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Managing Childhood Obesity In A Primary Care Clinic, Linda Nnajiofor

Doctor of Nursing Practice

Background: Childhood obesity and overweight have increased health burdens on health care systems, and contribute to chronic diseases such as diabetes, heart disease, asthma, and cancer. Childhood obesity is very complex for healthcare providers to manage in primary care settings.

Purpose: To improve childhood overweight and obesity approach and management in a selected primary care practice (Clinic A) in a large east Texas urban community.

Objectives: 1. Increase the percentage of children and adolescents ages 2 to 19 years seen in Clinic A, who received adequate weight management and obesity counseling, to 75%. 2. Increase the number of referrals to …

A Heavy Burden: Associations Between Sexual Minority Status, Mental Health, And Bmi In Women, Alison E. A. Goldblatt

Graduate Masters Theses

Sexual minority women (SMW) are at increased risk of elevated body mass index (BMI) compared to heterosexual women, which increases their vulnerability to a variety of chronic diseases. This increased risk of elevated BMI is likely due to unique minority stressors faced by sexual minority individuals, such as internalized heterosexism and discrimination. Minority stressors are associated with poorer mental and physical health among SMW, and SMW may engage in unhealthy coping strategies, like binge eating, to cope with these minority stressors. Research suggests that bisexual women, and other women with non-monosexual orientations, face elevated risks to their physical and psychological …

Pneumothoraxi Spontan Dhe Lidhmëria Me Duhanpirjen Dhe Indexin E Masës Trupore, Besarta Avni Niko

Theses and Dissertations

Pneumotoraksi, është prezenca e ajrit në hapësirën pleurale me kolaps sekondar të mushkërisë. Pleura viscerale mbështjell gjithë sipërfaqen e mushkërisë, por që nuk ka plan të ndarjes nga parenkima e saj, ndërsa pleura parietale është membranë seroze e cila i mbështjell sipërfaqet e brendshme të mediastinumit, murit të kraharorit, diafragmës si dhe kulmin e kavitetit torakal. Gjatë frymëmarrjes së qetë, presioni intrapleural në inspirium sillet midis -8 dhe -9 mm Hg, ndërsa në ekspirium -3 dhe -6 mmHg. Në ShBA gjatë një viti më shumë se 20 000 raste të reja. Qasja e klinicistëve në menaxhimin e pneumotoraksit spontan është …

Implementing Screening To Assess Readiness To Change In Overweight And Obese Patients At A Patient-Centered Medical Home, Jarrod Gant

Doctoral Projects

Obesity is at epidemic levels within the United States (U.S.), but the Southern U.S. has some of the most obese states. Mississippi (MS) is the most obese state in the country (Robert Wood Johnson Foundation, 2018). Factors such as diet, sedentary lifestyle, cultural influences, and socioeconomic status contribute to the state’s citizens being overweight and obese.

Contributing to the state’s obesity is the fact that MS has more people living in poverty than any other state (Center for American Progress [CAP], 2018). Lacking the ability to afford healthy foods and the ability to afford quality healthcare adds to the state’s …

The Roles Of An Evidence-Based Weight Management Protocol In Hypertension Control, Belinda Akakpo Maxwell

Doctor of Nursing Practice Final Manuscripts

The Roles of an Evidence-Based Weight Management Protocol in Hypertension Control

Abstract

Purpose: The purpose of this project is to evaluate the impact of a healthcare provider-led protocol for patients with hypertension (HTN) and weight loss needs to improve weight control, cardiovascular risk and quality of life.

Background: Evidence shows that a 1.2-kg weight loss can reduce systolic blood pressure (SBP) by 3.8mmHg. Thus, a 10kg (22lbs) weight loss is likely to yield a SBP decrease of as much as 32mmHg. Such results would positively impact quality of life and costs. The simple approach of instructing patients to eat less …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

Essays In Applied Microeconomics, Lijuan Feng

USF Tampa Graduate Theses and Dissertations

Chapter 1 studies the effect of body weight on labor market outcomes. Using longitudinal data from the China Health and Nutrition Survey (CHNS) from 1989 to 2011, and both instrumental variable and fixed effects estimation to control for the endogeneity of body weight, I examine the wage effect of BMI by gender, type of residence area, and occupation. Results from linear OLS regression show a positive relationship between body weight and income for males in both rural and urban areas and females in rural areas, while a negative one for females in urban areas. After controlling for the unobserved individual …

Lifestyle And Obesity In Canada-A Quantile Regression Approach, Khandoker Monjure Kabir

Major Papers

Objective: This study examines the relationship between BMI and some life-style variables, socio-economic status (SES) variables, and some socio-demographic variables related to behavior of individuals along different points of the BMI distribution by using quantile regression. Methods: A representative sample of 34,225 individuals of Canada form the Canadian Community Health survey 2014 is selected to conduct this study. Ordinary least squares (OLS) method is used at first to differentiate the results between conditional mean framework and conditional quantile framework. Quantile regression is estimated to analyze the heterogeneous relationship among fruits and vegetables, physical activity and BMI. Results: …

Essays On Health Economics Using Big Data, Samane Zarebanadkoki

Theses and Dissertations--Agricultural Economics

This dissertation consists of three essays addressing different topics in health economics. In the first essay, we perform a systematic review of peer-reviewed articles examining consumer preference for the main electronic cigarette (e-cigarette) attributes namely flavor, nicotine strength, and type. The search resulted in a pool of 12,933 articles; 66 articles met the inclusion criteria for this review. Current literature suggests consumers preferred flavored e-cigarettes, and such preference varies with age groups and smoking status. Consumer preference for nicotine strength and types depend on smoking status, e-cigarette use history, and gender. Adolescents consider flavor the most important factor trying e-cigarettes …

Relationship Between Elevated Blood Pressure/Hypertension In Military Personnel And The Stress Of Combat Deployment, Stephen James Pinkerton

Walden Dissertations and Doctoral Studies

Few studies about elevated blood pressure in the U.S. military exist in which researchers examined exposure to combat and its association with elevated blood pressure. The purpose of this quantitative research was to describe the extent of association between those who were exposed to combat deployment, were 40 or older, and were overweight or obese and had elevated blood pressure for U.S. military personnel who deployed to an area of declared combat between 2012 and 2017. The conceptual basis of this research was best represented by the determinants of health model. Chi-square correlation revealed that being older (equal to or …

Quantifying Human Biological Age: A Machine Learning Approach, Syed Ashiqur Rahman

Graduate Theses, Dissertations, and Problem Reports

Quantifying human biological age is an important and difficult challenge. Different biomarkers and numerous approaches have been studied for biological age prediction, each with its advantages and limitations. In this work, we first introduce a new anthropometric measure (called Surface-based Body Shape Index, SBSI) that accounts for both body shape and body size, and evaluate its performance as a predictor of all-cause mortality. We analyzed data from the National Health and Human Nutrition Examination Survey (NHANES). Based on the analysis, we introduce a new body shape index constructed from four important anthropometric determinants of body shape and body size: body …