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A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa

Walden Dissertations and Doctoral Studies

Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …

Statistical Modeling Of Influenza-Like-Illness In Montana Using Spatial And Temporal Methods, Benjamin A. Stark

Graduate Student Theses, Dissertations, & Professional Papers

Studying air pollution and public health has been a historically important question in science. It has long been hypothesized that severe air pollution conditions lead to negative implications in basic human health. Primarily, areas thats are prone to severe degrees of human pollution are the focus of such studies. Such research relating to less populated areas are scarce, and this scarcity raises the question of how such pollution dynamics (human-made and natural) influence human health in more rural areas.

The aim of this study is to explore this hole in research; in particular we explore possible links between air pollution …

Time Series Analysis For Effect Of Vaccines On Pneumonia Or Gastrointestinal Disorders In Brazil, Kang Shen

Public Health Theses

It is important for public health professionals to understand the effects of vaccine introduction and compare different types of vaccinations. This study will focus on understanding the pre and post vaccination effects of two different infectious diseases: pneumonia and gastrointestinal disorders. One of approaches of getting the accurate estimate of vaccine impact is by comparing rates or trends of the targeted disease in the years after introduction with rates of trend in the year before introduction using a time-series analysis. Specifically, in this study, the synthetic controls method implements an approach to estimating the causal effect of a designed intervention …

Adrenal Crisis, R Louise Rushworth, David J. Torpy, Henrik Falhammar

Medical Papers and Journal Articles

Glucocorticoid replacement therapy, available since the 1950s, has prolonged the survival of patients with adrenal insufficiency. However, adrenal crises, which are life-threatening medical emergencies, still develop in many affected patients. Adrenal crisis appears to be increasing in frequency, despite the availability of effective preventive strategies. This review examines the definitions, pathophysiology, epidemiology, and treatment of adrenal crises.

National And Local Antibiotic Prescribing Trends And Prescribing Appropriateness In Older Adults, Fawaz M. Alotaibi

Theses and Dissertations

Background: Antibiotic overuse/misuse has been documented in several reports to increase the risk of Clostridioides difficile (C.diff) infection and antibiotic resistance. The older adult population is more prone to use antibiotic medications than any other age group due to decreased immune function, use of urinary catheters, ventilation during hospitalization and other factors. Antibiotic resistance and C.diff are major public health problems. However, studies examining the trends of antibiotic use and the association between the antibiotic use and negative health outcomes among older adults in the outpatient and emergency department settings are limited.

Objectives: The main objectives of this …

Risk Factors For Community-Onset Urinary Tract Infections Caused By Extended-Spectrum Ss-Lactamase-Producing Escherichia Coli, Türkan Tüzün, Selda Sayin Kutlu, Murat Kutlu, İlknur Kaleli̇

Turkish Journal of Medical Sciences

Background/aim: Community-onset urinary tract infections(UTIs) caused by extended-spectrum ß-lactamase (ESBL)-producing Escherichia coli have increased in many parts of the world. This study aimed to determine the prevalence and risk factors for community-onset UTI caused by ESBL-producing E. coli.Materials and methods: This prospective cohort study was conducted between January 2012 and March 2014 in cases of community-onset UTI caused by E. coli. Patients with UTI due to ESBL-producing E. coli and patients with UTI due to non-ESBL-producing E. coliwere compared to identify risk factors for ESBL-producing E. coli in the community.Results: A total of 305 patients (116 males [46.4%]; mean age: …

Epidemiology, Clinical Features And Outcomes Of Patients With Sickle Cell Disease Hospitalized With Influenza, Kyle P. Openo

College of Graduate Studies: Theses & Dissertations

Influenza is a respiratory viral infection responsible for annual epidemics, periodic pandemics and regularly causes substantial morbidity, mortality and economic burden worldwide. In the United States alone, influenza causes between 9.2 – 35.6 million cases, 140,000 to 710,000 hospitalizations and 12,000 – 56,000 deaths annually. Individuals with comorbid health conditions are at increased risk of hospitalization and severe outcomes from influenza infection and were recommended for vaccination prior to universal vaccine recommendations. Individuals with sickle cell disease (SCD) have been included in this group for decades though limited data existed to describe influenza among those with SCD. Recent studies showed …

Clostridium Difficile Ribotype 017–Characterization, Evolution And Epidemiology Of The Dominant Strain In Asia, Korakrit Imwattana, Daniel R. Knight, Brian Kullin, Deirdre A. Collins, Papanin Putsathit, Pattarachai Kiratisin, Thomas V. Riley

