Public Health Commons^™

Religious Leader’S Support Toward Individual At Risk Ofhiv/Aids To Attend Voluntary Counselling And Testing Service, Imelda Februati Ester Manurung, Chatarina Umbul Wahyuni, Ari Probandari

Kesmas

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang …

Adaptation And Validation Of The Tamil (Sri Lanka) Version Ofthe Montreal Cognitive Assessment, Pethirupillai Amal Dinesh Coonghe, Pushpa Fonseka, Sampasivamoorthy Sivayogan, Ajantha Keshavaraj, Rahul Malhotra, Truls Ostbye

Kesmas

The study aimed to develop the Tamil (Sri Lanka) version of the Montreal Cognitive Assessment (MoCA) and investigate its reliability and validity as a briefscreening tool for mild cognitive impairment (MCI). Tamil-speaking Sri Lankan elderly with normal cognition and MCI were recruited from a neurology clinic.Adaptation of the English MoCA to the Tamil (Sri Lanka) involved context-specific content modification and translation. The content validity, reliability, sensitivity,and specificity of the tool were evaluated. Study participants were 184 older adults, comprising 85 with normal cognition and 99 neurologist-diagnosed MCI.The tool had high internal consistency (Cronbach's alpha = 0.83). Receiver operating characteristic curve …

Integrated Multiple Mediation Analysis: A Robustness–Specificity Trade-Off In Causal Structure, An-Shun Tai, Sheng-Hsuan Lin

Harvard University Biostatistics Working Paper Series

Recent methodological developments in causal mediation analysis have addressed several issues regarding multiple mediators. However, these developed methods differ in their definitions of causal parameters, assumptions for identification, and interpretations of causal effects, making it unclear which method ought to be selected when investigating a given causal effect. Thus, in this study, we construct an integrated framework, which unifies all existing methodologies, as a standard for mediation analysis with multiple mediators. To clarify the relationship between existing methods, we propose four strategies for effect decomposition: two-way, partially forward, partially backward, and complete decompositions. This study reveals how the direct and …

A Call For Consistency In The Official Naming Of The Disease Caused By Severe Acute Respiratory Syndrome Coronavirus 2 In Non-English Languages, Lu Dong, Zhe Li, Isaac Fung

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

We investigated the adoption of World Health Organization (WHO) naming of COVID-19 into the respective languages among the Group of Twenty (G20) countries, and the variation of COVID-19 naming in the Chinese language across different health authorities. On May 7, 2020, we identified the websites of the national health authorities of the G20 countries to identify naming of COVID-19 in their respective languages, and the websites of the health authorities in mainland China, Hong Kong, Macau, Taiwan and Singapore and identify their Chinese name for COVID-19. Among the G20 nations, Argentina, China, Italy, Japan, Mexico, Saudi Arabia and Turkey do …

Brain Structure Changes Over Time In Normal And Mildly Impaired Aged Persons, Charles D. Smith, Linda J. Van Eldik, Gregory A. Jicha, Frederick A. Schmitt, Peter T. Nelson, Erin L. Abner, Richard J. Kryscio, Richard R. Murphy, Anders H. Andersen

Neurology Faculty Publications

Structural brain changes in aging are known to occur even in the absence of dementia, but the magnitudes and regions involved vary between studies. To further characterize these changes, we analyzed paired MRI images acquired with identical protocols and scanner over a median 5.8-year interval. The normal study group comprised 78 elders (25M 53F, baseline age range 70-78 years) who underwent an annual standardized expert assessment of cognition and health and who maintained normal cognition for the duration of the study. We found a longitudinal grey matter (GM) loss rate of 2.56 ± 0.07 ml/year (0.20 ± 0.04%/year) and a …

Phase-Adjusted Estimation Of The Covid-19 Outbreak In South Korea Under Multi-Source Data And Adjustment Measures: A Modelling Study, Xiaomei Feng, Jing Chen, Kai Wang, Lei Wang, Fengqin Zhang, Zhen Jin, Lan Zou, Xia Wang

Mathematics Faculty Articles

Based on the reported data from February 16, 2020 to March 9, 2020 in South Korea including confirmed cases, death cases and recovery cases, the control reproduction number was estimated respectively at different control measure phases using Markov chain Monte Carlo method and presented using the resulting posterior mean and 95% credible interval (C_rI). At the early phase from February 16 to February 24, we estimate the basic reproduction number R₀ of COVID-19 to be 4.79(95% C_rI 4.38 - 5.2). The estimated control reproduction number dropped rapidly to R_c ≈ 0.32(95% C_rI …

Saving Lives, Limbs And Healthcare Costs]{Saving Lives, Limbs And Healthcare Costs: Quantifying The Impact Of Chg Bathing And Effective Leadership On The Reduction Of Hospital-Acquired Infections, Kelly A. Reagan

Biology and Medicine Through Mathematics Conference

No abstract provided.

