Medicine and Health Sciences Commons^™

Can Anyone With Low Income Be Food Secure?: Mitigating Food Insecurity Among Low Income Households With Children In The Tampa Bay Area, Edgar Allan Amador

USF Tampa Graduate Theses and Dissertations

In the US over the last few years, approximately 14.5% of households experience food insecurity at some point throughout the year. While studies on food insecurity in the US have determined that household income and specifically income available to spend on food is of critical importance to food security, it is still unclear why some households with low income are able to maintain food security while others experience food insecurity in a pattern characterized as not constant but recurrent. This dissertation compares households with children at different levels of food security and insecurity using the USDA Core Food Security Module …

Direct Evidence For Calcineurin Binding To The Exon-7 Loop Of The Sodium-Bicarbonate Transporter Nbcn1, Harindarpal S. Gill, Eric D. Roush, Lauren Dutcher, Samir Patel

Medicine Faculty Publications

The NaHCO3 cotransporter NBCn1 plays a role in neutralizing intracellular acid loads at the basolateral membrane in cells of the medullary thick ascending limb (mTAL). Calcineurin inhibitors (Cn-Is) are known to both downregulate NBCn1 expression in the distal nephron and cause renal tubular acidosis (RTA), a risk factor for nephrocalcinosis and nephrolithiasis. In this report, we provide a new perspective on concurrent studies of NBCn1 in various tissues by using cell-free binding assays to investigate the interaction of NBCn1 with the calcineurin (Cn) isoform PPP3CA. Surface plasmon resonance (SPR) analyses show that the protein domain Exon 7 (translated from cassette …

Dual-Channel Red/Blue Fluorescence Dosimetry With Broadband Reflectance Spectroscopic Correction Measures Protoporphyrin Ix Production During Photodynamic Therapy Of Actinic Keratosis, Stephen Chad Kanick, Scott C. Davis, Yan Zhao, Tayyaba Hasan, Edward V. Maytin, Brian W. Pogue, M Shane Chapman

Dartmouth Scholarship

Dosimetry for aminolevulinic acid (ALA)-induced protoporphyrin IX (PpIX) photodynamic therapy of actinic keratosis was examined with an optimized fluorescence dosimeter to measure PpIX during treatment. While insufficient PpIX generation may be an indicator of incomplete response, there exists no standardized method to quantitate PpIX production at depths in the skin during clinical treatments. In this study, a spectrometer-based point probe dosimeter system was used to sample PpIX fluorescence from superficial (blue wavelength excitation) and deeper (red wavelength excitation) tissue layers. Broadband white light spectroscopy (WLS) was used to monitor aspects of vascular physiology and inform a correction of fluorescence for …

Perceived Impacts Of A Public Health Training Center Field Placement Program Among Trainees: Findings From A Small Group Externship Experience, Patrik Johansson, Brandon Grimm, Tarik Abdel-Monem, Stacey J. Hoffman, Mark Dekraai, Analisa Mcmillan

University of Nebraska Public Policy Center: Publications

There is heightened interest in identifying the impact of the federally funded Public Health Training Center (PHTC) program. Although evaluation studies have been conducted of public health training in general, evaluations of PHTC programs are rare. Field placement components are congressionally mandated requirements of PHTCs. Field placements are typically intensive, supervised externships for students to gain public health experience with local health departments or non-profit organizations. We have found no published evaluations of PHTC field placement components. This may be because of their small size and unique nature. We designed and evaluated a 200-h field placement program at an established …

Cost-Effectiveness Of Treating Oppositional Defiant Disorder: A Comparison By Treatment Modality And Mental Health Provider Type, Julie Denise Malloy

Theses and Dissertations

This study examined the treatment outcomes for Oppositional Defiant Disorder by provider license type and therapy modality. Administrative data from Cigna Insurance Company for 9,904 ODD cases were analyzed to determine the cost, number of sessions, dropout rates, and recidivism rates for treatment of ODD. Descriptive statistics indicate that the mean cost of treatment for ODD across all professions is $389.83. Analyses revealed significant differences in total cost by profession, as well as cost per session for different license types with counselors providing therapy for the lowest average total cost, followed by MFTs, MSWs, Psychologists and then MDs. Chi square …

Story Generation Ability In Four Children With Language Impairment, Monica Leroy Chamberlain

