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Uthealth Quality Symposium 2022 Abstracts-2

Teaching in Clinics

No abstract

Exploring The Impact Of The Habitat For Humanity Home-Building Process On Partner Families' Holistic Well-Being, Hawkley Pusey, Nikhil Mathur, Kathryn Figliomeni, Nanditha Srinivasan, Keely R. Dehn, Jason A. Ware

Purdue Journal of Service-Learning and International Engagement

The purpose of this study was to evaluate how participating in the Habitat for Humanity house-building process influenced participants’ purpose well-being, social well-being, community well-being, physical and mental well-being, and financial well-being, and how effective Habitat for Humanity is in aiding neighborhood revitalization within the Greater Lafayette area. The research project resulted in a presentation of quantitative data and a testimonial video that highlighted the stories of families that had worked with Habitat for Humanity. Quantitative data was gathered through a survey that addressed respondents’ levels of satisfaction within the various categories of well-being mentioned above. Testimonial information was gathered …

Limited Cognitive Ability May Reduce Snap Participation Among Older Adults, Colleen Heflin, Dongmei Zuo, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the U.S. For older adults currently on SNAP, meeting administrative requirements to remain on SNAP is difficult due to short recertification time frames, a lack of social support, and cognitive impairment. This brief summarizes results of a recent study examining the impact of cognitive decline on SNAP participation among adults aged 60 yrs. and older. Findings demonstrate that cognitive decline and living alone are associated with reduced SNAP participation, with older females being the most affected.

Critical Analysis Of Policies On Single-Use Plastics Disposal From Ships As A Source Of Pollution To The Marine Environment, Fatai Abiola Bello

World Maritime University Dissertations

No abstract provided.

Gendered Geographies Of Care: Women As Health Workers In An Indigenous Health Project In The Peruvian Amazon, Daniela Peluso

Tipití: Journal of the Society for the Anthropology of Lowland South America

This article examines how women as primary gatekeepers for well being became involved as health promoters in a local indigenous health care project in the Amazonian region of Madre de Dios, Peru. Here, I provide a case study of the processes and transitions that the project underwent from its inception to its eventual inclusion of indigenous women health promoters into its programs among indigenous communities from the mid 1980’s through the early 1990’s, at a time when western primary health care was even less accessible then it is today. The article begins with an overview of Madre de Dios and …

Community Health Workers In Central-Southern Amazonia: An Ethnographic Account Of The Munduruku People Of Kwatá Laranjal Indigenous Land, Daniel Scopel, Raquel Dias-Scopel, Esther Jean Langdon

Tipití: Journal of the Society for the Anthropology of Lowland South America

This article analyzes the role of Munduruku indigenous community health workers (CHW) with the expansion of biomedical services as part of state presence and territorial control in Brazil. Centuries of interethnic contacts among the Munduruku have resulted in a plurality of health practices. Since 1999, Primary services have increased significantly, when the Indigenous Health System (SASI) was created. CHWs were incorporated as part of the health teams serving the indigenous lands. Munduruku CHWs have not only assumed an important role in the delivery of biomedical services, but also are key in the articulation between different traditions of care. Although there …

Uthealth Quality Symposium 2022 Abstracts

Teaching in Clinics

No abstract

The Effect Of Lockdown Repeal On Socialization: Bayesian Multilevel Difference-In-Differences Approach, Hyunwoo Jung, Yiling Li, Jeonghye Choi

Asia Marketing Journal

The COVID-19 lockdown has had an unprecedented impact on people in various ways. This study evaluates the effect of lockdown repeal from both marketing and public-policy perspectives. Combining the Bayesian multilevel model with the difference-in-differences design, we find that a lockdown repeal has had a negative impact on socialization. Furthermore, the results show that those who have a low level of risk perception are less affected by lockdown repeal. Also, the negative effect of lockdown repeal varies depending on past socialization behaviors; that is, the lockdown-repeal effect is attenuated for those who socialized more than others in the past. Our …

Driving The Southern Nevada Health Economy Forward: Benefits Of A Transformational Unlv Academic Health Center, Tripp Umbach