Research outputs 2014 to 2021

Clostridium difficile ribotype (RT) 017 is an important toxigenic C. difficile RT which, due to a deletion in the repetitive region of the tcdA gene, only produces functional toxin B. Strains belonging to this RT were initially dismissed as nonpathogenic and circulated largely undetected for almost two decades until they rose to prominence following a series of outbreaks in the early 2000s. Despite lacking a functional toxin A, C. difficile RT 017 strains have been shown subsequently to be capable of causing disease as severe as that caused by strains producing both toxins A and B. While C. difficile RT …

Lead And Crime: An Ecological Study Between Lead Contaminated Topsoil And Violent Crime., Brian Guinn

Electronic Theses and Dissertations

Lead is a known neurotoxicant. Human exposure to lead comes primarily through environmental exposures, including remnant lead paint, lead contaminated topsoil and lead contaminated water. Prenatal and early life lead exposure has been associated with numerous neurocognitive and neuropsychiatric disorders. This dissertation presents findings from an ecological study which evaluated the geospatial association between topsoil lead content and the incidence of FBI designated violent crime in Jefferson County, Kentucky. A total of 412 topsoil samples were collected along roadways (n=300) and from Louisville Metro Parks (n=112). Jefferson County crime data was obtained from the Louisville Metro Police Department – Crime …

Investigation Of Hantavirus And Leptospira As Possible Contributing Factors Of The Unexplained Kidney Disease Epidemic In Nicaragua, Nicole J. Delgado

Dissertations and Theses (Open Access)

Throughout Latin America, an epidemic of a kidney disease of an unknown etiology has been occurring since the late 1990s, and this disease is being called “Mesoamerican nephropathy.” Mesoamerican nephropathy predominantly affects male sugarcane workers. In Chichigalpa, Chinandega, Nicaragua, there is sugarcane plantation that is being heavily impacted by the Mesoamerican nephropathy epidemic, and they invited researchers from Baylor College of Medicine to investigate the epidemic. The prospective epidemic investigation began in 2015, and it is an ongoing investigation. Based on the compilation of data collected during the preliminary investigation, our hypothesis is that a possible zoonotic disease, such as …

Investigating The Impact Of Seasonal Variations On The Dynamics Of Chikungunya, Md Rafiul Islam

Biology and Medicine Through Mathematics Conference

No abstract provided.

Parameter Sensitivity Analysis Of A Infectious Disease Model And Identifying Dominant Transmission Pathways, Md Rafiul Islam

Biology and Medicine Through Mathematics Conference

No abstract provided.

Disease Modeling: How To Control And Prevent Epidemic Outbreaks, Elena Aruffo, Alexandra Teslya, Jane Marie Heffernan

Biology and Medicine Through Mathematics Conference

No abstract provided.

The Role Of Outcome Preferences In Optimizing Heterogenous Disease Control Strategies., Evan Milliken

Biology and Medicine Through Mathematics Conference

No abstract provided.

Mathematical Modeling Of A Mers-Cov Nosocomial Outbreak, Tamer Oraby, Yasar Tasnif, Mustafa Al-Zoughool, Michael Tyshenko, Adriana Quiroz, Zeinab Mohamed, Ayesha Araya, Hanan Balkhy

Biology and Medicine Through Mathematics Conference

No abstract provided.

Recovering Parasites From Mummies And Coprolites: An Epidemiological Approach, Morgana Camacho, Adauto Araújo, Johnica J. Morrow, Jane E. Buikstra, Karl Reinhard

Karl Reinhard Publications

In the field of archaeological parasitology, researchers have long documented the distribution of parasites in archaeological time and space through the analysis of coprolites and human remains. This area of research defined the origin and migration of parasites through presence/absence studies. By the end of the 20th century, the field of pathoecology had emerged as researchers developed an interest in the ancient ecology of parasite transmission. Supporting studies were conducted to establish the relationships between parasites and humans, including cultural, subsistence, and ecological reconstructions. Parasite prevalence data were collected to infer the impact of parasitism on human health. In the …

Angiostrongylus Cantonensis: Epidemiologic Review, Location-Specific Habitat Modelling, And Surveillance In Hillsborough County, Florida, U.S.A., Brad Christian Perich

USF Tampa Graduate Theses and Dissertations

Angiostrongylus cantonensis is a parasitic nematode endemic to tropical and subtropical regions and is the leading cause of human eosinophilic meningitis. The parasite is commonly known as rat lungworm because the primary host in its lifecycle is the rat. A clinical overview of rat lungworm infection is presented, followed by a literature review of rat lungworm epidemiology, risk factors, and surveillance projects. Data collected from previous snail surveys in Florida was considered alongside elevation, population per square kilometer, median household income by zip code territory, and normalized difference vegetation index specific to the geographic coordinates from which the snail samples …

