Digital Commons Network^™

South Africa: Combatting The Rise Of Hiv In Adolescents, Ryan Northrup

Posters

Describes a global health learning experience in South Africa in 2017, focused on educating teenagers in schools about sexual health and AIDS prevention.

Development Of Health Education Materials To Prevent Sexually Transmitted Infections Among University Of Southern Maine Students, Lily Parenteau

Muskie School Capstones and Dissertations

The purpose of this project was to develop health education materials that can be used to educate college students about the risks, symptoms, and prevention measures associated with chlamydia and gonorrhea infections, as well as provide information about current disease information in the state of Maine.

A Secondary Analysis In Support Of The Community Health Needs Assessment For Oasis Free Clinics, Jillian Wheeler

Muskie School Capstones and Dissertations

Oasis Free Clinics offer free medical and dental services to uninsured, low income adults living in Sagadahoc County, Maine (with the exception of the town of Richmond) and the towns of Brunswick, Freeport, and Harpswell in Cumberland County and Durham in Androscoggin County. Oasis has filled a critical need in providing affordable health care to the working poor with the absence of Medicaid expansion in the state of Maine. The clinic offers wellness checks, women's wellness, prenatal care, chronic disease management, limited mental health counseling, a prescription assistance program and dental care.

Oasis Free Clinics will conduct a Community Health …

Prevalence Of Salmonella Spp. Contamination In Hen Egg And Relationship Among Sociodemographic Knowledge And Behavior Of The Egg Consumer In Bangkok Thailand, Pollawat Sriruengsuk

Chulalongkorn University Theses and Dissertations (Chula ETD)

Hen egg is the main of protien source in food ingredient and frequently contaminated by Salmonella spp. This research was aimed to study about the prevalence of Salmonella in egg sold in Sukhumvit area and the relationship between socio-demographic knowledge and behavior of the egg consumer in Bangkok, Thailand. This study was collected the egg samples of each grade such as Ordinary, Salmonella free and Chemical free grades that being sold in fresh market or supermarket in Sukhumvit area. Then all samples were isolated to detect Salmonella spp. according ISO6579 method. For the second part to find the relationship between …

Sex With Sweethearts: Exploring Factors Associated With Inconsistent Condom Use Among Unmarried Female Entertainment Workers In Cambodia, Siyan Yi, Sovannary Tuot, Pheak Chhoun, Khuondyla Pal, Chanrith Ngin, Kolab Chhim, Carinne M. Brody

Background: Despite the success in promoting condom use in commercial relationships, condom use with regular, noncommercial partners remains low among key populations in Cambodia. This study explores factors associated inconsistent condom use with sweethearts among unmarried sexually active female entertainment workers (FEWs).

Methods: In 2014, the probability proportional to size sampling method was used to randomly select 204 FEWs from entertainment venues in Phnom Penh and Siem Reap for face-to-face interviews. Multivariate logistic regression analysis was conducted to examine independent determinants of inconsistent condom use.

Results: Of total, 31.4% of the respondents reported consistent condom use with …

Transition Into Adult Care: Factors Associated With Level Of Preparedness Among Adolescents Living With Hiv In Cambodia, Siyan Yi, Chanrith Ngin, Khuondyla Pal, Vohith Khol, Sovannary Tuot, Sokunmealiny Sau, Penhsun Ly

Background: Preparing adolescents for transition into adult care and supporting their acquisition of self-health care management skills is a critical determinant of their post-transition HIV care outcomes. However, there is a scarcity of research on effective transition strategies. This study explores factors associated with adolescent preparedness for transition into adult care in Cambodia.

Methods: In August 2016, a cross-sectional study was conducted among 223 adolescents living with HIV aged 15–17, randomly selected from 11 antiretroviral therapy clinics, utilizing a structured questionnaire. The level of preparedness was determined using a pre-existing scale, and adolescents were categorized as having a …

The Emerging Role Of Hiv Peer Navigators As Associate Medical Case Managers In Northeast Florida, Graham F. Watts Sr

Florida Public Health Review

What is the role of policy in improving the system of care for people living with HIV/AIDS, (PLWHAs)? This policy brief describes an innovation in medical case management within the Jacksonville Transitional Grant Area. Emphases center on how the innovation originated, why the innovation matters, the participants’ involved, outcomes, and the potential impact of the innovation on jurisdictional HIV health services.

