Digital Commons Network^™

End Of Year Ethical Considerations: 2015, Sheila P. Davis

Journal of Health Ethics

No abstract provided.

Calling Science Pseudoscience: Fleck’S Archaeologies Of Fact And Latour’S ‘Biography Of An Investigation’ In Aids Denialism And Homeopathy, Babette Babich

Articles and Chapters in Academic Book Collections

Fleck’s Genesis and Development of a Scientific Fact foregrounds claims traditionally excluded from reception, often regarded as opposed to fact, scientific claims that are increasingly seldom discussed in connection with philosophy of science save as examples of pseudo-science. I am especially concerned with scientists who question the epidemiological link between HIV and AIDS and who are thereby discounted—no matter their credentials, no matter the cogency of their arguments, no matter the sobriety of their statistics—but also with other classic examples of so-called pseudo-science including homeopathy and other sciences, such as cold fusion. The pseudo-science version of the demarcation problem turns …

Cross-Continental Care: Us And Cuban Medical Internationalism In Bolivia, Madeleine Blain

Latin American Studies Honors Projects

How can something as commonplace as going to the doctor influence international politics? In Bolivia, medicine is bound in politics. The political structure of a country both influences the approach to health care, and determines how that approach is most effectively implemented internationally. Building upon a framework of conceptual difference between capitalist and socialist health systems, this paper examines “effective” models of US and Cuban international health care on both a political and individual level. Drawing on fieldwork conducted in a Bolivian hospital, interviews with doctors working internationally, and current literature, I seek to discern what defines “effective” international health …

Dietary Supplement Use Associated With Air Force Fitness And Deployment Health, Michael J. Bell

Master of Public Health Program Student Publications

Objective: This study characterizes supplement use among United States Air Force members as well as attempts to identify an association between supplement use and Air Force Physical Fitness Test (AFPFT) scores or self-reported deployment health.

Methods: The study population (n = 24,020) was comprised of Airmen who completed a Web Based Preventive Health Assessment (WebPHA), Post Deployment Health Assessment (PDHA) and completed an AFPFT within six months of their WebPHA. Binary logistic regression was performed to predict AFPFT scores and deployment health outcomes based on supplement usage. Chi-squared analysis was performed to determine if there is any significant association between …

Compassion As A Practical And Evolved Ethic For Conservation, David Ramp, Marc Bekoff

Conservation Collection

The ethical position underpinning decisionmaking is an important concern for conservation biologists when setting priorities for interventions. The recent debate on how best to protect nature has centered on contrasting intrinsic and aesthetic values against utilitarian and economic values, driven by an inevitable global rise in conservation conflicts. These discussions have primarily been targeted at species and ecosystems for success, without explicitly expressing concern for the intrinsic value and welfare of individual animals. In part, this is because animal welfare has historically been thought of as an impediment to conservation. However, practical implementations of conservation that provide good welfare outcomes …

Maintaining Ethical Standards During Conservation Crises, Ryan K. Brook, Mark Cattet, Chris T. Darimont, Paul C. Paquet, Gilbert Proulx

Ethics and Conservation Biology Collection

Many species at risk in Canada and globally are at or approaching a crisis, especially where little or nothing consequential is being done to prevent extirpation. Such is the case of endangered boreal caribou (Rangifer tarandus caribou) in southern Alberta, Canada. Expedient but inadequate emergency ‘fixes’ have been experimentally implemented to arrest their decline and potential extirpation, but use of these measures raises important ethical problems. In their study of the effects of killing wolves (Canis lupus) on the Little Smoky woodland caribou population, Hervieux et al. (2014a) employed lethal methods that included shooting a firearm from a helicopter and …

College Of Nursing, Christie Delfanian, Dave Graves, Karissa Kuhle, Emily Weber

College of Nursing Magazine

Features

Impacting Public Health - SDSU’s role improving the state’s health
[Page] 2 — Students work on Crow Creek reservation.
[Page] 6 — Strengthening Native American families to help youth.
[Page] 8 — Using cultural traditions to help Native Americans.
[Page] 10 — Caring for the mind, body and spirit.
[Page] 11 — College receives Impact Award.
[Page] 12 — Examining smoke-free policies.

