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Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp 2019 University of Southern Maine

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with ...


Fasting Insulin, Glucose, And Hba1c Among Young Adults With Overweight And Obesity, Benjamin Shambon 2019 George Washington University

Fasting Insulin, Glucose, And Hba1c Among Young Adults With Overweight And Obesity, Benjamin Shambon

GW Research Days 2016 - Present

We compared fasting blood glucose, insulin, and hemoglobin A1c using baseline data collected from 460 young adults ages 18-35 enrolled in an ongoing randomized controlled clinical weight-loss trial. The goal was to determine differences within the subject pool for insulin insensitivity and pre-diabetes based on demographics. We further modeled both pancreatic beta cell function and insulin sensitivity using the homeostatic model assessment for insulin resistance (HOMA-IR).


Assessing Perceptions Of Influenza Vaccination While Pregnant Among Women Who Have Not Yet Conceived: Predictors And Modifiers Of Uptake, Franciela Golden 2019 Merrimack College

Assessing Perceptions Of Influenza Vaccination While Pregnant Among Women Who Have Not Yet Conceived: Predictors And Modifiers Of Uptake, Franciela Golden

Health Sciences Student Work

Pregnant women are particularly vulnerable to complications and death caused by the Influenza virus. Pregnant women account for only 1% of the population at a time, but 6-10% of the deaths caused by the flu. This study surveyed women over the age of 18 years old, that are students and staff/faculty of Merrimack College, to assess their perceptions of the influenza vaccine during pregnancy. The survey was administered using a Likert-scale to assess knowledge about the flu vaccine. Option four of the scale represented uneducated answers, while option one represented educated answers about the flu vaccine. The t-test used ...


Space Race, Siri And The Central Dogma: A Contemporary Nursing Analysis Of Antibiotics Resistance, Donovan Lucibello 2019 Carroll College

Space Race, Siri And The Central Dogma: A Contemporary Nursing Analysis Of Antibiotics Resistance, Donovan Lucibello

Nursing Undergraduate Theses

In the age of information, antibiotic resistance is still a black-box problem in clinical practice; pathogens are often defined in terms of which pharmaceuticals are no longer effective, and treatment protocols are prescribed prophylactically; often at strengths that are in excess of what is known about the pathogen’s susceptibilities or even its identity. All antibiotic resistance mechanisms involve the expression of proteins that provide resistance capabilities. These modified proteins should be detectable by analyzing DNA (or RNA intermediates) that code for them in order to determine a pathogen’s threat profile. Next-Generation and nanopore DNA sequencing technologies are capable ...


Perspectives On Addressing Food Insecurity On College Campuses, Through Administrators Eyes: Best Practices And Challenges, Tashanna Brown 2019 Merrimack College

Perspectives On Addressing Food Insecurity On College Campuses, Through Administrators Eyes: Best Practices And Challenges, Tashanna Brown

Health Sciences Student Work

Food security is a situation that exists when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life (Barrett, 2010). These foods also must meet dietary needs to help promote a healthy life (Barrett, 2010). Institutions such as Bunker Hill community college, California State University Long Beach, and multiple other colleges and Universities have taken steps to address food insecurity (FI) on campus. More information is required to determine how to address FI on campus. The purpose of the ...


A Data-Driven Approach To Quantifying Perceptions Of Drivers In Kenyan Health Care Quality, Rebecca Youngerman 2019 William & Mary

A Data-Driven Approach To Quantifying Perceptions Of Drivers In Kenyan Health Care Quality, Rebecca Youngerman

Undergraduate Honors Theses

The purpose of this research is to examine the Kenyan health workforce and cross-cultural perceptions of four key factors related to health care access in Kenya on a sub-national county level. These factors are government health funding per capita, quantity of health professionals per person, number of health facilities per person, and average travel time to health facilities. The perceptions of different survey populations, well-educated Kenyan citizens and American professionals, were used to quantify the weight of importance for each factor. The resulting analysis exemplifies the similarities and variations in perceptions on influencing factors in Kenyan healthcare delivery. This is ...


