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Impact Of Race And Insurance On Door-To-Appendectomy Time Among Pediatric Patients, Carla M. Lopez, Emily R. Christison-Lagay, Daniel Solomon 2018 Yale University School of Medicine

Impact Of Race And Insurance On Door-To-Appendectomy Time Among Pediatric Patients, Carla M. Lopez, Emily R. Christison-Lagay, Daniel Solomon

Journal of Health Disparities Research and Practice

Racial and ethnic disparities in the rate of appendiceal rupture have been widely reported among the pediatric population. The main reasons for this remain largely unknown given that previous explanations pointing to signs of poor health care access have recently been shown to account for only a small percentage of the difference in perforation rates between white and minority children. Because the risk of perforation increases with time, racial disparities in time delay from emergency department presentation to OR appendectomy may help account for the higher appendiceal perforation rates observed among minority children. This is the first study dedicated to ...


Racial Disparity Among Women Diagnosed With Invasive Breast Cancer In A Large Integrated Health System, Maharaj Singh, Santhi D. Konduri, George C. Bobustuc, Amin B. Kassam, Richard A. Rovin 2018 Aurora Research Institute, Aurora Health Care

Racial Disparity Among Women Diagnosed With Invasive Breast Cancer In A Large Integrated Health System, Maharaj Singh, Santhi D. Konduri, George C. Bobustuc, Amin B. Kassam, Richard A. Rovin

Journal of Patient-Centered Research and Reviews

Purpose: Reasons for the well-described disparity in outcomes between African American (AA) and non-Hispanic white (NHW) women with invasive breast cancer are unclear, making it difficult to identify solutions. This study examined the effects of demographics, biomarkers, tumor characteristics, cancer stage, morphology, and treatment variables on overall and cancer-free survival in these patient populations.

Methods: We retrospectively reviewed data for 6231 patients diagnosed with invasive breast cancer throughout an integrated health system from January 2006 through March 2015. Included for analysis were 5023 NHW and 413 AA women. All category and continuous variables in the study were described in the ...


Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut 2018 University of Texas Rio Grande Valley

Adapted Aquatics For Children With Severe Motor Impairments, Phillip Conatser, Eric James, Ulku Karabulut

International Journal of Aquatic Research and Education

Available research clearly shows that more children who have disabilities, including those with severe disabilities, are participating in swimming programs as well as wanting to be taught in a regular aquatic class without being segregated. Aquatic instructors need to prepare lessons that include children both with and without disabilities. This means that aquatics instructors need to understand and be willing to implement unique teaching and managerial techniques that foster the safe and successful learning environment for all children. While the task of teaching children who have severe disabilities may seem difficult at first, with a little knowledge and experience, instructors ...


Assessment Of Health Literacy Level In 18-30 Year-Old Adults, An Iranian Experience, Masoumeh Ansari, Fatemeh Mohammad-moradi, Mehrdad Khaledian, Maryam Shekofteh, Ali valinejadi 2018 *Scientometrics and Publication Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. *Department of Medical Library and Information Sciences, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Assessment Of Health Literacy Level In 18-30 Year-Old Adults, An Iranian Experience, Masoumeh Ansari, Fatemeh Mohammad-Moradi, Mehrdad Khaledian, Maryam Shekofteh, Ali Valinejadi

Library Philosophy and Practice (e-journal)

Objective: Health literacy is knowledge for comprehension, assessment and achievement of health and benefit of it in life finally to health promotion. People, who have little health literacy, have less knowledge about their health condition therefore they don’t take sufficient preventive services instead they receive more hospital and emergency units' services. Identification and promotion of health literacy level is one of the best solutions to increase social health and play important role in making healthy social in future, too.

Design and setting: This descriptive study, about 170 people (ranging from18-30 year-old) who referred to Shemiranat health network in end ...


