Digital Commons Network^™

Policy, Systems, And Environmental Change: A Planning Tool For Community Health Implementation, Lauren E. Kennedy, Christopher T. Sneed, Karen L. Franck, Heather Norman, Lisa Washburn, Soghra Jarvandi, Janet Mullins

Journal of Extension

Extension educators across the United States are being asked to expand their direct education efforts to include policy, systems, and environmental (PSE) changes. However, professional development opportunities and tools are needed to familiarize Extension professionals with PSE change approaches, build their capacity to implement PSE change, and make the process relevant to their work. We describe a planning tool developed for a unique multistate PSE change intervention training and designed to facilitate the process of PSE change implementation at the local level. An example of the tool and recommendations for others wishing to use it are included.

Two States, One Mission: Building Policy, Systems, And Environmental Change Capacity Of County Extension Educators, Christopher T. Sneed, Karen L. Franck, Heather Norman, Lisa Washburn, Lauren E. Kennedy, Soghra Jarvandi, Janet Mullins

Journal of Extension

Policy, systems, and environmental (PSE) change interventions are a key part of comprehensive nutrition and health education. Although Extension educators find value in PSE approaches and report being involved in PSE work, many still indicate a lack of understanding regarding PSE approaches. We describe a unique multistate training designed to increase Extension educators' understanding, skills, and capacity related to implementing PSE change interventions. Data demonstrating success of the training are presented. Additionally, best practices for others wishing to create similar multistate programs conclude the article.

Addressing Facilitators And Barriers Related To Early Childhood Obesity Prevention In Rural Appalachian Communities, Nancy O'Hara-Tompkins, Joanna S. Beane, Gwen Crum, Lesley Cottrell, Emily Murphy

Journal of Extension

Through a community-focused needs assessment conducted in rural Appalachia, we gauged perceptions of facilitators and barriers related to healthful eating and physical activity for young children and identified suggestions for improvement. Thirty-seven key informant interviews and three caregiver focus group sessions were coded and analyzed for key themes. Limited community resources emerged as a barrier to both healthful eating and physical activity. Suboptimal communication about existing opportunities was also identified. Community members reviewed the needs assessment data and implemented initiatives to address identified needs. The importance of Extension-facilitated needs assessments in rural settings to shape health initiatives to local contexts …

A Decade Of Gender-Based Violence (Gbv) Research Productivity In South Africa 2009-2018, Taiwo Aderonke Idowu Mrs.

Library Philosophy and Practice (e-journal)

South Africa has not only been identified with high records of gender-based violence (GBV), but that, it takes a complex toll on young people than does transport accidents. Therefore, two methods: Pao’s Least Squared (LS) and Sen’s methods were used to determine the validity of GBV research output vis-a-vis Lotka’s law of scientific productivity over a ten-year window 2009-2018. Data on GBV scientific publications in South Africa was harvested from the EBSCO Discovery Service Database. The study revealed an acute dearth of research on GBV, given the fact that 300 publications were produced by 617 researchers which translated …

Learning To Transform, Transforming To Learn: Children’S Creative Thinking With Fractions, Higinio Dominguez, Sandra Crespo, Tamara Del Valle, Melissa Adams, Megan Coupe, Gustavo Gonzalez, Yordhan Ormazabal

Journal of Humanistic Mathematics

In this paper we contribute an alternative conceptualization of creativity by highlighting movement as creating spatial and temporal dimensions that are important to make sense of creativity in children mathematical thinking. Using data from an international collaboration between two teaching-research teams from the United States and Chile, we trace how children mobilized their social bodies, materials, tools, images, metaphors, languages, and improvisations in order to make sense of the concept of fractions. Based on these findings we offer a number of discussion points that highlight the importance of creating these kinds of learning spaces, the role of tasks in promoting …

Reccurent Reversible Encephalopathy With Ataxia And D-Lactic Acidosis In Short Bowel Syndrome, Abdul Rana, Salman Assad, Sucharita Katikala, Shuja Asad Malik, Mahmoud Abouzid, Mehar Zahid, Swaroopa Pulivarthi

Marshall Journal of Medicine

The short gut syndrome can lead to multiple metabolic disorders along with chronic malnutrition. Such patients can develop changes in mental status due to metabolic alterations. We present a case of eleven years old male who presented to the hospital with an altered mental state. There were repeated admissions to the hospital with a similar complain with non-conclusive cerebrospinal fluid analysis and normal neuroimaging findings. The patient suffered from chronic malnutrition and multiple hospitalizations with altered mental status, encephalopathy. However, he responded well to bicarbonate therapy and prophylactic metronidazole treatment.

