Medicine and Health Sciences Commons^™

A Statewide Needs Assessment Of Perspectives On Training And Certification Of Community Health Workers In Nebraska, Jessica Ern

Capstone Experience: Master of Public Health

INTRODUCTION: Community Health Workers (CHWs) are a crucial growing component of the health care field in the U.S. According to the US Bureau of Statistics (2018), the CHW workforce is expected to grow 38% in the next ten years. While research has repeatedly shown the success of CHW-led programs and the financial benefits of CHWs, little work has been done to evaluate the training and certification preferences of CHWs in Nebraska. This project aimed to gather and analyze qualitative and quantitative data through an exploratory sequential mixed-methods approach to provide policy recommendations regarding the future training and potential certification of …

Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav

Capstone Experience: Master of Public Health

Background: Minimally invasive surgery (MIS) is associated with less pain, faster recovery, and lower complication rates. Despite being the standard of care, it remains underutilized in rural Nebraska. Surgeon shortages and limited studies describing patient and provider factors influencing treatment gaps contribute to unnecessary complications and healthcare expenditure. Our study aimed to understand rural surgical care barriers and facilitators encountered by patients, providers, and stakeholders in Nebraska. Methods: This exploratory mixed methods study involved 17 semi-structured interviews using a snowball sampling of eligible participants affiliated with an MIS Advisory Committee. Two coders analyzed data using NVivo12. A follow-up review of …

The Development Of A Suicide Prevention Program For American Indian Youth In Nebraskan Communities, Sara Donovan

Capstone Experience: Master of Public Health

In Nebraska and nationally, American Indian (AI) youth have higher rates of depression, suicide attempts, and suicide completions than other racial and ethnic groups. These statistics highlight the need for accessible and culturally aware behavioral health planning and support. In Nebraska, access to care by AI youth is limited by a behavioral health provider shortage and concerns of affordability, stigma, trust, cultural competence, and historical trauma. The developed culturally humble suicide prevention program for AI youth aged 19-24 to be implemented in community settings addresses an existing service gap. Strategies were developed with input from the population of focus, and …

Comprehensive Review Of Telehealth Law And Literature: Implications For Future Policy And Patients, Morgan Kristensen

Capstone Experience: Master of Public Health

PURPOSE: The purpose of this Capstone is to determine whether telehealth is effective at producing positive health outcomes, and what the current status of state telehealth law is in the United States and how can the law be changed to improve the implementation and use of telehealth services. METHODS: A literature review of PubMed was used to find articles relating to telehealth and its effectiveness. A law review of each state’s telehealth and telemedicine laws was conducted using Westlaw. RESULTS: The literature review uncovered that telehealth has the potential to produce positive health outcomes for a variety of conditions and …

Equivalency Testing For Two Formulations Of A Clinical Laboratory Control Material, Jessica M. Hart

Capstone Experience: Master of Public Health

Clinical laboratory control materials are an integral part of legally-mandated and highly regulated quality control protocols in all clinical laboratories. These controls ensure accurate performance of the laboratory testing and instrumentation used to produce medical test results for millions of patients. It is of clinical and public health interest to ensure the diagnostic test results which affect so many people are regulated by the most accurate and precise controls.

Formulation changes in control materials have the potential to impact laboratory quality control. In this study, data from two formulations of a hematology control were compared to assess equivalency of the …

An Assessment Of Occupational Heat Stress In A Central Utility Plant, Abdoulaye Abdoulaziz

Capstone Experience: Master of Public Health

Global climate change has been declared a threat to human health, which includes occupational safety issues. As temperatures continue to increase, heat stress and heat-related illness are occupational safety issues that need to be better understood. Assessments of workplace heat exposures are key to implement appropriate health and safety interventions. This study attempted to assess whether workers’ perception of work environment temperature in a Central Utility Plant was associated with heat-stress prevention behaviors. Therefore, we used a questionnaire to collect Central Utility Plant employees’ demographic characteristics, data regarding their perceived work environment temperatures, and their behaviors related to preventing heat-related …