The Role Of Variation In Mate Choice And Wolbachia Infection On Aedes Aegypti Population Dynamics, Bernardo Ameneyro

Biology and Medicine Through Mathematics Conference

No abstract provided.

The Mental Health Of Black Men: Stabilizing Trauma With Emotional Intelligence, Davis Brandford

School of Professional Studies

The purpose of this study is to explore the relationship between the impact of historical trauma and barriers on African-American males and the effects of emotional intelligence in reducing traumatic experiences. This research study is based on previous research and studies that explores the historical review of African- American oppression, trauma in black males, and mental health in the African American community. This study will utilize the historical trauma and emotional intelligence theories to explore barriers that African Americans have experienced over time and the role emotional intelligence can play to reduce trauma. It also explores the relevance of historical …

Tri-State Mining District, Ecological System, And Human Health: Systematic Literature Review Analysis, Jihyun Jane Min

Posters

Objective: Although extensive research exists on corrosive environments in the Tri-State Mining District (TSMD), there has been a lack of research on how such harmful effects in the TSMD could affect residents living in those areas. However, quite recently, such research regarding relationships between the health conditions of low-income residents and toxic elements in TSDM began to grow. Therefore, the increase of empirical studies means greater complexity of the findings that require a more intricate understanding.

Methods: To meet the necessity of the study, this research was conducted by an extensive systematic review of the literature on the harmful effects …

Crisis Communication And Executive Leadership: Ethical Shortcomings In Government, Daniel Davidoff

School of Professional Studies

This research thesis project is an analysis of how and why governments fail in their attempts at crisis communication. The hypotheses tested are: there exists a negative correlation between unethical leadership and successful crisis communication practices. And governments are more likely to experience these failures due to ethical disconnects in modern politics. Research includes a review of relevant academic literature regarding crisis communication theory, as well as the ethical framework that can be applied to that theory. Cases considered are Hurricane Katrina, the choking death of Eric Garner, and the COVID-19 global pandemic. The research project concludes with a recommendation …

Becoming A Trauma Informed Care Organization, Katie Robery

School of Professional Studies

The Brockton Area Mutli Services Inc or BAMSI is a private, non-profit human services organization providing services to adults and children with developmental disabilities, mental illness, behavioral health, and public health needs. Founded in 1975, BAMSI is in the business of “bringing people and services together.” BAMSI transforms lives by building the capacity of individuals, families, organizations, and communities to learn, thrive, and achieve their goals. BAMSI services promote the recovery, resiliency, and self-determination of the people we serve. As a human services leader, we strive to be the provider of choice. (Duffy, 2019) With an emphasis on respect and …

Diversity And Inclusion In The Workplace; Benefits, Challenges And Strategies For Success, Margaret Leone

School of Professional Studies

In this case study I have explored the topic of diversity and inclusion in the workplace and learned how it can transform a business. When D&I is a serious business strategy supported by senior management it can help recruit and retain top talent, increase profits, and unleash creativity among other benefits. It is important to have leadership that is inclusive so they can set the tone for their staff

This case study evaluates the D&I culture at The Children’s Study Home (CHS) and explores best practices for improvement. CHS is a non-profit human service agency in Western MA, that’s mission …

Young People, Social Media, And Impacts On Well-Being, Andreana Nop

School of Professional Studies

Millennials and Generation Z were born into an age where social media and digital technology have been integrated in nearly all aspects of their lives. While social media has proven to be a valuable communication tool in connecting with each other and sharing information, the long-term psychosocial effects are beginning to become more apparent as social media matures. This study analyzes what these effects are and how communication is impacted for these young people. It questions how young people can leverage social media and decrease harm. The study will be conducted through a literature review and analysis. Its goal is …

Managing Burnout And Secondary Traumatic Stress In Human Service Organizations, Naomi Ingram

School of Professional Studies

This Case Study explores how burnout and secondary traumatic stress impact staffing, service delivery, and organizational effectiveness in a human service agency. The Case Study is focused around Ascentria Care Alliance’s Children & Family Services in Massachusetts, which encompasses three foster care programs: the Unaccompanied Refugee Minor (URM), Division of Children’s Services (DCS), and Intensive Foster Care (IFC) programs. Both individual and organizational approaches are needed to most effectively address burnout and secondary traumatic stress. Individual workers need to build resilience factors such as self-compassion and mindfulness, set appropriate boundaries with clients, engage in ongoing training, support, consultation, and supervision, …

Rest Homes: Their Value On Massachusetts Healthcare Continuum, Ronald Pawelski

School of Professional Studies

In Massachusetts, rest homes provide cost effective care for elderly residents in a community setting. Rest homes, however, are not well-understood and the rest home industry itself suffers greatly, not only from a lack of understanding of the services they provide, but also from the strain on their financial resources due to both competition from other healthcare options and insufficient reimbursement rates for residents’ care.