Zika Virus, Monica A. Wong

Global Issues in Public Health

The purpose of this public health brief is to learn about the Zika virus, the epidemiology of it, and possible solutions for the virus. The Zika virus has been present in many places such as Africa, Asia, North America, and so many more. People who live in these affected areas and anyone traveling to these places where Zika has been present is at risk, especially pregnant women or women trying to conceive. While the Zika virus has a low mortality rate, the morbidity rates are higher. Some outcomes may include eye defects, hearing loss, and impaired growth. The Zika virus …

Correlates Of Hepatitis C Positivity Among People Who Inject Drugs In Ukraine, Serhii Myroshnychenko

Legacy Theses & Dissertations (2009 - 2024)

Abstract

Osteoarthritis In The Pelvic Limb Of Captive Cranes, Barry K. Hartup, Savannah J. Lauer, Alyson R. Manthei

Proceedings of the North American Crane Workshop

We conducted an epidemiological study of osteoarthritis (OA) among the 15 captive crane species managed at the International Crane Foundation from 1973 to 2016. A retrospective review of 714 medical records found 37 cases of OA in 13 species of cranes and a corresponding period prevalence of OA of 5%. An analysis of the living captive crane flock as of 1 October 2016 (n = 115) found 12 active cases of OA (a point prevalence of 10%), and there was a statistical association between geriatric age classification (i.e., advanced age) and the presence of OA (P < 0.01). The mean age of cranes with OA was 14 years greater than cranes without the disease (P < 0.001). The prevalence estimates of OA from this review were somewhat lower than that from study of museum specimens, but this study similarly identified the tarsal joint as the predominant location of OA lesions in cranes.

Analysis Of A Vector-Borne Diseases Model With A Two-Lag Delay Differential Equation, Y. Qaddura, Nsoki Mavinga

Mathematics & Statistics Faculty Works

We are concerned with the stability analysis of equilibrium solutions for a two-lag delay differential equation which models the spread of vector-borne diseases, where the lags are incubation periods in humans and vectors. We show that there are some values of transmission and recovery rates for which the disease dies out and others for which the disease spreads into an endemic. The proofs of the main stability results are based on the linearization method and the analysis of roots of transcendental equations. We then simulate numerical solutions using MATLAB. We observe that the solution could possess chaotic and sometimes unbounded …

A Primer On Noise-Induced Transitions In Applied Dynamical Systems, Eric Forgoston, Richard O. Moore

Department of Applied Mathematics and Statistics Faculty Scholarship and Creative Works

Noise plays a fundamental role in a wide variety of physical and biological dynamical systems. It can arise from an external forcing or due to random dynamics internal to the system. It is well established that even weak noise can result in large behavioral changes such as transitions between or escapes from quasi-stable states. These transitions can correspond to critical events such as failures or extinctions that make them essential phenomena to understand and quantify, despite the fact that their occurrence is rare. This article will provide an overview of the theory underlying the dynamics of rare events for stochastic …

Dissertation: Sociodemographics And Pancreatic Cancer Survival Rate, Sylvester Lewis

Walden Dissertations and Doctoral Studies

Pancreatic carcinoma or pancreatic cancer (PaCa) is an insidious disease with a prognosis of 6- to 12-month survival time for a late stage diagnosis. This problem has become crucial given that no study to date had been able to establish a definitive association between independent factors (other than a few diseases) and the survival rate of pancreatic cancer. The purpose of this quantitative, cross-sectional study was to determine whether an association exists between the independent, sociodemographic variables (marital status, age, education, income, and employment) and the outcome variable of survival rate. The social cognitive theory was the framework that provided …

Source Attribution, Antibiotic Resistance And Virulence Properties Of Salmonella Serotypes Isolated From Clinically Diagnosed Human Salmonellosis Cases From Tennessee, Nabanita Mukherjee

Electronic Theses and Dissertations Archive

Non-typhoidal Salmonella (NTS) infection is one of the major causes of diarrheal disease throughout the world. Recently, an increase in trend of human S. Newport, S. Javiana, and S. Mississippi infection has been observed in Tennessee. The exact reason for the increase of the NTS infection by these three serotypes is not known. The sources of human S. Javiana infections are not well characterized. This study performed a systematic literature review to identify potential sources of human S. Javiana infection based on available scientific evidence. This study identified the food (such as tomatoes, watermelons, paprika-spice, and cheese), drinking well water, …

