Medicine and Health Sciences Commons^™

Graduate Commencement, Philadelphia (2018), Philadelphia College Of Osteopathic Medicine

Commencements

Philadelphia Campus Graduate Program Commencement program, Class of 2018. Degrees include Doctor of Psychology in Clinical Psychology, Doctor of Psychology in School Psychology, Educational Specialist in School Psychology, Master of Science in School Psychology, Master of Science in Counseling and Clinical Health Psychology, Master of Science in Mental Health Counseling, Master of Science in Organizational Development and Leadership, Master of Science in Public Health Management and Administration, Master of Science in Aging and Long Term Care Administration, Master of Science in Forensic Medicine, Master of Science in Biomedical Sciences, Master of Science in Health Sciences – Physician Assistant Studies, and …

Bibliometric Analysis Of Gaps In Research On Asbestos-Related Diseases: Declining Emphasis On Public Health Over 26 Years, Ro-Ting Lin, Matthew John Soeberg, Lung-Chang Chien, Scott Fisher, Jukka Takala, Richard Lemen, Tim Driscoll, Ken Takahashi

School of Public Health Faculty Research

Objectives The global burden of asbestos-related diseases (ARDs) is significant, and most of the world’s population live in countries where asbestos use continues. We examined the gaps between ARD research and suggestions of WHO and the International Labour Organization on prevention. Methods From the Web of Science, we collected data on all articles published during 1991–2016 and identified a subset of ARD-related articles. We classified articles into three research areas—laboratory, clinical and public health—and examined their time trends. For all and the top 11 countries publishing ARD-related articles, we calculated the proportions of all ARD-related articles that were in each …

Cross Jurisdictional Boundaries To Build A Health Coalition: A Kentucky Case Study, Angela L. Carman, Margaret L. Mcgladrey

Health, Behavior & Society Faculty Publications

Cross-jurisdictional sharing is accomplished through collaboration across jurisdictional boundaries to deliver essential public health services and solve problems that cannot be easily addressed by single organizations or jurisdictions. Partners across 10 counties and three public health jurisdictions of the Barren River Area Development District (BRADD) convened as Barren River Initiative to Get Healthy Together (BRIGHT), a community health improvement coalition. Focus groups and interviews with BRIGHT members indicate that the use of effective strategies to focus collaborative health improvement efforts fosters a cohesive coalition even when the group is populated by individuals from across public health jurisdictional boundaries. Focusing strategies …

Incorporating The New Blood Pressure Guidelines Into Practice, Susan H. Davide, Anty Lam

Publications and Research

No abstract provided.

Spatial Distribution Of Partner-Seeking Men Who Have Sex With Men Using Geosocial Networking Apps: Epidemiologic Study, Angel B. Algarin, Patrick J. Ward, W. Jay Christian, Abby E. Rudolph, Ian W. Holloway, April M. Young

Epidemiology and Environmental Health Faculty Publications

Background: Geosocial networking apps have made sexual partner-seeking easier for men who have sex with men, raising both challenges and opportunities for human immunodeficiency virus and sexually transmitted infection prevention and research. Most studies on men who have sex with men geosocial networking app use have been conducted in large urban areas, despite research indicating similar patterns of online- and app-based sex-seeking among men who have sex with men in rural and midsize cities.

Objective: The goal of our research was to examine the spatial distribution of geosocial networking app usage and characterize areas with increasing numbers of partner-seeking men …

Provider Insight On Surmounting Specialty Practice Challenges To Improve Tdap Immunization Rates Among Pregnant Women, Arpita Mehrotra, Allison Kennedy Fisher, Jennifer Mullen, Leslie Rodriguez, Angela J. Jiles, Alison P. Albert, Laura A. Randall, Paula M. Frew

