Digital Commons Network^™

The New York City Childcare Influenza Vaccine Mandate: A Case Study, Amy E. Metroka

Dissertations and Theses

Background. In 2014, New York City (NYC) became the third jurisdiction in the United States (US) to enact a childcare influenza vaccine mandate, after the states of New Jersey and Connecticut. The mandate was enacted by the NYC Board of Health by amending the NYC Health Code. The mandate’s goal was to increase vaccination rates among 6-59-month-olds attending city-regulated public and private childcare programs, including prekindergarten, to protect children, families, and the community against influenza. Children younger than 5 years are at high risk for severe illness and complications from influenza. Children are also known to be a major source …

The Logic Of Uncertainty And Executive Discretion In Decision Making: The Dallas-Fort Worth Metroplex Ebola Response, Abraham David Benavides, Laura M. Keyes 5457315, David Mcentire, Erin K. Carlson

Journal of Public Management & Social Policy

This paper addresses an important question: what can a highly complex public health situation such as the Dallas-Fort Worth Ebola outbreak tell us about the use of discretion by executive level public administrators? The public administration literature is rich with evidence of street-level bureaucratic discretion, but has not explored executive level discretion decision making. The authors argue that in highly complex situations of uncertainty, such as in the case of the Dallas-Fort Worth regional Ebola emergency response, the executive use of discretion translates to decisions under the conditions of uncertainty. This article theorizes a logic of uncertainty when two important …

Equity And Access To Health Care In Rural Quang Nam Province, Vietnam, Jessica Currier

Hatfield Graduate Journal of Public Affairs

This paper will addresses access to health care in rural Quang Nam Province in Vietnam. In doing so, it will examine the existing literature surrounding healthcare in Vietnam and compare it with the shortage of physicians in the study area and how that impacts who is able to receive care. The research presented in this paper synthesizes this analysis with interviews conducted by the author with policymakers and health care professionals in the study area. The paper concludes by offering policy recommendations that may rectify the healthcare issues that pervade the study area.

Post-9/11 Media Coverage Of Terrorism, Zachary S. Mitnik

Student Theses

Media coverage of terrorist attacks plays an important role in shaping the public understanding of terrorism. While there have been several studies analyzing coverage of terrorist incidents prior to 9/11, there has been little research examining post-9/11 coverage. This study fills this gap by examining the media’s coverage of terrorism in the United States between the dates of September 12, 2001 and December 31, 2015. The analysis is based on a list of terrorist-related incidents and New York Times articles written on each incident. This study documents the amount of coverage received by these incidents and identifies the variables influencing …

Controlling Factors That Potentially Against Transmission Of Dengue Hemorrhagic Fever At State Elementary Schools In Yogyakarta, Tri Baskoro Tunggul Satoto, Nur Alvira, Tri Wibawa, Ajib Diptyanusa

Kesmas

Sekolah dasar merupakan tempat yang dapat mengakibatkan peningkatan penyakit dengue pada anak karena faktor lingkungan, adanya potensi penularan, belum adanya system manajemen lingkungan yang baik dan beberapa upaya pengendalian yang tidak lagi efektif. Penelitian ini bertujuan untuk mengetahui faktor yang berpotensi terhadap penularan demam berdarah dengue bagi anak, sehingga sistem kewaspadaan dini dapat ditegakkan. Jenis penelitian ini adalah analitik dengan rancangan potong lintang. Penelitian dilaksanakan pada 91 sekolah dasar negeri di Kota Yogyakarta. Variabel yang diobservasi adalah serotype virus DEN, resistensi insektisida, kepadatan vektor,dan kondisi fisik sekolah. Analisis data menggunakan analisis deskriptif dan korelasi-regresi (a = 0.05). Hasil menunjukkan bahwa …

Risk Factors Of Acute Respiratory Infections In Practice Area For Community Of Medical Students In Semarang, Siti Thomas Zulaikhah, Purwito Soegeng, Titiek Sumarawati

