Medicine and Health Sciences Commons^™

Cost Estimation Methods And Foundational Public Health Capabilities, Glen P. Mays

Health Management and Policy Presentations

The National Academy of Sciences Institute of Medine recently recommended that the federal government identify the components and costs of a "minimum package of public health services" and "foundational public health capabilities" that should be universally available across the U.S. This presentation reviews costing methods that can be used for identifying the costs required to establish "foundational public health capabilities" at state and local levels within the U.S. public health system.

Femoroacetabular Impingement: A Guide To Diagnosis In Primary Care, Alec Rimmasch Jr., Patricia K. Ravert

Faculty Publications

Femoroacetabular impingement (FAI) has been a diagnosis for approximately a decade in the medical field. Although FAI was once considered uncommon, it is now documented as 1 of the most common hip disorders. FAI is a variance or overgrowth within the femoral head neck space, acetabular ring, labrum, or cartilage. Patients with FAI frequently present in a general practice setting and endure months of pain and physical therapy before a correct diagnosis is ascertained. Understanding FAI and appropriate treatment and diagnostic procedures will facilitate early diagnosis in the primary care setting, providing the best chance for patient recovery.

Building The Science Of Delivery: Public Health Services & Systems Research, Glen P. Mays

Health Management and Policy Presentations

Studying variation and innovation in public health delivery can identify pathways for improving the organization, financing, and implementation of programs and policies that protect and promote health.

Daviess County Hazardous Materials Commodity Flow Study, Dr. Vijay Golla, Dr. Ritchie Taylor, Jacob Eagleson, Ethan Givan, Richard Payne

Public Health Faculty Publications

This report presents the results of a Hazardous Materials Commodity Flow Study for Daviess County, KY. Study components were conducted by Western Kentucky University in partnership with Daviess County Emergency Management Agency. The study area was focused in Daviess County and included a railway-monitoring site near Henderson, KY. A map of the Daviess County is shown in Figure 1.1. As part of this study, hazardous materials (hazmats) transported through the study area were monitored via placard surveys at the following sites: U.S. Highway 60 (Hwy 60), east and westbound lanes at East Fourth Street & the Hwy 60 Bypass (U.S. …

Building The Science Of Delivery: Advances In Public Health Services And Systems Research, Glen Mays

Glen Mays

Studying variation and innovation in public health delivery can identify pathways for improving the organization, financing, and implementation of programs and policies that protect and promote health.

Construing Natural Restorative Environments In Individuals Treated For Cancer, Adam M.B. Day

Electronic Thesis and Dissertation Repository

Restorative environments (RE) are increasingly being explored for their potential to foster psychophysiologic restoration and promote health and well-being. However, there is a paucity of research that focuses on oncology populations. The purpose of this study was to explore whether individuals treated for cancer with chemotherapy construed natural restorative environments (NREs) differently than age- and gender-matched individuals never treated for cancer. Fifteen individuals treated for cancer with chemotherapy (11 females and 4 males; treatment group) and 15 age- and gender-matched individuals (comparison group) participated in interviews and completed repertory grids based on construing NREs. Constructs were elicited directly from participants …

Riptek: Best Thermogenic Fat Loss Accelerator, Lissa Coffey

LissaCoffey

QNT Riptek combines the latest European and American fat burning technologies and starts working from the first time that you take it! Riptek is most powerful fat burner that raises your metabolism naturally without the excessive use of stimulants and prevents the storage of body fat. As soon as you consume the first dose of Riptek you will feel an immediate burst of energy, along with a rise in your core body temperature as Riptek starts to promote burning body fat [...]

Adolescents And Parents' Perceptions Of Best Time For Sex And Sexual Communications From Two Communities In The Eastern And Volta Regions Of Ghana: Implications For Hiv And Aids Education, Emmanuel Asampong, Joseph Osafo, Jeffrey Bingenheimer, Clement Ahiadeke

Prevention and Community Health Faculty Publications

Background

Adolescents and parents’ differ in their perceptions regarding engaging in sexual activity and protecting themselves from pregnancy and sexually transmitted infections (STIs). The views of adolescents and parents from two south-eastern communities in Ghana regarding best time for sex and sexual communications were examined.

