Public Health Commons^™

Happening In Plain Sight: An Evaluation Of Sexual Harassment In Municipal Government Through A Case Study Of Newark, New Jersey, Hoween R. A. Flexer, Caitlin R. Louie

School of Professional Studies

In the city of Newark, New Jersey, Sebrevious Scott, a participant in the New Jersey Reentry program was hired as part-time office assistant in the city's re-entry office. After being transferred to the city’s Parks and Grounds Departments, she started being sexually harassed, inappropriately touched and propositioned by her supervisor, Richard Kirkland. Scott made repeated attempts to report these actions through the appropriate channels. She was met with dismissal, resistance, and later retaliation. While working in this hostile environment she was also pursuing a full-time employment opportunity with the city upon the completion of the reentry program. Unfortunately, this never …

Mathematical Models Of Covid-19, Kate Faria

Honors Program Theses and Projects

For more than a year, the COVID-19 pandemic has been a major public health issue, affecting the lives of most people around the world. With both people’s health and the economy at great risks, governments rushed to control the spread of the virus. Containment measures were heavily enforced worldwide until a vaccine was developed and distributed. Although researchers today know more about the characteristics of the virus, a lot of work still needs to be done in order to completely remove the disease from the population. However, this is true for most of the infectious diseases in existence, including Influenza, …

Evaluating Va Nurse Acceptance Of Virtual Healthcare Technology During The Coronavirus Outbreak, Francesca Bryan-Couch

Doctor of Nursing Practice Scholarly Projects

At a regional Veterans Administration (VA) hospital, nurses performing case management were unable to perform face-to-face visits with patients due to coronavirus. Care coordination and discharge planning efforts occurred through telephonic case management to preserve personal protective equipment and reduce transmission rates through social distancing. Trust and rapport between patients and nurses were reduced without personal contact. Peplau’s theory of interpersonal relations described six nurse roles and three phases of relationship development required to create therapeutic nurse-patient relationships. Connectedness was a key concept considered to be the path to a successful meaningful therapeutic nurse-patient relationship (Hrabe, 2005).

To evaluate current …

A Framework To Guide Planetary Health Education., Carlos A. Faerron Guzmán, A. Alonso Aguirre, Barbara Astle, Enrique Barros, Brett R. Bayles, Moses Chimbari, Naglaa El-Abbadi, Jessica Evert, Finola Hackett, Courtney Howard, Jonathan Jennings, Amy Krzyzek, Jessica Leclair, Filip Maric, Olwenn Martin, Odipo Osano, Jonathan Patz, Teddie Potter, Nicole Redvers, Noortje Trienekens, Sarah Walpole, Lynda Wilson, Chenchen Xu, Matthew Zylstra

Global Public Health | Faculty Scholarship

People around the world are increasingly facing the pressing challenges of today’s interconnected environmental, social, and health crises. The COVID-19 pandemic has been an important wake-up call reminding us that we need a healthy planet to ensure the health of all people.¹ The emerging field of planetary health is a framework for understanding these interconnections and identifying solutions to the complex challenges confronting our civilization. Building on the unique role and responsibility of education institutions in shaping our futures, embedding planetary health education in curricula is an essential step to achieving the transformative change needed. Planetary health education across …

Incorporating Adverse Childhood Experiences In Medical Student Trauma-Informed Training, Mary Catherine Minke

PCOM Capstone Projects

One of the emerging fields in public health has become how behavior and personal experiences shape the health experience. Particularly, there is interest in understanding how the environment that one lives in changes one’s biology, causing disease, and how interventions can combat this change. A 1998 study conducted by the CDC and Kaiser Health first characterized negative household environments that suffered from dysfunction or abuse and showed how this could be a leading cause of death in adults (Vincent, et al., 1998). Researchers termed these Adverse Childhood Experiences (ACEs). Since that time, additional studies have found that those who suffered …

Body Positivity On Social Media, Bellas

Body Positivity

No abstract provided.

