Digital Commons Network^™

Rationalism In Regulation, Christopher C. Demuth, Douglas H. Ginsburg

Michigan Law Review

Retaking Rationality: How Cost-Benefit Analysis Can Better Protect the Environment and Our Health, by Richard L. Revesz and Michael A. Livermore, aims to convince those who favor more government regulation-in particular environmental groups-that they should embrace cost-benefit analysis and turn it to their purposes. Coauthored by a prominent law school dean and a recent student with a background in environmental advocacy, the book is a jarring combination of roundhouse political polemics and careful academic argument. Sweeping pronouncements are followed by qualifications that leave the sweep of the pronouncements in doubt- rather like the give-and-take of the law school classroom …

Analysis Of Primary Risk Factors For Oral Cancer From Us States With Increasing Rates, Anthony Bunnell, Nathan Pettit, Nicole Reddout, Kanika Sharma, Susan O'Malley, Michelle Chino, Karl Kingsley

School of Public Health Faculty Research

Objectives

To examine the primary risk factor for oral cancer in the US, smoking and tobacco use, among the specific US states that experienced short-term increases in oral cancer incidence and mortality.

Methods

Population-based data on oral cancer morbidity and mortality in the US were obtained from the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results (SEER) database for analysis of recent trends. Data were also obtained from the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS) to measure current and former trends of tobacco usage. To comprehensive measures of previous state tobacco use …

The Public Health Impacts Of Concentrated Animal Feeding Operations On Local Communities, Michael Greger, Gowri Koneswaran

Environment Collection

Large-scale farm animal production facilities, also known as concentrated animal feeding operations (CAFOs), release a significant amount of contaminants into the air and water. Adverse health effects related to exposure to these contaminants among CAFO workers have been welldocumented; however, less is known about their impact on the health of residents in nearby communities. Epidemiological research in this area suggests that neighboring residents are at increased risk of developing neurobehavioral symptoms and respiratory illnesses, including asthma. Additional research is needed to better understand community-scale exposures and health outcomes related to the management practices and emissions of CAFOs.

Environmental Influences On Pediatric Obesity: An Examination Of The 2007 National Survey Of Children's Health (Nsch), Donny Dunfee

Master of Public Health Program Student Publications

Obese children are more likely to become obese as adults; hence, they are at increased risk for a number of adult diseases. As with adult obesity, several variables contribute to the increasing prevalence of childhood obesity. The intent of this report is to illustrate the connection between childhood obesity and the social environmental interactions of populations. With the increasing prevalence of obesity in adults and children, healthcare and public health professionals view childhood overweight and obesity as one of the most serious public health concerns of our time. This research conducts a secondary analysis of the National Survey of Children’s …

Diabetes Obesity-Wellness Opportunity Program (Dowop) Evaluation, Francis Banahene

Master of Public Health Program Student Publications

The aim of the study was to evaluate Diabetes Obesity - Wellness Opportunities Program (DOWOP) for overweight and obese adolescents aged eight to 14 years.

The study was conducted over 14 weeks at Victor J. Cassano, Sr. Health Center in Dayton, Ohio. Thirteen weekly nutrition, exercise and cognitive presentations were held. Cooking class was held on week thirteen. Participants completed food and activity diaries. The program sessions focused on healthy eating, increasing physical activity, decreasing sedentary behavior and supporting participants maintain healthy lifestyle.

Nurses recorded BMI and waist circumference at baseline, week 7 and week 14. Program administrators were interviewed …

Gender Differences In Risk Behaviors Of Adolescents Enrolled In An Inner City Charter High School, Kimbra Dent

Master of Public Health Program Student Publications

Adolescents engage in health risk behaviors (Grunbaum, 2001). Persons engaging in high‐risk behaviors during adolescence have disproportionally poor health as adults (Grunbaum et al., 2003; Resnick et al., 1997). Adolescents comprise a target group for health promotion and education programs to establish healthy lifestyle choices that transcend into adulthood. The purpose of this descriptive research study was to identify, analyze, and compare the health interests and health risk behaviors between male and female inner city, adolescent, charter high school students. The study served as a needs assessment before a health promotion and education program was implemented into the high school. …

Barriers To Accessing Primary Dental Care For The Uninsured/ Underinsured Population In The City Of Cincinnati, Kiana R. Trabue

