Digital Commons Network^™

Expanding The Evidence Base For Accreditation And Qi: Progress In Practice-Based Research Networks, Glen P. Mays

Health Management and Policy Presentations

Studies that examine the implementation and impact of quality improvement strategies in public health are underway through the Public Health Practice-Based Research Networks.

Hungry For Respect: Discrimination Among Adults Using Emergency Food Services, Gilbert C. Gee, Kathryn J. Lively, Larissa Larsen, Jennifer Keith, Jana Stone, Kara Macleod

Journal of Health Disparities Research and Practice

Objectives: We examined how adults using emergency food services report discrimination and how these reports may be associated with well-being.

Methods: Data come from a survey (n=318) and from five focus groups of adults using emergency food services, conducted between 2003-2004. The survey included measures derived from the Everyday Discrimination Scale and the Centers for Epidemiologic Studies Depression Scale (CES-D). Focus groups were analyzed with content analysis.

Results: The survey data suggest that everyday discrimination was associated with the CES-D, conditional on covariates. Focus group data are consistent with the survey results and suggest several avenues for future research, including …

A Survey Of Seafood Traceability And Sustainability In The United States— Processes, Regulations, And Current Initiatives, Nancy A. Olsen

Working Papers

The global seafood industry currently lacks a standardized, widespread method to easily trace the chain of custody of products that they purchase. With global overfishing leading to declining fish stocks around the world, it is vital for seafood providers to have the ability to identify and buy products from sustainable fisheries that are well managed, target abundant species, and fish in environmentally responsible ways. This paper analyzes public and private initiatives that seek to provide product traceability. In summarizing the current status of seafood traceability, stakeholders agree that are a number of challenges with trying to piece together so many …

Global Health Justice: A Perspective From The Global South On A Framework Convention On Global Health, Lawrence O. Gostin, Ames Dhai

Georgetown Law Faculty Publications and Other Works

A global coalition of civil society and academics recently launched the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI), which is developing a post-Millennium Development Goal (MDG) framework for global health. JALI’s mission is the achievement of a global health treaty based on the right to health—a Framework Convention on Global Health (FCGH). The FCGH proposes establishing fair terms of international co-operation, with agreed-upon mutually binding obligations to create enduring health system capacities, meet basic survival needs, and reduce unconscionable inequalities in global health. States that bear a disproportionate burden of disease have the least …

Investigating The Role Of An Understudied North Atlantic Right Whale Habitat: Right Whale Movement, Ecology, And Distribution In Jeffreys Ledge, Kathryn Longley

Graduate Masters Theses

The critically endangered North Atlantic right whale (Eubalaena glacialis) consistently visits five major habitats throughout the year; however, they are known to visit additional habitats. This project examines the role of Jeffreys Ledge as an additional habitat of importance for this species by investigating three aspects of its distribution and ecology. I first addressed the relationship of Jeffreys Ledge to a known significant right whale feeding ground, Cape Cod Bay, by quantifying the movement of right whales between the two habitats and comparing demographic characteristics of right whales seen in these habitats. Secondly, I measured the quality of the zooplankton …

Gay And Lesbian Health Disparities: Evidence And Recommendations For Elimination, M. R. Barker

Journal of Health Disparities Research and Practice

Research suggests that significant health disparities exist among the gay and lesbian population in the United States. These disparities impact both the short- and long-term health outcomes of this population. This study first provides a current literature review of available research on gay and lesbian health disparities and organizes these findings according to health topic. The paper then investigates recommendations for the elimination of racial and ethnic health disparities and examines their applicability in eliminating sexual minority disparities. While many recommendations are valid, this paper analyzes the six thought to have the greatest potential in eliminating gay and lesbian health …

Homelessness: An Outcome Of Structural Cruelty, Bharat Rathod

Capstone Collection

In the current capitalist economic models, poverty and homelessness are an epidemic situation across the world. This research focused on the underlying causes of homelessness and poverty in India and the U.S., as well as developing suggestions to resolve the issues of homelessness in India. For this research I used literature reviews and interviews of the homeless; the interviews were conducted in Ahmedabad (India) and Brattleboro (U.S.). To analyze the data all the responses were entered into Excel format to discover patterns, themes and trends. The data was primarily qualitative in nature which led me to create three categories. According …

