Medicine and Health Sciences Commons^™

Perceptions Of Cardiovascular Stress Management In University Employees, Janki R. Patel

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Role Of Survey Response Rates On Valid Inference: An Application To Hiv Prevalence Estimates, Miguel Marino, Marcello Pagano

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Nationally-representative surveys suggest that females have a higher prevalence of HIV than males in most African countries. Unfortunately, these results are made on the basis of surveys with non-ignorable missing data. This study evaluates the impact that differential survey nonresponse rates between males and females can have on the point estimate of the HIV prevalence ratio of these two classifiers.
Methods: We study 29 Demographic and Health Surveys (DHS) from 2001 to 2010. Instead of employing often used multiple imputation models with a Missing at Random assumption that may not hold in this setting, we assess the effect of …

Water Insecurity And Gendered Risk For Depression In Rural Uganda: A Hotspot Analysis, Christine E. Cooper-Vince, Hawk Arachy, Bernard Kakuhikire, Dagmar Vořechovská, Rumbidzai Mushavi, C. Baguma, Amy Q. Mcdonough, David R. Bangsberg, Alexander C. Tsai

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background:

Water insecurity is linked to depression in low- and middle-income countries (LMICs), though it remains unclear how geospatial clustering of water insecurity in rural regions is associated with risk for depression.

Methods: We conducted a population-based survey of a rural parish in southwestern Uganda (N = 1603) to evaluate the joint geospatial clustering of water insecurity and risk for depression among men and women living in rural Uganda.

Results:

Geospatial clustering of self-reported water insecurity and depressive symptoms was found to be present among both men and women. Depression hotspots were more often observed near water insecurity hotspots among …

Concerning Trends In Allopathic Medical School Faculty Rank For Indigenous People: 2014–2016, Erik Brodt, Amanda Bruegl, Erin K. Thayer, M. Patrice Eiff, Kelly L. Gonzales, Carlos J. Crespo

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Trends in faculty rank according to racial and ethnic composition have not been reviewed in over a decade.

Objective: To study trends in faculty rank according to racial and ethnicity with a specific focus on Indigenous faculty, which has been understudied.

Methods: Data from the Association of American Medical Colleges’ Faculty Administrative Management Online User System was used to study trends in race/ethnicity faculty composition and rank between 2014 and 2016, which included information on 481,753 faculty members from 141 US allopathic medical schools.

Results: The majority of medical school faculty were White, 62.4% (n = 300,642). Asian …

Gender Differences In Sexual And Reproductive Health Protective And Risk Factors Of Batswana Adolescents: Implications For Parent And Adolescent Interventions, Christina J. Sun, Esther S. Seloilwe, Mabel Magowe, Kefalotse S. Dithole, Kim S. Miller, Janet S. St. Lawrence

OHSU-PSU School of Public Health Faculty Publications and Presentations

Adolescents in sub-Saharan Africa and in Botswana in particular continue to bear the brunt of the HIV epidemic. This analysis assessed gender differences among theory-based sexual and reproductive health protective and risk factors in a cross-sectional sample of 228 Batswana adolescents. Incongruence between preferred and actual sources of sexual information and several important gender differences in parent-adolescent relationships, psychosocial influences, and adolescent sexual behaviors were identified. Parents were the fourth most common source of information about sex; yet, over three-quarters of adolescents preferred to have parents teach them about sex. Boys reported more positive relationships with their parents and girls …

Effect Of Metformin Exposure On Growth And Photosynthetic Performance In The Unicellular Freshwater Chlorophyte, Chlorella Vulgaris, Brittany M. Cummings, Joseph A. Needoba, Tawnya D. Peterson

OHSU-PSU School of Public Health Faculty Publications and Presentations

Many pharmaceuticals have negative effects on biota when released into the environment. For example, recent work has shown that the commonly prescribed antidiabetic drug, metformin (N,N-dimethylbiguanide), has endocrine disrupting effects on fish. However, effects of metformin on aquatic primary producers are poorly known. We exposed cultured isolates of a freshwater chlorophyte, Chlorella vulgaris, to a range of metformin concentrations (0– 767.9 mg L-1) to test the hypothesis that exposure negatively affects photosynthesis and growth. A cessation of growth, increase in non-photochemical quenching (NPQ, NPQmax), and reduced electron transport rate (ETR) were observed 24 h after exposure to a metformin concentration …

From Research-To-Practice: An Adaptation And Dissemination Of The Compass Program For Home Care Workers, Ryan Olson, Jennifer Hess, Kelsey N. Parker, Sharon V. Thompson, Anjali Rameshbabu, Kristy Luther Rhoten, Miguel Marino