Methods

Focus Group interviews were conducted with parents and adolescents (both In-school and Out-of school) from two communities (Somanya and Adidome) in the Eastern and Volta regions of Ghana with epidemiological differentials in HIV infection.

Results

Findings showed parents and adolescents agree that the best timing for sexual activity amongst adolescents is determined by socioeconomic …

The Santa Clara, 2013-09-26, Santa Clara University

The Santa Clara

No abstract provided.

Modified Impact Of Emotion On Temporal Discrimination In A Transgenic Rat Model Of Huntington Disease, Alexis Faure, Mouna Es-Sesddiqi, Bruce L. Brown, Hoa P. Nguyen, Olaf Riess, Stephan Von Hörsten, Pascale Le Blanc, Nathalie Desvignes, Bruno Bozon, Nicole El Massioui, Valérie Doyère

Publications and Research

Huntington's disease (HD) is characterized by triad of motor, cognitive, and emotional symptoms along with neuropathology in fronto-striatal circuit and limbic system including amygdala. Emotional alterations, which have a negative impact on patient well-being, represent some of the earliest symptoms of HD and might be related to the onset of the neurodegenerative process. In the transgenic rat model (tgHD rats), evidence suggest emotional alterations at the symptomatic stage along with neuropathology of the central nucleus of amygdala (CE). Studies in humans and animals demonstrate that emotion can modulate time perception. The impact of emotion on time perception has never been …

White Paper On Pcbs In The Built Environment, Andre Barton Ashley Jr., Cheryl Marcham, Et Al.

Publications

Dr. Marcham was part of the 9-member team that wrote this paper. Polychlorinated biphenyls (PCBs) are a group of man-made chemicals associated with a potential risk to human health and the environment. They were used in many building materials, particularly caulking, grout, expansion joint material and paint, from approximately 1950 to 1978. Both the U.S. Environmental Protection Agency (EPA) and the Agency for Toxic Substances and Disease Registry (ATSDR) have published extensive material evaluating human health impacts from exposure to PCBs. The apparent public health risks, including developmental effects in children, reproductive effects and long-term risks for cancer development, have …

Miller To Receive Iwu’S School Of Nursing Distinguished Alumni Award, Hannah Dhue

News and Events

No abstract provided.

The Epidemiology Of Herpes Simplex Virus Type-2 Infection Among Pregnant Women In Rural Mysore Taluk, India, Aaron F. Bochner, Purnima Madhivanan, Bhavana Niranjankumar, Kavitha Ravi, Anjali Arun, Karl Krupp, Jeffrey D. Klausner

Department of Epidemiology

To assess the prevalence and determinants of herpes simplex virus type 2 (HSV-2) infections among pregnant women attending mobile antenatal health clinic in rural villages in Mysore Taluk, India. Methods. Between January and September 2009, 487 women from 52 villages participated in this study. Each participant consented to provide a blood sample for HSV-2 and HIV testing and underwent an interviewer-administered questionnaire. Results. HSV-2 prevalence was 6.7% (95% confidence interval (CI) 4.4–9.0), and one woman tested positive for HIV.The median age of women was 20 years and 99% of women reported having a single lifetime sex partner.Women whose sex partner …

Beyond Codes: Translating Genetics To Nursing Practice, Rachel Choudhury

Scholarship Forum 2013

Genetics in nursing practice has moved beyond the study of genes and heredity and now includes genomics, which considers both genetic and environmental causes of diseases across the lifespan. The National Coalition of Health Professionals in Genetic Education (NCHPEG) developed core competence frameworks required of nurses in the area of genetics and genomics. This shift in nursing practice has potential implications for baccalaureate-prepared nurses to have the foundation in genetic and genomic knowledge and skills. Nursing research studies have shown that a link exists between self-efficacy and acquisition of competencies. These studies also suggest that enhancing nursing student’s self-efficacy can …

Crime And Public Health: Interdisciplinary Approach To Education, Karen Miner-Romanoff, Leslie J. King

