Medicine and Health Sciences Commons^™

Burmese Pythons In Florida: A Synthesis Of Biology, Impacts, And Management Tools, Jacquelyn C. Guzy, Bryan G. Falk, Brian J. Smith, John David Willson, Robert N. Reed, Nicholas G. Aumen, Michael L. Avery, Ian A. Bartoszek, Earl Campbell, Michael S. Cherkiss, Natalie M. Claunch, Andrea F. Currylow, Tylan Dean, Jeremy Dixon, Richard Engeman, Sarah Funck, Rebekah Gibble, Kodiak C. Hengstebeck, John S. Humphrey, Margaret E. Hunter, Jillian M. Josimovich, Jennifer Ketterlin, Michael Kirkland, Frank J. Mazzotti, Robert Mccleery, Melissa A. Miller, Matthew Mccollister, M. Rockwell Parker, Shannon E. Pittman, Michael Rochford, Christina Romagosa, Art Roybal, Ray W. Snow, Mckayla M. Spencer, J. Hardin Waddle, Any A. Yackel Adams, Kristen M. Hart

United States Department of Agriculture Wildlife Services: Staff Publications

Burmese pythons (Python molurus bivittatus) are native to southeastern Asia, however, there is an established invasive population inhabiting much of southern Florida throughout the Greater Everglades Ecosystem. Pythons have severely impacted native species and ecosystems in Florida and represent one of the most intractable invasive-species management issues across the globe. The difficulty stems from a unique combination of inaccessible habitat and the cryptic and resilient nature of pythons that thrive in the subtropical environment of southern Florida, rendering them extremely challenging to detect. Here we provide a comprehensive review and synthesis of the science relevant to managing invasive …

Effects Of Corn Supplementation On Serum And Muscle Microrna Profiles In Horses, Clarissa Carver, Jason E. Bruemmer, Stephen Coleman, Gabriele Landolt, Tanja Hess

United States Department of Agriculture Wildlife Services: Staff Publications

Laminitis associated with equine metabolic syndrome causes significant economic losses in the equine industry. Diets high in non-structural carbohydrates (NSC) have been linked to insulin resistance and laminitis in horses. Nutrigenomic studies analyzing the interaction of diets high in NSCs and gene expression regulating endogenous microRNAs (miRNA) are rare. This study's objectives were to determine whether miRNAs from dietary corn can be detected in equine serum and muscle and its impacts on endogenous miRNA. Twelve mares were blocked by age, body condition score, and weight and assigned to a control (mixed legume grass hay diet) and a mixed legume hay …

Using Drones To Detect And Quantify Wild Pig Damage And Yield Loss In Corn Fields Throughout Plant Growth Stages, Bethany A. Friesenhahn, Lori D. Massey, Randy W. Deyoung, Michael J. Cherry, Justin W. Fischer, Nathan P. Snow, Kurt C. Vercauteren, Humberto L. Perotto‐Baldivieso

United States Department of Agriculture Wildlife Services: Staff Publications

Presently, there are an estimated 6.9 million wild pigs (Sus scrofa) in the U.S., which cause over US$1 billion in damage to agriculture, environmental impacts, and control costs. However, estimates of damage have varied widely, creating a need for standardized monitoring and a method to accurately estimate the economic costs of direct wild pig damage to agriculture. The goal of our study was to integrate remotely sensed imagery from drones and crop harvest data to quantify wild pig damage in corn fields. We used drones with natural color (red, green, blue) cameras to monitor corn fields at different …

Intracellular Diversity Of Wnv Within Circulating Avian Peripheral Blood Mononuclear Cells Reveals Host-Dependent Patterns Of Polyinfection, Dalit Talmi-Frank, Alex D. Byas, Reyes Murrieta, James Weger-Lucarelli, Claudia Rückert, Emily N. Gallichotte, Janna A. Yoshimoto, Chris Allen, Angela M. Bosco-Lauth, Barbara Graham, Todd A. Felix, Aaron C. Brault, Gregory D. Ebel

United States Department of Agriculture Wildlife Services: Staff Publications

Arthropod-borne virus (arbovirus) populations exist as mutant swarms that are maintained between arthropods and vertebrates. West Nile virus (WNV) population dynamics are host-dependent. In American crows, purifying selection is weak and population diversity is high compared to American robins, which have 100- to 1000-fold lower viremia. WNV passed in robins leads to fitness gains, whereas that passed in crows does not. Therefore, we tested the hypothesis that high crow viremia allows for higher genetic diversity within individual avian peripheral blood mononuclear cells (PBMCs), reasoning that this could have produced the previously observed hostspecific differences in genetic diversity and fitness. Specifically, …