OHSU-PSU School of Public Health Faculty Publications and Presentations

The COMmunity of Practice And Safety Support (COMPASS) program was developed to prevent injuries and advance the health and well-being of home care workers. The program integrates elements of peer-led social support groups with scripted team-based programs to help workers learn together, solve problems, set goals, make changes, and enrich their supportive professional network. After a successful pilot study and randomized controlled trial, COMPASS was adapted for the Oregon Home Care Commission’s training system for statewide dissemination. The adapted program included fewer total meetings (7 versus 13), an accelerated meeting schedule (every two weeks versus monthly), and a range of …

United States State-Level Variation In The Use Of Neuraxial Analgesia During Labor For Pregnant Women, Alexander Butwick, Jason Bentley, Cynthia Wong, Jonathan Snowden, Eric Sun, Nan Guo

OHSU-PSU School of Public Health Faculty Publications and Presentations

Importance Neuraxial labor analgesia is recognized as the most effective method of providing pain relief during labor. Little is known about variation in the rates of neuraxial analgesia across US states. Identifying the presence and extent of variation may provide insights into practice variation and may indicate where access to neuraxial analgesia is inadequate. Objective To test the hypothesis that variation exists in neuraxial labor analgesia use among US states. Design, Setting, and Participants Retrospective, population …

Actual Vs. Perceived Hiv Testing Norms, And Personal Hiv Testing Uptake: A Cross-Sectional, Population-Based Study In Rural Uganda, Jessica M. Perkins, Viola N. Nyakato, Bernard Kakuhikire, Pamela K. Mbabazi, H. Wesley Perkins, Alexander C. Tsai, Sv Subramanian, Nicholas A. Christakis, David Bangsberg

OHSU-PSU School of Public Health Faculty Publications and Presentations

HIV testing is an essential part of treatment and prevention. Using population-based data from 1664 adults across eight villages in rural Uganda, we assessed individuals’ perception of the norm for HIV testing uptake in their village and compared it to the actual uptake norm. In addition, we examined how perception of the norm was associated with personal testing while adjusting for other factors. Although the majority of people had been tested for HIV across all villages, slightly more than half of men and women erroneously thought that the majority in their village had never been tested. They underestimated the prevalence …

Medicare Accountable Care Organizations Are Not Associated With Reductions In The Use Of Low-Value Coronary Revascularization, John M. Hollingsworth, Brahmajee K. Nallamothu, Phyllis Yan, Sarah Ward, Sunny C. Lin, Carrie H. Colla, Valerie A. Lewis, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

BACKGROUND:
Because specialty care accounts for half of Medicare expenditures, improving its value is critical to the success of Medicare accountable care organizations (ACOs) in curbing spending growth. However, whether ACOs have reduced low-value specialty care without compromising use of high-value services remains unknown.

METHODS AND RESULTS:
Using national Medicare data, we identified 2 cohorts: beneficiaries for whom the value of coronary revascularization is lower (those with ischemic heart disease without angina, congestive heart failure, or recent admission for acute myocardial infarction) and beneficiaries for whom its value is higher (those with recent acute myocardial infarction admission). We then determined …

Diagnostic Performance Of Blood Inflammatory Markers For Tuberculosis Screening In People Living With Hiv, Katherine Farr, Resmi Ravindran, Luke Strnad, Emily Chang, Leah H. Chaisson, Christina Yoon, William Worodria, Alfred Andama, Irene Ayakaka, Priscilla Bbosa Nalwanga, Multiple Additional Authors

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background

Approaches to screening for active tuberculosis (TB) among people living with HIV are inadequate, leading to missed diagnoses and poor implementation of preventive therapy.

Methods

Consecutive HIV-infected adults hospitalized at Mulago Hospital (Kampala, Uganda) between June 2011 and July 2013 with a cough ≥ 2 weeks were enrolled. Patients underwent extensive evaluation for pulmonary TB. Concentrations of 43 cytokines/chemokines were measured at the same time point as C-reactive protein (CRP) in banked plasma samples using commercially-available multiplex kits. Advanced classification algorithms were used to rank cytokines/chemokines for their ability to identify TB, and to model the specificity of the …

Mitigating Early Loss Of Community Participation In Early Psychosis Services: State Of The Science, Tamara G. Sale, Dora M. Raymaker, Mariam Rija, Veronica Gould, Christina Wall, Ryan P. Melton

