Public Health Commons^™

Core Curricular Priorities For Professional Development Of Nurses In Correctional Systems: A Delphi Study, Deborah Shelton, Annette T. Maruca, Louise A. Reagan

Journal for Evidence-based Practice in Correctional Health

Objective: To identify the core curricular elements to assure competency and professional development of registered nurses working with justice-involved populations.

Background: Numerous assessments of education priorities have been articulated for nurses working with patients who interface with justice systems. But no consensus of what comprises the core elements of a curriculum for nurses employed by justice systems has been published. Guidance from correctional nurse education experts is needed.

Design: A web-based Delphi survey methodology was used. Three de-identified surveys were sent to academic and clinical correctional nurse educators two weeks apart by email following an invitation and voluntary agreement to …

From Prison To The Community: Opportunities For Pharmacists To Support Inmate Medication Adherence, Elliott Bosco, Deborah Shelton

Journal for Evidence-based Practice in Correctional Health

The United States correctional system is a vital treatment source for chronic illnesses. Whether treating a chronic mental or physical illness, correctional healthcare requires effective resource utilization. Limited research exists on pharmacists' ability to directly address inmate medication adherence. Thus, this study explores inmate perception of medication adherence and management as part of their treatment plan. Semi-structured interviews were conducted with inmates throughout Connecticut. Diseases of interest were divided into a physical illness group (hypertension, diabetes mellitus, HIV/AIDS) and a mental illness group (depression, bipolar disorder, schizophrenia, substance abuse). A content analysis was conducted on four questions: 1) Do you …

Military-Related Exposures, Social Determinants Of Health, And Dysbiosis: The United States-Veteran Microbiome Project (Us-Vmp), Lisa A. Brenner, Andrew J. Hoisington, Kelly A. Stearns-Yoder, Christopher E. Stamper, Jared A. Heinze, Teodor T. Postolache, Daniel A. Hadidi, Claire A. Hoffmire, Maggie A. Stanislawski

Faculty Publications

Significant effort has been put forth to increase understanding regarding the role of the human microbiome in health- and disease-related processes. In turn, the United States (US) Veteran Microbiome Project (US-VMP) was conceptualized as a means by which to serially collect microbiome and health-related data from those seeking care within the Veterans Health Administration (VHA). In this manuscript, exposures related to military experiences, as well as conditions and health-related factors among patients seen in VHA clinical settings are discussed in relation to common psychological and physical outcomes. Upon enrollment in the study, Veterans complete psychometrically sound (i.e., reliable and valid) …

Food Insecurity And Its Effects On Cardiovascular Health, Rachel Vaca

Grace Peterson Nursing Research Colloquium

Background: Over 23 million Americans live in food deserts, furthermore 49 million Americans have experienced food insecurity multiple times throughout the year. In the United States, especially compared to undeveloped countries, food insecurity usually means not having access to healthy, nutritious options. Food choices that are lacking proper nutrients can contribute to obesity, high cholesterol, and diabetes which can then impact the cardiovascular system negatively.

Objectives: This study will examine how having access to adequate nutrition impacts overall cardiovascular health and risk factors for developing cardiovascular disease. The studies selected in this review examine cardiovascular health by studying risk factors …

Cloueuses Portatives : Développement De Méthodes De Diagnostic Vibratoire Et Acoustique, Marc-André Gaudreau, Pierre Marcotte, Frédéric Laville, Thomas Padois, Jérôme Boutin

Rapports de recherche scientifique

Le fonctionnement des cloueuses portatives étant basé sur un processus d’impact visant à enfoncer un clou, l’utilisation de ces outils expose les travailleurs à des bruits et à des vibrations à caractère impulsionnel, en générant des niveaux très élevés pendant un très court laps de temps. Par ailleurs, l’exposition aux bruits et aux vibrations impulsionnels engendre un risque de développer des maladies professionnelles. Des échanges avec l’Association paritaire pour la santé et la sécurité du travail du secteur de la construction (ASP Construction) ont confirmé que ce type d’outil est très utilisé par les travailleurs de la construction qui, au …

