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The Impact Of U.S. Highway 550 Design On Health And Safety In Cuba, New Mexico, Unm Prevention Research Center, Viva-Step Into Cuba Alliance, Healthy Kids Healthy Cuba

Reports & Documents

Health Impact Assessment (HIA) is a set of procedures, methods and tools that estimate the effects of a policy, program or project on the health of a population. Ideally an HIA is conducted before the policy, program or project is implemented so that findings and recommendations can influence decision-making. An HIA can take a variety of different forms ranging from a “rapid” HIA that is written based on existing data and published literature to an HIA that could require months to complete and where local data is collected and analyzed to inform recommendations. The result of an HIA is evidence-based …

Conservation Easements And Urban Parks: From Private To Public Use, Ashleigh G. Morris

Natural Resources Journal

No abstract provided.

Management Of Decubitus Ulcer Using Gentamycin Sulphate Iontophoresis - A Case Study, Ayodele Teslim Onigbinde, Kehinde Foyeke Olafimihan, Adesola Ojoawo, Joyce Mothabeng, Olufemi Opeyemi Ogundiran

Internet Journal of Allied Health Sciences and Practice

Most infective organisms have developed resistance against antibiotics. There is need to find other means to deliver antibiotics locally. There appears to be limited studies on the use of gentamicin sulphate iontophoresis in wound management. The participant in this study was a subject diagnosed with mild head injury secondary to motor vehicle accident who later developed a unilateral pressure sore on the left gluteal region. The subject received 15-minutes of gentamicin sulphate iontophoresis (Interrupted Direct Current) three times a week for five weeks. The case report showed that there was a 65.7% reduction in wound surface area of the decubitus …

Akt1 G205t Genotype Influences Obesity-Related Metabolic Phenotypes And Their Responses To Aerobic Exercise Training In Older Caucasians, Jennifer A. Mckenzie, Sarah Witkowski, Andrew T. Ludlow, Stephen M. Roth, James M. Hagberg

Exercise and Sport Studies: Faculty Publications

As part of the insulin signalling pathway, Akt influences growth and metabolism. The AKT1 gene G205T (rs1130214) polymorphism has potential functional effects. Thus, we determined whether the G205T polymorphism influences metabolic variables and their responses to aerobic exercise training. Following dietary stabilization, healthy, sedentary, 50- to 75-year-old Caucasian men (n= 51) and women (n= 58) underwent 6 months of aerobic exercise training. Before and after completing the intervention, dual-energy X-ray absorptiometry was used to measure percentage body fat, computed tomography to measure visceral and subcutaneous fat, and oral glucose tolerance testing to measure glucose total area under the curve (AUC), …

Design And Aesthetic In Debussy's Music: The Premiere Rapsodie For Clarinet And Piano, Samatha K. Johnson

Undergraduate Honors Thesis Collection

In Claude Debussy's Premiere rapsodie for clarinet and piano, the composer is beyond the realm of "music just for listening", but has become a designer, an architect of musical structure. During the early 1900s, Debussy began to develop a different Paris, France, was a cosmopolitan city in the early 1880s and on into the outlook for his compositions. La mer (1903-1905), a piece for orchestra, begins to exhibit Debussy's new focus on and compositional purpose of design and structure during his late career. The Premiere rapsodie, written from December 1909 to January 1910, is an example of this late …

Climate Change: A New Realm Of Tort Litigation, And How To Recover When The Litigation Heats Up, Lauren Case

Santa Clara Law Review

No abstract provided.

Stock Option Backdating: Is The Government's Response Enough To Eliminate The Problem Or Is It Still A Work In Progress, Lara E. Muller

Santa Clara Law Review

No abstract provided.

Physical Takings, Regulatory Takings, And Water Rights, Josh Patashnik

Santa Clara Law Review

No abstract provided.

Proposed Elements In The Compendium On National Drought Policy, Mannava V.K. Sivakumar, Roger Pulwarty, Donald A. Wilhite, Justin Ginnetti

National Drought Mitigation Center: Faculty Publications

Crisis management has typically characterized governmental response to drought. This approach has been ineffective, leading to untimely and poorly coordinated responses. The growing frequency and magnitude of droughts in many parts of the world call for the development of a pro-active, risk-based approach, the tenets of which are outlined in a national drought policy. Improved management of drought requires completion of a vulnerability assessment at the outset to determine those sectors, regions, and population groups most at risk to severe drought. Each country is unique in its vulnerability and institutional capacity to prepare for and respond to drought. Since the …

Occupational Exposure To Trichloroethylene And Cancer Risk For Workers At The Paducah Gaseous Diffusion Plant, Debra E. Bahr, Timothy E. Aldrich, Dazar Seidu, Gail M. Brion, David J. Tollerud