Introduction To Exercise Is Medicine, Erin Howie

Diet, Food, Exercise, and Nutrition (D-FEND)

An introduction to how exercise is medicine and can promote health-related benefits.

Prenatal Marijuana Use And Potential Adverse Neonatal Outcomes, Tracy L. Buechele

Yale School of Medicine Physician Associate Program Theses

Marijuana use during pregnancy has dramatically increased in recent years, driven in part by the increasing legalization of marijuana for medicinal and recreational use. However, the impact of prenatal exposure to marijuana on a developing fetus is not clear. Previous studies examining this effect have been limited by polysubstance use during pregnancy and confounding factors that make data interpretation challenging. In this study, we propose a prospective cohort study that will address the limitations of prior studies and measure the association between prenatal marijuana exposure and adverse neonatal outcomes. Strict exclusion criteria will exclude women with tobacco, alcohol or other …

Randomized Study Of Postpartum Metformin Use To Augment Breastmilk Supply, Meghan Sowers

Yale School of Medicine Physician Associate Program Theses

Gestational diabetes is defined as impaired glucose tolerance with onset during pregnancy and affects approximately 8.2% of pregnancies. Recently, it has been shown that insulin resistance is a predictor of poor milk supply in women attempting to breastfeed. Some mothers with gestational diabetes who used metformin for optimal glycemic control during pregnancy have found that metformin use has improved their ability to produce milk after delivery; however, the effects of continuing metformin postpartum have not yet been studied. It is theorized that continued metformin use in the postpartum period in women with gestational diabetes may improve postpartum milk production. Using …

Epigenetic Effects On Health And Behavior, Peter Seivers

Nursing Student Class Projects (Formerly MSN)

Epigenetics plays a vital role in one’s health and behavior starting in utero and lasting until death. We look at why epigenetics is important and the mechanisms in which epigenetics works on one’s DNA. We will also see several of the disease processes in which we have research linking their causation directly to an epigenetic influence. The topic of epigenetics is quite large and growing and hence we have not sought to provide an exhaustive picture of the current research that is available. We feel the most important piece of this work is being able to connect the original study …

Ultrasound Guided Intravenous Access In The Emergency Department, Lynieta Leisure

Doctor of Nursing Practice Scholarly Project

One-quarter of all emergency department visits in the United States results in peripheral intravenous line (PIV) placement for parenteral fluid administration (Fields, Piela, Au and Ku, 2014). When PIV access is delayed, critical care measures are also delayed. Meyer et al. (2014), reports the first attempt PIV access failure rate is approximately 25%. In the critically ill patient, timely PIV access may be the difference between survival and death. Difficult venous access is present in approximately one in ten ED patients requiring PIV access (Fields et al., 2014). The purpose of this scholarly project is to implement a quality improvement …

Intensifying Forage Legume Strata System Technology Through Dairy Cattle Production, Marcos E. Bollido, Teresa B. Polbos, Feleciano R. Bejar

ASEAN Journal of Community Engagement

Intensification of forage legume strata system technology (FLSST) through dairy cattle production was implemented in collaboration with the Department of Agriculture and the local government unit of San Jorge, Samar, Republic of the Philippines. The beneficiaries of the program were selected based on specific criteria and qualifications. Farmers were given training on dairy cattle production, and 10 beneficiaries in five communities received one ready-to-breed cow. Each farmer-beneficiary established a 500 sqm pasture area using FLSST. Abundant grasses and leguminous forages helped improve the health of the cattle. Cattle weighing an average of 150 kg grew to an average weight of …

Challenges For Indonesia Zero Hunger Agenda In The Context Of Covid-19 Pandemic, Bunga Astria Paramashanti

Kesmas

The rapid spread of COVID-19 has not only threatened the lives of the infected people but also socially and economically affected a broader community. The pandemic has also challenged the second goal of the 17 Sustainable Development Goals (SDGs) to eliminate all the forms of hunger by 2030. The most disadvantaged people may have a greater risk of having malnutrition and poor health as they cannot access a diet that is safe, nutritious, affordable, and sustainable. At this moment, saving lives by focusing on the health-care system should not be the only priority; the emphasis should be made in other …