Migração E Saúde Dos Brasileiros Em Massachusetts, Carlos Eduardo Siqueira 2018 University of Massachusetts Boston

Migração E Saúde Dos Brasileiros Em Massachusetts, Carlos Eduardo Siqueira

C. Eduardo Siqueira

Neste  capítulo  discutirei  o  tema  migração  e  saúde  a  partir  de
pesquisas realizadas com trabalhadores imigrantes brasileiros em Massachusetts, estado dos Estados Unidos da América (EUA) para onde houve grande migração de brasileiros desde os anos 90. Devido à escassez de evidências empíricas sobre o tema na literatura científica publicada em inglês e português, abordarei os estudos que dirigi e participei a partir de 2003, e sempre que possível e 
necessário incluirei resultados de estudos realizados por pesquisadores que investigaram a relação entre a migração de brasileiros para os Estados Unidos e os seus impactos na saúde, mesmo que de ...


Dynamical Properties Of Postural Control In Obese Community-Dwelling Older Adults, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart, John Lach, Dong Sam Ha, Karen A. Roberto, Abraham Lieberman 2018 Arizona State University

Dynamical Properties Of Postural Control In Obese Community-Dwelling Older Adults, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart, John Lach, Dong Sam Ha, Karen A. Roberto, Abraham Lieberman

Physical Therapy Faculty Articles and Research

Postural control is a key aspect in preventing falls. The aim of this study was to determine if obesity affected balance in community-dwelling older adults and serve as an indicator of fall risk. The participants were randomly assigned to receive a comprehensive geriatric assessment followed by a longitudinal assessment of their fall history. The standing postural balance was measured for 98 participants with a Body Mass Index (BMI) ranging from 18 to 63 kg/m2, using a force plate and an inertial measurement unit affixed at the sternum. Participants’ fall history was recorded over 2 years and participants with at ...


Hiv Mortality Difference Between Black And White Women, CARLOS O. NESBETH, Rajiv Kandala, Syed Najeeb, Ruksana Nazneen, Banglore Murthy 2018 Meharry Medical College

Hiv Mortality Difference Between Black And White Women, Carlos O. Nesbeth, Rajiv Kandala, Syed Najeeb, Ruksana Nazneen, Banglore Murthy

Journal of Health Disparities Research and Practice

OBJECTIVE

In the United States, human immunodeficiency virus (HIV) continues to be among the top 10 leading causes of mortality for black women between the ages of 20 and 54¹, but does not rank among the top 10 leading causes of death for white women amongst all age groups². This study describes the HIV mortality difference between black and white women and formulate hypotheses that may reduce or eliminate disparities.

METHODS

Information was accessed through public data, the US Census, and the US Compressed Mortality File.

RESULTS

In these descriptive data from 1987 through 2015, including reliable HIV mortality ...


A Cohort Study Of Public Health Insurance Coverage Loss Among Oregon Adolescents, Heather Angier MPH, Carrie Tillotson MPH, Lorraine Wallace PhD, Miguel Marino PhD, Jean O'Malley MPH, Aleksandra Sumic MPH, Lynn Baker BSEE, Christine Nelson PhD, RN, Nathalie Huguet PhD, Andrew Suchocki MD, MPH, Heather Holderness MPH, Jennifer E. DeVoe MD, DPhil 2018 Oregon Health & Science University

A Cohort Study Of Public Health Insurance Coverage Loss Among Oregon Adolescents, Heather Angier Mph, Carrie Tillotson Mph, Lorraine Wallace Phd, Miguel Marino Phd, Jean O'Malley Mph, Aleksandra Sumic Mph, Lynn Baker Bsee, Christine Nelson Phd, Rn, Nathalie Huguet Phd, Andrew Suchocki Md, Mph, Heather Holderness Mph, Jennifer E. Devoe Md, Dphil

Journal of Health Disparities Research and Practice

ABSTRACT

Introduction: Churning on and off and/or experiencing coverage gaps is common among public health insurance recipients. Although the Affordable Care Act (ACA) provisions to extend parental coverage for adolescents transitioning to young adulthood on private insurance plans were implemented in 2010, no such protection was mandated for adolescents with public health insurance.

Methods: Oregon public health insurance enrollment and electronic health record data from community health centers were used to conduct a retrospective, observational cohort study of Oregon adolescents (17-19 years of age) with public coverage [January 1, 2011-December 31, 2013 (n=51,988)] to assess loss. Time-to-event ...


