Public Health Commons^™

Stroke Preventive In African American Women Ages 20-40 That Are Using Or Have Used Oral Contraceptives, Ashanti L. N. Coleman

Electronic Theses and Dissertations

This Doctor of Nursing Practice project will inform the audience of stroke awareness as it pertains to oral contraceptives. The study’s focus was to enhance the knowledge of African American women ages 20–40 that have used or are currently using an oral contraceptive. It has been identified that this patient population lacked the knowledge regarding stroke and oral contraceptives, and African American women continue to have the highest incidence of stroke. African American women also make up more than half of the consumers utilizing oral contraceptives. An oral contraceptive knowledge questionnaire was utilized from previous research to determine if any …

Chemokine Receptor Gene Polymorphisms And Covid-19: Could Knowledge Gained From Hiv/Aids Be Important?, Rajeev K. Mehlotra

Faculty Scholarship

Emerging results indicate that an uncontrolled host immune response, leading to a life-threatening condition called cytokine release syndrome (also termed “cytokine storm”), is the major driver of pathology in severe COVID-19. In this pandemic, considerable effort is being focused on identifying host genomic factors that increase susceptibility or resistance to the complications of COVID-19 and translating these findings to improved patient care. In this regard, the chemokine receptor-ligand nexus has been reported as potentially important in severe COVID-19 disease pathogenesis and its treatment. Valuable genomic insights into the chemokine receptor-ligand nexus have been gained from HIV infection and disease progression …

Covid-19 Evacuation And Sheltering Risk Perception Study, Joshua G. Behr, Rafael Diaz, Wie Yusuf, Bridget Giles, Kaleen Lawsure, George Mcleod

Presentations, Lectures, Posters, Reports

First two paragraphs from the Executive Overview:

This report, COVID-19 Evacuation and Sheltering Risk Perception Study, is one of several key science-based research efforts produced for the State reflecting the most current knowledge related to evacuation and sheltering behavior. The primary data source for this report are interviews with 2,200 households across ten localities in Hampton Roads, including the Eastern Shore. The findings – and recommendations – within this report are intended to inform and advance state and local evacuation and public shelter planning.

This report contains 31 specific recommendations (Action Items) that broadly advance coastal resilience and protect the …

Restrict, Clean And Protect: Signaling Consumer Safety During The Pandemic And Beyond, Liliana L. Bove, Sabine Benoit

Research Collection Lee Kong Chian School Of Business

Purpose: Since the outbreak of the COVID-19 pandemic, customers fear for their health when interacting with service providers. To mitigate this fear service providers are using safety signals directed to consumers and other stakeholders who make organizational assessments. The purpose of this article is to synthesize the range of safety signals in a framework that integrates signaling theory with servicescape elements so as to provide guidance for service providers to assist in their recovery. Design/methodology/approach: The authors extracted examples of how service providers signal safety to their consumers that the risk of infection is low in exchanging with their service. …

The Role Of The Opioid Crisis In Elder Abuse, Kimberly I. Snow Mhsa, Jennifer Pratt, Stuart Bratesman Mpp

Disability & Aging

As the opioid crisis has deepened over the past twenty years, its effect on individuals and families, including older adults, has grown. To find out how the opioid crisis might be impacting elder abuse, neglect, and exploitation in Maine, we conducted a mixed methods analysis of 2015-2018 Maine Adult Protective Services (APS) investigations to determine: 1) Did opioid-related investigations increase over time? 2) Do investigations involving opioid misuse or abuse differ from investigations that don’t involve opioids? 3) What themes or features of cases involving opioid misuse or abuse by clients and/or perpetrators emerge from the data?

Key Findings: The …

Vol 1 November '20 Full Issue, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

What A Difference A Year Makes, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Vol 1 November '20 Cover, Publishing Information And Table Of Contents, Donna L. Williams

Journal of the Louisiana Public Health Association

No abstract provided.

Public Health In Louisiana: Looking Back And Looking Forward, Rebekah Gee, William R. Boles

Journal of the Louisiana Public Health Association

No abstract provided.

Apha Affiliates: Go Far Together, Lisa M. Carlson

Journal of the Louisiana Public Health Association

No abstract provided.

Rapid Response Sheltering In A Time Of Covid: Non-Congregate Shelters, David Holcombe

Journal of the Louisiana Public Health Association

No abstract provided.