Handling Of Public Stigma On Covid-19 In Indonesian Society, Wahyu Sulistiadi, Sri Rahayu, Nanny Harmani

Kesmas

Coronavirus disease 2019 (COVID-19) patients, their families, health workers, and cemetery officials are not only haunted by tragedies of the new coronavirus but are also stigmatized by the community. Stigma can be very detrimental to social life because it can be long-lasting without proper social measures. This qualitative study examined some cases of stigma in Indonesia. The interview was broadcast both live and online by a private television station, in April 15, 2020, and supplementary informationwas obtained from reliable news stories published by various mass media and from interviews with various groups of people. We identified the limited availability of …

Pre-Testing Of The Who’S Educational Video: “How To Protect Yourself Against Covid-19”, Hilyatul Fadliyah, Manendra Muhtar, Munih Munih, Sylviasari Risgiantini, Weny Wulandary, Hadi Pratomo

Kesmas

The coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was declared a public health emergency in many countries, including Indonesia. The World Health Organization (WHO) released an educational video, entitled "How to Protect Yourself Against COVID-19", which explained how to prevent the spread of COVID-19. This study is a qualitative study that aims to pre-test this video, based on the Information, Education, Communication (IEC) theory, by analyzing teenagers’ perceptions of the video. The design used was a Rapid Assessment Procedure (RAP), and the data were collected by conducting in-depth interviews with participants, through …

Impact Of Lockdown In India: A Case Study Comparing Kanataka With International Model, Stelvin Sebastian, Aby Paul, Jeeva Joseph, Joel Joby, Sanjo Saijan, Jobin Kunjumon Vilapurathu

Kesmas

The COVID-19 was declared a pandemic and a global health emergency by WHO, prompting various countries to implement early and stringent social distancing protocols through lockdown, to flatten the epidemic curve. The objective of the present study was to assess the impacts and effectiveness of the lockdown protocol in Karnataka and Punjab, compared with the implementation of this method in Australia and the UK. This study involved the collection of data from different authorized databases, in two phases. The first phase included the time starting with the first-reported index case through the 14th day after the declaration of lockdown, for …

Review Of Trial Therapies And Treatment For Covid-19: Lessons For Indonesia, Halma Zahro Mukhlida, Hilma Hasro Maulida, Gunanti Khairunnisa, Margaretha Josephine Mantrono, Risky Kusuma Hartono, Rindu Rindu, Eka R W Purnamasari, Rizky Fajar Meirawan

Kesmas

The infectious disease from Coronavirus Disease 2019, or COVID-19, has quickly spread world-wide since 2019. Therapies for managing COVID-19 have yet to be confirmed as medication for the severe sickness that the disease may cause. This study aimed to review the previous research of the efficacy of trial therapy and treatment to the patients in the hospital with COVID-19. Using PRISMA guidelines as a method for conducting a systematic literature review, a total of 67 articles were collected from several online journal databases. Various therapies were found that are effective in the treatment and management of COVID-19. In accordance with …

Market Integration And Soil-Transmitted Helminth Infection Among The Shuar Of Amazonian Ecuador, Theresa E. Gildner, Tara J. Cepon-Robins, Melissa A. Liebert, Samuel S. Urlacher, Joshua M. Schrock, Christopher J. Harrington, Felicia C. Madimenos, J. Josh Snodgrass, Lawrence S. Sugiyama

Publications and Research

Background

Soil-transmitted helminth (STH) infections have many negative health outcomes (e.g., diarrhea, nutritional deficiencies) that can also exacerbate poverty. These infections are generally highest among low-income populations, many of which are also undergoing market integration (MI; increased participation in a market-based economy). Yet the direct impact of MI-related social and environmental changes on STH infection patterns is poorly understood, making it unclear which lifestyle factors should be targeted to better control disease spread. This cross-sectional study examines if household infrastructure associated with greater MI is associated with lower STH burdens among Indigenous Ecuadorian Shuar.

Methods

Foreword From Handling Editor - 7th Edition, Astari Dwiranti

ASEAN Journal of Community Engagement

We are delighted to present the 7^th edition of AJCE, published in July 2020. We have selected twelve of the best articles for this edition, consisted of nine Research Articles, two Review Article, and one Case-Based Articles. These articles presented the valuable and interesting information with the broad ranges covering three sub-themes, i.e. education (young adult literature, cross-border development, self protection, developing community engagement with Social Life Cycle Assessment, Malay minorities), Economy (creative economy clinic, dairy cattle production), and Health (child health nutrition program, health education projects, empowering women in Covid-19, knowledge regarding Biliary Atresia).