Completion Characteristics Of Non-Hispanic Blacks With Tuberculosis And Hiv, Vernard Darrell Green

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) and human immunodeficiency virus (HIV) are difficult conditions to manage, in tandem they pose even more challenges to public health programs in identifying coinfection to ensure that all TB cases are treated to completion of therapy (COT). The purpose of this study was to test variables that predicted COT among the HIV/TB coinfected population of non-Hispanic, U.S.-born Blacks alive at the time of diagnosis. Social determinants of health were the theoretical foundation used to guide the study based on data from the Report of Verified Cases of TB (RVCT) between 2009 and 2014. Relationships were tested between ethnic/racial …

Biomarkers Of Sepsis: A Retrospective Approach, Jose M. Roberts

Williams Honors College, Honors Research Projects

Background: Biomarkers are taking the spotlight in becoming the norm for early diagnoses. Sepsis is an inflammatory disease that increases metabolic rate in children. The first biomarker is hyponatremia. Hyponatremia is a frequent electrolyte imbalance in clinical practice, often observed in children with inflammatory disease and infection. Presence of hyponatremia is associated with electrical signaling imbalances, inflammation and renal dysfunction. The clinical value of hyponatremia in pediatric patients is unknown. The C-reactive protein is a second biomarker. Its presence signifies that necrotic cells and inflammation are present.

Objectives: To evaluate the use of biomarkers in children seen in the Emergency …

Palynological Investigation Of Mummified Human Remains, Karl Reinhard, Marina Milanello Do Amaral, Nicole Wall

Karl Reinhard Publications

Pollen analysis was applied to a mummified homicide victim in Nebraska, U.S.A., to determine the location of death. A control sample showed the normal ambient pollen in the garage crime scene. Ambient windborne types, common in the air of the region, dominated the control. Internal samples were analyzed from the sacrum, intestine, and diaphragm. Microfossils were recovered from the rehydrated intestine lumen. The intestinal sample was dominated by Brassica (broccoli). The sacrum sample was high in dietary types but with a showing of ambient types. The pollen from the diaphragm was dominated by ambient pollen similar to the control samples. …

Analysis Of Food Exposures In Foodborne Disease Outbreaks, Alecia T. Alianell

Theses and Dissertations

Foodborne illness remains a serious public health problem in the United States in general as well as South Carolina in particular. Obtaining good food ingestion histories as well as possible risky environmental exposures is one of the earliest, most important tasks to complete in any foodborne outbreak investigations. Because time is of the essence in investigations, we have evaluated a rarely used biostatistical method, Random Forests, to data obtained from DHEC. Random Forests has the potential to facilitate more rapid identification of foods or environmental exposures that may be associated with outbreaks. We also examined previous cases of salmonellosis using …

Exploring Job Satisfaction And Preceptorship Capacity Among Applied Epidemiologists, Jessica C. Arrazola

College of Graduate Studies: Theses & Dissertations

Job satisfaction is important to consider when developing strategies for recruitment and retention. The Public Health Workforce Interests and Needs Survey (PH WINS) conducted in 2014 was the first nationally representative assessment of the state public health workforce. Prior to this assessment, the job satisfaction of state agency public health workers and preceptor capacity had not been measured. This study fills the current research gaps by studying the job satisfaction among the applied epidemiology workforce, identifying factors influencing job satisfaction, and the describing the preceptorship capacity among epidemiologists. This research is based on the 2014 PH WINS data. The analysis …

Health Aid In Africa: Placement, Service Utilization, And Benefit, Carrie Dolan

Theses and Dissertations

While the health sector has attracted significant foreign aid, evidence on the effectiveness of this support is mixed. This dissertation examines the allocation of health aid within the context of placement, service utilization, and benefit. The first paper examined the sub-national allocation of Chinese development aid projects across Africa. I determined how political preferencing of Chinese aid specifically, allocating aid to the birth region of the current political leader differs across sectors such as health, education, and transportation. I find some evidence that aid, more broadly defined, is subject to political preferencing in recipient countries, which could potentially limit its …

Designing Effective Messages To Promote Future Zika Vaccine Uptake, Jeanine Guidry

Theses and Dissertations

The Zika virus is associated with the devastating birth defect microcephaly, and while a vaccine was not yet available in early-2017, several were under development. It is imperative to identify effective communication strategies to promote uptake of a new vaccine, particularly among women of reproductive age. Moreover, though the Zika outbreak has received much social media attention, little is known about these conversations on Instagram. The purpose of this dissertation, therefore, was to understand current Zika-focused communication on Instagram and to inform effective communication strategies to promote future Zika vaccine uptake intent.