Planning A Culturally And Linguistically Appropriate Obesity Intervention For Hispanic/Latino Children Living In Rural Nebraska, Ada V. Luna

Capstone Experience: Master of Public Health

Childhood obesity is a public health concern in the U.S; however, for the Hispanic/Latino community these concerns have grown to epic proportions. In Nebraska, the rate of childhood obesity is 25.1%; among Hispanic / Latinos students, the obesity rate is 30.9%. Unfortunately, specific Nebraska obesity rates by race and ethnicity are limited among rural communities, and programs that can effectively address this problem in the Hispanic / Latino community are limited or non-existent. Consequently, disparities between urban and rural communities exist. The purpose of this capstone project is to design a culturally and linguistically oriented intervention to address childhood obesity …

Prevalence Of Intimate Partner Violence Among The Maternal-Fetal Medicine Population, Sarah K. Larsen

Capstone Experience: Master of Public Health

Intimate partner violence (IPV) is increasingly understood as an important public health issue. It is well understood that intimate partner violence has many negative effects on its survivors ranging from physical to mental health conditions. The population of people who experience intimate partner violence and population of pregnant women are both vulnerable populations. Examining the two populations together demands a trauma-informed approach and an understanding of the intricacies of both pregnancy and intimate partner violence. While IPV has been studied among the pregnant population, intimate partner violence as it relates to the maternal fetal medicine (MFM) or high-risk pregnancy population …

Closing The Loop: Pilot Evaluation Of Referral Navigator At Oneworld Community Health Centers, Oliver Ramirez-Gutierrez

Capstone Experience: Master of Public Health

Background. Low-income persons are subject to barriers to accessing health care and the additional complexity of the referral process, specifically for those receiving assistance from indigent care programs, contributes to those barriers. The requirements for patients receiving social assistance from indigent care programs leads to increased waiting time to be seen by specialists and contributes to health disparities.

Aim. Through a partnership with OneWorld Community Health Centers this project seeks to understand the efficacy of the implementation of a “referral navigator” at OneWorld and make recommendations to enhance the process. The proposed navigator is aimed to decrease the waiting time …

Effect Of Cigarette Smoking On Cd4 Count And Viral Load Among Hiv Patients Attending Treatment At Nebraska Medicine, Chacha Josiah Mwita

Capstone Experience: Master of Public Health

Background

Smoking is known to have a negative impact on both morbidity and mortality in people living with HIV (PLHIV). However, there is inconsistent information about the role of smoking on markers of HIV disease progression (CD4 count and HIV viral load). This study examined the effects of cigarette smoking on markers of HIV disease progression among PLHIV at Nebraska Medicine.

Methods

A retrospective cohort study was conducted utilizing electronic health information of 604 PLHIV who attended treatment at Nebraska Medicine between 2012 and 2020. Multiple linear regression was used to model the effects of smoking on the mean change …

A Review Of The Characteristics Of Super-Utilizers And Evidence-Based Approaches To Reduce Healthcare Utilization, Suswara Mandala Rayabandla

Capstone Experience: Master of Public Health

A significant fraction of health care resources in the United States of America is utilized by a comparatively small number of people. An examination of the attributes and patterns and associated evidence-based interventions for such high-utilizing patients might aid clinicians to improve interventions to address the distinctive needs of these patients, decrease their risks for numerous hospitalizations, and contribute to reducing the costs. This study aims at exploring the existing literature on the characteristics of super-utilizers and interventions to reduce avoidable use of health care among this population. The method used for this research is a comprehensive literature review. Search …

Oh, The Places You’Ll Go: A Journey Through Ohiohealth Home Care, Holly Williams

Masters Theses/Capstone Projects

This project focuses on the OhioHealth Home Care Practicum with Heather McDavid the Director of Finance and Interim Director of HME (Home Medical Equipment). OhioHealth Home Care has five business lines. These include Home Health, HME, Palliative Care, Hospice, and IV infusion.