School of Social Work Faculty Publications and Presentations

In the early stages of treatment for psychosis, community engagement and social networks are threatened through a combination of symptomology and negative messages and reactions from the environment which may result in internalized stigma, disempowerment, and prolonged isolation. While treatment programs attempt to mitigate these factors, ambivalence toward treatment and the basic concept of psychosis, along with difficulty engaging in conversation, make initial engagement more difficult. Self-determination theory and growing recovery literature point to the importance of maintaining a sense of community relatedness and connection, and developing a sense of agency and competence as important to active recovery and retention …

Building Competencies And Skills Among Service Providers Working With Young People Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Pauline Jivanjee, Eileen M. Brennan, Leigh Grover

School of Social Work Faculty Publications and Presentations

This paper explores what is currently known about the most promising strategies for increasing providers’ capacity to deliver effective behavioral health services and supports. The paper also describes how this information has been—or could be—applied to the design of cutting-edge approaches for building skills and competencies among providers that work with young people who experience serious mental health conditions.

Antecedents And Consequences Of Burnout Among Professional Psychologists, Alisha Miller

Dissertations

Mental health professionals are thought to be uniquely at risk for burnout due to the personal nature of their work and the types of clients with whom they work. But, while the phenomenon of burnout has received attention in the general occupational health literature, research focused on the predictors and outcomes of burnout among professional psychologists remains relatively limited. This study focused on the antecedents and consequences of the emotional exhaustion and client depersonalization components of burnout and, guided by the job demands-resources model, had three main aims: a) examine job demands and job resources as predictors of emotional exhaustion …

Testosterone And The Adult Male, Alex Straftis

Calvert Undergraduate Research Awards

Abstract

In the last 15 years, prescription testosterone sales have increased almost threefold. Testosterone is a powerful hormone, which has both physiological and behavioral effects on the adult male. These effects vary over a man’s life course and social ecology. In a natural setting, testosterone reaches a peak during early adulthood, declines gradually over midlife, and has exponential drops after the age of 70. Increasing testosterone, through testosterone replacement therapy (TRT), past early adulthood, is an evolutionary novel circumstance for an adult male. To gauge these effects, and the motivations that initiated them, this study conducted a preliminary text analysis …

Heavy Episodic Drinking Is Associated With Poorer Bone Health In Adolescent And Young Adult Women, Hawley Almstedt, Joseph W. Labrie, Sarah C. Boyle

Health and Human Sciences Faculty Works

Objective: Osteoporosis is a costly bone disease characterized by low bone mineral density (BMD) that primarily affects postmenopausal women. One factor that may lead to osteoporosis is a failure to reach peak bone mass (PBM) in early adulthood. In older adults and animal models, heavy episodic drinking (HED) has been found to predict failure to reach PBM. However, this relationship has yet to be investigated in adolescent human females. Method: Female college students (N = 87; 60% White) reported age at menarche, hormonal contraceptive use, physical activity, smoking habits, and HED history via an online survey and then received a …

Velocity At Maximal Oxygen Uptake Best Predicts 3 Km Race Time In Collegiate Distance Runners, Hawley Almstedt, William Mccormack, Todd Shoepe

Health and Human Sciences Faculty Works

Purpose: There is a lack of scientific investigation into the predictors of 3 km race performance in collegiate distance runners. The purpose of this investigation was to determine what physiological variables best predict 3 km race time in a group of collegiate distance runners. Methods: Twenty-one endurance trained runners (11 men, 10 women) volunteered for this investigation. Running economy (RE) and maximal oxygen uptake (VO2max) testing were conducted within 9 ± 6 days of the race in a single session. All participants ran in a 3 km race at an NCAA sanctioned track meet. Pearson's product moment correlations were performed …

Pilot Study Of Dose-Response Effects Of Exercise On Change In C-Reactive Protein, Cortisol, And Health-Related Quality Of Life Among Cancer Survivors, Heather Tarleton

Health and Human Sciences Faculty Works

Fatigue, stress, and depression contribute to poor health-related quality of life (HRQoL) among cancer survivors. This study examined the effects of combined aerobic and resistance training (CART) on HRQoL and biomarkers of stress. Cancer survivors (n = 76, 91% female, 39% breast cancer, 32% gynecologic cancer) were enrolled in CART for three 60-min sessions, weekly, for 26 weeks. Participants completed the National Institutes of Health's Patient Reported Outcomes Measurement Information System (NIH PROMIS) fatigue assessment and the SF-36. Cortisol and c-reactive protein (CRP) were assessed using volunteered blood specimens. Baseline fatigue scores were worse for participants completing treatment within the …