Enhanced Outcomes Through Practice-Based Evidence, Pamela M. Aaltonen

Journal of the Louisiana Public Health Association

NOTE FROM THE EDITOR: This editorial was developed from remarks made by Dr. Aaltonen at the Louisiana Public Health Association’s 71st Annual Conference in Alexandria, LA, May 2019. It is notable how applicable these thoughts are, given the COVID-19 pandemic and subsequent rejection of science and evidence by large segments of the population in the United States.

Rapid Response Telehealth Among Behavioral Health Providers In Louisiana During Covid-19: A Story Of Adoption And Adaptation, Stephen Phillippi, Sonita Singh, Brian Bumbarger, Kaylin Beiter, Lindsay Simpson, Ashley Fenton

Journal of the Louisiana Public Health Association

Background: The COVID-19 pandemic, the Louisiana Governor’s “Stay at Home” order, and subsequent social distancing precautions, necessitated an unprecedented shift to telehealth to access behavioral health services in Louisiana. Methods: Data were collected through a survey sent to 1,554 providers, with 307 (20%) responding, to learn how providers had managed the shift to telehealth. Results: The majority (85%) of providers surveyed reported continuing to see clients via telehealth. Barriers to providing care via telehealth were reported as, “clients’ access to devices, data and internet”, “the client’s knowledge of technology”, and the ability to access clients, specifically “hard to reach populations”. …

Louisiana Tumor Registry Leads By Numbers, Laura Ricks

Journal of the Louisiana Public Health Association

No abstract provided.

Stop The Bleed: A Call To Action In Louisiana, Emily Nichols, Shayna Goldfine, Jonathan Fourcade, William Salmeron

Journal of the Louisiana Public Health Association

Background: In 2018, Louisiana ranked 2nd for the highest death rates due to homicide in the US (13.3 deaths per 100,000 total population). Falling just behind Mississippi, which had 13.4 deaths per 100,000 total population, this LA statistic was an improvement from the prime position held for over five years. While the approach to improving survivability requires the collaboration of many sectors, the Stop the Bleed (STB) education campaign is one example of initiatives taken to address this public health crisis. Methods: Developed by the Joint Committee to Create a National Policy to Enhance Survivability from Mass Casualty Shooting Events, …

The Louisiana Violent Death Reporting System: First Year Report, Norah W. Friar, Andrei Stefanescu, Jane Herwehe

Journal of the Louisiana Public Health Association

Background: The National Violent Death Reporting System (NVDRS) is a state-based surveillance system that collects information and tracks violent deaths in all fifty states, the District of Columbia, and Puerto Rico. Methods: Louisiana collected data in 2017 in four parishes: Orleans, Jefferson, East Baton Rouge, and Calcasieu. Data presented here are from the 2017 pilot year. Data on violent deaths were collected from law enforcement reports, coroner reports, and death certificates. Violent deaths included homicides, suicides, deaths of undetermined intent, accidental firearm deaths, and legal intervention deaths. Results: In 2017 in Orleans, Jefferson, East Baton Rouge, and Calcasieu Parishes there …

New Orleans Syringe Access Program And Implementation Of Harm Reduction Practices, Nadia Eskildsen, Allison Dejan, Marina Hernandez

Journal of the Louisiana Public Health Association

Background: The New Orleans Syringe Access Program (NOSAP) at CrescentCare strives to reduce transmission of HIV and Hepatitis C among people who inject drugs by following harm reduction principles and advocating for clients’ healthcare goals. Methods: NOSAP staff and volunteers educate clients in safer injection methods and wound care. Clients complete annual intake forms that gather data about their drug use and practices (i.e. syringe disposal, sharing needles), track clientele volume, and guide development of program activities. Results: Since 2014, there has been a 269% increase in number of people served. Furthermore, 79 NOSAP clients were integrated into CrescentCare’s health …

Demographics Of Rural Scholars Track Graduates At Louisiana State University Health Sciences Center-New Orleans School Of Medicine, Bailey Gentile, Paula Rhode Brantley, Mary Thoesen Coleman

Journal of the Louisiana Public Health Association

Introduction: The Rural Scholars Track (RST) program at Louisiana State University Health Sciences Center School of Medicine integrates rural experiences into medical training. The objective of the RST program is to encourage students to practice medicine in rural Louisiana in exchange for up to four years of tuition exemptions. An exploratory study was conducted to describe common characteristics of successful RST graduates from the program’s initiation in 2005 to present. The exploratory study and subsequent studies aim to identify characteristics among RST students that are predictors of successful matriculation through the program. Prioritizing applicants with these characteristics during the admissions …

