Medicine and Health Sciences Commons^™

Assessment And Management Of Adult Obesity In A Primary Care Practice, Sherry M. Adkins

Master of Public Health Program Student Publications

Purpose: The purpose of this project was to describe primary care physician adherence to National Heart Lung and Blood Institute (NHLBI) Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (1998) and to explore patient characteristics associated with physician assessment and management behaviors. Patient characteristics included age, sex, race, BMI, associated disease risk, and Medicaid coverage.

Methods: A chart abstraction of 99 randomly selected adult patients with at least one visit to a particular primary care practice during a 12-month period was completed. Patients were not pregnant during the year of review, and had a …

Perinatal Or Adult Nf1 Inactivation Using Tamoxifen-Inducible Plpcre Each Cause Neurofibroma Formation, Debra A. Mayes, Tilat A. Rizvi, Jose A. Cancelas, Nathan T. Kolasinski, Georgianne M. Ciraolo, Anat O. Stemmer-Rachamimov, Nancy Ratner

Neuroscience, Cell Biology & Physiology Faculty Publications

OBJECTIVES

Neurofibromas are tumors initiated by biallelic mutation of the NF1 tumor suppressor gene in the Schwann cell lineage. One idea within the field suggests that Nf1loss must occur within progenitor cells present within a critical window during Schwann cell development in order for neurofibromas to form. To test this hypothesis and to examine whethermyelinating Schwann cells can serve as aneurofibroma cell of origin, Nf1 loss was induced at perinatal or adult timepoints using a tamoxifen-inducible Plp-CreERT driver.

RESULTS

Perinatal loss of Nf1 resulted in small neurofibromas late in life, while adult loss caused large neurofibromas and morbidity beginning …

The Influence Of School Eating Environment On Children's Eating Behaviors: An Examination Of The Snda-Iii, Sabrina M. Neeley

Master of Public Health Program Student Publications

The prevalence of childhood overweight and obesity in the United States has prompted researchers to examine the factors that contribute to children’s food choices and consumption. Schools provide ample opportunities to teach children healthy eating habits, as well as create eating environments that are conducive to healthy eating behaviors. The National School Lunch Program (NSLP) provides federally assisted meals to millions of children every day and the assessment of the NSLP provides an opportunity to examine the school-eating environment. Hierarchical and logistic modeling of the SNDA-III, the USDA assessment of the NSLP, was conducted to determine relationships between environmental factors …

Prevalence, Knowledge, And Concern About Bed Bugs, Mary Beth Kaylor

Master of Public Health Program Student Publications

Recent research suggests that the United States and the world are on the verge of a bed bug pandemic. Assumptions have been made that socioeconomic status is not an indicator and that bed bugs are not competent disease vectors. However, little information is available at the local level about the prevalence of bed bugs in private homes. This study aimed to identify prevalence, knowledge, and concern about bed bugs in one village in Ohio. Responses from 96 individuals who completed the Prevalence, Knowledge, and Concern about Bed Bugs (PK CABB) survey were utilized for data analysis. The majority of the …

Worksite Wellness: An Administrative Perspective, Neha Kumar

Master of Public Health Program Student Publications

Objective: To develop a better understanding of businesses’ goals and purpose for offering worksite wellness opportunities and the level of administrative support for worksite wellness programs.

Method: Human resource directors, benefit managers, or other administrators of 76 businesses that have contracted with Premier Community Health in the past 2 years were contacted by e-mail to complete a standardized online survey on SurveyMonkey®. The survey included questions about the businesses worksite wellness current programs and future interests. In addition, data on how often businesses have utilized each of the PCH worksite offerings over the past 2 years was collected from the …

Identifying Training Gaps In Rq-7b Shadow: A U.S. Army Unmanned Aircraft System, John E. Stewart, Martin L. Bink

International Symposium on Aviation Psychology - 2011

The mission of the RQ-7B has changed radically since 2003, when unmanned aircraft system (UAS) ownership shifted from Military Intelligence (MI) to Army Aviation. Instead of passive observation, RQ-7B operators must now acquire active scout-reconnaissance skills. Initial training takes place at Ft. Huachuca, AZ, the Army’s main MI installation. Operators then report to their unit, usually a Brigade Combat Team (BCT). This research focused on (a) type training received at the schoolhouse (MI/scout-reconnaissance), (b) training received at the BCT, and (c) opportunities for training. It was found that schoolhouse training still was primarily MI, (e.g., image analysis and vehicle identification). …