Musculoskeletal Flexibility And Quality Of Life: A Feasibility Study Of Homeless Young Adults In Los Angeles County, Marina A. Marmolejo, Makda Medhanie, Heather Tarleton

Health and Human Sciences Faculty Works

Proper musculoskeletal health is dependent on the efficient inner workings of muscles, tendons, ligaments, joints, and bones. The homeless experience can be physically debilitating to these tissues and anatomical structures. This feasibility study aims to explore how to answer the overarching question: do the lived experiences of homeless young adults negatively affect their musculoskeletal health? Questionnaires were distributed to assess the demographic characteristics, physical activity, health behaviors, and sleep patterns of 40 homeless young adults and 45 university students in Los Angeles County. Participants also completed supervised stretch tests to assess musculoskeletal flexibility. Findings indicate that homeless young adults were …

A Multicenter Comparative Trial Of A Novel Eus-Guided Core Biopsy Needle (Sharkcore, Mariam Naveed, Ali A. Siddiqui, Thomas E. Kowalski, David E. Loren, Ammara Khalid, Ayesha Soomro, Syed M. Mazhar, Joseph Yoo, Raza Hasan, Silpa Yalamanchili, Nicholas Tarangelo, Linda J. Taylor, Douglas G. Adler

Division of Gastroenterology and Hepatology Faculty Papers

Background and Objectives: The ability to obtain adequate tissue of solid pancreatic lesions by EUS-guided remains a challenge. The aim of this study was to compare the performance characteristics and safety of EUS-FNA for evaluating solid pancreatic lesions using the standard 22-gauge needle versus a novel EUS biopsy needle.

Methods: This was a multicenter retrospective study of EUS-guided sampling of solid pancreatic lesions between 2009 and 2015. Patients underwent EUS-guided sampling with a 22-gauge SharkCore (SC) needle or a standard 22-gauge FNA needle. Technical success, performance characteristics of EUS-FNA, the number of needle passes required to obtain a diagnosis, diagnostic …

Analysis Of Ocular Changes In A Cyp1b1-/- Mouse, Kylie Barto

Williams Honors College, Honors Research Projects

The goal of the research is to investigate the structural changes seen in Primary Congenital Glaucoma using a mouse model. Eye sections of a Cyp1b1-/- mouse were compared to eye sections of a healthy normal mouse (wild type, WT). Initial examination of the cornea, iris, and irodocorneal angle showed structural changes in Cyp1b1-/-. These changes were similar to those described in the literature using other animal models. This suggests that a mutation in Cyp1b1-/- in a mouse results in a phenotype similar to that seen in PCG human patients and this model could be used to investigate the pathophysiology of …

Innate Chemical Resistance Of Virginia Big-Eared Bats (Corynorhinus Townsendii Virginianus) To White-Nose Syndrome, Daniel S. Danford, Leah Shriver, Hazel A. Barton

Williams Honors College, Honors Research Projects

White-nose Syndrome (WNS) is an emergent epidemic disease of bats in North America. Caused by the novel fungal pathogen Pseudogymnoascus destructans, with a mortality rate of >75%, in the last decade WNS has led to the local extinction of numerous bat species. Despite this high mortality, one species, the Virginia big-eared bat (Corynorhinus townsendii virginianus) remains unaffected. Virginia big-eared bats (VBEs) are commonly found covered in a yellow, oily substance, with a pelage commensal population dominated by the yeast, Debaryomyces udenii. As D. udenii is an oleaginous yeast that produces yellow colonies, the fungus may be responsible …

The Effect Of Breastfeeding And Rooming-In Care On Neonatal Abstinence Syndrome, Rachel Boyer, Lindsay Gal, Mahaylie Cline

Williams Honors College, Honors Research Projects

Concurrent with a rise in opioid abuse during pregnancy is an increase in the number of babies born with Neonatal Abstinence Syndrome (NAS). Despite this crisis, no single treatment has been identified for NAS. This paper sought to analyze and synthesize research evaluating the effectiveness of breastfeeding and rooming-in care on the need and length of pharmacologic treatment and length of hospital stay for neonates with NAS. Twenty-six peer reviewed research articles published between 2006 and 2017 were selected from PubMed and CINAHL for analysis. The studies focused on neonates with NAS born to mothers addicted to opioids or undergoing …

Exploring The Correlation Between Cognitive Awareness Of Body Composition And Perceived Ventilatory Threshold, Erica Schrader

Williams Honors College, Honors Research Projects

Purpose

Seventeen subjects from The University of Akron Women's Soccer team were selected to participate in a study that assessed the correlation between body composition and perceived ventilatory threshold (VT). We compared several anthropometric measurements with results from a VO2max test.