Department news
[Page] 14- Eight join college’s faculty.
[Page] 15- Former dean, alums receive honors.
[Page] 16- Minton moves into associate dean role.
[Page] 24- Worth receives college’s distinguished service award.

Student News
[Page]18- DNP students experience …

Descriptive Analysis Of U.S. Air Force Occupational Injuries And Illnesses, Kenneth Mackenthun

Master of Public Health Program Student Publications

Background: Occupational health is a concern in the workplace environment. Cases of occupational illness or injury could lead to lost workdays, a lower quality of life, chronic pain, and sometimes death. Air Force personnel perform unique functions that could have negative effects on their health.

Purpose: Identify the most common occupational illnesses and injuries among active duty United States Air Force (U.S.A.F.) personnel, determine rates of occupational illnesses and injuries in the Air Force by rank, and compare rates across Major Commands (MAJCOMS). Methods: A literature review was conducted on select occupational illnesses and injuries. A descriptive data analysis was …

Santa Clara Magazine, Volume 56 Number 2, Winter 2015, Santa Clara University

Santa Clara Magazine

10 - May the Rhodes rise to meet you - On the road with Aven Satre-Meloy ’13.

16 - Season tough, photos by Denis Concordel.

18 - Space Aces by Sam Scott '96. 20 - The fragility of faith by Michael C. McCarthy, S.J. '87. A professor of religious studies and executive director of SCU’s Ignatian Center for Jesuit Education confesses that it’s not merely an academic question when he asks: “How can a thinking person still believe in God?”

26 - Rebound by Mitch Finley '73. Lessons from the court and the chapel in dealing with addiction, mental illness, …

Scaled-Up Mobile Phone Intervention For Hiv Care And Treatment: Protocol For A Facility Randomized Controlled Trial, Kelly L'Engle, K Green, S M. Succop, A Laar, S Wambugu

Nursing and Health Professions Faculty Research and Publications

Background: Adherence to prevention, care, and treatment recommendations among people living with HIV (PLHIV) is a critical challenge. Yet good clinical outcomes depend on consistent, high adherence to antiretroviral therapy (ART) regimens. Mobile phones offer a promising means to improve patient adherence and health outcomes. However, limited information exists on the impact that mobile phones for health (mHealth) programs have on ART adherence or the behavior change processes through which such interventions may improve patient health, particularly among ongoing clients enrolled in large public sector HIV service delivery programs and key populations such as men who have sex with men …

Student Perceptions Of Nutrition Education At Marshall University Joan C. Edwards School Of Medicine: A Resource Challenged Institution, W. Elaine Hardman, Bobby L. Miller, Darshana T. Shah

Biochemistry and Microbiology

Nutrition education is an essential component of medical education if new physicians are to be equipped to address common chronic diseases, including obesity and the associated diabetes, cardiovascular disease, and cancer. Most medical students recognize this need and desire nutrition education; however, finding time in a medical school curriculum and funding are challenging. Available, free online resources and small group exercises can be utilized to provide basic, up-to-date nutrition information to medical students.

Telepsychiatry And Mental Health Care For Syrian Refugees In Turkey, Moustafa Moustafa

Yale Medicine Thesis Digital Library

The Syrian conflict is now in its fourth year and has produced one of the largest humanitarian disasters since the Cold War. Violent fighting and aerial bombings in many of the country’s major cities have resulted in massive numbers of internally and externally displaced Syrians, many psychologically traumatized and in need of expert mental health attention. The influx of refugees into Syria’s neighboring countries of Lebanon, Jordan and Turkey has stressed already strained health systems. The ability to deliver mental health care is inextricably linked to the existing health care infrastructure—a dynamic and often unstable institution as refugees migrate from …

Assessment Of Residential History Generation Using A Public-Record Database, David C. Wheeler, Aobo Wang