Kesmas

Infeki saluran pernapasan akut (ISPA) menempati urutan pertama dari 10 besar penyakit di Puskesmas Bangetayu dengan persentase terbanyak di Kelurahan Penggaron Lor. Keterampilan untuk mempelajari distribusi dan frekuensi penyakit serta faktor determinan yang memengaruhi manusia sangat diperlukan untuk menetapkan intervensi yang paling efektif untuk meningkatkan derajat kesehatan masyarakat. Perlu dilakukan penelitian untuk mengetahui faktor risiko yang paling dominan berhubungan dengan kejadian ISPA di lokasi praktik komunitas mahasiswa Fakultas Kedokteran Universitas Islam Sultan Agung Semarang. Penelitian ini menggunakan desain potong lintang dengan jumlah responden 100 orang dan sampel dikumpulkan dengan menggunakan stratified random sampling. Sepuluh variabel yang diteliti adalah faktor risiko …

New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso

Muskie School Capstones and Dissertations

The purpose of this capstone project is to evaluate the implementation process for a new survey methodology introduced by Maine Medical Partners (MMP), by following the Plan-Do-Study-Act (PDSA) quality improvement cycle framework. This new survey has been implemented to collect data on patients’ experiences in the MMP outpatient facilities, and is offered to the patients via iPad at check-out after their appointment. Through observation at MMP practices and MMP staff interviews, strengths and weaknesses of the implementation process have been identified. Evidence-based solutions pertaining to the identified weaknesses have been selected through a literature review and are incorporated in recommendations …

Tuberculosis Contact Investigation In An Urban Omaha High School, Kyra L. Crepin

Theses & Dissertations

In November 2016, a 15-19 year old high school student was diagnosed with active pulmonary Tuberculosis (TB) and reported to the Douglas County Health Department (DCHD) in Omaha, Nebraska. A contact investigation led the health department to a local urban high school with a diverse and mobile population. A modified point of dispensing (POD) clinic was determined to be the efficient method to test the 196 faculty and students that were exposed to the index case. Emergency response coordinators (ERC’s) at DCHD adapted the POD dispensing plan with an embedded Incident Command System (ICS) to fit a smaller incident as …

Gendered Lived Experiences In Urban Cape Town: Urban Infrastructure As Equal Opportunity, Social Justice, And Crime Prevention, Becky Jacobs

Journal of Comparative Urban Law and Policy

No abstract provided.

Healthcare Accessibility For Syrian Refugees: Understanding Trends, Host Countries’ Responses And Impacts On Refugees’ Health, Gertrude Morgan Dadzie

Public Administration & Policy

The Syrian civil war, now in its 6th year is the biggest refugee and humanitarian crisis in present times. Since March 2011, over 11 million Syrians have fled out of their country to neighboring countries, Europe and other parts of the world. Associated with refugee movement is the movement and spread of communicable and non-communicable diseases among Syrian refugees and beyond. The war also continues to affect the psychosocial and emotional states of Syrian refugees, especially young people and children. This paper seeks to identify trends in health conditions among Syrian refugees and those who are internally displaced within the …

Quality Of Water In Relation To Diarrheal Disease Incidence In Obunga, Tianna Herman

Independent Study Project (ISP) Collection

Kenyan cities are experiencing a serious dilemma in dealing with the large influx of people from rural parts of the country to the cities. Most people come to the city in pursuit of better opportunities and jobs. Rapid urban growth with little planning and preparation by the national and county governments has led to the development of informal settlements. These informal settlements are characterized by poor environmental conditions that predispose their residents for poor health conditions. Because of their illegal status, most residents of informal settlements in Kenya do not receive government services such as water, drainage, sewerage, and rubbish …

Solid Waste Management In The Developing World: The Role Of Local Government In Kisumu, Kenya, Rachel Schlueter

Independent Study Project (ISP) Collection

As the world becomes more urbanized, more waste is being produced. According to United Nations projections in 2014, 66% of the world’s population will be living in cities by 2050 with the majority of growth occurring in African cities. Managing urban waste in lower-middle income countries, such as Kenya, poses a particular challenge as income levels rise, municipal capacities are stretched, and foreign loans complicate accountability. This project sought to assess the practical role of local government when managing solid waste in the context of long-term development strategies. The objectives of this study are to first establish the current role …

Rural Opioid Prevention And Treatment Strategies: The Experience In Four States [Policy Brief], John A. Gale Ms, Anush Yousefian Hansen Ms,Ma, Martha Elbaum Williamson Mpa

Mental Health / Substance Use Disorders

Little is known about what states with large rural populations are doing to combat opioid use disorders (OUD) in rural communities. This qualitative study identified rural challenges to the provision of OUD prevention, treatment, and recovery services and explored promising strategies to tackle the opioid crisis in rural communities.

