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The Politics Of Medicine: Power, Actors, And Ideas In The Making Of Health, Claire Wulf Winiarek

Graduate Program in International Studies Theses & Dissertations

The practice of medicine has become the prescribing of medicine. Reflecting a construct of health defined by Rationalism, individualism, and biomedical science, medicines (pharmaceuticals) are politically constructed to be the first – and sometimes only prescribed – line of defense against illness and disease. Pharmaceuticals also represent a highly desirable, ‘recession-proof’ component of many Nation-states’ (states’) export strategies, helping advanced economies, in particular, to maintain favorable trade balances and economic growth amidst the headwinds of deindustrialization.

Higher use and the overreliance on pharmaceuticals promote an outsized role for certain actors and ideas in the making of global health, referring to …

Value-Based Chronic Care Model Approach For Vulnerable Older Patients With Multiple Chronic Conditions, John F. Gibbs, Ellen Guarnieri, Quyen D. Chu, Kenneth Murdoch, Arif Asif

College of Population Health Faculty Papers

“Old age, itself, is not a disease” (Suborne 2007). The rising rate of the global aging population is predicted to create a health care crisis within the next three decades. Vulnerable older adults suffer from multiple chronic conditions (MCCs) in addition to cognitive and physical decline during the process of aging resulting in an inability to optimally achieve self-management. In terms of resource utilization, complex inpatient, and outpatient care results in higher physician visits, polypharmacy, and higher prescription costs. Health literacy has become known as an important social determinant of health affecting the older population. Both reductions in health literacy …

Case-Based Audit And Feedback Around A Decision Aid Improved Antibiotic Choice And Duration For Uncomplicated Cystitis In Primary Care Clinics, Larissa Grigoryan, Roger Zoorob, George Germanos, Mohamad Sidani, Matthew Horsfield, Fareed Khan, Mohammad Zare, Melanie Goebel, Robert Atmar, Barbara Trautner

Faculty, Staff and Students Publications

OBJECTIVES: The objective of our study was to evaluate the impact of a multifaceted stewardship intervention on adherence to the evidence-based practice guidelines on treatment of uncomplicated cystitis in primary care. We hypothesised that our intervention would increase guideline adherence in terms of antibiotic choice and duration of treatment.

DESIGN: A preintervention and postintervention comparison with a contemporaneous control group was performed. During the first two study periods, we obtained baseline data and performed interviews exploring provider prescribing decisions for cystitis at both clinics. During the third period in the intervention clinic only, the intervention included a didactic lecture, a …

Hubungan Tingkat Pengetahuan Tentang Alat Kb Dengan Pemakaian Kontrasepsi Modern Pada Wanita Remaja Kawin Di Pulau Jawa (Analisis Sdki 2017), Priskatindea Priskatindea, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Prevalensi pemakaian metode KB modern pada wanita kawin usia remaja di Pulau Jawa tahun 2017 tergolong masih rendah, yakni 27,8%. Terbatasnya tingkat pengetahuan remaja mengenai pilihan kontrasepsi adalah salah satu hambatan pemakaian kontrasepsi pada remaja. Penelitian ini memiliki tujuan untuk mengetahui hubungan antara tingkat pengetahuan tentang alat/cara KB dengan pemakaian kontrasepsi modern pada wanita kawin usia remaja di Pulau Jawa. Penelitian ini menggunakan data sekunder dengan menganalisis hasil dari Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017. Sampel adalah 309 orang wanita berusia 15-19 tahun yang berdomisili di Pulau Jawa dengan status kawin. Pada hasil ditemukan sebanyak 62,4% responden memakai …