Theses and Dissertations

This thesis project focused on the complexity of story generations produced by four children with language impairment across treatment sessions. Specifically, the participants' utterances were analyzed to determine if the children produced simple story elements and/or more complex cause/effect story elements. The children's utterances were also analyzed to identify emotion words in order to consider the children's awareness of the emotions experienced by characters in the stories. All participants approached the story generation task by describing characters and actions based on pictures from the book. Two participants did not express any causal relationships and two participants expressed some awareness of …

Will Hiv Vaccination Reshape Hiv Risk Behavior Networks? A Social Network Analysis Of Drug Users' Anticipated Risk Compensation, April M. Young, Daniel S. Halgin, Ralph J. Diclemente, Claire E. Sterk, Jennifer R. Havens

Epidemiology and Environmental Health Faculty Publications

Background

An HIV vaccine could substantially impact the epidemic. However, risk compensation (RC), or post-vaccination increase in risk behavior, could present a major challenge. The methodology used in previous studies of risk compensation has been almost exclusively individual-level in focus, and has not explored how increased risk behavior could affect the connectivity of risk networks. This study examined the impact of anticipated HIV vaccine-related RC on the structure of high-risk drug users' sexual and injection risk network.

Methods

A sample of 433 rural drug users in the US provided data on their risk relationships (i.e., those involving recent unprotected sex …

Young Children's Enjoyment Of Physical Activity, Samantha Renae Hudson

Master's Theses and Doctoral Dissertations

Young children are currently understudied in the area of physical activity enjoyment. Since young children lack the cognitive skills which motivate many adults to participate in physical activity, they have a unique need for specialized intervention programs. The present study explores how enjoyment of physical activity in young children is related to their actual levels of physical activity. Modified versions of the Physical Activity Enjoyment Scale (PACES) and the Physical Activity Questionnaire for Older Children (PAQ-C) were used to discover if such a relationship exists in kindergarten students from a multi-ethnic, suburban elementary school. While no significant correlation was found …

Frequency Of Retinopathy Of Prematurity In Premature Neonates With A Birth Weight Below 1500 Grams And A Gestational Age Less Than 32 Weeks: A Study From A Tertiary Care Hospital In A Lower-Middle Income Country, Arjumand Sohaila, Shiyam Sunder Tikmani, Iqtidar Ahmed Khan, Huba Atiq, Ali Syed Muhammad Akhtar, Prem Kumar, Kishwer Kumar

Department of Emergency Medicine

Introduction: Retinopathy of prematurity (ROP) is a treatable cause of blindness in neonates. In Pakistan, ROP is often not recognized early because screening and treatment programs are not yet in place in most neonatal units, even in tertiary care hospitals. It is hoped that this report will help inform medical professionals of the magnitude of the problem and help to design appropriate management strategies.

Objectives: The aim was to determine the frequency of ROP in premature and very low birth weight (BW) neonates (BW(GA)weeks).

Study Design: Cross-sectional study.

Study Setting : Neonatal intensive care unit (NICU) of a tertiary care …

A Model Of Grammatical Category Acquisition In The Spanish Language Using Adaptation And Selection, Camille Lorraine Judd

Theses and Dissertations

Most typically developing children have achieved a knowledge of the grammatical categories of the words in their native language by school age. To model this achievement, researchers have developed a variety of explicit, testable models or algorithms which have had partial but promising success in extracting the grammatical word categories from the transcriptions of caregiver input to children. Additional insight into children's learning of the grammatical categories of words might be obtained from an application of evolutionary computing algorithms, which simulate principles of evolutionary biology such as variation, adaptive change, self-regulation, and inheritance. Thus far, however, this approach has only …

Metabolomics Analysis Identifies Intestinal Microbiota-Derived Biomarkers Of Colonization Resistance In Clindamycin-Treated Mice, Robin L.P. Jump, Myreen Tomas, Abhishek Deshpande, Curtis J. Donskey

Faculty Scholarship

Background: The intestinal microbiota protect the host against enteric pathogens through a defense mechanism termed colonization resistance. Antibiotics excreted into the intestinal tract may disrupt colonization resistance and alter normal metabolic functions of the microbiota. We used a mouse model to test the hypothesis that alterations in levels of bacterial metabolites in fecal specimens could provide useful biomarkers indicating disrupted or intact colonization resistance after antibiotic treatment. Methods: To assess in vivo colonization resistance, mice were challenged with oral vancomycin-resistant Enterococcus or Clostridium difficile spores at varying time points after treatment with the lincosamide antibiotic clindamycin. For concurrent groups of …

