Digital Commons Network^™

Toward A Policy Ecology Of Implementation Of Evidence-Based Practices In Public Mental Health Settings, Ramesh Raghavan, Charlotte Lyn Bright, Amy L. Shadoin

Open Access Publications

No abstract provided.

The Influence Of Veterinary Schools On The Veterinary Labor Market, Kyle Bosh

MPA/MPP/MPFM Capstone Projects

Problem Statement:

Does the presence of a veterinary school in a state influence the supply of veterinarians practicing in that state? Citizens and animals in states without a veterinary school are at a disadvantage if the presence of a veterinary school significantly improves public health and access to medical services in those states that have a veterinary school.

Research Strategy:

The unit of analysis in this study is 50 states and the District of Columbia. The study is designed as a cross-sectional analysis of 2006 pet, 2002 livestock, 2006 human, labor, and economic data. The study uses simultaneous equations to …

Multiple Dimensions Of Urban Well-Being: Evidence From India, S. Chandrasekhar, Abhiroop Mukhopadhyay

Poverty, Gender, and Youth

This working paper addresses differences in outcomes across households residing in slums and non-slum urban areas of India. We first established that if utility is defined as access to public goods such as water and sanitation, then residents in non-slum urban areas are unambiguously better off than slum dwellers. On the other hand, we found that the distribution of private goods (monthly per capita expenditure and per capita living area) in non-slum areas does not dominate the distribution of these goods in the slums, implying that non-slum residents are not unequivocally better off than slum residents. Since slums are on …

Strengthening Health And Family Planning Services In Low Performing And Hard-To-Reach Areas Of Bangladesh: Workshop Report, Ubaidur Rob, Md. Noorunnabi Talukder

Reproductive Health

Although Bangladesh has established a comprehensive physical infrastructure to deliver health and family planning services with a network of primary health care facilities in rural areas, the impact of this health service network has been much less than expected because services do not reach all regions effectively. Two divisions, Sylhet and Chittagong, remain the most disadvantaged in terms of health and population outcomes and access to services, compounded by poor utilization of facilities in these areas. Moreover, the current health and population sector programs are beset with human resources and infrastructural problems. The Population Council organized a workshop to find …

Community Based Epidemiological Study Of Chagas Disease In Rural Peru, Paul Walker

Yale Medicine Thesis Digital Library

The purpose of this study was to evaluate the epidemiology of Trypanosoma cruzi infection, to valuate the TESA blot, and to characterize cardiac findings of patients with Chagas disease in a rural setting near Arequipa, Peru. The study site was the town of Quequeña, Peru with a population of 774 with 236 inhabitants under the age of 18 according to the 2005 census conducted by Peru. A fumigation/insect collection campaign was done in December of 2006 to quantify household infestation levels, document housing characteristics, and GPS household locations. Of the 602 people surveyed to be living in Quequeña, blood samples …

Referring Patients To Specialists: A Structured Vignette Survey Of Australian And British Gps, Moyez Jiwa, Michael Gordon, Hayley Arnet, Hooi Ee, Max Bulsara, Brigitte Colwell

Medical Papers and Journal Articles

Background: In Australia and in the United Kingdom (UK) access to specialists is sanctioned by General Practitioners (GPs). It is important to understand how practitioners determine which patients warrant referral.

Methods: A self-administered structured vignette postal survey of General Practitioners in Western Australia and the United Kingdom. Sixty-four vignettes describing patients with colorectal symptoms were constructed encompassing six clinical details. Nine vignettes, chosen at random, were presented to each individual. Respondents were asked if they would refer the patient to a specialist and how urgently. Logistic regression and parametric tests were used to analyse the data.