We want to express …

Self Protection And Stop Bullying Campaign For Kids At Rptra Sungai Bambu, Tanjung Priok, Jakarta Utara, Suraya Mansur

ASEAN Journal of Community Engagement

This paper presents a socialization and counseling program anchored on the themes “self-protection” and “stop bullying.” The program aims to explain the importance of knowing what parts of our body can and cannot be touched by other people, the need to be vigilant when invited to quiet places either by known or unknown people, and how to act in such situations. Bullying is sometimes undetected because it is considered normal or funny. Therefore, children must be told that calling names in the form of ridicule or hitting others is an unjustified action. The methods used in this program are socialization …

Empowering The Lowland Indigenous Community Through Child Health And Nutrition Program In Occidental Mindoro Province, Philippines, Artemio Morado Gonzales Jr

ASEAN Journal of Community Engagement

Nutrition and child health programs were integrated into the extension programs from 2016-2018 of the Occidental Mindoro State College, in partnership with the local government unit at the municipal and barangay levels. This paper presents the health extension tools and techniques used in preventative care and the promotion of child health services in the indigenous community of Sitio Bato Singit, in the Occidental Mindoro Province, Philippines. Health education, small group techniques, demonstrations, storytelling, informal talks, and open forums were the methods and techniques employed to implement the program. The common tools used were seating arrangements, flip-charting, props, social hours, and …

Analysis Of Knowledge Regarding Biliary Atresia Among Healthcare Providers And Laypersons In East Jakarta After Educational Intervention, Hanna Lianti, Novi Kurnia, Kshetra Rinaldhy, Amanda Safira Aji, M Febriadi Ismet, Rizky Amaliah

ASEAN Journal of Community Engagement

Biliary atresia (BA) is the most common cause of death due to liver disease in children and is the most common indication for pediatric liver transplantation. The success rate of the management of BA is very dependent on the age of the patient at the time of surgery. However, patients with BA were often diagnosed late because of the lack of parents’ and primary healthcare providers’ knowledge regarding BA. This study aims to evaluate the effectiveness of health education in improving the knowledge of healthcare providers and laypersons. A total of 371 respondents participated in this pre-post study with no …

Adaptation To Sexual Dysfunction In Patients With Chronic Renal Failure, Akhyarul Anam, Lestari Sukmarini, Agung Waluyo

Jurnal Keperawatan Indonesia

The prevalence of chronic renal failure in Indonesia tends to increase in the lower age group (45–54 years).Chronic renal failure may lead to impaired sexual function. A descriptive phenomenology study with in-depth interviews was carried out with 12 participants, and thematic content analysis was applied. Six themes were revealed, as follows: 1) adaptation process to sexual dysfunction experienced, 2) sexual dysfunction experience,3)importance of fulfilling sexuality needs,4) behavior in dealing with sexual dysfunction, 5) perception of the cause of sexual dysfunction, and 6) participants’ expectation of health service related to sexual function. The experience of adapting to sexual dysfunction became a …

Probing The Intergalactic Turbulence With Fast Radio Bursts, Siyao Xu, Bing Zhang

Physics & Astronomy Faculty Research

The turbulence in the diffuse intergalactic medium (IGM) plays an important role in various astrophysical processes across cosmic time, but it is very challenging to constrain its statistical properties both observationally and numerically. Via the statistical analysis of turbulence along different sight lines toward a population of fast radio bursts (FRBs), we demonstrate that FRBs provide a unique tool to probe the intergalactic turbulence. We measure the structure function (SF) of dispersion measures (DMs) of FRBs to study the multiscale electron density fluctuations induced by the intergalactic turbulence. The SF has a large amplitude and a Kolmogorov power-law scaling with …

Improvement In Patients’ Ability To Care For Anxiety And Impaired Body Image: A Case Report Of Acceptance And Commitment Therapy And Family Psychoeducation, Rasmawati Rasmawati, Budi Anna Keliat, Herni Susanti

Jurnal Keperawatan Indonesia

Heart failure and hypertension are non-communicable diseases that are responsible for 70% of deaths world wide and cause anxiety and impaired body image. Nursing interventions(therapy in general) and acceptance and commitment therapy increase patients’ acceptance of the disease and commitment to alleviate anxiety and improve impaired body image. Meanwhile, family psychoeducation improves the family’s ability to care for the patient. This case report presents two patients with heart failure and hypertension. The two patients experienced a decrease in symptoms on the cognitive aspects(difficulty concentrating, focusing on self, and decline body changes), affective aspects (worry, shame, and despair), physiological aspects(sleep disorders …