Scholarship Forum 2013

Dr. Karen Miner-Romanoff and Dr. Leslie King state that although crime rates have decreased in the last several years, they remain alarmingly high. Recidivism rates, in the meantime, continue to rise with up to half of all new prison inmates incarcerated for reoffending after their initial release (Matz, et al., 2012). As the costs of a failed criminal justice system becomes unsustainable, scholars search for new evidence-based, innovative and collaborative solutions to lower crime and increased public health and safety. As a result of this collaboration, some criminal justice and public health leaders are seeking to develop new theoretical and …

Advanced Technologies: Health Care Anytime... Anywhere?, Danielle Hart, John Pilutti, Leslie J. King

Scholarship Forum 2013

Advanced technology in the medical profession has had a significant impact on the access, efficiency, and cost of health care delivery services over the past decade. Technological advancements in the medical profession can be bucketed into two main categories: mobile and biological/physiological. Some examples of mobile technology include web apps that can monitor a patient’s vital signs remotely and mobile phone attachments that can provide medical imaging data for doctors in the most remote areas of the globe. Remote patient monitoring and the use of mobile health apps to deliver timely, useful information to the patient about their health decision …

A Tale Of Two Needles, Chengyi Liu

SURGE

Looking back, I guess the name should have been my first clue. “Alternative” medicine? “Complementary” medicine? What is it about these medical practices, which to me are completely traditional, that places them in a secondary position to other medicinal options in the United States? [excerpt]

Impact Of Treatment Response Metrics On Photodynamic Therapy Planning And Outcomes In A Three-Dimensional Model Of Ovarian Cancer, Sriram Anbil, Imran Rizvi, Jonathan P. Celli, Nermina Alagic, Brian W. Pogue, Tayyaba Hasan

Dartmouth Scholarship

Common methods to characterize treatment efficacy based on morphological imaging may misrepresent outcomes and exclude effective therapies. Using a three-dimensional model of ovarian cancer, two functional treatment response metrics are used to evaluate photodynamic therapy (PDT) efficacy: total volume, calculated from viable and nonviable cells, and live volume, calculated from viable cells. The utility of these volume-based metrics is corroborated using independent reporters of photodynamic activity: viability, a common fluorescence-based ratiometric analysis, and photosensitizer photobleaching, which is characterized by a loss of fluorescence due in part to the production of reactive species during PDT. Live volume correlated with both photobleaching …

Incidence And Management Of Rhinosinusitis After Complex Orbitofacial Reconstruction, Wiliam Parkes, Md

Department of Otolaryngology - Head and Neck Surgery Presentations and Grand Rounds

Objective:

To discuss the incidence and management of rhinosinusitis after complex orbitofacial reconstruction.

Free Clinic Service: An Opportunity For Pharmacists Too, Kelly J. Wright

Kelly J. Wright, R.Ph., Pharm.D.

No abstract provided.

Job Placement Of Pgy1 Ambulatory Care Pharmacy Residents In Ohio, Sarah Anderson, Rachel R. Bull, Ruth Choi, Bethany Gustin, Joshua Knoebel, Courtney Noll, Jessica Taylor, Rebecca Widder, Kelly J. Hiteshew

Kelly J. Wright, R.Ph., Pharm.D.

No abstract provided.

Through The Eyes Of Christ: Serving With Compassion At Work, Tracy R. Frame, Kelly J. Hiteshew, Melody L. Hartzler, Aleda M.H. Chen

Kelly J. Wright, R.Ph., Pharm.D.

No abstract provided.

Asthma Knowledge, Adherence, And Administration Techniques In Hispanic Caregivers Of Pediatrics, Joshua Arnold, Rachel Culp, Kyle Hultz, Benjamin Robertson, Jon Wilkie, Amy Wuobio, Marty L. Eng, Kelly J. Hiteshew

Kelly J. Wright, R.Ph., Pharm.D.

7.5% of Hispanics in the United States suffer from asthma-related diseases, and Latino children are not as likely to use preventative asthma medications as compared with Caucasians. Educational interventions may reduce the number of visits to emergency-care. The reasons for non-adherence are currently unknown, and discovering these reasons will help to address the problem.

Don’T Leave Without Them: Dispensing Asthma Medications To Pediatric Patients Upon Discharge Is Associated With Decreased Hospital Readmissions, Kelly J. Hiteshew, Thaddeus T. Franz, Kristen Lamberjack, Aleda M.H. Chen

Kelly J. Wright, R.Ph., Pharm.D.

