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Community Paramedicine Pilot Programs: Lessons From Maine, Karen B. Pearson MLIS, MA, George Shaler MPH 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Community Paramedicine Pilot Programs: Lessons From Maine, Karen B. Pearson Mlis, Ma, George Shaler Mph

Access / Insurance

Community paramedicine programs are beginning to flourish across the nation, and the need to provide demonstration or pilot programs is essential to providing a consistent and high-level standard for this model of care. While the overarching goals are to align with the Triple Aim, piloting a community paramedicine program also allows each community to develop and implement a program tailored to the healthcare needs of their specific community. A successful program builds the evidence base that can then be used to create legislative change necessary to financially sustain this model of care across the healthcare delivery system. This article provides ...


Effectiveness Of Four-Decontamination Techniques On Bacterial Growth On Cpr Manikins After Use In A Cpr Course, Rachel K. Katch, David C. Berry 2017 University of Connecticut - Storrs

Effectiveness Of Four-Decontamination Techniques On Bacterial Growth On Cpr Manikins After Use In A Cpr Course, Rachel K. Katch, David C. Berry

International Journal of First Aid Education

Context: The American Red Cross and American Heart Association are strong advocates of preventing disease transmission during cardiopulmonary resuscitation (CPR) training by promoting careful and consistent manikin decontamination. Because CPR is taught worldwide, identifying low-cost, efficient, and effective means of decontamination is imperative. Objective: Determine the degree of contamination on CPR manikins after routine use, and evaluate the efficacy of four disinfecting methods to reduce bacterial growth. Design: Descriptive laboratory. Setting: CPR class; microbiology laboratory. Subjects Forty-eight Actar 911™ CPR manikins (Armstrong Medical Industries, Lincolnshire, IL). Main Outcome Measure(s): Dependent variable was bacterial colony growth (count); independent variable was ...


Mindful Mornings: Piloting A Meditation Group With Vulnerable Adults In A Drop-In Center, Iyo Kubota 2017 The University of San Francisco

Mindful Mornings: Piloting A Meditation Group With Vulnerable Adults In A Drop-In Center, Iyo Kubota

Master's Projects and Capstones

An accumulation of stress and lack of coping resources can contribute to a higher incidence of mental and physical health disparities. Homeless adults are one of the most vulnerable subgroups who utilize Enterprise Resource Center, a peer-run day-center in Marin County. Because stress from multiple factors was identified in this transient and high-risk population, an intervention for stress reduction and management was explored. The findings from the needs assessment suggested that there was a need for an integrated approach for stress reduction and management. The challenge of sustaining a program was also highlighted during the needs assessment.

A brief mindfulness ...


Safe Injection Facilities In The Tenderloin: Starting With Operational Plans, Bina Solanky 2017 The University of San Francisco

Safe Injection Facilities In The Tenderloin: Starting With Operational Plans, Bina Solanky

Master's Projects and Capstones

There are over 90 safe injection facilities (SIFs) in at least 11 countries around the world, except in the United States. SIFs are spaces where people who inject drugs (PWID) can bring their pre-obtained drugs in a hygienic space and use them under supervision. The goal of these sites is to reduce the harmful effects of injection drug use and refer PWID to other medical, social, and treatment services. The Safer Inside Coalition, a community-driven health initiative, in the Tenderloin district of San Francisco recommended opening a SIF in the Tenderloin to improve the health of the community and individual ...


Health Initiatives By Indigenous People In Australia, Stephanie Clark 2017 Selected Works

Health Initiatives By Indigenous People In Australia, Stephanie Clark

Stephanie Clark

No abstract provided.


Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra 2017 University of San Francisco

Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra

Master's Projects and Capstones

Previous work on HIV retention improvement has focused on improving access to care for communities who are either at-risk of falling out of care or who have difficulty engaging in medical care for the first time due to socio-cultural barriers. The San Francisco Department of Public Health (SFDPH), with the support of Project PRIDE, a CDC three-year demonstration project geared towards supporting health departments in implementing public health strategies to reduce new HIV infections within the men who have sex with men (MSM) and transgender communities, is seeking to improve HIV patient retention throughout the San Francisco Community Health Network ...


Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown 2017 Chapman University

Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Objective: To describe the prevalence of herbal medicine use among US adults and to assess factors associated with and predictors of herbal use. Design: The data for herbal products use were collected from the 2015 National Consumer Survey on the Medication Experience and Pharmacists’ Roles. Chi-square test was used to analyz factors associated with herbal use, and predictors of herbal use were assessed with logistic regression analysis. Results: Factors associated with herbal supplement use include age older than 70, having a higher than high school education, using prescription medications or over-thecounter (OTC) medications, and using a mail-order pharmacy.” All Disease ...


A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot 2017 California State University - San Bernardino

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a ...


