Medicine and Health Sciences Commons^™

Eating Healthy On A Budget: A Grocery Cart Display, Kara R. Wilcoxon

Undergraduate Honors Theses

Many barriers to healthy eating have been reported including having to give up favorite food dishes, consuming lesser desired food items, and perceiving that fresh, unprocessed food is too expensive. For a week, customers were able to view a display of two grocery carts: one filled with healthy foods and the other filled with unhealthy foods. Each cart had the cost and nutritive values of the contents posted. For 6 hours on 3 different days, the researcher interviewed interested shoppers (n=33). While the majority of the shoppers indicated they were very concerned about their families eating healthy (mean score 4.2/5), …

Efficacy Of Social Stories™ For Typically Developing Preschool Children, Loni Berbaum

Undergraduate Honors Theses

Social Stories™ are short stories that utilize visual and auditory components to demonstrate how to appropriately respond in problematic social situations. Studies have provided evidence of the effectiveness of Social Stories™ in reducing negative behaviors for children with autism; however, limited research exists on the effectiveness of Social Stories™ for other populations of children. The purpose of the present study was to determine the efficacy of Social Stories™ on decreasing undesirable behaviors in typically developing preschool children.

The study included 11 children, ages 3 to 5, who were enrolled in a typical preschool classroom at a daycare facility. Initially, teachers …

Jiann-Ping Hsu College Of Public Health Magazine, Georgia Southern University

College of Public Health: News & Publications

• Sustainability
• Milestones

How Insomnia Reduces Declarative And Non-Declarative Memory Sonsolidation, Kseniya Chumachenko

A with Honors Projects

Insomnia has many negative effects on those who suffer from it, both physical and mental. Memory consolidation is also affected by insomnia, because it depends on reaching REM sleep and deep wave sleep, which are both impaired by insomnia.

Synapsis: Philadelphia Campus 2014, Philadelphia College Of Osteopathic Medicine

All Yearbooks

The 2014 Philadelphia Campus Synapsis includes Orientation, Anatomy, White Coat Ceremony, DO Day on the Hill, PCOM Military, Service in the Community, Missions Abroad, Osteopathic Manipulative Medicine Convocation, Relay for Life, Make-A-Wish Date Auction, Clubs such as ACOFP, AMA, AMOPS, AMWA, APAMSA, CNS, Dermatology, DO Council, Integrative Medicine, Internal Medicine, LGBT in Medicine, Students for Choice, Nutrition in Medicine, Ob/Gyn, Oncology, Ophthalmology, Orthopedics, PCOM East, Pediatrics, Running, SAAO, SGA Senate, SNMA, SOC Executive Board, Soccer, SOMA, Sports Medicine, Surgery, Leadership Banquet 2012, Peps, Sports, J Group, Clinical Rotations, Formal Events, Match, Class Chair.

The Impact Of The Electronic Medical Record On Health Information Management Staff In Two Southeastern States, Betsy W. Bradley

Applied Research Projects

Health information management (HIM) staffs in health care facilities have a long history of managing medical records in a paper format. Since 2009, with the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH), health care facilities have been rapidly changing from a paper medical record system to an electronic system. The adoption of electronic record systems has reduced or eliminated paper medical record forms which consequently changed many HIM staff’s jobs. A survey of HIM professionals was conducted in two southeastern states to determine any increase or decrease in HIM staff numbers and to identify …

Internet Usage Among Older African American Adults In Seeking Health Care Information, Sharon D. Smith

Applied Research Projects

As the U.S. elderly population grows, advances and improvements in: healthcare, technology, nutrition and lifestyle has increased the life span of this population. In general, older adults have an increased need for health information. The Internet is a tool providing timely access to this information. This study explored use of the Internet by older African American adults in seeking health care information. Ninety-three African American adults participated in this study. Eleven survey questions gathered data on demographics, use of computers, access to the Internet and use of the Internet in seeking health care information. Twenty-nine percent (25 out of 86) …

Adoption Of Health Information Technology In Nursing Homes, Robert Smiley

Applied Research Projects

Background: Comprehensive knowledge about the level of Health Information Technology (HIT) adoption in Nursing Homes remains subpar to 21st century healthcare standards.

