Public Health Commons^™

Roofer Dies After Gust Of Wind Knocks Him And A Co-Worker Off Roof, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

Around 11:00 a.m. on a windy fall day, a 73-year-old roofer and a roofing coworker arrived at the commercial construction site to roof a newly constructed building. The two roofers climbed an extension ladder to access the roof to determine where they were going to place their anchors to tie off. While reviewing the backside of the commercial structure, a gust of wind around 33 m.p.h. made the two roofers lose their balance and fall from the roof. The 73-year-old roofer landed first and the second roofer landed on top of him. Both men fell 15 feet and 6 inches …

Program And Policy Considerations For Tenofovir Gel In India: An Overview, Population Council

HIV and AIDS

The 2011 National Sentinel Surveillance estimated that 1.9 million people in India aged 15 and older were living with HIV. An estimated 39 percent are women. Given the urgent need for HIV-prevention options for women, a number of efforts are underway to prepare for introduction of tenofovir gel should it be shown to be effective. One of these is a guide to assist policymakers and program managers in identifying the most strategic opportunities for introducing tenofovir gel. The guide includes three related components: a landscape analysis, a discussion guide for key opinion leader interviews, and a program planning tool. The …

Reduce Contraception Discontinuation In Bangladesh By Improving Counseling On Side Effects, Fauzia Akhter Huda, Sabiha Chowdhuri

Reproductive Health

High rates of contraceptive discontinuation and method failure could cause Bangladesh to lose the progress made in increasing contraceptive use over the past 20 years. This policy brief concludes that if women are adequately counseled and supported to sustain their use of more effective contraceptive methods, they will need less medical attention, have fewer unintended pregnancies, and reduce the workload for medical clinics. Furthermore, if providers are adequately trained and supported in counseling and managing side effects and in helping women to switch methods when they do have a problem, the Family Planning Clinical Contraception Services Delivery Program would meet …

Confronting Disrespect And Abuse During Childbirth In Kenya: The Heshima Project, Population Council

Reproductive Health

No woman should be hit, yelled at, or abused in any way during childbirth. However, laboring women in Kenya and elsewhere may experience inhumane treatment in hospitals and clinics. This abuse is a key yet overlooked reason why only four in ten pregnant women in Kenya deliver at health facilities. To increase the number of women delivering in health facilities and thereby reduce maternal deaths, governments, health systems, and practitioners need sound evidence documenting the disrespect and abuse that women experience. Through the Heshima Project, the Population Council is changing how health systems and women think about quality maternity care …

Assessment Of Sex Selection In Bangladesh, Md. Noorunnabi Talukder, Ubaidur Rob, Forhana Rahman Noor

Reproductive Health

According to UN estimates, the sex ratio at birth (SRB) has persisted at its natural level of 105 male per 100 female newborns for the past half century in Bangladesh. Generally, the SRB becomes skewed in a setting where fertility is declining or low and where son preference exists. Strong son preference compounded by the availability of measures to implement such preference can lead to increased SRB. For example, the increasing availability of prenatal diagnostic technologies, together with declining fertility desires and persistent son preference, has contributed to increased gender-biased sex selection in several Asian countries, including China and India. …

Education Sector Response To Early And Unintended Pregnancy (Eup): A Review Of Country Experiences In East And Southern Africa, Harriet Birungi, Chi-Chi Undie, Francis Onyango

Reproductive Health

No abstract provided.

Drug Overdose Deaths, Hospitalizations, And Emergency Department Visits In Kentucky, 2000‐2012, Svetla Slavova, Terry L. Bunn, Joshua W. Lambert

Kentucky Injury Prevention and Research Center Special Report

This report presents drug overdose morbidity and mortality data for Kentucky residents, using multiple data sources:

• Kentucky Death Certificate Files, Kentucky Office of Vital Statistics, 2000‐2012 (data captured as of October 21, 2013). The 2009‐2012 files are provisional and subject to change.
• Kentucky Inpatient Hospitalization (IH) Discharge Files, Cabinet for Health and Family Services, Office of Health Policy, 2000‐2012 (data for 2010‐2012 are provisional and subject to change).
• Kentucky Emergency Department (ED) Discharge Files, Cabinet for Health and Family Services, Office of Health Policy, 2008‐2012 (data for 2010‐2012 are provisional and subject to change).