My Experience In Swaziland With Give Hope, Fight Poverty, Megan Kaser

Purdue Journal of Service-Learning and International Engagement

Megan Kaser, a recent 2017 alum in the College of Health and Human Sciences at Purdue University, describes her experience with Give Hope, Fight Poverty (GHFP)—a nonprofit organization in Indianapolis, Indiana. She is currently pursuing a master’s degree in physician assistant studies. GHFP’s mission is “to foster philanthropy domestically by designing service-learning programs that engage U.S. college students with rural communities in Swaziland, Africa, and work together to educate, empower, and lift orphaned and vulnerable children—particularly those living in child-headed households— out of poverty” (Give Hope, Fight Poverty, n.d.). By incorporating college students in the implementation of GHFP orphan education …

Peer Health Educators On Campus: Teaching Safe Medication Practices, Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, Murphy K. O'Toole, Katherine M. Joseph, Jane E. Krause

Purdue Journal of Service-Learning and International Engagement

Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, and Murphy K. O’Toole are advanced professional students in the Doctor of Pharmacy program at Purdue University, graduating in May 2019. Katherine M. Joseph is a senior in the School of Nursing, graduating in December 2018. Jane E. Krause (Clinical Associate Professor of Pharmacy Practice, Purdue College of Pharmacy) served as a faculty mentor for this project. In this article, the authors describe their service-learning project intended to increase awareness on campus regarding prescription drug abuse and misuse.

Smart Disease Prevention App: Informing The Public In Their Own Geographic Location, Apoorva Sulakhe, Shafali Rana, Zoe Disori, William Nogay, Kyle Plummer, Meredith Shannon, Morgan Young, Alyssa Zielinski, Vincent G. Duffy

Purdue Journal of Service-Learning and International Engagement

Apoorva Sulakhe and Shefali Rana are graduate students in the School of Industrial Engineering at Purdue. They have both been teaching assistants under their coauthor, Dr. Vincent Duffy, while supervising multiple projects. Coauthors Zoe Disori, William Nogay, Kyle Plummer, Meredith Shannon, Morgan Young, and Alyssa Zielinski are listed in alphabetical order. They were all seniors in School of Industrial Engineering at the time of this project in 2017. The purpose of their study, described in this article, was to develop an application to provide users with accurate information about diseases spreading in their geographic locations.

"Wrapping" Up In Kenya: A Student’S Learning Experience In Eldoret, Kenya, Alexander R. Mills, Monica L. Miller, Rakhi Karwa, Sonak D. Pastakia, Aileen Y. Chang, Edith Tonui, Sara Fletcher, Phelix Were, Ellen Schellhase

Purdue Journal of Service-Learning and International Engagement

Alexander R. Mills received his Doctor of Pharmacy degree in May 2017 and has completed a PGY-1 community-based pharmacy practice resident with Walgreen Company and Purdue University College of Pharmacy. During his time at Purdue, he was heavily involved with Purdue’s chapter of The American Red Cross Club, serving as the president and coordinator of community outreach programs. Upon completing his PGY-1, he will continue to pursue his aspirations to care for the medically underserved while currently completing a PGY-2 residency specializing in ambulatory care and academia at the University of Mississippi in Jackson.

Prescription Opioids And Heroin Abuse In New Mexico: Swot Analyses Of Possible Policies/Interventions And The Way Forward, Ali Abbasi

Public Administration ETDs

Throughout the last decade or so, Opioid related fatalities are at all-time high in the United States. New Mexico’s problem with Opioids abuse in not a new phenomenon and a large number of New Mexicans are losing their lives almost on a daily basis. The paper highlights the alarming situation of overdose deaths caused specifically by the abuse of Prescription Opioids and Heroin which, in 2016 alone have taken 347 lives in New Mexico. Policy makers along with other stakeholders play a vital part in shaping the politics along with other interventions which can help tackle the epidemic. The paper …

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Nursing ETDs

Access to maternity care is disappearing for women across rural America. In the state of New Mexico, women often travel long distances to access hospitals and providers that offer childbirth services, as these resources are concentrated primarily in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this critical ethnographic study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around …

A Program To Treat Hepatitis B In North Korea: A Model Of Antiviral Therapy In A Resource-Poor Setting, Marcia Ann Kilsby, Alice Unah Lee, Heidi Linton, David C. Hilmers

