Public Health Commons^™

Conception Des Cordes D’Assurance Horizontales Pour La Protection Contre Les Chutes De Hauteur : Mise À Jour Du Guide Technique, Bertrand Galy, André Lan

Rapports de recherche scientifique

Les chutes de hauteur sont encore aujourd’hui une des causes majeures d’accidents du travail. Trop souvent, les travailleurs ne s’attachent pas, faute de point d’ancrage disponible, ou parce qu’ils trouvent que les points d’attache fixes restreignent trop leurs mouvements. Cette restriction peut toutefois être levée grâce aux systèmes de corde d’assurance horizontale (SCAH). Le présent rapport constitue la mise à jour du guide technique T-18 publié en 1991 et rend ce dernier caduc. Cette mise à jour était devenue nécessaire à la suite de l’introduction, en 2001, au Code de sécurité pour les travaux de construction (CSTC), de l’obligation d’équiper …

Solutions Visant L’Amélioration Des Conditions De Santé Et De Sécurité Des Poseurs De Revêtements De Sol, Monique Lortie, Sylvie Nadeau, Steve Vezeau

Rapports de recherche scientifique

La pose de revêtement de sol se divise en différentes spécialités : céramique, bois et revêtement souple. C’est ce dernier secteur qui nous intéresse, soit la pose de tapis (accrochés ou collés; en rouleau, en tuiles) ou de matériaux résilients (linoléum, vinyle, caoutchouc, gazon synthétique, etc.). Le métier de poseur de revêtement de sol est exigeant sur le plan physique (manutention de rouleaux très lourds, travail à genou prolongé, épandage de colle sur de grandes surfaces), mais aussi en matière de savoir-faire à développer. La pose exige de la précision, entre autres, pour ajuster les motifs et effectuer les raccords. …

An Investigation Of The Influence Of Current Public Health Policies In The United States On The Prevalence Of Rural Health Professional Shortage Areas, Hayne Noh

Undergraduate Research Posters

The healthcare professional shortage or maldistribution severely limits access to sufficient health care, affecting many Americans, particularly in rural areas. There is a range studies that agree that the health professional shortage is a pressing issue, but none that specifically evaluate the overall effectiveness and improvements to be made to government funded programs, such as Loan repayment and scholarship programs aimed at attracting primary care physicians to these rural underserved areas. This study analyzes both quantitative and qualitative data from 21 peer-reviewed journals about rural primary Health Professional Shortage Areas, Title-VII funded schools, and rural primary health care. Although effective …

Incorporation Of Interprofessional Education And Special Care Dentistry Into Standard Dental School Curriculum, Marshall D. Adzima

Undergraduate Research Posters

According to dentistry, special needs is defined as individuals whose medical, physical, psychological, or social situations may make it necessary to modify normal dental routines in order to provide dental treatment for that individual. The population of special needs patients is increasing. The lack of educated professionals in special care dentistry is leading to severe and untreated systemic and oral health problems in the special needs population. The implementation of interprofessional treatment for special needs individuals has proven to be the most effective method of treatment within the special needs population. This study examines the current application of special care …

Evaluation Of Education And Other Influential Factors On The Perceptions Of Influenza Vaccinations, S. D. Mills, S. R. Charlton, B. M. Rowley

Journal of the Arkansas Academy of Science

Influenza is a potentially deadly contagious viral infection that attacks the respiratory system. The 1918 influenza pandemic infected approximately 1/3 of the world’s population and resulted in an estimated 50 million deaths globally. Research has led to the production of influenza vaccinations. Unfortunately, there continues to be influenza epidemics that are responsible for killing numerous people annually. One reason for the continued death toll from influenza is the lack of people receiving a yearly flu vaccination. In order to gain more public acceptance for influenza vaccinations, it is important to understand the factors influencing the choice to be vaccinated. A …

Improving The Health Of African Americans In The Usa: An Overdue Opportunity For Social Justice, Allan S. Noonan, Hector Eduardo Velasco-Mondragon, Fernando A. Wagner

Faculty Publications & Research of the TUC College of Osteopathic Medicine

Using a modified social ecological model, we conducted a review of the literature and nationwide statistics on African American health. We discuss the main social determinants of health and main health disparities, risk factors, the leading causes of morbidity and mortality, and access to health services for blacks in the USA. The mechanisms through which social determinants, including racism, exert their deleterious effects on black health are discussed at the macro and individual levels. Incarceration and mental health care issues are highlighted as priorities to be addressed. African Americans remain the least healthy ethnic group in the USA, a somber …

