Medicine and Health Sciences Commons^™

Evaluation Of A Social Determinants Of Health Screening Questionnaire And Workflow Pilot Within An Adult Ambulatory Clinic, Rachel L. Berkowitz, Linh Bui, Zijun Shen, Alice Pressman, Maria Moreno, Stephanie Brown, Anne Nilon, Chris Miller-Rosales, Kristen M.J. Azar

Faculty Research, Scholarly, and Creative Activity

Background
There is increased recognition in clinical settings of the importance of documenting, understanding, and addressing patients’ social determinants of health (SDOH) to improve health and address health inequities. This study evaluated a pilot of a standardized SDOH screening questionnaire and workflow in an ambulatory clinic within a large integrated health network in Northern California.
Methods
The pilot screened for SDOH needs using an 11-question Epic-compatible paper questionnaire assessing eight SDOH and health behavior domains: financial resource, transportation, stress, depression, intimate partner violence, social connections, physical activity, and alcohol consumption. Eligible patients for the pilot receiving a Medicare wellness, adult …

Impact Of The Who Surgical Safety Checklist Relative To Its Design And Intended Use: A Systematic Review And Meta-Meta-Analysis, Kenji T. Sotto, Barbara K. Burian, Mary E. Brindle

Faculty Research, Scholarly, and Creative Activity

Background
The aim of this study was to identify what parts of the World Health Organization Surgical Safety Checklist (WHO SSC) are working, what can be done to make it more effective, and to determine if it achieved its intended effect relative to its design and intended use.
Study Design
We conducted a qualitative thematic analysis and meta-meta-analyses of findings in WHO SSC systematic reviews following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
Results
Twenty systematic reviews were included for qualitative thematic analysis. Narrative information was coded in 4 primary areas with a focus on impact of …

Vaccination Trends And Perceptions As Students Return To Campus Among San José State University Students, Fall 2021, Anji Buckner-Capone, Marcelle Dougan, Vasundhara Mehta, Khushboo Asija

Faculty Research, Scholarly, and Creative Activity

As repopulation of San Jose State University (SJSU) continues this fall, students expressed opinions and concerns about returning to campus in person. To better understand the nature of any concerns, a survey was conducted among California higher education students, with nearly 5,000 respondents. The survey was conducted between June 2021 and August 2021. This brief summarizes the findings from 1,760 self-identified SJSU students.

Public Protests And The Risk Of Novel Coronavirus Disease Hospitalizations: A County-Level Analysis From California, Linh N. Bui, Rachel L. Berkowitz, Wendy Jilek, Andrew J. Bordner, Kristen M. J. Azar, Alice Pressman, Robert J. Romanelli

Faculty Research, Scholarly, and Creative Activity

The objective of this study was to assess the relationship between public protests and county-level, novel coronavirus disease (COVID-19) hospitalization rates across California. Publicly available data were included in the analysis from 55 of 58 California state counties (29 March–14 October 2020). Mixed-effects negative binomial regression models were used to examine the relationship between daily county-level COVID-19 hospitalizations and two main exposure variables: any vs. no protests and 1 or >1 protest vs. no protests on a given county-day. COVID-19 hospitalizations were used as a proxy for viral transmission since such rates are less sensitive to temporal changes in testing …

By Utilizing Technology Can Nursing Students Gain More Confidence And Decrease Anxiety When Communicating With Chronically Ill Patients About Their Sexual Relationship?, Sheri Rickman Patrick, Alice Butzlaff

Faculty Research, Scholarly, and Creative Activity

Introduction
Effective communication is an essential part of nursing care. Nurses need to effectively communicate with patients, families, providers and staff. The purpose of this study was to show how the use of technology (i.e., video conferencing on an electronic device) could assist nursing students to gain more confidence and reduce anxiety when discussing difficult topics such as sexual intimacy.
Methods
Pre-licensure nursing students were recruited to participate as part of regular class activities. A pre- and post-survey asking about their confidence and anxiety in communicating with patients was completed; then subjects were randomly placed into groups of 4 to …

Avoidant Restrictive Food Intake Disorder Prevalent Among Patients With Inflammatory Bowel Disease, Emily Yelencich, Emily Truong, Adrianne M. Widaman, Giselle Pignotti, Liu Yang, Yejoo Jeon, Andrew T. Weber, Rishabh Shah, Janelle Smith, Jenny S. Sauk, Berkeley N. Limketkai