Results: We received 260 …

Pathoecology Of Two Ancestral Pueblo Villages, Karl Reinhard

Karl Reinhard Publications

Pathoecology is the study of the biotic, abiotic, and cultural environments of disease (Martinson et al. 2003). A parasitic infection is the result of the pathoecological interaction of host behavior, parasite life cycle, the environment in which both life forms live, the nutritional status of the host, and host physiological responses to all of these factors. Parasites contribute to anemia in many ways. Some, such as hookworm, actually consume blood and cause iron loss through their activities. For other parasites, symptoms such as profuse diarrhea reduce intestinal absorption of nutrients. Others, such as certain fish tapeworms, actually compete for absorption …

The Effect Of Malaria And Intestinal Helminth Coinfection On Birth Outcomes In Ghana, Nelly J. Yatich

All ETDs from UAB

Several studies have reported the relationship between malaria during pregnancy and adverse pregnancy outcomes including maternal anemia, low birthweight, as well as preterm delivery and small for gestational age infants. Some studies have also demonstrated the linkage between helminth infection and maternal anemia. Few studies have assessed the occurrence of coinfection of these infections in pregnancy and its effects on maternal anemia and birth outcomes. The objective of this dissertation was to assess the effect of malaria and intestinal helminth coinfection on birth outcomes in Ghana. A cross-sectional study of 785 women presenting for delivery in two hospitals in Kumasi, …

Assessing The Professional Development Needs Of Public Health Educators In Light Of Changing Competencies, A. R. Demers, Edward M. Mamary

Faculty Publications

Introduction Because of the need for a well-trained public health workforce, professional competencies have been recently revised by the Institute of Medicine and the National Health Educator Competencies Update Project. This study compared the self-identified training needs of public health educators with the updated competencies and assessed employer support for continuing education. Methods A convenience sample of public health educators was recruited from an e-mail list of San Jose State University master of public health alumni. Respondents completed a Web-based survey that elicited information on emerging trends in public health education, training needs, and employer support for continuing education. Results …

J Am Coll Dent 2008 75 1

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Effects Of Cold Weather On Mortality: Results From 15 European Cities Within The Phewe Project, Antonis Analitis, Klea Katsouyanni, Annibale Biggeri, Michela Baccini, Bertil Forsberg Bertil Forsberg, Luigi Bisanti, Ursula Kirchmayer, Ferran Ballester, Ennio Cadum, Patrick J. Goodman, Ana Hojs, J. Sunyer, Pekka Tiittanen, Paola Michelozzi

Articles

Weather-related health effects have attracted renewed interest because of the observed and predicted climate change. The authors studied the short-term effects of cold weather on mortality in 15 European cities. The effects of minimum apparent temperature on cause- and age-specific daily mortality were assessed for the cold season (October-March) by using data from 1990-2000. For city-specific analysis, the authors used Poisson regression and distributed lag models, controlling for potential confounders. Meta-regression models summarized the results and explored heterogeneity. A 1 degrees C decrease in temperature was associated with a 1.35% (95% confidence interval (CI): 1.16, 1.53) increase in the daily …

Allergies In University Of Northern Iowa College Students, Lisa Krausman

Dissertations and Theses @ UNI

Allergies diseases, comprising of asthma and allergies, in some direct or indirect way affect most American families as more than 40 to 60 million or one in four Americans suffer from allergic diseases. Allergic diseases are a widespread problem that has a great monetary cost to society and a negative impact on the quality of life for those afflicted. This research was based on an analytical cross-sectional study design with a convenience sample of young adults in a college population. The paper based survey consisted of 55 questions asking various questions throughout various periods of life including the topics of …

Spatio-Temporal Analysis Of The Relationship Between Wnv Dissemination And Environmental Variables In Indianapolis, Usa., Hua Liu, Qihao Weng, David Gaines

Political Science & Geography Faculty Publications

Background: This study developed a multi-temporal analysis on the relationship between West Nile Virus (WNV) dissemination and environmental variables by using an integrated approach of remote sensing, GIS, and statistical techniques. WNV mosquito cases in seven months (April-October) of the six years (2002–2007) were collected in Indianapolis, USA. Epidemic curves were plotted to identify the temporal outbreaks of WNV. Spatial-temporal analysis and k-mean cluster analysis were further applied to determine the high-risk areas. Finally, the relationship between environmental variables and WNV outbreaks were examined by using Discriminant Analysis.