Faculty Publications

Despite the well-proven, safe and effective therapies for hepatitis B infection, delivery of treatment remains a significant challenge in resource-poor settings. Geopolitical and economic restrictions present additional difficulties in providing care in North Korea. However, treatment of patients with chronic hepatitis B remains a top priority for both the North Korean Ministry of Public Health and international agencies working in North Korean hepatitis healthcare facilities. Working in partnership, a path was created to institute this much-needed program. A consortium of United States and Australian humanitarian non-governmental organizations along with generous individual and corporate donors working in concert with local and …

An Evidenced-Based Protocol For Eliminating Errors Associated With Intravenous Medication Errors, Susie Chaney, Blake Smith, Andrea Howard, Chanel Wilder, Suzi White Msn, Phcns-Bc

Posters-at-the-Capitol

The purpose of our research is to decrease the number of IV medication errors. IV medication errors occur due to the wrong drug, wrong dose, wrong rate, wrong concentration, incorrect aseptic technique, known allergies, omitted medications, wrong time of administration, incorrect labeling, patient identification, and no order for the infusion. Nurses’ perceptions of why medication errors occur included physicians’ medication orders are not clear, the names of many medications are similar, pharmacy did not label the medication correctly, poor communication, lack of staff to patient ratio, fatigue from hard work, nurses' heavy workload, and working night shift. This quality improvement …

Experiences Of Commercially Sexually Exploited Youth In The United States: A Qualitative Systematic Review, Michelle Hampton, Michelle Lieggi

Faculty Publications

Background: Youth at highest risk for commercial sexual exploitation in the United States (US) are runaway, homeless, and transgender youth. Despite the availability of research evidence pertaining to this phenomenon, there is a lack of research synthesis to enable easy access and use by health professionals and others who serve this population. This review’s purpose was to aggregate the qualitative evidence regarding commercially sexually exploited youth (CSEY) in the US to inform the development of appropriate interventions and response systems. Methods: The search included published and unpublished qualitative studies with current or former CSEY who resided in the US. Results: …

Exposure To Household Air Pollution From Biomass Cookstoves And Levels Of Fractional Exhaled Nitric Oxide (Feno) Among Honduran Women, Megan L. Benka-Coker, Maggie L. Clark, Sarah Rajkumar, Bonnie N. Young, Annette M. Bachand, John R. Balmes, Robert Brook, Tracy L. Nelson, John Volckens, Steve J. Reynolds, Ander Wilson, Christian L'Orange, Nicholas Good, Casey Quinn, Kirsten Koehler, Sebastian Africano, Anibal Osorto Pinel, Jennifer L. Peel

Health Sciences Faculty Publications

Household air pollution is estimated to be responsible for nearly three million premature deaths annually. Measuring fractional exhaled nitric oxide (FeNO) may improve the limited understanding of the association of household air pollution and airway inflammation. We evaluated the cross-sectional association of FeNO with exposure to household air pollution (24-h average kitchen and personal fine particulate matter and black carbon; stove type) among 139 women in rural Honduras using traditional stoves or cleaner-burning Justastoves. We additionally evaluated interaction by age. Results were generally consistent with a null association; we did not observe a consistent pattern for interaction by age. Evidence …

Identifying And Addressing Hepatitis C Linkage Barriers Through An Institutional Screening Process, Madalene Zale, Mph, Priya Mammen, Md, Mph

Department of Emergency Medicine Posters

Aim

This study evaluates the impact of Act 87 on HCV screening in an urban, academic hospital system with particular attention to disparate care and barriers to linkage to specialty treatment

Étude Comparative Des Banques De Données De Mesures D’Exposition Imis (Osha) Et Lims (Irsst), Philippe Sarazin, France Labrèche, Jacques Lesage, Jérôme Lavoué

Rapports de recherche scientifique

Une bonne connaissance des niveaux d’exposition des travailleurs aux contaminants chimiques est fondamentale dans un programme de maîtrise, de prévention et de gestion des risques associés à ces substances. Au Québec, l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) administre un système de gestion de l’information du laboratoire (LIMS – Laboratory Information Management System). Cette banque de données électronique contient l’ensemble des résultats d’analyse liés à l’évaluation de l’exposition telle que mesurée par les équipes de santé au travail depuis 1985. Les données du LIMS sont intéressantes pour établir des portraits d’exposition. Cependant, leur interprétation est …