Factors Associated With Acquiring Food From A Farmers Market And Community Or Home Garden Among Primarily African American Residents From Under-Resourced Neighborhoods, Jeanette Gustat, Yu-Zhang Lee, Taylor Johnson, Keelia O'Malley, Brian Luckett, Leann Myers

Journal of the Louisiana Public Health Association

Farmers markets (FMs) and community/home community gardens (C/HGs) can increase access to fresh fruit and vegetables (F/V). There are limited data on FM and C/HG utilization in African American, under-resourced communities. We explored factors associated with acquiring food from these venues. Methods: An interviewer administered, cross-sectional survey was conducted door to door in two, low-income, predominantly African American neighborhoods in New Orleans, Louisiana. Conclusions: Establishing FMs and C/HGs in low-income communities may be a viable strategy for increasing F/V consumption. Future research within low-income minority communities is needed to inform initiatives to reduce nutrition-related health disparities using FMs and C/HGs. …

Examining Associations Of Louisiana’S Gift Program And Race/Ethnicity With Breastfeeding Initiation And Duration Using Prams, Jennifer Le, Andrei Stefanescu, Marci Brewer, Betsy Dancisak, Rosaria Trichilo

Journal of the Louisiana Public Health Association

Background: The Gift is a program that helps Louisiana birthing facilities improve breastfeeding outcomes. Prior research shows that breastfeeding initiation and duration vary by race/ethnicity. We examined the associations of Gift designation and race/ethnicity with breastfeeding in Louisiana. Methods: We used 2016-2018 weighted Louisiana Pregnancy Risk Assessment Monitoring System (PRAMS) and birth data. Weighted chi-square tests and logistic regression models were used to examine the associations of Gift designation and race/ethnicity with breastfeeding initiation and duration. Results: Women delivering at Gift facilities were more likely to initiate breastfeeding compared to non-designated facilities (p < 0.0001). This association was stronger in Non-Hispanic White women (adjusted odds ratio (aOR) 1.76; 95% confidence interval (CI) 1.22-2.53) than in Non-Hispanic Black women (aOR 1.47; 95% CI 1.08-2.00). We did not find statistically significant associations with breastfeeding duration. Conclusions: Delivering at a Gift facility is beneficial for breastfeeding initiation regardless of race/ethnicity. However, racial disparities persist at Gift facilities.

How Shall We ‘Hammer’ And ‘Dance’?, Wee Kiat Lim

Asian Management Insights

On the promises and perils of domestic tourism during the Covid-19 pandemic.

Attenuation Of Interferon Responses In The Obese Host And Ramifications For Influenza Virus Evolution, Rebekah Reed Honce

Theses and Dissertations (ETD)

The most insidious pandemic of modern life does not arise from an infectious agent but rather from malnutrition. With its global incidence tripling over the past three decades, obesity is a major public health concern. Obesity’s rising prevalence has also illuminated its impact on communicable diseases. Following the 2009 H1N1 influenza A virus pandemic, obesity was identified as a risk factor for increased disease severity and mortality in infected individuals. Obesity causes a chronic state of meta-inflammation with systemic implications for immunity, including delayed antiviral responses to influenza virus infection, poor recovery, and impaired immunological memory. However, the majority of …

J Mich Dent Assoc November 2020

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• Feature articles on how “Routine Blood Lead Testing During Pregnancy Empowers Future Dental Caries and Neurotoxicity Research”, how to “Recoup Your Dues and More with MDA-Endorsed Programs”, and your “2021 MDA Membership Benefits Guide”.
• News you need, Editorial and regular department articles on MDA Foundation activities, Dentistry and the Law, Staff Matters, 10-Minute EBD, Headquarters …

Surveying The Safety Culture Of Academic Laboratories, Emily Faulconer, Zachary Dixon, John C. Griffith, Hayden Frank

Publications

The university traditionally has been the foundation for young adults’ professional development, yet the proclivity toward safety culture has garnered less focus in higher education than in the workforce. A survey of faculty at a medium-sized, research-active, private institution revealed specific areas of policy noncompliance as well as specific safety attitudes that can be targeted for interventions. Albeit a snapshot view, the survey implies that safety needs better representation in the classroom, teaching laboratories, and research facilities at universities. Safety is not abandoned by any means, and there is a strong presence of safety-oriented individuals, but the data show barriers …