Rural Opioid Prevention And Treatment Strategies: The Experience In Four States [Working Paper], John A. Gale Ms, Anush Hansen Ms,Ma, Martha Elbaum Williamson Mpa

Mental Health / Substance Use Disorders

Although opioid use rates are comparable in rural and urban counties, rural opioid users tend to be younger, unmarried, have lower incomes, and are more likely to lack health insurance, all vulnerabilities that may negatively impact their ability to seek treatment and recover. Additionally, the rural health care system is characterized by numerous resource, workforce, access, and geographic challenges that complicate the delivery of specialized care for OUDs in rural communities. The nature and scope of the opioid crisis vary across rural communities and require multifaceted, community-based strategies to address the problem. Based on interviews with key stakeholders in Indiana, …

Humanitarian Activity In The Context Of The Balkan Wars, Andreea Stoian Karadeli

Public Affairs and Security Studies Faculty Publications

This article examines humanitarian activity and its multidimensional aspects with a case study of the Balkan Wars (1912-13). The article presents that while it is difficult to find neutral humanitarian aid, the humanitarian aid of the Red Crescent during the Balkan Wars was a rare example of neutrality.

Economic Burden Of Tuberculosis Among Bangladeshi Population And Economic Evaluation Of The Current Approaches Of Tuberculosis Control In Bangladesh, Mohammad Rifat Haider

Theses and Dissertations

Introduction: Tuberculosis (TB) is major scourge for human history and causes profound economic burden. Bangladesh is a high burden TB country with 12% of its annual death is caused and 362 thousand people are infected by TB. DS-TB is the most prominent type of TB found in Bangladesh and a 6 month drug regimen (2 month intensive and 4 month continuation phase) is followed. But the directly observed treatment short-course (DOTS) differ in delivery through community health workers (CHW) and community members (CM). Bangladesh has also experienced surge in the number of MDR-TB cases with a 29% of MDR-TB cases …

Effect Of School Community Empowerment Model Towards Handwashing Implementation Among Elementary School Students In Dayeuhkolot Subdistrict, Tetti Solehati, Cecep Eli Kosasih, Sri Susilawati, Mamat Lukman, Sayu Putu Yuni Paryati

Kesmas

Perilaku mencuci tangan dengan sabun di Indonesia masih menjadi masalah. Penyebabnya dikaitkan dengan kurangnya kesadaran dalam mencuci tangan pakai sabun. Penelitian ini bertujuan untuk mengetahui pengaruh pemberdayaan komunitas sekolah terhadap penerapan mencuci tangan di kalangan siswa sekolah dasar di Kecamatan Dayeuhkolot, Kabupaten Bandung. Penelitian ini menggunakan desain quasi eksperimental dengan pretest dan posttest serta melakukan analisis deskriptif dan inferensial. Sampel terdiri dari 24 guru, 377 siswa di kelas 4-6, dan 24 dokter kecil. Metode pendekatan dalam penelitian ini menggunakan usaha kesehatan sekolah terpadu (gabungan model fit for school dan UKS terpilih), yang terdiri dari enam tahap. Instrumen terdiri dari kuesioner …

How Promising Is The Second Chance Act In Reducing Recidivism Among Male Ex-Offenders In Alabama, Georgia And Mississippi?, Jonny Amasa-Annang, Gina Scutelnicu

Journal of Public Management & Social Policy

This study examines the effectiveness of reentry programs as provided by the Second Chance Act of 2007 in reducing recidivism among ex-offender males in the southern states of Alabama, Georgia, and Mississippi. Drawing on secondary data coming mainly from the Bureau of Justice Statistics the study uses multivariate analysis to assess the factors that explain recidivism, and evaluate the impact of the Second Chance legislation on recidivism among young adult males in the three states. Findings indicate that imprisoned Black and Hispanic males, as well as median household income are significant predictors of recidivism. Additionally, the study finds that, three …