Preliminary Program Assessment For Attracting Physically Disabled Individuals To Aviation, Erin E. Bowen, Bernie Wulle, Michael E. Jednachowski

International Symposium on Aviation Psychology - 2011

Developing effective aircraft piloting skills takes years of training with qualified experts to meet and exceed flight certification requirements. Not everyone who desires to can reach those standards, and the challenge is even greater for those with physical disabilities who desire to learn to fly. While considered uncommon, there are opportunities that seek to modify aircraft and train physically impaired students to be pilots. However, little research has been done on whether there also needs to be modification in the approach of flight and ground instructors when training impaired students. The present study presents preliminary findings of a qualitative study …

Effects Of Commuting On Crewmember Fatigue: A Comprehensive Study In Support Of Risk Management, Lori J. Brown, Geoff Whitehurst

International Symposium on Aviation Psychology - 2011

The need to reduce accidents and incidents caused by human fatigue in the aviation industry remains on the National Transportation Safety Boards’ (NTSB), most wanted list. At many airlines, crewmembers are forced to work to the point of exhaustion because of: poorly scheduled duty time; lengthened duty days; minimum scheduled rest requirements; working the backside of the clock, multiple short-haul legs; and long commutes to work. Although, commuting, in the context of aviation, has yet to be defined, the U.S. Census Bureau defines an ‘extreme commute’ as a travel 90 minutes or more, each way to work. Americans who endure …

Towards Integrating Traffic And Terrain Constraints Into A Vertical Situation Display, C. Borst, P. Rijneveld, M. Mulder, M.M. (René) Van Paassen

International Symposium on Aviation Psychology - 2011

Future airspace operations will allow flight crews to plan and fly their own preferred route and time of arrival without much intervention from air traffic control. Thereby, pilots will become more responsible for planning their own route while maintaining safe separations from traffic and/or terrain. This demands for strategic and tactical planning tools that supports pilots in these tasks. The work in this paper focuses on supporting the airborne separation assurance task in the vertical plane by means of portraying traffic and terrain conflict zones onto an enhanced Vertical Situation Display. In a simulator evaluation the experimental display was compared …

Improving Human Factors Training: Perceptions Of Retired Aircraft Maintenance Technicians, Kim Wayne Robinson

International Symposium on Aviation Psychology - 2011

Human Factors training is a major concern for airlines and Maintenance Repair Organizations. This study taps into the reservoir of knowledge and experience of retired Aircraft Maintenance Technicians (AMTs) with respect to aviation maintenance human factors. A survey was given to retired AMTs with 20-30 years of maintenance experience to rank the relative importance of each of the FAA’s Dirty Dozen of human factors in maintenance accidents. Follow-up focus groups were conducted to further explore recommendations on how to prevent human factor accidents related to maintenance. This paper discusses the findings from the original survey and preliminary findings from the …

Selection Requirements To Work In Future Atm Systems, Hinnerk Eißfeldt, Alexander Heintz, Dirk Schulze Kissing

International Symposium on Aviation Psychology - 2011

Different findings concerning staff selection requirements for future Air Traffic Management (ATM) resulting from empirical studies and expert judgement are summarised. The biggest impacts are foreseen for ATCO’s, commercial pilots, ATM technical staff and a/c maintenance staff, mainly related to advanced ATM concept features. An empirical study involving ATCOs and pilots encompassing workshops and simulations studying elements of a free flight scenario revealed significant changes in ability requirements for ATCOs and pilots. They indicate higher ability requirements for pilots in future ATM systems and only small changes for air traffic controllers. Pilot and air traffic controller profiles are likely to …

The Selection Of Commercial Astronauts For Suborbital Spaceflight, Brian Kozak, Denver Lopp, John Young, Tim Ropp

International Symposium on Aviation Psychology - 2011

When SpaceShipOne won the Ansari X-Prize in 2004, it launched the commercial space tourism industry. In 2007 Burt Rutan said, “We think that 100,000 people will fly by 2020” (Rutan, 2007). This will create a need for qualified crews to operate these spacecraft. The purpose of this qualitative, exploratory study was to investigate the possible selection criteria of these crews. Data was collected from telephone and email interviews with four U.S.-suborbital space tourism companies and Purdue University's astronaut alumni network. Grounded Theory and Truth and Reality Testing were used as the theoretical framework for data analysis. The data gathered suggests …

Display Requirements And Alerting Modalities Of A Flight Deck Based Runway Safety Alerting System, Peter M. Moertl Ph.D., Kathleen Mcgarry Ph.D.

