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Physician Hospital Arrangement Influence On Nonprofit Hospital Quality,Financial Performance And Community Benefit Expenditures, Andrea Cervin

Dissertations and Theses (Open Access)

Federal policy has encouraged hospitals to provide certain quality outcomes and cost containment. Hospitals have responded by forming physician hospital organizations in attempts to achieve quality outcomes and capture reimbursements. At the same time, federal policy has awarded hospitals with nonprofit status with the requirement to provide community benefits in exchange for the tax exemption they receive. With the formation of physician hospital organizations, there remains the question of whether hospitals are achieving desired quality metrics and whether hospitals are financially viable. There is also public and media interest recently regarding whether nonprofit hospitals fulfill their obligations for community benefit …

Emergency Preparedness And Perceptions Of Resident University Students: Literature Review, Study Proposal & Impact Of Pandemic Crisis On Research, Madelyn Turner

Nursing | Senior Theses

Emergency preparedness is an essential step in mitigating negative impacts of disasters, especially in an area affected by wildfires, power shutoffs, earthquakes, and flooding. Dominican University of California resides within Marin County, and has experienced emergencies in the past. Students are expected to prepare themselves to survive independently for 3-5 days. As previous research has shown, college students often do not meet this expectation. This proposed study will assess the current preparedness levels of students living on Dominican’s campus. It will also determine how perceptions of emergency readiness contribute to actual preparedness. Data collection was interrupted by the COVID-19 pandemic, …

Examining The History Of Racial Groups To Understand Health Disparities In Monterey County, Virginia Murillo

Capstone Projects and Master's Theses

The Monterey County Health Department’s Health Equity Scholars Academy aspires to train health workforce leaders to prioritize equity into services. Health inequities occur when there are systematic differences in the health statuses of different populations. These disparities perpetuate negative health outcomes for minority groups. In Monterey County, too few public employees are aware of the types and pervasiveness of health inequities experienced by a significant proportion of the population. A timeline was developed to provide a more accessible way to educate public employees about significant events and policies affecting Monterey County resident’s health. Content from the timeline has been incorporated …

2020-04-28 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Lori D. Sloane, Susan Atlas, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Kathryn Foos, Emma Wolinsky, Melissa Cossé, Jenny Situ, Susie Pham, Jennifer Thompson, Fiona Nguyen, Ryen Ormesher, Avanika Mahajan, Timothy Campbell, Lynnmarie Jarratt, Samantha Paltrow-Krulwich, Alyse Raboff, Stephen Esguerra, Lauren Tagliaferro Epler, Ariel Hurwitz, Alexandra Yingling, Clinton Onyango, Perez Olewe, Cristian Bologa, Jens Langsjoen, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM case update. NM antibody testing. Las Cruces essential worker screening. Small business closure inequity. More jobless benefits. Santa Fe furloughs. NM Funeral homes prepared. NM oil sector hit. State-by-state restrictions/reopenings. US testing expansion. JAMA on prisons. NY reopening focus. Farmers euthanizing animals. New Zealand success. Stockholm herd immunity. UK worst-hit in Europe. Japanese island lockdown. Spain multi-phase plan. Economic damage lockdown duration. Oil price impacts. Aerosol intubation box. Family cluster transmission. US contact tracing lacking. Chinese tracing system. Early US deaths undercounted. More poison center calls. Homeless shelter infection. Reduced coronary syndrome admissions. Italian predicted model. GIS …

Covid-19 In Prisons And Jails In The United States, Laura Hawks, Steffie Woolhander, Danny Mccormick

Publications and Research

In mid-March 2020, the first case of novel coronavirus 2019 (COVID-19) was diagnosed at Riker’s Island, the main jail complex in New York City. Within 2 weeks,more than 200 cases were diagnosed within the facility, despite efforts to curb the spread.The situation at the Cook County jail in Chicago is similar, with about 350 incarcerated persons and staff members testing positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus as of early April 2020. Many other jails and prisons have reported outbreaks of COVID-19 and related deaths.