Bridging The Divide White Paper: Pregnant Women And Substance Use: Overview Of Research & Policy In The United States, Darla Bishop, Liz Borkowski, Megan Couillard, Amy Allina, Susanna Baruch, Susan Wood

Jacobs Institute of Women's Health

This paper examines the current literature and policy implications of substance use and substance use disorders among pregnant and parenting women. While this is not meant to serve as an exhaustive literature review on this topic, it seeks to describe: current research on health effects of substance use and substance use disorders on pregnant women1 and their children; policies and programs that help ensure that pregnant women who use substances have access to the highest quality healthcare, including prenatal care; the current barriers to accessing treatment for substance use disorders for pregnant women, including those who are incarcerated; and the …

Christians’ Cut: Popular Religion And The Global Health Campaign For Medical Male Circumcision In Swaziland, Casey Golomski, Sonene Nyawo

Anthropology

Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom’s three ecumenical organisations, showing how a diverse group people singly glossed as ‘Christian’ in most public health acceptability studies critically rejected the procedure in unity, but not uniformly. Participants saw medical male circumcision’s promotion and …

Antimicrobial Resistance (Amr) And Multidrug Resistance (Mdr): Overview Of Current Approaches, Consortia And Intellectual Property Issues, Andrew Jenner, Niresh Bhagwandin, Stanley P. Kowalski

Law Faculty Scholarship

The supply of new diagnostics and treatments is insufficient to keep up with the increase in antimicrobial resistance (AMR) and multidrug resistance (MDR) as older medicines are used more widely and microbes develop resistance to them. At the same time, significant quantities of antibiotics are used on patients and animals that do not need them, while others who do need them lack access.

Effective responses to AMR/MDR require effort by both the public and private sectors to develop and disseminate new diagnostics, vaccines and treatments on a global scale, as well as to adapt them to local needs. This calls …

Apopo Annual Report 2017, Apopo

Global CWD Repository

APOPO is a global nonprofit organization that researches, develops, and implements scent-detection technology to combat global humanitarian issues. APOPO’s detection rats currently detect landmines or tuberculosis in 5 affected countries around the world.

The rats are trained through clicker/reward methods, receiving tasty food treats when they identify explosives or tuberculosis. They are never harmed, because they are too light to actually set off any landmines and are cared for under strict animal welfare guidelines.

APOPO has mine action programmes in Angola, Cambodia, and Mozambique and is preparing operations in Zimbabwe and Colombia. APOPO also detects tuberculosis in Tanzania and Mozambique, …

Protocol For Surveying Bat Use Of Lava Tube Caves During Winter In Craters Of The Moon National Monument And Preserve, Version 1.0, Thomas J. Rodhouse, Kathleen Slocum, Todd Stefanic, Shawn Thomas, Meghan Lonneker, Gordon Dicus

United States National Park Service: Publications

Executive Summary

The mission of the National Park Service (NPS) is “to conserve unimpaired the natural and cultural resources and values of the national park system for the enjoyment of this and future generations” (NPS 1999). To uphold this goal, the Director of the NPS approved the Natural Resource Challenge to encourage national parks to focus on the preservation of the nation’s natural heritage through science, natural resource inventories, and expanded resource monitoring (NPS 1999). Through the Challenge, 270 parks in the national park system were organized into 32 inventory and monitoring (I&M) networks.