A Framework Convention On Global Health: Health For All, Justice For All, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Health inequalities represent perhaps the most consequential global health challenge and yet they persist despite increased funding and innovative programs. The United Nations is revising the Millennium Development Goals (MDGs) that will shape the world for many years to come. What would a transformative post-MDG framework for global health justice look like? A global coalition of civil society and academics—the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI)—has formed an international campaign to advocate for a Framework Convention on Global Health (FCGH). Recently endorsed by the UN Secretary-General, the FCGH would reimagine global governance for …

The Science Of Public Health Practice: Using Pbrns For Delivery System Research In Public Health Settings, Glen P. Mays

Health Management and Policy Presentations

PBRN research tests strategies for improving the delivery of services that promote health and prevent disease and injury on a population-wide basis.

“Make Your Move, Choose Your Food”: A Healthy Lifestyles Empowerment Campaign, Michelle Child

Mahurin Honors College Capstone Experience/Thesis Projects

This thesis documents the campaign “Make Your Move. Choose Your Food.” This healthy lifestyles empowerment campaign was one of six conducted in Bowling Green, Kentucky during February 2012 for the Public Relations Student Society of America’s (PRSSA) 2011-2012 Bateman Case Study Competition through the public relations capstone courses Journalism 454 and 456. The objective of this campaign was to encourage children, teenagers, parents, educators and community organizations to improve their individual health and the health of the community. My team, consisting of four public relations seniors and myself, created three overall objectives grounded in research, planned strategies specific to our …

Senior Center Participation In Northwest Arkansas: An Examination Of Future Marketing Strategies, Policy Implications, And Program Needs To Attract The Baby-Boomer Generation, Wanda Faye Turner

Graduate Theses and Dissertations

The purpose of the study was to explore the impact of the Baby Boomer Generation on the future services provided by Senior Centers in Northwest Arkansas, specifically in Benton, Madison, and Washington counties. The study was a mixed methods design utilizing both qualitative and quantitative methods. Three research groups were used: Nine Senior Center Directors, which were interviewed; one focus group composed of four Baby Boomers; and a print survey distributed to ninety-two Baby Boomers. The data revealed that changes are needed in the program and services in Senior Centers to attract the Baby Boomer Generation. Changes will need to …

The Costs And Impacts Of Rising Food Prices Among Low-Income Households, Elaine Waxman

Journal of Food Law & Policy

The pressure of rising food prices on low-income households is often assumed to be primarily an issue for developing economies, where fluctuations in food staple prices can have dramatic consequences for food security and social and political stability. Observers often note that Americans benefit from relatively low food prices and spend far less to feed their families than their counterparts in many other parts of the world. Indeed, the average American household spent 7.6% of their household expenditures on food purchases at home in 2009, while the comparable percentage exceeded 40% of household expenditures in diverse countries such as Mexico, …

John Carroll University Economic Impact, Ziona Austrian, Candice Clouse, Merissa Piazza, Tyler Thompson, Matthew Hrubey

All Maxine Goodman Levin School of Urban Affairs Publications

No abstract provided.

Evaluating The Performance Of The U.S. Social Safety Net In The Great Recession, Keith Gunnar Bentele

Center for Social Policy Publications

The following provides an assessment of the performance of both individual safety net programs and the cumulative impact of all safety net benefits and tax credits on household incomes in the early years during and following the 2007-09 recession. Specifically, I examine the extent to which various benefits and tax credits have moderated the impact of earnings losses for households in different positions in the income distribution, with special attention to the experiences of low-income households. In addition, I examine whether these moderating impacts differ for households of various racial/ethnic compositions, female-headed households, and residents of states with more and …

Using State And Local Health Survey Data To Advance Phssr, Glen P. Mays

Health Management and Policy Presentations

State and local health survey data can be used to evaluate the implementation and impact of public health delivery innovations in real-world practice settings.

Harnessing The Potential Of Comparative Effectiveness Research And Delivery System Innovation Through Practice-Based Research, Glen P. Mays

Health Management and Policy Presentations

Testing delivery system innovations in health care and public health allows the practice-based research enterprise to lead the way toward gains in health and economic efficiency.