Hispanic Health In The Usa: A Scoping Review Of The Literature, Hector Eduardo Velasco-Mondragon, Angela Jimenez, Anna G. Palladino-Davis, Dawn Davis, Jose A. Escamilla-Cejudo

Faculty Publications & Research of the TUC College of Osteopathic Medicine

Hispanics are the largest minority group in the USA. They contribute to the economy, cultural diversity, and health of the nation. Assessing their health status and health needs is key to inform health policy formulation and program implementation. To this end, we conducted a scoping review of the literature and national statistics on Hispanic health in the USA using a modified social-ecological framework that includes social determinants of health, health disparities, risk factors, and health services, as they shape the leading causes of morbidity and mortality. These social, environmental, and biological forces have modified the epidemiologic profile of Hispanics in …

Wake Me When It's Over- Bacterial Toxin-Antitoxin Proteins And Induced Dormancy, Nathan P. Coussens, Dayle A. Daines

Biological Sciences Faculty Publications

Toxin-antitoxin systems are encoded by bacteria and archaea to enable an immediate response to environmental stresses, including antibiotics and the host immune response. During normal conditions, the antitoxin components prevent toxins from interfering with metabolism and arresting growth; however, toxin activation enables microbes to remain dormant through unfavorable conditions that might continue over millions of years. Intense investigations have revealed a multitude of mechanisms for both regulation and activation of toxin-antitoxin systems, which are abundant in pathogenic microorganisms. This minireview provides an overview of the current knowledge regarding type II toxin-antitoxin systems along with their clinical and environmental implications.

Influence Of Thyroid Disorders On Pregnancy Outcomes, Brittany Sullivan

Theses and Dissertations

Objective: The objective of this thesis is to investigate the effects of maternal thyroid dysfunction on maternal pregnancy outcomes.

Setting and Participants: The NICHD Consecutive Pregnancy data set contains information on a total of 114,679 pregnancies from 51,086 women who delivered ≥ 20 weeks of gestation. The data come from 20 different hospitals throughout the state of Utah and were collected between the years of 2002 to 2010.

Main Outcomes: Main outcomes of interest included: breech presentation, chorioamnionitis, gestational diabetes, gestational hypertension, hemorrhage, inductions, placental abruption, placental previa, preterm birth, premature rupture of membranes (PROM), preeclampsia, and …

Demand And Supply Factors Affecting Maternal Healthcare Utilization Pattern In Nigeria, Dumbiri Joy Powell

Theses and Dissertations

Given poor maternal services utilization and associated high maternal mortality risk in Nigeria, we document policy-amenable supply and demand factors impacting women’ use of skilled ANC and institutional delivery services. Using a cross-sectional design, we analyzed data from the Nigeria State Health Investment Project health facility and household surveys on 418 health facilities and 3,726 women with a pregnancy within 24 months prior to survey living in 241 geographic wards of two states. Logistic regression was used to study associations of women’s use of each maternal service with ward facilities’ ANC outpatient satisfaction, healthcare staff job satisfaction, surveyorverified facility infrastructure, …

Across The States: Do Long Term Services & Supports Policies Affect The Number Of Nursing Home Residents With Low-Care Needs?, Mary Otis

MPA/MPP/MPFM Capstone Projects

Long term care for the elderly has been steadily gaining salience in the public policy realm for many years. The federal government has been vigorously studying and exploring solutions, including the Centers for Medicare and Medicaid Services’ (CMS) efforts to expand access to home and community-based services (HCBS) in order to reduce dependence on institutional care. These federal efforts include various incentive programs and policies recently offered under the Affordable Care Act. However, data on the strength of each state’s long term services and supports system has not been easily accessible until recently. The report “Raising Expectations: A State Scorecard …

How Feedback And Goal-Setting Impact Children's Recess Physical Activity, Ryann Koufoudakis, Heather Erwin, Aaron Beighle, Michelle L. Thornton

Kinesiology and Health Promotion Faculty Publications

In recent years, schools desire to promote physical activity (PA) for their students but are restricted due to resources being expended in other areas of their curriculum, including standardized testing preparation. Recess/lunch periods have potential to contribute important amounts of PA to youth’s overall levels. Interventions to maximize PA during recess are warranted. The purpose of this study was to demonstrate the impact of feedback and goal-setting on students’ PA during recess. A sample of 136 (67 females, 69 males) 4^th and 5^th grade students in the Southeast United States wore unsealed Walk4Life pedometers during recess for one …