Methods

Each participant was taken through a set of resting measurements such as height, weight, waist and neck circumference. Body composition was then estimated using the air displacement method or BodPod. Subjects were fitted with heart rate monitors and masks for a VO2max test. Subjects were read a script explaining them what a VT is, and was told to …

Exploring The Correlation Between Cognitive Awareness Of Body Composition And Perceived Ventilatory Threshold, Erica Schrader

Williams Honors College, Honors Research Projects

Purpose

Seventeen subjects were selected from The University of Akron Women's Soccer team to participate in a study that assessed the correlation between body composition and perceived ventilatory threshold.

Methods

All resting measurements were taken on the subjects. These measurements included height, weight, waist circumference, and neck circumference. Body composition was then estimated by using the BodPod. Subjects were fitted with a Polar heart rate monitor and a mask for the VO₂max test was appropriately fitted and assembled for each participant. Each participant were then read a script to explain to them what a ventilatory threshold (VT) is, …

Calling Attention To The Growing Heroin Epidemic And How To Fight It, Kendal Rozaieski

Williams Honors College, Honors Research Projects

The purpose of this study was to explore the experience of creating a grassroots heroin awareness organization on a university campus through qualitative research. Various meeting types were attended as the grassroots efforts began: a student organization dedicated to the cause, the campus Alcohol and Other Drug Board, a local community treatment center agency, multiple University of Akron faculty members, and other heroin awareness groups in the community. Through observation and journaling of these meetings, I am sharing my experience based off analyzed field notes. After analyzation of these notes, common themes related to the formation of this kind of …

Intimate Partner Violence And Its Impact On Pregnant Women And Their Infants: A Systematic Review, Rachel Ashley, Emily Pagni, Alissarh Choujaa

Williams Honors College, Honors Research Projects

Abstract

In the United States, about 324,000 pregnant women are victims of Intimate Partner Violence (IPV) annually. IPV is any type of physical, sexual, or emotional abuse of women or men in family units. IPV has detrimental effects on pregnant women and their babies, from their physical health to their mental health. It is important for nurses and other healthcare providers to have knowledge and understanding about IPV in this population and to use effective interventions and screening procedures. The purpose of this systematic review is to review and critically analyze evidence about IPV in pregnant women. The literature search …

A Systematic Review: Factors For Burnout And Compassion Fatigue In U.S. Nurses, Kaitlyn Marcum, Tabitha Rusnak, Mckenzie Koch

Williams Honors College, Honors Research Projects

Many nurses suffer from burnout and compassion fatigue. Compassion fatigue is “fatigue, emotional distress, or apathy resulting from the constant demands of caring for others or from constant appeals from charities” (Compassion Fatigue, n.d.). Burnout develops over a long period of time as a result of cumulative frustrations within a work environment (Sacco, Ciurzynski, Harvey, & Ingersoll, 2015). Burnout and compassion fatigue both result in physical and mental strain on the person experiencing it. Compassion fatigue and burnout in nurses are associated with decreased patient satisfaction and poorer outcomes with care (Potter et al., 2010). The goal of the systematic …

The Effect Of Foot Strike In Female Runners, Courtney Dockry

Williams Honors College, Honors Research Projects

Abstract

PURPOSE: The purpose of this study is to determine if heel and forefoot striking influence on the amount and type of injuries in recreational female distance runners between the ages of 18 and 25. In addition, shoe type and training intensity were analyzed in relation to injury. METHODS: A quantitative, cross-sectional study was conducted anonymously utilizing The University of Akron’s Qualtrics survey tool. The survey was adopted based on Goss and Gross (2012). The survey was sent via email to members of the Zips Running Club, as well as other runners who fit the criteria to participate …

The Psychosocial Effects Of Hearing Loss On Adults, Holly Reed

Williams Honors College, Honors Research Projects

Adults with hearing loss report experiencing isolation, depression, a decreased satisfaction with their self - image and quality of life, cognitive problems and communication obstacles. These effects of a hearing loss can manifest in social situations, within the family and even at the workplace. How one copes with their hearing loss can affect how much of an impact their hearing loss has on their lives as well as what rehabilitative programs or assistive technology they may seek out. It is important to for audiologists to understand the psychosocial effects of hearing loss, how they affect the individual in the workplace …