Diet, Nutrition, And Substance Use Disorder, Mateja R. Savoie-Roskos, Ashley Yaugher, Alise Williams Condie, Gabriela Murza, Maren Wright Voss, Kandice Atisme

All Current Publications

Consuming a healthy diet can benefit everyone—especially individuals with substance use disorder (SUD), a disorder that occurs when frequent use of drugs or alcohol causes impairment, health issues, and difficulties with managing daily responsibilities (Substance Abuse and Mental Health Services Administration [SAMHSA], 2020). Although often overlooked, nutrition can play a key role in the treatment and recovery process for individuals with SUD, and should be included as part of a holistic approach toward recovery. In this fact sheet we will review how diet and nutrition are impacted during an active addiction, and the influence nutrition can have on treatment and …

Integrated Agriculture-Based Agrotourism Model With Eco-Friendly Environmentalism On Carik Injeman Land In Cibodas Village, Etty Indrawati, Ratnaningsih Ruchiat, Dwi Indrawati, Shafira Febriyani

Journal of Environmental Science and Sustainable Development

An integrated agriculture-based agrotourism model needs to be implemented in the Carik Injeman area of Cibodas village. To date, Carik Land, with an area of 30 hectares to date, has not been optimally used. Cibodas villagers mostly work as farmers and ranchers. More than 50% of the workforce does not have permanent employment. Some previous researchers have said that with integrated agriculture, independent communities could increase their land resources and farmers would prosper in a sustainable manner. The aim of this study was (1) to identify the factors that determine agrotourism planning in Carik land, (2) study integrated farming systems …

Living Room Ventilation And Urban Environmental Health Case In Dki Jakarta, Evi Frimawaty, Muhammad Mundzir Kamiluddin

Journal of Environmental Science and Sustainable Development

In developing countries, on average, one out of five children die from pneumonia. Death from pneumonia is most prevalent in Southeast Asia, particularly in Indonesia. Many factors can cause pneumonia. In Jakarta, the prevalence period of pneumonia in toddlers reached 19.6‰, which is higher than the national prevalence period of only 18.5‰. This study used a cross-sectional research design to analyze the relationship between disease prevalence and risk factors simultaneously. Results showed that, out of 721 children under 5 years old investigated in this study, 31 toddlers suffered from pneumonia. Furthermore, bivariate analysis showed that two variables were related to …

Assessing Well-Being Of Asian Elephants (Elephas Maximus) Through Major Events And Transitions, With Development And Aging, And Husbandry Changes, Sharon Stuart Glaeser

Dissertations and Theses

In this body of research, reproductive and adrenal hormones and behavior were used to evaluate individual and group responses to physiological, social, and environmental changes in zoo-housed Asian elephants, considering factors of sex, age, and life stage. Animals experience physiological, social, and environmental changes as part of their natural history and individual life experience. Measures of both positive and negative states are needed to assess the impact of these changes at the individual and group level. Such measures can help us better understand how animals cope with a changing environment, and can help inform management decisions. Through longitudinal analyses of …

Gut Microbiota-Derived Short-Chain Fatty Acids Promote Poststroke Recovery In Aged Mice, Juneyoung Lee, John D'Aigle, Louise Atadja, Victoria Quaicoe, Pedram Honarpisheh, Bhanu P Ganesh, Ahmad Hassan, Joerg Graf, Joseph Petrosino, Nagireddy Putluri, Liang Zhu, David J Durgan, Robert M Bryan, Louise D Mccullough, Venugopal Reddy Venna

Faculty, Staff and Students Publications

RATIONALE: The elderly experience profound systemic responses after stroke, which contribute to higher mortality and more severe long-term disability. Recent studies have revealed that stroke outcomes can be influenced by the composition of gut microbiome. However, the potential benefits of manipulating the gut microbiome after injury is unknown.

OBJECTIVE: To determine if restoring youthful gut microbiota after stroke aids in recovery in aged subjects, we altered the gut microbiome through young fecal transplant gavage in aged mice after experimental stroke. Further, the effect of direct enrichment of selective bacteria producing short-chain fatty acids (SCFAs) was tested as a more targeted …