Prior viral epidemics have wrought havoc in carceral settings. An account …

Clinical Decision Science Emphasizes Unique Social Context In A Way That Evidence-Based Medicine Does Not, Karen Weaver Md, Michelle Diebold Md, Zeinab Rizk Md, Ghada Mustapha Md, Wafa Algahmi Md, Aaron Rivkin Md, Nicholus Yee Md, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

INTRODUCTION: The ideal of evidence-based medicine includes the integration of clinical experience and patient values with research evidence. We introduce clinical decision science, a new framework that includes patient social context to demonstrate this integration, which has been absent from evidence-based medicine sources. METHODS: This is an observational study comparing published articles within the domains of clinical decision science and evidence-based medicine. In a standardized manner, investigators identified and counted instances of social interaction within the publications. RESULTS: Publications of Clinical Decision Science had a higher number of markers of social interaction per paper and greater proportion of papers that …

Training Evaluation For Introductory Ocean Lifeguard Instruction: A Practical Example From California, William A. Koon, Ryan M. Gates, Jack Futoran

International Journal of Aquatic Research and Education

Ocean lifeguards have several responsibilities that require precise training. California State Parks is one of the largest providers of open water lifeguard services in the United States, and trains approximately 200 new lifeguards per year. As part of our lifeguard training section’s quality improvement efforts, we conducted a training needs assessment to help determine how well our introductory ocean lifeguard training curriculum prepared lifeguards to perform job related tasks upon successful completion of the training program. We surveyed both first year and seasoned lead lifeguards on operational needs, training gaps, and specific subject areas. We identified several areas where our …

Advocacy For Occupational Therapy Within A Local Jail, Caitlin Clark

OTD Capstone Projects

This capstone project looks at advocating for the occupational therapy profession within the Nashville Davidson County Sheriff's Office and ways to implement quality interventions and group therapy into the jails. It also looked at current re-entry programs at the DCSO and ways to improve current programming.

Citizen Engagement In Aquatics Equity: The Case Of Winston Waterworks, Steven N. Waller Phd, James H. Bemiller Jd, Emliy J. Johnson, Chermaine D. Cole, Jason Scott Phd, Angela Wozencroft, Phd

International Journal of Aquatic Research and Education

Historically, swimming pools have been a source of inequity when it comes to the distribution of recreation services in the United States. Many of the problems that correlate with the inequitable allocation of recreation resources including public swimming pools began with ideas about race, geography, poor planning practices and faulty policymaking (Rothstein, 2017). Moreover, one of the primary outcomes of engaged, inclusive planning is equity in the provision of recreation programs and facilities. In this essay, we offer a summary of key legal cases that help address questions related resource allocation related to public swimming pools. Finally, we present a …

Portrayal Of Nuclear Energy On Twitter, Seth Gozar, Alex Justice, Moon Ja, Tammy Cao

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Background: With more than 300 million active users, Twitter has become a platform to consume and share political rhetoric and popular science opinion. With long-held concerns of nuclear disasters, radioactive waste, and economic sustainability, nuclear energy is a particularly polarizing topic on Twitter.

Purpose: This study used directed content analysis to examine how nuclear energy is portrayed on Twitter, a popular social media microblogging website.

Methods: Using the search terms “nuclear energy” and “nuclear power,” researchers sampled tweets in the “Top” category, skipping 25 non-relevant tweets, for a total of 400 relevant tweets. A codebook was developed, pilot tested, and …

2020-04-07 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Anastasiya Nestsiarovich, Praveen Kumar, Hannah Groves, Danielle Rivera, Estefania Montanez, Tudor I. Opera, Andrew S. Rowland, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