Environmental & Global Health Faculty Research

Background Pertussis, or “whooping cough,” is an acute, contagious pulmonary disease that, despite being vaccine-preventable, has become an increasingly widespread problem in the United States. As a result, the Advisory Committee on Immunization Practices and American College of Obstetricians and Gynecologists updated recommendations stating clinicians should give a Tdap dose during every pregnancy, preferably at 27–36 weeks. Despite this recommendation, reported Tdap vaccine receipt rates during pregnancy vary from 16–61%, and previous studies have shown that clinician recommendation and vaccine administration are strongly associated with vaccine uptake among pregnant women. Methods Our aim was to inform new strategies to increase …

Spatial Epidemiology Of Summer Trauma In Scott County, Ia: Use Of Gis To Identify Trauma Incidence In Urban And Rural Areas, Matthew Koch

Celebration of Learning

Traumatic injury is a blanket term referring to acute physical injuries which pose an immediate threat to life and limb, requiring urgent medical care. Unintentional injuries are the fifth-leading cause of death, and fatal injuries cost the American economy over $84 billion annually in lost work and medical costs. Scott County, IA, is a unique environment for trauma research because it served by a single trauma center and features within its 458 square miles distinct urban and rural populations. Patient data from the trauma registry, including age, race, and mechanism of injury (MOI) was combined with the corresponding spatial data …

Decreasing Environmental Health Risks In The Philippines: Implementation Of A Culturally Appropriate Screening Tool, Alyssa Samson

Doctor of Nursing Practice (DNP) Projects

Objectives: The purpose of this DNP project was to increase the knowledge of environmental health risk factors in the Philippines among nurses and doctors located within that healthcare system. The overall goal was to educate providers on local environmental health risks, provide training for the use of a screening tool (Tagalog Environmental Health and Safety Assessment Tool [TEHSAT]), and provide resources aimed at increasing screening of at risk populations and provide opportunities for education and health promotion.

Methods: This project included a two-part educational training session. The first part included a preliminary presentation on environmental health and the use of …

The Role Of Cooperative Extension In Chronic Disease Prevention And Management: Perspectives From Professionals In The Field, Daniel Remley, David Buys, Linda Cronk, Valerie Duffy, Julie Garden-Robinson, Marcel Horowitz, Bernestine Mcgee, Cindy Nelson, Suzanne M. Prevedel, Marla Reicks, Tamara Warren

Journal of Human Sciences and Extension

Chronic diseases are strongly associated with premature death and increased health care costs. Nearly half of American adults report they have one or more chronic health conditions. Cooperative Extension is calling for refocus to refine and align with broader efforts to promote public health by supporting the prevention and management of chronic disease. The success of this refocus is dependent on a shared vision between funding agencies, stakeholders, and Extension. As part of developing this shared vision, the Chronic Disease Health Implementation Team surveyed 152 Extension administrators, faculty, and Extension Agents/Educators to determine their perception of the role of Extension …

The National Framework For Health And Wellness: (Re)Framing The Work Of Cooperative Extension For The Next Century, David Buys, Sonja Koukel

Journal of Human Sciences and Extension

Cooperative Extension is at a crossroads and has increasing opportunities to articulate its existing role and future growth in impacting the health and wellness of the individuals and communities it serves. This is important because the health outcomes in the U.S. are poorer than any other developed nation, health expenditures are high, challenges with navigating the health system are immense, and opportunities to intervene and remove barriers to improving the nation’s health and wellness abound. This article provides suggestions as a follow-up to the reports featured in this special issue of the Journal of Human Sciences and Extension from the …

Cooperative Extension And Health Literacy: A National Focus, Sonja Koukel, Cathy Newkirk, Sarah Bercaw, Belinda Letto, Fatemeh Malekian

Journal of Human Sciences and Extension

Health literacy is often defined as the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions. Research shows that 30 million Americans have Below Basic health literacy skills. People with low health literacy skills contribute to higher utilization of health care services. This equates to an excess of $230 billion a year in health care costs linked to low literacy in the United States. The primary responsibility for improving health literacy lies with public health professionals and the health care and public health systems. However, …

