Digital Commons Network^™

Increasing Rate Of Pneumonia Hospitalizations Among Older American Indian And Alaska Native Adults, Robert C. Holman, Krista L. Yorita, Rosalyn J. Singleton, James E. Cheek, Edna L. Paisano, Jay C. Butler, Larry J. Anderson, Alicia M. Fry

Journal of Health Disparities Research and Practice

Objective: To examine rates and trends of pneumonia hospitalization among older American Indian and Alaska Native (AI/AN) adults.

Methods: Pneumonia hospitalizations for older AI/AN adults ≥65 years of age living in the Alaska and Southwest Indian Health Service (IHS) regions during 1988 through 2002 from the IHS hospital discharge data were analyzed.

Results: The average annual hospitalization rate for first-listed pneumonia for older AI/AN adults in both the Alaska and the Southwest regions has increased (15.3 and 23.0 in 1988-1990 to 25.9 and 28.8 in 2000-2002 per 1,000 population, respectively), with the greatest increase seen among older AI/AN adults in …

Prescribed Reading: June 2012, Centracare Clinic

Prescribed Reading

• Health Care Matters: Taking ownership
• Help us learn more about the patient experience
• Patient Satisfaction Scorecard
• Welcome to these new providers
• Connecting with our Somali families
• Rieke making a difference in the community
• Kudos to ....
• Recognition for years of service
• Welcome to these new employees
• Expense reimbursement process unchanged
• Kidney program offers nocturnal dialysis

To What Degree Can Potable Water Foster International Economic Development And Sustainability? What Role Does Health Play?, Bruce Clemens, Thomas J. Douglas

Organization Management Journal

Governments, international organizations, and practitioners have long proclaimed that investments in potable water supply and sanitation and improvements in public health lead to economic development in the developing world. Unfortunately, scholars have not been able to quantify these relationships for a plethora of reasons. This study found significant, positive relationships between investments in integrated projects of potable water supply combined with sanitation and public health and economic development. The study also moderately supported the hypothesis that the relationship between investments in such projects and economic development is stronger in the presence of better health. The article concludes with hopes that …

The Long-Term Impact Of War On Health And Wellbeing In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan, Kim Korinek

Research Collection School of Social Sciences

War is considered one of the most intransigent obstacles to development; yet, the long-run effects of war on individual health have rarely been examined in the context of developing countries. Based on unique data recently collected as a pilot follow-up to the Vietnam Longitudinal Survey, this study examines health status of northern Vietnamese war cohorts (those who entered adulthood during the Vietnam War and now represent Vietnam’s older-adult population). To ascertain whether and how war impacts old-age physical and mental health, we compare multi-dimensional measures of health among war survivors, including civilians, combatants, noncombatants, and nonveterans involved in militia activities. …

Risky Business: Prior Experience And Substance Users' Perception Of Risk, Sema Taheri

Theses (6 month embargo)

Individuals incarcerated for both drug-defined crimes and non-drug defined crimes are often substance users. In fact, the percent of arrestees in the United States that test positive for any drug at intake range from a low of 52% in Washington, D.C., to a high of 83% in Chicago, IL (ONDCP, 2011). Prior research has noted the negative relationship between risk perception and actual behavior. My study examined the influence of prior experiences and social environment on substance users' perceived risk of substance use. The sample consisted of adults indicating use of any illicit substance in the past year (N=9,277) in …

Co-Infected Diseases And State Health Policy: Botswana And South Africa's Response To Hiv And Tuberculosis, Margaret H. Schmidt

Lawrence University Honors Projects

The emergence of human immunodeficiency virus (HIV) has led to the growth of co-infection with other illnesses including tuberculosis. Many states are now attempting to address the problems presented with co-infected patients from a variety pathogens. In particular sub-Saharan Africa has suffered exponentially more from HIV and TB co-infection than other parts of the world. Thus, why have Botswana and South Africa not created national health policies to treat these diseases together? The following describes the process of how World Health Organization recommendations are translated into state policy. In turn, while donorship and international policy alterations create strong punctuations, the …

Surveillance Of Infectious Diseases Among American Indians And Alaska Natives, Jeanne Bertolli, Amy Roussel, Jennie Harris, Dan Lentine, Julia Gable, Ron Fichtner, Joann Kauffman, Michael Landen, Ralph T. Bryan

Journal of Health Disparities Research and Practice

We assessed participation in public health surveillance networks among Indian Health Service, tribal, and urban (I/T/U) Indian health facilities for a group of infectious diseases, and barriers to participation. We conducted surveys of I/T/U facilities and key informant interviews with representatives of tribal, urban, and national American Indian/Alaska Native (AI/AN) agencies. For the surveys, frequencies and percentages of responses in each response category were calculated. Qualitative methods were used to analyze interview content. The proportion of facilities participating in case reporting is suboptimal across facility types and diseases. Even when reporting is occurring, there is little feedback to tribal agencies. …