A Mosaic Of Creativity In Occupational Therapy, Molly Bathje

The Open Journal of Occupational Therapy

Martha Branson-Banks, OT, provided the cover art for the summer 2014 issue of the Open Journal of Occupational Therapy. The piece is titled “Garden with thanks to Klimt” and is one of several mosaic art pieces in her collection of works. She created the piece with art glass and resin on an abandoned door. Her use of a repurposed door represents her belief in the capacity for transformation and beauty within each individual she has treated and taught throughout her career. Martha’s work as an occupational therapist, educator, and artist reminds us of the foundational beliefs of the occupational …

Impact Of International Collaborative Project On Cultural Competence Among Occupational Therapy Students, Divya Sood, Danila Cepa, Sebestina Anita Dsouza, Shovan Saha, Ruby Aikat, Alicia Tuuk

The Open Journal of Occupational Therapy

Occupational therapy (OT) educators recognize a need to ensure that OT students are culturally competent. The researchers developed the International Collaborative Project on Cultural Competence (ICPCC) to help students understand the impact of cultural context on client care. Entry-level MOT students from a university in the US (N = 18) collaborated with BOT students (N = 4) and advanced MOT students (N = 9) from two universities in India using an online course management system WebCT. The study explored the impact of the ICPCC on OT students’ cultural competence and discusses students’ perceptions of culture on the OT process. The …

The Relationship Between Admission Criteria And Fieldwork Performance In A Masters-Level Ot Program: Implications For Admissions, Molly Bathje, Rebecca Ozelie, Elisabeth Deavila

The Open Journal of Occupational Therapy

Occupational therapy (OT) graduate programs strive to produce an effective OT workforce with competent and engaged OT practitioners. Admission into OT graduate programs is an increasingly competitive process, with most programs having more applicants than spaces available. Programs need to select applicants that will be the most successful in meeting graduation requirements, including both academic and clinical components. This pilot study was designed to examine the relationship between admission criteria and fieldwork (FW) performance. The study utilized a retrospective analysis with a convenience sample of 108 students with complete data from a private university in the Midwest. Independent variables of …

Developing Bilateral And Spatial Concepts In Primary School-Aged Children: An Empirical Evaluation Of The Anker Bilateral Spatial System, Janet E. Richmond, Myra Taylor, Sarah Evans

The Open Journal of Occupational Therapy

Background: Visual-spatial and visual-motor perceptual difficulties contribute to school-aged learning problems. Hence, a need exists to address children’s visual-spatial and visual-motor perceptual difficulties as early as possible in the child’s school career. Thus, this study reports on the evaluation of the Anker Bilateral Spatial System’s (ABSS) effectiveness in remediating primary school children’s perceptual difficulties.

Method: Thirty-one children (17 boys and 14 girls) aged 6 to 12 years who had been identified by their classroom teacher as having observable visual-spatial and visual-motor perceptual difficulties participated in a 10-week pre/posttest intervention study. The study’s pre/posttest assessments included the Developmental Test of Visual-Motor …

The Impact Of Fear Of Falling On Functional Independence Among Older Adults Receiving Home Health Services, Katherine A. Lawson, Eugenia Catalina Gonzalez

The Open Journal of Occupational Therapy

Background: Falls are the fifth leading cause of death for adults aged 65 years and older. Several intrinsic and extrinsic fall risk factors have been identified, butthere is less understanding of the impact of a fear of falling on falls. Seventy percent of recent fallers and 40% percent of non-fallers report a fear of falling. Therefore, the purpose of this study was to examine the correlation between a fear of falling and a history of falls, as well as the impact on the functional independence of community-dwelling older adults receiving home health services.

Methods: The participants completed the …

Occupational Therapy After Myocardial Or Cerebrovascular Infarction: Which Factors Influence Referrals?, Julia Drosselmeyer, Achim Jockwig, Karel Kostev, Christina Heilmaier

The Open Journal of Occupational Therapy

Background: Cardiovascular diseases remain the number one cause of death worldwide, and many survivors suffer lasting disabilities. Occupational therapy can help such patients regain as much function as possible. However, little is known about the factors influencing referrals to occupational therapy after stroke or myocardial infarction (MI).