Agreement Study Between The Parvomedics Trueone 2400 And Vacu-Med Vista Mini-Cpx Metabolic Measurement System, Mohan D. Perumal, Allison M. Barry, Michael Carper, Derek A. Crawford 2019 Pittsburg State University

Agreement Study Between The Parvomedics Trueone 2400 And Vacu-Med Vista Mini-Cpx Metabolic Measurement System, Mohan D. Perumal, Allison M. Barry, Michael Carper, Derek A. Crawford

Posters

Aerobic capacity (VO2 MAX) predicts both athletic performance and health status. Many tools are available to assess VO2 MAX ranging in both cost and accuracy. Understanding limitations of less expensive tools, likely found in settings such as health clinics or sports performance facilities, will help practitioners in developing accurate exercise prescriptions for their respective populations. To evaluate agreement lower cost VO2 MAX assessment tool (Vacu-Med Vista MINI-CPX) to the industry “gold standard” (ParvoMedics TrueOne 2400). Thirty-one participants (22.5 ± 3.5 years; BMI 24.9 ± 2.3; 51% female) completed two sessions of maximal VO2 MAX assessment using the Bruce ...


Identifying Challenges Different Provider Group Encounter In Managing Opioid Use Disorder, Chinonye Anumaka 2019 Muskie School of Public Service, University of Southern Maine

Identifying Challenges Different Provider Group Encounter In Managing Opioid Use Disorder, Chinonye Anumaka

Muskie School Capstones and Dissertations

The Centers for Disease and Control (CDC) describes opioid use disorder (OUD) also known as opioid addiction as the problematic pattern of opioid use leading to clinically significant impairment or distress. In 2016, about 2.1 million people were diagnosed of OUD in the US. In Maine, York County has the third highest drug overdose response and had 166 deaths occurring between 2012-2016. York County is a designated medically underserved area and has a shortage of provider workforce and limited treatment infrastructure. To further understand the challenges providers in York County encounter in managing patients with OUD, 6 focus groups ...


Substance Use Prevention: Communication And Strategies To Reduce Alcohol, Marijuana, And E-Cigarette Use Among College Students, Emily Bauer 2019 Muskie School of Public Service, University of Southern Maine

Substance Use Prevention: Communication And Strategies To Reduce Alcohol, Marijuana, And E-Cigarette Use Among College Students, Emily Bauer

Muskie School Capstones and Dissertations

Substance use among college students impacts universities, communities and student outcomes across the United States. Based on the Monitoring the Future study (MTF), college students have a higher prevalence of past 30-day alcohol use at 63% than their non-college peers (59%) (2016). Nearly one-third of college students (32%) have had five or more drinks in a row in the past two weeks (2016). Monthly marijuana use for college students has remained steady at 22% (2016). Electronic cigarette (e-cigarette) use is 6.9%, which is gaining in popularity but still lower than traditional cigarettes (8.9%) (2016). There are many prevention ...


The Impact Of Nutritional Changes On Dietary Inflammatory Index: New Soul Study, Callie McLean 2019 University of South Carolina - Columbia

The Impact Of Nutritional Changes On Dietary Inflammatory Index: New Soul Study, Callie Mclean

Senior Theses

The Impact of Nutritional Changes on Dietary Inflammatory Index: NEWSoul

Callie McLean; Gabrielle Turner-McGrievy, PhD, MS, RD; Michael Wirth, PhD; Anthony Crimarco, MS

Background: Historically, a soul food diet consisted of mainly plant-based foods in West Africa and evolved to a mostly meat-based diet in the Southeastern United States. As a result, many soul foods today often exceed the recommended dietary guidelines for saturated fats and cholesterol. This is important to consider for dietary interventions focusing on African American populations, since they are at a greater risk for cardiovascular disease and chronic illness compared to all other ethnic groups. One ...


An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed 2019 University of South Carolina

An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed

Senior Theses

One hundred and six undergraduate students of the University of South Carolina were surveyed to understand misuse of prescription stimulants and how perceived academic pressure may play a role in this behavior. Overall, the survey revealed that 33.0% of participants reported illicit use of prescription stimulants in the last 30 days, and 52.8% reported illicitly using prescription stimulants at least once during their time in college. Data from the survey responses indicated that students perceiving academic pressure were more likely to have misused prescription stimulants at least once during their time in college, but only if these students ...


Environmental Health Sciences In A Translational Research Framework: More Than Benches And Bedsides, Joel D. Kaufman, Cynthia L. Curl 2019 University of Washington

Environmental Health Sciences In A Translational Research Framework: More Than Benches And Bedsides, Joel D. Kaufman, Cynthia L. Curl

Community and Environmental Health Faculty Publications and Presentations

Background: Environmental health scientists may find it challenging to fit the structure of the questions addressed in their discipline into the prevailing paradigm for translational research.

Objective: We aim to frame the translational science paradigm to address the stages of scientific discovery, knowledge acquisition, policy development, and evaluation in a manner relevant to the environmental health sciences. Our intention is to characterize differences between environmental health sciences and clinical medicine, and to orient this effort towards public health goals.