Physicians’ Experiences And Opinions Regarding Strategies To Improve Care For Minority Patients, Jared W. Klein, Lindsay O. Schubiner, Margaret Gadon, Matthew K. Wynia

Journal of Health Disparities Research and Practice

Objective: To assess the views and experiences of a select group of physicians interested in minority health issues regarding promising strategies to improve minority care. Methods: Physicians were asked to respond to a 17-item survey assessing the level of agreement, frequency of implementation of and interest in learning more about 7 promising strategies for alleviating disparities. Results: Most physicians (75-95%) agreed that the 7 proposed strategies could be useful to improve the quality of care provided to minority patients, but only 40-66% of physicians had implemented the strategies sometimes or often in their practices. Between 22 and …

American Cuerpos, Devan Schwartz

Dissertations and Theses

On election night 2008, a child is conceived by two Barack Obama campaign staffers--Daniel from Seattle, Anza from Honduras. American Cuerpos is a novel about the body and the body politic, about what it means to give birth through the eyes of both mother and father.

Concentrated Animal Feeding Operations: Hazards, Environmental And Health Risks As The Latent Products Of Late Modernity, Bryan R. Clarey

LSU New Orleans Theses and Dissertations

CAFOs raise tens of thousands of animals in confined cages and feedlots, feed them high calorie diets, and ship them to slaughter in record time. These factory farms (as they are sometimes called) devastate neighboring environments with the releases of toxic methane gas and animal waste. Progress in modernized agricultural production has enabled us to feed the growing population but unintended consequences for human health and neighboring communities are happening. This study examines environmental and human health impacts of CAFOs on Central Mississippi residents. Through analyses of existing studies and data and telephone surveys, the objectives will be met. Risk …

The Closure Of New Orleans' Charity Hospital After Hurricane Katrina: A Case Of Disaster Capitalism, Kenneth Brad Ott

LSU New Orleans Theses and Dissertations

Abstract

Amidst the worst disaster to impact a major U.S. city in one hundred years, New Orleans’ main trauma and safety net medical center, the Reverend Avery C. Alexander Charity Hospital, was permanently closed. Charity’s administrative operator, Louisiana State University (LSU), ordered an end to its attempted reopening by its workers and U.S. military personnel in the weeks following the August 29, 2005 storm. Drawing upon rigorous review of literature and an exhaustive analysis of primary and secondary data, this case study found that Charity Hospital was closed as a result of disaster capitalism. LSU, backed by Louisiana state officials, …

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

Georgetown Law Faculty Publications and Other Works

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

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

Health Management and Policy Presentations

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

From The Womb To The Tomb: The Role Of Transfers In Shaping The Evolved Human Life History, Michael Gurven, Jonathan Stieglitz, Paul L. Hooper, Cristina Gomes, Hillard Kaplan

ESI Publications

Humans are the longest living and slowest growing of all primates. Although most primates are social, humans are highly cooperative and social in ways that likely co-evolved with the slow human life history. In this paper we highlight the role of resource transfers and non-material assistance within and across generations in shaping low human mortality rates. The use of complex cooperative strategies to minimize risk is a necessary precursor for selecting further reductions in mortality rate in late adulthood. In conjunction with changes in the age-profile of production, the impacts of resource transfers and other forms of cooperation on reducing …

Remote Sensing-Based Time Series Models For Malaria Early Warning In The Highlands Of Ethiopia, A. Midekisa, G. Senay, G. M. Henebry, P. Semuniguse, M. C. Wimberly

Natural Resource Management Faculty Publications

Background

Malaria is one of the leading public health problems in most of sub-Saharan Africa, particularly in Ethiopia. Almost all demographic groups are at risk of malaria because of seasonal and unstable transmission of the disease. Therefore, there is a need to develop malaria early-warning systems to enhance public health decision making for control and prevention of malaria epidemics. Data from orbiting earth-observing sensors can monitor environmental risk factors that trigger malaria epidemics. Remotely sensed environmental indicators were used to examine the influences of climatic and environmental variability on temporal patterns of malaria cases in the Amhara region of Ethiopia. …

Hepatitis C Diagnoses In An American Indian Primary Care Population, Hillary E. Norton, John T. Redd, Ralph T. Bryan

Journal of Health Disparities Research and Practice

BACKGROUND: Despite large disparities in the burden of chronic liver disease, data on hepatitis C virus (HCV) infection among American Indians (AIs) are lacking. We reviewed hepatitis C diagnoses in 35,712 AI/AN primary care patients.