The study aims were: (1) explore Zika conversations …

Depressive Symptoms Among College Students: An Exploration Of Fundamental Cause Theory, Peter A. Carrico

Theses and Dissertations

Fundamental Cause Theory suggests that socioeconomic and demographic factors are causal to various illnesses, including depression. However, no known previously existing research has used Fundamental Cause Theory to create a model of depression among college students. To do this, the present study conducted a stepwise binomial logistic regression to examine how socioeconomic status and the sociodemographic variables of Gender, Race, and Sexual Orientation, and others predict depressive symptoms in a large sample of undergraduates when controlling for stressful life events and social support (N = 2,915). Results support the hypothesis that socioeconomic disparities in depressive symptoms are the result …

Characteristics Of Hiv-Infected Children At Enrollment Into Care And At Antiretroviral Therapy Initiation In Central Africa, A Adedimeji, A Edmonds, Donald R. Hoover, Qiuhu Shi, J Sinayobye, M Nduwimana, P Lelo, D Nash, K Anastos, M Yotebieng

NYMC Faculty Publications

BACKGROUND: Despite the World Health Organization (WHO) regularly updating guidelines to recommend earlier initiation of antiretroviral therapy (ART) in children, timely enrollment into care and initiation of ART in sub-Saharan Africa in children lags behind that of adults. The impact of implementing increasingly less restrictive ART guidelines on ART initiation in Central Africa has not been described. MATERIALS AND METHODS: Data are from the Central Africa International Epidemiologic Databases to Evaluate AIDS (IeDEA) pediatric cohort of 3,426 children (0-15 years) entering HIV care at 15 sites in Burundi, DRC, and Rwanda. Measures include CD4 count, WHO clinical stage, age, and …

Associated Factors Of Hepatitis C Infection In Pregnantwomen At Outpatient Department Of Peoples Medical University And Hospital District Shaeed Benazir Abadsindh Province Pakistan, Akhlaque Hussain

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: The prevalence of hepatitis C is 3% of the world population with more the 3 million new cases are being reported, In Pakistan, the prevalence of hepatitis C virus Infection ranges from 8%-15% in the general population. In Pakistan about 13 million people are infected. Prevalence of hepatitis C in pregnancy has been studied across Pakistan and is reported with the range of 3.27%-8.9%. Methods: A descriptive cross sectional study was conducted between may to June 2018. in people's medical university at outpatient Department of gynaecology and obstetrics in district shaheed Benazir abad Sindh Pakistan. All pregnant Patient age …

Knowledge, Attitude And Cultural Factors Towards Utilization Of Insecticide Treated Nets (Itns) Among Rakhine Ethnic Group In Ann Township, Rakhine State, Myanmar, Aung Phyo Oo

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study is to find associations between general characteristic, knowledge, attitudes and cultural factors on malaria prevention toward utilization of insecticidal nets (ITNs) among Rakhine ethnic groups, in Ann Township, Rakhine State, Myanmar. An analytic cross sectional study was conducted among 420 Rakhine ethnic groups aged more than 18 years old from 10 villages in Ann Township. Data were collected by using face-to-face interview. The study found only 3.6% of respondents had good knowledge level, 19.0% good attitude level and 38.8% good practice level towards utilization of ITNs. Female participants were 8.015 times had good practice level than male (p-value <0.001, AOR 8.015, 95% CI = 3.395-18.923). High school level participants likely to use ITNs for 14.518 times than lower education level (p-vale <0.001, AOR 14.518, 95% CI = 4.642-45.408). Married participants were 13.753 times done good practice (p-vale <0.001, AOR 13.753, 95% CI = 4.371-43.267) and widowed participants were 5.403 times done good practice than singles (p-vale 0.039, AOR 5.403, 95% CI = 1.085-26.909). Regarding the cultural factors, participants who always worked from dawn to night time were 2.203 times had good practice level than who never work at that time (p-vale 0.032, AOR 2.203, 95% CI = 1.070-4.536). Regarding knowledge level of the participants, moderate and good knowledge level were 5.125 times had good practice level than lower knowledge level participants (p-vale <0.001, AOR 5.125, 95% CI = 1.062-6.429). Health education and encouragement of people should be done to improve knowledge and utilization to use insecticide treated nets.