Policy Briefs and Reports

The University of Nevada, Las Vegas (UNLV) plans to develop an integrated academic health center within the Las Vegas Medical District (LVMD). The academic health center includes UNLV’s five health science schools and mental and behavioral health, which is distributed among several colleges (medicine, liberal arts, urban affairs, and education) in the university. University Medical Center (UMC), a major teaching hospital, will also be an important driver of the academic health center. For the purposes of this report, UNLV’s medical and health science entities along with UMC are referred to collectively as the UNLV Academic Health Center. Additional academic health …

Poverty Implications Of Covid-19 And Government Social Protection Programmes In Nigeria, Adeponle Adeoye, John Lola Okunola, Sunday Fakunle

Journal of Social, Behavioral, and Health Sciences

The sole objective of this paper was to investigate the poverty implications of COVID-19 on Nigerians, relative to the effectiveness of the government’s social protection programs in mitigating the socioeconomic strain caused by the pandemic. The paper used documentary analysis to assess the impact of COVID-19 on Nigerians’ socioeconomic lives and the government’s policy response to the situation. The review found that COVID-19 exacerbated the existing poverty in Nigeria, and most of the government policy programs were not effective in mitigating the effects. We concluded that government policy responses to the socioeconomic strain caused by the pandemic were ineffective due …

Refining The Nutrition Environment Measures Survey (Nems) For Healthy Community Stores: Adaptations To Capture Alternative Food Retailers And Align With Dietary Guidelines, Alex B. Hill, Ravneet Kuar, Samantha M. Sundermeir, Christina Kasprzak, Megan Winkler, Sara John, Rachael D. Dombrowski, Bree Bode, Joel Gittelsohn

Urban Studies and Planning Faculty Research Publications

Inadequate consumption of healthy food is an ongoing public health issue in the United States. Food availability measures of supply versus consumption of healthy foods are disconnected in many studies. There is a need for an objective assessment of the food environment in order to assess how the food supply aligns with the Healthy Eating Index (HEI). Data were collected as part of the Healthy Community Stores Case Study Project, including a refined Nutrition Environment Measures Survey for Healthy Community Stores (NEMS-HCS) and an updated Healthy Food Availability Index that aligns with the Healthy Eating Index (HFAHEI). This paper will …

Covid-19 And African Americans: A Problem Decades In The Making, Allan Hardy

Journal of Public Management & Social Policy

COVID-19 has exposed health care disparities long known and discussed in medical and public policy literature. While there have been many discussions regarding our “offense” – how to attack a global pandemic (vaccines, treatment algorithms, etc), there has also been a renewed interest regarding our “defense” (limiting exposure, strengthening the host) – i.e., how to protect our most vulnerable populations. In June 2020, The U.S. Health and Human Services Department announced a $40 million, three-year partnership with the Morehouse School of Medicine to focus on this topic. As described by Danie Dawes (director of Morehouse’s Satcher Health Leadership Institute), this …

Covid-19, Social Inequity, Immigration Enforcement, Open Records, And Representation, Charles E. Menifield

Journal of Public Management & Social Policy

None

The Role Of Village Savings And Loan Associations In Poverty Graduation Programs: A Process Analysis, Noha Abdel Hamid

Theses and Dissertations

Ten percent of the global population live in extreme poverty under $1.90 a day. To combat chronic multidimensional poverty, the Bangladesh Rural Advancement Committee (BRAC)created the Graduation Approach, which consists of a Big Push effect implemented through a series of interventions including asset transfer, mentoring, saving groups and a series of service provisions, to push ultra-poor households to exit poverty sustainably. Implemented so far in over 50 countries, the model has shown positive results even after ten years of the first interventions. Sawiris Foundation for Social Development partnered with BRAC and the Abdul Latif Jameel Poverty Action Laboratory (J-PAL) to …

The Geopolitical Impact Of Conflict On Food Security In Nigeria, Charis Riebe

Independent Study Project (ISP) Collection

Nigeria is a country on the rise, and considered the leader of Africa. By 2050, the population is estimated to reach 400 million people, which would make it the third most populous country in the world. However, conflicts and food insecurity threaten the prosperity of the country. Many have heard about these threats to human security, such as Boko Haram, flooding, and the Russian-Ukrainian war. The root causes and contributors to these crises must be investigated, to better understand the direction they are headed. It is important to understand what the main drivers of food insecurity in Nigeria are, as …