Faculty Research, Scholarly, and Creative Activity

Background & Aims
Inflammatory bowel disease (IBD) patients alter their dietary behaviors to reduce disease-related symptoms, avoid feared food triggers, and control inflammation. This study aimed to estimate the prevalence of avoidant/restrictive food intake disorder (ARFID), evaluate risk factors, and examine the association with risk of malnutrition in patients with IBD.
Methods
This cross-sectional study recruited adult patients with IBD from an ambulatory clinic. ARFID risk was measured using the Nine-Item ARFID Screen. Nutritional risk was measured with the Patient Generated-Subjective Global Assessment. Logistic regression models were used to evaluate the association between clinical characteristics and a positive ARFID risk …

Recruitment And Retention Of Minority High School Students To Increase Diversity In The Nursing Profession, Denise Dawkins

Faculty Research, Scholarly, and Creative Activity

No abstract provided.

Understanding Factors Relevant To Poor Sleep And Coping Methods In People With Schizophrenia, Yen-Ching Chang, Megan C. Chang, Yun-Jou Chang, Ming-De Chen

Faculty Research, Scholarly, and Creative Activity

Background

Sleep disruption is pervasive in people with schizophrenia, but few studies have explored their sleep experiences. This study aims to identify factors relevant to sleep problems and explore coping methods used by community-dwelling people with schizophrenia.

Methods

Eighteen participants with schizophrenia were recruited from three mental health centers in Taiwan. They completed a semi-structured interview and the Pittsburgh Sleep Quality Index (PSQI) assessment. The Person-Environment-Occupation model offered a framework to assess factors related to sleep. Thematic analysis was used for the qualitative data analysis.

Results

Factors related to sleep were classified under person, environment, and occupation domains. The person …

Objective Physiological Measures Of Lingual And Jaw Function In Healthy Individuals And Individuals With Dysphagia Due To Neurodegenerative Diseases, Megan E. Cuellar, Elizabeth Oommen

Faculty Research, Scholarly, and Creative Activity

Swallowing is a neuromuscular process that involves a complex sequence of sensorimotor events, which are executed to efficiently and safely transport food and liquid from the mouth to the stomach. Safe oropharyngeal swallowing involves the activation, modulation, and coordination of oral, pharyngeal, laryngeal, and esophageal structures and musculature. Impaired or atypical patterns of swallowing are considered characteristic of a swallowing disorder, otherwise referred to as dysphagia, and affect the performance of all stages, i.e., oral preparatory, oral transit, pharyngeal, and esophageal. Lingual and jaw musculature play critical roles in mediating swallowing function, particularly during the oral preparatory and oral transit …

The Age Of Artificial Intelligence: Use Of Digital Technology In Clinical Nutrition, Berkeley K. Limketkai, Kasuen Mauldin, Natalie Manitius, Laleh Jalilian, Bradley R. Salonen

Faculty Research, Scholarly, and Creative Activity

Purpose of review

Computing advances over the decades have catalyzed the pervasive integration of digital technology in the medical industry, now followed by similar applications for clinical nutrition. This review discusses the implementation of such technologies for nutrition, ranging from the use of mobile apps and wearable technologies to the development of decision support tools for parenteral nutrition and use of telehealth for remote assessment of nutrition.

Recent findings

Mobile applications and wearable technologies have provided opportunities for real-time collection of granular nutrition-related data. Machine learning has allowed for more complex analyses of the increasing volume of data collected. The …

Future Directions Of Doctor Of Public Health Education In The United States: A Qualitative Study, Chulwoo Park, Gene Migliaccio, Mark Edberg, Seble Frehywot, Geralyn Johnson

Faculty Research, Scholarly, and Creative Activity

Background: The Doctor of Public Health (DrPH) degree is an advanced and terminal professional degree that prepares the future workforce to engage in public health research, teaching, practice, and leadership. The purpose of the present research was to discuss the desirable future direction and optimal education strategies for the DrPH degree in the United States.

