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Human Papillomavirus: The Influence Of Prevention And Vaccination, Lacey N. Russell 2018 Eastern Kentucky University

Human Papillomavirus: The Influence Of Prevention And Vaccination, Lacey N. Russell

Kentucky Journal of Undergraduate Scholarship

Human Papillomavirus infections (HPV) are the most common sexually transmitted diseases in the United States. Of cancers in parts of the body where HPV is often discovered about 80% originated from an HPV infection. Despite this knowledge and the effectiveness of the HPV vaccine, vaccination by both genders in Kentucky and on a national scale remains highly underutilized. As a result, preventable incidence and mortality rates from HPV-related illness are elevated. Health care delivery factors such as increased vaccination and preventative care, insurance coverage, and accessible rural health care are necessary for HPV prevention and promotion of holistic health. The ...


Healthcare Provider Attitudes Toward Personalized Care Plan Development, Kafi Rudolph DO, Adarsh Gupta DO 2018 Rowan University SOM

Healthcare Provider Attitudes Toward Personalized Care Plan Development, Kafi Rudolph Do, Adarsh Gupta Do

Stratford Campus Research Day

Background: Prevention care plans are created by healthcare workers to direct patient care and are guidelines to optimize patient health. The care plans include actions patients can take to prevent worsening of chronic conditions and potentially decrease hospitalizations. The current research project was conducted to assess satisfaction of using automated personalized care plans among healthcare providers, which can increase office visit efficiency.


Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner 2018 Aurora UW Medical Group, Aurora Health Care

Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner

Journal of Patient-Centered Research and Reviews

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews observes that a connecting thread among the articles published therein is an element of uncertainty among patients and clinicians. Competing priorities for the patient also may be present. Several approaches to overcoming these prevalent conflicts to delivery of better health care have been proposed, the most important of which may be clinicians embracing a will to practice shared decision-making.


Laude, Jan (Fa 1140), Manuscripts & Folklife Archives 2018 Western Kentucky University

Laude, Jan (Fa 1140), Manuscripts & Folklife Archives

FA Finding Aids

Finding aid only for Folklife Archives Project 1140. Cassette recordings of the "Attunement for Healing" and "Exploring Your Dreams and ESP" conferences sponsored by the Edgar Cayce Association for Research and Enlightenment held in Virginia Beach, Virginia from 12 July 1981 to 24 July 1981. The recordings, collected by WKU folk studies graduate student Jan Laude, were used as source material for Laude’s Master’s thesis titled “A Contemporary Female Psychic: A Folkloristic Study of a Traditional Occupation,” which was published in 1982. Because the Department does not have consent forms or own copyright to these tapes, they may ...


Association Between Food Insecurity And Cvd Risk Factors Is Moderated By Intake Of Fruits And Vegetables In Latinos, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2018 University of Massachusetts Medical School

Association Between Food Insecurity And Cvd Risk Factors Is Moderated By Intake Of Fruits And Vegetables In Latinos, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

UMass Worcester PRC Presentations

Background: Food insecurity has been consistently associated with CVD risk factors (i.e., obesity, type 2 diabetes, hypertension and hypercholesterolemia). Consumption of fruits and vegetables may reduce CVD risk factors among food insecure Latinos.

Objective: To examine the potential moderating effect of fruit and vegetable intake in the association between food insecurity and CVD risk factors in a sample of Latino men and women in the northeast U.S.

Methods: A representative community sample of Latino individuals was recruited from a community health center in Lawrence, MA. Food insecurity was measured with the 6-item USDA Household Food Security Scale. Fruit ...


Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon 2018 University of Massachusetts Medical School

Inclusion Of Evidence-Based Healthy Eating Policies In Community Health Improvement Plans: Findings From A National Probability Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Presentations

Introduction: Evidence-based healthy eating (HE) policies can increase opportunities to engage in a healthy diet. The adoption of evidence-based policies into practice is limited and no study reports the status of HE policies nationally. Community Health Improvement Plans (CHIPs) strategically address health priorities, steer evidence-based strategy selection and implementation, and require collaboration. Local health departments (LHDs) are often key stakeholders. We aimed to determine the proportion of LHDs with a CHIP having evidence-based HE policies.

Methods:A national probability survey of US LHDs serving populations of

Results: 44.1% (95%CI: 34.7-54.0%) of US LHDs with a CHIP ...