A Destabilized World: The Effects Of Climate Change On Armed Conflict And International Humanitarian Law, Chase Doctor

Independent Study Project (ISP) Collection

The effects of climate change are becoming more pronounced, and they will have an increasingly destabilizing effect on societies around the globe. This research paper utilizes primary source material (e.g. interviews with field experts) and secondary source material to analyze the relationship between climate change and armed conflict, and the response of international humanitarian law. The consequences of climate change, like changing weather patterns, will increase global migration and strain the resources of host communities. This phenomenon, in addition to other climate-induced factors, may increase the likelihood of armed conflict breaking out. The case studies of the Darfur conflict in …

What’S At “Steak”: The Drivers Of Deforestation In The Brazilian Amazon And Potential Multilateral Solutions, Soleil Gaylord

Independent Study Project (ISP) Collection

This paper examines the contemporary drivers of deforestation in the Brazilian Legal Amazon and how multilateral solutions can be employed to bring forest loss to zero. Insights from the scholarly literature and five expert interviews allow a critical assessment of how the rise of unilateralism presents a novel threat to the Brazilian Legal Amazon and, by proxy, those relying on the region’s raw resources and ecosystem services. Integrating analyses of both Brazilian institutional structures and global environmental governance frameworks, this study examines the primary historical and contemporary factors driving accelerated deforestation rates observed under Brazil’s President Jair Bolsonaro. In identifying …

T1 Signal Intensity Ratio Of The Pancreas As An Imaging Biomarker For The Staging Of Chronic Pancreatitis, Temel Tirkes, Anil K Dasyam, Zarine K Shah, Evan L Fogel, Santhi Swaroop Vege, Liang Li, Shuang Li, Stephanie T Chang, Carlos A Farinas, Joseph R Grajo, Kareem Mawad, Naoki Takahashi, Sudhakar K Venkatesh, Ashley Wachsman, William E Fisher, Christopher E Forsmark, Phil A Hart, Stephen J Pandol, Walter G Park, Stephen K Van Den Eeden, Yunlong Yang, Mark Topazian, Dana K Andersen, Jose Serrano, Darwin L Conwell, Dhiraj Yadav, Consortium For The Study Of Chronic Pancreatitis, Diabetes, Pancreatic Cancer (Cpdpc)

Center for Medical Ethics and Health Policy Staff Publications

Purpose: Our purpose was to validate the T1 SIR (T1 score) as an imaging biomarker for the staging of CP in a large, multi-institutional, prospective study.

Methods: The prospective study population included 820 participants enrolled in the PROCEED study from nine clinical centers between June 2017 and December 2021. A radiologist at each institution used a standardized method to measure the T1 signal intensity of the pancreas and the reference organs (spleen, paraspinal muscle, liver), which was used to derive respective T1 scores. Participants were stratified according to the seven mechanistic stages of chronic pancreatitis (MSCP 0-6) based on their …

Residence In A Latinx Enclave And End-Induction Minimal Residual Disease Positivity Among Children With Acute Lymphoblastic Leukemia, Joshua P Muñiz, John P Woodhouse, Amy E Hughes, Sandi L Pruitt, Karen R Rabin, Michael E Scheurer, Philip J Lupo, Jeremy M Schraw

Center for Medical Ethics and Health Policy Staff Publications

Racial and ethnic inequities in survival persist for children with acute lymphoblastic leukemia (ALL). In the US, there are strong associations between SES, race/ethnicity, and place of residence. This is evidenced by ethnic enclaves: neighborhoods with high concentrations of ethnic residents, immigrants, and language isolation. The Latinx enclave index (LEI) can be used to investigate how residence in a Latinx enclave is associated with health outcomes. We studied the association between LEI score and minimal residual disease (MRD) in 142 pediatric ALL patients treated at Texas Children's Hospital. LEI score was associated with end-induction MRD positivity (OR per unit increase …