There are multiple Home Care locations that enable access to these resources. These locations include, The David P Blom Administrative Complex (The BAC), The Preserve, The HME Warehouse, Riverside Hospital, The Westerville Medical Campus, The Marion HME Offices, The Mansfield HME Offices, and The Dublin Methodist Hospital.

The purpose of this project is to understand processes and decision …

Groveport Recreation Center - "Freedom, Fun & Fitness", Matthew Wareti

Masters Theses/Capstone Projects

The Groveport Recreation Center provides aquatics, a weight room with exercise equipment, two basketball courts, a fitness studio, a childcare area, senior center, a climbing wall, and an indoor track. Exercise classes, programs, and training sessions with personal trainers are available for members. People of all ages can find an activity that will benefit their mental and physical health.

Whether it be working with kids or adults, getting a group engaged and having fun during exercise is a large factor in getting maximum effort. Clear, open and honest communication between employees of the Recreation Center is essential to keep it …

Sleep Duration And The Effects On Cholesterol Levels In College Students., Jared Collier

Biological Sciences Undergraduate Honors Theses

Cardiovascular disease is a rising issue in the United States causing large death rates along with large medical expenses. College students are potentially at risk of CVD due to a lack of knowledge of their health, including cholesterol level. Sleep is an essential biological function which helps with the body’s repair, recovery, conservation of energy and maintains cardiovascular regulation. The purpose of this study was to see if there is a correlation between sleep duration and cholesterol levels in college students. Twenty-seven student participants were recruited from the Exercise is Medicine cohort . In-person assessments were conducted at the HPER …

Characterizing Statin Use Among Prediabetic Patients With Predictive Analytics, Alexandra Gentile

Industrial Engineering Undergraduate Honors Theses

Diabetes is one of the leading causes of death in the United States and can cause severe impairments to those diagnosed. Prediabetes is a state when a patient has higher fasting plasma glucose levels than a non-diabetic person but is not quite high enough to be considered diabetes. Both diabetic and prediabetic patients are at higher risk for cardiovascular diseases (CVD), which is the leading cause of death in the United States. The primary form for prevention and treatment of CVD is through statin therapy. Statins are a class of medications used to treat and prevent CVD by limiting cholesterol …

Something To Celebrate?: Demoting Dairy In Canada's National Food Guide, Maneesha Deckha

Journal of Food Law & Policy

In early 2019, the Canadian Government released the much-anticipated new Canada Food Guide. It is a food guide that de-emphasizes dairy products and promotes plant-based eating. Notably, in the new version, milk and milk products are de-listed as one of the previously four essential food groups. On the surface, it seems that the federal government is promoting veganism and helping to bring about a friendlier future for animals and humans harmed by being producers and consumers of dairy, as the new Guide may seriously contract the currently robust Canadian dairy industry and its powerful lobby. On closer inspection, the messaging …

Table-To-Text: Generating Descriptive Text For Scientific Tables From Randomized Controlled Trials, Qiang Wei

Dissertations and Theses (Open Access)

Unprecedented amounts of data have been generated in the biomedical domain, and the bottleneck for biomedical research has shifted from data generation to data management, interpretation, and communication. Therefore, it is highly desirable to develop systems to assist in text generation from biomedical data, which will greatly improve the dissemination of scientific findings. However, very few studies have investigated issues of data-to-text generation in the biomedical domain. Here I present a systematic study for generating descriptive text from tables in randomized clinical trials (RCT) articles, which includes: (1) an information model for representing RCT tables; (2) annotated corpora containing pairs …

Redesign And Quantitative Assessment Of An Accelerated Venous Valve Fatigue Apparatus, Megan Kueh

Biomedical Engineering Undergraduate Honors Theses

Chronic venous insufficiency (CVI) is a form of cardiovascular disease that is caused when valves in the leg become incompetent. Current treatment methods serve to manage symptoms, but there are currently no ways to treat the underlying cause of CVI. A venous valve prosthetic made from a xenograft of a bovine jugular vein is one possible treatment method currently in the research phase. Prosthetic valves must be tested with an accelerated wear tester prior to approval for clinical testing. Although such testers exist for heart valves, physiological differences between heart and venous valves restrict the use those testers on venous …