MAIN FINDINGS: At least one HCV-associated ICD-9 code was recorded in 251 (1%) patients between October 1, 2001 and September 30, 2003. An HCV enzyme-linked immunoassay (HCVEIA) was sent in 209 (83.0%); 206/209 (99%) were positive. Confirmatory testing was performed in 144/206 (70%) HCV-EIA positive patients; HCV infection was confirmed in 144 (100%). In the 90/144 (63%) charts with risk factor documentation, injection drug use …

Association Of Vitamin D Deficiency With Hypertension In Uninsured Women, Sreenivasa R. Chandana, Lakshmi P. Kocharla, Susan S. Harris, Radhika R. Kakarala

Journal of Health Disparities Research and Practice

Vitamin D deficiency is an epidemic in the United States. Uninsured women are at high risk due to a lower intake of vitamin D and limited sun exposure. We examined the association between vitamin D deficiency and hypertension in 96 uninsured women at a County Free Medical Clinic in urban Michigan. Questionnaires were used to obtain information about demographics, medical history including hypertension, and dietary habits. Measurements including blood pressure and serum 25(OH)D level were also collected. Prevalence of hypertension was higher in subjects with 25(OH)D less than 50nmol/l compared with others (85% vs. 27.3%, p = 0.014). For every …

Assessment Of The Utilization Of Hiv Interventions By Sex Workers In Selected Brothels In Bangladesh: An Exploratory Study, Nafisa Lira Huq, Mahbub Elahi Chowdhury

The Qualitative Report

In this qualitative study of brothel-based Female Sex Workers (FSWs), the authors explored factors that influence safe sex practices of FSWs within an integrated HIV intervention. Qualitative methods, including focus group discussions (FGDs), in-depth interviews and key informant interviews were applied in four brothels in Bangladesh. Young and elderly FSWs, Sordarnis (Madams who own young FSWs and who may be either active or inactive sex workers themselves), program managers and providers were the participants for this study. Findings showed that condom use was high but not consistent among bonded FSWs (those who are under the control of a Sordarni) who …

Crisis Supervision: A Qualitative Study Of The Needs And Experiences Of Licensed Professional Counselors, Madeleine Ann Dupre

Dissertations, 2014-2019

This qualitative study explored the supervision needs and experiences of licensed professional counselors working with clients in crisis. The primary purpose of the inquiry was to understand crisis supervision from the perspective of counselors in the field. The rationale for the study rested on three fundamental assumptions. First, counselors routinely encounter crises in their work with clients. Second, crisis response exposes counselors to hazardous situations and increases the risk for developing burnout, compassion fatigue, and vicarious traumatization. Finally, good supervision protects counselors from the risks associated with crisis work and enhances counselor self-efficacy. However, crisis supervision is frequently not provided …

An Early Assessment Of The Potential Impact Of Texas' "Affiliation" Regulation On Access To Care For Low-Income Women, Peter Shin, Jessica Sharac, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This analysis provides an initial assessment of the implications for low-income women of Texas' "affiliation regulation," which would bar Planned Parenthood Federation of America (PPFA) clinics from participating in the Texas Women's Health Program (WHP). In 2010, more than 183,000 women were enrolled in the WHP, which provides health screening, family planning and birth control to low-income women, and nearly 106,000 received care through the program. In our analysis of WHP provider data, we find:

• Planned Parenthood (PPFA) clinics are by far the dominant source of care under the WHP. In FY 2010, PPFA clinics accounted for approximately 49 percent …

Revised: An Early Assessment Of The Potential Impact Of Texas’ “Affiliation” Regulation On Access To Care For Low-Income Women, Peter Shin, Jessica Sharac, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

No abstract provided.

The Length-Biased Lognormal Distribution And Its Application In The Analysis Of Data From Oil Field Exploration Studies, Makarand V. Ratnaparkhi, Uttara V. Naik-Nimbalkar

Journal of Modern Applied Statistical Methods

The length-biased version of the lognormal distribution and related estimation problems are considered and sized-biased data arising in the exploration of oil fields is analyzed. The properties of the estimators are studied using simulations and the use of sample mode as an estimate of the lognormal parameter is discussed.