Objective: This study is to determine the factors that will aid in the adoption of HIT in Nursing Homes in the New York metropolitan area.

Methods: A pilot survey was issued to employees at three Nursing Homes to collect data that would aid in the adoption of HIT in Nursing Homes in the New York metropolitan area.

Study Design: A 16 question survey was administered to twenty-one employees at three separate Nursing Homes in the New York metropolitan …

Meaningful Use: Electronic Clinical Quality Measure Reporting, Rhonda K. Denzel

Applied Research Projects

The adoption of health information technology and the meaningful use of electronic health records is a byproduct of the 2009 American Recovery and Reinvestment Act (ARRA). One measure of ARRA is the Health Information and Technology for Economic and Clinical Health (HITECH) Act which authorizes the Centers for Medicare and Medicaid Services (CMS) to provide monetary incentives to hospitals and providers who demonstrate meaningful use of certified electronic health records (EHRs).

The electronic reporting of clinical quality measures is but one requirement for demonstrating meaningful use. Reporting of clinical quality measures has been around for 25 plus years as a …

The Impact Of Icd-10 Implementation On Hospital Providers, Gwendolyn Johnson

Applied Research Projects

The transition from ICD-9CM to ICD-10 CM for hospital providers was reviewed to identify the impact. The study will incorporate history of the change, lessons from other country adoptions, and a comparison of static industry survey results with more dynamic results from the 2014 Johnson survey for this study. Remediation and critical success factors will also be outlined. Results include financial impact and concerns from the literature review as well as participant survey feedback from payors, healthcare consultants, and hospital employees in health information management, financial analysis, patient financial services and information technology. For the 2014 Johnson study, twenty-one surveys …

Meaningful Use – Is It Worth It?, Karen Perry Callahan

Applied Research Projects

The world of medicine has long been an ever changing environment. The advancements and progress in both knowledge and techniques has made patient care and treatment an increasingly successful endeavor. Physicians are often eager to embrace any new technology in the medical field that allows them to better care for their patients. The problem with new medical technology is that unless this technology can be shared or related to others, it is somewhat useless.

The medical profession has been somewhat reluctant to come to terms with the use of computer technology and its many benefits. Generally embedded in the use …

An Analysis Of Waiting Time Reduction In A Private Hospital In The Middle East, Husam Asfoor

Applied Research Projects

The study of patient’s waiting time reduction have been receiving attention since the implementation of recent changes in the healthcare quality indicators. However, there is still many areas of improvement the healthcare industry could implement to improve waiting time and positively affect patient satisfaction. This is especially crucial for private healthcare organizations since it has a direct effect on their bottom-line.

In this study, we examine the patient waiting time between the registration stage and the vital sign stage at a private hospital in the Middle East country of United Arab Emirates.

By retrieving the data logs from the EHR …

Integrated System Post-Implementation Evaluation And Use Assessment, Anne L. Pedigo

Applied Research Projects

Part of a well-designed health informatics implementation process includes the mechanisms put in place to help the day-to-day operators of the systems. Continual appraisal of these methods necessitates up-to-date investigations. Understanding critical elements which support a positive transition of health information technology (HIT) within healthcare facilities is the objective of the following research. To help develop these findings, a prospective post-implementation and use assessment survey was conducted on two hospitals in Central Texas. The population studied included RN case managers, social workers and supportive staff in the Continuum of Care departments at two Scott & White Healthcare acute care facilities. …

Parent-Metabolite Pharmacokinetic Models For Tramadol – Tests Of Assumptions And Predictions, Sam Holford, Karel Allegaert, Brian J. Anderson, Butch Kukanich, Altamir B. Sousa, Amir Steinman, Bruno Pypendop, Reza Mehvar, Mario Giorgi, Nick Holford