Lost Seasonality And Overconsumption Of Plants: Risking Oxalate Toxicity, Sally K. Norton 2018 My Food Matters, LLC

Lost Seasonality And Overconsumption Of Plants: Risking Oxalate Toxicity, Sally K. Norton

Journal of Evolution and Health

In many plants, oxalate crystals are present. These relatively large microcrystals have the potential to inflict mechanical injury. On the other hand, ionic, soluble, and nano-crystal forms of oxalate are readily absorbed. Bioaccumulation in humans is well documented. Crystals and ionic oxalate are associated with pain and both functional and chronic disorders.

Today’s many health challenges have led people to select foods purported to be healthier, many of which are high in oxalate. Modern dietary approaches have placed great emphasis on the health benefits of vegetables, nuts, and spices. Many of these are high oxalate foods that are now ...


Regulation Of Food Consumption As An Effort To Control Obesity Rates, Shelby Kantner 2018 University of Puget Sound

Regulation Of Food Consumption As An Effort To Control Obesity Rates, Shelby Kantner

Sound Decisions: An Undergraduate Bioethics Journal

This paper utilizes a rule-utilitarian framework to examine the ethical issue of food consumption regulation in the United States as an effort to control obesity rates. Rule-utilitarianism presents the idea that “a right action is one that conforms to a rule that if followed consistently, would create for everyone involved the most beneficial balance of good over bad” (Vaughn 35). Specifically, this paper argues that if the government were to enact a policy or law that required food companies and restaurants to reduce their portion sizes, this law/policy would be considered morally permissible under rule-utilitarianism theory. Doing so would ...


The Importance Of Interdisciplinarity: Redefining The Health Belief Model, Ross F. Lordo 2018 University of South Carolina

The Importance Of Interdisciplinarity: Redefining The Health Belief Model, Ross F. Lordo

Senior Theses

Throughout academia, there lacks an existence of a commonly utilized multicomponent and interdisciplinary approach in understanding our outside world. This thesis provides an analysis of the current state of interdisciplinarity and the need to develop interdisciplinary theory. Through this effort, the researcher utilizes the health belief model as a framework that is severely limited in applicable scope due to its constructs. Contrastingly, systems theory and game theory are validated as examples of theories with an interdisciplinary nature. Through the coding of the literature pertaining to the qualitative characteristics of the health belief model, game theory and systems theory, guidelines in ...


Identifying The Newly Insurable Medicaid Coverage Gap Population Under The Affordable Care Act: Who They Are And Where They Live, Samuel L. Woodruff 2018 University of Nebraska Medical Center

Identifying The Newly Insurable Medicaid Coverage Gap Population Under The Affordable Care Act: Who They Are And Where They Live, Samuel L. Woodruff

Service Learning/Capstone Experience

The goal of this Capstone Project is to better define and geographically locate the potential distribution of individuals who fall within the current Medicaid Coverage Gap and those populations who would be eligible for Medicaid under the expansion of Medicaid within the state of Nebraska. Using data from multiple United States Census Bureau sources, along with available data from the Health Resources and Services Administration (HRSA), this project looks to also locate populations of these individuals that may live within established Medically Underserved Areas (MUA's) or Health Professional Shortage Areas (HPSA's) within the state. American Community Survey 5-year ...


Dispensing Medical Countermeasures In Public Health Emergencies Via Home Health Agencies And Points Of Distribution, Anna Hudgeons 2018 University of Arkansas, Fayetteville

Dispensing Medical Countermeasures In Public Health Emergencies Via Home Health Agencies And Points Of Distribution, Anna Hudgeons

Industrial Engineering Undergraduate Honors Theses

A major concern regarding emergency preparedness on the state government level involves the handling and dispensing of the Strategic National Stockpile (SNS) of medicinal supplies. Each state is required to update and maintain a plan of action for dispensing SNS materials that would effectively provide care to the state’s population in times of distress. This research evaluates a state’s ability to dispense an adequate amount of medicine to her population in a timely manner, specifically after it has been received by the state government. Although simulation modeling has previously been utilized to replicate the dispensing process at pre-designated ...


