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Perceptions Of Physical Activity While Breastfeeding: 
A Mixed Methods Approach, Kailey Snyder 2019 University of Nebraska at Omaha

Perceptions Of Physical Activity While Breastfeeding: 
A Mixed Methods Approach, Kailey Snyder

Student Research and Creative Activity Fair

Background: Being physically active and breastfeeding can greatly support a new mother’s physiological and psychological health. However, within the United States, only 35% of women are maintaining their pre-pregnancy physical activity after childbirth and only 31% of infants are being breastfed at 12 months of age. Preliminary investigations suggest barriers such as lack of time and knowledge hinder a breastfeeding woman’s ability to be physically active however more research is needed. Purpose: The purpose of this study was to explore women’s perceptions of physical activity while breastfeeding. Methods: This mixed methods study utilized quantitative (survey) and qualitative ...


Intestinal Parasite Burden And Pre-Departure Treatment Compliance In Kentucky Refugee Children: A Descriptive Study, Collin Russell, Annie H. Rominger 2019 University of Louisville

Intestinal Parasite Burden And Pre-Departure Treatment Compliance In Kentucky Refugee Children: A Descriptive Study, Collin Russell, Annie H. Rominger

Journal of Refugee & Global Health

Objective: Children are 1/2 of the world’s refugees and often have intestinal parasites. This study seeks to determine the intestinal burden and pre-departure treatment of Kentucky pediatric refugees.

Methods: This is a chart review of Kentucky pediatric refugee health screening data from 2012-2017. Stool culture results from children arriving through refugee camps were compared to non-camp children. They were placed into 3 regional groups and analyzed based on CDC pre-departure treatment recommendations.

Results: Of the 3,199 records, 1,653 had stool testing. 354 (51%) refugee camp children tested positive compared to 326 (33.9%) non-camp children. Giardia ...


Comprehensive Trauma-Informed Care For The Whole Community: The Whole Child Initiative Model, Gregory J. Benner Ph.D. 2019 University of Alabama - Tuscaloosa

Comprehensive Trauma-Informed Care For The Whole Community: The Whole Child Initiative Model, Gregory J. Benner Ph.D.

Educational Considerations

The Whole Child Initiative (WCI) is a decade-long blueprint for sustainable and comprehensive community-wide change. To be successful, community-wide sustainable change must embrace a common vision, language, and common experiences to bridge the contrasting community structures, environments, and scopes of work. The Whole Child Initiative uses data, shared goals, and aligned supports ensure that every youth is safe, supported, engaged, healthy, and challenged in the community-at-large. We make the case that a population health or public health approach is needed to sustainable change in communities and the WCI model is described. Among other important outcomes, researchers have found social and ...


Geographic And Socio-Economic Variation In Markers Of Indoor Air Pollution In Nepal: Evidence From A Nationally-Representative Data, Saruna Ghimire, Shiva Rah Mishra, Abhishek Sharma, Adugna Siweya, Nipun Shrestha, Bippin Adhikari 2019 University of Nevada, NV

Geographic And Socio-Economic Variation In Markers Of Indoor Air Pollution In Nepal: Evidence From A Nationally-Representative Data, Saruna Ghimire, Shiva Rah Mishra, Abhishek Sharma, Adugna Siweya, Nipun Shrestha, Bippin Adhikari

Public Health Faculty Publications

Background: In low-income countries such as Nepal, indoor air pollution (IAP), generated by the indoor burning of biomass fuels, is the top-fourth risk factor driving overall morbidity and mortality. We present the first assessment of geographic and socio-economic determinants of the markers of IAP (specifically fuel types, cooking practices, and indoor smoking) in a nationally-representative sample of Nepalese households. Methods: Household level data on 11,040 households, obtained from the 2016 Nepal Demographic and Health Survey, were analyzed.Binary logistic regression analyses were conducted to assess the use of fuel types, indoor cooking practices, indoor smoking and IAP with respect ...


Timely Linkage Of Individuals To Substance Use Disorder Treatment: Development, Implementation, And Evaluation Of Findhelpnowky.Org, Terry Lee Bunn, Dana Quesinberry, Tyler Jennings, Amber Kizewski, Heather Jackson, Sarah McKee, Sarah Eustice 2019 University of Kentucky

Timely Linkage Of Individuals To Substance Use Disorder Treatment: Development, Implementation, And Evaluation Of Findhelpnowky.Org, Terry Lee Bunn, Dana Quesinberry, Tyler Jennings, Amber Kizewski, Heather Jackson, Sarah Mckee, Sarah Eustice

Kentucky Injury Prevention and Research Center Faculty Publications

Background: Substance use disorders (SUD) have steadily increased over the last two decades. Seeking SUD treatment involves searching SUD treatment facility types (inpatient, outpatient and intensive outpatient, residential and family residential, and detoxification facilities) that offer specialized SUD treatment depending on individual needs and preferences. Referrals to SUD treatment require innovative strategies that rapidly link individuals to SUD treatment when they are at the critical stage of readiness. The aim of this study was to develop, implement, and evaluate a user-friendly SUD treatment facility opening availability website called FindHelpNowKY.org. The objectives of the study were to 1) recruit SUD ...


