Medicine and Health Sciences Commons^™

Improving Perinatal Equity In Louisiana: Community-Informed Strategies To Strengthen Medicaid Services And Resource Access For Black Birthing People, Rachael N. Reed Drph, Mph, Daniel Martinez, Ja'nae Hanzy, Nichole Bevrotte Mba

Quality Improvement & Patient Safety Forum

No abstract provided.

The Military Health History: An Ongoing Educational Initiative To Improve Veteran Healthcare, Jaclyn P. Murphy Ms, Michael C. Brands Md, Caitlin P. Martin-Klinger Md, Facp, Amanda M. Raines Phd, Randolph L. Roig Md, Faapmr

Quality Improvement & Patient Safety Forum

No abstract provided.

Improving Rsv Vaccination Rates In The Resident Clinic With Rsv Vaccination Campaign, Allen Byl Do, Ilija Zecevic Md, Hannah Porter Md

Quality Improvement & Patient Safety Forum

No abstract provided.

Improving Emergency Department Management Of Febrile Seizures Through A Standardized Clinical Pathway, Hiba Elaasar Md, Andrew Harold Do, Kelly Angelle Md, Kayla Pence Md

Quality Improvement & Patient Safety Forum

No abstract provided.

Standardizing And Improving Neurodevelopmental Follow Up Of Infants With Hypoxic Ischemic Encephalopathy In The Nicu, Michael L. Evers Md, Michelle Knecht Md, Christy Mumphrey Md, Raegan Gupta Md, Julie Gallois Md

Quality Improvement & Patient Safety Forum

No abstract provided.

2025 Qi Forum Agenda, Equip Program Office Ogme

Quality Improvement & Patient Safety Forum

No abstract provided.

Implementation Outcomes And Associated Constructs From The Consolidated Framework For Implementation Research Among Churches Trained Online To Implement Faith, Activity, And Nutrition In A National Implementation Study, Sara Wilcox Phd, Ruth P. Saunders Phd, Andrew T. Kaczynski Ph.D., Caroline Rudisill Ph.D., Msc, Ye Sil Kim Phd, Jasmin Parker-Brown, Kelsey R. Day

Faculty Publications

Churches hold promise for reaching populations with high rates of chronic disease, yet few faith-based large-scale implementation studies exist. The study purpose was to examine 12-month implementation outcomes and associated Consolidated Framework for Implementation Research (CFIR) constructs after converting in-person training to online for an evidence-based intervention designed to improve church organizational practices related to physical activity (PA) and healthy eating (HE). US churches recruited from 2020 to 2022 participated in eight online lessons prior to implementation. Each church’s coordinator completed an online baseline and 12-month survey assessing church practices for PA/HE components targeted in the Faith, Activity, and Nutrition …

Development Of An Age-Appropriate Household Dysfunction Measure And Its Concurrent Validity With Multiple Outcomes Among Middle School Adolescents In Southeast Texas, Sumaita Choudhury, Timothy J Walker, Emily T Hébert, Christine M Markham, Ross Shegog, Robert C Addy, Melissa F Peskin

Faculty, Staff and Student Publications

Existing adverse childhood experience (ACE) measures include a limited number of household dysfunction (HD) items and the use of adult-oriented language that is not always appropriate for middle schoolers. We developed an age-appropriate 10-item HD measure informed by previously validated ACE measures and tested its concurrent validity with dating violence (DV) perpetration, lifetime substance use, and mental health outcomes among middle schoolers in Southeast Texas. This cross-sectional study used the baseline data from a DV prevention intervention program for sixth graders (N = 126), Me & You Tech. Baseline data were collected from March 2023 to April 2023. To …

Understanding Vaccine Hesitancy And Barriers To Access In Hispanic Individuals Of Metro Detroit​, Rafael Ramos, John Gallegher, Nevil Khurana, Ingrid Rocha, Rene Andino-Galva, Izabel Thomas, Deni Peterson, Alexander Eskandarian, Eliezer Arody Gomez, Md

Medical Student Research Symposium

Background:

Detroit’s Hispanic community is still disproportionally uninsured at about 2x the rate of non-Hispanic white and 3x the rate of non-Hispanic Black residents. In the post-COVID era, vaccine hesitancy and barriers to access have been well-documented. Studies suggest that minority populations, including the Hispanic population, may experience unique social determinants of health which affect their vaccination rates and outcomes. Additionally, research shows that knowledge of vaccines may correlate with levels of trust.