Comparison Of Small-Area Deprivation Measures As Predictors Of Chronic Disease Burden In A Low-Income Population, Ana Lopez-De Fede, John E. Stewart, James W. Hardin, Kathy Mayfield-Smith

Publications

Background: Measures of small-area deprivation may be valuable in geographically targeting limited resources to prevent, diagnose, and effectively manage chronic conditions in vulnerable populations. We developed a census-based small-area socioeconomic deprivation index specifically to predict chronic disease burden among publically insured Medicaid recipients in South Carolina, a relatively poor state in the southern United States. We compared the predictive ability of the new index with that of four other small-area deprivation indicators. Methods: To derive the ZIP Code Tabulation Area-Level Palmetto Small-Area Deprivation Index (Palmetto SADI), we evaluated ten census variables across five socioeconomic deprivation domains, identifying the combination of …

Prevalence Of Risk Factors For Metabolic Syndrome In Uninsured Hispanic Adults From Low Income Communities In El Paso, Texas, Juan Antonio Aguilera

Open Access Theses & Dissertations

Metabolic syndrome (MetS) consists of a group of associated risk factors for cardiovascular disease and other related chronic diseases. In the U.S. it is estimated that nearly 35% of the adult population have metabolic syndrome. According to National Institutes of Health (NIH) guidelines risk factors for developing MetS include large waistline, high blood pressure, high triglyceride level, low high density lipoprotein (HDL) cholesterol level, and elevated fasting blood glucose level. The goal of this study was to investigate the prevalence of risk factors for MetS among uninsured, low socioeconomic status adult Hispanics in El Paso, Texas. The study population resided …

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

Diminished Quality Of Life Among Women Affected By Ebola, Jessi Hanson, Alexis Decosimo, Megan Quinn

ETSU Faculty Works

This article analyzes data collected from Liberian women afflicted by the Ebola virus disease, survivors of the virus and noninfected persons living in Ebola-affected homes. This research is one of the first statistical analyses examining factors diminishing quality of life: negative experiences, stigma, and psychosocial symptoms among females affected by the virus after the outbreak. The research presents a thorough literature review, including research related to other infectious diseases like HIV/AIDS, to inform the gap in studies on Ebola’s effects on quality of life. Women who are Ebola virus disease survivors demonstrate significant differences in stigma and psychosocial stress when …

Engaging Moms On Teen Indoor Tanning Through Social Media: Protocol Of A Randomized Controlled Trial, Sherry L. Pagoto, Katie Baker, Julia Griffith, Jessica L. Oleski, Ashley Palumbo, Barbara Walkosz, Joel J. Hillhouse, Kimberly L. Henry, David Buller

ETSU Faculty Works

Background: Indoor tanning elevates the risk for melanoma, which is now the most common cancer in US women aged 25-29. Public policies restricting access to indoor tanning by minors to reduce melanoma morbidity and mortality in teens are emerging. In the United States, the most common policy restricting indoor tanning in minors involves parents providing either written or in person consent for the minor to purchase a tanning visit. The effectiveness of this policy relies on parents being properly educated about the harms of indoor tanning to their children.

Objective: This randomized controlled trial will test the efficacy …

Reasons For Missing Antiretroviral Therapy: Results From A Multi-Country Study In Tanzania, Uganda, And Zambia, Olivier Koole, Julie A. Denison, Joris Menten, Sharon Tsui, Fred Wabwire-Mangen, Gideon Kwesigabo, Modest Mulenga, Andrew F. Auld, Simon G. Agolory, Ya Diul Mukadi, Eric Van Praag, Kwasi Torpey, Seymour Williams, Jonathan Kaplan, Aaron Zee, David Bangsberg, Robert Colebunders

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objectives To identify the reasons patients miss taking their antiretroviral therapy (ART) and the proportion who miss their ART because of symptoms; and to explore the association between symptoms and incomplete adherence.