Transportation And Distribution Of Strategic National Stockpile Supplies In A Public Health Emergency, Olivia A. Goss 2018 University of Arkansas, Fayetteville

Transportation And Distribution Of Strategic National Stockpile Supplies In A Public Health Emergency, Olivia A. Goss

Industrial Engineering Undergraduate Honors Theses

In the event of a public health emergency in the United States, it is important that public

authorities are equipped to distribute medical supplies to every person in need as quickly as

possible. Federal guidelines state that all persons in an area affected by a public health

emergency should receive their medical countermeasures within 48 hours of the emergency’s

declaration. While the CDC has determined a general dispensing plan for each state and county

to follow, it is ultimately up to the state and county to formalize and implement detailed plans.

A body of academic literature focuses on optimizing ...


Exploration Of Rape Myths Among Former Military Professionals, Gabrielle Caldara 2018 East Tennessee State University

Exploration Of Rape Myths Among Former Military Professionals, Gabrielle Caldara

Electronic Theses and Dissertations

Sexual violence is sometimes considered a taboo topic for discussion, but it gained widespread attention in the media in late 2017 due to the social movements addressing the sexual assault of women. However, sexual violence perpetrated against men lacks publicity in America, and highlights a similar situation in the Armed Forces. A discussion of sexually violent acts committed against men is sometimes impeded by cultural norms. This discrepancy associated with civilian and military communities inspired this exploratory study.

A convenience sample of 520 former American military professionals completed an anonymous online survey to describe their attitudes and beliefs regarding rape ...


Understanding The New Blood Pressure Guidelines, Susan H. Davide, Anty Lam 2018 CUNY New York City College of Technology

Understanding The New Blood Pressure Guidelines, Susan H. Davide, Anty Lam

Publications and Research

Oral health professionals who are well versed in the new guidelines will be best prepared to handle the implications on patient care.


An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup 2018 Abilene Christian University

An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia Jessup

Electronic Theses and Dissertations

ABSTRACT On March 23, 2010, Congress passed the Patient Protection and Affordable Care Act (ACA) to increase value of care, improve clinical outcomes, decrease health care costs, and increase affordability in health care access. The purpose of the study attempts to examine the moderating effects of patient enablement impacting barriers, low socio economic status, and unmet basic needs, toward health care access in uninsured populations post ACA. Only certain aspects of patient enablement in self-management of an individual’s health care goals have been conducted with uninsured populations with barriers toward health care access. The research design was a quantitative ...


Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach 2018 University of Tennessee, Knoxville

Policy Of Current Hospital Translation Services And Recommendations For Future Adjustments For Spanish-Speaking Patients, Isidora Rose Beach

University of Tennessee Honors Thesis Projects

No abstract provided.


High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton 2018 Carroll College

High Maternal Dietary Glycemic Index And Sugar Consumption And Their Association With Birth Defects And Pregnancy Complications, Nicole Thornton

Carroll College Student Undergraduate Research Festival

Objective: The purpose of this systematic review was to look at existing peer reviewed articles regarding high maternal dietary glycemic index (DGI) and/or sugar consumption (including glucose, fructose, and sucrose) and the risk for birth defects or pregnancy complications.

Methods: PubMed was the primary database used to search for relevant articles. Other related articles were found in the reference sections of the articles screened in the original search.

Results: Nine case-control and cohort studies were used in this review. Five of the six case-control studies found a significant risk between high maternal DGI and/or sugar intake and birth ...


Long-Term Care Of Elderly Citizens: A Comparative Study, Kerri McInnis 2018 Carroll College

Long-Term Care Of Elderly Citizens: A Comparative Study, Kerri Mcinnis

Carroll College Student Undergraduate Research Festival

Recently, countries around the world have experienced an exponential increase in the number of senior citizens. This unfathomable demographic change is only expected to intensify in the coming years. Countries in the western hemisphere have implemented very different strategies in an effort to cope with the new demands presented by the aging population and demographic shift. The norm in the United States is providing institutional care in either assisted livings or nursing homes, whereas the norm in Latin American countries is offering familial care and multigenerational coresidence. The aim of this study is to compare the benefits and shortcomings of ...


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