Purpose: Asthma exacerbations are a leading cause of hospital and emergency department admissions at pediatric institutions. The objective of this study was to determine if patients who obtain discharge medications from a pediatric institution’s outpatient pharmacy after an admission for asthma have a lower thirty-day readmission rate than those who do not obtain discharge medications from the outpatient pharmacy. Methods: This multi-phase retrospective study included an initial chart review, an intervention period, and a second chart review of the intervention period. The chart reviews included patients ages two years and older with a discharge diagnosis of asthma or wheezing. During …

Impact Of A Pharmacist-Managed Smoking Cessation Program, Alexandra Archambault, Belinda Darkwah, Kale Hanavan, Ellery Kent, Myriam Shaw Ojeda, Larisa Yuchimiuk, Kelly J. Hiteshew

Kelly J. Wright, R.Ph., Pharm.D.

No abstract provided.

Financial Incentives: Pay For Performance (P4p) And The Chronically Ill Patients, David Conley, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

P4P is the reimbursement incentive that is based on quality improvement, efficiency, which is dominating the healthcare landscape and CMS. A literature review was conducted to search for and review significant information regarding P4P and how it pertains to chronic conditions and reimbursement methods. This literature review displayed while some programs were able to display a benefit/ profit for those involved such as insurance companies, hospitals, physicians and/or patients, most programs were unable to establish quality measures, cost effectiveness and positive program outcomes worth noting.

Computer Physician Order Entry And Clinical Decision Support Systems: Benefits And Concerns, Joseph Shaffer, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Computerized Physician Order Entry has emerged as the greatest potential to decrease medications errors and improve efficiency. A literature review was conducted in systematic stages that included the research data from the last 25 years. Efficiencies were found with a decrease in overall workload of nurses, pharmacists and clerical workers. This led to decreased operating expenses. A secure way of transferring physician orders electronically will help hospitals and physicians practice a more efficient and higher quality of care in the US healthcare system.

Prostate Cancer Stem Cell-Targeted Efficacy Of A New-Generation Taxoid, Sbt-1214 And Novel Polyenolic Zinc-Binding Curcuminoid, Cmc2.24, Galina I. Botchkina, Edison S. Zuniga, Rebecca H. Rowehl, Rosa Park, Rahuldev Bhalla, Agnieszka B. Bialkowska, Francis Johnson, Lorne M. Golbu, Yu Zhang, Iwao Ojima, Kenneth R. Shroyer

Department of Biomedical Engineering Faculty Publications

Background

Prostate cancer is the second leading cause of cancer death among men. Multiple evidence suggests that a population of tumor-initiating, or cancer stem cells (CSCs) is responsible for cancer development and exceptional drug resistance, representing a highly important therapeutic target. The present study evaluated CSC-specific alterations induced by new-generation taxoid SBT-1214 and a novel polyenolic zinc-binding curcuminoid, CMC2.24, in prostate CSCs.

Principal Findings

The CD133high/CD44high phenotype was isolated from spontaneously immortalized patient-derived PPT2 cells and highly metastatic PC3MM2 cells. Weekly treatment of the NOD/SCID mice bearing PPT2- and PC3MM3-induced tumors with the SBT-1214 led to dramatic suppression of tumor …

Providing Outreach And Enrollment Assistance: Lessons Learned From Community Health Centers In Massachusetts, Julia Paradise, Sara J. Rosenbaum, Peter Shin, Jessica Sharac, Carmen Alvarez, Julia Zur, Leighton Ku

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

In 2006, major health care reform legislation was enacted in Massachusetts. In many ways a prototype for the Affordable Care Act (ACA), the Massachusetts law required nearly all state residents to obtain health insurance, and made insurance accessible and affordable by reforming the health insurance market and providing subsidies for coverage through expansions of Medicaid and CHIP and a new program for low-income adults who are not eligible for Medicaid, known as Commonwealth Care. The law also created the “Connector,” which, like the ACA’s health insurance Marketplaces, is designed to facilitate and simplify access to insurance for individuals, families, and …

Learner-Based Teaching In Hospice And Palliative Care, Paul D. Longenecker

Health and Sport Sciences Faculty Scholarship

No abstract provided.