The Epidemiology Of Clostridium Difficile Infection In Japan: A Systematic Review, Thomas V. Riley, Tomomi Kimura

Research outputs 2014 to 2021

To increase understanding of the epidemiology, risks, consequences and resource utilization of Clostridium difficile infection (CDI) in Japan, a systematic literature review was undertaken of relevant publications from January 2006 to November 2017. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and methods, 55 articles met the criteria for full review. The majority (58%) of studies were from a single site, with the most recent data from 2015. The incidence, reported prevalence and recurrence rate of CDI in Japan were 0.8–4.71/10,000 patient-days, 0.3–5.5/1000 patients and 3.3–27.3%, respectively, and varied according to setting, population, CDI definition and …

Relationships Between Complex Pediatric Health Conditions And The Built, Physical And Social Environments, Brittany Corley

Theses & Dissertations

The relationship between human health and the environment is complex and overall poorly understood. The environment has a lasting impact on health, and the processes appear to start at conception. Thus, this dissertation examines the potential relationship between pediatric health and the environment.

The first relationship examined was between the built environment and comorbid Attention Deficient Hyperactivity Disorder and Autism Spectrum Disorder. Many publications have reported the relationship between socioeconomic disadvantage, Attention Deficient Hyperactivity Disorder, and Autism Spectrum Disorder. However, the link between the built environment and Attention Deficient Hyperactivity Disorder and Autism Spectrum Disorder symptom severity is poorly understood. …

Use Of Software Modeling Tools To Understand Population Health Dynamics: Application To Bovine Respiratory Disease In Us Beef Calves Prior To Weaning, Min Wang

Theses and Dissertations

Bovine respiratory disease (BRD) is a significant health problem for cattle producers in terms of economic cost and animal welfare. In the United States (US), it is one of the leading causes of sickness and death in beef calves prior to weaning. Although much research has been conducted to develop vaccines for prevention and antibiotics for treatment, the morbidity and mortality of BRD in beef calves prior to weaning has not improved over the years. The identification of risk factors associated with BRD is an area of focus which might ultimately allow producers to minimize morbidity and mortality from BRD. …

Age-Structured And Vaccination Models Of Devil Facial Tumor Disease, Christopher D. Bruno, Timothy Comar, Megan O. Powell, Adjo Tameklo

Spora: A Journal of Biomathematics

Tasmanian devil populations have been devastated by devil facial tumor disease (DFTD) since its first appearance in 1996. The average lifespan of a devil has decreased from six years to three years. We present an age-structured model to represent how the disease has affected the age and breeding structures of the population. We show that with the recent increase in the breeding of juvenile devils, the overall devil population will increase but not nearly to pre-DFTD levels. The basic reproductive number may be increased with the influx of young breeding devils. In addition, our model shows that the release of …

Emergence Of The L Phenotype In Group B Streptococci In The South Of Ireland, Katherine Hayes, Lesley Cotter, L. Barry, Fiona O'Halloran

Department of Biological Sciences Publications

Group B Streptococcal isolates (n = 235) from the South of Ireland were characterised by serotyping, antimicrobial susceptibility and determination of the phenotypic and genotypic mechanisms of resistance. Resistance to erythromycin and clindamycin was observed in 21·3% and 20·4% of the total population, respectively. The c-MLSB phenotype was the most common phenotype detected (62%), with ermB being the predominant genetic determinant, present in 84% of resistant isolates. The rare L phenotype was observed in 2·9% (n = 7) of isolates, four of which harboured the lsaC gene responsible for clindamycin resistance. Serotypes Ia, III and II were the most common …

Most Common Statistical Methodologies In Recent Clinical Studies Of Community-Acquired Pneumonia, Stephen Furmanek, Connor L. English, Thomas Chandler, Timothy L. Wiemken Phd

The University of Louisville Journal of Respiratory Infections

Background: Training new individuals in pneumonia research is imperative to produce a new generation of clinical investigators with the expertise necessary to fill gaps in knowledge. Clinical investigators are often intimidated by their unfamiliarity with statistics. The objective of this study is to define the most common statistical methodologies in recent clinical studies of CAP to inform teaching approaches in the field.

Methods: Articles met inclusion criteria if they were clinical research with an emphasis on incidence, epidemiology, or patient outcomes, searchable via PubMed or Google Scholar, published within the timeframe of January 1st 2012 to August 1st 2017, …