Hubungan Obesitas Dengan Kejadian Hipertensi Pada Lansia Di Posyandu Lansia Di Wilayah Kerja Puskesmas Pb Selayang Ii Kecamatan Medan Selayang, Medan, Hazella Rissa Valda Asari, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Populasi individu di seluruh dunia berusia 65 tahun dan lebih tua terus meningkat. Prevalensi hipertensi di Indonesia adalah 26,5%.Situasi hipertensi terus meningkat seiring dengan epidemiologinya yang meluas, yang berkontribusi terhadap meningkatnya beban global penyakit secara keseluruhan. Salah satu faktor hipertensi ialah obesitas. Studi Framingham menunjukkan bahwa baik pria maupun wanita mengalami peningkatan tekanan darah dengan peningkatan kelebihan berat badan. Mengetahui hubungan obesitas dengan hipertensi pada lansia. Desain potong lintang digunakan untuk penelitian yang dilaksanakan pada 9 posyandu lansia di wilayah kerja Puskesmas PB Selayang II pada bulan Agustus 2017. Populasi penelitian adalah lansia yang mengunjungi ke sembilan posyandu lansia di …

Berat Badan Lahir Rendah (Bblr) Sebagai Determinan Terjadinya Ispa Pada Balita Analisis Data Sdki Tahun 2017, Desinta Ayu Lestari, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

No abstract provided.

Studi Endemisitas Dan Epidemiologi Deskriptif Malaria Di Kabupaten Purbalingga Tahun 2010-2019, Ghea Efranandhita Sukendar, Dwi Sarwani Sri Rejeki

Jurnal Epidemiologi Kesehatan Indonesia

Salah satu permasalahan kesehatan di Jawa Tengah adalah kejadian malaria. Kondisi lingkungan dan perilaku mempunyai peran dalam penyebaran malaria. Gambaran endemisitas dan upaya pengendalian yang diperlukan sebagai dasar perencanaan tindakan pengendalian malaria. Belum ada data yang menyajikan endemisitas malaria dari tahun 2010-2019 di Kabupaten Purbalingga. Penelitian ini bertujuan untuk mendeskripsikan endemisitas dan menggambarkan kejadian malaria berdasarkan variabel orang, tempat dan waktu dan upaya pengendalian yang sudah dilakukan periode tahun 2010-2019 di Kabupaten Purbalingga. Jenis penelitian yaitu deskriptif kuantitatif dengan populasi yaitu seluruh kasus malaria yang tercatat di dinas Kesehatan Kabupaten Purbalingga periode Januari 2010 sampai Desember 2019. Sampel merupakan total …

Determinan Konsistensi Penggunaan Kondom Pada Laki-Laki Seks Dengan Laki-Laki (Lsl) Non-Pekerja Seks: Studi Potong Lintang, Arum Zulaikhah, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Kasus baru HIV di Indonesia cenderung terus mengalami peningkatan. Sedangkan, tren kasus baru di dunia sudah mengalami penurunan. Laki-laki Seks dengan laki-laki (LSL) merupakan kelompok risiko tinggi HIV. Upaya pencegahan penularan HIV erat kaitannya dengan perilaku seks. Studi ini menggunakan 1.161 sampel Survei Terpadu Biologi dan Perilaku (STBP) 2015 pada kelompok LSL yang termasuk bukan pekerja seks. Studi cross sectional ini bertujuan untuk menganalisis determinan perilaku seks konsistensi penggunaan kondom dengan analisis hingga bivariat dengan menggunakan chi-square dan prevalence ratio. Data didapatkan dengan metode respondent driven sampling (RDS) yang kemudian mengeksklusi LSL pekerja seks. Hasil menunjukkan bahwa faktor-faktor yang berhubungan …

Pregnancy And Substance Use, Elise Withers, Krista Thompson, Emily Hamilton, Maren Wright Voss

All Current Publications

The use of alcohol and other harmful substances, such as cocaine, opioids, and marijuana during pregnancy has increased over the last decades (Sebastiani et al., 2018). Using these substances can be very harmful to the unborn baby and mother (Viteri et al., 2015). This fact sheet covers (1) the consequences of substance use and (2) the current recommendations for substance use during pregnancy.