Investigating Nocturnal Uas Treatments In An Applied Context To Prevent Gulls From Nesting On Rooftops, Morgan Pfeiffer, Craig K. Pullins, Scott F. Beckerman, Joshua L. Hoblet, Brad Blackwell

United States Department of Agriculture Wildlife Services: Staff Publications

Ring‐billed (Larus delawarensis) and herring (L. argentatus) gulls are numerous and widespread in North America. These gulls rank among the top 9 species for risk of bird‐aircraft collisions (hereafter strikes). The ubiquitous presence of gulls in urban coastal environments, including rooftop nesting behavior, are factors impacting strike risk. Our purpose was to assess gull response to a small uncrewed aircraft system (UAS) in hazing flights at night during the nest‐building phase. We hypothesized that nocturnal UAS operation, like nocturnal predator disturbance, might reduce gull numbers and, thus, strike risk to aircraft. In spring 2021, we conducted …

Urbanization Influences Spatiotemporal Patterns Of Roost Site Selection By Black Vultures And Turkey Vultures, Jacob E. Hill, Kenneth F. Kellner, Amanda E. Holland, Bryan M. Kluever, Morgan B. Pfeiffer, Travis L. Devault, Jerrold L. Belant

United States Department of Agriculture Wildlife Services: Staff Publications

Roost locations can be an important contributor to vulture conflicts with humans, but factors influencing roost-site selection at a landscape level remain largely unexplored. Further, there has been little research comparing how these factors vary between nocturnal and diurnal roosting sites. We used remote cameras to document daily variation in vulture use of 21 roosts (20 communication/water towers and 1 natural roost) near Beaufort, South Carolina, USA from October 2019–August 2020. Numbers of vultures on roosts increased with decreasing urban cover and with greater distance to water, but were not influenced by habitat fragmentation or elevation. Roosts surrounded by greater …

Detection Of Sars-Cov-2 Neutralizing Antibodies In Retropharyngeal Lymph Node Exudates Of White-Tailed Deer (Odocoileus Virginianus) From Nebraska, Usa, Korakrit Poonsuk, Duan S. Loy, Rachael Birn, Bryan Buss, Matthew Donahue, Todd Nordeen, Kylie Sinclair, Luke Meduna, Bruce Brodersen, John Dustin Loy

School of Veterinary and Biomedical Sciences: Faculty Publications

Disease surveillance testing for emerging zoonotic pathogens in wildlife is a key component in understanding the epidemiology of these agents and potential risk to human populations. Recent emergence of SARS-CoV-2 in humans, and subsequent detection of this virus in wildlife, highlights the need for developing new One Health surveillance strategies. We used lymph node exudate, a sample type that is routinely collected in hunter-harvested white-tailed deer (WTD, Odocoileus virginianus) for surveillance of chronic wasting disease, to assess anti-SARS-CoV-2 neutralizing antibodies. A total of 132 pairs of retropharyngeal lymph nodes collected from Nebraska WTD harvested in Nebraska, US, in 2019 …

Radiation-Induced Gastrointestinal (Gi) Syndrome As A Function Of Age, Hongyan Li, Herman C. Kucharavy, Carla Hajj, Liyang Zhao, Guoqiang Hua, Ryan Glass, Phillip B. Paty, Zvi Fuks, Richard Kolesnick, Karen Hubbard, Adriana Haimovitz-Friedman

Publications and Research

Previous studies show increased sensitivity of older mice (28–29 months) compared with young adult mice (3 months, possessing a mature immune system) to radiation-induced GI lethality. Age-dependent lethality was associated with higher levels of apoptotic stem cells in small intestinal crypts that correlated with sphingomyelinase activity, a source of pro-apoptotic ceramide. The objective of this study is to determine whether the cycling crypt base columnar cells (CBCs) in aging animals are specifically more sensitive to radiation effects than the CBCs in young adult mice, and to identify factors that contribute to increased radiosensitivity. Mortality induced by subtotal body radiation was …

Distinctions Between Choroidal Neovascularization And Age Macular Degeneration In Ocular Disease Predictions Via Multi-Size Kernels Ξcho-Weighted Median Patterns, Alex Liew, Sos Agaian, Samir Benbelkacem