Exploring Perceptions Of Sugar Sweetened Beverages Among Early Adolescents In Worcester, Ma: A Qualitative Study, Christina F. Haughton, Meera Sreedhara, Lori Pbert, Molly E. Waring, Milagros C. Rosal, Stephenie C. Lemon 2018 University of Massachusetts Medical School

Exploring Perceptions Of Sugar Sweetened Beverages Among Early Adolescents In Worcester, Ma: A Qualitative Study, Christina F. Haughton, Meera Sreedhara, Lori Pbert, Molly E. Waring, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Presentations

Background: Among adolescents, sugar-sweetened beverages (SSBs) are the primary source of added dietary sugar and constitute 10-15% of their total caloric intake. A range of factors influence adolescent dietary behaviors and food choices. This study aimed to explore adolescents' attitudes and knowledge about SSBs, how they receive messages about SSBs, and motivations for SSB consumption.

Methods: We conducted 5 focus groups with youth aged 12-14 years that attend one of the eight Youth Connect programs in Worcester, MA in 2016-2017. Groups were sex-specific because of changes during adolescence and experiences with body image and health behaviors between the groups. A ...


Integrating Mindfulness Training In School Health Education To Promote Healthy Behaviors In Adolescents: Feasibility And Preliminary Effects On Exercise And Dietary Habits, Elena Salmoirago-Blotcher, Susan Druker, Christine F. Frisard, Shira I. Dunsiger, Sybil L. Crawford, Florence Meleo-Meyer, Beth Bock, Lori Pbert 2018 Brown University

Integrating Mindfulness Training In School Health Education To Promote Healthy Behaviors In Adolescents: Feasibility And Preliminary Effects On Exercise And Dietary Habits, Elena Salmoirago-Blotcher, Susan Druker, Christine F. Frisard, Shira I. Dunsiger, Sybil L. Crawford, Florence Meleo-Meyer, Beth Bock, Lori Pbert

Open Access Articles

Whether mindfulness training (MT) could improve healthy behaviors is unknown. This study sought to determine feasibility and acceptability of integrating MT into school-based health education (primary outcomes) and to explore its possible effects on healthy behaviors (exploratory outcomes). Two high schools in Massachusetts (2014-2015) were randomized to health education plus MT (HE-MT) (one session/week for 8weeks) or to health education plus attention control (HE-AC). Dietary habits (24-h dietary recalls) and moderate-to-vigorous physical activity (MVPA/7-day recalls) were assessed at baseline, end of treatment (EOT), and 6months thereafter. Quantile regression and linear mixed models were used, respectively, to estimate effects ...


Racial/Ethnic Representation In Lifestyle Weight Loss Intervention Studies In The United States: A Systematic Review, Christina Haughton, Valerie J. Silfee, Monica L. Wang, Andrea Lopez-Cepero, David P. Estabrook, Christine F. Frisard, Milagros C. Rosal, Sherry L. Pagoto, Stephenie C. Lemon 2018 University of Massachusetts Medical School

Racial/Ethnic Representation In Lifestyle Weight Loss Intervention Studies In The United States: A Systematic Review, Christina Haughton, Valerie J. Silfee, Monica L. Wang, Andrea Lopez-Cepero, David P. Estabrook, Christine F. Frisard, Milagros C. Rosal, Sherry L. Pagoto, Stephenie C. Lemon

UMass Worcester PRC Publications

Obesity remains a persistent public health and health disparity concern in the United States. Eliminating health disparities, particularly among racial/ethnic minority groups, is a major health priority in the US. The primary aim of this review was to evaluate representation of racial/ethnic sub-group members in behavioral weight loss interventions conducted among adults in the United States. The secondary aims were to assess recruitment and study design approaches to include racial/ethnic groups and the extent of racial/ethnic sub-group analyses conducted in these studies. PubMed, PsycInfo, Medline, and CINAHL were searched for behavioral weight loss intervention trials conducted ...


A Sex-Positive Approach To Healthcare, And Truvada As Hiv Pre-Exposure Prophylaxis (Prep), Michael Ohkura, Nicholas Bonefant, Michael D. Upton 2018 University of Vermont

A Sex-Positive Approach To Healthcare, And Truvada As Hiv Pre-Exposure Prophylaxis (Prep), Michael Ohkura, Nicholas Bonefant, Michael D. Upton

College of Medicine Faculty Publications

Nationally, incidence of new HIV infections has hovered around over 50,000 per year and men who have sex with men (MSM) carry the largest burden. In Vermont, 56% of individuals newly diagnosed are MSM, with 25% of diagnoses among youth ages 13-24 years old. Despite the proven efficacy and approval of daily Truvada (emtricitabine + tenofovir) as Pre-Exposure Prophylaxis (PrEP) against HIV infection, provider understanding and awareness of its use has remained extremely limited in Vermont with last estimates at just over 9 providers familiar with PrEP (excluding UVM Student Health, Planned Parenthood, and UVM Medical Center infectious disease department ...


