Digital Commons Network^™

Expanding The Understanding Of The Social Determinants Of Health To Support Community Readiness For Change, Nandi A. Marshall

College of Graduate Studies: Theses & Dissertations

Addressing the Social Determinants of Health is critical if we truly want to achieve health equity. The World Health Organization's Commission on the Social Determinants of Health (2008) recognized the need to broaden the understanding of these determinants among the general public to facilitate change in communities. Using a concurrent transformative case study, this mixed methods design explored the potential increase in 1) awareness of the social determinants of health, 2) understanding of context and 3) organizational empowerment through the use of Photovoice and Action planning with a Rural Diabetes Community Coalition in Southeast Georgia. Engaging the coalition through these …

Development And Characterization Of A Murine Model Of Rickettsia Parkeri Rickettsiosis, Britton Grasperge

LSU Doctoral Dissertations

Rickettsia parkeri, a member of the spotted fever group of Rickettsia, is the agent of an emerging rickettsiosis in the southeastern United States and South America. Despite increased recognition of human cases, limited information is available regarding infection of invertebrate and vertebrate hosts for this emerging tick-borne disease. Towards development of a viable transmission model and to further characterize the pathology associated with R. parkeri infection, inbred mouse strains (A/J, Balb/C, C3H/HeJ, and C3H/HeN) were intravenously and intradermally inoculated with R. parkeri. The C3H/HeJ strain of mice were identified as the most susceptible to R. parkeri infection and were found …

The Health And Housing Specialist: An Emerging Job Classification To Support Aging In Place In Subsidized Housing, Paula C. Carder, Jenny Weinstein, Jacklyn Nicole Kohon

Institute on Aging Publications

As the U.S. population ages, the availability of workers with a basic understanding of aging and health-related services has not kept pace. This is true in traditional health care organizations such as hospitals and primary care clinics as well as in long-term care settings and senior housing, including subsidized housing, the focus of this report. Nearly 1.8 million older persons receive some form of publicly-subsidized rental assistance. Some subsidized housing providers, including those that operate buildings designated for older persons, are developing new systems of service delivery that would either coordinate or provide health screenings, physical activity programs, nutrition programs, …

Encounters With Witchcraft, Norman Miller

Dartmouth Scholarship

My first experience with witchcraft in Africa occurred in March 1960 in Mombasa, Kenya, just as I stepped off the gangway of the MS Inchanga following a voyage from India. Next to the ship in a dockside kiosk I saw a newspaper with the headline, “European Geologist Attacked in Gogoland: Witchcraft Suspected.” It was the story of a 22-year-old British geologist, William Hanning, who had been prospecting for minerals in a remote part of nearby Tanzania when by mistake he dug into a burial ground. He was believed to be a witch, disguised as a European, out to steal body …

Rural–Urban Differences In Dental Service Use Among Children Enrolled In A Private Dental Insurance Plan In Wisconsin: Analysis Of Administrative Data, Pradeep Bhagavatula, Qun Xiang, Aniko Szabo, Fredrick Eichmiller, Raymond A. Kuthy, Christopher Okunseri

School of Dentistry Faculty Research and Publications

Background

Studies on rural–urban differences in dental care have primarily focused on differences in utilization rates and preventive dental services. Little is known about rural–urban differences in the use of wider range of dental procedures. This study examined patterns of preventive, restorative, endodontic, and extraction procedures provided to children enrolled in Delta Dental of Wisconsin (DDWI).

Methods

We analyzed DDWI enrollment and claims data for children aged 0-18 years from 2002 to 2008. We modified and used a rural and urban classification based on ZIP codes developed by the Wisconsin Area Health Education Center (AHEC). We categorized the ZIP codes …

Political And Social Determinants Of Life Expectancy In Less Developed Countries: A Longitudinal Study, Ro-Ting Lin, Ya-Mei Chen, Lung-Chang Chien, Chang-Chuan Chan

Open Access Publications

No abstract provided.