Pathways To Family Success Final Evaluation Report, Berna Kahraman, Ghazal Zulfiqar, Donna H. Friedman, Alice Carter

Center for Social Policy Publications

This report presents findings from the second year of the evaluation of the Pathways to Family Success Programs (PFS) funded by the Department of Elementary and Secondary Education (ESE) and conducted by the Center for Social Policy (CSP) for the period September 2010 through June 2011. The 2010-2011 evaluation aimed to determine the extent to which PFS activities and interventions were effective in supporting learning outcomes and goal attainment for participating families and their children, and to identify strengths and areas of growth for the PFS Programs and partners. There were four Program sites implementing the PFS indepth project during …

Institute For Community Inclusion (Ici) Leadership Education In Neurodevelopmental Disabilities (Lend) Partners With Community-Based Organizations (Cbos), David Helm, Institute For Community Inclusion, University Of Massachusetts Boston

Office of Community Partnerships Posters

This Interdisciplinary Leadership Education in Neurodevelopmental and Related Disabilities (LEND) and Maternal and Child Health Bureau (MCHB) funded-program aims at providing long-term, graduate level interdisciplinary training to health professionals and family members. The purpose of this project is to develop leadership potential to improve the health status of infants, children, and adolescents with or at risk for neurodevelopmental and related disabilities and to enhance the systems of care for these children and their families.

Do No Harm: Perceptions Of Short-Term Health Camps In Nepal, Dena Seabrook

Independent Study Project (ISP) Collection

Short-term health camps are a growing form of delivering health care services to needy populations. Often these camps, usually lasting around 2 weeks, are led by I/NGOs in developing nations like Nepal and are staffed with volunteers from the Global North. These camps are largely ungoverned, and there are no evaluative techniques in place to monitor the effectiveness of the work done, raising concerns about the unintended consequences of short-term health camps camps. Nepal is particularly vulnerable to this issue because of the vast number of I/NGOs currently operating within its boundaries.

This research sought to expand the conversation surrounding …

New Approaches To The Green Revolution: Successes, Failures And New Rice For Africa, Maia S. Woluchem

Independent Study Project (ISP) Collection

The nature of worldwide food insecurity is staggering, with thirteen percent of the world’s population currently malnourished. The situation is particularly dire in Sub- Saharan Africa, where 265 million people face hunger daily, with 30 to 50 million dying yearly. Solutions to the problem are often unsustainable, save a select few. Once such attempt, coined the Green Revolution, garnered both praise and notoriety through its relatively successful transformation of Southeast Asia in the 1960’s. Aimed at increasing food production, the project focused on small-holder farmers and their acquisition of more productive inputs such as high-yield seeds, fertilizers and pesticides. African …

Fitness Tax Credits: Costs, Benefits, And Viability, Daniel M. Reach

Northwestern Journal of Law & Social Policy

As the number of overweight and obese Americans rises, it becomes increasingly clear that Americans need further incentives to stimulate lasting lifestyle changes. Tax incentives focused on exercise, which have been largely unexplored to this point, are an effective response to the growing obesity problem in the United States that would largely avoid the political opposition that tax policies focused on diet have encountered. In addition, they would also provide a more palatable solution for the taxpayer beneficiaries with a relatively low impact on government revenues. Viable tax incentives to encourage greater fitness include tax credits and sales tax breaks, …

Rapid Re-Housing Of Families Experiencing Homelessness In Massachusetts: Maintaining Housing Stability, Tim H. Davis, Terry S. Lane

Center for Social Policy Publications

The American Recovery and Reinvestment Act of 2009 (“Recovery Act”) provided $1.5 billion for the Homelessness Prevention and Rapid Re-Housing Program (HPRP), a temporary program that addressed both homelessness prevention and rapid re-housing of families already experiencing homelessness. The U.S. Department of Housing and Urban Development (HUD) allocated $44.5 million, including $26.1 million to individual Massachusetts communities and $18.4 million to the Commonwealth of Massachusetts. Of its funds, the state allocated $8.3 million for rapid re-housing of families who were living in shelters or motels.