“The Clementine Collective”: A Corner Store Intervention Of Clementine Fruits In A High Need Neighborhood In Staten Island, New York, Heather Butts

Faculty of Health Care & Public Administration Publications

Individuals living in underserved neighborhoods face significant barriers to getting fresh produce. It has been extensively researched that providing individuals with fresh fruits and vegetables can have a positive physical and mental impact on the lives of individuals in underserved neighborhoods and the lives of their families. Unfortunately, individuals who reside in such neighborhoods are often viewed as not being motivated to consume fresh fruits and vegetables, even where barriers to eating such foods are removed. This study aims to determine whether, in the COVID-19 era, individuals in underserved neighborhoods would consume fresh fruits if presented with them in an …

Direct Maternal Morbidity And The Risk Of Pregnancy-Related Deaths, Stillbirths, And Neonatal Deaths In South Asia And Sub-Saharan Africa: A Population-Based Prospective Cohort Study In 8 Countries, Imran Ahmed, Shabina Ariff, Zulfiqar Ahmed Bhutta, Muhammad Ilyas, Fyezah Jehan, Usma Mehmood, Karim Muhammad, Muhammad Imran Nisar, Sajid Bashir Soofi, Yaqub Wasan, Anita K. M. Zaidi

Woman and Child Health

Background: Maternal morbidity occurs several times more frequently than mortality, yet data on morbidity burden and its effect on maternal, foetal, and newborn outcomes are limited in low- and middle-income countries. We aimed to generate prospective, reliable population-based data on the burden of major direct maternal morbidities in the antenatal, intrapartum, and postnatal periods and its association with maternal, foetal, and neonatal death in South Asia and sub-Saharan Africa.
Methods and findings: This is a prospective cohort study, conducted in 9 research sites in 8 countries of South Asia and sub-Saharan Africa. We conducted population-based surveillance of women of reproductive …

Personal Mastery And All-Cause Mortality Among Older Americans Living With Diabetes, Ho-Jui Tung, Ming-Chin Yeh, Randall Ford, Gulzar H. Shah

Health Policy & Community Health: Faculty Publications

Introduction: Higher personal mastery is associated with better physical functioning, wellbeing, and longevity among older populations. However, few studies have focused on whether personal mastery is protective against mortality among older adults living with diabetes over time.
Methods: A total of 1,779 participants were identified from an off-year survey of the Health and Retirement Study. Proportional Hazard Models were used to evaluate the significance of selected variables in predicting the survival of participants over a 13-year period.
Results: A substantial proportion (46.7%) of the diabetic patients had survived by the end of 2016. Adults with lower mastery …

Consumption Behavior Of Algerians During The Period Of The Covid-19 Pandemic Crisis, Kamel Chikhi

Markets, Globalization & Development Review

This Dialogue contribution is a reflection on the impact of crises and in particular that of Covid-19 on the behavior of Algerian consumers: before, during and post-crisis. It is recognized that during crises, consumers adopt unusual and more rational behaviors: buy basic necessities; save more to deal with possible difficult situations; place more importance on nutrition, health, food quality characteristics, price, psychological and socio-demographic characteristics; have purchasing and consumption intentions based on their cultural background and prefer to adopt planned behaviors. Observed events during the Covid-19 pandemic allows us to illustrate the evolution of consumption behavior of Algerians and to …

Perceptions Of Autism Spectrum Disorder (Asd) Etiology Among Parents Of Children With Asd, Wei-Ju Chen, Zihan Zhang, Haocen Wang, Tung-Sung Tseng, Ping Ma, Lei-Shih Chen

School of Public Health Faculty Publications

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and restricted or repetitive behaviors. Parental perceptions of the etiology of their child’s ASD can affect provider–client relationships, bonding between parents and their children, and the prognosis, treatment, and management of children with ASD. Thus, this study sought to examine the perceptions of ASD etiology of parents of children with ASD. Methods: Forty-two parents of children diagnosed with ASD were recruited across Texas. Semi-structured interviews were conducted individually. All interviews were recorded and later transcribed verbatim for content analysis utilizing NVivo 12.0 (QSR International, Doncaster, Australia). …

Feasibility Of A Virtual Group Nutrition Intervention For Adolescents With Autism Spectrum Disorder, Acadia W. Buro

USF Tampa Graduate Theses and Dissertations

Background: Youth with autism spectrum disorder (ASD) have an increased likelihood of being overweight or developing obesity. As children and adolescents with ASD exhibit problematic eating behaviors and may consume more energy-dense foods and fewer fruits and vegetables than typically developing youth, nutrition represents a modifiable obesity risk factor for adolescents with ASD, yet there is a lack of interventions to improve healthy eating and reduce the risk of obesity in this population.