Method: Data from the IMS Disease Analyzer^® database were observed for a three-year period. The study population included 7,440 patients who were examined by a cardiologist due to stroke or MI. In addition to baseline characteristics, the presence of certain cardiovascular risk factors or comorbidities was recorded. Cox regression analyses were performed …

Influence Of Home Environment On Participation In Home Activities Of Children With An Autism Spectrum Disorder, Divya Sood, Patti Lavesser, Caren Schranz

The Open Journal of Occupational Therapy

Background: This study explored the key physical and social factors within the home environment that influence the participation of children with an ASD in home activities.

Method: Step 1 used a correlational research design to identify relationships between the home environment and participation patterns of children with ASD. Twenty-two children, ages 3 to 6 years, with a diagnosis of ASD participated. Data were collected using the Preschool Activity Card Sort (PACS), Home Observation for Measurement of the Environment Inventory (HOME), Parenting Stress Index (PSI), Social Responsiveness Scale (SRS), and Hollingshead Four Factor Index of Social Status (ISS). In Step 2, …

Questions About Race As A Research Variable, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Integrative Health Studies Newsletter, Ciis

Integrative Health Studies Newsletter

This is the Summer 2014 issue of the Integrative Health Studies Newsletter at CIIS.

A Study To Determine Student Perceptions Of The Cal Poly Veterinary Clinic, Fallon Bliss Sheridan

Master's Theses

The purpose of this study was to determine the important benefits of Cal Poly Veterinary Clinic (CPVC) and establish areas of interest for the students at the CPVC. The CPVC is a student run veterinary clinic that exposes students to teachable hands-on veterinary experiences by addressing the needs of animals on campus as well as animals in the San Luis Obispo.

This study thoroughly investigated the student who have taken or are currently taking any of the five courses taught at the CPVC. The research was accomplished through a survey questionnaire. The student questionnaire was conducted by the researcher at …

Healthnet News V.29:No.2 Summer 2014, Wendy Urciuoli, Alberta Richetelle, Teri Shiel

Articles - Patient Care

New face at Healthnet! Wendy Urciuoli has taken Judy Kronick’s place, and will work with Alberta Richetelle, Healthnet program director. UConn Health librarian, Teri Shiel will provide artistic direction for the newsletter.

Tooth Loss Strongly Associates With Malnutrition In Chronic Kidney Disease, Efthimia Effie Ioannidou, Helen Swede

UCHC Articles - Research

Background

In chronic kidney disease (CKD), inadequate nutritional intake, inflammation, and increased oxidative stress have been the major contributing factors in malnutrition pathogenesis. However, there is still a paucity of evidence assessing the magnitude of the effect of tooth loss on malnutrition in CKD populations. The authors hypothesize that among patients with CKD, tooth loss may affect nutritional status, using the National Health and Nutrition Examination Survey 1988 to 1994 (NHANES III).

Methods

Glomerular filtration rate (GFR) was estimated based on cystatin C levels using the relevant equation. Urinary albumin-to-creatinine ratio (albuminuria) was calculated in milligrams per gram with a …

Prize Contingency Management For Smoking Cessation: A Randomized Trial, Nancy M. Petry, Sheila M. Alessi

UCHC Articles - Research

Abstract

Background

Adjunctive behavioral smoking cessation treatments have the potential to improve outcomes beyond standard care. The present study had two aims: 1) compare standard care (SC) for smoking (four weeks of brief counseling and monitoring) to SC plus prize-based contingency management (CM), involving the chance to earn prizes on days with demonstrated smoking abstinence (carbon monoxide (CO) ≤6ppm); and 2) compare the relative efficacy of two prize reinforcement schedules - one a traditional CM schedule, and the second an early enhanced CM schedule providing greater reinforcement magnitude in the initial week of treatment but equal overall reinforcement.