Integrating A Co-Occurring Disorders Intervention In Drug Courts: An Open Pilot Trial, David A. Smelson, Ian Farquhar, William H. Fisher, Karen Pressman, Debra A. Pinals, Barbara Samek, Mary-Kate Duffy, Leon Sawh 2019 University of Massachusetts Medical School

Integrating A Co-Occurring Disorders Intervention In Drug Courts: An Open Pilot Trial, David A. Smelson, Ian Farquhar, William H. Fisher, Karen Pressman, Debra A. Pinals, Barbara Samek, Mary-Kate Duffy, Leon Sawh

Psychiatry Publications

Little research has focused on systematically integrating clinical treatment within existing drug court procedures. This could be particularly useful for clients with substance use disorders, who comprise those on court dockets and often have co-existing mental health issues. This article reports on the preliminary outcomes of integrating MISSION-Criminal Justice (MISSION-CJ), a co-occurring mental health and substance use wraparound intervention, within two Massachusetts drug courts. In this open pilot, clients completed intake and 6-month follow-up assessments. The participants were primarily Caucasian (86%), male (82%), had at least 2 prior arrests, and received outpatient treatment for mental health (54%), alcohol use (51 ...


Betrayed Partners And Men With Poisoned Souls: Interview With A Former Sex Buyer In Germany, Ingeborg Kraus 2019 Psychologische Psychotherapeutin, Germany

Betrayed Partners And Men With Poisoned Souls: Interview With A Former Sex Buyer In Germany, Ingeborg Kraus

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes 2019 University of Rhode Island

Diet And Addiction: Interview With A Former Food, Pornography, And Alcohol Addict, Tro Kalayjian, Brian Lenzkes

Dignity: A Journal on Sexual Exploitation and Violence

Drs. Tro Kalayjian (Tapan, New York) and Brian Lenzkes (Santee, California) talk to Matt about his struggles with food, pornography, and alcohol addiction, and how changing his diet contributed to his recovery from his addictions. This report is excerpted from the audio podcast LowCarbMD, Episode 13 (https://itunes.apple.com/us/podcast/low-carb-md-podcast/ ), January 30, 2019). This podcast has filled us with immense hope for those struggling with addiction.


“Little Tablets Of Gold”: An Examination Of The Psychological And Social Dimensions Of Prep Among Lgbtq Communities, Christina Sun, Kirsten M. Anderson, Kim Toevs, Dayna Morrison, Caitlin Wells, Christina Nicolaidis 2019 OHSU-PSU School of Public Health

“Little Tablets Of Gold”: An Examination Of The Psychological And Social Dimensions Of Prep Among Lgbtq Communities, Christina Sun, Kirsten M. Anderson, Kim Toevs, Dayna Morrison, Caitlin Wells, Christina Nicolaidis

OHSU-PSU School of Public Health Faculty Publications and Presentations

There are significant psychological, social, and cultural dimensions to the HIV epidemic in the United States, especially among lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities. Biomedical HIV treatment has been shown to impact these dimensions. However, there is little understanding of the real-world psychosocial and sociocultural effects of the latest biomedical HIV prevention strategy, HIV pre-exposure prophylaxis (PrEP). This study explored the psychosocial and sociocultural dimensions of PrEP use among LGBTQ adults. We interviewed 23 LGBTQ adults who were current or former users of PrEP. Results included that PrEP users’ experiences were shaped by multiple forms of stigma. Participants ...


Exploring The Cultural Perceptions Of Physical Activity Among Transnational Nigerian Immigrants, Kelechi D. Ibe-Lamberts, Daudet Ilunga Tshiswaka, Abi Fapohunda 2019 SUNY Cortland

Exploring The Cultural Perceptions Of Physical Activity Among Transnational Nigerian Immigrants, Kelechi D. Ibe-Lamberts, Daudet Ilunga Tshiswaka, Abi Fapohunda

Journal of Health Disparities Research and Practice

Background: Transnational Nigerian Immigrants, as other Transnational African Immigrants, are a subset of African immigrants with the unique ability to sustain multi-national ties. These ties could potentially affect health behavior choices and participation in physical activity. Physical Activity has the potential to improve health and prevent chronic diseases; however, there is a lack of literature regarding physical activity and its determinants within the Transnational African Immigrant population in general. This study investigated the cultural factors that shape Transnational Nigerian Immigrants’ perceptions and attitudes towards physical activity.