Purpose: The purpose of this study was to examine the feasibility, acceptability, and preliminary efficacy of a virtual implementation of BALANCE (Bringing Adolescent Learners with Autism Nutrition …

Area Characteristics And Consumer Nutrition Environments In Restaurants: An Examination Of Hispanic Caribbean Restaurants In New York City, Melissa Fuster, Hanish Kodali, Krishnendu Ray, Brian Elbel, Margaret A. Handley, Terry T. Huang, Glen Johnson

Publications and Research

Hispanics in the USA, particularly those of Caribbean descent, experience high levels of diet-related diseases and dietary risk factors. Restaurants are an increasingly important yet understudied source of food and may present opportunities to positively influence urban food environments. We sought to explore food environments further, by examining the association between neighborhood characteristics and restaurant consumer nutrition environments within New York City’s Hispanic Caribbean (HC) restaurant environments. We applied an adapted version of the Nutrition Environment Measurements Survey for Restaurants (NEMS-R) to evaluate a random sample of HC restaurants (n=89). NEMS-HCR scores (continuous and categorized as low, medium, and high …

The Mexico Simsmoke Tobacco Control Policy Model: Development Of A Simulation Model Of Daily And Nondaily Cigarette Smoking, Luz Maria Sanchez-Romero, Luis Zavala-Arciniega, Luz Myriam Reynales-Shigematsu, Belén Sáenz De Miera-Juárez, Zhe Yuan, Yameng Li, Yan Kwan Lau, Nancy L. Fleischer, Rafael Meza, Jim F. Thrasher Ph.D., Ma, Ms, David T. Levy

Faculty Publications

Background

Nondaily smoking has been on the rise, especially in Mexico. While Mexico has strengthened its tobacco control policies, their effects on nondaily smokers have gone largely unexamined. We developed a simulation model to estimate the impact of tobacco control policies on daily and nondaily smoking in Mexico.

Methods

A previously validated Mexico SimSmoke model that estimated overall trends in smoking prevalence from 2002 through 2013 was extended to 2018 and adapted to distinguish daily and nondaily smoking prevalence. The model was then validated using data from Mexican surveys through 2016. To gauge the potential effects of policies, we compared …

Demographics, Activities, And Environmental Factors Impact Burnout In A National Survey Of Emergency Medicine Residents, Nicole Battaglioli, Tim P. Moran, Simiao Li-Sauerwine

Journal of Wellness

Introduction: Burnout in emergency medicine and in residency training has been well-described. The impact of demographic, individual, and programmatic factors on burnout have not previously been determined in a national survey of emergency medicine residents. This study aimed to identify personal and environmental factors impacting resident burnout in a national sample of emergency medicine residents.

Methods: A prospective Emergency Medicine Resident Wellness Survey was administered in 2017. We surveyed respondents on demographic, personal, and environmental factors; each respondent also completed the Maslach Burnout Inventory - Human Services Survey. Linear regressions were used to identify variables associated with the Maslach Burnout …

Evidence On Child Nutrition Recommendations And Challenges In Crisis Settings: A Scoping Review, Aniqa Islam Marshall, Gideon Lasco, Mathudara Phaiyarom, Nattanicha Pangkariya, Phetdavanh Leuangvilay, Pigunkaew Sinam, Rapeepong Suphanchaimat, Sataporn Julchoo, Watinee Kunpeuk, Yunting Zhang

Development Studies Faculty Publications

Adequate child nutrition is critical to child development, yet child malnutrition is prevalent in crisis settings. However, the intersection of malnutrition and disasters is sparse. This study reviews existing evidence on nutrition responses and outcomes for infants and young children during times of crisis. The scoping review was conducted via two approaches: a systematic search and a purposive search. For the systematic search, two key online databases, PubMed and Science Direct, were utilized. In total, data from 32 studies were extracted and included in the data extraction form. Additionally, seven guidelines and policy documents were included, based on relevance to …