Hexadecane Petroleum, And Biofuel Utilization In Marine Bacteria Isolated From Ballast Tanks, Alex Yashchenko

Graduate Theses

This study characterized the growth of bacteria isolated from ballast tank fluids in hexadecane, petroleum, plant, and algae-derived fuels. The study was performed to explore the capacity of ballast tank isolates to survive and grow within fuels that may be stored within ballast tanks. Results of the hexadecane analysis indicated that most isolates had higher viable cell counts in media supplemented with hexadecane. Members of Alteromonas, Pseudoalteromonas, and a single Brevundimonas species had viable cell counts that were one or several orders ofmagnitude greater than that of controls. Results offuel analysis indicated higher viable cell counts in pure JP-5 and …

Social Media And The Modern Scientist: A Research Primer For Low- And Middle-Income Countries, Junghwan Kevin Dong, Colleen Saunders, Benjamin Wachira, Brent Thoma, Teresa M. Chan

Emergency Medicine, East Africa

Social media has changed the way we communicate. Wherever you are in the world, various forms of social media are being used by individuals to share information and connect without borders. Due to its ubiquity, social media holds great promise in linking clinicians, scientists, investigators, and the public to change the way we conduct scientific discourse. In this paper, we present a step-by-step guide on optimizing your social media strategy with regards to: research/scholarly practice (discourse, collaboration, recruitment), knowledge translation, dissemination, and education. This guide also highlights key readings that provide guidance to those interested in incorporating social media into …

Smrt Sequencing Of Paramecium Bursaria Chlorella Virus-1 Reveals Diverse Methylation Stability In Adenines Targeted By Restriction Modification Systems, Samantha R. Coy, Eric R. Gann, Spiridon E. Papoulis, Michael E. Holder, Nadim J. Ajami, Joseph F. Petrosino, Erik R. Zinser, James L. Van Etten, Steven W. Wilhelm

James Van Etten Publications

Chloroviruses (family Phycodnaviridae) infect eukaryotic, freshwater, unicellular green algae. A unique feature of these viruses is an abundance of DNA methyltransferases, with isolates dedicating up to 4.5% of their protein coding potential to these genes. This diversity highlights just one of the long-standing values of the chlorovirus model system; where group-wide epigenomic characterization might begin to elucidate the function(s) of DNA methylation in large dsDNA viruses. We characterized DNA modifications in the prototype chlorovirus, PBCV-1, using single-molecule real time (SMRT) sequencing (aka PacBio). Results were compared to total available sites predicted in silico based on DNA sequence alone. SMRT-software detected …

Resiliency Against Stressful Life Events And The Progression Of Depression From Adolescence, Neil V. Sen

PCOM Capstone Projects

Major depression is the second most impactful condition on overall health in the United States, affecting approximately 9 million commercially insured Americans. Depression rates are increasing as time goes on, especially in adolescents (12-17). From 2013, the rates of teen depression has risen 63 percent (47 percent for boys and 65 percent for girls). Depression is a complicated condition and there are many factors that play into the progression of the disease, including environmental, genetic, and psychological factors. Adolescence is a developmentally critical period of brain development for plasticity and maturation of stress systems. Studies have suggested that there may …

Facilitating Firearm Safety Counseling In Pediatric Primary Care To Decrease Gun Deaths In Children And Teens In Philadelphia, Bianca Lacay

PCOM Capstone Projects

Gun violence is a public health epidemic that affects the lives of children. The United States has the highest firearm deaths in children and adolescents among other high-income countries (University of Michigan, 2019). The Second Amendment ratified in 1791 protects the rights of citizens to keep and bear arms. This policy made by the founding fathers underlie controversial debates in the present day, resulting in different federal, state, and local gun laws. Due to the varying gun policies, firearm homicide rates of children and adolescents are climbing like never before. Firearms suicide is even more frequent than homicide and is …

Prenatal Counseling From Obstetricians As A Potential Point Of Intervention To Increase Childhood Vaccination Rates In Pennsylvania, Kaitlyn Davis

PCOM Capstone Projects

Vaccine hesitancy is a major public health concern in Pennsylvania, and the reasons for it vary from religious to philosophical. One subgroup of vaccine hesitant parents chooses not to vaccinate because they are misinformed and uneducated about the significance and the safety of vaccines. The objective of this study is to consider the use of an infographic to encourage pregnant women to ask their obstetricians about the importance and safety of vaccines as a way of increasing childhood vaccination rates.