Ring Maps For Spatial Visualization Of Multivariate Epidemiological Data, Sarah E. Battersby, John E. Stewart, Ana Lopez-De Fede, Kevin C. Remington

Publications

Epidemiological research often involves the visual exploration of numerous attributes to help discern patterns between health and characteristics of the physical, socioeconomic, or built environment. Unfortunately, many of the multivariate mapping techniques discussed throughout the cartographic literature can be challenging to create or interpret—particularly for individuals without a cartographic background. In this paper, we present a new style of multivariate map—the ring map—to aid in basic visualization of multivariate datasets. For purposes of example, we focus on the use of the ring map style for exploring county-level epidemiological data for the state of South Carolina to examine patterns of age, …

Political Competition, Relative Deprivation, And Perceived Threat: A Research Note On Anti- Christian Violence In India, Chad Bauman, Tamara Leech

Department of Public Health Scholarship and Creative Works

A preliminary subnational statistical analysis of violence against Christians in contemporary India, this article suggests that whereas the data provide very little support for simple, demographic explanations of this violence, they do more robustly support theories emphasizing the relative status of ethnic and religious minorities (vis-à-vis majorities) and the perception, among Hindus, that Christians (and other minorities) represent a threat to their numerical, political and economic strength.

Today - December 16, 2011, Loma Linda University

TODAY

Inside this issue:

-- Thanksharing inspirational program draws close to 1,000 from surrounding communities
-- Loma Linda summit encourages community planning around health
-- Prayer in a School of Pharmacy classroom
-- LLU Children's Hospital receives grant from The UPS Foundation
-- Naomi Florea receives Spiritual Life Service award
-- Sterile processing saves lives every day
-- Ribbon cut for School of Dentistry's dental hygiene program in Palm Desert
-- 5+5+0=10: School of Pharmacy celebrates 550th white coat student
-- Enrollment soars in School of Allied Health Professions
-- Respiratory care team wins national championship
-- Student's South Sudan experience …

An Investigative Study Of The Influence Of Religion On Help Seeking Behaviors In The Field Of Mental Health, Kristen Darroch

Theses and Dissertations

The present study was undertaken to assess the influence of religion on help seeking behaviors regarding mental health. Participants (n = 167) were volunteers from three different churches of Christian denominations who anonymously completed questionnaires regarding their religiosity and their attitude toward seeking help from a mental health professional. Analysis of the data found that subjects who belonged to liberal denominations of Christianity were more likely to seek help from a mental health professional for mental health issues than subjects belonging to more traditionally conservative denominations of Christianity. The study also found that subjects belonging to conservative denominations of Christianity …

Measuring Accessibility To Primary Care Physicians In The Nashville Metropolitan Statistical Area, Sami M. Almudaris

Masters Theses & Specialist Projects

The growing concern for the shortage of primary care physicians (PCPs) prompted a government legislation to designate areas where shortage in the delivery of primary care services occurs. The implemented systems (e.g., HPSA, MUA, and MUP) analyze utilization of health services within confined administrative units and fail to account for spatial interactions that occur across administrative borders. This research examines the spatial accessibility to PCPs and the underlying demographic and socioeconomic settings. With the Nashville Metropolitan Statistical Area (MSA) as a study area, this study utilized data from the U.S. Census 2000 and 2010, as well as the known locations …

Overview Of Healthcare Quality: Hospitals And Public Health Trends: Rural Vs. Urban, Sandy S. Lee

Social Sciences

No abstract provided.

Factors Which Influence The Use Of Active Learning Strategies By Nursing Faculty, Deborah Lowell Shindell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nursing education is facing a crisis. Anachronistic teaching methods are no longer keeping up with the needs of new graduates entering practice. Despite a body of knowledge which supports the use of active learning in higher education, nursing faculty continue to rely on lecture as their primary pedagogical approach. Previous study of the use of research products in clinical nursing practice identified systematic factors such as characteristics of the communication of research findings and characteristics of the organization form the greatest barrier to use. This study discovers if these same barriers face nursing educators.

