Digital Commons Network^™

Recent Advances In Research And Management Of Human Monkeypox Virus: An Emerging Global Health Threat, Parveen Kumar, Benu Chaudhary, Nishant Yadav, Sushma Devi, Ashutosh Pareek, Sujatha Alla, Fnu Kajal, Behdin Nowrouzi-Kia, Vijay Kumar Chattu, Madan Mohan Gupta

Engineering Management & Systems Engineering Faculty Publications

In 2003, the United States saw an epidemic of monkeypox that was later traced back to rodents of West Africa infected with the monkeypox virus (MPXV). Disease in the United States seemed less severe than the smallpox-like disease in the Democratic Republic of the Congo (DRC). In this study, researchers analyzed data from Central Africa: two distinct MPXV clades were confirmed by sequencing the genomes of MPXV isolates from Western Africa, the United States, and Central Africa. By comparing open reading frames across MPXV clades, scientists can infer which virus proteins might account for the observed variation in pathogenicity in …

Far-Uvc: Technology Update With An Untapped Potential To Mitigate Airborne Infections, P. Jacob Bueno De Mesquita, Rosemary K. Sokas, Mary B. Rice, Edward A. Nardell

Arts & Sciences Faculty Publications

No abstract provided.

Assessment Of The Environmental Impact Of Food Consumption In Ireland-Informing A Transition To Sustainable Diets, Laura B Kirwan, Janette Walton, Albert Flynn, Anne P. Nugent, John Kearney, Nicholas M. Holden, Breige A. Mcnulty

Articles

Dietary changes are required to mitigate the climatic impact of food consumption. Food consumption databases can support the development of sustainable food based dietary guidelines (SFBDG) when linked to environmental indicators. An improved knowledge base is crucial to the transition to sustainable diets, and multiple environmental indicators should be considered to ensure this transition is evidence based and accounts for trade-offs. The current study aimed to quantify the environmental impact of daily diets across population groups in Ireland. Nationally representative food consumption surveys for Irish children (NCFSII; 2017-2018), teenagers (NTFSII; 2019-2020), and adults (NANS; 2008-2010) were used in this analysis. …

Food And Nutrient Intakes And Compliance With Recommendations In School-Aged Children In Ireland: Findings From The National Children’S Food Survey Ii (2017–2018) And Changes Since 2003–2004., Laura Kehoe, Maria Breffini, Breige A. Mcnulty, John Kearney, Albert Flynn, Janet Walton

Articles

The childhood years represent a period of increased nutrient requirements during which a balanced diet is important to ensure optimal growth and development. The aim of this study was to examine food and nutrient intakes and compliance with recommendations in school-aged children in Ireland and to examine changes over time. Analyses were based on two National Children's Food Surveys; NCFS (2003-2004) (n 594) and NCFS II (2017-2018) (n 600) which estimated food and nutrient intakes in nationally representative samples of children (5-12 years) using weighed food records (NCFS: 7-d; NCFS II: 4-d). This study found that nutrient intakes among school-aged …

Medical Providers' Use Of Maternal Mental Health Screening Tools During Prenatal Appointments In Southeast Georgia, Andreka Ewing

College of Graduate Studies: Theses & Dissertations

In the United States, maternal mental health disorders are the most common comorbidities experienced during pregnancy and after childbirth. In particular, the state of Georgia reports that 1 in 7 Georgian mothers experience depression, anxiety, obsessive-compulsive disorders, or psychosis related to these disorders. Research suggests that untreated maternal mental health can have adverse effects on the mother and unborn child. Conditions such as autism, mixed handedness, reduced cognitive ability, and affective disorders can develop while the child is in the womb of a depressed mother. Routine maternal mental health screening using a validated screening tool has been recommended to help …

South-Eastern Provider Knowledge Gaps In Rabies Education, Management, And Treatment, Joseph A. Addison, Jeffrey Alexander

Georgia Public Health Association Annual Meeting & Conference

Abstract:

Background. In the United States, when an individual is bitten by an animal there are many levels of care they may seek, including seeing their primary care provider, an urgent care provider, or by going to an emergency room. In any of these settings, it is not unlikely that they may be treated by an advanced practice practitioner (APP). Due to rabies being nearly 100% fatal once symptoms have manifested, it is important to understand the knowledge that APPs have concerning rabies.