ETSU Faculty Works

Objective: The Paducah Gaseous Diffusion Plant (PGDP) became operational in 1952; it is located in the western part of Kentucky. We conducted a mortality study for adverse health effects that workers may have suffered while working at the plant, including exposures to chemicals. Materials and Methods: We studied a cohort of 6820 workers at the PGDP for the period 1953 to 2003; there were a total of 1672 deaths to cohort members. Trichloroethylene (TCE) is a specific concern for this workforce; exposure to TCE occurred primarily in departments that clean the process equipment. The Life Table Analysis System (LTAS) program …

An Examination Of Compressed Natural Gas For Use In Municipal Fleets: Would Cng Work For Lexington, Ky?, Robert Kahne

MPA/MPP/MPFM Capstone Projects

Compressed Natural Gas (CNG) is an alternative fuel source which could replace diesel as a fuel for municipal fleets. This paper seeks to examine the viability of CNG and its potential to power Lexington-Fayette Urban County Government’s fleet of waste removal trucks. This paper takes into account financial and environmental factors in determining CNG’s potential, but gives priority to financial considerations. The results of this analysis are mixed—under some future scenarios, compressed natural gas would be a favorable option for the fleet, but given other future scenarios, CNG would not be viable. In terms of environmental benefits, a switch to …

Local E-Government Trends: Evaluating The Adoption And Sophistication Of Kentucky City Websites, Kevin Klosterboer

MPA/MPP/MPFM Capstone Projects

With the prevalence of internet technologies and e-commerce, citizens’ expectations for online e-government services are growing. Numerous studies have been conducted on the worldwide adoption and sophistication of national governments’ e-government websites and state websites in the United States, but previous studies of local governments have been limited to looking at nationwide samples of the largest cities. By presenting a statewide analysis of all Kentucky city websites, I expect that my findings will provide valuable information about how cities of all sizes are using web-technologies to provide services to their citizens. I examine which types of cities, organized along several …

Local Economic Development: Researching Clusters In Woodford County, Kentucky, Tom Middleton

MPA/MPP/MPFM Capstone Projects

Woodford Tomorrow, a citizen economic development planning group in Woodford County, is interested in promoting cluster development. Clusters are a geographic concentration of businesses and institutions which interact and collaborate within a particular economic sector. This report provides quantitative analysis of three clusters: (1) health, (2) agriculture, and (3) arts, entertainment, and tourism. The majority of this data comes from the consulting firm Economic Modeling Specialists Inc.

The agriculture cluster has many industries, specifically in the crop and animal production and manufacturing sectors, which appear to be potential industries to target. The hotel and motel industry seems to be an …

U.S. Development Aid, Its Objectives And Lower-Middle Income Countries, Nazar Muhammad

MPA/MPP/MPFM Capstone Projects

The U.S. is investing billions of dollars in developing countries. U.S. development aid is an essential part of U.S. foreign policy. The objectives laid down by the architects of development aid are wide and range from strategic, economic and social uplift of poor countries to humanitarian assistance to alleviate the suffering of residents. There is a tense political and academic debate about the impacts of development aid funded by the U.S. There are many who believe funds support dictators, while others consider aid to be a real help to fragile economies.

Pakistan is one of the biggest recipients of U.S. …

What Makes People Generally Satisfied With Mental Health Services? Findings Of 2010 Consumer Satisfaction Survey In Kentucky Community Mental Health Centers, Minji Sohn

MPA/MPP/MPFM Capstone Projects

Problem: In 2010, the Kentucky Cabinet for Health and Family Services, Department for Behavioral Health Developmental and Intellectual Disabilities (BHDID) conducted a survey to evaluate consumers’ satisfaction with services delivered at the Community Mental Health Centers (CMHCs) in Kentucky. The purpose of this study is to identify factors that predict clients’ perception on General Satisfaction using responses of the survey.

Research Design: Two separate logistic regression analysis were performed for adult and youth survey respondents, respectively. For the Adult survey, respondents’ characteristics and their responses about several aspects of services were included as potential explanatory variables. For the Youth survey, …

Dental Service Utilization In An Academic Setting: An Analysis For Improved Oral Health, Paula R. Sandford

MPA/MPP/MPFM Capstone Projects

The National Oral Health Surveillance System (NOHSS) is the result of a collaborative effort between the Centers for Disease Control and Prevention and the Association of State and Territorial Dental Directors which is designed to monitor aspects of oral health and disease on both a national and state level. The NOHSS ranks Kentucky at or near the bottom in most oral health indicators. The primary message of the Surgeon General’s May 2000 report on Oral Health in America was to emphasize the link between oral health and overall health including the effect on day‐to‐day activities such as work and school …

