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Differences In Speb Protease Activity Among Group A Streptococci Associated With Superficial, Invasive, And Autoimmune Disease, A Ly, J Noto, O Walwyn, R Tanz, S Shulman, W Kabat, Debra Bessen

NYMC Faculty Publications

The secreted cysteine proteinase SpeB is an important virulence factor of group A streptococci (GAS), whereby SpeB activity varies widely among strains. To establish the degree to which SpeB activity correlates with disease, GAS organisms were recovered from patients with pharyngitis, impetigo, invasive disease or acute rheumatic fever (ARF), and selected for analysis using rigorous sampling criteria; >300 GAS isolates were tested for SpeB activity by casein digestion assays, and each GAS isolate was scored as a SpeB-producer or non-producer. Highly significant statistical differences (p < 0.01) in SpeB production are observed between GAS recovered from patients with ARF (41.5% SpeB-non-producers) compared to pharyngitis (20.5%), invasive disease (16.7%), and impetigo (5.5%). SpeB activity differences between pharyngitis and impetigo isolates are also significant, whereas pharyngitis versus invasive isolates show no significant difference. The disproportionately greater number of SpeB-non-producers among ARF-associated isolates may indicate an altered transcriptional program for many rheumatogenic strains and/or a protective role for SpeB in GAS-triggered autoimmunity.

A Rural And Urban Study Of The Food Environment In Select Nevada Geographies, Joseph Nickelson

UNLV Theses, Dissertations, Professional Papers, and Capstones

National and county level examination of urban and rural food environments has taken place, but primary validation of venue existence and in-venue data are lacking. The literature show disparities in access to healthy foods through low density of large grocers/supermarkets, low variety and quality of produce and higher prices for a healthy diet in rural versus urban geographies. Rural areas are of unique concern due to poor health indicators such as higher obesity rates, higher diabetes rates, lower incomes and lower educations than urban residents. The goal of this study was to explore differences in the community and consumer level …

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 …

Medical School Watercooler Newsletter - April 30, 2017, Lindsey Lyle

Watercooler Newsletter

This is the April 30, 2017 edition of the Frederick P. Whiddon College of Medicine's Newsletter - Watercooler.

Contents Include:

USA Medical Student Presents at Western Trauma Association Meeting

New Course Prepares Students for Legal, Business Aspects of Medicine

Dr. Swingle Receives 2017 CARES Award

May 4 DSS to Feature Dr. Jaroslaw W. Zmijewski

Can Global Health Governance Contend With Transnational Corporate Activities? A Case Study On The Chinese Tobacco Industry, Xing Gao

Geography Honors Projects

In the past two decades, China’s state-owned tobacco enterprise (CNTC) has expanded its operation and influence abroad under the “going global” strategy. These globalization activities directly and indirectly impact the Framework Convention on Tobacco Control (FCTC), the first international treaty signed under the WHO auspices. In this project, I explore how certain CNTC expansionary strategies undermine FCTC articles, as well as the ways in which FCTC articles have failed to curb the tobacco industry’s transnational growth. Using international political economy as an overarching framework for the analysis of global health governance, I argue that the FCTC fails to halt the …

2017 - The Twenty-Second Annual Symposium Of Student Scholars

Symposium of Student Scholars Program Books

The full program book from the Twenty-second Annual Symposium of Student Scholars, held on April 20, 2017. Includes abstracts from the presentations and posters.

Prescribed Fire And Deer Ticks: A Management Method For The Primary Vector Of Lyme Disease In The Eastern United States, Shane M. Tripp

Graduate Dissertations and Theses

The United States is currently amid a public health crisis caused by the bacteria, Borrelia burgdorferi, that is responsible for Lyme disease. A deer tick, Ixodes scapularis, is the primary vector for these bacteria in the Eastern United States and its explosive population increase and range expansion in the past several decades is responsible for the rapid spread of the disease. Understanding the cause of this growth is dependent on the habitat characteristics that determine the deer tick’s abilities to survive, reproduce, and disperse into new areas and the changes that may have released it from historic limits. Fire suppression …

Geographic Variation Within The Military Health System, Linda G. Kimsey, Samuel Olaiya, Chad Smith, Andrew Hoburg, Stuart R. Lipsitz, Tracey Koehlmoos, Louis L. Nguyen, Joel S. Weissman

Health Policy & Management: Faculty Publications (2006-2018)

Background: This study seeks to quantify variation in healthcare utilization and per capita costs using system-defined geographic regions based on enrollee residence within the Military Health System (MHS).