Methods Secondary analysis of data collected during a cross-sectional study that examined ART adherence among adults from 18 purposefully selected sites in Tanzania, Uganda, and Zambia. We interviewed 250 systematically selected patients per facility (≥18 years) on reasons for missing ART and symptoms they had experienced (using the HIV Symptom Index). We abstracted clinical data from the patients’ medical, pharmacy, and laboratory records. Incomplete adherence was defined as …

The International Right To Health: What Does It Mean In Legal Practice And How Can It Affect Priority Setting For Universal Health Coverage?, Rebecca Dittrich, Leonardo Cubillos, Lawrence O. Gostin, Ryan Li, Kalipso Chalkidou

Georgetown Law Faculty Publications and Other Works

The international right to health is enshrined in national and international law. In a growing number of cases, individuals denied access to high-cost medicines and technologies under universal coverage systems have turned to the courts to challenge the denial of access as against their right to health. In some instances, patients seek access to medicines, services, or technologies that they would have access to under universal coverage if not for government, health system, or service delivery shortfalls. In others, patients seek access to medicines, services, or technologies that have not been included or that have been explicitly denied for coverage …

Front Matter

Michigan Journal of Public Health

No abstract provided.

The Waist To Height Ratio Is A Better Anthropometric Index Of Abdominal Obesity And Its Association With The Prevalence Of Diabetes Among Asian Americans, Yu Xiao

All Master's Theses

There is limited information about diabetes prevalence among Asian Americans. Diabetes risk factors include abdominal obesity (AO), which can be assessed by measuring waist circumference (WC) or waist-to-height-ratio (WHtR). The purpose of this study was to compare the prevalence of diabetes among Asians with non-Asians in the United States and compare WC and WHtR as predictors of diabetes. Data from the National Health and Nutrition Examination Survey (NHANES) 2011-14 was analyzed using SAS 9.2. There were 8,615 adult non-pregnant non-Asians and 1,224 Asians included in this study. Despite a lower prevalence of obesity among Asians compared to non-Asians (12% vs …

Frequency And Etiology Of Community-Acquired Bloodstream Infection In Hospitalized Febrile Children, Tufail Soomro, Shiyam Sunder Tikmani, Sumera Aziz Ali

Community Health Sciences

Background: Blood stream infection is a serious problem that needs immediate attention and treatment. We aim to identify the frequency of common organisms in blood culture of febrile pediatric patients so that empirical antibiotic therapy can be started timely.
Methods: This cross-sectional study was conducted in pediatric ward Civil Hospital Sukkur from 1st May 2013 to 31st October 2014. Children of both genders who are between the age of one month to 15 years admitted to the pediatric ward with a fever of > 38.0 c and with a history of fever ˃ two days and whose blood culture has been …

Success Of Bubble Cpap In Treatment Of Respiratory Distress Syndrome In Preterm Infants, Tufail Soomro, Shiyam Sunder Tikmani

Community Health Sciences

Background: To observe the survival of preterm infants with respiratory distress syndrome treated with bubble CPAP in a tertiary care hospital.
Methods: This prospective observational study was conducted in the NICU of Civil hospital Sukkur from 1st July 2013 to 18th August 2015. All consecutively born preterm neonates with gestational age between 27 weeks to 36 weeks of gestation, admitted to the neonatal intensive care unit with respiratory distress are included in the study.These neonates were managed by Bubble continuous positive airway pressure (bCPAP) in combination with surfactant (bovine derivative) via intubation, Surfactant replacement, extubation (INSURE) protocol Success was considered …

Fruit And Vegetable Consumption, Body Mass Index, And Dieting Behaviors Among Florida Middle And High School Youth, Corinne A. Labyak, Tammie M. Johnson, Claudia Sealey-Potts, Judy E. Perkin

Florida Public Health Review

The purpose of this study was to examine fruit and vegetable consumption reported by Florida middle school and high school students and to determine if consumption was associated with: (1) demographic characteristics; (2) body mass index (BMI); and/or (3) weight loss behaviors. Data from the 2009 Florida YRBS and the MSHBS were used. Both surveys used a two-stage cluster sample design, producing a representative sample of students. In addition to socio- demographic variables, independent variables included engaging in weight loss behaviors. Dependent variables were adequate fruit and adequate vegetable consumption. Descriptive, chi-square and logistic regression analyses were performed. Results indicated …

Fruit, Vegetable And Beverage Consumption In Duval County Middle School Students: Youth Risk Behavior Survey 2009-2013, Corinne A. Labyak, Alireza Jahan-Mihan, Richard Patterson, Judith Rodriguez, Janice J. Seabrooks-Blackmore, Karen Patterson, Zhiping Yu, Catherine Christie, Claudia Sealey-Potts