Establishing Long-Term Cost Effectiveness Of Fema Buyouts: A Loss Avoidance Study Of The Acquisition/Demolition Of 22 Properties In Shepherdsville, Kentucky, Esther White

MPA/MPP/MPFM Capstone Projects

Kentucky has 1500 square miles of surface water and 1500 miles of navigable waterways. Fifty-one of the 120 county seats are located on rivers, and over 25 percent of the state’s population lives along waterways. Not surprisingly, flooding is the most common natural hazard in Kentucky, and many structures have been built over the years in floodplain areas. Although many local ordinances have been enacted across the State in recent years to limit new construction in these areas, existing structures still experience frequent flood damages. These structures are required by the federal government to maintain flood insurance, and the National …

Primary Erythromelalgia - Case Report, Lígia G. De Albuquerque, Emmanuel R. De França, Valter Kozmhinsky, Marina Coutinho Querino, Amanda Guedes Domingues De Morais

ETSU Faculty Works

Erythromelalgia is a rare clinical syndrome characterized by heat, redness and intermittent pain in the extremities, being most frequent the bilateral development in the lower extremities. Local cooling brings relief to symptoms, while heating, physical exercises and use of stockings/socks intensify the discomfort. This condition can be primary or idiopathic or secondary to haematological disorders and vascular inflammatory and degenerative diseases. It is reported the case of an eighteen-year-old male who presented, at the early age of two, development of the symptoms of erythema, heat and pain followed by desquamation of hands and feet, in outbreaks, with intervals 4 to …

Graduate School Choice And Recruitment: An Assessment Of The Martin School Applicant Data System And Its Utility For Supporting Administrative Decisions, Leslie A. Curtis

MPA/MPP/MPFM Capstone Projects

Student recruitment and retention are issues of importance for both graduate schools and graduate programs alike. Administrative decisions must be made, regarding these topics, which will best benefit the school or program. Within the Martin School of Public Policy and Administration, those decisions can be influenced by data collected on current and past students. Analysis of data obtained from the student admissions application and a survey sent to students accepted into the Martin School can inform these management decisions. The information developed can highlight areas of recruiting concern such as attracting a higher number of high-quality in-state applicants, increasing diversity, …

Educational Advancement: Decision Influences Regarding Attendance And Level Of Post-Secondary Education, William Spears

MPA/MPP/MPFM Capstone Projects

The intent of this study was to determine which characteristics from a group of student, teacher, and school characteristics had a significant influence in affecting enrollment in education beyond high school. There are social benefits from having a more educated populace, the Kentucky political system has highlighted intentions to increase enrollment in institutions, and Kentucky has lagged behind the nation and most states in its ability to continue educating the populace beyond high school. Most of the previous efforts to examine postsecondary attendance decisions have focused on the demographics of students with the implication that those student characteristics are the …

Understanding Non-Profit Organizations In States With Appalachian Counties: Where They Locate And The Missions They Serve, Rebecca E. Tucker

MPA/MPP/MPFM Capstone Projects

No executive summary.

Primary Care Practice Addressing Child Overweight And Obesity: A Survey Of Primary Care Physicians At Four Clinics In Southern Appalachia, Nicole Holt, Karen E. Schetzina, William T. Dalton, Fred Tudiver, Hazel Fulton-Robinson, Tiejian Wu

ETSU Faculty Works

Objective: The prevalence of childhood overweight and obesity in southern Appalachia is among the highest in the United States (US). Primary care providers are in a unique position to address the problem; however, little is known about attitudes and practices in these settings.

Methods: A 61-item healthcare provider questionnaire assessing current practices, attitudes, perceived barriers, and skill levels in managing childhood overweight and obesity was distributed to physicians in four primary care clinics. Questionnaires were obtained from 36 physicians.

Results: Physicians' practices to address childhood overweight and obesity were limited, despite the fact that most physicians shared the attitude that …

Intellectual Property, Innovation, And The Future: Toward A Better Model For Educating Leaders In Intellectual Property Law, Robert W. Gomulkiewicz

Articles

Intellectual property (IP) sits at the center of the global economy. Today, producers and users of intellectual property come from both developed and developing nations. Intellectual property matters as much to China and India as it does to Germany and the United States. This reality has driven a monumental demand for lawyers who have expertise in intellectual property law. These lawyers are the new leaders in intellectual property law.