College Students' Health Insurance: A Focus On Foreign-Born Students' Healthcare, Phuong Le

Undergraduate Research Symposium Podium Presentations

This research is to explore the uninsured rates of foreign-born students from the age of 18 to 24, including those who study abroad in the United States from foreign countries, immigrants of the U.S. who are green-card holders, and residents/citizens who were not born in the U.S. It is found that there is no significant difference between Asian foreign-born students and other racial groups of foreign-born students, suggesting that there may not be a big cultural difference in perceiving health insurance among foreign-born students. In general, foreign-born students are 19.34 percentage points more likely to be uninsured. Statistical analysis has …

Decreasing Readmissions In Medically Complex Children, Colleen Bartlett

Student Scholarly Projects

Practice Problem: There was a report of an existing practice problem of increased 30-day readmission rates in medically complex children at an outpatient clinic within an extensive hospital system. Hospital readmissions can cause clinical, social, and financial burdens to the patients and their families and thus reflected a need for interventions to reduce readmissions.

PICOT: The PICOT question that guided this change project: In medically complex pediatric patients ages 0-17, what is the effect of a discharge intervention bundle in reducing all-cause 30-day hospital readmissions compared to current practice within an 8-week timeframe?

Evidence: The literature revealed 18 …

The Potential Impacts Of Covid-19 On The Global Value Chains: Gvc Positioning And Linkages, Gerald Foong, Pao-Li Chang

Research Collection School Of Economics

Apart from the public health crisis entailed by the Coronavirus Disease 2019 (COVID-19) pandemic, it has also propagated a pandemic-induced economic shock globally. One transmission channel is via the inter-country linkages arising from the trade in intermediate inputs, which is a pertinent characteristic of global value chains (GVCs), and resulting in a "supply-chain contagion" as termed by Baldwin and Tomiura (2020). In this paper, we propose measures of bilteral downstreamness and upstreamness, the extent of a country's GVC participation, and the position of a country in GVCs by leveraging upon the gross export decomposition framework as laid out by Borin …

Dealing With Covid-19 And Emerging Stronger From It, David Chan

Research Collection School of Social Sciences

Whether it is reacting to news on COVID-19 cases, following safe management rules, adapting to changes at work, assessing leadership and public responses to the coronavirus crisis, or navigating post-pandemic realities, it is all part of understanding how humans think, feel, and behave, says SMU Professor David Chan.

Characterizing Prenatal Maternal Distress With Unique Prenatal Cortisol Trajectories, Gage Peterson, Emma V. Espel, Elyssia Poggi Davis, Curt A. Sandman, Laura M. Glynn

Psychology Faculty Articles and Research

Objective: It is widely assumed that glucocorticoids represent a primary mechanism through which exposure to adversity and maternal psychological distress shape prenatal developmental trajectories of both mother and fetus. However, despite repeated investigations and the fact that prenatal cortisol has been reliably linked to developmental outcomes, the empirical evidence supporting an association between prenatal cortisol and maternal distress is scarce. In this study, a novel approach to assessing links between maternal prenatal psychological distress and gestational cortisol profiles, general growth mixture modeling (GGMM), was applied. Method: Measures of pregnancy anxiety, perceived stress, and state anxiety and depressive symptoms as well …

Feasibility And Acceptability Of Implementing Early Infant Diagnosis Of Hiv In Papua New Guinea At The Point Of Care: A Qualitative Exploration Of Health Worker And Key Informant Perspectives, Yasmin Mohamed, Martha Kupul, Janet Gare, Steven G. Badman, Selina Silim, Andrew J. Vallely, Stanley Luchters, Angela Kelly-Hanku

Population Health, East Africa

Introduction: Early infant diagnosis (EID) of HIV and timely initiation of antiretroviral therapy can significantly reduce morbidity and mortality among HIV-positive infants. Access to EID is limited in many low-income and middle-income settings, particularly those in which standard care involves dried blood spots (DBS) sent to centralised laboratories, such as in Papua New Guinea (PNG). We conducted a qualitative exploration of the feasibility and acceptability of implementing a point-of-care (POC) EID test (Xpert HIV-1 Qualitative assay) among health workers and key stakeholders working within the prevention of mother-to-child transmission of HIV (PMTCT) programme in PNG.

Methods: This qualitative substudy was …