Florida Public Health Review

Public health professionals have the opportunity to impact middle school students’ dietary behaviors to combat childhood obesity. The purpose of this study was to investigate the dietary behavior results from the YRBS taken by middle school students in Duval County in 2009, 2011 and 2013. A two-stage cluster design was used and the survey was completed by 6th through 8th grade students following parent notification. Compared to other health zones, Health Zone 1 had the lowest intake of fruits and vegetables in 2009 (2.66 ±1.65) and 2011 (2.77 ± 1.60) and the second lowest intake in 2013 (2.92 ± 1.70). …

Childhood Obesity In Florida: A Narrative Review On Current Trends And Interventions, Corey Parliament, E Mckenzie Driscoll, Kristin Samuels, Laura Ward, Tammy M. Baranowski, Tara Kessinger, Alireza Jahan-Mihan

Florida Public Health Review

We examine current research on childhood obesity (CO) trends and intervention strategies in Florida. The fiscal, emotional, and health-related costs related to general obesity are staggering. Unfortunately, CO-related publicity, research, policy, and interventions have not been entirely successful in addressing the problem. Florida ranks 35thnationally in prevalence of CO. Data from the Centers for Disease Control and Prevention (CDC) 2013 report a statistically significant decrease in Florida's rate of CO among 2-4 year-olds participating in Florida’s Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) from 2008-2011. Whereas Florida still has significant room for improvement on the issue of …

Barriers To And Efficacy Of Point-Of-Use Chemical Drinking Water Treatment In Kolda, Senegal, West Africa, Barbara L. Michel

Dissertations, Master's Theses and Master's Reports

Hundreds of thousands throughout the Kolda region in southern Senegal rely on potentially contaminated well water as their drinking source. Chemical treatment of the water using a small amount of chlorine bleach has been shown to increase its safety for human consumption; however, the vast majority of people in the region do not disinfect water before they drink it. In this study, 97 individuals (47 water Treaters and 51 Non-Treaters) were surveyed on motivations and barriers towards bleaching or not bleaching their water, and microbiological field testing was undertaken to examine the effectiveness of treatment in the field. The microbial …

Paper Trails, Trailing Behind: Improving Informed Consent To Ivf Through Multimedia Applications, Jody L. Madeira, Barbara Andraka-Christou

Articles by Maurer Faculty

Though intended to educate patients on the risks, benefits, side effects and alternatives within medical treatment, informed consent documents may have unanticipated consequences for patients. Patients may regard these forms as little more than a ritual to access treatment. Or patients may perceive that these forms exist to protect doctors rather than to contribute to a meaningful, patient-protective educational interaction. To rehabilitate the informed consent project, this essay considers the baggage that informed consent documents have acquired through practical use, explores patients' and providers' lived experience of informed consent, and considers whether a multimedia consent application would be a viable …

Types Of Persuasive Message Promoting Blood Donation In Hong Kong, Pui Chuen Tam

Bachelor of Social Sciences – Senior Theses

Based on Ferguson, Farrell, & Lawrence (2008)’s study on persuasive messages promoting blood donation, this study has identified a characteristic of persuasive message that could influence Chinese participants’ behavioral intention to donate blood. Participants (N = 66) were randomly assigned to read one of the four messages with different focuses and framings. They then indicated their behavioral intention to donate blood after reading the messages. Two-way ANCOVA, with self-efficacy as covariate indicated that respondents after reading altruistic messages reported a higher intention to donate blood than those who read egoistic messages. Moreover, it is also revealed that within people with …

Promoting Culturally Respectful Cancer Education Through Digital Storytelling, Melany Cueva, Regina Kuhnley, Anne Lanier, Mark Dignan, Laura Revels, Nancy E. Schoenberg, Katie Cueva

Internal Medicine Faculty Publications

Cancer is the leading cause of mortality among Alaska Native people. Over half of Alaska Native people live in rural communities where specially trained community members called Community Health Aides/Practitioners (CHA/Ps) provide health care. In response to CHA/Ps’ expressed desire to learn more about cancer, four 5-day cancer education and digital storytelling courses were provided in 2014. Throughout each course, participants explored cancer information, reflected on their personal experiences, and envisioned how they might apply their knowledge within their communities. Each course participant also created a personal and authentic digital story, a methodology increasingly embraced by Indigenous communities as a …