Provider Opinion: Should We Screen And Counsel Parents Of Teen Drivers Regarding Texting/Distracted Driving?, Daniel Lambert 2018 University of Vermont

Provider Opinion: Should We Screen And Counsel Parents Of Teen Drivers Regarding Texting/Distracted Driving?, Daniel Lambert

Family Medicine Clerkship Student Projects

Adolescent texting and driving has been directly responsible for the deaths of 11 teenagers every day. 33% of teenagers in Vermont admit to texting and driving making it one of the most prevalent risky behaviors in their age group. Currently there is no routine screening recommendation for parents with adolescent drivers addressing texting and driving. Mobile application information can improve parental monitoring and prevent texting and driving habits from forming in adolescents.


Psa Screening In Lewiston Maine, Francis G. Gause IV 2018 University of Vermont

Psa Screening In Lewiston Maine, Francis G. Gause Iv

Family Medicine Clerkship Student Projects

PSA Screening Patient Information for 2017 guidelines


Sedentary Time And The Cumulative Risk Of Preserved And Reduced Ejection Fraction Heart Failure: From The Multi-Ethnic Study Of Atherosclerosis, Brandi Scot Rariden 2018 University of North Florida

Sedentary Time And The Cumulative Risk Of Preserved And Reduced Ejection Fraction Heart Failure: From The Multi-Ethnic Study Of Atherosclerosis, Brandi Scot Rariden

UNF Graduate Theses and Dissertations

ABSTRACT

Purpose: The purpose of this study was to examine the relationship between self-reported sedentary time (ST) and the cumulative risk of preserved ejection fraction heart failure (HFpEF) and reduced ejection fraction heart failure (HFrEF) using a diverse cohort of U.S. adults 45-84 years of age.

Methods: Using data from the Multi-Ethnic Study of Atherosclerosis (MESA), we identified 6,814 subjects (52.9% female). All were free of baseline cardiovascular disease. Cox regression was used to calculate the hazard ratios (HR) associated with baseline ST and risk of overall heart failure (HF), HFpEF, and HFrEF. Weekly self-reported ST was ...


Somalia: Rift Valley Fever, Alyson Meeks 2018 Augustana College, Rock Island Illinois

Somalia: Rift Valley Fever, Alyson Meeks

Global Public Health

This walks readers through the basic demographics of Somalia, a country located in the horn of Africa. After learning about the government in Somalia and the problems that the people of the country face, this focuses on the problem of Rift Valley Fever. Rift Valley Fever is a virus that year after year strikes Somalia and surrounding countries. Weather patterns seem to help predict when Rift Valley Fever will be at the highest risk for an outbreak. This outlines the steps the current government and people are trying to take to help prevent outbreaks of RVF. But the solutions currently ...


Quality And Access To Care For Cardiovascular Disease Prevalence In Women Veterans: Population Estimate Using Electronic Health Records, Meena Marie Kim-Dopp, Vanessa Gow-Lee, Linda Ferry, Sharon Jamie, Ralph Clark, Suma Singh 2017 Loma Linda University

Quality And Access To Care For Cardiovascular Disease Prevalence In Women Veterans: Population Estimate Using Electronic Health Records, Meena Marie Kim-Dopp, Vanessa Gow-Lee, Linda Ferry, Sharon Jamie, Ralph Clark, Suma Singh

Loma Linda University Student Journal

Electronic Health Records are used to measure quality indicators for cardiovascular disease (CVD), but have not been tested for sensitivity and specificity. Computerized Patient Record System (CPRS) used by the Veterans Health Affairs (VHA), has active CVD clinical reminders from Healthcare Effectiveness Data & Information Set (HEDIS) that are compared nationally. San Bernardino County, CA has a 7.8% prevalence of self-reported CVD in both genders. For HEDIS measures, there is only a 4 point CVD composite score gender difference for VHA nationally, but at the Loma Linda VHA there is an 18 point gender difference (2016). Women Veterans (WV) are ...


Effect Of Weather On Pedestrian Trip Count And Duration: City-Scale Evaluations Using Mobile Phone Application Data, Anthony P. Vanky, Santosh K. Verma, Theodore K. Courtney, Paolo Santi, Carlo Ratti 2017 Massachusetts Institute of Technology

Effect Of Weather On Pedestrian Trip Count And Duration: City-Scale Evaluations Using Mobile Phone Application Data, Anthony P. Vanky, Santosh K. Verma, Theodore K. Courtney, Paolo Santi, Carlo Ratti

Open Access Articles

We examined the association between meteorological (weather) conditions in a given locale and pedestrian trips frequency and duration, through the use of locative digital data. These associations were determined for seasonality, urban microclimate, and commuting. We analyzed GPS data from a broadly available activity tracking mobile phone application that automatically recorded 247,814 trips from 5432 unique users in Boston and 257,697 trips from 8256 users in San Francisco over a 50-week period. Generally, we observed increased air temperature and the presence of light cloud cover had a positive association with hourly trip frequency in both cities, regardless of ...