The Upper Columbia Basin Network Inventory …

A Serosurvey Of Diseases Of Free-Ranging Gray Wolves (Canis Lupus) In Minnesota, Usa, Michelle Carstensen, John H. Giudice, Erik C. Hildebrand, J. P. Dubey, John Erb, Dan Stark, John Hart, Shannon M. Barber-Meyer, L. David Mech, Steve K. Windels, Andrew J. Edwards

United States Geological Survey, Northern Prairie Wildlife Research Center: Publications

We tested serum samples from 387 free-ranging wolves (Canis lupus) from 2007 to 2013 for exposure to eight canid pathogens to establish baseline data on disease prevalence and spatial distribution in Minnesota’s wolf population. We found high exposure to canine adenoviruses 1 and 2 (88% adults, 45% pups), canine parvovirus (82% adults, 24% pups), and Lyme disease (76% adults, 39% pups). Sixty-six percent of adults and 36% of pups exhibited exposure to the protozoan parasite Neospora caninum. Exposure to arboviruses was confirmed, including West Nile virus (37% adults, 18% pups) and eastern equine encephalitis (3% adults). Exposure rates …

Depressive Symptoms Association With Health Outcomes And Treatment In Older Americans With Diabetes, Lashonda Jovon Williams

Theses and Dissertations

Introduction: Diabetes remains the 7th leading cause of death in the United States. Diabetes is a major public health concern of its own, but when you add the comorbidity of depression, diabetes outcomes are amplified. This dissertation examines how depressive symptomatology and treatment for depression are associated with selfreported health (SRH) and diabetes control.

Methods: Chi-square and logistic regression were used to analyze data from the Health and Retirement Study (2012). We assessed the associations between SRH and diabetes control with depressive symptomatology data.

Results: In our sample (n=4374), 19% of respondents reported high depressive symptomatology and …

A Foe More Than A Friend: Law And The Health Of The American Urban Poor, David Ray Papke, Mary Elise Papke

Fordham Urban Law Journal

No abstract provided.

Understanding The Radicalization Process Of U.S. Homegrown Terrorists, Jose Manuel Vargas

Walden Dissertations and Doctoral Studies

Radicalization is an aspect in the development of homegrown terrorists; however, researchers have been unable to establish a path to radicalization, uncover how individual and social factors influence radicalization, and identify how the Internet and social media mediate this process. The purpose of this case study was to explore individual and environmental factors that contribute to the radicalization of U.S. homegrown terrorists and identify interventions. Conversion theory was used to develop an understanding of the radicalization of U.S. homegrown terrorists. Data were derived from interviews of local and state law enforcement, military antiterrorism officers (AT), and security personnel from military …

Safe Quality Food Certification And Producing Safe And Quality Food Products, Adeniyi Adedayo Odugbemi

Walden Dissertations and Doctoral Studies

The food sector accounts for $1 of every $6 in the U.S. economy, with more than $700 billion in revenue every year. However, incidents of food safety and substandard quality continue to rise. Consumers are beginning to mistrust and have lower confidence in the food supply chain. Food manufacturers need to address this issue to remain profitable. One approach includes the introduction of food policy programs that allow for independent auditing and certifications such as the Safe Quality Food (SQF) certification. The SQF certification was established as a rigorous and credible benchmark for food handlers to enforce food safety and …

Assessment Of The Current Reporting Requirements Of The Kentucky Immunization Registry, Lindsey Lewis

MPA/MPP/MPFM Capstone Projects

Immunizations are essential to societal health and wellbeing. Throughout one’s lifespan, immunizations are to be administered incrementally to decrease the prevalence of preventable diseases. Despite this, there are disparities in the rates of vaccinations across the country. Numerous guidelines and regulations have been published regarding the administration and scheduling of vaccines. Certain vaccinations are mandatory in order to be able to attend school or hold certain occupational positions and normally proof of administration is required.

Immunization registries were created to monitor and record patient-specific data about administered vaccines. These confidential reporting systems were developed to improve population health by allowing …

College Campus Emergency Preparedness: Is Avoidance A Reason For Concern?, Thomas G. Barnowski

Online Theses and Dissertations

The purpose of this qualitative and quantitative research study was to explore the factors and outcomes associated with the lack of emergency preparedness activities related to college campuses. Within the context of pertinent literature was the confirmation of existing campus emergency action plans but the stated behavioral expectations contained in those plans raised questions related to effective functional performance. Additionally, the apparent refusal of college campus populations to actively participate in the preparedness process while offing a myriad of justifications for their avoidance has raised a number of concerns related to the achievement of desired positive outcomes. Discussion of attitudes …