Social Determinants Of Health Screening And Preventive Care: A Survey To Assist In Linking Patients To Community Resources In Payson, Utah, Gabriel Ghanadan

Undergraduate Honors Theses

A survey was conducted to screen for social factors that may negatively affect the health of patients being seen by physicians at the Revere Health Family Medicine Clinic in Payson, Utah. Patients who expressed the need for local community services and resources were referred to these services by researchers via phone after physicians were consulted. Out of 690 individuals who visited the clinic between November 11 to December 2, 2019, the survey was administered to and filled out completely by 169 patients. Demographic information on participants was not collected to reduce response time and encourage participation. One hundred and twelve …

Exploring Connections Between Food Sovereignty, Cultural Food Access And Urban Health Promotion: A Systematic Review Of The Literature, Stephanie L. Kenyon

University Honors Theses

Marginalized urban communities face disproportionate rates of food insecurity related health outcomes and are more likely to lose important connections to traditional and cultural foods. Food sovereignty approaches, including policy changes, decolonized methods and community created perspectives to research and interventions have the potential to impact access to traditional and cultural foods, improving food security and supporting a healthier diet. The evidence in support of a food sovereignty approach to public health research and practice is limited and much of what is known is primarily based on studies at the global level or on rural communities. This systematic literature review …

Covid-19 Newsletter (Vol. 76), Center For Disaster Medicine, New York Medical College

COVID-19 Newsletter

No abstract provided.

An Investigation Of Healthcare Supports For Those With Food Allergy In Ireland, Joseph Bolger, Nicola Blake, Sneha Vinod

International Undergraduate Journal of Health Sciences

Introduction: In Ireland, around 5% of children and 3% adults have food allergy (134,000 people). This current paper describes a survey that was carried out on a subset of service-users with the aim of identifying whether there is a need for increased specialist medical services and/or for a funded charity such as Anaphylaxis Ireland, defunct since 2015.

Materials & Methods: These needs were assessed via an online survey using Google Forms. The survey was conducted from 17-27th February 2020. There were 31 questions in total, relating to topics such as symptoms, clinical wait times, satisfaction with care provided and demand …

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 1, Issue 1, June 2021, Iujhs Full Issue

International Undergraduate Journal of Health Sciences

The full June 2021 issue (Volume 1, Issue 1) of the International Undergraduate Journal of Health Sciences

Food Insecurity And Frailty Among Women With And Without Hiv In The United States: A Cross-Sectional Analysis, Judy Y. Tan, Lila A. Sheira, Edward A. Frongillo Jr., Deborah Gustafson, Anjali Sharma, Daniel Merenstein, Mardge H. Cohen, Elizabeth Golub, Andrew Edmonds, Igho Ofotokun, Margaret Fischl, Deborah Konkle-Parker, Torsten Neilands, Phyllis Tien, Sheri D. Weiser

Faculty Publications

Introduction: Frailty is frequently observed among people with HIV, and food insecurity is associated with frailty in the general population. Evidence is scarce on the associations between food insecurity and frailty among women with HIV who maybe particularly vulnerable to the impacts of food insecurity. The goal of this study was to assess associations between food insecurity and frailty among women with and without HIV.

Methods: There were 1265 participants from the Women’s Interagency HIV Study who participated in frailty assessments in2017. Frailty was measured using the Fried Frailty Phenotype, and women were subsequently categorized as robust, pre-frailor frail. …

Association Of Ultra-Processed Food Intake With Risk Of Inflammatory Bowel Disease: Prospective Cohort Study, Neeraj Narula, Emily C L. Wong, Mahshid Dehghan, Andrew Mente, Sumathy Rangarajan, Fernando Lanas, Patricio Lopez-Jaramillo, Priyanka Rohatgi, P V M. Lakshmi, Romaina Iqbal

