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Abstracts From The 25th Annual Health Care Systems Research Network Conference, April 8–10, 2019, Portland, Oregon, 2019 Aurora Health Care

Abstracts From The 25th Annual Health Care Systems Research Network Conference, April 8–10, 2019, Portland, Oregon

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) is made up of nonprofit health systems with embedded research departments whose scientists are dedicated to public domain research. The network’s annual conference serves as a forum for research teams to disseminate study findings, stimulate new collaborations, and share insights about conducting research in real-world care settings. Abstracts accepted for presentation at HCSRN 2019 are published in this supplement of Journal of Patient-Centered Research and Reviews, the official scientific journal of the conference.


Food Insecurity Among College Students, Alison Hige 2019 Grand Valley State University

Food Insecurity Among College Students, Alison Hige

Honors Projects

Increasing collegiate education costs results in students today facing greater financial stress. As a result, students have to make difficult choices of how to allocate their monetary resources. Sometimes, students prioritize educational costs over nutrition and health necessities, impacting an individual’s ability to obtain adequate food resources. The purpose of this project was to explore the prevalence and impact of food insecurity among college students. The project included conducting a literature review yielding 26 pertinent articles from the keywords “food insecurity” and “college students.” Food insecurity affects a student’s physical and mental health, along with negatively impacting their ...


It Takes A Village To Uplift A Population: Addressing The Homeless In District 16 Of Virginia, Chloe Allen 2019 Germanna Community College

It Takes A Village To Uplift A Population: Addressing The Homeless In District 16 Of Virginia, Chloe Allen

Student Writing

Homelessness is a community issue which affects every country. My research group and I decided to look into the causes of homelessness in our community. We interviewed the Fredericksburg Regional Continuum of Care (FRCoC), The Brisben Center (TBC), and Micah Ecumenical Ministries (MEM) to better understand the situation in District 16 of Virginia. This paper discusses the actions already in place in the district as well as our proposed solutions to help the homeless population. We propose acting on minimum wage, petitioning and revising a budget proposed by the FRCoC, and opening a new shelter to serve the chronically homeless ...


Active Transportation And Health Effects Of Safe Routes To Schools (Sr2s) Projects And Planning, Christopher E. Ferrell 2019 San Jose State University

Active Transportation And Health Effects Of Safe Routes To Schools (Sr2s) Projects And Planning, Christopher E. Ferrell

Mineta Transportation Institute Publications

On July 29, 2005 Congress passed the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU), the federal government’s transportation bill, in part, designating $612 million over five years to go to a relatively new funding program: Safe Routes to School (SR2S). The legislation mandated that state departments of transportation (DOTs) receive annual funding in an amount proportional to the number of primary and middle school grade children enrolled in their states. State DOTs could then grant that money to state, local, and regional agencies, as well as non-profit organizations to fund SR2S programs.

Improving public ...


Measuring The Effects Of Thc On Human Sperm Parameters Using Biomonitoring Analysis, Roxana Amaya-Fuentes, Heather Young, Courtney Irwin, Jonathan Crites, David Moody, Melissa Perry 2019 George Washington University

Measuring The Effects Of Thc On Human Sperm Parameters Using Biomonitoring Analysis, Roxana Amaya-Fuentes, Heather Young, Courtney Irwin, Jonathan Crites, David Moody, Melissa Perry

GW Research Days 2016 - Present

Marijuana is one of the most common substances used in the United States with more men utilizing marijuana compared to women. The effects of marijuana on the brain are well known, however, there is limited research on its effects on human sperm parameters. We examined the association between THC and human sperm parameters in participants in the Washington D.C. area. Our preliminary results suggested that THC was associated with low sperm morphology.

Background: Marijuana has a long history of human usage for medicinal, ceremonial, and religious purposes. As of January 2018, nine states including Washington D.C. have legalized ...


Isoprene Emission Rates From Extreme Heat Exposure Due To Climatic Changes On Quercus And Populus Tree Genera: A Systematic Review, Isabella Kaser, Susan Anenberg 2019 George Washington University

Isoprene Emission Rates From Extreme Heat Exposure Due To Climatic Changes On Quercus And Populus Tree Genera: A Systematic Review, Isabella Kaser, Susan Anenberg

GW Research Days 2016 - Present

This systematic literature review explores whether isoprene emission rates from common tree species would be exacerbated in a warming world. When isoprene reacts with other pollutants, such as nitrogen oxides, tropospheric ozone is formed. Ozone is harmful to human health and is shown to decrease lung function among many other negative respiratory effects. If the rates of emissions continue at their current levels, there may be increased rates of asthma-related ED visits and respiratory diseases among the general population.