Publications and Research

Age-related macular degeneration is a visual disorder caused by abnormalities in a part of the eye’s retina and is a leading source of blindness. The correct detection, precise location, classification, and diagnosis of choroidal neovascularization (CNV) may be challenging if the lesion is small or if Optical Coherence Tomography (OCT) images are degraded by projection and motion. This paper aims to develop an automated quantification and classification system for CNV in neovascular age-related macular degeneration using OCT angiography images. OCT angiography is a non-invasive imaging tool that visualizes retinal and choroidal physiological and pathological vascularization. The presented system is based …

Premature Senescence And Cardiovascular Disease Following Cancer Treatments: Mechanistic Insights, Ashita Jain, Diego Casanova, Alejandra Valdivia Padilla, Angelica Paniagua Bojorges, Sivareddy Kotla, Kyung Ae Ko, Venkata S K Samanthapudi, Khanh Chau, Minh T H Nguyen, Jake Wen, Selina L Hernandez Gonzalez, Shaefali P Rodgers, Elizabeth A Olmsted-Davis, Dale J Hamilton, Cielito Reyes-Gibby, Sai-Ching J Yeung, John P Cooke, Joerg Herrmann, Eduardo N Chini, Xiaolei Xu, Syed Wamique Yusuf, Momoko Yoshimoto, Philip L Lorenzi, Brain Hobbs, Sunil Krishnan, Efstratios Koutroumpakis, Nicolas L Palaskas, Guangyu Wang, Anita Deswal, Steven H Lin, Jun-Ichi Abe, Nhat-Tu Le

The Brown Foundation: Institute of Molecular Medicine

Cardiovascular disease (CVD) is a leading cause of morbidity and mortality, especially among the aging population. The "response-to-injury" model proposed by Dr. Russell Ross in 1999 emphasizes inflammation as a critical factor in atherosclerosis development, with atherosclerotic plaques forming due to endothelial cell (EC) injury, followed by myeloid cell adhesion and invasion into the blood vessel walls. Recent evidence indicates that cancer and its treatments can lead to long-term complications, including CVD. Cellular senescence, a hallmark of aging, is implicated in CVD pathogenesis, particularly in cancer survivors. However, the precise mechanisms linking premature senescence to CVD in cancer survivors remain …

Consensus On Potential Changes In Public Health Leadership Competencies As A Result Of The Covid-19 Pandemic Among Washington State Local Health Jurisdictions, Haley M. Schimmel

All Master's Theses

Effective leadership practices among the public health field are critical in the process of influencing positive health outcomes across populations. While many competencies or skill sets that are needed of leaders to promote ideal public health functions have been identified and discussed in previous literature, there has become an arising need for evaluation of potential changes due to the COVID-19 pandemic.

To do this, the Delphi research method was utilized through the implementation of a four-round questionnaire process to gain consensus among participating leaders in ten different Washington State Local Health Jurisdictions. The two main research questions of this study …

Characterizing Cellular Injury And Inflammation With Aldob-/-Mouse Model Of Mafld, Andy Rashid

All Master's Theses

Metabolic-associated fatty liver disease (MAFLD) affects 1 in 3 people in the US and is a healthcare burden on the order of billions of dollars. MAFLD is characterized by pathological lipid accumulation in the liver, excess production of triglycerides and cholesterol, and export of LDL particles that raise serum lipid levels. These metabolic perturbations can lead to the development of liver fibrosis, chronic inflammation, and insulin resistance. Diagnosing MAFLD prior to fibrosis is crucial for successful intervention and prevention of advanced liver disease and other metabolic complications. Fructose-1Phospahte (F1P) accumulation from fructose overconsumption can drive hepatic lipogenesis and MAFLD progression. …

Small Finger Reverse Ulnar Digital Artery Hypothenar Perforator Flap For Small Finger Proximal Interphalangeal Joint Reconstruction, Nicholas Kunda, Alexander Dagum

Stony Brook Orthopaedic and Musculoskeletal Journal

Purpose: Local flaps are commonly used for digital reconstruction for soft tissue defects. There remains a paucity of options available for small finger volar proximal interphalangeal joint coverage. The purpose of this study was to analyze perforators along the hypothenar eminence arising from the artery of the ulnar side of the small finger as it comes off the superficial palmer arch for consistency and potential to be used for perforator-based flap reconstruction of the small finger proximal interphalangeal joint.