Methods

Participants …

Synthetic Lethality Induced By A Strong Drosophila Enhancer Of Expanded Polyglutamine Tract, Ping Zhang, Qiming Wang, Hannah Hughes, Gino Intrieri

Open Access Author Fund Awardees' Articles

Proteins containing an expanded polyglutamine tract are neurotoxins. The expanded polyglutamine proteins influence a variety of cellular functions. In Drosophila the GMR-Gal4/UAS expression system has been widely used in an eye-based model to study human neurodegenerative diseases. This system has facilitated the isolation and characterization of abundant Drosophilagenes that interact with the expanded polyglutamine proteins. We used the GMR-Gal4/UAS system to express three proteins containing an expanded polyglutamine tract, or an expanded polyglutamine tract alone. Doubling the dose of these proteins resulted in pupal lethality, indicating that these toxic proteins induced a sensitized condition that is prone to synthetic lethality. …

Physical Activity And Sedentary Behaviors Associated With Risk Of Progression From Gestational Diabetes Mellitus To Type 2 Diabetes Mellitus: A Prospective Cohort Study, Wei Bao, Deirdre K. Tobias, Katherine Bowers, Jorge Chavarro, Allan Vaag, Louise Groth Grunnet, Marin Strom, James Mills, Aiyi Liu, Michele Kiely, Cuilin Zhang

Publications and Research

Importance: Women with a history of gestational diabetes mellitus (GDM) are at substantially increased risk of type 2 diabetes mellitus (T2DM). The identification of important modifiable factors could help prevent T2DM in this high-risk population.

Objective: To examine the role of physical activity and television watching and other sedentary behaviors, and changes in these behaviors in the progression from GDM to T2DM.

Design, Setting, and Participants: Prospective cohort study of 4554 women from the Nurses' Health Study II who had a history of GDM, as part of the ongoing Diabetes & Women's Health Study. These women were followed up from …

How To Plan A Birthday Party: An Allopathy Enthusiast's Guide To Integrating The Values Of Traditional Medicine Into Childbirth, Emily Baumgaertner

Independent Study Project (ISP) Collection

Unbiased literature regarding the strengths of traditional birth attendants is lacking. While many international organizations have published data regarding the improving success rates of allopathic interventions, there has been no acknowledgement or discussion of the qualities that keep traditional birth attendants in practice. This study has aimed to identify the distinct values of traditional medicine that contrast most allopathic healthcare practices. Through informal interviews with three traditional birth attendants and one allopathic provider in the rural region of Andasibe, Madagascar, the researcher unearthed some of the key differences between these practices' patient care before, during, and after childbirth. Results suggest …

Comparative Analysis Of Family Planning Use And Attitudes In Urban Versus Rural Madagascar, Gwendolyn Cummings

Independent Study Project (ISP) Collection

Despite many differences between urban and rural areas of Madagascar, large families are staples in Malagasy culture throughout. However, family planning has recently become one of the most in-demand aspects of healthcare in the country. The discrepancies between rural and urban zones are apparent in this new wave of contraceptive use and child spacing. Interviews in both Andasibe (a rural region of Madagascar) and Antananarivo (the urban capital of the country) were combined with a review of current literature on the subject, in order to distinguish the differences between the two. Ultimately it was found that socioeconomic background and preference …

Narrative Practices In Malagasy Healing, Gabrielle Robbins

Independent Study Project (ISP) Collection

Building on a period of research in central highlands and eastern Madagascar between June and early July 2014, in which interviews were conducted with traditional and allopathic medical practitioners as well as ordinary Malagasy, this paper primarily seeks to rectify gaps in contemporary Western research on narrative medicine. It investigates narrative practices in traditional Malagasy healing, as well as the ways in which narrative is deployed in formal and informal preventative health efforts. In doing so, it seeks to suggest expansions of what constitutes "narrative health." It also problematizes the Western narrative health movement's emphasis on literary theory and analysis, …

Individualized Health Care: The Utilization Of Individual Design In Traditional Medicine In Madagascar, Simone R. Jacobs

Independent Study Project (ISP) Collection

This project explores the application of individual design to the treatment of patients within the traditional medical system in Madagascar. I hypothesize that traditional medicine has remained prevalent in Madagascar alongside the allopathic system because of its predisposition to human centered, or individual design. Individual design is an increasingly popular approach to designing new technology with the total consumer experience in mind. Instead of focusing solely on functionality, this approach attempts to also address how the consumer experiences a technology physically, emotionally, and socially. When applied to health care, individual design addresses all aspects of how individuals experience illness and …