No Evidence For Kin Protection In The Expression Of Sickness Behaviors In House Mice, Patricia C. Lopes, Per Block, Alice Pontiggia, Anna K. Lindholm, Barbara König

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

When infected, animals change their behaviors in several ways, including by decreasing their activity, their food and water intake, and their interest in social interactions. These behavioral alterations are collectively called sickness behaviors and, for several decades, the main hypotheses put forward to explain this phenomenon were that engaging in sickness behaviors facilitated the fever response and improved the likelihood of host survival. However, a new hypothesis was recently proposed suggesting that engaging in sickness behaviors may serve to protect kin. We tested this kin protection hypothesis by combining a field and a laboratory experiment in house mice. In both …

Patient Experiences And Satisfaction With Homeopathic Treatment In Pune, India, Asmita R. Mhaskar

USF Tampa Graduate Theses and Dissertations

Introduction: Global populations are increasingly pursuing Complementary and Alternative Medicines (CAM) as safe, holistic options to attain health and wellness. Homeopathy is one such system of medicine whose demand is growing across the world, with maximum users in India. Yet, patient satisfaction and experiences with Homeopathy have not been addressed comprehensively in India.

Methods: A two-phase, mixed-methods study was designed to assess patient satisfaction and patient experiences with Homeopathic medicines and clinics in Pune, India. Phase I included the design and validation of a survey on Homeopathy specific experiences in English and Marathi for collecting data. Phase II employed a …

Population And Fertility By Age And Sex For 195 Countries And Territories, 1950-2017: A Systematic Analysis For The Global Burden Of Disease Study 2017, Gbd 2017 Population And Fertility Collaborators, Paul Evan Kilgore

Department of Pharmacy Practice

Background Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods.

Methods We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on …

Patient Perceptions Of Their Own Data In Mhealth Technology–Enabled N-Of-1 Trials For Chronic Pain: Qualitative Study, Robin Whitney, Deborah Ward, Maria Marois, Christopher Schmid, Ida Sim, Richard Kravitz

Faculty Publications

Background: N-of-1 (individual comparison) trials are a promising approach for comparing the effectiveness of 2 or more treatments for individual patients; yet, few studies have qualitatively examined how patients use and make sense of their own patient-generated health data (PGHD) in the context of N-of-1 trials. Objective: The objective of our study was to explore chronic pain patients’ perceptions about the PGHD they compiled while comparing 2 chronic pain treatments and tracking their symptoms using a smartphone N-of-1 app in collaboration with their clinicians. Methods: Semistructured interviews were recorded with 33 patients, a consecutive subset of the intervention group in …

"They Destroy The Reproductive System": Exploring The Belief That Modern Contraceptive Use Causes Infertility, Erica Sedlander, Jeffrey B. Bingenheimer, Mary Thiongo, Peter Gichangi, Rajiv N. Rimal, Mark Edberg, Wolfgang Munar

Prevention and Community Health Faculty Publications

No abstract provided.

Nutrition Risk Among An Ethnically Diverse Sample Of Community-Dwelling Older Adults, Patricia M. Sheean, Isabel C. Farrar, Suela Sulo, Jamie Partridge, Linda Schiffer, Marian Fitzgibbon

Nursing: School of Nursing Faculty Publications and Other Works

Objective

To assess the prevalence of nutritional risk among an ethnically diverse group of urban community-dwelling older adults and to explore if risk varied by race/ethnicity.

Design

Demographic characteristics, Katz’s activities of daily living and health-care resource utilization were ascertained cross-sectionally via telephone surveys with trained interviewers. Nutrition risk and nutrition symptomology were assessed via the abridged Patient Generated Subjective Global Assessment (abPG-SGA); scores of ≥6 points delineated ‘high’ nutrition risk. Descriptive statistics and logistic regression analyses were conducted.

Setting

Urban.