The paper explores the financial challenges facing the industry and outlines the data that speaks to the value of the rest home care option for both the residents themselves and Massachusetts state healthcare budget. It …

A Case Study On The Best Practices Of The Facilitating Organization For Peer Recovery Support Services In The State Of New Hampshire, Maggie Ringey

School of Professional Studies

In working with the Facilitating Organization for Peer Recovery Support Services through Harbor Homes, I have found that the Recovery Community Organizations that receive support through the FO provide valuable services that help individuals that struggle with substance use disorder achieve and maintain long term sobriety and recovery. The RCOs throughout New Hampshire bridge gaps in services and treatments that are left untouched by traditional clinical methods and through regular check ins, participants at the RCOs have reported that the services provided resulted in positive outcomes in their lives. Throughout the course of this research, I found that the RCOs …

Elder Isolation In Immigrant Communities, Jessica Da Silva

School of Professional Studies

This paper examined loneliness, as a measurement of perceived social isolation, in older immigrant adults. Previous research shows that older adults are more likely to experience social isolation and loneliness. Both of which have a direct correlation with their overall health (Wilson & Molton, 2010, Cacioppo et al., 2002) and mortality rates (Holt-Lunstad et al, 2015). Another international study found that immigrants in particular are at a higher risk for experiencing loneliness (Government of Canada, 2018). In this study, 35 immigrants and non-immigrants participants answered a survey which included 20 questions from the UCLA Loneliness Scale Version 3 (Russel, 1996). …

Dallas, Tx: The Staggering Wealth Gap, Macy Golman

School of Professional Studies

In the summer of 2019, I had the privilege of serving as an AmeriCorps member with an organization called Equal Heart. One of Equal Heart’s main initiatives was to provide meals to children in underserved populations, to make sure that without school in session, these children would still be receiving food. Unfortunately, in many instances, without these meals, many of the children we served would likely not know when they would be eating their next fulfilling meal. There were certain pockets of Dallas that we would travel to everyday, places that were fifteen minutes maximum from my house, but places …

Age At Migration And The Risk Of Psychotic Disorders: A Systematic Review And Meta-Analysis., Kelly K. Anderson, Jordan Edwards

Epidemiology and Biostatistics Publications

OBJECTIVE: To conduct a systematic review and meta-analysis of the existing evidence on the association between age at migration and the risk of psychotic disorders.

METHODS: Observational studies were eligible for inclusion if they presented data on the association between age at migration and the risk of psychotic disorders among first-generation migrant groups. We used two random effects meta-analyses to pool effect estimates for each stratum of age at migration relative to (i) a native-born reference category and (ii) the youngest age stratum (0 to 2 years).

RESULTS: Ten studies met inclusion criteria, and five were included in the meta-analysis. …

The Effects Of Zoledronate And Sleep Deprivation On The Distal Femur Trabecular Thickness Of Ovariectomized Rats: Application Of Different Statistical Methods, Erin Nolte

Student Scholar Symposium Abstracts and Posters

Osteoporosis is a disease that causes the degradation of bone, leading to an increased risk of fracture. 1 in 3 women over the age of 50 will be affected by Osteoporosis. This study aims to understand how bone is affected by sleep deprivation in estrogen-deficient rats, and how Zoledronate might negate the inimical effects of sleep deprivation on bone. As bone mineral density (BMD) is a crude evaluation of the architectural changes seen in Osteoporosis, trabecular thickness may serve as a better single evaluation of bone health. 31 Wistar female rats were ovariectomized and separated into 4 random groups. The …

Who And When To Screen: Multi-Round Active Screening For Network Recurrent Infectious Diseases Under Uncertainty, Han-Ching Ou, Arunesh Sinha, Sze-Chuan Suen, Andrew Perrault, Alpan Raval, Milind Tambe