2020 Toolkit For Centering Racial Equity, Actionable Intelligence For Social Policy

CPAR Presents: A Data and Research Series for Community Impact

Societal “progress” is often marked by the construction of new infrastructure that fuels change and innovation. Just as railroads and interstate highways were the defining infrastructure projects of the 1800 and 1900s, the development of data infrastructure is a critical innovation of our century. Railroads and highways were drivers of development and prosperity for some investors and sites. Yet other individuals and communities were harmed, displaced, bypassed, ignored, and forgotten by those efforts. As railroads and highways both developed and decimated communities, so too can data infrastructure. At this moment in our history, we can co-create data infrastructure to promote …

Bmi And Physical Activity, Military-Aged U.S. Population 2015–2020, Bryant J. Webber, Daniel B. Bornstein, Patricia A. Deuster, Francis G. O'Connor, Sohyun Park, Kenneth M. Rose, Geoffrey P. Whitfield

Faculty Publications

Excerpt: Obesity and physical inactivity are considered possible U.S. national security threats because of their impact on military recruitment. The objectives of this study were to estimate the prevalence of (1) BMI eligibility for military entrance, (2) adequate physical activity participation among the BMI-eligible population, and (3) combined BMI eligibility and adequate physical activity.

This cross-sectional study of nonpregnant, military-aged civilians (aged 17–42 years) used objectively measured weight and height data and self-reported aerobic physical activity data from the 2015–2020 National Health and Nutrition Examination Survey. BMI eligibility was defined as 19.0–27.5 kg/m2, per Department of Defense regulation. Adequate physical …

Setting The Stage For The Next Farm Bill Debate, Bradley D. Lubben

Cornhusker Economics

The 2018 Farm Bill is set to expire in September 2023. New farm bill legislation will be needed by then if authority is to be extended for a wide range of programs from farm support to conservation, nutrition assistance, credit, trade promotion, rural development, research and education, and more.

The agricultural committees in Congress have already held initial hearings and many agricultural and other interest groups have noted their policy priorities. However, formal debate on a new farm bill is not expected to begin in earnest until early 2023 when a new session of Congress convenes.

While the formal debate …

Impact Of Major Emergencies On Food Security Risks, Cuihong Yang, Kang Lin, Xiang Gao

Bulletin of Chinese Academy of Sciences (Chinese Version)

In recent years, the probability and frequency of international major emergencies are on the rise, which have threatened the global food security. The study decomposes the food supply chain into production section, consumption section, and circulation section; and then analyzes the risks of food security in each section when facing the major emergencies. In the production section, major emergencies restrict the inputs of labor and agricultural production materials, limiting food supply directly. In the consumption section, major emergencies usually increase the food price and decrease the resident income, and thus, decline the purchasing power of food and exacerbate the food …

Discussion On Approaches To Improving Soybean Supply Capacity In China, Feng Feng, Zhinan Zhang, Yongzhe Gu, Junpeng He, Zhixi Tian

Bulletin of Chinese Academy of Sciences (Chinese Version)

Soybean is one of the most important crops for food and oil. The soybean demand has been increased in recent years in China. Since China has limited soybean production capacity, it has been importing increasing amount of soybean from abroad. It is a critical topic for China to develop the soybean production and expand the import channels to ensure food security. Based on the soybean demand-supply situation from 2011 to 2020, this paper discussed the problems including severely insufficient domestic production and supply, high level of reliance on international supply, and limited import channels. It put forward suggestions on approaches …

“Why Do I Have To Send My Child There?” How Low-Income And Working-Class Black Mothers Perceive School Choice In Washington, D.C., Brian Robinson

Journal of Public Management & Social Policy

Despite being cemented into the American education system, school choice policies remain controversial among scholars, practitioners, policy makers, and education reform advocates. This study seeks to understand how low-income and working-class parents, for whom school choice advocates claim these policies are intended to benefit, perceive school choice and what motivates these perceptions. In particular, this study focuses on low-income and working-class Black mothers who are often disadvantaged in the education marketplace. Taking advantage of a relatively robust school choice system in Washington, D.C., the author interviewed 10 low-income and working-class Black mothers. The mothers in this sample see school choice …

Race And The Rush To Reopen Schools During Covid-19, Emily M. Farris, Heather Silber Mohamed