Action For Dental Health Initiatives, American Dental Association

Action for Dental Health

No abstract provided.

Best Practices: A Network Approach Of The Mandatory Influenza Vaccination Among Healthcare Workers, Greg Attenweiler, Angie Thomure

Master of Public Health Program Student Publications

A network simulation was applied to hospital social networks improve the influenza vaccination rate of healthcare workers in a healthcare system. Social network methods can be used to develop an understanding of structures of social relations. Over 200,000 U.S. patients are hospitalized annually for influenza, which attributes to 36,000 deaths and is the sixth leading cause of death in adults. The best way to prevent influenza each year is by receiving the influenza vaccination. The typical influenza vaccination rate among healthcare workers is 40- 50%. A Healthy People 2020 objective is to increase the percentage of healthcare workers who are …

Key Influences Of Patient Satisfaction Measurement As A Quality Indicator In Inpatient Facilities, Mitila Arasu

Master of Public Health Program Student Publications

Patient Satisfaction remains a focal point in overall healthcare experience. Satisfaction of patients has become a priority for hospital administrators because of the ties to improve organization performance, increase reimbursement schedules, prevent claims, and gain return to provider reputation. This study examines the key influences of patient satisfaction and how it is measured in an inpatient facility. A literature search was done through PubMed and Google Scholar to determine specific areas needing improvement. Out of 30 articles that met all search criteria (published in the year 2000 or later, survey administered in United States, published in English, administered in an …

Integration Of Early Clinical Experience And Population Health In Undergraduate Medical Education, Thang N. Vu, Josephine Mensah-Dapaah

Master of Public Health Program Student Publications

Objective: In order to better prepare physicians to face the challenges in health care delivery today, educators have pushed for the integration of core population health competencies into undergraduate medical education. The goal is to equip future physicians with the necessary skills to not only improve the health of an individual, but also be able to advocate for a community and meet the health needs of a population. The purpose of this research study is to propose a plan to evaluate the pilot program Early Meaningful Clinical Experience (EMCE) at the Boonshoft School of Medicine at Wright State University.

Methods: …

A Description Of Snack Foods In Select Ohio Schools: A Baseline Prior To Usda New Competitive Food Guidelines, Chukwudubem C. Obianagha

Master of Public Health Program Student Publications

Background: The proliferation of snack foods in school lunch programs has necessitated the USDA to regulate its consumption by implementing policies regarding its use. The competitive food guidelines were enacted in June 2013 through the Healthy, Hunger-Free Kids Act. This required development of federal nutritional guidelines snack foods had to meet in order to be considered a competitive food and thus sold in school lunchrooms.

Objectives: The purpose of this study is to describe the current snack food offerings in select Ohio high schools, and to determine how these snack foods affect the consumption of healthier free and reduced meal …

Case Study: Sick On A South American Sugarcane Plantation, Kevin M. Bonney

Publications and Research

A case study is presented that was designed to be used in high school and college level courses to familiarize students with chagas disease, its transmission, and effects in Central and South America. Noted objectives of the lesson include evaluating disease symptoms, examining socioeconomic factors related to the epidemiology, and creating visual aids with public health information. Questions are provided for discussing the a case of chagas disease at a Brazilian sugarcane plantation.

Cancer Trends And Risk Factors In Cyprus, Evi A. Farazi

Journal Articles: Epidemiology

Cyprus, a European Union member state, is a small island in the Mediterranean with a population approaching 900,000 people. Cancer is the second leading cause of death; more therapeutic options for any patient with the disease are available in a central oncology centre in the capital of the island (Nicosia) and fewer therapeutic options (e.g. chemotherapy and hormone therapy only) in a few other public hospitals. Palliative care is offered in several hospices and hospitals, although the field needs improvement. With regards to screening, a national breast cancer screening programme has been in place countrywide since 2007 and is offered …

Community Awareness Of Intestinal Parasites And The Prevalence Of Infection Among Community Members Of Rural Abaye Deneba Area, Ethiopia, Liza Nyantekyi, Mengistu Legesse, Girmay Medhin, Abebe Animut, Konjit Tadesse, Chanda Macias, Abraham Degarege, Berhanu Erko

Journal Articles: Epidemiology

OBJECTIVE: To assess the knowledge of Abaye Deneba community members regarding intestinal parasites and prevalence of intestinal parasitic infections.