Relationship Between Pre-Pregnancy Maternal Bmi And Optimal Weight Gain In Singleton Pregnancies, Pierre-Yves Robillard, Gustaaf Dekker, Malik Boukerrou, Nathalie Le Moullec, Thomas C. Hulsey

Clinical and Translational Science Institute

Background: There is a peculiar phenomenon: two separate individuals (mother and foetus) have a mutually interactive dependency concerning their respective weight. Very thin mothers have a higher risk of small for gestational age (SGA) infants, and rarely give birth to a large for gestational age (LGA) infant. While morbidly obese women often give birth to LGA infants, and rarely to SGA. Normal birthweight (AGA) infants (>10th and investigate the interaction between maternal booking BMI, gestational weight gain (GWG) and neonatal birthweight centiles. Methods: 16.5 year-observational cohort study (2001e2017). The study population consisted of all consecutive singleton term (37 weeks …

The Unity Project: Camden Community Health Center Building Authentic & Impactful Relationships Through The Ask-First Model, Christian Diliberto, Ruchi Shah, Patrick J. Tempera

Rowan-Virtua Research Day

Last spring, the Camden Community Health Center (CCHC) launched the Unity Project, an initiative aimed at fostering relationships with various Camden, New Jersey organizations to not only educate community members about our services, but also to collaborate with them on improving Camden’s health. Although the CCHC has been in Camden for over 15 years, local organizations were unaware of our existence. There was also a similar disconnect among these organizations themselves. The goal of the Unity Project is to work towards affecting long-term change by forming authentic and impactful relationships with organizations that are already doing meaningful work.

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Baby's Best Start: Wic's Role In The Alleviation Of Childhood Obesity, Ashton Hutcheson

Public Health: Student Scholarship & Creative Works

In the past 50 years, obesity prevalence has risen to epidemic-like levels in the United States with an average of 25% of American children being classified as overweight or obese. Prevalence of obesity is significantly increased in socioeconomically disadvantaged income categories. This paper aims to discuss public health preventions/interventions that address childhood obesity such WIC, a supplemental nutrition program for women, infants, and children. It additionally aims to provide broad obesity-related research and begin to suggest preliminary answers to the question of why obesity is so prevalent as well as a brief overview of current treatment options for obesity-related diseases …

Devalued, Turned Away, And Refused Health Care: What Happens To Women Of Color When Religion Dictates Patient Care, Elizabeth Boylan

Center for Gender & Sexuality Law

Columbia Law School's Law, Rights, and Religion Project, and the National Women’s Law Center hosted a Capitol Hill Briefing at 10:15 am on Thursday, May 24th to discuss the impact of religious health care refusals on women of color. The event, entitled Devalued, Turned Away, and Refused Health Care: What Happens to Women of Color When Religion Dictates Patient Care, was presented in cooperation with Senator Kamala Harris and Representative Bonnie Watson Coleman.

Pornography As A Public Health Issue: Promoting Violence And Exploitation Of Children, Youth, And Adults, Elisabeth Taylor

Dignity: A Journal of Analysis of Exploitation and Violence

The pornography industry is expanding exponentially as a result of ongoing technological advances. The ability to stream videos over the internet and the ubiquity of the smart phone have meant that pornography producers are able to use algorithms to target potential consumers, to cultivate new sexual tastes and to deliver content to a more diverse audience over mobile devices. The advent of virtual reality pornography with interactive sex toys and sex robots imbued with artificial intelligence promises to unleash a further step-change in the extent to which pornography influences ‘real-world’ sexual culture. The critical analysis of pornography undertaken over decades …

Evidence-Based Study Of Medication Compliance Project In Hiv Prevention Using Pre-Exposure Prophylaxis (Prep) Antivirals For Hiv-Negative Males, Ming-Chun Ho