Today we celebrate World Health Day: JAMA suggests ways to support healthcare workers in the crisis. NM Emergency orders extended. Some NM prisoners freed. Pueblos threatened by outbreaks. CDC to provide $186M in state funding for surveillance programs. Colleges hit hard financially. Nine states refuse to issue stay-at-home order. Wuhan cautiously ends its 76-day lockdown. Lack of cough and fever for children creates special challenges. Fauci JAMA interview tomorrow. WHO guidelines and megatrial of 4 therapies. Numerous CDC guidelines. 23 clinical trials registered today. One negative result on hydroxychloroquine efficacy. In vitro screens suggest promising FDA drugs for …

Do States’ Immigrant-Friendly Policies Improve The Health Of Children Of Immigrants? The Impact Of Driver’S License Policies For Undocumented Immigrants And “Sanctuary” Policies On Access And Use Of Health Care, Heather Koball, Seth Hartig

Graduate School of Education

If 10.5 million undocumented immigrants are unable or afraid to access health care, medical needs will go unmet and, in the face of COVID-19, lives may be lost. This report explores how immigrant-friendly policies increase the chances that children of immigrants receive preventative health care, thus reducing the likelihood of having unmet medical needs and potentially reducing the chances of disease outbreaks.

Neighborhoods And Mental Health: Understanding The Social, Environmental And Structural Factors To Better Support Our Youth And Communities, Meghan Murtagh

Community Engagement Student Work

The social, structural and environmental characteristics of neighborhoods can have a significant impact on the social, emotional, behavioral and cognitive development of children and adolescents. The Center for Disease Control reports every 1 out of 5 children (22%) living below 100% of the federal poverty level have a mental, behavioral and/or developmental disorder (CDC, 2019). Through the utilization of ecological frameworks and a “place” based framework called The Social Determinates of Health, research was conducted to examine the link between neighborhoods and health outcomes in children and adolescents. These findings were then shared through a workshop with the target audience …

Police Social Work In Minnesota: Starting The Conversation, Jenny Ellsworth, Taylor Fish, Alison Niesen, Natalia Pitts

Master of Social Work Student Policy Advocacy Briefs

Even with enhanced police officer training focused on improving responses to mental illness, chemical dependency, and other crisis-related calls, police officers remain ill-equipped to serve as trained mental health professionals. Officers respond to these service-related calls more frequently than crime-related calls, which is why community partnerships between police officers and social workers are needed to promote the safety and well-being of people in crisis.

A Public Health Issue: Dietary Supplements Promoted For Brain Health And Cognitive Performance, Cindy Crawford, Courtney Boyd, Bharathi Avula, Yan Hong Wang, Ikhlas A. Khan, Patricia A. Deuster

Faculty and Student Publications

© Cindy Crawford, et al. 2020; Published by Mary Ann Liebert, Inc. 2020. Background: Dietary supplements targeting brain health have quickly emerged in the marketplace as cognitive performance becomes an important public health issue. While manufacturers are required to report the exact ingredients and formulations listed on the Supplement Facts labels of products, many reports have indicated such labels are not always truthful, and the content of some products is inconsistent with the ingredients listed on the Supplement Facts label. Objectives: To identify dietary supplement products and ingredients marketed for brain health and cognitive performance and perform analyses of select …

Stretching The Law: The Application Of Public Nuisance To The Opioid Epidemic, Lindsay Manning, Hannah L. Thompson

Brigham Young University Prelaw Review

Opioid use in the United States increased five-fold in the last decade.

Every day ninety Americans die from drug abuse overdose. Is it

illegal opioid trafficking, or is it a problem within the medical profession?