Methods. A survey was conducted from April 2022 to August 2022 which evaluated APPs knowledge of rabies …

Identification Of Novel Biosynthetic Gene Clusters Encoding For Polyketide/Nrps-Producing Chemotherapeutic Compounds From Marine-Derived Streptomyces Hygroscopicus From A Marine Sanctuary, Hannah Ruth Flaherty

Honors Theses and Capstones

Nearly one out of six deaths in 2020, around ten million people, were caused by cancer, making it a leading cause of death worldwide (WHO, 2022). This major public health issue, in addition to the rise of multidrug-resistant (MDR) pathogens, provides a high demand for the discovery of new pharmaceutical drugs to be used clinically to treat these conditions. The Streptomyces genus accounts to produce 39% of all microbial metabolites currently approved for human health, indicating its potential as an important species to study for antimicrobial and anticancer agents. The long linear genome of Streptomyces contains specialized sequences known as …

Crime, Illness, & Abolition: An Exploration Through The Connective Tissue Within The Pic/Mic Matrix, Laila Kent

Scripps Senior Theses

This two part zine illuminates the shared mechanisms that construct and respond to ‘crime’, also define and treat illness in the US. Part 1 uncovers the status quo of our prison and health care system via the emergence of the The Prison-Industrial Complex (PIC), and The Medical-Industrial Complex (MIC). Through an exploration of the respective and overlapping histories, logics, and realities underlying the function of these systems, the mechanisms of individualism, objectification, and profiteering become strikingly clear. Part 2 breaks free of the status quo outlined in Part 1 by introducing abolition as the vision and strategy to heal from …

Behavioral Pathways To Private Well Risk Mitigation: A Structural Equation Modeling Approach, Simon Mooney, Martin Boudou, Jean O'Dwyer, Paul Hynds

Articles

Complex, multi hazard risks such as private groundwater contamination necessitate multiannual risk reduction actions including seasonal, weather-based hazard evaluations. In the Republic of Ireland (ROI), high rural reliance on unregulated private wells renders behavior promotion a vital instrument toward safeguarding household health from waterborne infection. However, to date, pathways between behavioral predictors remain unknown while latent constructs such as extreme weather event (EWE) risk perception and self-efficacy (perceived behavioral competency) have yet to be sufficiently explored. Accordingly, a nationwide survey of 560 Irish private well owners was conducted, with structural equation modeling (SEM) employed to identify underlying relationships determining key …

Walkable Neighborhoods: Linkages Between Place, Health, And Happiness In Younger And Older Adults, Kevin M. Leyden, Michael J. Hogan, Lorraine D'Arcy, Brendan Bunting, Sebastiaan Bierema

Articles

Problem, research strategy, and findings: We examined whether living in a walkable neighborhood influenced the happiness of younger and older city residents. The data for this study came from a comprehensive household population survey of 1,064 adults living in 16 neighborhoods in Dublin City (Ireland) and its suburbs. We used multigroup structural equation modeling to analyze the direct and indirect effects of walkability on happiness, mediated by health, trust, and satisfaction with neighborhood appearance. We found living in a walkable neighborhood was directly linked to the happiness of people aged 36 to 45 (p¼.001) and, to a lesser extent, those …

The Disaster Health System: Built For Collaboration And Coordination In A Complex Environment, Leslie E. Taylor

Walden Dissertations and Doctoral Studies

This qualitative case study examined patient distribution and coordination during complex, rapidly changing, uncertain emergencies or disasters. The study explored how Washington State’s Northwest Healthcare Response Network (NHRN) uses the state’s patient tracking system, WaTrac, as a collaboration tool for Emergency Support Function 8 (ESF 8) and public health emergency operations. This study used complexity theory to address a gap in the literature, acknowledging the importance of relationships among members of the NHRN and how the patient tracking system could enhance positive patient outcomes. This study included nine healthcare response participants; all were members of the NHRN healthcare coalition serving …

Examining The U.S. Disaster Management Program: A Case Study Of The U.S. Virgin Islands Hurricanes Irma And Maria Evacuation, Victoria F. Vachon