International Symposium on Aviation Psychology - 2011

This paper presents the results of a human in the loop simulation that evaluated the display of runway safety relevant traffic and runway indications and alerts on a cockpit display of traffic information (CDTI). The simulation investigated differences between directive versus nondirective alert types and between an airport map with and without taxiway information. 24 pilots evaluated the CDTI in 18 airport surface scenarios that contained conflict opportunities. Findings indicate that with directive alerts, pilots avoided all conflict opportunities, while with nondirective alerts 90 % of conflicts were avoided. Response to directive alerts was generally faster than to non-directive alerts. …

An Examination Of A Conceptual Framework For Processing And Integrating Information, Asha H. Smith Ph.D., Immanuel Barshi Ph.D.

International Symposium on Aviation Psychology - 2011

Flight crews rely on displays to assess the state of individual aircraft systems and to remain cognizant of how those systems interact. Degani, et al. (2009) suggest that understanding how humans routinely interpret complex environments should aid in creating displays that help flight crews gain holistic understandings of their vehicles. They propose a six-level hierarchy representing how humans integrate large amounts information. The current experiment sought to understand the costs and benefits of solving classic logic problems when details are presented at key levels of this hierarchy. The results showed that displays representing the highest level of the hierarchy yielded …

Applying The Reliance-Compliance Model To System-Wide Trust Theory In An Aviation Task, Kasha Geels, Stephen Rice, Jeremy Schwark, Hayle Hunt, Joshua Sandry

International Symposium on Aviation Psychology - 2011

System-wide trust (SWT) strategy can occur when operators encounter multiple aids of differing reliabilities. Keller and Rice (2010) have shown effects of one unreliable aid influencing a perfectly reliable aid; participants had a tendency to treat both aids as one entire unit (SWT) rather than as two separate aids (component-specific trust). One limitation was that the use of only two diagnostic aids may not have been enough to generalize their results. This study seeks to further explore SWT with additional aids. Participants performed a 4-gauge monitoring task augmented by a diagnostic aid that provided recommendations of failures. The aids were …

Application Of A Human Error Taxonomy For The Identification Of Air Traffic Control Errors And Causal Factors, Katherine Berry, Michael Sawyer

International Symposium on Aviation Psychology - 2011

With the complexity of the National Airspace System, a comprehensive taxonomy is needed to classify incident causal factors within the air traffic control (ATC) industry. These causal factors must not be limited to the individual involved in the incident, but must extend to the role of management and the organization. The Human Factors Analysis and Classification System (HFACS) is a human error taxonomy when integrated into the incident investigation process permits for causal factors to be classified at various system levels. Utilizing HFACS, this study investigates human performance within the ATC industry and classifies ATC incidents cases using HFACS, investigates …

Situation Analysis Of Disability Resources And Needs Of Shantytowns Near Lima, Peru, Jessica Hunt

Master of Public Health Program Student Publications

Individuals in shantytowns of Lima, Peru experience unique challenges due to socioeconomic status and perceived inabilities. A situation analysis using qualitative ethnographic interviews of key participants (n=15) and one focus group (n=7) was conducted to explore life with disability in a shantytown of Lima, Peru. Findings showed that individuals with disability face physical and attitudinal barriers that limit social inclusion through the avenues of rehabilitation, education, and employment. The familial complex is expected to provide care for the individual with disability. The adult family member often chooses between providing income for the household and providing care and safety for their …

Effects Of Xs® Energy Drink On Aerobic Exercise Capacity Of Athletes, Kevin M. Sheehan, Lynn K. Hartzler