Master of Public Health Program Student Publications

Despite federal, state and local efforts to provide access to dental services to vulnerable populations such as the uninsured and underinsured, many people still do not receive adequate dental care. This study seeks to identify barriers to primary dental care in the City of Cincinnati. The Cincinnati Health Department (CHD) operates five safety net health centers which provide dental care for the citizens of the Cincinnati service area. Surveys conducted in these centers found that cost was the main reason individuals do not see the dentist regularly. Even in those with dental insurance cost was a major barrier, although most …

The Relationship Of Maternal Age, Trimester Of Entry Into Prenatal Care, Maternal Postpartum Depression, And Race With Birth Weight Of Infants Born In Cincinnati, Ohio, Kelli Kohake

Master of Public Health Program Student Publications

Healthcare, resources, and technology in the United States (U.S.) has improved, yet the U.S. ranks 29th in the world for the highest infant mortality rates – behind other less developed countries. Within the U.S., Ohio (and Hamilton County in particular) has high rates of infant mortality. Low birth weight and preterm births are a major cause of infant mortality. Data analysis was done consisting of descriptive statistics and Analysis of Variance of the prenatal patients served at the Cincinnati Health Department health centers who delivered in 2009, with dependent variables of birth weight and postpartum depression. Independent variables included maternal …

Special 301 Of The Trade Act Of 1974 And Global Access To Medicine, Sean M. Flynn

PIJIP Faculty Scholarship

Since its inception in 1988, the United States Trade Representative’s “Special 301” adjudication of foreign intellectual property law standards has been used to promote policies restricting access to affordable medications around the world. President-elect Obama released a platform promising to “break the stranglehold that a few big drug and insurance companies have on these life-saving drugs” and pledged support for “the rights of sovereign nations to access quality-assured, low-cost generic medication to meet their pressing public health needs.” The 2009 and 2010 Special 301 reports, however, indicate that the Obama Administration has not yet implemented this pledge into administration trade …

The Ignite (Investigation To Guide New Insight Into Translational Effectiveness)Trial: Protocol For A Translational Study Of An Evidenced-Based Wellness Program In Fire Departments, Diane L. Elliot, Kuehl S. Kerry, Esther L. Moe, Carol A. Defrancesco, Linn Goldberg, David P. Mackinnon, Jeanne Enders, Kim C. Favorite

Business Faculty Publications and Presentations

Background: Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Pathways for Translational Research,' to define and prioritize determinants that enable and hinder translation of evidenced-based health interventions in well-defined settings. Methods: The IGNITE (investigation to guide new insights for translational effectiveness) trial is a prospective cohort study of a worksite wellness and injury reduction program from adoption to final outcomes among 12 fire departments. It …

The Relationship Between Body Image And Body Mass Index In Attendees At A Health Fair, Millie S. Olds

Master of Public Health Program Student Publications

The purpose of this study was to examine the relationship between body image and body mass index (BMI) in attendees at a health fair. BMI and body image was also compared between races, ages and genders. It was hypothesized that there would be discrepancies between perceived body image and weight status, as measured by BMI. Sixty-two participants at a health fair in Cincinnati completed a survey about perceived body image and had their height and weight measured and BMI calculated later. Results suggested a positive relationship between BMI and body image. Participants with a higher BMI identified themselves with a …

Socioeconomic And Environmental Causes For Respiratory Infection Death In Alaska Native Villages, Sarah Mcbeth

Master of Public Health Program Student Publications

Objectives. This ecological study evaluates the association between community characteristics and death rates from pneumonia/influenza, tuberculosis, and infectious diseases in 196 Alaska Native villages.

Methods. Ecological variables studied included percentage of Natives in the population, age distribution, latitude, average household size, socioeconomic status, percentage of homes with complete plumbing and/or kitchens, type of heating fuel used, community alcohol restrictions, level of healthcare access, and residence in specific regions of Alaska. These data come from the 2000 U.S. Census, the Alaska Alcohol Beverage Control Board, and the Alaska Native Tribal Health Consortium. A stepwise analysis of variance using the Proc GLM …

The Unconscionable Health Gap: A Global Plan For Justice, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

International norms recognize the special value of health. The WHO Constitution states that “the enjoyment of the highest attainable standard of health” is a fundamental human right. The right to health, moreover, is a treaty obligation with clear obligations. Despite robust international norms, unconscionable health disparities exist between the world’s rich and poor, causing enormous suffering. The WHO urges “closing the health gap in a generation” through action on the social determinants of health. As the Marmot Commission observed: “the social conditions in which people are born, live, and work are the single most important determinant of good or ill …

Pollution And Public Health In A Shrinking World: Concentrated Animal Feeding Operations As A Paradigm For Emergent Needs In Environmental And Public Health Policy, Leland Stillman