Methods: Four cadaveric upper extremities were injected with Microfil® silicone injection compound. Dissection was performed from the superficial palmer arch to …

Gated Deep Reinforcement Learning With Red Deer Optimization For Medical Image Classification, Narayanan Ganesh, Sambandan Jayalakshmi, Rama Chandran Narayanan, Miroslav Mahdal, Hossam Zawbaa, Ali Wagdy Mohamed

Articles

The brain is one of the most important and complex organs in the body, consisting of billions of individual cells. Uncontrolled growth and expansion of aberrant cell populations within or around the brain are the main causes of brain tumors. These cells have the potential to harm healthy cells and impair brain function [1]. Tumors can be detected using medical imaging techniques, which are considered the most popular and accurate way to classify different types of cancer, and this procedure is even more crucial as it is noninvasive [2]. Magnetic resonance imaging (MRI) is one such medical imaging technique that …

Safety And Tolerability Results Of Atogepant For The Preventive Treatment Of Episodic Migraine From A 40-Week, Open-Label Multicenter Extension Of The Phase 3 Advance Trial, Brad C Klein, Rosa Miceli, Lawrence Severt, Peter Mcallister, Laszlo Mechtler, Jennifer Mcvige, Merle Diamond, Michael J. Marmura, Hua Guo, Michelle Finnegan, Joel M Trugman

Department of Neurology Faculty Papers

Background: Atogepant is a United States Food and Drug Administration-approved oral calcitonin gene-related peptide receptor antagonist for the preventive treatment of episodic migraine. The study objective was to evaluate the long-term safety and tolerability of atogepant in participants who completed the phase 3 ADVANCE trial (NCT03777059).

Methods: This 40-week, open-label extension trial (NCT03939312) monitored safety in participants receiving oral atogepant 60 mg once daily, followed by a four-week safety follow-up period.

Results: Of the 685 participants taking at least one dose of atogepant, the treatment period was completed by 74.6% of participants with a mean (standard …

Association Of Human Leukocyte Antigen Alleles With Carbamazepine-Or Lamotrigine-Induced Stevens-Johnson Syndrome And Toxic Epidermal Necrolysis In An Iranian Population: A Case-Control Study, Ladan Dastgheib, Farima Rostami, Behrouz Gharesi-Fard, Ali Akbar Asadi-Pooya, Saba Namjoo, Foroozan Tahmasebi, Maryam Hadibarhaghtalab

Department of Neurology Faculty Papers

Background: Genetic diversity in human leukocyte antigen (HLA) alleles across populations is a significant risk factor for drug-induced severe cutaneous adverse reactions (SCARs), e.g., carbamazepine (CBZ)- and lamotrigine (LTG)-induced StevensJohnson syndrome (SJS), and toxic epidermal necrolysis (TEN). The present study aimed to investigate the frequency of different HLA alleles in Iranian patients with CBZ- and LTG-induced SJS/TEN.

Methods:A case-control study was conducted from 2011 to 2018 at various hospitals affiliated with Shiraz University of Medical Sciences (Shiraz, Iran). A total of 31 patients receiving anticonvulsant drugs (CZB or LTG) were recruited and divided into two groups. The drug-induced group …

Work Difficulties, Work Restrictions, And Disability Benefits In People With Functional Seizures: A Survey Study, Jared Woodward, A A Asadi-Pooya, Bridget Mildon, Benjamin Tolchin

Department of Neurology Faculty Papers

Purpose: Functional seizures (FS) cause significant long-term disability and clinicians offer differing views on proper work restrictions and qualifications for disability benefits in this population. We assess the views and perspectives of experienced disability and work limitations in people living with functional seizures. Methods: Between (4/29/2020–1/13/2021) an open-access 21-item internet survey was conducted via FNDHope.org; allowing for people living with self-reported functional seizures to remark on topics of work difficulties, work restrictions, qualifications for disability benefits, and driving. Demographic information was collected, and univariate and multivariate logistic regressions were used to evaluate potential predictors of current employment status. Results: One …

Expandable Intravertebral Implants In Post-Traumatic Vertebral Necrosis - New Classification Suggestion., Diogo Lino Moura, Josué Pereira Gabriel

