the world's population with yet unknown social and economic impacts on affected countries. Understanding the potential evolution of sex imbalances at birth is therefore essential for anticipating and planning for changing sex structures across the world. Methods We produced probabilistic SRB projections from 2021 to 2100 based on different scenarios of sex ratio transition and assessed their implications in terms of missing female births at …

Community Perspectives On The Creation Of A Hospital-Based Doula Program, Laura B. Attanasio, Marisa Decosta, Reva Kleppel, Tiki Govantes, Heather Z. Sankey, Sarah L. Goff

Health Promotion and Policy Faculty Publication Series

Objective: Racial and ethnic inequities in perinatal health outcomes are pervasive. Doula support is an evidence-based practice for improving maternal outcomes. However, women in lower-income populations often do not have access to doulas. This study explored community perspectives on doula care to inform the development of a hospital-based doula program to serve primarily low-income women of color.

Methods: Four focus groups and four individual interviews were conducted with: (1) women who were pregnant or parenting a child under age 2 (n=20); (2) people who had provided support during a birth in the previous 2 years (n=5); …

Global, Regional, And National Mortality Trends In Youth Aged 15-24 Years Between 1990 And 2019: A Systemic Analysis, Bruno Masquelier, Lucia Hug, David Sharrow, Danzhen You, Colin Mathers, Patrick Gerland, Leontine Alkema

Biostatistics and Epidemiology Faculty Publications Series

Background The global health community is devoting considerable attention to adolescents and young people, but risk of death in this population is poorly measured. We aimed to reconstruct global, regional, and national mortality trends for youths aged 15-24 years between 1990 and 2019. Methods In this systematic analysis, we used all publicly available data on mortality in the age group 15-24 years for 195 countries, as compiled by the UN Inter-agency Group for Child Mortality Estimation. We used nationally representative vital registration data, estimated the completeness of death registration, and extracted mortality rates from surveys with sibling histories, household deaths …

Modeling Of Future Covid-19 Cases, Hospitalizations, And Deaths, By Vaccination Rates And Nonpharmaceutical Intervention Scenarios — United States, April–September 2021, Rebecca K. Borchering Phd, Cécile Viboud Phd, Emily Howerton, Claire P. Smith, Shaun Truelove Phd, Michael C. Runge Phd, Nicholas G. Reich Phd, Lucie Contamin Ms, John Levander, Jessica Salerno Mph

Biostatistics and Epidemiology Faculty Publications Series

No abstract provided.

The Science Of Spin: Targeted Strategies To Manufacture Doubt With Detrimental Effects On Environmental And Public Health, Rebecca F. Goldberg, Laura N. Vandenberg

Environmental Health Sciences Faculty Publication Series

Background Numerous groups, such as the tobacco industry, have deliberately altered and misrepresented knowable facts and empirical evidence to promote an agenda, often for monetary benefit, with consequences for environmental and public health. Previous research has explored cases individually, but none have conducted an in-depth comparison between cases. The purpose of this study was to compile a comprehensive list of tactics used by disparate groups and provide a framework for identifying further instances of manufactured doubt. Methods We examined scholarly books, peer-reviewed articles, well-researched journalism pieces, and legal evidence related to five disparate industries and organizations selected for their destructive …

Implementing The Physical Activity Vital Sign In An Academic Preventative Cardiology Clinic, Margaret M. Mccarthy, Jason Fletcher, Sean Heffron, Adam Szerencsy, Devin Mann, Allison Vorderstrasse

Elaine Marieb College of Nursing Faculty Publication Series

The aims were to implement physical activity (PA) screening as part of the electronic kiosk check-in process in an adult preventive cardiology clinic and assess factors related to patients’ self-reported PA. The 3-question physical activity vital sign (PAVS) was embedded in the Epic electronic medical record and included how many days, minutes and intensity (light, moderate, vigorous) of PA patients conducted on average. This is a data analysis of PAVS data over a 60-day period. We conducted multivariable logistic regression to identify factors associated with not meeting current PA recommendations. Over 60 days, a total of 1322 patients checked into …