Using Roger‟s Theory of Diffusion of …

Sexuality Education, Eva Goldfarb, Norman A. Constantine

Department of Public Health Scholarship and Creative Works

Sexuality education comprises the lifelong intentional processes by which people learn about themselves and others as sexual, gendered beings from biological, psychological, and sociocultural perspectives. It takes place through a potentially wide range of programs and activities in schools, community settings, religious centers, as well as informally within families, among peers, and through electronic and other media. Sexuality education for adolescents occurs in the context of the biological, cognitive, and social-emotional developmental progressions and issues of adolescence. Formal sexuality education falls into two main categories: behavior change approaches, which are represented by abstinence-only and abstinence-plus models, and healthy sexual development …

Spatial Distribution Of Obesity Among West Virginia 5th Grade Children: Analysis Of The Socioeconomic, Physical, And Personal Environment, Sherry Roper

Theses and Dissertations (ETD)

Childhood obesity defined as a body mass index (BMI) at or above the 95th percentile for children of the same age and sex, is considered an epidemic in the United States. Biology and lifestyle behaviors have been identified as important factors in the development of childhood obesity; however, researchers are beginning to place more emphasis upon the impact that continual environmental exposures have upon obesity development. Environmental risk factors associated with obesity are distributed continuously over space, yet evidence suggests that burden of risk may not be evenly dispersed across a community. West Virginia (WV), a rural Appalachian community has …

Interview With Andrew Parsley (Fa 593), Manuscripts & Folklife Archives

Folklife Archives Oral Histories

Transcription of an interview with Andrew Parsley conducted by his daughter Rachel Parsley for a folk studies class at Western Kentucky University. The content of the interview revolves around folk medicine as practiced in the region around Mammoth Cave National Park, particularly Edmonson County, Kentucky.

Mountains Of Injustice : Social And Environmental Justice In Appalachia, Michele Morrone, Geoffrey L. Buckley

Ohio University Press Open Access Books

Research in environmental justice reveals that low-income and minority neighborhoods in our nation’s cities are often the preferred sites for landfills, power plants, and polluting factories. Those who live in these sacrifice zones are forced to shoulder the burden of harmful environmental effects so that others can prosper. Mountains of Injustice broadens the discussion from the city to the country by focusing on the legacy of disproportionate environmental health impacts on communities in the Appalachian region, where the costs of cheap energy and cheap goods are actually quite high.

Through compelling stories and interviews with people who are fighting for …

Anaplasma Phagocytophilum Remodels Its Host Cell-Derived Vacuole Into A Protective Niche By Redecorating The Vacuolar Membrane With Select Rab Gtpases And Bacterial Proteins, Bernice Huang

Theses and Dissertations

Anaplasma phagocytophilum is an obligate intracellular bacterium that infects neutrophils to cause the emerging tick-transmitted disease, human granulocytic anaplasmosis (HGA). Following entry, the pathogen replicates within a host cell-derived vacuole that fails to mature along the endocytic pathway, does not acidify, and does not fuse with lysosomes. Selective fusogenicity is prototypical of many vacuole-adapted pathogens and has been attributed, at least in part, to pathogen modification of the vacuolar inclusion membrane and/or to selective recruitment or exclusion of host trafficking regulators. As a result, the A. phagocytophilum-occupied vacuolar membrane (AVM) provides a unique interface to study the host-pathogen interactions critical …

Creating The Health Care Workforce For The 21st Century: Regional Economic Impact, Michael Strazzella

Creating the Health Care Workforce for the 21st Century

Audio begins at 1 hour, 10 minutes and 46 seconds.

The Need For Transformational Change In The Education Of Health Care Professionals, Joanne Conroy, Md

Creating the Health Care Workforce for the 21st Century

Audio file is attached at bottom of page.

Revisiting The Arts In The No Child Left Behind Era, Patricia Simons

Administrative Issues Journal

Schools are responding differently to the mandates of NCLB. The purpose of this comparative case study is to investigate how two Title I elementary schools, one a member of a school reform network focused on the arts and one not a member of the network, are able to exceed AYP targets in reading and mathematics and not compromise teaching and learning in other core subjects. Included in the study is an examination of thinking skills embedded in visual arts instruction and transfer of learning to other content areas. Findings reveal that schools that are committed to the arts that are …

Perceived Self-Efficacy Of Licensed Counselors To Provide Substance Abuse Counseling, Nichelle Chandler, Michelle Perepiczka, Richard S. Balken

Walden Faculty and Staff Publications

This nationwide, quantitative study documented licensed counselors' perceived self-efficacy of adequately providing substance abuse services. Despite their lack of substance abuse training, counselors were highly confident in their ability to provide quality substance abuse services. Counselor training implications are discussed.