Preserving Safety While Upholding The Integrity Of Medical Education And Practical Skills: The Impact Of Covid-19 On Teaching Human Anatomy, Anna Cowan

Undergraduate Honors Theses

The global pandemic caused by COVID-19 placed constraints on several aspects of normal life, especially those of higher level education. While many programs moved to teaching in a strictly online format, there are some courses in which this structure was not appropriate. This study observed the outcome of the adapted course structure employed at Quillen College of Medicine during their Gross Human Anatomy course. Through a voluntary survey and multiple independent t-tests, it was demonstrated that the students who took the adapted course performed, on average, 2 points lower on each exam than previous classes. Also, this study showed that …

Body Positivity: Coping With Stress And Exams, Bellas

Body Positivity

No abstract provided.

Nutrition And Gym: Maintaining Body Positivity, Bellas

Body Positivity

No abstract provided.

Randomised Trials At The Level Of The Individual, Jay J H. Park, Nathan Ford, Denis Xavier, Per Ashorn, Rebecca F. Grais, Zulfiqar Ahmed Bhutta, Herman Goossens, Kristian Thorlund, Maria Eugenia Socias, Edward J. Mills

Centre of Excellence in Women and Child Health

In global health research, short-term, small-scale clinical trials with fixed, two-arm trial designs that generally do not allow for major changes throughout the trial are the most common study design. Building on the introductory paper of this Series, this paper discusses data-driven approaches to clinical trial research across several adaptive trial designs, as well as the master protocol framework that can help to harmonise clinical trial research efforts in global health research. We provide a general framework for more efficient trial research, and we discuss the importance of considering different study designs in the planning stage with statistical simulations. We …

Reducing Alarm Burden By Promoting Judicious Ordering Of Continuous Pulse Oximetry, Kathleen Berg, David Johnson, Ginny Nyberg, Andrew Ausmus, Christine Claeys, Emily Wilkinson, Nicholas Clark

Presentations

Background: Overutilization of continuous pulse oximetry (CPO) contributes to overdiagnosis and prolonged supplemental oxygen utilization. It may also negatively impact patient sleep, mobility, length of stay (LOS), and cost. Response times to actionable alarms increase with the number of non-actionable alarms. Our baseline data revealed an average of 29.6 pulse oximetry monitor alarms sounded for each admitted patient each day of their hospitalization. Most notably, 38.7% of pulse oximetry alarms were for ≥88% which is generally considered non-actionable.

Objective: We aimed to decrease both total pulse oximetry alarms per patient day and alarms for ≥88% per patient day by 20%, …

Understanding Modern History Of International Food Law Is Key To Building A More Resilient And Improved Global Food System, Michael T. Roberts

Journal of Food Law & Policy

This article advocates the need for a history of the development of modern international food law and suggests an analytical approach to complement the chronicling of events. Comprehension of this history will help elucidate the evolution of a complicated modern global food system, including its resiliency and vulnerability as demonstrated by Covid-19, thereby providing valuable context for change in the system where needed. This essay makes the case for such a history in three parts. First, it briefly demonstrates the need for a historical perspective through a critical examination of a journal article that speaks to Covid-19 food security in …

2021-05-01_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

Home And Neighborhood Physical Activity Location Availability Among African American Adolescent Girls Living In Low-Income, Urban Communities: Associations With Objectively Measured Physical Activity, Nicole O'Reilly

Social Work Faculty Publications and Presentations

Based on the ecological model of active living, the neighborhood environment may relate to individual physical activity (PA) behaviors. The purposes of this study were to (1) generate a replicable neighborhood-level physical activity location availability score (PALAS) from data variables associated with physical activity among adolescents and adults, and apply this score to Baltimore City, Maryland, and (2) determine if relationships exist between PA and PA location availability. Geographic information systems (GISs) were used to create the PALAS. Using linear regression models, we examined relations between objectively measured PA among low-income, urban, predominantly African American adolescent girls (n = …

School Reopenings, Mobility, And Covid-19 Spread: Evidence From Texas, Charles J. Courtemanche, Anh Le, Aaron Yelowitz, Ron Zimmer