Biological Sciences Faculty Publications

A small increase in performance is often the difference between winning and losing for athletes, and energy supplements are marketed to give them a competitive edge. One such supplement is XS® Energy Drink which contains B vitamins, caffeine, taurine, and an herbal adaptogen blend. XS® Energy Drink is primarily designed and marketed as an alertness stimulus; however, it is also marketed to athletes as a performance enhancing supplement. The hypothesis of this investigation was that the consumption of XS® Energy Drink before exercise would increase aerobic capacity (an increase in Vo2max) and time to fatigue, and would decrease time for …

Impact Of Simulator Out-The-Window Visual Display Resolution On Air-To-Ground Skill Performance, Jamie L. Estock, Melinda K. Seibert, Dr. Elliot E. Entin

International Symposium on Aviation Psychology - 2011

Previous research revealed no difference in air-to-air skill performance between instructor pilots who flew a simulator with a narrow out-the-window visual display field-of-view and instructor pilots who flew a simulator with a wide field-of-view. To evaluate the generalizability of these results to a different fidelity dimension, mission, and pilot type, the current study assessed the impact of out-the-window visual display resolution on air-to-ground skill performance of less experienced pilots. In the current study, 18 F/A-18 Fleet Replacement Squadron pilots flew air-to-ground training missions in two simulators that differed in their visual display resolution. F/A-18 subject matter experts assessed pilot performance …

Complex Data Integration For Training In Technologically-Advanced Aircraft, Michael S. Nolan, Erin E. Bowen, Michael W. Suckow, Morgan E. Hall, Brent D. Bowen

International Symposium on Aviation Psychology - 2011

Flight data collection systems have been used for many years to help monitor and trend flight parameters to better understand aircraft performance and maintenance. However, this information is rarely used to understand and enhance cognitive/behavioral factors impacting flight and maintenance training. This conceptual paper outlines a strategic research model in the collegiate aviation setting, designed to manage the successful integration of data from technologically-advanced aircraft (TAA) into flight, maintenance, and dispatch training and operations. A critical review of the key issues and approach framework should be discussed in the research community. The model will address issues of organizational change management, …

Integrating Aircrew Resources Variability Into The Design Of Future Cockpit, Barbara Mawhin, Philippe Cabon, Florence Buratto

International Symposium on Aviation Psychology - 2011

Cockpit design may have major consequences on future pilot’s tasks. Functions needed to ensure flight safety are shared between pilots and aircraft systems. Today, cockpits are designed considering a theoretical minimum level of crew resources availability although it is widely acknowledged that availability of crew resources may vary from time to time because of aircrew internal state. Therefore, it is crucial to ensure that future cockpits are designed while taking into consideration this variability. This work aims at developing a methodology enabling designer to systematically integrate crew resources availability in the design process. In order to assess the impact of …

A Large Scale Validation Study On Air Traffic Controller Selection And Training – Design, Challenges And Results, Kristin Conzelmann, Alexander Heintz, Hinnerk Eißfeldt

International Symposium on Aviation Psychology - 2011

A validation study with 476 air traffic controller trainees of DFS German Air Navigation Services has been set up, encompassing the complete data from the selection of candidates to the completion of their training. The design includes a detailed coding of interview contents, questionnaire data, and results of the reference sample of 13,716 applicants. Data analysis involves the prediction of training success, training performance, and trainees’ personal evaluation of the selection and training process. The success rate of 81 % was satisfactory. Selection measures were adequate to predict pass-fail and performance criteria from institutional training (i.e., theoretical exams). Basic ability …

Delta Air Lines Pilot Selection: 10 Years Of Validation Results, Carl C. Hoffmann, Sally H. Spetz, Arianna K. Hoffmann

International Symposium on Aviation Psychology - 2011

In the early 1990s Delta Air Lines was faced with a changing pool from which to recruit its pilots, as well as a change in the technology and management of the cockpit. Delta committed to developing a new selection process. After analyzing the results from over a dozen potential tests, three were chosen: CogScreen, the NEO PR-I, and a custom developed Job Knowledge Test. Initial analysis indicated the measures were highly predictive of performance in the cockpit and in training. The cohort of 339 pilots used to validate the selection process has now been followed for 12 years to examine …