Creating & Optimizing Children & Youth Planning Boards, Institute For Public Health And Justice, Community Participatory Work

Policy & Position Papers

No abstract provided.

Effectively Filling Gaps In Care: A Comparative Study Of Models Of Government Partnerships With Community Health Organizations In Kwazulu-Natal, South Africa, Madeline Ross

Independent Study Project (ISP) Collection

This study conducted Amatkiulu, Impendle, and Durban, KwaZulu-Natal, South Africa, utilizes three case studies to form a comparative analysisof the effectiveness of different models of public-private partnerships. Two expert interviews, three informal interviews, and many hours of observation inform this analysis of community health worker organizations employed through government clinics, tuberculosis tracer teams hired by government clinics, and independent non-governmental organizations heavily subsidized by the government. Subjective analysis found that the partnership between the Department of Health and a primary healthcare NGO, providing a wide range of comprehensive services, operated with the best efficiency and quality of care.

Age At Diagnosis Of Diabetes In Appalachia, Lawrence Barker, Robert Gerzoff, Richard Crespo, Molly Shrewsberry

Family and Community Health

Background

Appalachia is a region of the United States noted for the poverty and poor health outcomes of its residents. Residents of the poorest Appalachian counties have a high prevalence of diabetes and risk factors (obesity, low income, low education, etc.) for type 2 diabetes. However, diabetes prevalence exceeds what these risk factors alone explain. Based on this, the history of poor health outcomes in Appalachia, and personally observed high rates of childhood obesity and lack of concern about prediabetes, we speculated that people in Appalachia with diagnosed diabetes might tend to be diagnosed younger than their non-Appalachian counterparts.

Methods …

How Does Socioeconomic Development Affect Copd Mortality? An Age-Period-Cohort Analysis From A Recently Transitioned Population In China, Jing Chen, Mary Schooling, Janice Mary Johnston, Anthony Johnson Hedley, Sarah Morag Mcghee

Publications and Research

Background
Chronic obstructive pulmonary disease (COPD) is a leading cause of death, particularly in developing countries. Little is known about the effects of economic development on COPD mortality, although economic development may potentially have positive and negative influences over the life course on COPD. We took advantage of a unique population whose rapid and recent economic development is marked by changes at clearly delineated and identifiable time points, and where few women smoke, to examine the effect of macro-level events on COPD mortality.

Methods
We used Poisson regression to decompose sex-specific COPD mortality rates in Hong Kong from 1981 to …

Supplier-Induced Demand For Psychiatric Admissions In Northern New England, Bradley V. Watts, Brian Shiner, Gunnar Klauss, William B. Weeks

Dartmouth Scholarship

The development of hospital service areas (HSAs) using small area analysis has been useful in examining variation in medical and surgical care; however, the techniques of small area analysis are underdeveloped in understanding psychiatric admission rates. We sought to develop these techniques in order to understand the relationship between psychiatric bed supply and admission rates in Northern New England. Our primary hypotheses were that there would be substantial variation in psychiatric admission across geographic settings and that bed availability would be positively correlated with admission rates, reflecting a supplier-induced demand phenomenon. Our secondary hypothesis was that the construction of psychiatric …

Senior Transportation Abstracts: A Focus On Options, Helen Kerschner, Nina M. Silverstein

Gerontology Institute Publications

This collection of abstracts represents a publication of importance for understanding the needs, challenges, solutions, and/or every day issues related to senior transportation services. While several of the abstracts include information about senior driver safety, the collection’s primary purpose is to present a holistic approach to transportation options for older adults. Such a collection is timely because, although the practice of providing transportation to older adults is not new, research and preparation of practical informational and technical materials related to older adult transportation service needs and service delivery are quite recent.

Management Of Professional Boundaries In Rural Primary Care, Kathleen D. Brooks, Rebekah Pratt, Diann S. Eley, Therese M. Zink

Family Medicine Faculty Publications

No abstract provided.

Building Capacity In Physical Activity And Public Health, Russell R. Pate, Jennifer L. Gay, David R. Brown, Michael Pratt

Faculty Publications

No abstract provided.