Knowledge Attitude And Practice Towards Hiv/Aids Prevention Among Myanmar Female Sex Workers In Mae Sot District, Tak Province, Thailand, Napapan Derkinderen

Chulalongkorn University Theses and Dissertations (Chula ETD)

The study was carried out by using quantitative research method. The information of 120 Myanmar female sex workers (MFSW) from various prostitution businesses in different areas in Mae Sot district was collected during 20-31 October 2016 by face-to-face interview using structured questionnaires. This study aimed to describe the characteristics, to assess the level of knowledge, attitude and practices on HIV/AIDS prevention and to examine the association between these independent variables with the HIV/AIDS preventive practice of MFSW. The data showed 52.5% of MFSW aged between 18 to 24 years old, 21.7% were from Karen State, 90% were Buddhist, 56.7% were …

Effectiveness Of A Personally-Tailored Oral Care Program On Improving Periodontal Status Among Thai Persons With Physical Disabilities In Pathum Thani Province, Thailand, Nithimar Sermsuti-Anuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to develop and evaluate the Personally-Tailored Oral Care Program on improving periodontal status among Thai persons with physical disabilities. This quasi-experimental study was conducted at Independent Living Center, a community club for persons with disabilities in Pathum Thani province, Thailand from February to May 2018. Total of 80 members who registered in Ladlumkaeo district (control) and Thanyaburi district (intervention), Pathum Thani Province were included (each group comprising 40 participants). Data were analyzed by using Chi-square test, t-test and repeated measures analysis of variance. The results, there were strongly significant difference in bleeding on probing …

Prevalence Of Healthy Aging And Factors Associated In Thai Urban Elderly Bangkok Thailand, Onsiri Pitisuttithum

Chulalongkorn University Theses and Dissertations (Chula ETD)

Population aging is a global phenomenon affecting many countries including Thailand. Many challenges come with aging population such as economical, social and healthcare system challenges, and healthy aging is the key to these problems. Only a few studies have focused on the prevalence and associated factors of healthy aging in Thailand. This study aims to estimate prevalence of healthy aging and identify factors related to healthy aging among Thai urban elderly in Bangkok, Thailand. Data for this cross-sectional study were collected by face-to-face interviews using questionnaires at Lumpini park, Bangkok between April to May 2018. A total of 200 older …

Knowledge, Attitude And Practice Of Self-Medication With Antibiotics Among General Public In Kathmandu Valley, Nepal: A Cross-Sectional Survey, Parishan Shrestha

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The inappropriate use of antibiotics has led to development and spread of bacterial resistance globally resulting in thousands of deaths every year. In Nepal, the prevalence of self-medication with antibiotics is higher. This study is designed to determine the knowledge, attitude and practice of self-medication with antibiotics among the general public. Methods: The study was a cross-sectional survey conducted during the month of May, 2018 among 437 general public of Ward number 16 of Kathmandu Metropolitan using standardized questionnaire which has been validated and reliability tested. Descriptive statistics were used to describe the general characteristics (socio-demographic, socio-economic and distance …

The Effectiveness Of A Diabetes Mellitus Pictorial Diary Handbook Program For Middle Aged And Elderly Type 2 Diabetes Mellitus Patients: A Quasi Experimental Study At Health Promoting Hospitals Taladnoi Saraburi Province Thailand, Rapat Eknithiset

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Pictorial Diary Handbook Program is a nonpharmacological treatment, designed for diabetes mellitus type 2 aged 50-70-year-old in Taladnoi, Horathep, and Khokyai Primary Care Unit which was based on Protection Motivation Theory. The general objective of this quasi-experimental study was to develop the Pictorial Diary Handbook Program for diabetes mellitus type 2 aged 50-70-year-old in Saraburi, Thailand. The specific objectives of this research were to 1) To compare the Biomarkers (Hba1c, FBS, BMI) between diabetes mellitus type II patients in the intervention group and the control group 2) To compare knowledge, perceived, and practice regarding self-care behavior on diet control, …

Migration And Malaria Infection In Myanmar-Thailand Border Area Of Tanintharyi Region, Myanmar: A Case-Control Study, Soe Lin Thu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Nowadays, malaria did not exist as a forest-dependent disease and mainly impacted by migration, mostly to border areas. Migrant workers are distributor of Plasmodium species and their patterns of migration affected on malaria transmission. The study aimed to identify migration pattern of border migrant people and the factors associated with malaria infection in Myanmar-Thailand border area especially in Tanintharyi region, Myanmar. An unmatched case-control was conducted among 320 migrant people living in Dawei, Thayetchaung and Palaw Townships, 160 cases and 160 controls. Cases and controls were confirmed by rapid diagnostic test and data collection was done by using structure questionnaires …

Factors Influencing The Utilization Of Intermittentpreventive Treatment For Malaria Control During Pregnancy Among Mothers Of Under One Children In Rural Lilongwe, Malawi, Taonga Mafuleka

Chulalongkorn University Theses and Dissertations (Chula ETD)