Journal of Public Management & Social Policy

While the emergence of the COVID-19 pandemic disrupted student learning in the spring of 2020 and impacted nearly all of the 55 million students in kindergarten to 12th grade nationwide, it also magnified significant racial inequities in schools and society. Generations of systemic racism left communities of color and their neighborhood schools more at risk during the crisis. Over the summer of 2020, school leaders and communities considered whether to reopen school campuses or keep buildings closed for the 2020-2021 academic school year, and media began to highlight racial and ethnic difference in attitudes about those plans. Consistent with popular …

“The More People’S Stories That We Learn, The More We Can Wrap Around Our Support”: How Postoperative Bariatric Surgery Patients Use Online Communities, Breisha George

Health Sciences Student Scholarship

Bariatric surgery (also called weight loss surgery) is often thought of as a one-day medical procedure. However, after surgery, there are long-term physical and psychological changes that each patient manages. The goal of this study was to gain deeper insights into how a patient navigates their postoperative experience after bariatric surgery, specifically examining their use of online bariatric communities. Ten semi-structured interviews were conducted, transcribed, and thematically analyzed. Three major themes were identified: (1) Mental Health, (2) Belonging to Community, (3) Support. Each theme incudes several sub-themes, showcasing a range of helpful and harmful experiences from engaging with these online …

Using The Capabilities-Opportunity-Motivation-Behavior (Com-B) System To Conceptualize The Legalization Of Sunday Migratory Game Bird Hunting, Elena C. Rubino, Christopher Serenari

Journal of Rural Social Sciences

Recent wildlife agency efforts aimed at hunter recruitment, retention, and reactivation (R3) are examples of behavior change interventions. Therefore, these R3 programs and policies should be strategically designed to meet hunters’ goals and motivations. We analyzed survey responses (n=808) from North Carolina resident migratory bird hunters regarding potential Sunday hunting legalization to serve as an illustrative case demonstrating how the capabilities-opportunity-motivation-behavior (COM-B) system can be used to conceptualize and more effectively test potential hunter behavior changes prompted by debated R3 strategies. Findings provide decision-makers and land managers with an understanding of the potential implications of migratory game bird Sunday hunting …

High Prevalence Of Osteopathy In Chronic Pancreatitis: A Cross-Sectional Analysis From The Proceed Study, Phil A Hart, Dhiraj Yadav, Liang Li, Savi Appana, William Fisher, Evan Fogel, Chris E Forsmark, Walter G Park, Stephen Pandol, Mark D Topazian, Stephen K Van Den Eden, Santhi Swaroop Vege, David Bradley, Jose Serrano, Darwin L Conwell

Center for Medical Ethics and Health Policy Staff Publications

Background & aims: Chronic pancreatitis (CP) is associated with osteopathy (osteoporosis or osteopenia). However, existing literature is mostly limited to retrospective or administrative studies that have not clearly defined the prevalence and risk factors. Our aim was to identify patient- and disease-related associations with osteopathy in a prospective cohort study of CP.

Methods: We studied 282 subjects with definitive CP enrolled in the PROCEED study who had a baseline dual-energy X-ray absorptiometry (DXA) scan. Osteopenia and osteoporosis were defined using the lowest T-scores. Clinical data were collected using standardized case report forms. Comparisons were performed with a multivariate logistic regression …

Model Autonomy Of Self-Finance Management For Primary Health Care To Enhance Workers’ Satisfaction, Ahmad Jet Alamin, Ossama Issac, Lina Teo, Atikah Adyas

Kesmas

This study aimed to find an appropriate model of autonomous self-finance management in primary health care (PHC) to enhance workers' satisfaction. This was a cross-sectional study in which data were collected through self-administered questionnaires from 204 workers in ten Regional Public Service Agency for Primary Health Care (RPSAPHC)/Badan Layanan Umum Daerah Pusat Kesehatan Masyarakat (BLUD Puskesmas) in Tangerang District, Banten Province, Indonesia using the partial least squares and structural equation model (PLS-SEM). A total of 73 indicators were used to examine the PHC transformation process to enhance workers' satisfaction. The indicators were grouped into three variables depending on workers' satisfaction: …