Walden Dissertations and Doctoral Studies

AbstractWhether from natural or human causes, every global community is at risk for overwhelming, destabilizing incidents. Hurricanes Irma and Maria devastated the U.S. Virgin Islands in late August and early September 2017, necessitating the urgent evacuation of hemodialysis patients over 1000 miles to the U.S. mainland. Because the damage and response to the U.S. territory were unprecedented, the public health implications of the government’s strategies on the evacuated population subset were unexplored. However, available information suggested that some evacuees sustained avoidable harm while in the protracted care and custody of the government. This qualitative case study, conceptually framed by Bronfenbrenner’s …

Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez

Walden Dissertations and Doctoral Studies

Breast cancer is a public health problem in the United States that impacts diverse ethnic female groups in different ways regarding incidence and mortality. Much is known about the factors increasing the risk of developing breast cancer, but little is known about those that increase the chances of dying from it, other than access to health care, screening, and appropriate treatment. This study aimed to understand the association between exposure to Environmental Protection Agency-regulated air pollutants and breast cancer mortality, including how the interaction between these air contaminants impacts the outcome of interest, considering median income, education level, and percentage …

Relationship Of Acetaminophen And Alcohol To Incipient Renal Insufficiency: The Role Of Race In Estimating Glomerular Filtration Rate, Preston Eledu

Walden Dissertations and Doctoral Studies

There are increasing concerns about the incorporation of race in the estimated glomerular filtration rate (eGFR) prediction equation. which has been used to measure renal function in studies that have shown a relationship between therapeutic dose of acetaminophen and light-moderate alcohol use to incipient renal insufficiency. The purpose of this study was to assess the same relationship, using a redefinition of renal insufficiency based on the chronic kidney disease–epidemiology collaboration creatinine-based eGFR, with and without race, and exploring the potential impact of race in the hypothesized relationship. Data from the 2003-2004 National Health and Nutrition Examination Survey were analyzed using …

Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim

Walden Dissertations and Doctoral Studies

The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …

Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern

Walden Dissertations and Doctoral Studies

Tobacco use has been a long-standing known modifiable risk factor to maternal health. Although there have been many efforts to encourage smoking cessation, use of electronic cigarettes in pregnancy has been increasing over the years. Understanding potential factors that may play a role in the increased use of electronic cigarettes is important to improve maternal and fetal health outcomes. The social ecological model provides the theoretical framework for this study. The purpose of this study is to determine whether a woman’s primary language and pregnancy health care factors (i.e., access to health care 12 months prior to pregnancy, access to …

The Hospital Consumer Assessment Of Healthcare Providers And Systems And Central-Line-Associated Bloodstream Infections, Mary Kerich

Walden Dissertations and Doctoral Studies

Central-line-associated bloodstream infections (CLABSIs) are common healthcare-associated infections (HAIs) contributing to extended hospital stays, morbidity, mortality, and healthcare costs. In 2011, the Centers for Medicare and Medicaid Services implemented the Hospital Value-Based Purchasing initiative, which links acute care hospitals' payments to quality performance. A gap in the literature existed regarding the relationship between hospital characteristics, patient experience, and CLABSI rates. This quantitative study aimed to explore the relationship between patient experience scores reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and CLABSI standardized infection ratio (SIR) in nonprofit acute care hospitals in the United States. Three …

Diabetes Self-Management Education, Jean David Thomas

Walden Dissertations and Doctoral Studies

AbstractAccording to the World Health Organization, Type 2 diabetes mellitus (T2DM) is a chronic, metabolic disease that can lead to damage throughout the body and development complications if self-care management is not implemented. Studies have demonstrated a lack of preparedness of nursing staff on T2DM self-care. At the federally qualified health clinic where this Doctor of Nursing Practice project occurred, a gap in practice existed related to the use of outdated American Diabetes Association (ADA) guidelines and lack of patient education documentation on self-care management of T2DM. The purpose of this staff education project was to plan, implement, and evaluate …

Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke

Walden Dissertations and Doctoral Studies

Abstract This quantitative retrospective study with a correlational design examined the impact of race and socioeconomic factors on the high infant mortality (IM) among non-Hispanic Black women compared to non-Hispanic White women in one midwestern US state county. Though the IM in the U.S. has consistently decreased, a disparity exists between non-Hispanic Black and non-Hispanic White women. Non-Hispanic Black women are twice as likely to experience infant deaths as non-Hispanic White women. This study utilized secondary data derived from vital records maintained by the county public health department. The research was grounded in the ecological model. Logistic regression was used …