Biostatistics Publications

In studies of disease with potential environmental risk factors, residential location is often used as a surrogate for unknown environmental exposures or as a basis for assigning environmental exposures. These studies most typically use the residential location at the time of diagnosis due to ease of collection. However, previous residential locations may be more useful for risk analysis because of population mobility and disease latency. When residential histories have not been collected in a study, it may be possible to generate them through public-record databases. In this study, we evaluated the ability of a public-records database from LexisNexis to provide …

Assessment Of Residential History Generation Using A Public-Record Database, David C. Wheeler, Aobo Wang

Biostatistics Publications

In studies of disease with potential environmental risk factors, residential location is often used as a surrogate for unknown environmental exposures or as a basis for assigning environmental exposures. These studies most typically use the residential location at the time of diagnosis due to ease of collection. However, previous residential locations may be more useful for risk analysis because of population mobility and disease latency. When residential histories have not been collected in a study, it may be possible to generate them through public-record databases. In this study, we evaluated the ability of a public-records database from LexisNexis to provide …

Evaluating Geographically Weighted Regression Models For Environmental Chemical Risk Analysis, Jenna Czarnota, David C. Wheeler, Chris Gennings

Biostatistics Publications

In the evaluation of cancer risk related to environmental chemical exposures, the effect of many correlated chemicals on disease is often of interest. The relationship between correlated environmental chemicals and health effects is not always constant across a study area, as exposure levels may change spatially due to various environmental factors. Geographically weighted regression (GWR) has been proposed to model spatially varying effects. However, concerns about collinearity effects, including regression coefficient sign reversal (ie, reversal paradox), may limit the applicability of GWR for environmental chemical risk analysis. A penalized version of GWR, the geographically weighted lasso, has been proposed to …

Diabetes Management Before And After Cancer Diagnosis: Missed Opportunity, Nengliang Yao, Fabian T. Camacho, Askar S. Chukmaitov, Steven T. Fleming, Roger T. Anderson

Health Policy Publications

Background

Few studies have examined the management of comorbidities in cancer patients. This study used population-based data to estimate the guideline concordance rates for diabetes management before and after cancer diagnosis and examined if diabetes management services among cancer patients was associated with characteristics of the hospital where the patient was treated.

Methods

We linked 2005-2009 Medicare claims data to information on 2,707 breast and colorectal cancers patients in state cancer registry files. Multivariate logistic regression models examined hospital characteristics associated with receipt of diabetes management care after cancer diagnosis.

Results

The rates of HbAlc testing, LDL-C testing, and retinal …

Geographic Analysis Of Urologist Density And Prostate Cancer Mortality In The United States, Nengliang Yao, Steven M. Foltz, Anobel Y. Odisho, David C. Wheeler

Health Policy Publications

Context

Financial and demographic pressures in US require an understanding of the most efficient distribution of physicians to maximize population-level health benefits. Prior work has assumed a constant negative relationship between physician supply and mortality outcomes throughout the US and has not addressed regional variation.

Methods

In this ecological analysis, geographically weighted regression was used to identify spatially varying relationships between local urologist density and prostate cancer mortality at the county level. Data from 1,492 counties in 30 eastern and southern states from 2006–2010 were analyzed.

Findings

The ordinary least squares (OLS) regression found that, on average, increasing urologist density …

Beyond The Colonial Divide: African Diasporic And Indigenous Youth Alliance Building For Hiv Prevention, Ciann L. Wilson

Psychology Faculty Publications

African diasporic and North American Indigenous communities have both been greatly impacted by the colonization of the Americas. Historic and contemporary relations between these communities have been fraught with complex commonalities, contradictions and conflicts. These communities have remained connected across time and space through their shared and distinct histories of resistance and oppression. Both communities have suffered the embodiment of systemic violence in the form of elevated rates of communicable and chronic diseases such as HIV. This paper examines the decolonizing potential of collaboration between these two communities in their response to HIV. It begins by unpacking the history of …

An Innovative Interactive Modeling Tool To Analyze Scenario-Based Physician Workforce Supply And Demand, Saurabh Gupta, W. Stephen Black-Schaffer, James M. Crawford, David Gross, Donald S. Karcher, Jill Kaufman, +13 Additional Authors