Results: The results show that the WNV epidemic curve reached its peak …

A Study Of The Distribution And Abundance Of The Adult Malaria Vector In Western Kenya Highlands, Li Li, Ling Bian, Guiyun Yan

Political Science & Geography Faculty Publications

Background: A sharp rise in the malaria mortality rate has been observed recently in western Kenya. Malaria is transmitted by mosquito vectors. Malaria control strategies can be more successful if the distribution and abundance of mosquito vectors is predicted. However, how mosquito vectors are distributed in space remain poor understood, and this question is rarely studied using spatial methods. This study aims to provide a better understanding of the distribution and abundance of mosquito vectors. To achieve this objective, spatial and non-spatial methods were employed. The data on the distribution of adult mosquitoes, and mosquito breeding habitats in a study …

Towards An Understanding Of Salient Neighborhood Boundaries: Adolescent Reports Of An Easy Walking Distance And Convenient Driving Distance, Natalie Colabianchi, Marsha Dowda, Karin A. Pfeiffer, Dwayne E. Porter, Maria João C. A. Almeida, Russell R. Pate

Faculty Publications

Numerous studies have examined the association between the surrounding neighborhood environment and physical activity levels in adolescents. Many of these studies use a road network buffer of Euclidean distance buffer around an adolescent's home to represent the appropriate geographic area for study (i.e., neighborhood). However, little empirical research has examined the appropriate buffer size to use when defining this area and there is little consistency across published research as to the buffer size used. In this study, 909 12^th grade adolescent girls of diverse racial and geographic backgrounds were asked to report their perceptions of an easy walking distance …

Sustainability Of Western Kentucky University: An Examination Of Campus Environmental Policies, Performance And Potential For Change, Christian Ryan-Downing

Masters Theses & Specialist Projects

Institutions of higher learning are in a pivotal position to address the environmental problems that global society faces now, but response to this challenge requires transformation in priorities and practices. Recognizing the impacts that universities have on the environment and the social and economic costs associated with these impacts, institutions of higher learning are changing policies and management to become more sustainable. Sustainability is defined by the World Commission on Environment and Development as "development that meets the needs of the present without compromising the ability of future generations to meet their own needs" (1987). To evaluate the environmental impacts …

In Vitro Methods For Generating Highly Purified Ebv Associated Tumor Antigen-Specific T Cells By Using Solid Phase T Cell Selection System For Immunotherapy, Jongming Li, Bijoyesh Mookerjee, John Wagner, Neal Flomenberg

Department of Medical Oncology Faculty Papers

Adoptive cell transfer immunotherapy has been utilized to treat EBV related human malignancies including post-transplant lymphoproliferative diseases, Hodgkin's lymphoma and nasopharyngeal carcinoma. However, there are limited options available for tumor antigen-specific T cell purification. Here we describe a novel solid phase T cell selection system, in which monocytes or EBV transformed B-lymphocytes are immobilized on solid support for antigen-specific T cell purification. We hypothesize and prove that antigen-specific T cells recognize their cognate antigens and bind to them faster than non-antigen specific T cells. Therefore antigen-specific T cells can be concentrated on the surface after removing the non-adherent cells by …

Humanized Chimeric Receptors In The Therapy Of Multiple Sclerosis, Ioana Moisini

Theses and Dissertations (ETD)

The role of autoreactive, antigen-specific T-cells in the development of autoimmunity has long been documented. T-cells expressing chimeric receptors are specifically redirected against such cells and have been proven to suppress autoimmune encephalomyelitis, the murine model of multiple sclerosis. We here demonstrate the ability of humanized chimeric receptors to suppress experimental autoimmune encephalomyelitis (EAE) in a humanized mouse model by redirecting T lymphocytes against autoreactive T-cells. The receptors were synthesized by linking the 84-102 epitope of human myelin basic protein (MBP) to the extracellular and transmembrane domains of the beta chain of human major histocompatibility complex (MHC) class II molecule …

Loop Analysis Of Causal Feedback In Epidemiology: An Illustration Relating To Urban Neighborhoods And Resident Depressive Experiences, Alexis Dinno

Community Health Faculty Publications and Presentations

The causal feedback implied by urban neighborhood conditions that shape human health experiences, that in turn shape neighborhood conditions through a complex causal web, raises a challenge for traditional epidemiological causal analyses. This article introduces the loop analysis method, and builds off of a core loop model linking neighborhood property vacancy rate, resident depressive symptoms, rate of neighborhood death, and rate of neighborhood exit in a feedback network. I justify and apply loop analysis to the specific example of depressive symptoms and abandoned urban residential property to show how inquiries into the behavior of causal systems can answer different kinds …