Discussion: Translational research is usually understood to have evolved from the bench-to-bedside framework by which basic science transitions to clinical treatment ...


Be Your Best S.E.L.F., Rachel Wood, Casey Hasenbein 2019 University of South Carolina

Be Your Best S.E.L.F., Rachel Wood, Casey Hasenbein

Senior Theses

The goal of our thesis was to use our knowledge as Exercise Science students and personal trainers to improve the health of an underserved population in South Carolina. We created a voluntary exercise and self-defense program for the girls residing at Epworth Children’s Home. The program began on October 1, 2018 and concluded on April 29, 2019 with data collecting taking place between October 8th and March 18th. Every other week SASS Defense taught their self-defense program, and on the alternating weeks we facilitated an exercise class. The program also included a mentorship aspect to create a supportive social ...


Smoke-Free Environment Policy In Vietnam: What Did People See And How Did They React When They Visited Various Public Places, Vinh H. Nguyen, D. A. DO, T. T.H. DO, T. M.A. Dao, B. G. Kim, T H. Phan, T. H. Doan, N. K. Luong, T. L. Nguyen, V. M. Hoang, T. Q. N. Pham, T. Q. Nguyen 2019 University of Massachusetts Medical School

Smoke-Free Environment Policy In Vietnam: What Did People See And How Did They React When They Visited Various Public Places, Vinh H. Nguyen, D. A. Do, T. T.H. Do, T. M.A. Dao, B. G. Kim, T H. Phan, T. H. Doan, N. K. Luong, T. L. Nguyen, V. M. Hoang, T. Q. N. Pham, T. Q. Nguyen

Open Access Articles

Introduction: Since Vietnam has signed WHO framework on tobacco control (FCTC) in 2003 and has issued tobacco control law in 2013, there has been little research concerning about what impacts smoke-free regulations have had on public compliance. The objective of this study was to assess public exposure to secondhand smoke and reaction toward smoke-free policy regulations in Vietnam and the associated factor.

Methods: Using the design of GATS (Global Adult Tobacco Survey), a nationally representative sample of 8,996 adults were approached for data collection. Logistic regression was used to examine the associated factor.

Results: The study revealed that the ...


Ecological Determinants Of Respiratory Health: Examining Associations Between Asthma Emergency Department Visits, Diesel Particulate Matter, And Public Parks And Open Space In Los Angeles, California, Jason A. Douglas, Reginald S. Archer, Serena E. Alexander 2019 Chapman University

Ecological Determinants Of Respiratory Health: Examining Associations Between Asthma Emergency Department Visits, Diesel Particulate Matter, And Public Parks And Open Space In Los Angeles, California, Jason A. Douglas, Reginald S. Archer, Serena E. Alexander

Health Sciences and Kinesiology Faculty Articles

Los Angeles County (LAC) low-income communities of color experience uneven asthma rates, evidenced by asthma emergency department visits (AEDV). This has partly been attributed to inequitable exposure to diesel particulate matter (DPM). Promisingly, public parks and open space (PPOS) contribute to DPM mitigation. However, low-income communities of color with limited access to PPOS may be deprived of associated public health benefits. Therefore, this novel study investigates the AEDV, DPM, PPOS nexus to address this public health dilemma and inform public policy in at-risk communities. Optimized Hotspot Analysis was used to examine geographic clustering of AEDVs, DPM, and PPOS at the ...


Health Promotion Practice And The Road Ahead: Addressing Enduring Gaps And Encouraging Greater Practice-To-Research Translation, Amanda Birnbaum, Mark D. Rivera 2019 Montclair State University

Health Promotion Practice And The Road Ahead: Addressing Enduring Gaps And Encouraging Greater Practice-To-Research Translation, Amanda Birnbaum, Mark D. Rivera

Amanda Birnbaum

A decade ago, Lancaster and Roe described four critical gaps (i.e., communications, accessibility, credibility, and expectations) between research and practice in health education and health promotion that formed the framework for this department. Despite considerable attention and some progress, these gaps persist and are barriers to interaction and translation between health promotion and health education research and practice. Looking to the next several years as the new Associate Editors for this department, we renew the department’s commitment toward addressing these enduring gaps around which we frame new questions and invite continued dialogue.