Institute for the Study of Free Enterprise Working Papers

This paper examines the effect of fall 2020 school reopenings in Texas on county-level COVID19 cases and fatalities. Previous evidence suggests that schools can be reopened safely if community spread is low and public health guidelines are followed. However, in Texas, reopenings often occurred alongside high community spread and at near capacity, likely making it difficult to meet social distancing recommendations. Using event-study models and hand-collected instruction modality and start dates for all school districts, we find robust evidence that reopening Texas schools gradually but substantially accelerated the community spread of COVID-19. Results from our preferred specification imply that school …

Assessing The Effects Of Social Determinants On Serious Safety Events, Lisa L. Schroeder, Jessi Van Roekel, John Cowden

Posters

Background: We have long known that various social determinants of health (SDH) such as race, gender, socioeconomic status and others can affect health outcomes, such as readmission rates and mortality. To our knowledge, the impact of SDH on safety events has not been studied.


Objective: We sought to understand the role that social determinants may play in contributing to safety events at our institution and to incorporate this information into the creation of corrective action items following the serious safety event.


Design/Methods: The Clinical Safety team partnered with the Office of Equity and Diversity to develop a standard question regarding …

Evaluating The Caprini Risk Assessment In An Inpatient Rehabilitation Facility, Alissa Payne, Kelsey Boersma, Sarah Nechuta

Masters Projects

Deep vein thrombosis (DVT) is an often underdiagnosed disease that can be life threatening for individuals. Currently, the best practice approach to assess the risk of venous thromboembolism (VTE) in patients within a rehabilitation hospital is unknown. We examined how well the Caprini risk assessment (CRA) score predicts VTE events (deep vein thrombosis (DVT), pulmonary embolism (PE)) within an inpatient rehabilitation hospital. Between January 2015 and October 2020, VTE events, the CRA Score, and risk factors were collected from a chart review conducted at Mary Free Bed Rehabilitation Hospital (MFB) among 3,091 patients. Results from the unadjusted logistic regression model …

Fine Particulate Matter And Low Weight Births In Mexico City, Mexico, Kennedy Cohn

Honors Theses

Fine particulate matter (PM2.5) exposure has been associated with several negative health consequences, and recent studies suggest a potential relationship between PM2.5 exposure and adverse birth outcomes, including low birth weight (LBW). This thesis investigated a potential relationship between fine particulate matter concentration and low birth weight in Mexico City, Mexico between 2008-2016. Maternal pollution exposure was estimated at the city-wide level by averaging PM2.5 measurements from various monitoring stations. Birth weight was collected from the SINAC database. Logistic regression models were run for different temporal scales (by trimester, and 10-month periods); however, there were no significant relationships found between …

Investigating Heat Risk Messaging Using Social Media Studies And A Survey Experiment, Yajie Li

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Extreme heat causes hundreds of deaths each year in the United States even though cost-effective protective measures are available. Heat warning messages sent by government agencies have the potential to reduce the negative impacts by motivating people to take protective actions. To help reach the potential, this dissertation examined the content of warning messages and public responses to warning messages in the US. This research analyzed three kinds of data: 1) heat warning messages posted on Twitter, 2) public comments on heat warning messages posted on Facebook, and 3) experimental results collected using an online survey.

Results show that, for …

Medicare-Paid Naloxone: Trends In Non-Metropolitan And Metropolitan Areas, Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman

Rural & Underserved Health Research Center Publications

Overview of Key Findings

• Medicare pays for the largest share (> 30%) of naloxone dispensed from retail pharmacies in non-metropolitan areas.
• Medicare-paid dispensing has grown since 2013, but from 2017-2018 dispensing growth in non-metropolitan areas slowed considerably compared to metropolitan areas (42% v 121%, respectively).
• As of 2018, the rate of naloxone dispensing to Medicare enrollees in metropolitan areas was approximately double that in non-metropolitan areas (4.9 v 2.9 per 1,000 enrollees, respectively).