This report explores the experiences of 486 of these families who received rapid re-housing assistance …

The Effects Of Tribal Governments On Reservation Poverty Rates, Heather Raisch

Political Science Theses and Capstones

Poverty rates on Indian reservations are far higher than the national average. Since Tribal Governments have at least some control over these reservations, to what extent are they to blame for these higher than average poverty rates? I look at each reservation and their type of government, constitution, policies and demographics to analyze the causes of their poverty as it relates to tribal government. There are many other pieces of research that are similar to this, but none looking specifically at the overall effects the government has on its community. My hypothesis is that communities with higher poverty rates tend …

Medicines That Kill, Lina Ahmed Abushouk

Annual Undergraduate Conference on Health and Society

The prevalence of counterfeit drugs on the African continent has been increasing at an alarming rate. “Medicines that Kill” is a research paper that attempts to analyze the factors that make African countries particularly susceptible to this global threat. Nigeria, a country that has had some of the highest rates of counterfeit drugs in the world, is the main case study for this paper. Its efforts to combat the issue are compared and contrasted with those of Tanzania and Kenya in an attempt to understand what aspects of the issue are unique to Africa and the methods that have been …

Sacrée Et Inviolable: The Hiv+ Mother In Ivoirian Health Policy, Amber Alaniz

Annual Undergraduate Conference on Health and Society

« La personne humaine est sacrée (2)… Le domicile est inviolable. Les atteintes ou restrictions ne peuvent y être apportées que par la loi. (4) La famille constitue la cellule de base de la société. L'État assure sa protection. (5)» Constitution of La Côte d’Ivoire, Articles 2,4,5[1]

The Ivoirian national constitution, authored and enacted in July of 2000, while expressing a devotion to democratic thought (Preamble) and to the sovereignty of the individual (Article 2), also acknowledges the primacy of the Ivoirian family and collective identity as the basis of society and advances a moral duty on the part …

Somalia Famine: Terrorism And Landmines Hinder Aid, Cisr Journal

The Journal of Conventional Weapons Destruction

Drought, rising food prices, famine and conflict have forced thousands of Somalis to flee to neighboring countries or become internally displaced. Aid agencies continue delivering food, but the ongoing conflict between al-Shabab and Somali government forces makes additional help difficult. The landmine threat further exacerbates the crisis, contributing to food insecurity, endangering refugees and threatening aid agencies trying to reach those in need.

Food Security Emerges As A Complex Global Challenge, Bryan Mcdonald

The Journal of Conventional Weapons Destruction

Measures are being taken toward land restoration and explosive remnants of war clearance to aid in worldwide food security. Global demining and ordnance removal efforts are contribiting to health improvements and land availability for sustainable crop growth. This article discusses the problem of food security in the twenty-first century and briefly reviews three sets of concerns that are converging to amplify, disrupt and transform efforts to ensure that all people have the food they need to lead active and healthy lives.

Review Of Overcoming The Governance Challenge In K-12 Online Learning, Michael K. Barbour

Education Faculty Publications

Review by Michael K. Barbour.

Chubb, John E. Overcoming the Governance Challenge in K-12 Online Learning. Washington, DC: Thomas B. Fordham Institute, 2012.

This fifth and final paper in the Fordham Institute’s series examining digital learning policy is Overcoming the Governance Challenge in K-12 Online Learning. The purpose of this report is to outline the steps required to move the governance of K-12 online learning from the local district level to the less restrictive state level and to create a free market for corporate innovation in K-12 online learning. Unfortunately, the report is based on an unsupported premise …

Full Report- Re-Thinking The Future Of Cleveland's Neighborhood Developers: Interim Report, Norman Krumholz, Kathryn Hexter

All Maxine Goodman Levin School of Urban Affairs Publications

No abstract provided.

Intentional Weight Loss And Dose Reductions Of Anti-Diabtetic Medications: A Retrospective Cohort Study, Anita Ashok Kumar, Ghanshyam Palamaner Subash Shantha, Scott Kahan, Rohit Joshua Samson, Nelson David Boddu, Lawrence Jay Cheskin

Health Policy and Management Faculty Publications

Background and Aim

Intentional weight loss, primarily by improving insulin resistance, is known to decrease the need for anti-diabetic medications. In this study, we assess the magnitude of weight loss that resulted in dose reductions or discontinuation of anti-diabetic medications in overweight or obese patients with type 2 diabetes (DM) undergoing weight loss treatment.

Methods

Case records of 50 overweight or obese patients with DM who successfully decreased dosage or discontinued diabetes medications after losing weight via attendance at two University-based, outpatient weight management centers were analyzed. Follow-up visits, weight reduction interventions, and decisions for dose reductions or discontinuation of …