Self-Designed Majors Honors Papers

Environmental factors play a major part in human health. Environmental pollutants are often as poisonous to humans as the environment. Presently, much time and energy is dedicated to keeping pollution apart from human society, with varying success. But as global population densities rise, current levels of pollution will become inviable due to public health concerns. An emergent example of this is in the concentration of livestock operations. Recent changes in the structure of U.S. hog farming have resulted in an industry-wide shift from small or medium production farms to high capacity, “concentrated animal feeding operations” (CAFO). These operations have become …

Restoring Health To Health Reform, Lawrence O. Gostin, Peter D. Jacobson

Georgetown Law Faculty Publications and Other Works

In this article, we discuss the public health provisions of the Patient Protection and Affordable Care Act (PPACA--P.L. 111-148). We first set forth a framework to identify the key reforms that are needed for a robust public health system. These include workforce and infrastructure investments. We then assess the PPACA against these criteria. We conclude that although the act would make significant investment in public health (especially in wellness and prevention programs), it does little to improve the existing structural deficiencies that the public health system must overcome if it is to be effective in improving the population’s health.

The President’S Global Health Initiative, Lawrence O. Gostin, Emily A. Mok

Georgetown Law Faculty Publications and Other Works

The U.S. Global Health Initiative (GHI) represents the Obama administration’s new strategy for international development assistance in health. With a pledge of $63 billion over six years, GHI aims to fund PEPFAR and a set of broader global health issues (e.g., maternal and child health, nutrition, and neglected tropical diseases). GHI is also being framed as “smart power” whereby health would serve as a critical tool for U.S. foreign policy.

However, as the U.S. enters a period of severe budgetary restraint and as domestic crises rise to the fore, the promise of global health reform could become illusory. The lack …

An Examination Of The Association Of Selected Toxic Metals With Total And Central Obesity Indices: Nhanes 99-02, Miguel A. Padilla, Mai Elobeid, Douglas M. Ruden, David B. Allison

Psychology Faculty Publications

It is conceivable that toxic metals contribute to obesity by influencing various aspects of metabolism, such as by substituting for essential micronutrients and vital metals, or by inducing oxidative stress. Deficiency of the essential metal zinc decreases adiposity in humans and rodent models, whereas deficiencies of chromium, copper, iron, and magnesium increases adiposity. This study utilized the NHANES 99-02 data to explore the association between waist circumference and body mass index with the body burdens of selected toxic metals (barium, cadmium, cobalt, cesium, molybdenum, lead, antimony, thallium, and tungsten). Some of the associations were significant direct relationships (barium and thallium), …

Redressing The Unconscionable Health Gap: A Global Plan For Justice, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

Consider two children—one born in sub-Saharan Africa and the other in the United States. The African child is twenty-five times more likely to die in the first five years of life; if she lives to child-bearing age, she is a two hundred times more likely to die in labor; and overall, she will die thirty years earlier than the American child. The international community is deeply resistant to taking bold remedial action—more concerned with their geostrategic interests than the health of the poor. The scale of foreign aid is both insufficient and unsustainable and fails to address the key determinants …

Assessing The Influence Of Coronary Heart Disease Knowledge, Perception Of Personal Risk, And Delay Discounting Of Future Health On Diet And Physical Activity, Kimberly Bosworth Blake

Graduate Theses, Dissertations, and Problem Reports (ETD)

Although modifiable risk factors for coronary heart disease (CHD) can be favorably impacted by healthful diet and physical activity, health care providers face a population that generally exhibits unhealthy eating habits and sedentary lifestyles. Identifying strategies to improve the effectiveness of health care provider guidance is urgently needed to reduce CHD risk. The objective of this series of studies was to determine the association between CHD knowledge, perceived risk, and delay discounting and diet and physical activity (PA) levels in adults. The research design was cross-sectional and the methods included an online survey to obtain information regarding CHD knowledge, perceived …

The Development, Implementation And Evaluation Of A System Based Physical Activity Promotion Program In A Free, Rural, Primary Care Clinic, Martha E. Summers

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background. Despite the consequences of physical inactivity, it is under recognized and not addressed consistently in primary care. The Healthy People 2010 recommendations are that adults should engage in at least 30 minutes of moderate physical activity on most, preferably all, days of the week. Clinical practice guidelines advise that primary care practitioners take the opportunity whenever possible to advise, discuss, negotiate, or encourage physical activity in inactive adults. Objective. The primary objective was to identify beliefs about physical activity that act as barriers among providers and to educate them about the current recommendations for physical activity. An additional objective …