Pathology Faculty Publications

Effective physician workforce management requires that the various organizations comprising the House of Medicine be able to assess their current and future workforce supply. This information has direct relevance to funding of graduate medical education. We describe a dynamic modeling tool that examines how individual factors and practice variables can be used to measure and forecast the supply and demand for existing and new physician services. The system we describe, while built to analyze the pathologist workforce, is sufficiently broad and robust for use in any medical specialty. Our design provides a computer-based software model populated with data from surveys …

Fear Of Fatherhood, Deborah Weatherspoon, Wendy Sponsler, Christopher Weatherspoon, Dorothy Campbell

Walden Faculty and Staff Publications

The fatherhood role is influenced by culture, religion, social factors, and economic norms. In Jamaica pregnancy is often treated as a female only event. Women are left to visit their clinics alone and have support from female family members. The man’s focus is providing financial support. In the past fathers were subjected to migrant labor and left their families for long periods. This tradition remained even when they were not working. Today, men are taking on more of the role of fatherhood, becoming involved and supportive and experiencing the privilege of pregnancy though of a secondary nature through their partner’s …

Association Between Dietary Patterns During Pregnancy And Birth Size Measures In A Diverse Population In Southern Us, Uriyoan Colón-Ramos, Susan B. Racette, Jody M. Ganiban, Thuy G. Nguyen, Mehmet Kocak, Kecia N. Carroll, Eszter Volgyi, Frances A. Tylavsky

Global Health Faculty Publications

Despite increased interest in promoting nutrition during pregnancy, the association between maternal dietary patterns and birth outcomes has been equivocal. We examined maternal dietary patterns during pregnancy as a determinant of offspring’s birth weight-for-length (WLZ), weight-for-age (WAZ), length-for-age (LAZ), and head circumference (HCZ) Z-scores in Southern United States (n = 1151). Maternal diet during pregnancy was assessed by seven dietary patterns. Multivariable linear regression models described the association of WLZ, WAZ, LAZ, and HCZ with diet patterns controlling for other maternal and child characteristics. In bivariate analyses, WAZ and HCZ were significantly lower for processed and processed-Southern compared to healthy …

A Systematic Review And Meta-Regression Analysis Of Lung Cancer Risk And Inorganic Arsenic In Drinking Water., Steven H. Lamm, Hamid Ferdosi, Elisabeth K. Dissen, Ji Li, Jaeil Ahn

Epidemiology Faculty Publications

High levels (> 200 µg/L) of inorganic arsenic in drinking water are known to be a cause of human lung cancer, but the evidence at lower levels is uncertain. We have sought the epidemiological studies that have examined the dose-response relationship between arsenic levels in drinking water and the risk of lung cancer over a range that includes both high and low levels of arsenic. Regression analysis, based on six studies identified from an electronic search, examined the relationship between the log of the relative risk and the log of the arsenic exposure over a range of 1-1000 µg/L. The …

Impacts Of Signal Free Corridors On The Incidence Of Road Traffic Accidents In Karachi, Salman Zubair, Jamil H. Kazm, Syed Shahid Ali, Rashid Jooma, Zeeshan Akhtar

Section of Neurosurgery

Increase in road Traffic Accidents is a global phenomenon and Pakistan is no exception. In Karachi, this problem becomes severe due to rapid growth of population. This menace is ruining the lives of thousands of people and making Karachi a worrisome place to live. Recent road geometrical transitions in the city with insufficient accessories have been reducing the problem of traffic congestion to a limited extent. On the contrary, this has erupted as a problem of Road Traffic Accidents which is reaching out of proportions. Recently, induction of a unique feature named, Signal Free Corridor in Karachi has cost many …

Changes In Malaria Prevention And Incidence Due To Political Restructuring Of Mozambique And South Africa, Nirmala K. Shivakumar

UROP Posters

The UN’s current Millennium Development Goal puts pressure on many countries to decrease malaria incidence by 2015, including Mozambique and South Africa. While Mozambique and South Africa have continually worked to decrease malaria incidence for the last five decades, neither country can claim elimination of disease by UN standards. This study analyzes the changes in political structure and the simultaneous changes in the malaria prevention programs of Mozambique and South Africa after the end of their respective civil wars in 1992 and 1994. This study analyzed public health, historical, and social science journal articles. This study examined political power distribution, …

Community Based Programming Promoting Physical Activity, Jennifer Hight M.S. Otr/L

Occupational Therapy Doctorate Capstone Projects

Background: Childhood obesity is a growing health concern, negatively impacting a child’s quality of life, and ability to engage in daily occupations; while contributing to rising healthcare costs. This Capstone Project is a community based program encouraging the development of gross motor skills in the four year old population of a local childcare center to promote engagement in physical activity for less engagement in sedentary daily activities.