Methods: Data for fiscal years 2007 – 2010 were obtained from the Military Health System under a data sharing agreement with the Defense Health Agency (DHA). DHA manages all aspects of the Department of Defense Military Health System, including TRICARE. Adjusted rates were calculated for per capita costs and for two procedures with high interest to the MHS- back surgery and Cesarean sections for TRICARE Prime and Plus enrollees. Coefficients of variation …

Uncertain Future: A Brave New World?, Vanessa Lozoria, Devyn Gulickson, Makayla Thornton

Collin College Undergraduate Interdisciplinary Student Research Conference

Panel Chair: Marta Moore

Papers Presented:

"Genetic Modification" by Vanessa Lozoria

"Science Fiction Future: Do We Want It?" By Devyn Gulickson

"The Importance of Ice Caps" by Makayla Thorton

Trauma Exposure Among Women In The Pacific Rim, Elizabeth Reeves, Pilar De Bernal, Susan G. Silva, Diva Jaramillo, Tulia Uribe, Agnes Tiwari, Gladys Eugenia Canaval, Maria Eugenia Mendoza Flores, Ruth Ann Belknap, Janice Carrol Humphreys

College of Nursing Faculty Research and Publications

Purpose

Healthcare professionals who provide services in the immediate or long‐term aftermath of traumatic events need to understand the nature and frequency of traumatic events in the lives of women. However, research on trauma exposure in women has only recently begun to assess events other than intimate partner and sexual violence and has not supported direct statistical comparison of cross‐national and cross‐cultural data. The purpose of this descriptive, correlational study was to describe and compare trauma exposure prevalence and type in community‐based samples of women in the United States, Colombia, and Hong Kong.

Design

Women were recruited through posted notices …

Physical Therapy Utilization And Length Of Stay Among Patients With Low Back Pain In Florida Hospitals, Kyle A. Watterson

USF Tampa Graduate Theses and Dissertations

Purpose: The purpose of this work was identify key factors associated with inpatient physical therapy utilization and length of stay for patients with low back pain (LBP) in Florida hospitals.

Rationale: Little is known about factors associated with inpatient physical therapy or length of hospitalization for patients with LBP. This group of works identified the key factors associated with inpatient physical therapy and long lengths of hospitalization for this patient population. Since physical therapy and reduced length of stay are known cost-reducers, identifying key factors may represent significant cost savings to the health care system.

Methods: Several mixed method procedures …

Poverty In The Land Of Plenty? Deconstructing Role Of Community-Based Organizations In A Small Community, John Kevin Trainor

USF Tampa Graduate Theses and Dissertations

Using the lens of a community-based childhood obesity intervention, it is possible to examine the role of non-profit organizations in community development and to deconstruct the “community” in community-based research and identify the many competing interests within a community. This contextual understanding includes how the community is formed, how a community’s agenda is set, and who will complete the tasks outlined in that agenda. In applied anthropological settings and public health interventions that are community-based, it is essential to understand the context of community and which community (or communities) the researcher is working with to ensure that the data you …

Eco-Anxiety At University: Student Experiences And Academic Perspectives On Cultivating Healthy Emotional Responses To The Climate Crisis, Anna Kelly

Independent Study Project (ISP) Collection

This research looks at the overall question of how planetary health impacts mental health and psychological welling. The central focus is eco-anxiety—mental distress caused by climate change and environmental degradation—and how it manifests in university students. In order to gather data for this research I collected 114 student survey responses, interviewed seven young adults (ages 20-25), and interviewed seven experts in the fields of psychology and environmental studies.

They survey results show high levels of general stress and anxiety, high levels of stress and anxiety related to climate change and the state of the world, and a very high level …

Mha Hcad 6002 Exercise Worksheet Glenn Beamer, Spring 2017, Glenn Beamer

Health and Medical Sciences (OER)

No abstract provided.

Dental Workforce Availability And Dental Services Utilization In Appalachia: A Geospatial Analysis, Xue Feng, Usha Sambamoorthi, R. Constance Wiener

Clinical and Translational Science Institute

Objectives—There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. Methods—We derived county-level (n = 364) data on demographic, socio-economic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resource File, and linked them to the county-level BRFSS data. The …

Examining The Relationship Between Medical Concerns And Overall Mental Health Rating, Sarah M. Wilson

Masters Theses & Specialist Projects

It is widely supported that there are significant, positive relationships between the occurrence of some mental health symptoms and physical illnesses. Research indicates that the burden experienced by those with a physical and mental illness are magnified compared to individuals who do not experience an illness. More specifically, one of the burdens experienced by individuals is the monetary burden of affording the necessary health services to properly manage their illness.