Development Of An Advanced Net‐Centric Communication Management Suite: Multi‐Modal Communication, Victor Finomore, Kelly Satterfield, Courtney Castle, Dianne Popik, Ron Dallman, John Stewart

International Symposium on Aviation Psychology - 2011

Even with advanced collaborative technology, communication remains a critical component to the success of a mission. Command and Control (C2) operators rely heavily on radio and chat communication to efficiently plan, direct, coordinate, and control assets. With the shift towards network‐centric warfare, standard radio communication needs to meet the needs of today’s warfighter. A net‐centric communication management suite called Multi‐Modal Communication (MMC) has been developed to increase the performance and situational awareness of the operator while also alleviating the workload and errors associated with this communication intensive environment. This integrated system captures, displays, records, and archives radio and chat‐based communication …

Human-Centered Design To Support Flexibility And Adaptability In Airport Surface Management, Alicia Borgman Fernandes, Phillip J. Smith

International Symposium on Aviation Psychology - 2011

Airport surface delays can impact airport surface congestion, operational costs, environmental emissions, and passenger satisfaction. We report on structured interviews and observational studies at two US airports with different approaches to managing surface delays. Each approach requires human judgment to set and adapt control parameters to manage departure flows. We contrast these approaches in terms of: 1) distribution of roles and responsibilities; 2) human judgments required; 3) enforcement of flight operator compliance; and 4) tools for coordination and decision support. Guidance is provided for designing and implementing human-centered surface management programs based on an analysis of these approaches.

The Effect Of Prenatal Care And Other Factors On Preterm Births In Montgomery County 2007-2009, Leslie A. Schmieder

Master of Public Health Program Student Publications

Introduction Preterm birth is defined as a baby who is born before 37 weeks of pregnancy. Problems with preterm birth include an increased risk for health complications throughout life as well as having significantly more medical expenses compared to a full term infant. Prenatal care has shown to decrease the risk for preterm birth nationally. The objective of this project was to analyze prenatal care and other risk and demographic factors to determine their association with preterm birth in Montgomery County.

Method Data used included the 2007-2009 Montgomery County Birth Certificate Data for mothers who had singleton births. The Kessner …

Population Pharmacokinetic (Pk) And Pharmacodynamic (Pd) Modeling Of Ticarcillin‐Clavulanate In Pediatric Cf Patients, Jeffery T. Zobell, Chris Stockmann, D. C. Young, Jared Cash, Catherine M.T. Sherwin, Michael G. Spigarelli, Barbara A. Chatfield, Krow Ampofo

Pediatrics Faculty Publications

No abstract provided.

Ethical Issues In Global Health Education, David Barnard, T. Thuy Bui, Jack Chase, Evaleen Jones, Scott Loeliger, Anvar Velji, Mary T. White

Population and Public Health Sciences Faculty Publications

No abstract provided.

Pertussis In Ohio: A Descriptive Analysis Of The 2010 Columbus Outbreak And Patterns Of A Reemerging Childhood Disease, Christopher Rohde

Master of Public Health Program Student Publications

Objective: In 2010, Columbus, Ohio experienced the largest outbreak of pertussis that it has had in the past 25 years. Similar outbreaks are occurring across the nation on an increasing basis. This descriptive study examines the 2010 outbreak and describes the demographics of the affected population. Comparison is made to previous and current pertussis incidence in Ohio and outbreaks elsewhere in the United States. Contributing factors to the increasing occurrence of pertussis outbreaks are discussed.

Methods: Raw data was obtained from the Columbus Public Health epidemiology department and is gathered through the Ohio Disease Reporting System (ODRS). Pertussis cases are …

Prevalence Of Obesity Among Head Start Preschoolers In Western Ohio, Angela Sims

Master of Public Health Program Student Publications

Objective: The intent of this study was to examine low income Head Start overweight and obese preschoolers, ages 3-5, in 8 western Ohio counties. Variables of interest included: obesity status, rural versus metropolitan location, home versus center-based Head Start, and access to physicians.

Methods: Data was collected retrospectively from the host Head Start site located in Piqua, Ohio. All Head Start enrolled preschoolers (N=1,181) ages 3 to 5 within the 8 western Ohio counties and 43 programs were studied. All children were considered of low income based on their acceptance into the Head Start program.

The data was retrieved from …