METHODS: Knowledge about intestinal parasites was assessed by administering a questionnaire to 345 randomly selected household heads. Parasitological stool examination of 491 randomly selected individuals was done using the formol ether concentration technique.

RESULTS: Knowledge of the Abaye Deneba community about parasitic diseases such as schistosomiasis, amoebiasis, ascariasis and taeniasis was very low. However, 204 (59.3%) members correctly responded that the cause of giardiasis is related to contaminated water and 176 (51.2%) knew how to prevent it. In some cases, respondents …

Assessing Provider Adherence To An Emergency Contraception Guideline In Reproductive Age Women, Amber E. Davis

DNP Projects

Purpose: To determine current provider adherence to the 2010 ACOG Emergency Contraception (EC) guidelines, specifically by assessing provider EC counseling with patients at well-woman annual exam visits or during contraceptive counseling visits. A second aim of this study is to identify provider facilitators and barriers of EC discussion with patients.

Methods: Using a retrospective design, 90 medical records of patients presenting to a university clinic within the previous year were reviewed for the discussion of EC during annual exams or contraceptive counseling. Forty-five medical records were reviewed prior to implementation of the Ambulatory Electronic Health Record (AEHR) and forty-five medical …

Recognition Of And Attitudes Toward, Intimate Partner Violence Among Sampled University Students, Samantha Maureen Wobschall

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research was to further explore university students' recognition of instances of intimate partner violence and their attitudes toward this issue. A total of 382 male and female university students from a mid-sized public university participated in the survey. Findings show that 97% of participants were able to accurately identify the scenario that did not depict intimate partner violence, however rates of recognition ranged from 51% to 90% for scenarios that did depict IPV. Through an independent t-test, this research found that there was a significant difference when comparing male and female students' ability to accurately recognize …

Breastfeeding Knowledge, Practice, Attitudes, And Influencing Factors: Findings From A Selected Sample Of Breastfeeding Mothers In Bemidji, Minnesota, Hadeel Adnan Tanash

All Graduate Theses, Dissertations, and Other Capstone Projects

Breastfeeding is generally considered by health professionals as the ideal feeding practice for infants. It is the first communication pathway between the mother and her infant. This study was designed to describe breastfeeding knowledge, attitudes, practice and influencing factors among breastfeeding mothers in Bemidji, MN. This cross-sectional study allowed the researcher to determine trends and other information about the sample in the Bemidji area. The participants for this study were breastfeeding mothers who gave a birth at Sanford Health located in Bemidji, MN. A written data collection instrument containing forty nine questions was used to collect data. The findings of …

Zinc Sulfide: Manganese Doped Quantum Rods For Detection Of Metal Ions And A Business Model For Future Sales, Andrew Teblum

Electronic Theses and Dissertations

Hexavalent chromium is an extremely carcinogenic chemical that has been widely produced in the United States. This has led to major waste contamination and pollution throughout the country. According to the Environmental Working Group Hexavalent chromium has been found in 89% of city tap water. Most people believe they are safe using regular home filter systems however that is not true. A more expensive ion exchange water treatment unit is required. Therefore to protect yourselves from this carcinogenic metal a reliable test is required. In this study we have developed a Zinc Sulfide Manganese doped Quantum Rod technology to detect …

Pd_Ngsatlas: A Reference Database Combining Next-Generation Sequencing Epigenomic And Transcriptomic Data For Psychiatric Disorders, Zheng Zhao, Yongsheng Li, Hong Chen, Jianping Lu, Peter M. Thompson, Juan Cheng, Zishan Wang, Juan Xu, Chun Xu, Xia Li

Health & Biomedical Sciences Faculty Publications

Background: Psychiatric disorders such as schizophrenia (SZ) and bipolar disorder (BP) are projected to lead the global disease burden within the next decade. Several lines of evidence suggest that epigenetic- or genetic-mediated dysfunction is frequently present in these disorders. To date, the inheritance patterns have been complicated by the problem of integrating epigenomic and transcriptomic factors that have yet to be elucidated. Therefore, there is a need to build a comprehensive database for storing epigenomic and transcriptomic data relating to psychiatric disorders.