This study attempts to reveal a difference between mental health symptom count for individuals who do and do not experience difficulty affording health care for their physical problems. The first …

Program And Proceedings: Nebraska Academy Of Sciences 1880–2017, 137th Anniversary Year, One Hundred-Twenty-Seventh Annual Meeting

Nebraska Academy of Sciences: Programs and Proceedings

Program

Aeronautics and Space Science

Chemistry and Physics

Collegiate Academy: Biology

Collegiate Academy: Chemistry and Physics

Biological and Medical Sciences

Aeronautics and Space Science: Poster Session

Applied Science and Technology

Maiben Memorial Lecture

Anthropology

Earth Science

Applied Science and Technology

Teaching of Science and Mathematics

Environmental Sciences

Friend of Science Award: Kacie Baum and Todd Young

The Disappearance Of Nyoman And Ketut, Laura Michelle Garvie

Independent Study Project (ISP) Collection

No abstract provided.

The Grass Is Always Greener: Surviving Mergers And Acquisitions, No Matter Your Side Of The Fence., Margaret A. Hadinger Edd, Ms, Robert D. Barraco Md, Mph

Department of Education

No abstract provided.

Ovarian Cancer Incidence Corrected For Oophorectomy, Lauren A. Baldwin, Quan Chen, Thomas C. Tucker, Connie G. White, Robert N. Ore, Bin Huang

Obstetrics and Gynecology Faculty Publications

Current reported incidence rates for ovarian cancer may significantly underestimate the true rate because of the inclusion of women in the calculations who are not at risk for ovarian cancer due to prior benign salpingo-oophorectomy (SO). We have considered prior SO to more realistically estimate risk for ovarian cancer. Kentucky Health Claims Data, International Classification of Disease 9 (ICD-9) codes, Current Procedure Terminology (CPT) codes, and Kentucky Behavioral Risk Factor Surveillance System (BRFSS) Data were used to identify women who have undergone SO in Kentucky, and these women were removed from the at-risk pool in order to re-assess incidence rates …

Cuba’S Use Of Medical Diplomacy: Establishing Global Significance And Influence, Juan Herzberg

Independent Study Project (ISP) Collection

This research project aims to assess the importance of medical diplomacy as a foreign policy strategy for Cuba, as well as a means by which the small island nation has managed to gain geopolitical prominence in the current international political sphere. Through the analysis of Cuba’s medical internationalism, its impact on the health of populations across the world, its oil-for-doctors trade agreements with Venezuela, and its involvement in initiatives like the Bolivarian Alternative for the Americas (ALBA), it becomes easier to see the link between medical diplomacy and geopolitical power, which Cuba has been successfully garnering since its 1959 Revolution …

Equity And Community-Based Health Insurance: How Does Insurance Coverage Affect Health Seeking Behavior Among Disadvantaged Groups In India?, Hazel Hering

Independent Study Project (ISP) Collection

The objective of this study is to examine how Community-Based Health Insurance (CBHI) can promote equity by improving health seeking behavior across gender and geography. Using a CBHI scheme from the Self-Employed Women’s Association (SEWA) as a case study, trends in claims filed between October 2016 and March 2017 are compared to the distribution of memberships in order to investigate whether health insurance coverage positively impacts health seeking behavior among disadvantaged groups, and what barriers to access exist when the burden of medical costs are reduced. This study concludes that the number of male and female claims in the sample …

Causal Pathways From Enteropathogens To Environmental Enteropathy: Findings From The Mal-Ed Birth Cohort Study, Margaret N. Kosek, Zulfiqar Ahmed Bhutta, Anita K. M. Zaidi, Imran Ahmed, Syed Asad Ali, Muneera Rasheed, Sajid Bashir Soofi, Ali Turab, Didar Alam, Shahida Qureshi

Department of Paediatrics and Child Health

Background: Environmental enteropathy (EE), the adverse impact of frequent and numerous enteric infections on the gut resulting in a state of persistent immune activation and altered permeability, has been proposed as a key determinant of growth failure in children in low- and middle-income populations. A theory-driven systems model to critically evaluate pathways through which enteropathogens, gut permeability, and intestinal and systemic inflammation affect child growth was conducted within the framework of the Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) birth cohort study that included children from eight countries. …

Long-Term Effects On Nursing Alumni: Assessing A Course In Public And Global Health, Sheri P. Palmer, Karen Lundberg, Karen De La Cruz, Cheryl A. Corbett, Sondra Heatson, Shelly Reed, Mary Williams

Faculty Publications

The impact of a cultural awareness course among nursing students may affect the particular person for years to come. Cultural awareness can be taught via many methods, often requiring study abroad and/or extreme investment of time, money and effort. There is little research on sustained effects on nursing alumni from such a course. The purpose of this descriptive survey study was to determine the long term outcomes of a cultural awareness course and 2) compare the long term effects between alumni who went abroad and those who chose to complete the course locally. One hundred and twenty-one nursing alumni completed …