Participants

White, Black or Hispanic community-dwelling adults, ≥55 years of age, fluent in English or Spanish, residing in the …

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Shared Knowledge Conference

Access to maternity care is disappearing for women across rural America. In New Mexico, women often travel long distances in order to access hospitals and providers that offer childbirth services, as these resources are primarily concentrated in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around the maintenance of …

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those around them. …

Initiating Patient Discussions About Oocyte Cryopreservation: Attitudes Of Obstetrics And Gynaecology Resident Physicians, Brennan Peterson, C. Gordon, Julia K. Boehm, M. C. Inhorn, P. Patrizio

Marriage and Family Therapy Faculty Articles and Research

This study examined the attitudes of obstetrics and gynaecology (OB/GYN) resident physicians to initiating patient discussions regarding medical and elective oocyte cryopreservation (OC). The study used a cross-sectional online survey of OB/GYN medical residents in the USA, sampled from residency programmes approved by the American Council for Graduate Medical Education. In total, 208 medical residents, distributed evenly between postgraduate years 1–4, participated in the study. Residents' fertility knowledge and attitudes to initiating discussions about OC were gathered. Forty percent (n = 83) believed that OB/GYN residents should initiate discussions about OC with patients (initiators), while 60% (n = 125) did …

Validation Of A New Concept For Measuring Respirable Dusts, Xiao Liu

USF Tampa Graduate Theses and Dissertations

Sampling of airborne dust in industry is influenced by the potential health effects associated with human exposure. Health effects depend on mass concentration and particle size which influences the site of pulmonary deposition. Occupational diseases tend to be associated with dust deposition in specific regions of the respiratory tract. The ACGIH size selective TLVs are expressed in three forms: Inhalable Particulate Matter, Thoracic Particulate Matter, and Respirable Particulate Matter. In pneuomoconioses, the amount of dust deposited in the lungs can be estimated by sampling the respirable fraction. Dose-response relationships are derived by relating the health experience of workers to the …

Tell Me More: Promoting Compassionate Patient Care Through Conversations With Medical Students, Danielle Qing, Anjali Narayan, Kristin Reese, Sarah Hartman, Taranjeet Ahuja, Alice Fornari

Patient Experience Journal

Tell Me More^® (TMM) is a medical student driven project that represents a movement amongst the rising generation of physicians to practice humanistic, patient-centered medicine through a collaborative approach. Students interviewed patients to create individualized posters designed to build rapport and trust between patients and clinicians, remind patients of their special strengths by highlighting their unique interests and qualities, and encourage more personal and compassionate patient-clinician interactions in order to enhance the patient experience. Students asked each patient three questions: 1. “How would your friends describe you?” 2. “What are your strengths?” 3. “What has been most meaningful to …

Effectiveness Of The Communication Model, C.O.N.N.E.C.T., On Patient Experience And Employee Engagement: A Prospective Study, Agnes Barden, Nicole Giammarinaro

Patient Experience Journal

Northwell Health is a large integrated healthcare organization comprised of 66,000+ employees, 23 hospitals and over 650 medical practice locations located geographically across New York State. In an effort to align and structure interactions between patients, families and healthcare professionals, Northwell Health created a communication model, C.O.N.N.E.C.T. This unique, humanistic model is an acronym that stands for: Contact, Opening Greeting, Name/Title, Needs, Explanation, Closing and Thank. This prospective 3-part study explores the impact of the C.O.N.N.E.C.T. model on professional education, engagement and patient experience. A holistic approach was utilized including a pre and post e-learning module assessment, direct observation behavioral …

Perceptions Of Patient-Centered Care Among Veterans With Gastroesophageal Reflux Disease On Proton Pump Inhibitor Therapy, Salva N. Balbale, Andrew Gawron, Sherri L. Lavela Phd, Mph, Mba

Patient Experience Journal

The aim of this study was to explore perceptions of patient-centered care (PCC) among Veterans with gastroesophageal reflux disease (GERD) on proton pump inhibitor (PPI) therapy using patient-reported outcome (PRO) measures. We used three validated surveys to measure PCC concepts in a national sample of Veterans with GERD on PPI therapy. The Combined Outcome Measure for Risk Communication and Treatment Decision Making Effectiveness (COMRADE) measures patient experiences with risk communication and decision-making. The Patient Activation Measure (PAM) evaluates confidence and knowledge needed for self-management. The Patient Assessment of Care for Chronic Conditions (PACIC) assesses views of chronic care received. We …