Improving Early Child Developmental Screenings In A Primary Care Setting: A Quality Improvement Project, Marlischa Jackson 2017 University of the Incarnate Word

Improving Early Child Developmental Screenings In A Primary Care Setting: A Quality Improvement Project, Marlischa Jackson

Doctor of Nursing Practice

A dramatic growth of physical, motor, cognitive, communication, emotional, and social development will occur during the 3 years of life. Of children ages 3-17 years of age, 13% have some type of developmental or behavioral condition that goes undiagnosed before the age of 10. Children with multiple health and social risk factors, or those with chronic health disorders, are at greater risk to develop early child delays or disabilities. In the U. S., developmental screenings are only completed 21% of the time during well-child visits. Therefore, the purpose of this quality improvement project was to increase the adherence of health ...


Qualitative Exploration Of Cross-Sector Perspectives On The Contributions Of Local Health Departments In Land-Use And Transportation Policy, Meera Sreedhara, Karin V. Goins, Semra A. Aytur, Rodney Lyn, Jay E. Maddock, Robin Riessman, Thomas L. Schmid, Heather Wooten, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Qualitative Exploration Of Cross-Sector Perspectives On The Contributions Of Local Health Departments In Land-Use And Transportation Policy, Meera Sreedhara, Karin V. Goins, Semra A. Aytur, Rodney Lyn, Jay E. Maddock, Robin Riessman, Thomas L. Schmid, Heather Wooten, Stephenie C. Lemon

Open Access Articles

INTRODUCTION: Transportation and land-use policies can affect the physical activity of populations. Local health departments (LHDs) are encouraged to participate in built-environment policy processes, which are outside their traditional expertise. Cross-sector collaborations are needed, yet stakeholders' perceptions of LHD involvement are not well understood. The objective of this study was to describe the perceived value of LHD participation in transportation and land-use decision making and potential contributions to these processes among stakeholders.

METHODS: We analyzed qualitative data from 49 semistructured interviews in 2015. Participants were professionals in 13 US states and 4 disciplines: land-use planning (n = 13), transportation/public works ...


Do U.S. Adults Living In Food Insecure Households Experience Poorer Cardiovascular Health?, Meera Sreedhara, Andrea Lopez-Cepero, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Do U.S. Adults Living In Food Insecure Households Experience Poorer Cardiovascular Health?, Meera Sreedhara, Andrea Lopez-Cepero, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Presentations

Background

Twelve percent of U.S. adults live in food insecure households, putting them at risk for adverse health outcomes. Relationships between food insecurity and cardiovascular disease (CVD) risk factors range from well-established to inconsistent and understudied. Food insecurity has been positively associated with poor glycemic control, tobacco use, and poor diet. The link with unhealthy body mass index (BMI) is only observed among women. Inconsistent evidence of relationships with hypertension and dyslipidemia has been found and literature examining physical activity is sparse. The relationships between food insecurity and overall cardiovascular health metrics have not been studied in a nationally ...


Healthy Kids & Families: Overcoming Social, Environmental And Family Barriers To Childhood Obesity, Amy Borg, Christina Haughton, Kevin J. Kane, Stephenie C. Lemon, Lori Pbert, Wenjun Li, Milagros C. Rosal 2017 University of Massachusetts Medical School

Healthy Kids & Families: Overcoming Social, Environmental And Family Barriers To Childhood Obesity, Amy Borg, Christina Haughton, Kevin J. Kane, Stephenie C. Lemon, Lori Pbert, Wenjun Li, Milagros C. Rosal

UMass Worcester PRC Presentations

Healthy Kids & Families, the applied research project of the UMass Worcester Prevention Research Center, is testing the impact of a community health worker (CHW)-delivered intervention aimed at helping families overcome barriers to childhood obesity prevention. The intervention addresses social, environmental, and family issues that may pose as barriers to healthy choices. The intervention is compared to a comparison condition consisting of a CHW-delivered intervention aimed at helping families improve positive parenting skills. The intervention and comparison condition are identical in format, Both use multiple delivery modalities to maintain novelty and prevent attrition/burden. These include home visits, telephone contacts ...


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