Community Health Sciences

Objective: To evaluate the relation between intake of ultra-processed food and risk of inflammatory bowel disease (IBD).
Design: Prospective cohort study.
Setting: 21 low, middle, and high income countries across seven geographical regions (Europe and North America, South America, Africa, Middle East, south Asia, South East Asia, and China).
Participants: 116 087 adults aged 35-70 years with at least one cycle of follow-up and complete baseline food frequency questionnaire (FFQ) data (country specific validated FFQs were used to document baseline dietary intake). Participants were followed prospectively at least every three years.
Main outcome measures: The main outcome was development of …

Influence Of The Request And Purchase Of Television Advertised Foods On Dietary Intake And Obesity Among Children In China, Jinli Xian, Mao Zeng, Zhengjie Cai, Changxiao Xie, Yuqian Xie, Manoj Sharma, Yong Zhao, Zumin Shi

Environmental & Global Health Faculty Research

Background: This study aims to examine the effects of the request and purchase of Television (TV) advertised foods on children’s dietary intake, overweight and obesity in China. Methods: Data from 1417 children (aged 6–17 years) in the 2011 China Health and Nutrition Survey were analysed. The request and purchase of TV advertised foods were assessed through the frequency of children’s requests to purchase TV advertised foods and the frequency of parents’ purchases of these advertised foods, as well as the frequency of children’s purchases of TV advertised foods. The height and weight of children were measured. Logistic regression models were …

Dietary Patterns And Hepatocellular Carcinoma Risk Among Us Adults, Iman Moussa, Rena S Day, Ruosha Li, Xianglin L Du, Ahmed O Kaseb, Prasun K Jalal, Carrie Daniel-Macdougall, Rikita I Hatia, Ahmed Abdelhakeem, Asif Rashid, Yun Shin Chun, Donghui Li, Manal M Hassan

Faculty, Staff and Student Publications

The objective of this study was to assess the association between dietary patterns and risk of hepatocellular carcinoma (HCC) among US adults in a hospital-based case-control study. We analyzed data from 641 cases and 1002 controls recruited at The University of Texas MD Anderson Cancer Center during 2001-2018. Cases were patients with a pathologically or radiologically confirmed new diagnosis of HCC; controls were cancer-free spouses of patients with cancers other than gastrointestinal, lung, liver, or head and neck cancer. Cases and controls were frequency-matched by age and sex. Dietary patterns were identified by principal component analysis. Odds ratios (ORs) and …

Impact Of Nutrition-Based Interventions On Athletic Performance During Menstrual Cycle Phases: A Review, Macy M. Helm, Graham R. Mcginnis, Arpita Basu

Kinesiology and Nutrition Sciences Faculty Research

Despite the steady increase in female participation in sport over the last two decades, comprehensive research on interventions attenuating the influence of female menstrual physiology on performance remains scarce. Studies involving eumenorrheic women often only test in one menstrual phase to limit sex hormone variance, which may restrict the application of these findings to the rest of the menstrual cycle. The impacts of nutrition-based interventions on athletic performance throughout the menstrual cycle have not been fully elucidated. We addressed this gap by conducting a focused critical review of clinical studies that reported athletic outcomes as well as menstrual status for …

Household Food Insecurity And Children’S Physical Activity And Sedentary Behaviour In The United States: The Healthy Communities Study, Sophia M. Navarro, Marisa M. Tsai, Lorrene D. Ritchie, Edward A. Frongillo Jr., Barbara A. Laraia, Russell R. Pate, Lauren E. Au

Faculty Publications

OBJECTIVE: To examine associations between household food insecurity and children's physical activity and sedentary behaviours. DESIGN: Secondary analysis was conducted on the Healthy Communities Study, an observational study from 2013 to 2015. Household food insecurity was assessed by two items from the US Department of Agriculture's 18-item US Household Food Security Survey Module. Physical activity was measured using the 7-d Physical Activity Behavior Recall instrument. Data were analyzed using multilevel statistical modelling. SETTING: A total of 130 communities in the USA. PARTICIPANTS: In sum, 5138 US children aged 4-15 years. RESULTS: No associations were found for the relationship between household …