Religiosity And Patient Engagement In Their Healthcare Among Hospital Survivors Of An Acute Coronary Syndrome, Hawa Ozien Abu, David D. McManus, Catarina I. Kiefe, Robert J. Goldberg 2019 University of Massachusetts Medical School

Religiosity And Patient Engagement In Their Healthcare Among Hospital Survivors Of An Acute Coronary Syndrome, Hawa Ozien Abu, David D. Mcmanus, Catarina I. Kiefe, Robert J. Goldberg

Community Engagement and Research Symposia

Background: Optimum management after an Acute Coronary Syndrome (ACS) requires considerable patient engagement/activation. Religious practices permeate people's lives and may influence engagement in their healthcare. Little is known about the relationship between religiosity and patient activation in hospital survivors of an ACS.

Methods: We recruited patients hospitalized for an ACS at six medical centers in Central Massachusetts and Georgia (2011-2013). Participants self-reported three measures of religiosity - strength and comfort from religion, making petition prayers, and awareness of intercessory prayers for health. Patient activation was assessed using the 6-item Patient Activation Measure (PAM-6). We categorized participants as either having ...


Next Steps From A School Gardening Partnership Conference (Ages: Academic Gardening To Enrich Our Students): Expanding The Impact Of School Gardens Through Higher Education, K-12 School And Community Coalitions, Martha Assefa, Pat Barnosky, Michelle Beaulieu, Amy Borg, Casey Burns, Marguerite Cawley, Jennifer De Jordy, Daina Harvey, Kelsey Hopkins, Sue Hunt, Joanne Jaber Gauvin, Isabelle Jenkins, Eliza Lawrence, Anna Marinescu, Mackenzie May, Gina Plata-Nino, Grace Sliwoski, Adam Saltsman 2019 Worcester Food Policy Council

Next Steps From A School Gardening Partnership Conference (Ages: Academic Gardening To Enrich Our Students): Expanding The Impact Of School Gardens Through Higher Education, K-12 School And Community Coalitions, Martha Assefa, Pat Barnosky, Michelle Beaulieu, Amy Borg, Casey Burns, Marguerite Cawley, Jennifer De Jordy, Daina Harvey, Kelsey Hopkins, Sue Hunt, Joanne Jaber Gauvin, Isabelle Jenkins, Eliza Lawrence, Anna Marinescu, Mackenzie May, Gina Plata-Nino, Grace Sliwoski, Adam Saltsman

Community Engagement and Research Symposia

Research suggests that there are many benefits of school gardens for students, teachers and community. Not only can they help children eat more fruits and vegetables and be more physically active, they can help to create learning opportunities and increase teacher satisfaction. In Worcester, Massachusetts, a city with high poverty and food insecurity rates, a broad community coalition formed to brainstorm novel implementation models to improve the use and sustainability of school gardens. The group decided to foster new collaborations among higher education, K-12 schools and community organizations. The innovative idea was that higher education could meet their need for ...


Healthy Bodegas: Bringing The Community Together To Eat Healthier, Laura N. Amweg, Laura Hayman 2019 University of Massachusetts Boston

Healthy Bodegas: Bringing The Community Together To Eat Healthier, Laura N. Amweg, Laura Hayman

Community Engagement and Research Symposia

Background: Colorectal cancer (CRC) incidence rates have remained stable in the United States (U.S.) the past 30 years, however, there has been a significant increase in CRC incidence among the millennial generation. The association between the Western diet and CRC, and racial and gender disparities in CRC is well-established. Public health and community efforts are needed to address barriers to healthy nutrition in this population. One identified barrier is food access in lower-income communities, sometimes called "food deserts." Local stores, or "bodegas," have potential to increase access to healthy affordable foods and contribute to risk reduction for the development ...


Stakeholder Engagement Through Participatory Action Research At Isparc, Amanda Costa, Melissa L. Anderson, Deirdre G. Logan, Celine Larkin 2019 University of Massachusetts Medical School

Stakeholder Engagement Through Participatory Action Research At Isparc, Amanda Costa, Melissa L. Anderson, Deirdre G. Logan, Celine Larkin

Community Engagement and Research Symposia

The Implementation Science & Practice-based Advances Research Center (iSPARC) is a new DMH-funded collaborative effort between the former Systems and Psychosocial Advances Research Center, Quantitative Health Sciences and Boston University's Center for Psychiatric Rehabilitation. With 52 core and affiliate investigators, iSPARC features five interacting programs: Stakeholder Engagement, Public Mental Health and Implementation Research, Technical Assistance and Consultation, Workforce Development, and External Funding. The mission of the Stakeholder Engagement Program is to lead the mental health research community and beyond in working in partnership with individuals with lived mental health experience, their families, and the agencies that serve them. This program ...


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