Finding points of intervention to increase childhood vaccination rates is important. In order for a population to maintain herd immunity, …

Sleep Disorders In The Pediatric Population: Outcomes Resulting In Physiological, Developmental, And Behavioral Manifestations, Tera Egan

PCOM Capstone Projects

Sleep disorders are a growing concern in the pediatric population, especially because of their potentially detrimental effects on a child’s development. Sleep is critical for the health of a child. Accordingly, disruptions in sleep can lead to impairments in cognition, behavior, and various other physiological and psychological manifestations. Certain sleep disturbances and disorders are preventable and even treatable, especially when they are properly diagnosed. When a child is diagnosed with a sleep disorder, they must receive the proper medical attention and treatment plans to effectively dissipate their symptoms and mitigate the detrimental consequences of their condition. To understand the appropriate …

A Proposal To Implement A Must-Use Mandate For Prescription Drug Monitoring Programs In Philadelphia, Anugraha Kutty

PCOM Capstone Projects

No abstract provided.

Effect Of Maternal Microbiome On Offspring Neurodevelopment: A Review, Zoe Beausoleil

PCOM Capstone Projects

The purpose of this paper is to delve into the maternal influence on the offspring microbiome, and how maternal lifestyle factors and choices; mode of birth, feeding method, stress and the interventions used to alleviate said stress, maternal age, substance use, exercise, and nutrition, alter the microbiome and therefore affect the neurodevelopment of the offspring. The human microbiome is composed of billions of bacteria, fungi, protozoa, and viruses that occupy the gut, skin and other areas of the body. Numerous studies have illustrated the importance of the microbiome in healthy human physiologic processes including energy metabolism, gut health, immune function …

The Opioid Epidemic: Long Term Implications, Sana Abbas

PCOM Capstone Projects

The use of opioid medications is a rapidly growing problem in the United States. Although these medications are effective for short term pain relief, their long-term implications on the brain and interactions with other substances are still unknown. Despite the gaps in knowledge of the long-term implications or efficacy of opioids, there are still more than 200 million prescriptions written annually for opioid analgesics (Semenkovich et al., 2014). In addition to the overuse of these medications, they can cause interactions with other substances, some of which can cause severe cases of poly-intoxication. As the use of these medications continues to …

Noise-Induced Hearing Loss In Pediatric Patients, Kimberly Townsend

PCOM Capstone Projects

The purpose of this study is to examine the hearing tests that are done in the schools in the Philadelphia School District; it will examine the frequencies that are tested, the follow-up procedures for a poor performance in the exam, what barriers exist to follow-up, and educational methods used to prevent excessive noise-level. A previous literature review found that excessive noise was a major cause of hearing loss among school-aged children, and hearing impairment is increasing as a result of voluntary exposure to loud noise (Henderson, Testa, & Hartnick, 2011). Karper (2014) found that teenagers are not being tested at …

Quality Improvement With The Breast Center, Hannah Seelye

The Eleanor Mann School of Nursing Undergraduate Honors Theses

I spent the summer of 2019 interning at The Breast Center under Audra Flammang. She has a degree in communications and holds the position of Quality Assurance Administrator. She primarily works to ensure Joint Commission Quality Indicators are met and proper documentation of these indicators takes place. She communicates with the staff in weekly meetings about their ideas for quality improvement projects and necessary indicators for ongoing or upcoming projects. Her job also includes preparing case briefings for the weekly Breast Conference that occurs at Washington Regional.

During my internship, I was fortunate to learn a lot about radiology and …