Pharmacy Faculty Articles and Research

Allometric principles were used to discern cross-species differences in (±)-tramadol disposition and formation of its primary analgesic metabolite, (±)-O-desmethyl-tramadol (M1). Species differences in formation of M1 may help predict the analgesic effectiveness of tramadol. Tramadol was administered intravenously by a zero-order (constant infusion) process or rapid bolus dose and racemic concentrations of tramadol and M1 measured. Data were pooled to define differences between species (human, rat, cat, dog, goat, donkey and horse). A two-compartment linear disposition model with first-order elimination was used to describe tramadol and M1 disposition. Slow metabolizers were detected in 6% of the population and tramadol clearance …

Exercise Dosage And Pelvic Floor Muscle Function In Young Women With And Without Urinary Incontinence, Briana Dewitt

2014 Symposium

Approximately 38% of young, healthy females who have never been pregnant experience urinary incontinence (UI). Some research suggests there may be a correlation between the amount and intensity of physical activity and pelvic floor muscle dysfunction leading to UI in this population. This study used trans-abdominal real-time ultrasound imaging to describe pelvic floor performance in forty-eight females aged 18-30 (n=11 with reported UI, three of whom reported experiencing moderate to severe UI). While vigorous exercise was not significantly related to presence of UI, pelvic floor 64 contraction performance was significantly worse in those women with UI. These findings suggest that …

Perceptions Of Employers In Spokane County Regarding Employing Individuals With Autism Spectrum Disorder, Shannon White, Curtis Pearson, Amylynne Sargent, Jennifer Mcquillan, Molly Hobbs

2014 Symposium

There is limited research available addressing employment opportunities for adolescents or adults with autism spectrum disorder (ASD). With the growing population of adults with ASD in the United States, there will likely be an increase in the demand for support to help them live independently. The purpose of this research is to obtain employers’ perceptions on employing individuals with ASD. Businesses in Spokane County were mailed invitations to participate in an on-line survey. Results will be analyzed and shared with local agencies for potential program development.

Integrating Mitosis, Toxicity, And Transgene Expression In A Telecommunications Packet-Switched Network Model Of Lipoplex-Mediated Gene Delivery, Timothy M. Martin, Beata Wysocki, Jared P. Beyersdorf, Tadeusz A. Wysocki, Angela K. Pannier

Department of Agricultural and Biological Systems Engineering: Faculty Publications

Gene delivery systems transport exogenous genetic information to cells or biological systems with the potential to directly alter endogenous gene expression and behavior with applications in functional genomics, tissue engineering, medical devices, and gene therapy. Nonviral systems offer advantages over viral systems because of their low immunogenicity, inexpensive synthesis, and easy modification but suffer from lower transfection levels. The representation of gene transfer using models offers perspective and interpretation of complex cellular mechanisms, including nonviral gene delivery where exact mechanisms are unknown. Here, we introduce a novel telecommunications model of the nonviral gene delivery process in which the delivery of …

Department Of Surgery Update, January 2014, Wright State University Department Of Surgery

Department of Surgery Updates

A three page newsletter created by the Department of Surgery documenting changes to the department. This issue contains a message from the chair, recruitment for various depositions, a list of important dates, committee meetings and more.

Complexity Of Breastfeeding Health Policy In Tanzania, Africa, Theresa Thompson

Master of Public Health Program Student Publications

Background: The purpose of this study was to investigate Tanzanian health policy regarding the protection and promotion of breastfeeding.

Country Profile: Tanzania is a United Republic composed of the mainland and also the islands of Zanzibar. Tanzania is located in east Africa with a population of approximately 46 million. About 1.6 million babies are born each year in Tanzania, however only approximately 140,000 are registered annually. Tanzania’s infant mortality rate is 68 infant deaths per 1000 live births. Tanzania makes up for approximately 0.5% of the world population but 2% of the global infant death.