Quantitative Analysis Of Opioids And Cannabinoids In Wastewater Samples, Alethea Jacox 2017 CUNY John Jay College

Quantitative Analysis Of Opioids And Cannabinoids In Wastewater Samples, Alethea Jacox

Student Theses

Wastewater-based epidemiology is an innovative approach that uses the analysis of human excretion products in wastewater to obtain information about exposure to drugs in defined population groups. We developed and validated an analytical method for the detection and quantification of opioids (morphine, oxycodone, hydrocodone, oxymorphone and hydromorphone), and cannabinoids (9-tetrahydrocannabinol, 11-nor 9-carboxy- tetrahydrocannabinol (THCCOOH) and THCCOOH-glucuronide) in raw influent wastewater samples by ultra-high performance liquid chromatography-tandem mass spectrometry. Method validation included linearity (5–1 000 ng/L for opioids, 10–1 000 ng/L for cannabinoids), imprecision (<21.2%), accuracy (83%–131%), matrix effect (from –35.1% to –14.7%) and extraction efficiency (25%–84%), limit of detection (1–5 ng/L) and quantification (5–10 ng/L) and auto-sampler stability (no loss detected). River, sewage overflow and wastewater samples were collected in triplicate from different locations in New York City and stored at -20 C until analysis. River water samples were negative for all the compounds. Water from sewage overflow location tested positive for morphine (10.7 ng/L), oxycodone (4.2–23.5 ng/L), oxymorphone (4.8 ng/L) and hydromorphone (4.2 ng/L). Wastewater samples tested positive for morphine (133.0– 258.3 ng/L), oxycodone (31.1– 63.6 ng/L), oxymorphone (16.0–56.8 ng/L), hydromorphone (6.8–18.0 ng/L), hydrocodone (4.0– 12.8 ng/L) and THCCOOH (168.2– 772.0 ng/L). This method is sensitive and specific for opioids and marijuana determination in wastewater samples.


Paying It Forward: Training Doulas As A Form Of Reintegration And Support For Communities Of Color, Sandra E. Luna-Martinez 2017 The University of San Francisco

Paying It Forward: Training Doulas As A Form Of Reintegration And Support For Communities Of Color, Sandra E. Luna-Martinez

Master's Projects and Capstones

As part of the birth justice movement in Alameda County, Roots of Labor Birth Collective (RLBC) is committed to support, empower and care for birthing members of the community. RLBC works to empower people of color with education and tools to have healthy babies and positive birth experiences regardless of their: gender, size, sexuality, orientation, culture or family structure. Healthy families begin with healthy communities and with that in mind, RLBC decided to tackle two major public health issues at once: recidivism and poor birth outcomes in communities of color. Doula training is not just an intervention to improve birth ...


Environmental Health, Tessa Oliaro 2017 Chapman University

Environmental Health, Tessa Oliaro

Student Research Day Abstracts and Posters

There is a very important intersection between the environment, public health, and socioeconomic factors (Braveman, 2014). These include waste disposal, water use and quality, road safety, ecosystem services, and many more. Environmental health stresses, “the health impacts of physical, chemical, and biological agents in the environment and workplace, and learns to develop strategies to measure and control major environmental health problems both locally…and in settings around the globe” (UC Berkeley School of Public Health, 2017). This overarching umbrella can have emphases in environmental epidemiology, exposure science, climate change, ergonomics, home and industrial hygiene, and molecular epidemiology. Exploring each of ...


Organ Donation: A Comparison Of Altruistic And Market-Based Systems, Cameron Caputi 2017 Cleveland State University

Organ Donation: A Comparison Of Altruistic And Market-Based Systems, Cameron Caputi

The Downtown Review

One of the most heavily regulated aspects of the Health Care industry is the organ donation system (“Legislation and Policy”). Regulations in this area ensure the quality of the organs and morality of the process through which they were procured. This system, however, is failing in at least one sense; the number of patients requiring organ transplants is increasing, but the number of donors remains stagnant (Gordon, Patel, Sohn, Hippen, Sherman , 2014). Due to the lack of available transplant organs, a debate has been sparked on whether the United States government should allow for the purchasing of these organs.


2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Final Research Paper), Megan Kenney 2017 Chapman University

2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Final Research Paper), Megan Kenney

Kevin and Tam Ross Undergraduate Research Prize

The purpose of this article was to review the current research regarding patient activation among diverse populations. Patient activation is defined as an individual’s knowledge, skill, and confidence in managing his or her own health and health care. A total of 62 articles were used in this review (54 primary research articles, six retrospective analyses, and two systematic reviews). Articles were obtained using the EBSCO search engine through the Leatherby Libraries at Chapman University. Preliminary and secondary searches were conducted using the keywords “patient activation.” Only articles published within the last ten years (2007 to 2017) were included to ...


Emergency Preparedness Competencies Among Nurses In Northwest Arkansas, Taylor A. Matlock 2017 University of Arkansas, Fayetteville

Emergency Preparedness Competencies Among Nurses In Northwest Arkansas, Taylor A. Matlock

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Despite years of training and experience, evidence suggests nurses report wide gaps in emergency competencies and disaster preparedness. Further, nurses report low levels of familiarity in competencies related to planning for disasters, implementing disaster guidelines, and assessing patients exposed to biological and chemical agents. This research sought to establish the self-reported level of emergency preparedness competencies of nurses in Northwest Arkansas, an area that faces a diverse set of potential disasters ranging from nuclear accidents to pandemic disease. Additionally, differences between of the level of preparedness by education level or work specialty were studied. The results are alarming in that ...