(Video) Latino Immigration And Chronic Disease: A Critical Analysis Of Socioeconomic And Psychological Mediators, Frances Anne Fernando 2019 George Washington University

(Video) Latino Immigration And Chronic Disease: A Critical Analysis Of Socioeconomic And Psychological Mediators, Frances Anne Fernando

GW Research Days 2016 - Present

A critical analysis of chronic disease among Latino immigrants demonstrates the interplay between the individual, socioeconomic, and pathophysiological mediators of disease. To identify the major factors involved, a conceptual framework was developed to explain the relationship between Latino immigration to the US and the manifestation of diabetes and cardiovascular disease. Mediating factors include: self-efficacy, stress, social support, access to healthcare, pathophysiological risk factors and the familial and cultural environment. As the Latino population is the fastest growing and largest minority group in America, increased support among the identified factors will target interventions with broad health and economic implications for the ...


What Gun Safety And Access Policies Did Participants Think Would Be Effective In Preventing Accidental Gun Deaths?, Bridget O’Keefe, Stephen White 2019 University of Southern Maine

What Gun Safety And Access Policies Did Participants Think Would Be Effective In Preventing Accidental Gun Deaths?, Bridget O’Keefe, Stephen White

Thinking Matters Symposium

Firearm-related incidents are often highly publicized tragedies that fuel unproductive political debates on gun policies at the local, state, and national levels. Current best practices in safe gun storage suggest that caregivers can protect their children from injury or death from an accidental gun discharge by keeping guns unloaded, locked up, and stored separately from their ammunition (Crifasi, Doucette, McGinty, Webster, & Barry, 2018). Child access prevention mechanisms including trigger locks, lock boxes, gun safes, and safe storage legislation are encouraged by the American Academy of Pediatrics (Dowd & Sege, 2012). This study gathers quantitative responses from 1,021 participants using an ...


Interrupted Progress: Water And Sanitation In Haiti, Emily Bauer 2019 University of Southern Maine

Interrupted Progress: Water And Sanitation In Haiti, Emily Bauer

Thinking Matters Symposium

Haiti has faced damaging environmental and social impacts, which have interrupted progress towards clean drinking water and adequate sanitation facilities for its over 10 million people. Natural disasters, disease outbreak, political corruption and economic instability have contributed to poor health and social outcomes for the small, island nation. This study used the most recent data from the World Health Organization and United Nations Children’s Fund Joint Monitoring Programme (WHO/UNICEF JMP) to assess national trends in water source and sanitation facility improvements from 1990-2015. WHO/UNICEF JMP defines water improvements as piped or non-piped protected water, and sanitation improvements ...


Expanding International Health Curriculum For The Internal Medicine Residency At Mmc, Brian King, Hassan Mahmoud, Anthony Pastore 2019 University of Southern Maine

Expanding International Health Curriculum For The Internal Medicine Residency At Mmc, Brian King, Hassan Mahmoud, Anthony Pastore

Thinking Matters Symposium

While internal medicine residents at Maine Medical Center provide care for many refugees and immigrants, there is not a formal international health curriculum to equip residents to care for this vulnerable population. Since 2002, 3,793 refugees have arrived in Maine for resettlement. Our aim was to survey residents about their interest in added international health instruction and design an educational curriculum for these physicians.


Child Poverty, Physical & Mental Health In Maine, Katelyn Malloy 2019 University of Southern Maine

Child Poverty, Physical & Mental Health In Maine, Katelyn Malloy

Thinking Matters Symposium

Children who live below the national poverty line account for nearly one fifth of Maine’s overall population. Child poverty is a determinant of health that can lead to negative health outcomes that affect childhood development, educational achievement, as well as physical and mental health. The purpose of this study was to identify five Maine counties with the highest rates of child poverty according to the national average. Comparison of poverty rates between counties were analyzed along with two leading health indicators – mental and physical distress. This study used 2016 county-level childhood poverty estimates, assessed by the American Community Survey ...