Approaches: In this study, the …

Diabetes And The Uninsured In Montgomery County, Ohio: Effects Of A County-Funded Health Services Program On Hemoglobin A1c Values, Mark Feighery

Master of Public Health Program Student Publications

Montgomery County Care (MCC) was a county-funded, limited benefit health services program launched in 2010 as a bridge to expanded Medicaid and the health insurance marketplaces for the uninsured of Montgomery County, Ohio. A principal goal was to help manage chronic disease, particularly diabetes. Approximately 20% of the MCC members assigned to a community health center were diagnosed with diabetes. Paired sample t-tests of Hemoglobin A1c values were compared for diabetic members enrolled in the program for a minimum of one year. Among 188 members for whom initial and subsequent values were recorded, HA1c values declined (showed an improvement) from …

Association Of Demographic Characteristics With Gestational Diabetes Mellitus And Gestational Hypertension In Ohio During 2012, Jared D. Klein

Master of Public Health Program Student Publications

Background: Gestational Diabetes Mellitus (GDM) and Gestational Hypertension (GHTN) are serious conditions that can arise during pregnancy. Both of these disorders can cause detrimental health effects to both mother and newborn. Methods: Ohio vital statistics birth data was obtained from Public Health- Dayton and Montgomery County. The data set included 137,268 women who gave birth during 2012 in Ohio and had a known GDM and/or GHTN status. IBM Statistical Package for Social Sciences for Mac Version 20 (SPSS, IBM, 2011) was used to analyze the data. Descriptive statistics, odds ratios, chi-square analyses, and multivariate logistic forward stepwise regressions were calculated …

Obtaining Efficiencies In Food-Borne Illness Protection For Residential, Health Department-Licensed, And Non-Licensed Entities, Ted W. Talley

Master of Public Health Program Student Publications

Severe storms, natural disasters, and other emergencies resulting in extended periods of power loss can negatively impact public health as the likelihood of food-borne illnesses resulting from the consumption of food products held in refrigerators and freezers at improper temperatures is greatly increased. Additionally, food products used or served during emergency responses present additional challenges as many of the products may have other risk factors often associated with food-borne illness outbreaks. These include food from unsafe sources (food prepared in a facility not subject to regulation or inspection), improper cooking temperatures, preparation on contaminated food contact surfaces, and poor hygienic …

Isoflupredone Acetate As Ancillary Therapy For Bovine Respiratory Disease In High-Risk Stocker Calves, Claire Crews, Jeremy Powell, Elizabeth Kegley, Jana Reynolds, Pete Hornsby

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Bovine respiratory disease (BRD) is the most prevalent and devastating disease in U.S. feedlot cattle. This study evaluated the use of isoflupredone acetate in the treatment of BRD. Crossbred male beef calves (n = 192; body weight = 221 ± 3.9 kg) were acquired in two blocks from regional auction markets and transported to the University of Arkansas Stocker and Receiving Cattle Unit. Calves were observed daily for signs of respiratory illness. Antibiotic treatment was administered if calves displayed signs of respiratory illness and rectal temperature was ≥40 °C. Calves (n = 72) requiring antibiotic treatment were assigned randomly to …

Nutrition Knowledge Of High School Senior Students In Northwest Arkansas, Grace Heymsfield, Cynthia Moore

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Though there are many complex factors influencing diet, nutrition knowledge correlates with healthier food choices in older adolescents and can play a pivotal role in health. Nutrition curriculum was addressed in the state of Arkansas through Arkansas Act 1220 of 2003. Numerous changes have been seen in the school environment regarding nutrition, but there is no means of testing nutrition curriculum effectiveness in terms of nutrition knowledge of students. It is the purpose of this descriptive study to improve understanding of the nutrition knowledge of high school seniors. High school senior students (n = 25; males = 12, females = …

Presence Of Antibiotic Resistance Genes From Wastewater Treatment Plant Effluent In Northwest Arkansas, Ryan Macleod, Mary Savin