Recent litigation strategies, like those used in the recent

landmark case of Oklahoma v. Johnson and Johnson, show that opioid

production and distribution are being linked to fueling the opioid

epidemic. Oklahoma is just one of the states that have concluded that

Johnson and Johnson, a large pharmaceutical company, is “overstating”

the efficiency of opioids and “understating” the harmful effects

of these drugs. Consequently, litigation …

The Applicability Of Occupational Therapy To Correctional Programming, Jordan Lanning

Honors Projects

Correctional facilities are a controversial topic in the United States. Whether it is prison reform policy or overcrowding issues that are being debated in a political setting or at the dinner table, it is a hot topic of conversation. The discussion goes around and around to no avail, and seemingly no one is satisfied. A detailed look at current issues facing corrections, what has been done, and then, potentially what could be done may provide some clarity for a situation that is seemingly spinning out of control. Furthermore, occupational therapy and its application to correctional programming is explored as a …

Vital Signs, Spring 2020, Boonshoft School Of Medicine

Vital Signs

A thirty-one page newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

Recognizing The Need For Mental Health Reform In The Texas Department Of Criminal Justice, Kara Mchorse

St. Mary's Law Journal

The ways in which mental health care and the criminal justice system interact are in desperate need of reform in Texas. The rate of mental illness in Texas is higher than the current state of mental health care can provide for. While state hospitals were once the primary care facilities of those with mental illness, the Texas Department of Criminal Justice (TDCJ) has taken on that role in the last few decades; and when the criminal justice system becomes entangled with mental health care, it often leads to “unmitigated disaster.” If Texas continues to allow the TDCJ to act as …

N Y State Dent J April 2020

The New York State Dental Journal

The New York State Dental Journal (NYSDJ) is produced by the New York State Dental Association (NYSDA) six times a year, in January, March, April, July, September and November. Each issue features clinical and scientific articles written by researchers and practitioners from around the globe and is subject to review by a panel of specialists convened by the Editor.

Issues include cover and feature articles alongside regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Responding To Covid‐19: How To Navigate A Public Health Emergency Legally And Ethically, Lawrence O. Gostin, Eric A. Friedman, Sarah A. Wetter

Georgetown Law Faculty Publications and Other Works

Widespread social separation is rapidly becoming the norm, including closure of schools and universities, tele-commuting to work, bans on large gatherings, and millions of people isolated in their homes or make-shift facilities. Bans on international travel are already pervasive. Domestic travel restrictions are exceedingly rare, but now within the realm of possibility. Officials are even discussing cordon sanitaires (guarded areas where people may not enter or leave), popularly described as “lockdowns” or mass quarantines.

When the health system becomes stretched beyond capacity, how can we ethically allocate scarce health goods and services? How can we ensure that marginalized populations can …

Gov. Reynolds Issues A State Of Public Health Disaster Emergency, March 17, 2020, University Of Northern Iowa

UNI Response to COVID-19

A press release from the Governor declaring a state of public health disaster emergency, including the text of the proclamation.

Translating National Standards Into Practice: Supporting Social Care Professionals, Victoria O'Dwyer, Laura Behan, Linda Weir, Deirdre Connolly, Rachel Flynn

Journal of Social Care

The Health Information and Quality Authority [HIQA] was established in 2007 to drive high quality and safe care for people using health and social care services in Ireland. One of the functions of HIQA is to set national standards for services. When developing standards HIQA conducts a thorough review of evidence and extensively engages stakeholders through focus groups, advisory groups and public consultations. To validate the robustness of its processes HIQA distributed a survey to key stakeholders with experience of the standards development processes in 2018. It also undertook an international review of how other organisations approach the development of …

Lessons Learned From Designing A Health Monitoring System To Improve First Responders Safety User Interface, Janaki Devi Naveena Akula, Jackson Urrutia, Hitesh Kumar Khatri, Anusha Manda, Jacob C. Grothe

UNO Student Research and Creative Activity Fair

Every day, first responders put their own lives at risk to help individuals, families, and communities. They experience many safety and health hazards on the front-line that can lead to injuries, chronic illnesses, and even death. Chronic illnesses include cancer, heart diseases, and behavioral health issues that often cause first responders life expectancy to be significantly shortened.