Developing "Human Functioning And Rehabilitation Research" From The Comprehensive Perspective., Gerold Stucki, Jan Dietrich Reinhardt, Gunnar Grimby, John Melvin

Department of Rehabilitation Medicine Faculty Papers

With the International Classification of Functioning, Disability and Health (ICF) the World Health Organization (WHO) has prepared the ground for a comprehensive understanding of Human Functioning and Rehabilitation Research, integrating the biomedical perspective on impairment with the social model of disability. This poses a number of old and new challenges regarding the enhancement of adequate research capacity. Here we will summarize approaches to address these challenges with respect to 3 areas: the organization of Human Functioning and Rehabilitation Research into distinct scientific fields, the development of suitable academic training programmes and the building of university centres and collaboration networks.

Client And Volunteer Satisfaction With The Povorello Medical Clinic, Syracuse University. Maxwell School. Community Benchmarks Program

Community Benchmarks Program

This report presents data collected from the Poverello Medical Clinic of the Franciscan Collaborative Ministries. Two surveys were administered, one assessed client satisfaction and the second volunteer satisfaction. The information provided will help the medical clinic to meet client needs and to maintain the continued support of the volunteers.

A Qualitative Study Of Pregnancy And Maternal Mortality In Rural Senegal: An Examination Of The Pregnant Woman’S Experience, Megan Frances Harlow

Independent Study Project (ISP) Collection

Much prior research has focused on the problem of maternal mortality in Senegal, the factors that cause it, and the numerical trends that indicate either decline or increase in maternal mortality. Few studies, however, have captured the mentality, attitudes, or beliefs of Senegalese women in rural areas, or the rationality behind their behaviors during pregnancy, which ultimately have implications for the alleged contributors to maternal mortality. I conducted the bulk of my field research in Saraya, a small town in southeastern Senegal. Through study of prenatal consultation records, participant observation in multiple settings, and interviews with healthcare practitioners and recent …

Regional Variability In Use Of A Novel Assessment Of Thoracolumbar Spine Fractures: United States Versus International Surgeons, John Ratliff, Neel Anand, Alexander R. Vaccaro, Moe R. Lim, Joon Y. Lee, Paul Arnold, James S. Harrop, Raja Rampersaud, Christopher M. Bono, Ralf H. Gahr, Trauma Study Group Spine

Department of Orthopaedic Surgery Faculty Papers

Background: Considerable variability exists in clinical approaches to thoracolumbar fractures. Controversy in evaluation and nomenclature contribute to this confusion, with significant differences found between physicians, between different specialties, and in different geographic regions. A new classification system for thoracolumbar injuries, the Thoracolumbar Injury Severity Score (TLISS), was recently described by Vaccaro. No assessment of regional differences has been described. We report regional variability in use of the TLISS system between United States and non-US surgeons.

Methods: Twenty-eight spine surgeons (8 neurosurgeons and 20 orthopedic surgeons) reviewed 56 clinical thoracolumbar injury case histories, which included pertinent imaging studies. Cases were classified …

Regional Variability In Use Of A Novel Assessment Of Thoracolumbar Spine Fractures: United States Versus International Surgeons., John Ratliff, Neel Anand, Alexander R Vaccaro, Moe R Lim, Joon Y Lee, Paul Arnold, James Harrop, Raja Rampersaud, Christopher M Bono, Ralf H Gahr

Department of Neurosurgery Faculty Papers

BACKGROUND: Considerable variability exists in clinical approaches to thoracolumbar fractures. Controversy in evaluation and nomenclature contribute to this confusion, with significant differences found between physicians, between different specialties, and in different geographic regions. A new classification system for thoracolumbar injuries, the Thoracolumbar Injury Severity Score (TLISS), was recently described by Vaccaro. No assessment of regional differences has been described. We report regional variability in use of the TLISS system between United States and non-US surgeons.