Trauma and Acute Care Articles

The progressive evolution of post-traumatic vertebral necrosis and consequent loss of structural integrity of the vertebral body along with neurological risk, makes it one of the most feared and unpredictable pathologies in spine traumatology. Several studies have addressed the role of vertebroplasty, kyphoplasty, and corpectomy in its treatment; however, it remains a controversial concept without a defined therapeutic algorithm. The recent emergence of expandable intravertebral implants, which allow, by a percutaneous transpedicular application, the capacity for intrasomatic filling and maintenance of the height of the vertebral body, makes them a viable option, not only in the treatment of acute vertebral …

Exploring The Influence Of Contextual Factors And The Caregiving Process On Burden, Quality Of Life, And Outcomes Of Heart Failure (Hf) Dyads After A Hospital Discharge Guided By The Individual And Family Self-Management Theory (Ifsmt): A Mixed Method Study., Tamara Bernard, Breanna D. Hetland, Myra S. Schmaderer, Ronald Zolty, Christopher S. Wichman, Bunny J. Pozehl

Posters and Presentations: College of Nursing

No abstract provided.

Active Nursing Research Studies As Of 1-2023 (Study Summaries), Lindy Bilimek Msn, Agcns-Bc, Danielle Payne , Msn, Bsbio, Rn, Jennifer Esslinger Bsn, Rn, Cfrn, Ctrn, Kellie Girardot Msn, Rn, Rebecca S. Mahuren, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Andrea D. Conley Msn, Rn, Agcns-Bc, Mscrn, Brooke Randol Msn, Rn, Agcns-Bc, Cmsrn, Cws

Nursing Active Studies

Validation of an evidence-based, nurse-designed fall risk assessment tool: Study 2

Validation of an evidence-based, nurse-designed fall risk assessment tool.

Lindy Bilimek MSN, RN, AGCNS-BC

Nursing and Support Staff Perceptions of Inpatient MyChart Utilization.

Influence of Music Therapy on Length of Stay in Surgical Patients.

Danielle Payne BSBio, MSN, RN, FNP-BC

Effect of Warming IV Fluids During MICU Transport on Patient Comfort and Temperature.

Jennifer Esslinger BSN, RN, CFRN, CTRN

Evaluation of a COVID Mobility Team.

Kelly Girardot Kellie Girardot MSN, RN, AGCNS-BC

Data-based Program Management of System-Wide IV Smart Pump Integration.

Rebecca Mahuren BSN, RN

Assessment of Nurse Perceptions …

Model Legal Processes For Court Ordered Mental Health Treatment - A Modern Approach, Brian D. Shannon

FIU Law Review

The United States Conference of Chief Justices and Conference of State Court Administrators established the National Judicial Task Force to Examine State Courts’ Response to Mental Illness in 2019. As part of its overall efforts, the National Judicial Task Force then partnered with the Equitas Project of Mental Health Colorado to appoint a select workgroup to develop model statutory language for court-ordered mental health treatment, emergency psychiatric intervention, medication over objection, and criminal matters involving persons with mental illness. This Model Legal Processes Workgroup included judges, psychiatrists, medical school professors, law professors, and others whose goal was to draft model …

Drivers Of Change In Mindfulness- And Acceptance-Based Interventions With Athletes: Investigating The Influence Of Dosage, Readiness, And Attitudes, Thomas O. Minkler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Mindfulness- and Acceptance-based interventions (MABIs) are being used with increasing frequency with sport participants. Research suggests that such interventions may promote sport performance and impact performance-relevant factors, although the current quality and quantity of research is low. Specifically, questions about intervention engagement (i.e., dosage), potentially impacted by stage of change and attitudes toward sport psychology, need clarification. The present study utilized a multi-method, quasi-experimental longitudinal design with female- and male- identified NCAA collegiate athletes to investigate the effects of an MABI. Specifically, one NCAA Division II team (n = 16) and three NCAA Division III teams (n = …

Antibacterial Effect Of Various Irrigants Against Enterococcus Faecalis, Morgan N. Kesecker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction:

One of the goals of endodontic therapy is to debride infected pulps of teeth and return the tooth to a state of health in preparation of restorative care and return to function. Chemically cleansing of the canal system augments mechanical debridement by flushing out debris, dissolving tissue, and disinfecting the root canal system. The purpose of this research is to compare the efficacy of five irrigants: 0.008% HOCl acid (Endocyn®), 0.03% HOCl (Vashe®), 6% and 8.25% sodium hypochlorite (NaOCl), and Ozone against a typical bacterial species found in infected pulps, Enterococcus faecalis (E. faecalis).