Evaluation Of The Loving Support Peer Counseling Program On Breastfeeding Duration Rates Among African American Women Enrolled In The Program (2017-2018), Nancy S. Jeffery

College of Graduate Studies: Theses & Dissertations

Mothers and babies form an inseparable biological and social unit; the health and nutrition of one group cannot be divorced from the health and nutrition of the other.”-World Health Organization. The aim of this study was to evaluate the effectiveness of the Loving Support Peer Counseling (LSPC) program, under the WIC program in the state of Georgia, on breastfeeding duration rates among African American postpartum primiparas women. This observational study analyzed state-level data from January 2017 through December 2018. A cross-sectional design was used to evaluate the effectiveness of the Loving Support Peer Counseling Program (LSPC) in six of the …

Addressing Breast Health Disparities Among Recent, Established African-Born Immigrant Women And Second-Generation Americans In Prince George County, Maryland, Omolola Okunromade

College of Graduate Studies: Theses & Dissertations

Background: Breast health disparities and underutilization of screening methods are major concerns in the United States (US), particularly affecting Black women who experience lower survival rates and advanced diagnoses. Despite the rapid growth of the African-born immigrant population, breast health among this group in the US is notably under-examined. This study aims to investigate the breast health knowledge and practices of first-generation African-born immigrants and second-generation immigrant women of African descent, aiming to understand the distinctive attributes of this group and the impact of acculturation on this public health issue.

Methods: Interviews were conducted among First Generation African immigrants and …

Overlooked Sex And Gender Aspects Of Emerging Infectious Disease Outbreaks: Lessons Learned From Covid-19 To Move Towards Health Equity In Pandemic Response, Lynn Lieberman Lawry, Roberta Lugo-Robles, Vicki Mciver

Journal Articles: Epidemiology

Sex and gender issues are especially important in emerging infectious diseases (EIDs) but are routinely overlooked despite data and practice. Each of these have an effect either directly, via the effects on vulnerability to infectious diseases, exposures to infectious pathogens, and responses to illness, and indirectly through effects on disease prevention and control programs. The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the viral agent of coronavirus disease 2019 (COVID-19) has underscored the importance of understanding the sex and gender impacts on pandemics. This review takes a broader looks at how sex and gender impact vulnerability, exposure risk, and treatment and …

Perception And Experiences Of Sexual Harassment Among Lgbtq Students In Universities, Bangkok Thailand, Jiratchaya Rungrote

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this research was to study perceptions and experiences of sexual harassment among 355 LGBTQ students in the University. Data was collected by self-administer questionnaire to find perceptions and experiences of sexual harassment. Descriptive, Pearson’s Chi-square and Fisher exact were performed to describe and determine the associations. The research findings indicate that the majority of research participants were perceived to sexual harassment at a moderate level. There was a moderate tolerant attitude towards sexual harassment, and there were experiences of verbal, non-verbal, and physical sexual harassment at a moderate level. Gender, University, part-time job type, the use of …

Effectiveness Of Tendingpets Application On Working Memory Among Adolescent In Phrae Province, Thailand : A Quasi-Experimental Study, Phitchasuda Detboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Working memory performance refers to the capacity and ability of the brain to temporarily remember and process incoming information while working or solving problems. This competency is crucial for teenagers and is linked to success in learning mathematics, English language, and health-related behaviors. This quasi-experimental research, conducted with a controlled group, aims to explore the effectiveness of the "TendingPETs" application in enhancing working memory capacity and its impact on educational effectiveness and risky behavior among 99 teenagers in Phrae Province, Thailand. The participants were divided into an experimental group of 50 individuals who used the "TendingPETs" application alongside regular classroom …

Association Between Knowledge, Attitude, Barriers, And Practice Of Parents Regarding Children’S Malocclusion In Yangon, Myanmar, Ye Htet Aung