Description: We have developed the PD_NGSAtlas, which focuses on the efficient storage of epigenomic and transcriptomic data based …

Preventing Childhood Obesity: A Mixed Methods Study Into The Perceptions Of African Americans In A Rural Community, Dayna S. Alexander

College of Graduate Studies: Theses & Dissertations

Preventing childhood obesity is a global priority due to adverse health risks and financial burdens. With childhood obesity rates stabilizing it is difficult to determine which factors alone (i.e., genetic, environmental, behavioral, or demographic) increase susceptibility to childhood obesity. Parents influence childhood obesity risk factors through their parenting styles and behaviors. Social behavioral theories and public health evidence demonstrate including parents in childhood obesity efforts could assist in reducing childhood obesity rates. The objective of this study was to assess perceptions of childhood obesity among African Americans with children enrolled in a rural elementary school in the Deep South. The …

Obesity, Food Insecurity And The Impact On Perceptions And Behaviors Toward Dietary Nutrition In Low Income Women In Georgia, Amanda Lowe

College of Graduate Studies: Theses & Dissertations

The purpose of this study was to explore the paradoxical relationship between obesity and food insecurity and the subsequent impact of this relationship on perceptions and behaviors towards diet and nutrition among low-income women in Georgia. Specifically, this study sought to investigate whether factors such as poverty, education, socio-economic status, and participation in food assistance programs influence obesity outcomes among low-income women in Georgia. A sequential exploratory mixed-method research design was conducted for this study. Using qualitative and quantitative measures, the study employed key informant interviews with 16 administrators and staff members from the Women, Infant and Children (WIC) program …

An Investigation Into Dust, Gases And Vapours Expulsed During The Oxidation Of Pyritic Black Shale, And Their Potential For Impacting On Employee Health, Tristan Lynn

Theses: Doctorates and Masters

Pyritic black shale (PBS) is occasionally extracted as a waste product of iron ore mining in the Pilbara region of Western Australia. Mineralogical studies such as Brocks, Summons, Buick, and Logan (2003) of the PBS located at Mount Tom Price Operations have established that PBS can contain elevated concentrations of pyrite, carbon, bitumens, polyaromatic hydrocarbons and volatile organic compounds (VOCs). The natural oxidative weathering of PBS can cause exothermic reactions leading to the shale reaching temperatures that cause the expulsion of toxic gases such as hydrogen sulphide, sulphur dioxide, methane and carbon monoxide.

Current management of the potential hazards of …

Measuring The Effectiveness Of The Leave No Trace Peak Program, Jennifer Miller, Eddie Hill, Amy Shellman, Ron Ramsing, Ben Lawhon

Human Movement Studies & Special Education Faculty Publications

The Leave No Trace Center for Outdoor Ethics developed the Promoting Environmental Awareness in Kids (PEAK) program to teach children the seven Leave No Trace principles. The purpose of this study was to assess the effectiveness of the PEAK program. A significant increase was found between the pre-test (M = 3.41, SD = .34) and the post-test (M = 3.61, SD = .36) with the post-test scores being significantly higher, F(1, 140) = 11.15, p<.01. No significant difference was found between the pre-test (M = 3.48, SD = .35), post-test (M = 3.63, SD = .35), and 8-month post-test (M = 3.38, SD = .41). The 8-month post-test indicated a drop in scores, though not statistically significant, below the pre-test. Results supported the PEAK program’s effectiveness, in the short-term, in teaching children the Leave No Trace principles. However, longer-term retention was not supported.