Routine administration of Sulphadoxine Pyrimethamine (SP) to pregnant women for intermittent preventive treatment (IPTp) of malaria during pregnancy leads to improved maternal health and pregnancy outcomes. This study explores determinants for IPTp-SP utilization among mothers of under-one children in rural Lilongwe, Malawi. Using multi-stage sampling method, this cross sectional study recruited 355 mothers of children under the age of one year from six health facilities. Respondents were aged 18-49 years and were interviewed using an interviewer-administered questionnaire. Bivariate analysis using Chi-Square and multivariate analysis (binary logistic regression) were performed. Overall, 84.0% of the mothers attended at least three antenatal care …

Patterns Of Heroin Use And Risk Behaviors Among Prisoners In Colombo,Sri Lanka, Theruwani Narmada Dissanayake

Chulalongkorn University Theses and Dissertations (Chula ETD)

Heroin is a highly addictive drug which affect a number of problems for users as well as society. However, there were no any recent data regarding heroin users among prisoner in Sri Lanka. This study aimed to identify the patterns of heroin use, risk behaviors and level of addiction among male prisoners in Sri Lanka. A face to face interview questionnaire was administrated purposively sampling among 334 heroin users aged 18 years and above. The average of age was 37.8 ± 6.1 while average age of heroin first used was 30.8 ± 4.2. Drug use was largely introduced from friends …

Knowledge, Attitude And Practice Of Preventive Behaviour Towards Hypertension Among Myanmar Migrants In Samutsakhon Province, Thailand, Thet Su San

Chulalongkorn University Theses and Dissertations (Chula ETD)

A cross sectional study was done in MaharChai Subdistrict, Samut Sakhon, Thailand in April and May 2018. The main purpose of this study was to assess the knowledge, attitude and practice of preventive behaviour regarding hypertension among Myanmar migrants living in the Samutsakhon province. The study was done on 422 participants(219 male and 203 female ).Face to face interview was carried out using structured interviewer administered questionnaire. The ethical approval was given on 17th April, 2018 with protocol no.070.1/61. Questionnaire consists of socio-demographic characteristics, knowledge, attitude and practice of preventive behaviour regarding hypertension. Frequency distribution, chi-square and Fisher-exact tests were …

Prevalence Of Epilepsy In China Between 1990 And 2015: A Systematic Review And Meta-Analysis, Peige Song, Yezhou Liu, Xinwei Yu, Jingjing Wu, Adrienne N. Poon, Alessandro R. Demaio, Wei Wang, Igor D. Rudan, Kityee Chan

Research outputs 2014 to 2021

Background: Epilepsy is a major neurological disorder that affects approximately 65 million people worldwide. Globally, the burden of epilepsy is not evenly distributed, with more than 80% of sufferers residing in low- and middle-income countries. This study estimates the burden of epilepsy in mainland China from 1990 to 2015 and explores the variations of burden by age and gender.

Methods: We conducted a systematic review of the peer-reviewed literature from 1990 to 2015 using Chinese and English academic databases (CNKI, WanFang, VIP and PubMed) to identify population- based prospective studies on the prevalence of epilepsy in mainland Chinese. Multilevel mixed-effects …

Differences In Survival Times, By Gender, Among Those Diagnosed With Necrotizing Fasciitis, Ashley Elizabeth Hill

Walden Dissertations and Doctoral Studies

Necrotizing fasciitis infections have high mortality rates especially when treatment is delayed. Despite the abundance of research in many areas of necrotizing fasciitis infection, there are limited and conflicting studies focusing on gender-related outcomes for those diagnosed and died with necrotizing fasciitis infection. The purpose of this study was to determine the association that gender plays on survival time of patients who have been diagnosed with necrotizing fasciitis using a cross-sectional study design. Succeeding the conceptual design of the life course model, the research question tested whether there was a significant difference in survival time between the genders while in …

Retired, Unmarried, Male Baby Boomer Attitudes And Behaviors Toward Disease Prevention, Irene Nyawira Ruminjo

Walden Dissertations and Doctoral Studies

Preventive health care is effective in reducing both infectious diseases and chronic conditions among the elderly. Despite efforts to prevent or decrease the risk of illness, unmarried men are less likely to receive selected preventive services compared to married men. The purpose of this cross-sectional survey was to describe disease prevention attitudes and behaviors of retired, unmarried, male baby boomers residing in Harlingen, Texas. Further, the study examined the effects of socioeconomic status on disease prevention attitudes and behaviors. The health belief theory framed the study. A validated questionnaire collected disease prevention attitudes, behaviors, and sociodemographic characteristics data. Data inquiry …