Chulalongkorn University Theses and Dissertations (Chula ETD)

dren and can lead to psychological impacts. Therefore, this study aimed to investigate the association between knowledge, attitude, barriers, and practices of parents toward malocclusion in children. This cross-sectional study was conducted on parents, aged between 20 and 50 years, having children aged between 6 and 12 years, and living in Yangon, Myanmar. Parental socio-demographic characteristics, knowledge, attitudes, barriers, and practices regarding malocclusion in their children were surveyed and collected through an online validated self-administered questionnaire. A total of 388 participants aged from 21 to 50 years completed the survey questionnaire. The average scores of parental knowledge, attitude, and practice …

Effect Of "Habibi Intervention" On Hiv Prevention Knowledge And Condom Usageamong Libyan Males Internally Displaced (Id) In Libya: A Quasi-Experimental Study, Fauzi M A Elamouri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Libya has been affected by the civil war since 2011. HIV and other sexually transmitted infections in areas of armed conflict should be considered a public health concern.This study aimed to investigate the effect of HABIBI intervention on HIV and its prevention knowledge, attitude, and condom usage amongst Libyan male Internally Displaced Persons (ID). The study was comprising two phases, the aim of the first phase (preparation phase) was to explore the magnitude of baseline in HIV knowledge, attitude, and condom use of the representative male IDPs through the cross-sectional study which male IDPs had being sampling from 5 camps …

Knowledge, Attitudes, And Practices (Kap) Towards Indoor Air Pollution Among Residents In Yangon And Mandalay, Myanmar: A Cross-Sectional Study, Min Thant Thaw

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Indoor air pollution (IAP) is a growing public health threat, but little is known about knowledge, attitudes, and practices among urban residents in Myanmar. Rapid development in cities like Yangon and Mandalay might exacerbate pollution while increasing time spent indoors. This study aims to assess the knowledge, attitudes, and practices (KAP) related to Indoor Air Pollution (IAP) among residents of Yangon and Mandalay.Methods: A cross-sectional survey involving 579 participants (100% response rate) was conducted using six-sections questionnaire; socio-economic data, knowledge, attitudes, information accessibility, health perception, and practices. Knowledge and attitudes were evaluated using modified Bloom's cut-off points and Likert …

Knowledge, Attitude, And Practice (Kap) Towards Atopic Dermatitis (Eczema)Associated With Indoor Environmental Factors In Young Adults Of Yangon, Myanmar, Htoo Tint Tae

Chulalongkorn University Theses and Dissertations (Chula ETD)

Atopic dermatitis,most common type of eczema, a relapsing and pruritic inflammatory skin condition caused by both outdoor and indoor environmental factors. Indoor air quality and indoor environmental factors become hazardous issues for public health consequences, but little is known about knowledge, attitudes, and practices concerning its pollutants are associated with eczema among urban residents in Myanmar within young adults. Therefore, this study aimed to assess the level of (KAP) and identify the association between knowledge, attitude, and practices levels toward atopic dermatitis (eczema) associated with indoor environmental factors in young adults. This cross-sectional study was conducted on 480 participants , …

The Role Of Social Media On Utilization Of Hiv Prevention Services Among Men Who Have Sex With Men In Yangon, Myanmar: A Qualitative Study, Thet Zaw Naung

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: HIV remains a significant global health challenge, disproportionately affecting populations such as men who have sex with men (MSM). In Myanmar, MSM faces high HIV prevalence and numerous barriers to accessing prevention services. Social media has emerged as a powerful tool in health communication, potentially enhancing HIV prevention efforts.Objective: This study explores the role of social media in the utilization of HIV prevention services among MSM in Yangon, Myanmar.Methodology: A qualitative research design was employed, involving in-depth interviews with 40 MSM recruited from two Key Population Service Centers in Yangon. Participants were selected using voluntary sampling, and data were …

Factors Associated With Knowledge, Attitude, And Practice (Kap) Towards The Prevention Of Hypertension Among People Aged 30-64 Years In Tonglu County, China: A Cross-Sectional Study, Yuanyuan Wu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: The Global Burden of Disease study shows that poor blood pressure control remains one of the leading risk factors for global burden and death. Most of the general population had a good understanding of hypertension and satisfactory attitudes, but the participant's level of practice was not high. In China, about 270 million people have hypertension, and in Zhejiang, the prevalence of hypertension is higher than the national average. Therefore, knowledge, attitude, and practice toward hypertension play a crucial role in hypertension prevention. Objective: This study aims to assess the level of knowledge, attitude, and practice towards the prevention of …