Methods:

We sought to describe the knowledge, barriers to access, and levels of trust regarding the influenza (flu) vaccine in Hispanic individuals of Metro Detroit. We used …

From Childhood To Adult Cognitive Health: Analyzing Adverse Experiences And Subjective Cognitive Decline Using Brfss 2020-2023 Dataset, Kyaolin Rajbhandary

NYMC Student Theses and Dissertations

The chronic impact of early-life experiences on long-term health is a critical area of investigation, especially regarding cognitive health in adulthood. Adverse childhood experiences (ACEs) have been linked to an increased risk of developing various health issues in adulthood, including mental health disorders, substance abuse, and chronic diseases. The connection between ACEs, substance abuse and cognitive health, particularly subjective cognitive decline (SCD), remains relatively underexplored. The aim of this study is to examine the intricate relationships between ACEs, alcohol abuse, and SCD in adulthood. This study draws on trauma theory and the biopsychosocial model to conceptualize the long-term impact of …

Louisiana: The Canary In The Climate Coal Mine, Barry D. Keim

Journal of the Louisiana Public Health Association

No abstract provided.

Mitigating Damage From Healthcare Ransomware Attacks, Neil J. Nusbaum

Journal of the Louisiana Public Health Association

No abstract provided.

Wildfire Impacts On New Orleans Air Quality: October 2024, Saheba Cuccia, Daniel Harrington, Mohamed Mohamed, Evrim Oral, Md Shahinoor Rahman, Barry D. Keim, Adrienne Katner

Journal of the Louisiana Public Health Association

Background: This brief report presents data characterizing air quality throughout the New Orleans area in the hours before, during and after the Carson Six fire in DeSoto National Park, Mississippi (October 2024). Fine, respirable particulate matter (PM2.5) is the air pollutant of greatest concern to public health from wildfire smoke as it can travel deep into the lungs and enter the bloodstream, where it can have a detrimental effect on the respiratory and cardiovascular systems. Methods: Ambient air concentration measurements were collected continuously using the AirBeam3 sensor at five locations throughout the New Orleans area during the month of October …

Louisiana Public Health Association Conducts Research On Extreme Heat, Sundée Winder

Journal of the Louisiana Public Health Association

No abstract provided.

Investigating Biomarkers Linking Tobacco Use With Cadiovascular Disease Occurrence, Kennedy Dorsey, Nubaira Rizvi, Donald Mercante, Micahel D. Celestin Jr., Tung-Sung Tseng, Qingzhao Yu

Journal of the Louisiana Public Health Association

Background: Smoking has been associated with negative cardiovascular health outcomes. We analyzed data from The Population Assessment of Tobacco and Health (PATH) Study to investigate whether certain biomarkers collected were related to both cardiovascular disease (CVD) occurrence and cigarette or ecigarette use. Methods: A total of 6,473 participants were grouped into cigarette users, e-cigarette users, and non-users. Among them, 6,020 (93%) developed CVD and 453 (7%) did not over PATH Study Waves 1 to 5. All participants were adults, had valid tobaccouse and biomarker data, and no pre-existing CVD prior to Wave 1. We conducted mediation analysis using nonlinear multiple …

Vol 5 May '25 Full Issue, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Vol 5 May '25 Cover, Publishing, And Table Of Contents, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Defining Homelessness Through Lived Experiences And Service Providers' Perspectives: Implications For Public Health In New Orleans, Janaki Sundaresan, Kathryn T. Kampa, Katherine Andrinopoulos

Journal of the Louisiana Public Health Association

No abstract provided.

Louisiana's "Don't Say Gay" Law Threatens Youth Sexual Health Nationwide, Patrick Dicken, Isabelle Jouce, Breon Wise, Cara Ramos, Taylor Fitzpatrick-Schmidt

Journal of the Louisiana Public Health Association

No abstract provided.