The Evaluation Of A Nutrition Education And Fitness Program With A Contest Component Among College Students Using The Re-Aim Framework, Michelle L. Bartlett

Graduate Theses, Dissertations, and Problem Reports (ETD)

Only recently have practitioners and researchers targeted the population of college students in studying interventions aimed at increasing health behaviors. There is evidence that a proportion of college students are making attempts on their own to remedy weight gain and poor physical fitness with little or no guidance, which is reflected in consistently rising obesity rates in this population. Thus, the need for organized and effective interventions is illustrated. The impact of an intervention can be determined through evaluation research. Although the RE-AIM model has not yet been used to evaluate single-site, university-sponsored, college-student weight-loss/fitness programs, it provided a useful …

Workin’ From Cain To Cain’T: Challenges Within Florida’S Gulf Coast Oyster Industry, Diane Marie Wakeman

USF Tampa Graduate Theses and Dissertations

Oyster tongers are a cultural icon of Florida's maritime heritage and geography. Challenged for generations by the vagaries of weather, including catastrophic storms and years-long droughts, and economic uncertainties this maritime heritage is fading fast. While Florida's north and west coasts produce 90 percent of the Florida oyster harvest and ten percent of oysters consumed in the United States, the industry is at risk today for reasons including a declining demand for Florida oysters because of health concerns; water pollution; population growth and its accompanying development of condominiums, gated communities, and retail shopping centers; and declining interest in the hard …

Child Labour: A Public Health Issue, Saleema A. Gulzar, Samina Vertejee, Laila Pirani

School of Nursing & Midwifery

Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child labour …

An International Perspective On Battling The Bulge: Japan's Anti-Obesity Legislation And Its Potential Impact On Waistlines Around The World, Christin Lawler

San Diego International Law Journal

This Comment identifies six factors which my be analyzed to predict the outcome of Japan's new "Metabo" legislation: (1) the compelling need for anti-obesity legislation; (2) the broad authority vested in Japanese physicians and medical policymakers; (3) the Japanese cultural emphasis on harmony; (4) the structure of the Japanese Constitution; (5) the legislation's enforcement mechanisms; and (6) the costs of the program. This Comment predicts that although the cost of implementing the program could pose a serious impediment to initiating the anti-obesity campaign on a national scale, the new legislation is likely to succeed in decreasing Japanese obesity.

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, September 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, James New

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, July/August 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, James New

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Pharmacy & Therapeutics Update: Drug Information For Health Care Professionals, June 2009, Medical University Of South Carolina, Heather Kokko, Kelli Garrison, Jason Cooper, Chris Wisniewski, Ashley Lewis

Pharmacy & Therapeutics Update: Drug Information for Health Care Professionals

No abstract provided.

Overweight Adolescents In West Virginia Report Healthier Diet Choices After A Two-Week Residential Camp, Heidi Jo Schoeppner

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the number of overweight adolescents in the United States continues to grow, effective methods of treatment intervention need to be established. The objective of this study was to determine if various methods of nutrition education is an effective approach to teach overweight 10-14 year-old adolescents (BMI ≥85th percentile on the CDC's growth charts) in West Virginia to make healthier food choices. Twenty-four adolescents were recruited through schools, physician offices, and community programs to attend a two-week residential lifestyle-modification camp with three follow-up weekends over the next 12 months. Prior to attending the initial camp session, subjects were asked to …

The Effects Of Active Living Every Day Online On Physical Activity, Amy M. Sidwell

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to examine the effects of a 14-week intervention based on Active Living Every Day (ALED) Online. Outcomes of the 14-week online program and the process of delivering the program were analyzed. Outcome considerations included: whether ALED Online increased physical activity among participants (as measured through step counts), whether physiological changes (cholesterol and body mass index) were apparent throughout the intervention, and whether participants progressed or regressed through the Stages of Change (SOC). Process measures included examining the nature of retention of participants in the program and the quality of participants' responses to the "Life …

The Effect Of Parent Education On The Home Food Environment For Overweight Adolescents In West Virginia, Kimberly N. Fisher

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study is a pre and post-intervention study examining family involvement and healthy food behaviors prior to and three month post nutrition education. The intervention was conducted as part of a residential summer camp for overweight adolescents in West Virginia. Twenty-one parents were included, one parent per camper. The intervention included nine hours of nutritional instructional time consisting of lectures, PowerPoint presentations, and a grocery store tour. Data were measured to determine occurrence of positive changes within the home environment of these families. Parent education sessions were evaluated. A factor analysis and independent samples t test were used respectively to …