Older Adults' Daily Step Counts And Time In Sedentary Behavior And Different Intensities Of Physical Activity, Shiho Amagasa, Noritoshi Fukushima, Hiroyuki Kikuchi, Koichiro Oka, Sebastien Chastin, Catrine Tudor-Locke, Neville Owen, Shigeru Inoue

Kinesiology Department Faculty Publication Series

Background: Daily step count is the simplest measure of physical activity. However, little is known about how daily step count related to time spent in different intensities of physical activity (PA) and sedentary behavior (SB). Methods: These cross-sectional data were derived from 450 older Japanese adults (56.7% men; mean age, 74.3 years) who were randomly selected from three communities and responded a survey. Daily step count and time spent in moderate-to-vigorous PA (MVPA), light-intensity PA (LPA), and SB were measured using a validated wearable technology (HJA-350IT). Associations of daily step count with time spent in measured behaviors were examined using …

Investigation Of The Correlation Between Odd Oxygen And Secondary Organic Aerosol In Mexico City And Houston, Ezra Wood, M. Canagaratna, S. Herndon, J. Kroll, T. Onasch, C. Kolb, D. Worsnop, W. Knighton, R. Seila, M. Zavala, L. Molina, P. Decarlo, J. Jimenez, A. Weinheimer, D. Knapp, B. Jobson, J. Stutz, W. Kuster, E. Williams

Public Health Department Faculty Publication Series

Many recent models underpredict secondary organic aerosol (SOA) particulate matter (PM) concentrations in polluted regions, indicating serious deficiencies in the models' chemical mechanisms and/or missing SOA precursors. Since tropospheric photochemical ozone production is much better understood, we investigate the correlation of odd-oxygen ([Ox]≡[O3]+[NO2]) and the oxygenated component of organic aerosol (OOA), which is interpreted as a surrogate for SOA. OOA and Ox measured in Mexico City in 2006 and Houston in 2000 were well correlated in air masses where both species were formed on similar timescales (less than 8 h) and not well correlated when their formation timescales or location …

Application Of Quantum Cascade Lasers To High-Precision Atmospheric Trace Gas Measurements, Ezra Wood, J. Barry Mcmanus, Mark Zahniser, David Nelson, Joanne Shorter, Scott Herndon, Rick Wehr

Public Health Department Faculty Publication Series

We review our recent results in development of high-precision laser spectroscopic instrumentation using midinfrared quantum cascade lasers (QCLs). Some of these instruments have been directed at measurements of atmospheric trace gases where a fractional precision of 10−3 or better of ambient concentration may be required. Such high precision is needed in measurements of fluxes of stable atmospheric gases and measurements of isotopic ratios. Instruments that are based on thermoelectrically cooled midinfrared QCLs and thermoelectrically cooled detectors have been demonstrated that meet the requirements of high-precision atmospheric measurements, without the need for cryogens. We also describe the design of and results …

Application Of Positive Matrix Factorization To On-Road Measurements For Source Apportionment Of Diesel- And Gasoline-Powered Vehicle Emissions In Mexico City, D. Thornhill, A. Williams, T. Onasch, Ezra Wood, S. Herndon, C. Kolb, W. Knighton, M. Zavala, L. Molina, L. Marr

Public Health Department Faculty Publication Series

The goal of this research is to quantify diesel- and gasoline-powered motor vehicle emissions within the Mexico City Metropolitan Area (MCMA) using on-road measurements captured by a mobile laboratory combined with positive matrix factorization (PMF) receptor modeling. During the MCMA-2006 ground-based component of the MILAGRO field campaign, the Aerodyne Mobile Laboratory (AML) measured many gaseous and particulate pollutants, including carbon dioxide, carbon monoxide (CO), nitrogen oxides (NOx), benzene, toluene, alkylated aromatics, formaldehyde, acetaldehyde, acetone, ammonia, particle number, fine particulate mass (PM2.5), and black carbon (BC). These serve as inputs to the receptor model, which is able to resolve three factors …