Doctoral Projects

In 2012, emtricitabine/tenofovir was the only Food and Drug Administration-approved medication for pre-exposure prophylaxis (PrEP) used in human immunodeficiency virus (HIV) prevention. To date, there is little research on open-label and mixed-payer characteristics supporting medication compliance of men who have sex with men (MSM). The purpose of this research was to describe individual demographic variables associated with PrEP medication adherence and to examine the effect of a follow-up phone call from a nurse once a month for 3 months. A total of 30 MSM were recruited and data were collected using a demographic questionnaire, medication adherence tool and follow-up phone …

Patients Are Our Teachers, Robert E. Becker, Mary V. Seeman

Journal of Patient-Centered Research and Reviews

In the patient-physician encounter, physicians hone their skills while alleviating the patient’s suffering. Both benefit. Leaning on the work of Hippocrates, Darwin, and William Osler, the authors sketch out the case for honoring patients as indispensable teachers of the art and science of medicine. They argue that this tradition of Hippocratic medicine both anticipates modern precision medicine and reawakens a focus on public health medicine, each a benefit to the patients and communities served by physicians. A community that compromises the learning relationship of physician to patient and population undermines quality of care.

Drug Abuse Manifesting As Persistent Hypoglycemia: A Case Report Of Hidden Sulfonylurea Poisoning, Frederick B. Peng, Sharon Li, Md

Department of Medicine Posters

Background

• Prescription drug abuse is on the rise. According to the Philadelphia Department of Health data in 2017, up to 26% of adults may be using benzodiazepines and/or opioids (Table 1).
• 12% or 1/8 Philadelphians are estimated to be current benzodiazepine users and have taken one in the last 7 days. Benzodiazepine use is most common among people with household incomes below $25,000 and among the 45-54 years old age group (17.7%) [1].
• Most current users (84%) obtain benzodiazepines from health care providers [1]. However, with new policies to closely monitor controlled substances, those with dependence on benzodiazepines may turn …

Research Support Infrastructure: Implementing A Clinical Research Coordinating Center, Julio A. Ramirez, Paula Peyrani, William A. Mattingly, Forest W. Arnold, Timothy L. Wiemken, Robert R. Kelley, Leslie A. Wolf, Ruth M. Carrico, Andrea Reyes-Vega

Faculty and Staff Scholarship

Insufficient infrastructure is one of the challenges facing investigators in the field of clinical research. At the University of Louisville (UofL) Division of Infectious Diseases, we developed a multidisciplinary coordinating center with the aim to support investigators in all aspects of the clinical research process. The objective of this article is to describe the composition and the role of the different units of the UofL Clinical Research Coordinating Center. The different components of the Center can serve as a template for institutions interested in developing a clinical research support infrastructure.

The Contributing Factors To Adolescent Depression, Josie H. Lee

Independent Study Project (ISP) Collection

Objective: This paper reviews individual, familial, peer, and societal factors influencing adolescent depression in developed countries. Background: Depression usually onsets at adolescence and contributes to high DALYs. Since depression is treatable, efforts should be made to reduce its prevalence and effect. Methods: The research consisted of looking at literature relevant to the topic and age group and conducting interviews with experts who know about and have worked with adolescent depression. Discussion: Adolescents begins at the onset of puberty, allowing different biological factors such as genetics, stress of puberty, and cognitive changes to increase vulnerability to depression. Adolescents who had substance …

Case Study Disaster Case Description: Public Health, Halmos College Of Arts And Sciences (Hcas)

HCAS Case Competitions

No abstract provided.