Research Collection School Of Computing and Information Systems

Controlling recurrent infectious diseases is a vital yet complicated problem in global health. During the long period of time from patients becoming infected to finally seeking treatment, their close contacts are exposed and vulnerable to the disease they carry. Active screening (or case finding) methods seek to actively discover undiagnosed cases by screening contacts of known infected people to reduce the spread of the disease. Existing practice of active screening methods often screen all contacts of an infected person, requiring a large budget. In cooperation with a research institute in India, we develop a model of the active screening problem …

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 …

The Relationship Between Tree Canopy And Social Capital On Physical Activity In Unlv Students, Melissa Bartshe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite the numerous health benefits, rates of physical activity are low, especially among the college student population. Neighborhood tree canopy is one aspect of the built environment that has been shown to positively impact physical activity. Social capital has also been correlated with higher rates of physical activity. The sprawling urban design and arid desert climate of Las Vegas pose unique challenges to both tree canopy and social capital. Additionally, the relationship between tree canopy, social capital, and physical activity is understudied in the college student population. The purpose of this study was to assess the relationship of tree canopy …

A Model For The Spread Of Infectious Diseases In A Region, Elizabeth Hunter, Brian Mac Namee, John D. Kelleher

Articles

In understanding the dynamics of the spread of an infectious disease, it is important to understand how a town’s place in a network of towns within a region will impact how the disease spreads to that town and from that town. In this article, we take a model for the spread of an infectious disease in a single town and scale it up to simulate a region containing multiple towns. The model is validated by looking at how adding additional towns and commuters influences the outbreak in a single town. We then look at how the centrality of a town …

Doubling Time Of The Covid-19 Epidemic By Province, China, Kamalich Muniz-Rodriguez, Gerardo Chowell, Chi-Hin Cheung, Dongyu Jia, Po-Ying Lai, Yiseul Lee, Manyun Liu, Sylvia Ofori, Kimberlyn M. Roosa, Lone Simonsen, Cecile Viboud, Isaac Fung

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

In China, the doubling time of the coronavirus disease epidemic by province increased during January 20–February 9, 2020. Doubling time estimates ranged from 1.4 (95% CI 1.2–2.0) days for Hunan Province to 3.1 (95% CI 2.1–4.8) days for Xinjiang Province. The estimate for Hubei Province was 2.5 (95% CI 2.4–2.6) days.

A Study Of Addiction: The Opioid Epidemic, An Analysis At The State And County Level, Jamey Van Dyke

Undergraduate Theses

Addictive diseases such as those stemming from the use of alcohol, cocaine and opioids lead to serious negative consequences at both the individual and societal level. Over the last two decades, there has been a significant increase in opioid prescriptions and addiction. The potential for addiction is related to factors that include genetics, prescriber behavior, user behavior and characteristics, in addition to environmental and systemic determinants. One measure of the seriousness of the opioid epidemic is the number of overdose deaths. In 2017, drug overdoses killed over seventy thousand Americans, and overdose deaths are projected to increase in the future. …

Estimating Population Immunity Without Serological Testing, Andrew Lesniewski

Publications and Research

We propose an approximate methodology for estimating the overall level of immunity against COVID-19 in a population that has been affected by the recent epidemic. The methodology relies on the currently available mortality data and utilizes the properties of the SIR model. We illustrate the application of the method by estimating the recent levels of immunity in 10 US states with highest case numbers of COVID-19.

483— Effectiveness Of Mmr Vaccination In Orthodox Jewish Neighborhoods, Meenu Mundackal

GREAT Day Posters

Measles is a highly contagious disease, where large outbreaks arise by direct contact between susceptible (unvaccinated) and infectious individuals. Many Orthodox Jewish neighborhoods were affected by measles from 2018-2019. To quantify the vaccination effort on this susceptible population, a retrospective analysis was used to study the NYC and Rockland County populations using a differential equations model. A subsequent model, known as a realistically-structured network model, studied only the NYC population, in relation to typical household size. Vaccination strategies were applied to three cohorts: unvaccinated family members, members with 1 prior MMR dose, and members with 2 prior MMR doses. The …

484— Modeling Social Distancing Methods And Their Effectiveness In Combating The Spread Of Ebola, Rachel Fair

GREAT Day Posters

Ebola Virus Disease (EVD) is a rare but severe disease that is transmitted among humans through direct-contact with, and close proximity to, infected bodily fluids. From 2014-16, West Africa experienced the largest Ebola outbreak ever recorded, infecting over 28,000 people, and killing over 11,000. Although the symptoms of EVD are treatable, the disease can be extremely deadly, with an average of 50% EVD cases resulting in fatality. In areas where healthcare is scarce and vaccinations are not readily available, the practices of social distancing and self-quarantining have been shown to be highly effective in combating the spread of EVD. To …