Methods: A total of 28 Council on Education for Public Health (CEPH)-accredited DrPH programs in the United States was identified through the Association of Schools and Programs of Public Health (ASPPH) Academic Program Finder. Then, a qualitative analysis was conducted to obtain perspectives from …

Developmental Ethanol Exposure Causes Central Nervous System Dysfunction And May Slow The Aging Process In A Drosophila Model Of Fetal Alcohol Spectrum Disorder, Khaoula Belhorma, Nahed Darwish, Elizabeth Benn-Hirsch, Annalisa Duenas, Hillary Gates, Navneet Sanghera, Jodie Wu, Rachael L. French

Faculty Research, Scholarly, and Creative Activity

Alcohol is a known teratogen, and developmental exposure to ethanol results in fetal alcohol spectrum disorder (FASD). Children born with FASD can exhibit a range of symptoms including low birth weight, microcephaly, and neurobehavioral problems. Treatment of patients with FASD is estimated to cost 4 billion dollars per year in the United States alone, and 2 million dollars per affected individual's lifetime. We have established Drosophila melanogaster as a model organism for the study of FASD. Here we report that mutations in Dementin (Dmtn), the Drosophila ortholog of the Alzheimer's disease-associated protein TMCC2, convey sensitivity to developmental ethanol exposure, …

Stress, Alcohol Use, And Punitive Parenting During The Covid-19 Pandemic, Jennifer Price Wolf, Bridget Freisthler, Caileigh Chadwick

Faculty Research, Scholarly, and Creative Activity

Background
Emerging research suggests that parents are experiencing heightened stress during the COVID-19 pandemic. Parental stress is a risk factor for harsh or punitive parenting, and this association may be exacerbated by the use of alcohol.
Objective
We examine whether parental stress is associated with use of punitive parenting, as well as whether this association is modified by drinking pattern.
Participants & setting
We used advertisements and word-of-mouth to recruit 342 parents living in Central Ohio during the initial stay-at-home order for COVID-19.
Methods
We used geographic ecological momentary assessment (gEMA) to measure parental stress and punitive parenting during three …

The Effects Of Telehealth On Patient Satisfaction And Information Recall For Breast Cancer Survivors During Covid-19, Stacey Teicher

Doctoral Projects

The coronavirus (COVID-19) pandemic has changed how cancer survivorship care is delivered. (Al‐Shamsi, 2020). To protect vulnerable breast cancer patients, health care providers are moving towards telecommunication such as telephone, video, and secure messaging (electronic mail) versus in-person visits to connect with their patients (Segelov et al., 2020) during this pandemic. Breast cancer survivorship visits can be safely deferred from in-person visits to telehealth visits (Dietz et al., 2020). This doctoral project examines the impact of transitioning from in-person to telehealth (telephone or video) visits on patient satisfaction and recall of information for breast cancer survivors reviewing their Survivorship …

Parenting In Poor Health: Examining Associations Between Parental Health, Prescription Drug Use, And Child Maltreatment, Jennifer Price Wolf, Bridget Freisthler, Karla Shockley Mccarthy

Faculty Research, Scholarly, and Creative Activity

Rationale
Child maltreatment and problematic parenting are related to negative outcomes for children. Poor parental health could be a risk factor for problematic parenting through several mechanisms: 1) inadequate emotional regulation and coping; 2) impairment of parental capacity; and, 3) impairment of the parent-child relationship.
Objective
This study examines relationships between self-rated parental health, prescription drug use, and a broad array of negative parenting outcomes.
Methods
A sample of general population parents of children aged ten and younger was recruited from 30 mid-sized cities in California (n = 681). Weighted mixed-effects negative binomial and logistic regression models were used to …

Promoting Civility In The Workplace: Addressing Bullying In New Graduate Nurses Using Simulation And Cognitive Rehearsal, Sandy Phan

Doctoral Projects

Bullying continues to be a widespread, devastating problem in nursing. Research indicates that bullying has a negative, rippling impact on nurses, organizations, and patient care. This evidence-based practice project aimed to enhance new graduate nurses’ abilities to identify and respond to bullying behaviors. The intervention used a mixed educational methodology of didactic, simulation role-play, and cognitive rehearsal. The project was implemented at a large academic healthcare system in Northern California. Outcomes were evaluated using Kirkpatrick levels 1-4 and the Clark Workplace Civility Index (CWCI). Participants reported that the educational intervention met intended learning objectives, enabled them to apply learned behaviors …

Improving Nurses’ Provision Of Neuroprotective Care In The Nicu: A Quality Improvement Project, Tammi Reeves-Messner

Doctoral Projects

Infants born prematurely (less than 37 weeks’ gestation) require specialized medical and nursing care to survive. Most of these babies require some form of respiratory, cardiovascular, thermal, and nutritional support as their bodies are not yet physiologically mature enough to handle these basic functions on their own. These supports include basic care such as diaper changes and feeding as well as life-saving interventions which include ventilation, intravenous nutrition, thermal regulation, and vasoactive medications. Depending on their gestational age or their diagnoses, they may require higher levels of support, such as nitric oxide gas delivered via a ventilator (Lai et al, …