Socioeconomic Disparities In Breast Cancer Survival: Examining Potential Mediator Role Of Oncotype Dx(Odx) Test And Stage At Diagnosis Among Hr+/Her2- Breast Cancer Women, Pratibha Shrestha, Qingzhao Yu, Edward S. Peters, Edward Trapido, Mei Chin Hsieh, Tekeda Ferguson, Quyen D. Chu, Xiao Cheng Wu

School of Public Health Faculty Publications

Background: Women with a lower socioeconomic status (SES) have an increased risk of dying from breast cancer (BC) than those with a higher SES. The association of SES with BC survival may be partially mediated by factors such as Oncotype DX (ODX) testing and stage at diagnosis. This study aims to examine SES disparities in survival among HR+/HER2- BC women and to quantify the mediating effects of the ODX test and stage. Methods: We used data from the Louisiana Tumor Registry to identify women aged 20–90 years diagnosed with stage I–II in 2011–2014 and stage I–III in 2015–2017 HR+/HER2- BC …

Caring For The Incarcerated Patient: Provider Perceptions Of Quality Of Care In The State Of Louisiana, Haley Beavers Khoury, Olivia K. Sugarman, Andrea Armstrong, Bruce Reilly, Ashley Wennerstrom

Journal of the Louisiana Public Health Association

Background: As of December 2023, there were roughly 28,000 people held in state custody in Louisiana. Prior research and litigation have documented challenges with healthcare service delivery within prisons, but less is known about the higher acuity care incarcerated people receive at state-contracted hospitals. Methods: Between November 2020 and January 2021, authors conducted semi-structured interviews with a convenience sample of Louisiana healthcare professionals about their experiences of providing incarcerated people care at hospitals. Interviews were audio-recorded and transcribed verbatim. Authors used applied thematic analysis techniques to synthesize qualitative data and identify themes. Results: Nine health professionals with diverse roles and …

Digital Transformation In Indonesia Healthcare Systems Towards Intelligent Accountability: A Critical Discourse Analysis, Ghina Fitri Ariesta Susilo

Journal of Global Awareness

This research studied the digital transformation implemented in the Ministry of Health in Indonesia. It happened after the COVID-19 outbreak forced the government to act more rapidly to provide real-time information. To date, the digital transformation initiative in the Ministry of Health Indonesia aims to reach more intelligent accountability by establishing a Digital Transformation Office (DTO). This study used critical discourse analysis to study how the discourse of technology became a government tool, particularly using social media accounts created by DTO. The result shows that DTO’s work and progress since its establishment from the perspective of social media discourse aim …

Notes From The Editor, Jay Nathan

Journal of Global Awareness

No abstract provided.

Influences And Implications Of Medical Mistrust On Healthcare Behaviors In A Low Health Outcomes County In The State Of New Jersey, Dale Johnson, Adeena Javed, Nathaniel J Byrnes, Anne C Jones, Kristin N Bertsch

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Medical mistrust is an ongoing concern in the United States, with patient confidence in both individual practitioners and institutions decreasing sharply in recent years. Atlantic County, New Jersey has some of the worst health outcomes in the state and is below the national average. This study sought to investigate medical mistrust by recruiting participants to complete a survey and/or health screening at 12 food pantry distribution events throughout Atlantic County (N = 124). The mean score for the Medical Mistrust Index was 19.06 (SD = 5.6) for participants who reported receiving the annual influenza vaccine and 16.05 (SD = 4.7) …

Aging-Induced Increase In Top-Down Connectivity From Dlpfc To Sma/M1 And Decrease In Inter-Limb Motor Coordination During Standing Tasks, Jiahao Pan, Shuqi Zhang

International Journal of Physical Activity and Health

This study aimed to investigate the effects of aging on inhibitory control from the prefrontal cortex (PFC) to the motor cortices and inter-limb coordination during dual task standing. Participants performed single-task and dual-task standing. Ground reaction force, center-of-pressure, muscle activity, and cortical activation were measured. The older group showed a greater effective connectivity index from the intra-hemispheric dorsolateral PFC (DLPFC) to supplementary motor area (SMA) (right, p = 0.009; left, p = 0.003) and left DLPFC to right M1 (p = 0.020)than the young group across task conditions. Also, the older group had greater inter-tibialis anterior coherence at 15–35 …