Short-Term Variation In Near-Highway Air Pollutant Gradients On A Winter Morning, J. Durant, C. Ash, Ezra Wood, S. Herndon, J. Jayne, W. Knighton, M. Canagaratna, J. Trull, D. Brugge, W. Zamore, C. Kolb

Public Health Department Faculty Publication Series

Quantification of exposure to traffic-related air pollutants near highways is hampered by incomplete knowledge of the scales of temporal variation of pollutant gradients. The goal of this study was to characterize short-term temporal variation of vehicular pollutant gradients within 200–400 m of a major highway (>150 000 vehicles/d). Monitoring was done near Interstate 93 in Somerville (Massachusetts) from 06:00 to 11:00 on 16 January 2008 using a mobile monitoring platform equipped with instruments that measured ultrafine and fine particles (6–1000 nm, particle number concentration (PNC)); particle-phase (>30 nm) equation M1, equation M2, and organic compounds; volatile organic compounds …

Across The Bridge: Using Photovoice To Study Environment And Health In A Romani Community., Krista Harper, The Sajó River Association For Environment And Community Development, Hungary

Selected Publications of EFS Faculty, Students, and Alumni

This photo essay is the product of a partnership between Prof. Krista Harper, the Sajó River Association for Environment and Community Development, and community organizer Judit Bari. The project took place in a small city in northeastern Hungary hit hard by factory closings since the collapse of state socialism in 1989. The Roma community, about 20% of the town’s population, has been especially vulnerable. A team of six young people participated as photographers and discussion participants, working closely with Harper and Bari. Other community members joined discussions of the images. The team held a photo exhibition in the neighborhood where …

Three State-Run Green Building Programs: A Comparative Case Study Analysis And Assessment, Haidee N. Janak

Masters Theses 1911 - February 2014

This thesis explores three state-run green building programs (California, Minnesota and New York) through comparative case-study analysis. Main topics discussed include cost benefits, health benefits, certification (i.e. LEED or other), and lessons learned from direct interviews with program staff.

Waterborne Diseases: Linking Public Health And Watershed Data, Debalina Das

Masters Theses 1911 - February 2014

Microbial contaminants in water are a major public health concern. Pathogens have been identified as a primary threat to river water quality in the United States, potentially impacting drinking and irrigation water sources and recreational waters. Agricultural runoff, feedlot operations, wastewater effluents, swimming activities, domestic and wild animals are potential sources of microbial contamination. This thesis presents Massachusetts as a case study for linking public health data of waterborne gastrointestinal diseases with sources of drinking water, potential recreational exposures, as well as hydrologic, climatic, and land use data. Giardia sp. has been chosen as a model organism. Information of reported …

Middlefield Open Space And Recreation Project, Center For Economic Development

Center for Economic Development Technical Reports

Over one thousand acres of farmland, open space, and wetlands are converted to residential or commercial development each week in New England. In Massachusetts, nearly two acres of open space land is lost to development every hour. Current development trends suggest that this building pattern, referred to as sprawl, is likely to continue into the near future. Because the negative consequences of sprawl development are highly visible, residents of Massachusetts are becoming increasingly concerned about its impact on their communities. Residents see the unique character of their communities being transformed by uncontrolled residential and commercial development. Green fields and open …

City Of Gardner, Massachusetts Inventory Of Existing And Removed Tanks, Center For Economic Development

Center for Economic Development Technical Reports

The purpose of this project is to provide the City of Gardner with a list of contaminated sites in the Rear Main Street Area. During the past month, I have been researching potential brownfield locations within this corridor, and inputting them into a working database. Overall, the problem identified is that the city has little knowledge of how much land is contaminated within its city. Therefore, the goal of my project was to identify the parcels in the Rear Main Street Area that have been contaminated with hazardous materials.