Closer Than “Arms Length”: Understanding The Factors Associated With Collaborative Contracting, Anna A. Amirkhanyan, Hyun Joon Kim, Kristina T. Lambright

Public Administration Faculty Scholarship

This article focuses on collaborative relationships between contractors and government agencies and explores which contract characteristics, contractor traits, and environmental factors are associated with the development of such relationships. The study uses data from the Partnership Impact Research Project, a three-round longitudinal survey of over one hundred child care centers and Head Start agencies in Ohio. Our findings suggest that stronger collaborative contracting relationships are associated with greater contract specificity, better contractor service quality, and contractor affiliation with a larger organization. On the other hand, a contractor’s financial autonomy and nonprofit status are negatively related to collaborative relationship strength. We …

The Truth Between The Teeth: An Analysis Of Interproximal Tooth Wear At The Ables Creek Cemetery, Amy Reynolds Warren

Graduate Theses and Dissertations

Current archaeological knowledge suggests that, by the Late Mississippian period, inhabitants of the southeastern United States had adopted maize agriculture and that maize was a key component of the normal diet. However, in some regions where wild food resources were easily attainable, there is evidence that the transition to agriculture was delayed or did not occur at all. This thesis examines Late Mississippian skeletal collections from two sites in eastern Arkansas, Ables Creek and Upper Nodena. Analysis of differences in interproximal tooth wear facet size and caries rates between the two populations reveals that the diets at these roughly contemporary …

The Liminality Of Zimmedari And Its Consequences On The Water Quality And Health Of Meena Communities In Rajasthan, Firdaus Arastu

Renée Crown University Honors Thesis Projects - All

Water is an essential need for people everywhere, yet its security is increasingly becoming endangered around the world. The escalating global water crisis has profound ramifications for health and livelihood particularly in developing countries like India. India faces enormous development challenges in addressing the needs of a rapidly growing population. The world’s largest democracy, India needs to improve its delivery of public services, especially to the poor and those living in rural areas.

The present study investigates the current public health situation in Rajasthan and the challenges India faces in providing water and health services. Fieldwork was conducted in rural …

Assessing African National Adaptation Programmes Of Action: Giving A Voice To The Voiceless, Natalia Valenzuela-Cevallos

All Theses

ABSTRACT
The earth continues to experience climate change. Although it is occurring worldwide, the Least Developed Countries (LDCs) are particularly in danger from various adverse consequences due to their low adaptive capability. In order to assist LDCs prepare for climate change, the United Nations (UN) established the National Adaptation Programmes of Action (NAPAs). Part of the rationale behind the creation of the NAPAs was to help LDCs prepare for climate change effects, while protecting the poor and using sound environmental management. To date, 47 LDCs have submitted NAPAs to the UN, from which 32 are African LDCs.
Prior to this …

Global Food Security: In Our National Interest, David P. Lambert

Journal of Food Law & Policy

All Americans have a direct stake in the problem of global hunger, which has many dimensions. For most of us it is a profound moral issue, and we are guided by our faith to respond.

A Demographic Evaluation Of Increasing Rates Of Suicide Mortality In Japan And South Korea, Sun Young Jeon

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

According to a World Health Organization report, about one million people die by suicide each year. Fortunately, rates of suicide mortality have been decreasing
among most of the OECD countries, but Japan and South Korea are the only two exceptions to this trend, which has shown increasing suicide rates over the last 25
years. A number of studies have focused on psychological motives and individual-level causes of suicide, such as depression, mental disorder, and disability. However,
as Durkheim pointed out, suicide in a society does not have any obvious relationship to the prevalence of mental disorder. With his theory indicating …

A Multiple Streams Approach To Bioterrorism Policy, Craig Reeder

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Bioterrorism is not a new phenomenon and the issues that surround bioterrorism are complex. This paper focuses on the history of bioterrorism, its current threat in public view, and then applying a theory in which explains how those problems became issues in government. The paper starts by examining a historical account of bioterrorism. The history serves a purpose to discuss the ongoing developments and struggles of drafting legislation for an ongoing problem.

After a discussion of bioterrorism from a historical perspective, the paper examines the current threat or state of bioterrorism. This will lead into a discussion about John Kingdon’s …

Social And Contextual Factors That Influence Hiv Risk Behaviors Among Indigenous Msm In The Peruvian Amazon, Isaac E. Alva, E. Roberto Orellana

School of Social Work Faculty Publications and Presentations

Men who have sex with men (MSM) face a significantly higher risk of HIV infection than the general population around the globe. In Peru, HIV prevalence among MSM range from 14% to 23%, with Lima, the capital, and port cities in the Amazonian region being the most affected. Recent studies found that indigenous MSM who leave their villages for cities along the Amazon River and its tributaries, engage in high risk behaviors such as high alcohol consumption and unprotected sex with mestizo (non- indigenous) MSM. This study examined social and contextual factors associated with risky behaviors among indigenous MSM in …