Are Our Policy Makers On Board? What Policy Makers Think Of The Social Determinants, Health Disparities, And Health In All Policies, M. Lelinneth B. Novilla, Michael C. Goates, Spencer Calder, Tabetha Ellis, Kraymer Eppich, Laura A. Galvao, Noyra Melissa Quintana, David Mateos

Faculty Publications

BACKGROUND: We impact our health by “how we manage our affairs in society.”¹ The unequal distribution of power, money, and resources creates a collective social milieu with disparities in health between and within countries. Tackling health inequities require addressing the health implications of the “toxic combination of poor social policies and bad politics.”¹ But how do U.S. policy makers view the social determinants of health?

OBJECTIVE: Determine U.S. policy makers’ awareness for the social determinants of health, health inequities, and health in all policies; identify the social determinants of health perceived as legislative priorities; list factors identified/perceived …

P01. Examining The Community Food Environments For Elementary School-Aged Children In The City Of London And Middlesex County, Ontario, Catherine Dubreck

Western Research Forum

Background: Childhood obesity is a growing public health issue. In Canada, one in four children/youth are overweight or obese. Research suggests diet plays a crucial role in childhood obesity, and that prevalence rates of overweight or obesity among children in a neighborhood may relate to area socioeconomic characteristics and other environmental factors. The community nutrition environment (e.g., the type, location, and accessibility of food outlets) can influence dietary habits.

Methods: Using ArcGIS, public and private elementary school addresses were geocoded, food outlets were mapped, and both junk food outlet density and the modified retail food environment index were …

The Final (Oral Ebola) Vaccine Trial On Captive Chimpanzees?, Peter D. Walsh, Drishya Kurup, Dana L. Hasselschwert, Christoph Wirblich, Jason E. Goetzmann, Matthias J. Schnell

Department of Microbiology and Immunology Faculty Papers

Could new oral vaccine technologies protect endangered wildlife against a rising tide of infectious disease? We used captive chimpanzees to test oral delivery of a rabies virus (RABV) vectored vaccine against Ebola virus (EBOV), a major threat to wild chimpanzees and gorillas. EBOV GP and RABV GP-specific antibody titers increased exponentially during the trial, with rates of increase for six orally vaccinated chimpanzees very similar to four intramuscularly vaccinated controls. Chimpanzee sera also showed robust neutralizing activity against RABV and pseudo-typed EBOV. Vaccination did not induce serious health complications. Blood chemistry, hematologic, and body mass correlates of psychological stress suggested …

Testing The Medical Arms Race Hypothesis: A Spatial Approach, Robyn M. Kibler

USF Tampa Graduate Theses and Dissertations

The surgical robot experienced rapid uptake throughout hospitals in the US despite lack of clinical evidence that it is superior to existing methods and undeterred by its high cost. This type of technology may be a “weapon” in the medical arms race hypothesis which asserts that competition among hospitals may be welfare reducing wherein it encourages resource use that is not commensurate with beneficial health outcomes. This paper is a case-study of the diffusion of the surgical robot among hospitals in Florida. We address the medical arms race hypothesis directly by investigating whether a hospital’s decision to adopt a robot …

Structured Study Abroad Enhances Intercultural Competence, Lata A. Krishnan, Christi Masters, Horane Holgate, Cong Wang, Charles A. Calahan

Teaching and Learning in Communication Sciences & Disorders

Participation in a service-learning (SL) study abroad (SA) program has been shown to enhance cultural competence (Krishnan, Richards & Simpson, 2016) as measured via the Public Affairs Scale (PAS; Levesque-Bristol & Cornelius-White, 2012). The purpose of this study was 1) to evaluate students’ development of intercultural competence using the Intercultural Development Inventory (IDI®), a tool specifically designed for this purpose, and 2) to evaluate whether intentionally escalating culturally focused developmental experiential learning together with existing course content would increase cultural competence more than program participation alone. Thirty female and one male student participated over three years of the SL SA …

The Leadership Behaviors Of A Successful Ncaa Division I Water Polo Coach: A Phenomenological Study, Scott T. Mccall

Dissertations

The purpose of this qualitative phenomenological study was to understand and describe the transformational leadership behaviors of a successful NCAA Division I water polo coach. This study examined the transformational leadership behaviors of a NCAA Division I coach who led a team to a national championship and who was a former Olympic athlete and national team coach. Data were collected from interviews of the head coach and participants who had direct lived experiences with the coach, as well as through observations of practices and games, and the collection of artifacts.

The findings from this research showed that the head coach …