Methods: Semi-structured, individual interviews supported by photo-elicitation were conducted on 24 Transnational Nigerian Immigrants ...


Developing Core Capabilities For Local Health Departments To Engage In Land Use And Transportation Decision Making For Active Transportation, Stephenie C. Lemon, Karin V. Goins, Meera Sreedhara, Mariana Arcaya, Semra A. Aytur, Katie Heinrich, Bridget Kerner, Rodney Lyn, Jay E. Maddock, Robin Riessman, Thomas L. Schmid 2019 University of Massachusetts Medical School

Developing Core Capabilities For Local Health Departments To Engage In Land Use And Transportation Decision Making For Active Transportation, Stephenie C. Lemon, Karin V. Goins, Meera Sreedhara, Mariana Arcaya, Semra A. Aytur, Katie Heinrich, Bridget Kerner, Rodney Lyn, Jay E. Maddock, Robin Riessman, Thomas L. Schmid

UMass Worcester PRC Publications

OBJECTIVE: To develop a core set of capabilities and tasks for local health departments (LHDs) to engage in land use and transportation policy processes that promote active transportation.

DESIGN: We conducted a 3-phase modified Delphi study from 2015 to 2017.

SETTING: We recruited a multidisciplinary national expert panel for key informant interviews by telephone and completion of a 2-step online validation process.

PARTICIPANTS: The panel consisted of 58 individuals with expertise in local transportation and policy processes, as well as experience in cross-sector collaboration with public health. Participants represented the disciplines of land use planning, transportation/public works, public health ...


How To Address Tobacco Use In Minnesota's Mental Health And Substance Use Disorder Services: Tips From The Field, Meghan Bown, Jamie Andycha, Sophie Burnevik, Ruth Tripp, American Lung Association, Blue Cross Blue Shield, Leadership Academy Collaborative 2019 CentraCare Health

How To Address Tobacco Use In Minnesota's Mental Health And Substance Use Disorder Services: Tips From The Field, Meghan Bown, Jamie Andycha, Sophie Burnevik, Ruth Tripp, American Lung Association, Blue Cross Blue Shield, Leadership Academy Collaborative

Articles

The American Lung Association, Upper Midwest Region, developed and facilitates the Leadership Academy Collaborative, bringing together various health care stakeholders in Minnesota to collaborate on a shared vision to reduce commercial tobacco use among people living with mental illness and/or substance use disorders. The following areas were identified as strategies that would benefit from further collective action: social norms, delivery, policy


Friends, Relatives, Sanity, And Health: The Costs Of Politics, Kevin Smith, Matthew V. Hibbing, John R. Hibbing 2019 University of Nebraska-Lincoln

Friends, Relatives, Sanity, And Health: The Costs Of Politics, Kevin Smith, Matthew V. Hibbing, John R. Hibbing

Faculty Publications: Political Science

Political scientists have long known that political involvement exacts costs but they have typically defined these costs in relatively narrow, largely economic terms. Though anecdotal evidence suggests that the costs of politics may in fact extend beyond economics to frayed personal relationships, compromised emotional stability, and even physical problems, no systematic evidence on these broader costs exists. We construct and validate batteries of survey items that delineate the physical, social, and emotional costs of political engagement and administer these items to a demographically representative sample of U.S. adults. The results suggest that a large number of Americans believe their ...


The Equality Toolkit: Practical Skills For Lgbtq And Dsd-Affected Patient Care, Laura Weingartner, Emily Noonan, Amy Holthouser, Jennifer Potter, Stacie Steinbock, Suzanne Kingery, Susan Sawning 2019 University of Louisville

The Equality Toolkit: Practical Skills For Lgbtq And Dsd-Affected Patient Care, Laura Weingartner, Emily Noonan, Amy Holthouser, Jennifer Potter, Stacie Steinbock, Suzanne Kingery, Susan Sawning

Undergraduate Medical Education

The eQuality Toolkit is a training manual that helps healthcare providers build a foundation of inclusive clinical skills to competently care for lesbian, gay, bisexual, transgender, and queer-identified (LGBTQ) patients and individuals born with differences of sex development (DSD). Although this toolkit was designed for medical students, any healthcare provider who wants to learn inclusive clinical skills can benefit from this accessible, brief primer through its actionable steps to improve clinical care.