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

Antibiotic resistance genes (ARGs) among bacterial populations are causing increasing concern with medical and agricultural implications. While the effluent of wastewater treatment plants (WWTPs) is treated with a variety of antimicrobial methods, bacteria and the genetic material that is able to pass on antibiotic resistance to environmental populations are not completely destroyed. Ampicillin (amp), tetracycline (tet), and sulfonamide (sul) antibiotics have been detected in Northwest Arkansas (NWA) streams, and IncP plasmids—which are especially notorious for containing antibiotic resistance genes and have been detected after disinfection in NWA WWTPs—are known to carry ARGs for those antibiotics. The objective of this inquiry …

Alteration Of Host Cell Ubiquitination By The Intracellular Bacterial Pathogen Coxiella Burnetii, Lindsay Pritchett, Daniel E. Voth

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

The intracellular bacterial agent of Q fever, Coxiella burnetii, replicates within a phagolysosomelike parasitophorous vacuole (PV) in human macrophages and delivers effector proteins to the host cytosol via a Dot/Icm type IV secretion system (T4SS). The T4SS effectors are critical for PV formation and prevention of host cell death that allows sufficient time for bacterial replication. Recruitment of ubiquitin-related components to the C. burnetii PV is also predicted to be involved in PV formation and bacterial replication and is likely controlled by effector proteins. In this study, we assessed the role of the Dot/Icm T4SS in regulating ubiquitination by comparing …

Associations Of Maternal Socio-Demographic And Psychosocial Characteristics With Alcohol Use During Pregnancy, Nneoma Adaobi Ilogu

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Alcohol is reported to be one of the most used legal substances among women of reproductive age, and its use during pregnancy is one of the most preventable causes of birth defects and developmental disabilities.1 Due to its teratogenic nature, alcohol use during pregnancy has been associated with a condition referred to as Fetal Alcohol Spectrum Disorders (FASD).2 This comprises of a wide spectrum of disorders such as Fetal Alcohol Syndrome (FAS), alcohol-related birth defects, and alcohol-related neurodevelopmental disorders, which are estimated to affect 1% of all births in the United States and can be prevented through the modification of …

Are There Benefits Of Smoking Reduction During Pregnancy? Smoking Status Of Pregnant Women And The Effect On Pre-Term Delivery, Kelli Ann Mclane

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Premature delivery is defined as a baby born before thirty-­‐seven completed weeks of pregnancy. Premature delivery can result in a longer hospital stay after delivery compared to babies born at full-­‐term.1 Babies born before 37 gestational weeks also have a greater potential for health problems such as acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems, as well as longer-­‐term motor, cognitive, visual, hearing, behavioral, social-­‐emotional, health, and growth problems.2 Premature births can impact at the individual level and at a societal level. “The birth of a preterm infant can bring considerable emotional and economic costs to families …

Factors Affecting School Health Scores: Wellsat Scores, School Policy, And The School Environment, Alicia Baker

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

A recent trend in school health intervention has been through policy creation and development. Studies have shown that changes in school health policy can improve student health behaviors, particularly in physical activity and nutrition. This study looked at how potential factors could affect the scores of a school policy assessment tool called the Wellness School Assessment Tool (WellSAT). Using a combination of t-tests, chi-square tests, and logistic regression, schools’ strength and comprehensiveness nutrition scores from the WellSAT were analyzed when compared to Free and Reduced Lunch Rates, type of school, and whether schools had separate policies from their school district. …

Effects Of Locality And Risk Of Late Stage Breast Cancer Diagnosis In Kentucky Females, 2001-2011, Michael Jacob Sither

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Breast cancer survival is heavily dependent on stage at diagnosis. Recent evidence supports rural women are more likely than urban women to be diagnosed with advanced stage disease but historically these findings have been mixed when investigated at the state level. Cancer surveillance in the Appalachian region suggests Kentucky females are at significantly greater risk of premature breast cancer mortality due to consistently lower prevalence of screening mammography utilization. In the literature, disparities in breast cancer outcomes have been largely explained by population demographics, areabased measures of socioeconomic deprivation, shortages of referring providers as well as differences in spatial access …