The Effects Of Virtual Reality On Symptom Distress In Patients Undergoing Hematopoietic Stem Cell Transplant, Colleen Vega, Robin Whitney, Josef Hannah, Grant Smith

Doctoral Projects

The purpose of this QI project was to evaluate the effects of virtual reality (VR) on symptom distress experienced by individuals receiving an allogenic stem cell transplant. Allogenic transplants are associated with a moderate to high risk for distressing symptoms such as depression, anxiety, and pain. VR targets multiple sensory modalities, including auditory, visual or haptic experiences, by using computer-generated scenarios, which can interact with an individual and possibly diminish unpleasant symptoms. Twenty individuals aged 19 to 70 years (median age of 56.5 years) who were hospitalized in an academic setting received VR up to two sessions a week for …

Numerical Investigations Of Virus Transport Aboard A Commuter Bus, Hamid Rahai, Jeremy Bonifacio

Mineta Transportation Institute

The authors performed unsteady numerical simulations of virus/particle transport released from a hypothetical passenger aboard a commuter bus. The bus model was sized according to a typical city bus used to transport passengers within the city of Long Beach in California. The simulations were performed for the bus in transit and when the bus was at a bus stop opening the middle doors for 30 seconds for passenger boarding and drop off. The infected passenger was sitting in an aisle seat in the middle of the bus, releasing 1267 particles (viruses)/min. The bus ventilation system released air from two linear …

Using True Experiments To Study Culture: Manipulations, Measurement Issues, And The Question Of Appropriate Control Groups, Christine Ma-Kellams

Faculty Research, Scholarly, and Creative Activity

Social group memberships are primarily studied in quasi-experimental contexts, but how can culture, class and gender be manipulated in true experimental designs? This review highlights the different empirical strategies that can be used to manipulate “culture” as it relates to race/ethnicity (activation of thinking styles, language, and priming of cultural constructs), class (social standing, group status, or perceived social status), and gender (role salience, gender identity, sex hormone administration). I review measurement issues related to manipulation checks and the problem of what construct is tapped by the manipulation, appropriate control groups, and intersectional identities or group memberships.

“Feeling Clean”: Stigma And Intravaginal Practices Among Female Entertainment Workers In Cambodia, Carinne Brody, Rachel L. Berkowitz, Pheak Chhoun, Kathryn C. Kaplan, Sovannary Tuot, Siyan Yi

Faculty Research, Scholarly, and Creative Activity

Background

Intravaginal practices (IVPs), methods used by women most often to manage vaginal hygiene and address perceived disruptions to vaginal health, may increase the risk of contracting human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). This qualitative study explores the social, professional, and peer context surrounding IVPs, the experiences of self-cleaning or getting cleaned from a health professional, and the perceived impacts of IVPs among female entertainment workers (FEWs) in Cambodia.

Methods

In 2017, we conducted 27 focus group discussions from four provinces, and 16 follow-up semi-structured in-depth interviews with purposively selected participants in two provinces. Data collection …

Voice-Related Experiences Of Nonbinary Individuals (Veni) Development And Content Validity, Grace Shefcik, Pei-Tzu Tsai

Faculty Research, Scholarly, and Creative Activity

Transgender individuals may seek a variety of gender-affirming health and educational services, including voice modification from speech-language pathologists. Measuring the client's self-perception of their communication experiences is crucial for providing client-centered services and measuring outcomes. However, there is currently no validated assessment tool for the nonbinary population, a part of the transgender population. This study explores the voice-related concerns and experiences among the nonbinary population to create a valid measure of their self-perception of voice. Ten nonbinary individuals were surveyed about their voice-related concerns and experiences. A thematic analysis of the responses led to the development of the questionnaire, titled …

文理人 (Wenliren: Humanities, Science, Human), Lui Lam

Faculty Publications

No abstract provided.

Text Mining To Identify The Origin Of Chronic Wasting Disease, G. Webb

Faculty Research, Scholarly, and Creative Activity

Chronic wasting disease (CWD) is a 100 percent fatal, prion disease of deer that has the potential to decimate the deer population and jump to the human population. A simple Google search on the “origin of chronic wasting disease” yielded a total of 56 relevant articles. Of these, 75 percent report that the origin is unknown, 19.6 percent report that the disease may have originated in a Fort Collins, Colorado, government research facility, and 5.4 percent report other possible origins. Government sources reported the Fort Collins theory 4.3 percent of the time while non-governmental sources, such as news articles, reported …