The global demand for intellectual property law-trained lawyers triggered a "big bang" in the creation of advanced intellectual property law programs (IP Programs) at American law schools. The new leaders in …

Tax Expenditures, Reform, And Distributive Justice , Linda Sugin

Faculty Scholarship

Tax reform is coming, and it will be an important part of any plan to avert national fiscal disaster. The President's Fiscal Commission recently presented a proposal for comprehensive tax reform that will form the basis for serious legislative discussion. At the center of that proposal is elimination of "tax expenditures, " which are provisions in the tax law that operate like direct government spending. They include the charitable deduction, the home mortgage interest deduction, the exclusion for employer provided health insurance, the child credit, the earned income credit, education credits and deductions, the tax preference for retirement savings accounts …

Co-Op Health Plans: Can They Help Fix Rural America's Health Insurance Markets?, Andrew F. Coburn Phd, Jean A. Talbot Phd, Erika C. Ziller Phd, Zach T. Croll Ba

Population Health & Health Policy

Consumer-Operated and Oriented Plan (CO-OP) programs are intended to create nonprofit health insurance issuers that would offer health plans to individual and small group markets. Part of the Affordable Care Act, CO-OPs could have a substantial effect on rural healthcare delivery systems. In this Brief, authors Jean Talbot and Andy Coburn of the Maine Rural Health Research Center at the University of Southern Maine provide an overview of the CO-OP program legislation from the Affordable Care Act; identify the challenges to obtaining private health insurance in rural areas; and assess the opportunities and challenges of using the CO-OP program …

Empathic Development Of Counselor Trainees For Difficult Clients Through Film And Narrative, Kristin Elisabeth Matson

All Graduate Theses, Dissertations, and Other Capstone Projects

This paper posits that to develop empathy, similar to cross-cultural counseling competencies, counselor trainees should be exposed to life experiences of various clients, especially those deemed challenging, and which counselor trainees indicate no desire to work. As it is impractical to expect counselors to experience every type of client, learning about populations through narrative or film may be an option (Gladstein & Feldstein, 1983; Kurkijan & Banks, 1978; Pearson, 2003). Specifically, empathy in masters level counselor trainees both pre and post exposure to narrative and film depictions of violent juvenile offenders was explored. Results indicated that exposure to juvenile offenders …

Best Practice In Working With The Somali Population, Ilhan Duale

All Graduate Theses, Dissertations, and Other Capstone Projects

Since the early 1990s, the state of Minnesota has had an unprecedented increase in refugees from Somalia. These individuals have emigrated from a war-zone country and arrived in the United States with a range of trauma-related injuries and mental health issues. As a result, Somali individuals and families who have migrated to the United States will require physical and mental health support. There is, however, a lack of research on effective interventions with Somali individuals and families. With the stigma that surrounds mental health and negative cultural views of mental health in the Somali population, practitioners at Comunidades Latinas Unidas …

Natural Connections: A Recommendation To Implement An Animal Assisted Therapy (Aat) Program Within The Shakopee Mdewakantonsioux Community, Heidi Simon

All Graduate Theses, Dissertations, and Other Capstone Projects

Currently the Shakopee Mdewakanton Sioux Community does not have an Animal Assisted Therapy (AAT) program. The purpose of this project was to research AAT programs that exist in First Nation Communities. The ultimate goal was to present evidence to support the implementation of a culturally based AAT program into the current mental health model within the Shakopee Mdewakanton Sioux Community. The Animal Assisted Therapeutic Learning (ATTL) program would incorporate traditional beliefs with contemporary ways of life in regard to healing and mental health.

The Power Of Service Work: Developing A Consumer Volunteer Program For The House Of Hope, Inc., Darcy Wennes

All Graduate Theses, Dissertations, and Other Capstone Projects

House of Hope, Inc. (HOH) is a rural residential chemical dependency treatment center serving adults over the age of 18. HOH is a non-profit non-sectarian agency. Many clients at HOH have a dual diagnosis of chemical dependency and mental illness. Consumers at HOH are encouraged to volunteer, but are given limited support to do so. They have several hours in their day where there is no programming, and many consumers feel bored and unproductive. The literature suggests that there is a relationship between volunteer work carried out by consumers and their personal feelings of empowerment (Cohen, 2009) . Consumers’ feelings …

Standardizing Warhol: Antitrust Liability For Denying The Authenticity Of Artwork, Gareth S. Lacy

Washington Journal of Law, Technology & Arts

Art authentication boards are powerful; their determinations of authenticity can render artwork worthless or add millions of dollars to market value. In the past, boards that denied authenticity of artwork typically risked tort liability for disparagement, defamation, or fraud. In Simon-Whelan v. Andy Warhol Foundation for the Visual Arts, Inc., however, an art collector alleged monopolization and market restraint after an authentication board denied the authenticity of his Andy Warhol painting by stamping “DENIED” on the back of it. The case is the first antitrust lawsuit against an authentication board to survive the defendant’s motion to dismiss. The decision …