According to the National Fire Protection Association, there were 64 on-duty firefighter deaths in 2018. Sudden cardiac death accounted for about 40% of the on-duty fatalities. During 2017, there were an estimated 44,530 documented exposures to hazardous conditions (e.g. chemicals, fumes, radioactive materials) …

Coronavirus (“Covid-19”) Webpage, March 3, 2020, University Of Northern Iowa

UNI Response to COVID-19

A memo from the Director of Risk Management announcing the members of the COVID-19 Task Force to coordinate the response to the disease.

Increasing Healthy Lifestyle Behaviors In Cargo Drivers, Ronda L. Bell

Electronic Theses and Dissertations

The purpose of this project was to examine the extent to which lifestyle behaviors of transportation drivers in North Texas can be improved with health education. This research study was conducted to examine the health behaviors of transportation drivers as a result of an educational partnership between nursing and the transportation industry. The goal was to improve healthy lifestyles through education to decrease chronic illness and comorbid conditions of a significantly at-risk occupational population. The impact of this education was immediate and verified with quantitative measurement and statistical analysis. Results demonstrated that after nurse-led health education, transportation drivers reported significant …

Exploration Of Factors Associated With Perceptions Of Community Safety Among Youth In Hillsborough County, Florida: A Convergent Parallel Mixed-Methods Approach, Yingwei Yang

USF Tampa Graduate Theses and Dissertations

Introduction: Youth perceived safety is not only linked to crime and violence in a neighborhood but is also associated with health risk behaviors and certain neighborhood characteristics. The purpose of this mixed-methods study was to measure the co-occurring effects of individual and community risk factors by conducting a secondary data analysis using structural equation modeling (SEM) and to explore reasons for youth feeling safe/unsafe in their community using photovoice methodology.

Methods: Syndemic theory/model served as the theoretical framework to guide this mixed-methods study with a convergent parallel design. The quantitative strand (first manuscript) utilized an existing dataset collected from middle …

Introducing The L.A.U.N.C.H. Collaborative, F. Douglas Scutchfield Md, Kevin Patrick

Journal of Appalachian Health

The L.A.U.N.C.H. Collaborative: Linking & Amplifying User-Centered Networks through Connected Health: A Demonstration of Broadband-Enabled Connected Health and Community-Based Co-Design brings together a group of organizations that are eager to use Appalachian Kentucky as a site for the development of a project aimed at creating an environment that addresses two of the nation’s major concerns about cancer. First, individuals who live in rural and remote areas are more likely to die of cancer than those who live in urban or suburban settings. And second, geographic obstacles hinder their ability to access evidence-based strategies that can prevent cancer or treat it …

Retrospective Study Of Fmol Health System Utilization Using Geospatial Information, Deekshith Mandala

LSU Master's Theses

Medicaid Expansion and closing of Emergency Departments (ED) like Earl K. Long, Baton Rouge General Mid-City ED, and Champion Medical Center changed the health care landscape in East Baton Rouge Parish (EBRP). In this research study, a Geographical Information System (GIS) is used to analyze the impact of the expansion of Medicaid and the inauguration of Our Lady of the Lake North Baton Rouge ED (OLOL NBR ED) over the utilization of Franciscan Missionaries of our Lady Health System (FMOLHS) for both emergency and non-emergency health care services. This study is performed across the 58 neighborhoods of EBRP. Overutilization of …

The Effect Of Language Barriers On Variation And Receipt Of Early Stage Breast Cancer Treatment, Abigail R. Madans Do, Richard T. Zera Md, Phd, Rachel M. Nygaard Phd

Journal of Health Disparities Research and Practice

Background: Arriving at and implementing an appropriate patient centered treatment plan for early stage breast cancer requires significant dialogue between healthcare providers and patients. How language barriers affect this process has not been thoroughly explored in the literature. The aim of this paper is to examine the effect of language barrier on variation and receipt of early stage breast cancer treatment.

Methods: Rates of lumpectomy, mastectomy, and contralateral prophylactic mastectomy (CPM) with or without reconstruction were compared between English speaking and Low English Proficiency (LEP) cohorts. Patients with recurrent or bilateral breast cancer, male patients, and/or known genetic mutations …