METHODS: Twenty-eight spine surgeons (8 neurosurgeons and 20 orthopedic surgeons) reviewed 56 clinical thoracolumbar injury case histories, which included pertinent imaging studies. Cases were classified …

Some Barriers To Development In Cameroon, Kenya And Swaziland, Matthew Moore

Masters Theses & Specialist Projects

In the study of development, researchers attempt to identify and measure the independent variables believed to influence economic growth and social development indicators in countries throughout the world. These researchers employ quantitative cross-national research methods, also known as the variable-oriented approach, while others may pursue a more case-oriented approach and examine a handful of countries employing a historical-comparative method. Education is a variable that has been identified in both of these research traditions to be positively related to the development of a country. However, when the effects of education on development are examined cross-nationally, it is clear that the countries …

Relationships Between Landscape Pattern And Land Surface Temperature And Their Applications To The Study Of West Nile Virus: As Case Studies In Cities Of Indianapolis And Chicago, United States, Hua Liu

All-Inclusive List of Electronic Theses and Dissertations

A new synthesis of remote sensing and landscape ecology approaches was developed to establish relationships between the landscape patterns and land surface temperatures (LST) in the city of Indianapolis, Indiana, United States. Land use and land cover (LULC) and LST images were derived from Terra Satellite's Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) imagery. An analytical procedure using landscape metrics was developed, applying configuration analysis oflandscape patterns and land surface temperature zones. Detailed landscape pattern analyses at the landscape and class scales were conducted using landscape metrics in the City of Indianapolis. The effects of spatial resolution on the …

Neighborhood Context And Ethnicity Differences In Body Mass Index: A Multilevel Analysis Using The Nhanes Iii (1988-1994), D. Phuong Do, Tamara Dubowitz, Chloe E. Bird, Nicole Lurie, José J. Escarce, Brian K. Finch

Faculty Publications

A growing body of literature has documented a link between neighborhood context and health outcomes. However, little is known about the relationship between neighborhood context and body mass index (BMI) or whether the association between neighborhood context and BMI differs by ethnicity. This paper investigates several neighborhood characteristics as potential explanatory factors for the variation of BMI across the United States; further, this paper explores to what extent segregation and the concentration of disadvantage across neighborhoods help explain ethnic disparities in BMI. Using data geo-coded at the census tract-level and linked with individual-level data from the Third National Health and …

Using Gis-Based Methods Of Multicriteria Analysis To Construct Socio-Economic Deprivation Indices, Nathaniel Bell, Nadine Schuurman, Michael V. Hayes

Faculty Publications

BACKGROUND: Over the past several decades researchers have produced substantial evidence of a social gradient in a variety of health outcomes, rising from systematic differences in income, education, employment conditions, and family dynamics within the population. Social gradients in health are measured using deprivation indices, which are typically constructed from aggregated socio-economic data taken from the national census--a technique which dates back at least until the early 1970's. The primary method of index construction over the last decade has been a Principal Component Analysis. Seldom are the indices constructed from survey-based data sources due to the inherent difficulty in validating …

Implementing Partially Effective Hiv Prevention Programs: Changes In Sexual Risk Behavior And Epidemic Impact In Sub-Saharan Africa, Kyeen Mesesan

Yale Medicine Thesis Digital Library

While there is no magic bullet that can completely prevent HIV transmission and halt the HIV/AIDS pandemic, governments and policy makers have an array of partially-effective HIV prevention programs from which to choose, including the use of existing interventions (e.g. education and condom use) and technologies under development (e.g. microbicides and vaccines). Complex decisions regarding if, when, and how to implement various programs with partial efficacy must be made, often in the absence of data on program outcomes. Additionally, the quantitative tradeoff between program-related decreases in HIV transmission and the effects of risk behavior change is often unknown. The potential …

Dutch Women's Perceptions Of Childbirth In The Netherlands, Taralyn R. Johnson, Lynn Clark Callister, Donna S. Freeborn, Renea L. Beckstrand, Katinka Huender

Faculty Publications

Purpose: To explore the lived experience of childbirth in Dutch women who had given birth at home in the Netherlands.

Methods: Qualitative study using audiotaped interviews with 14 women.

Results: Themes included the advantages of giving birth in the home, where the women felt more in control of their environment; the difficulty and normalcy of the pain associated with giving birth; the feelings of fulfillment and empowerment that come with childbirth and motherhood; and the importance of the supportive role of the midwife–caregiver.

Nursing Implications: Women in a culture different from that of the United States who gave birth at …