Methods:

After 24 hours …

A Machine Learning Approach For Early Diagnosis Of Transthyretin Amyloid Cardiomyopathy Among Heart Failure Patients, Tanjim Ahmed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Transthyretin Amyloid Cardiomyopathy (ATTR-CM) is a rare, progressive, and fatal disease. Prevalence of ATTR-CM ranges from 4 to 17 per 100000 cases where the mean survival time is less than 4 years. It has a history of being underdiagnosed and misdiagnosed. The diagnosis delay has a weighted mean of 6.1 years for wild-type ATTR-CM. Low awareness, the necessity of invasive procedures, and lack of treatment are the key reasons for delayed diagnosis. But, with the introduction of non-invasive tests like nuclear scintigraphy with ^99mTC-PYP and the disease modifying drug Tafamidis, the diagnosis delay signifies a missed opportunity to increase …

Pinch Force Generation During Scaling By Dental Professionals: A Systematic Review, Jessica R. Suedbeck, Emily A. Ludwig

Dental Hygiene Faculty Publications

Objective

The objective of this review was to examine the impact of instrument designs on pinch force generation during scaling by dental professionals.

Methods

Three databases were utilized from September 2019 to November 2021 in addition to hand-searching specific journals and reference lists. Research articles that examined pinch force generation in dental professionals during scaling with manual instruments only were included. Bias was assessed in the individual articles.

Results

Six research articles were included with sample populations that varied from 12 to 24 participants. Four articles evaluated instrument designs in relation to pinch force generation during scaling by dental professionals. …

The Effects Of Dental Hygiene Instrument Handles On Muscle Activity Production, Jessica R. Suedbeck, Daniel Russell, Cortney Armitano Lago, Emily A. Ludwig

Dental Hygiene Faculty Publications

Purpose The objective of this study was to compare the effects of ten commercially available instrument handle designs’ mass and diameter on forearm muscle activity during a simulated periodontal scaling experience.

Methods A convenience sample of 25 registered dental hygienists were recruited for this IRB-approved study. Ten commercially available instruments were categorized into four groups based on their masses and diameters: large diameter/light mass, small diameter/light mass, large diameter/heavy mass, and small diameter/heavy mass. Participants were randomized to four instruments with one from each group. Participants scaled with each instrument in a simulated oral environment while muscle activity was collected …

Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci

Dental Hygiene Faculty Publications

Purpose: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used.

Methods: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was …

Il-27 Negatively Impacts Immunity Developed Following Bcg Administration, Shelby D. Bradford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Mycobacterium tuberculosis (Mtb) is the causative agent of tuberculosis (TB), a predominantly respiratory pathogen responsible for over ten million infections and one million deaths last year. Despite it being a primary objective of the World Health Organization (WHO) for several decades to irradicate TB, progress toward this objective has fallen short of the 2020 target to end TB by 2035. Meeting this goal will require advancements in diagnostic tools, education, healthcare access, and treatments and preventatives. Regarding prevention, the primary tool for this strategy is through vaccination. Currently, the only licensed vaccine for protection against TB is the century old …

Optimizing Sample Collection And Data Interpretation For Effective Wastewater-Based Epidemiology In Combined Sewer Systems, Christopher Allen Anderson

Graduate Theses, Dissertations, and Problem Reports (ETD)

COVID-19 has spurred growth in the science surrounding wastewater-based epidemiology (WBE) pertaining to the detection of severe acute respiratory virus 2 (SARS-CoV-2) in waste streams as an early warning signal for public health. However, the highly variable wastewater environment has made it difficult to standardize an approach for sampling and analysis, especially in locations using combined sewer infrastructure. This study addresses knowledge gaps of WBE via three specific aims: (1) to compare diurnal fluctuations of SARS-CoV-2 and the human fecal indicator, pepper mild mottle virus (PMMoV) in wastewater treatment plant (WWTP) influent samples collected during dry versus wet weather conditions; …

Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza

Walden Dissertations and Doctoral Studies

Reporting mortality information is the primary data source from which evidence can be drawn to monitor disease trends and inform public health policy to improve population health. Still, only two-thirds of expected annual deaths are reported globally. Health education and promotion play a significant role in empowering communities to uptake public health services such as mortality surveillance. This qualitative descriptive study aimed to understand health workers’ (HWs’) perspectives regarding the need for health education to support mortality surveillance in Machakos County, Kenya. The capabilities, opportunities, and motivation for the behavior change model guided the study. Semi-structured interviews were used to …