Association Between ‘Emergency Obstetric & Newborn Care Readiness’ And Delivery Service Utilization In Bangladesh: Evidence From National Health Facility Assessment Surveys, Kaji Keya-Korotki, Nabil Natafgi Ph.D., Mph, Cph, Mark Macauda, Syed Abdul Hamid, M. Mahmud Khan

Faculty Publications

Background

Bangladesh faces one of the highest global burdens of maternal and newborn deaths, primarily caused by hemorrhage and eclampsia/preeclampsia. Despite reducing maternal mortality by 40%, comprehensive medical interventions remain insufficient in health facilities.

Objectives

This study assessed the readiness of sub-district hospitals in Bangladesh to provide Emergency Obstetric and Newborn Care (EmONC) and analyzed the association between facility readiness and delivery rates.

Methods

Using Health Facility Assessment Survey data from 140 hospitals in 2014 and 141 in 2017, facility readiness was measured based on nine signal functions: administering antibiotics, oxytocin, and anticonvulsants; providing blood transfusions; performing cesarean and assisted …

Association Between ‘Emergency Obstetric & Newborn Care Readiness’ And Delivery Service Utilization In Bangladesh: Evidence From National Health Facility Assessment Surveys, Kaji Keya-Korotki, Nabil Natafgi Ph.D., Mph, Cph, Mark Macauda, Syed Abdul Hamid, M. Mahmud Khan

Faculty Publications

Background

Bangladesh faces one of the highest global burdens of maternal and newborn deaths, primarily caused by hemorrhage and eclampsia/preeclampsia. Despite reducing maternal mortality by 40%, comprehensive medical interventions remain insufficient in health facilities.

Objectives

This study assessed the readiness of sub-district hospitals in Bangladesh to provide Emergency Obstetric and Newborn Care (EmONC) and analyzed the association between facility readiness and delivery rates.

Methods

Using Health Facility Assessment Survey data from 140 hospitals in 2014 and 141 in 2017, facility readiness was measured based on nine signal functions: administering antibiotics, oxytocin, and anticonvulsants; providing blood transfusions; performing cesarean and assisted …

The Risk Of Interstitial Lung Disease In Psoriatic Arthritis Versus Psoriasis: A Retrospective Nationwide Database Analysis (2014-24), Andrew Engel, Christopher Xie, Ross Summer, Giorgos Loizidis

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

OBJECTIVES: Psoriasis (PsO) is a systemic autoimmune disease primarily characterized by erythematous plaques on the skin. While extra-dermal manifestations like psoriatic arthritis (PsA) are well recognized, data linking PsO to interstitial lung disease (ILD) remain limited. This study aimed to evaluate whether patients with PsA have a higher risk of developing ILD compared with patients with PsO.

METHODS: A retrospective analysis of the TriNetX US database (2014-24) was performed. Adult patients with PsO or PsA treated with systemic immunosuppressive medications were included, excluding those with other autoimmune diseases. ILD risk in PsO and PsA cohorts was compared with a reference …

Utilizing A Clinical Resource Hub To Improve Access And Workflow For Retinopathy Screenings In The Veteran Population, Erin Kelly Pope

Doctor of Nursing Practice Final Manuscripts

Abstract

Utilizing a Clinical Resource Hub to Improve Access and Workflow for Retinal Screenings in the Veteran Population

Erin K. Pope, MSN, RN, AGCNS-BC, AMB-BC

Scot Nolan, DNP, RN, CNS, PHN, CCRN, CNRN, SCRN, FCNS

Background: Diabetic retinopathy (DR), a progressive complication of diabetes mellitus (DM), is the leading cause of blindness among working-age adults. As DR can remain asymptomatic until advanced stages, annual screenings are critical for early detection and management. Teleretinal imaging is an evidence-based method for DR screening, offering cost efficiency and reduced demand on ophthalmology clinics. At the Veterans Administration’s (VA) Loma Linda Healthcare System …

Cenobamate Use In Pregnancy: A Case Report, Tiara Paul, Maromi Nei

Department of Neurology Faculty Papers

No abstract provided.