Salmonella And Aeromonas Contamination In A 303(D) Listed Water Body Compared To Fecal Indicators & Water Quality Parameters, Elizabeth M. Morgan Ms. 2017 East Tennessee State University

Salmonella And Aeromonas Contamination In A 303(D) Listed Water Body Compared To Fecal Indicators & Water Quality Parameters, Elizabeth M. Morgan Ms.

Undergraduate Honors Theses

Since the passage of the Clean Water Act, concern about surface water quality has increased. Reducing exposure to pathogens and adverse impacts on human health because of contact with surface waters has become the focus of many regulatory agencies. Fecal pollution is often a cause of surface water impairment. Fecal indicators, such as fecal coliforms and Escherichia coli, are used as surrogates to evaluate the presence or absence of fecal pollution. However, a growing body of research has shown that these species lack key characteristics necessary to be adequate indicators. As such, explorations into the efficacy of indicator species in ...


University Of Tennessee, Knoxville Undergraduate Students’ Awareness And Opinions Of The Patient Protection And Affordable Care Act (Aca), Mary Jennings Hardee 2017 University of Tennessee, Knoxville

University Of Tennessee, Knoxville Undergraduate Students’ Awareness And Opinions Of The Patient Protection And Affordable Care Act (Aca), Mary Jennings Hardee

University of Tennessee Honors Thesis Projects

No abstract provided.


Sugar Price Supports And Taxation: A Public Health Policy Paradox, Abby Dilk, Dennis Savaiano 2017 George Washington University

Sugar Price Supports And Taxation: A Public Health Policy Paradox, Abby Dilk, Dennis Savaiano

Student Works

Domestic US sugar production has been protected by government policy for the past 82 years, resulting in elevated domestic prices and an estimated annual (2013) $1.4 billion dollar “tax” on consumers. These elevated prices and the simultaneous federal support for domestic corn production have ensured a strong market for high-fructose corn syrup. Americans have dramatically increased their consumption of caloric sweeteners during the same period. Consumption of “empty” calories (ie, foods with low-nutrient/high-caloric density)—sugar and high-fructose corn syrup being the primary sources—is considered by most public health experts to be a key contributing factor to the ...


Colorectal Cancer Fit Screening In The Hope Vi Population Of Jefferson County, Kentucky., Jeffrey D. Stone 2017 University of Louisville

Colorectal Cancer Fit Screening In The Hope Vi Population Of Jefferson County, Kentucky., Jeffrey D. Stone

Electronic Theses and Dissertations

Using pre-post survey data collected from 209 randomly selected African American people from the population of former residents of Clarksdale and Sheppard Square public housing areas, this study explores the relationship between individual characteristics and colorectal cancer screening behavior, measured by the uptake of the Fecal Immunochemical Test (FIT) and by prior colorectal screening, while controlling for neighborhood factors and geographic proximity to healthcare facilities. This particular public housing population is of interest because of their relocation from the downtown area, where healthcare facilities are within walking distances, to other public housing units either in large apartment complexes or scattered ...


Improving Patient Outcomes: Early Mobilization Of Intensive Care Patients, Casey Teves 2017 University of Massachusetts Boston

Improving Patient Outcomes: Early Mobilization Of Intensive Care Patients, Casey Teves

Honors College Theses

Early mobilization of intensive care patients has gained the interest of researchers within the last few years due to its safe and practical application and numerous benefits it can provide. Reviewing the literature on this topic reveals the substantial benefits of early mobilization and the detrimental effects of prolonged bed-rest. Despite recent evidence proving that this practice will increase quality of care, many intensive care units still utilize bed-rest as a standard. Understanding the barriers and facilitators of this change can help transform this research into practice and improve patient care outcomes. Nurses are the key facilitators in the initiative ...


Drunkorexia And The Motives Behind Substance Abuse And Eating Disorder Pathology Amongst College Culture, Nicole Caron, Ginette Gosselin Ferszt 2017 University of Rhode Island

Drunkorexia And The Motives Behind Substance Abuse And Eating Disorder Pathology Amongst College Culture, Nicole Caron, Ginette Gosselin Ferszt

Senior Honors Projects

Amongst college campuses throughout the United States, binge drinking has become a major concern. It seems to be integrated into campus culture, and considered “normal behavior”. However, binge drinking is not without its consequences. There are programs and educational materials which warn about the dangers of binge drinking. While binge drinking behaviors are common, there are other troublesome behaviors that are experienced amongst college students which are not discussed as often. In addition, there is an increase in the integration of binge drinking and eating disorder behaviors. This behavior is referred to as “drunkorexia”. Drunkorexia involves the exhibition of eating ...


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