Vaccine Epidemiology And Decision-Making: A Bryant Student Focus, Hannah Coburn

Honors Projects in Science and Technology

The Centers for Disease Control and Prevention estimate that influenza has resulted in between 9.2 and 35.6 million illnesses and between 12,000 and 56,000 deaths annually since 2010 (1). Annual influenza vaccination remains to be the most effective way in controlling the spread and symptom severity of influenza infections (1). Influenza infections are especially virulent on college campuses as a dense population of students interact in close quarters such as shared housing, bathrooms, dining halls, classrooms, and social activities (2). Despite influenza vaccinations being safe, effective, easily accessible to Bryant University students, and free of cost, many students choose not …

Perceptions As A Barrier To Emergency Medical Services Utilization Among Syrian Refugees In Jordan, Elizabeth Shan Wang

Independent Study Project (ISP) Collection

The purpose of this study is to evaluate perceptions of emergency medical services (EMS) among Syrian refugees living in urban host communities in Jordan. The research questions are as follows: To what extent do public perceptions of emergency medical services affect the utilization of ambulances? How does awareness about available emergency medical services shape refugees’ attitudes towards it? Because this topic is qualitative and exploratory in the case of Jordan, there was no clear hypothesis. The assumption, however, is that positive perceptions and awareness about EMS can encourage refugees to call an ambulance for transportation to the hospital during a …

Phld 9331 - Public Health Policy, Regulation & Ethics, William A. Mase

College of Public Health: Faculty Syllabi (2014-2021)

The purpose of this course is to provide advanced graduate students with an overview of the health policy environment in the United States and prepare students with the skills and tools that they need to analyze and compare between various health policy alternatives. The course emphasis is on contemporary topics in health policy research and various proposals of health care reform. The student will also get introduced to comparative health systems from other nations. By the completion of this course, the student will gain a detailed understanding of contemporary health policy issues and about the health policy making process.

Partidarios De La Vida: Resiliencia En Los Afectados Directos De La Dictadura En Arica, Chile / Supporters Of Life: Resilience In The Direct Victims Of The Dictatorship In Arica, Chile, Danielle Levinson

Independent Study Project (ISP) Collection

The present study is a qualitative analysis of resilience mechanisms in inhabitants of the city of Arica, Chile who participated actively in the resistance against the Pinochet dictatorship. Through one-on-one interviews with members of this population and the coordinator/social assistant of the Arican branch of the Chilean government’s reparation program (PRAIS), this project was able to corroborate the existence of the following four categories of resilience mechanisms, which are identified in a technical standard published by the Chilean Under-Secretariat of Health: individual, family, social network, and values and ideology. However, it was revealed that this model should be adapted to …

Bios 6136 - Topics Of Inference In Biostatistics Ii, Lili Yu

College of Public Health: Faculty Syllabi (2014-2021)

The course will introduce large sample theory, such as law of large numbers and the central limit theorem; sampling distributions of estimators; the basis for inferences derived from hypothesis testing and confidence intervals; and simulation methods. Emphasis will be placed on how these techniques are used in biostatistical problems and applications using examples from the pharmaceutical industry.

Bios 6332 - Experimental Design In Biostat, Jingjing Yin

College of Public Health: Faculty Syllabi (2014-2021)

This course introduces the methods for analyzing biomedical and health related data using ANOVA methods. The course will involve one-way and two-way ANOVA with fixed or/and random effects and sample size/power calculation. And Logistic and Poisson regression models will also be addressed. The students will learn how to apply SAS procedures PROC POWER, PROC GLM, PROC MIXED, PROC GENMOD and PROC GLIMMIX and interpret the results of analysis. Emphasis will also be placed on the development of critical thinking skills.

Bios 7131 - Survival Analysis, Lili Yu

College of Public Health: Faculty Syllabi (2014-2021)

This course introduces statistical methods for analyzing data collected on the time to an event, referred to as survival data, in medical research and other health-related fields. Emphasis will be placed on the application of the methodology and computational aspects rather than theory. The students will learn how to apply SAS procedures to data and interpret the results.

Bios 9333a – Applied Longitudinal Data Analysis, Haresh Rochani

College of Public Health: Faculty Syllabi (2014-2021)

This course provides an introduction to longitudinal and clustered data. Topics include the basic concepts of longitudinal data, linear models for longitudinal data, generalized linear models and salient features, generalized estimating equations, generalized linear mixed effects models, missing data and dropouts, sample size and power, repeated measures, and multilevel linear models.