Increasing Low-Income Residents’ Access To Fresh Produce Through A Local Mobile Pantry, Laura E. Wasson, L. Lanier Nalley, Mechelle Bailey, Laura Hill 2019 University of Arkansas

Increasing Low-Income Residents’ Access To Fresh Produce Through A Local Mobile Pantry, Laura E. Wasson, L. Lanier Nalley, Mechelle Bailey, Laura Hill

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Seeds that Feed (STF) is a mobile food pantry located in Fayetteville, Arkansas. STF receives produce from local farmers to distribute to residents in low-income housing sites throughout Northwest Arkansas. According to Feeding America, food insecurity affected 14.3% Washington County, Arkansas’ population in 2016. The purpose of this study was to determine if STF’s model is an effective way to increase individuals’ access to fresh fruits and vegetables and increase their potential to meet the United States Department of Agriculture’s Food Patterns (USDA-FP) for to fruit and vegetable consumption. Twenty-three participants from three sites completed the study ...


What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian 2019 UVM Larner College of Medicine

What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian

Family Medicine Clerkship Student Projects

19% of Vermonters report drinking alcohol at levels which puts their health at risk, but many healthcare providers do not feel confident in addressing their patients' usage. This can stem from lack of experience with alcohol use, worries about stigma, and time constraints. However, data has shown that even 5-15 minute interventional conversations can significantly reduce a patient's risky drinking. This project aims to provide real-world, practical advice for having conversations around alcohol, and provides a conversion chart converting popular alcoholic beverages into standard drink equivalents.


Portrayals Of Mental Illness, Treatment, And Relapse And Their Effects On The Stigma Of Mental Illness: Population-Based, Randomized Survey Experiment In Rural Uganda, Justin D. Rasmussen, Bernard Kakuhikire, C. Baguma, Scholastic Ashaba, Christine E. Cooper-Vince, Jessica M. Perkins, David Bangsberg, Alexander C. Tsai 2019 Massachusetts General Hospital

Portrayals Of Mental Illness, Treatment, And Relapse And Their Effects On The Stigma Of Mental Illness: Population-Based, Randomized Survey Experiment In Rural Uganda, Justin D. Rasmussen, Bernard Kakuhikire, C. Baguma, Scholastic Ashaba, Christine E. Cooper-Vince, Jessica M. Perkins, David Bangsberg, Alexander C. Tsai

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background

Mental illness stigma is a fundamental barrier to improving mental health worldwide, but little is known about how to durably reduce it. Understanding of mental illness as a treatable medical condition may influence stigmatizing beliefs, but available evidence to inform this hypothesis has been derived solely from high-income countries. We embedded a randomized survey experiment within a whole-population cohort study in rural southwestern Uganda to assess the extent to which portrayals of mental illness treatment effectiveness influence personal beliefs and perceived norms about mental illness and about persons with mental illness.

Methods and findings

Study participants were randomly assigned ...


The Influence Of Patient-Provider Interaction, Self-Concept, And The Socio-Physical Environment On Pelvic Exam Seeking Behavior, Anxiety, And The Health Care Experience, Julie Lasslo 2019 University of Kentucky

The Influence Of Patient-Provider Interaction, Self-Concept, And The Socio-Physical Environment On Pelvic Exam Seeking Behavior, Anxiety, And The Health Care Experience, Julie Lasslo

Theses and Dissertations--Education Science

Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior.

A total of 350 women 19 through ...


The Impact Of A Fruit And Vegetable Farmers' Market Voucher Prescription Program On A Low-Income Rural Population, Kevin Anthony Richie 2019 University of Kentucky

The Impact Of A Fruit And Vegetable Farmers' Market Voucher Prescription Program On A Low-Income Rural Population, Kevin Anthony Richie

Theses and Dissertations--Dietetics and Human Nutrition

Objective: Measures the impact of the Farmers’ Market Voucher program on weight, body mass index, waist circumference, during the 2016 summer on a rural, low-income population residing in Appalachian Kentucky.

Background: Rural communities often have limited access to fresh fruits and vegetables (FV) which contributes to low levels of consumption. FV are calorie poor, nutrient dense and are inversely associated with inflammation markers, obesity, hypertension, and high blood glucose levels. Appalachian rural communities have a higher prevalence of obesity, diabetes, strokes, and death by heart attack when compared to the U.S. Farmers’ markets

Methods: Pre-experimental intervention design examining FV ...


An Analysis And Critique Of Mental Health Treatment In American State Prisons And Proposal For Improved Care, Shelby Hayne 2019 Claremont Colleges

An Analysis And Critique Of Mental Health Treatment In American State Prisons And Proposal For Improved Care, Shelby Hayne

Scripps Senior Theses

Mental health treatment in state prisons is revealed to be highly variable, under-funded, and systematically inadequate. Existing literature exposes this injustice but fails to provide a comprehensive proposal for reform. This paper attempts to fill that gap, outlining a cost-effective, evidence-based treatment proposal, directly addressing the deficits in care revealed through analysis of our current system. In addition, this paper provides historical overviews of the prison system and mental health treatment, utilizing theoretical perspectives to contextualize this proposal in the present state of affairs. Lastly, the evidence is provided to emphasize the potential economic and social benefits of improving mental ...


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