Purpose: Although many causal factors have been linked to childhood obesity, current review of the literature demonstrating effective interventions to decrease obesity in the pediatric population is limited, and there is a scarcity …

Nurse Educators' Perspectives Of Supplemental Computer-Assisted Formative Assessment In An Associate Degree Nursing Program, Jennifer Buehler Sugg

Walden Dissertations and Doctoral Studies

Despite the implementation of various strategies to improve outcomes, the pass rates for the National Council Licensure Exam for Registered Nurses (NCLEX-RN) for an associate degree nursing (ADN) program continue to decrease. This study examined the use of a supplemental computer-assisted formative assessment (SCAFA) as a strategy for NCLEX-RN success. A qualitative case study with a theoretical framework based on constructivism was designed to investigate nurse educators' perspectives of this particular strategy for successful outcomes. To explore these perspectives, data were collected from face-to-face interviews with nurse educators and from program documents from 1 ADN program in the southeastern United …

The Ct20 Peptide As An Agent For Cancer Treatment, Rania Bassiouni

Electronic Theses and Dissertations

Due to cancer recurrence and the development of drug resistance, metastatic breast cancer is a leading cause of death in women. In the search for a new therapeutic to treat metastatic disease, we discovered CT20p, an amphipathic peptide based on the C-terminus of Bax. Due to inherent properties of its sequence and similarity to antimicrobial peptides, CT20p is a promising cytotoxic agent whose activity is distinct from the parent protein (e.g. does not cause apoptosis). CT20p is not membrane permeable but can be introduced to cells using polymeric nanoparticles, a method that promotes efficient delivery of the peptide into the …

Examination Of The Association Of Receipt Of Opioid Therapy And Lung Cancer Patient Survival Rates Among South Carolina Medicaid Recipients, Jametta Sade Magwood

Theses and Dissertations

Introduction: Lung cancer is a high pain cancer that can require the attention of clinical specialists. Already vulnerable populations, like those that inhabit rural areas, when dealing with chronic diseases, like lung cancer, need and deserve adequate medical attention. However, rural communities often lack clinical specialists and are left without the needed care. It is necessary to investigate the current availability of treatment options (medications) available to cancer patients in rural communities. Gaining this knowledge can result in economic savings and improvement of the quality of life for rural populations.

Methods: Medicaid data from 1996-2010 was used to …

Caribbean Heat Threatens Health, Well-Being, And The Future Of Humanity, Cheryl C. Macpherson, Muge Akpinar-Elci

Community & Environmental Health Faculty Publications

Climate change has substantial impacts on public health and safety, disease risks and the provision of health care, with the poor being particularly disadvantaged. Management of the associated health risks and changing health service requirements requires adequate responses at local levels. Health-care providers are central to these responses. While climate change raises ethical questions about its causes, impacts and social justice, medicine and bioethics typically focus on individual patients and research participants rather than these broader issues. We broaden this focus by examining awareness among health-care providers in the Caribbean region, where geographic and socioeconomic features pose particular vulnerabilities to …

Basic Epidemiology, Center For Leadership In Public Health Practice

Preparedness and Emergency Response Learning Center

Basic Epidemiology, a training course from the USF Center for Leadership in Public Health Practice, develops the awareness and knowledge of public health workers who may be deployed on Field Epidemiology strike teams. It is designed to help them assist local, regional, state, and national epidemiology staff in disease investigations during surge capacity. Basic Epidemiology is a required prerequisite for the IFIRST and IFIRST-2 programs.