Social And Environmental Neighborhood Typologies And Lung Function In A Low-Income, Urban Population, Shelly L. Miller 2019 University of Colorado Boulder

Social And Environmental Neighborhood Typologies And Lung Function In A Low-Income, Urban Population, Shelly L. Miller

Mechanical Engineering Faculty Contributions

Abstract: Consensus is growing on the need to investigate the joint impact of neighborhood-level social factors and environmental hazards on respiratory health. This study used latent profile analysis (LPA) to empirically identify distinct neighborhood subtypes according to a clustering of social factors and environmental hazards, and to examine whether those subtypes are associated with lung function. The study included 182 low-income participants who were enrolled in the Colorado Home Energy Efficiency and Respiratory Health (CHEER) study during the years 2015–2017. Distinct neighborhood typologies were identified based on analyses of 632 census tracts in the Denver-Metro and Front Range area ...


Tobacco Smoking And Dementia In A Kentucky Cohort: A Competing Risk Analysis, Erin L. Abner, Peter T. Nelson, Gregory A. Jicha, Gregory E. Cooper, David W. Fardo, Frederick A. Schmitt, Richard J. Kryscio 2019 University of Kentucky

Tobacco Smoking And Dementia In A Kentucky Cohort: A Competing Risk Analysis, Erin L. Abner, Peter T. Nelson, Gregory A. Jicha, Gregory E. Cooper, David W. Fardo, Frederick A. Schmitt, Richard J. Kryscio

Epidemiology Faculty Publications

Tobacco smoking was examined as a risk for dementia and neuropathological burden in 531 initially cognitively normal older adults followed longitudinally at the University of Kentucky’s Alzheimer’s Disease Center. The cohort was followed for an average of 11.5 years; 111 (20.9%) participants were diagnosed with dementia, while 242 (45.6%) died without dementia. At baseline, 49 (9.2%) participants reported current smoking (median pack-years = 47.3) and 231 (43.5%) former smoking (median pack-years = 24.5). The hazard ratio (HR) for dementia for former smokers versus never smokers based on the Cox model was 1.64 ...


Increasing Flu Vaccine Awareness And Use In College Students: A Multidisciplinary Approach, Stacey Knight-Davis, Nikki Hillier, Lauri J. DeRuiter-Willems, Amanda Harvey, Kathleen Phillips 2019 Eastern Illinois University

Increasing Flu Vaccine Awareness And Use In College Students: A Multidisciplinary Approach, Stacey Knight-Davis, Nikki Hillier, Lauri J. Deruiter-Willems, Amanda Harvey, Kathleen Phillips

Stacey Knight-Davis

Among college students, flu vaccination rates are abysmal. The unique barriers students face are numerous. This effort explores the value of a multidisciplinary approach to increasing flu vaccination. To improve vaccine rates, several departments have teamed up for a multidisciplinary approach to flu education and prevention. Plans for the entire semester are in place to highlight the importance flu prevention. Events include vaccination clinics, a library exhibit, talks, movie screenings, student work, themed menu items at the student café, and a competition. Vaccination rates will be assessed at the end of the fall semester and reported. We expect using a ...


"Working On Wellness:" Protocol For A Worksite Health Promotion Capacity-Building Program For Employers, Mari Ryan, Lisa Erck, Leslee McGovern, Kathleen McCabe, Kevin Myers, Suzanne Nobrega, Wenjun Li, Wen-Chieh Lin, Laura Punnett 2019 AdvancingWellness

"Working On Wellness:" Protocol For A Worksite Health Promotion Capacity-Building Program For Employers, Mari Ryan, Lisa Erck, Leslee Mcgovern, Kathleen Mccabe, Kevin Myers, Suzanne Nobrega, Wenjun Li, Wen-Chieh Lin, Laura Punnett

Wenjun Li

BACKGROUND: In the United States, worksite wellness programs are more often offered by larger employers. The Massachusetts Working on Wellness (WoW) program is an innovative, statewide capacity-building model designed to increase the number of smaller employers (200 or fewer workers) adopting health promotion initiatives. This article describes the WoW program design and approaches to recruitment, implementation, and evaluation.

METHODS/DESIGN: WoW provides employer training, technical assistance and seed funding, utilizing a Wellness Program Development framework based on recognized good practices. For-profit employers with 200 employees or fewer are eligible for and encouraged to apply for a Massachusetts Small Business Wellness ...