Setting The Stage For Arv-Based Prevention For Women: A Snapshot Of The Zimbabwean Context, Population Council

HIV and AIDS

Zimbabwe, with an estimated population of 12.7 million people, is among the countries in sub-Saharan Africa most affected by the HIV epidemic. Given the urgent need for HIV-prevention options for women, a number of projects are underway to prepare for introduction of tenofovir gel should it be shown to be effective. One of these is a toolkit developed by the Population Council to assist policymakers and program managers in identifying the most strategic opportunities for introducing tenofovir gel. The toolkit includes three related components: a landscape analysis, a discussion guide for key opinion leader interviews, and a program planning tool. …

A Paradox In Development: Exploring The Obesity Pandemic In Latin America, Laila G. Heid

CMC Senior Theses

The purpose of this paper is to explain the obesity pandemic in Latin America and identify the factors of development contributing to the pandemic. The paper uses the framework of the nutrition transition as presented by Barry Popkin to trace consumption patterns and changes in dietary habits in the region. The paper looks at three case studies: Mexico and Chile, two countries with high obesity rates, and Peru, the country with the lowest obesity rate in South America. This comparative framework is intended to determine which conditions are necessary for obesity, which conditions are sufficient for obesity, and any conditions …

The Simple Truths Of Safety At Sea For Alaskan Tender Vessels: Feasible Regulatory Changes To Prevent Vessel Casualties In The 17th Coast Guard District Tender Fleet, Olivia Jacobs

CMC Senior Theses

Tender vessels in the United States will soon need to comply with new safety regulations as mandated by the Coast Guard Authorization Act of 2010. This thesis focuses specifically on assisting in the formation of an Alternative Safety Compliance Program (ASCP) for the unique tender vessel fleet and seeks to understand why tender vessels experience fatalities and vessel casualties. By analyzing data of tendermen fatalities and tender vessel casualties between 2000 and 2012, the report sheds light on the realities of these incidents. Among other findings, the data show that the most common cause of vessel casualty was striking rocks …

Pertinence Et Conditions D'Utilisation Des Indices Thermiques Dans Le Contexte Québécois, Pierre C. Dessureault, Pierre Oupin, Michaël Bourassa

Rapports de recherche scientifique

Cette étude s’intéresse à l’ensemble des contraintes thermiques, depuis les grands froids typiques du nord du Québec, jusqu’aux ambiances excessivement chaudes retrouvées dans certaines industries. Six indices thermiques ont été analysés en détail; trois d’entre eux s’appliquent au froid, un au confort thermique et deux visent les conditions excessivement chaudes.

La revue de la documentation scientifique concernant l’exposition au froid révèle que, bien que de moindre importance que l’adaptation comportementale, l’adaptation phénotypique aussi bien que génotypique est observée chez les personnes exposées aux ambiances froides. L’ensemble de tous ces ajustements physiologiques, que l’on nomme acclimatation, influence significativement les réponses physiologiques …

Les Défis Des Emplois Verts De L’Industrie Du Photovoltaïque Au Québec, Bouchra Bakhiyi, Joseph Zayed

Rapports de recherche scientifique

L’industrie du photovoltaïque (PV), pourvoyeuse d’électricité solaire à faible empreinte écologique, est un secteur d’activité en pleine croissance ayant généré quelque 220 000 emplois verts dans le monde en 2010, avec une projection de près de 2 000 000 à l’horizon 2020. L'industrie du photovoltaïque fait face néanmoins à des risques potentiels pour la santé et la sécurité des travailleurs et ce, tout le long du cycle de vie des systèmes photovoltaïques. L’objectif général de cette recherche était de dresser un portrait de l’industrie du PV au Québec. Elle visait plus précisément à : 1) réaliser le bilan de la …

Jeunes Du Secondaire Et Du Collégial Qui Cumulent Études Et Travail : Une Enquête Sur Les Conditions D’Exercice Du Travail Et La Sst, Luc Laberge, Élise Ledoux, Julie Auclair, Marco Gaudreault

Rapports de recherche scientifique

Au Québec, les jeunes entrent de plus en plus tôt sur le marché du travail. Or, parmi l’ensemble des travaux de recherche portant sur la question des jeunes en lien avec la santé et la sécurité du travail (SST), peu d’études portent sur les travailleurs âgés de 15 à 19 ans. De 1976 à 2005, le taux d’activité de ces jeunes travailleurs est pourtant passé de 43,7 % à 51,8 %. Plus encore, la proportion des jeunes de 15 à 19 ans qui occupent un emploi alors qu’ils sont aux études a presque doublé au cours des trente dernières années. …