Using Preparedness Metrics To Strengthen Policy Development And Community Engagement, Glen P. Mays, Dara Lieberman, Darrell Small 2019 University of Kentucky

Using Preparedness Metrics To Strengthen Policy Development And Community Engagement, Glen P. Mays, Dara Lieberman, Darrell Small

Glen Mays

Creating prepared and resilient health systems and communities requires cooperation across many organizations and sectors.  Health care providers, public health agencies, emergency management officials, and community-based organizations each play central roles in health security, but individually they operate with constrained financial resources and limited visibility and influence within their communities.  Evidence from behavioral economics reveals that the strategic use of comparative information can motivate individuals and organizations to pursue cooperative actions, including the development of policies that support health security and community resiliency.  The National Health Security Preparedness Index integrates longitudinal data from more than 60 sources to offer a ...


Forgotten Children & Bonds That Heal: The Critical Nature Of Attachment, August Ashbaker 2019 Lesley University

Forgotten Children & Bonds That Heal: The Critical Nature Of Attachment, August Ashbaker

Lesley University Community of Scholars Day

Human attachment is one of the most critical factors in proper neurological and physiological development. Attachment is built through the mutuality of emotional impact, as well as the regular reception of physical touch. Infants and children who have been deprived of these vital necessities through the lacking initiatives of their caregivers—through neglect—display visible signs of its physiological, cognitive, emotional, and behavioral impact. Research has found neglect to be the highest risk factor for permanent damage to brain development in comparison to other forms of complex trauma (i.e. chronic caregiver interpersonal trauma in childhood); it is also the ...


The Influence Of A Centrally-Procured School Food Program On Consumption And Instances Of Fruits And Vegetables In School-Age Children, Kimberly D. Charbonneau 2019 The University of Western Ontario

The Influence Of A Centrally-Procured School Food Program On Consumption And Instances Of Fruits And Vegetables In School-Age Children, Kimberly D. Charbonneau

Electronic Thesis and Dissertation Repository

Background: In Canada, 70% of youth are not meeting the recommended five servings of fruits and vegetables (FV) daily. School nutrition programs are one strategy for improving dietary habits in youth.

Methods: A two-year pilot cluster randomized controlled trial was implemented within Southwestern Ontario to assess how a ten-week centrally-procured school food program (CPSFP) influences students’ consumption and instances of FV compared to the traditional school nutrition program (TSNP).

Results: Children were 9-13 years of age; 30 schools received the CPSFP and 30 received the TSNP. Vegetable consumption did not change with the CPSFP (mean=0.0; SD=1.0 ...


Next-Generation Solutions For Indian Health Care: Strengthening The Impact Of Allied Health, Narasimman Swaminathan, Karen A. Grimmer, Steve Milanese 2019 Sri Ramachardra Medical College and Research Institute

Next-Generation Solutions For Indian Health Care: Strengthening The Impact Of Allied Health, Narasimman Swaminathan, Karen A. Grimmer, Steve Milanese

Internet Journal of Allied Health Sciences and Practice

The contributions of allied health professionals to patient care is well recognized in developed countries. In developed countries, allied health providers can reach the general public easily and cater to the health care needs of the society. However, medical dominance in developing countries often curtails the autonomy of allied health professionals. The Public Health Foundation of India prepared a report in 2012 on allied health professionals in India. This report explained the role of the AHP in improving the health status of the country. The objective of this commentary is to provide a possible opportunity for better integrating the allied ...


“It’S The Story”: Online Animated Simulation Of Cultural Competence Of Poverty -- A Pilot Study, Kimberly E. Johnson, Melissa Fleck, Thomas Pantazes 2019 West Chester University of Pennsylvania

“It’S The Story”: Online Animated Simulation Of Cultural Competence Of Poverty -- A Pilot Study, Kimberly E. Johnson, Melissa Fleck, Thomas Pantazes

Internet Journal of Allied Health Sciences and Practice

Purpose: In this pilot study, researchers explore an online animated simulation as an educational tool for emerging health professionals to promote cultural competence of poverty, food insecurity, and the Supplemental Nutrition Assistance Program.Methods: Researchers recruited participants in the allied health sciences for focus groups to explore the effectiveness of an online animation in promoting cultural competence of poverty, food insecurity, and public assistance programs. Participants were asked about their experience with the educational tool and changes in cultural competence regarding poverty, food insecurity, and the Supplemental Nutrition Assistance Program. Participants also responded to five survey questions about their experience ...


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