Covid-19: Exploring The Probability Of Disease Extinction - A Modeling And Simulation Study, Donald Porchia

Electronic Theses and Dissertations, 2020-2023

There are two distinct topics considered in this dissertation. The first is the formulation of a compartmental model using reactive social distancing in which disease transmission changes as a function of the state variables of the model; in this case, the cumulative incidence. The model assumes a single strain epidemic of Covid-19 in the United States and is used to estimate the cumulative number of deaths due to the epidemic where incidence data is used to calibrate and validate the model. The second topic concerns the use of the stochastic threshold to determine disease persistence or extinction. The Covid-19 pandemic …

Economic And Cost-Effectiveness Analysis Of The Community-Level Interventions For Pre-Eclampsia (Clip) Trials In India, Pakistan And Mozambique, Jeffrey N. Bone, Asif R. Khowaja, Marianne Vidler, Beth A. Payne, Mrutyunjaya B. Bellad, Shivaprasad S. Goudar, Ashalata A. Mallapur, Khatia Munguambe, Rahat Qureshi, Zulfiqar Ahmed Bhutta

Woman and Child Health

Background: The Community-Level Interventions for Pre-eclampsia (CLIP) trials (NCT01911494) in India, Pakistan and Mozambique (February 2014-2017) involved community engagement and task sharing with community health workers for triage and initial treatment of pregnancy hypertension. Maternal and perinatal mortality was less frequent among women who received ≥8 CLIP contacts. The aim of this analysis was to assess the incremental costs and cost-effectiveness of the CLIP intervention overall in comparison to standard of care, and by PIERS (Pre-eclampsia Integrated Estimate of RiSk) On the Move (POM) mobile health application visit frequency.
Methods: Included were all women enrolled in the three …

A Comparative Study Of The Imis (Osha) And Lims (Irsst) Exposure Databases, 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 …

A Systematic Review Of Late Effects, Current Models Of Follow-Up In Three Pennsylvania Health Network Settings, And Survivor Care Plans For Brain Neoplasm Survivor, Megan Elizabeth Donlick

PCOM Capstone Projects

Introduction: Brain neoplasm survival rates have increased substantially in developed countries due to modern medical interventions, research, and enhanced therapeutic options. As the second leading cause of pediatric cancers, this has been a topic of interest within the field of public health. With mortality decreasing, scientists are now focusing the lens on the long-term outcomes of survivors, coined “survivorship” and subsequent late effects. These effects are the combined neurocognitive, psychological, and social deterioration and deficits experienced due to the brain pathology itself or exposure to associative treatments. This phenomenon is now appearing frequently in the literature. The aim of this …

The Opioid Overdose Epidemic And Deceased Donor Liver Transplantation, Edmund Peacock

PCOM Capstone Projects

Objective: To study the effects and trends of the opioid overdose epidemic on deceased donor liver transplantation and examine how some regions more effectively utilize their population of overdose deaths for recovery of livers for transplant. Background: Increases in the rate of overdose deaths have led to a growing portion of the deceased organ donor population arising from overdose events1, 2 . Many transplant centers and recipients decline these livers from overdose donors due to concern for disease transmission and the stigma around addiction and drug use 3 . The risks of using these livers for transplant are continuing to …

Emotional Abuse In Children Under Five, Julia Perfidio

PCOM Capstone Projects

This capstone project aims to discuss the difficulties in diagnosing and assessing the risk of emotional abuse in children under five. Emotional abuse is often broadly defined but can be generalized as abuse where a guardian will excessively criticize a child and make them feel unwanted [10]. Diagnosing emotional abuse in this age group is difficult as children are less likely to be around outsiders (non-family members) who could detect these signs. In addition, the signs and definitions of emotional abuse are unique to each case and vary among states [8,10,11]. Emotional abuse could affect the child's development and then …

Sexual Health In The Asian-American Population Of The United States, Pallavi Sindhu

PCOM Capstone Projects

Cultural factors, including language barriers and stigma associated with the topic of intercourse, can lead to lapse in sexual education and avoidance of treatment for sexually-transmitted diseases (CDC, 2020). Few studies explore this discrepancy in the immigrant population. For example, Lee, P.-I. et al. (2020) explores the significance of educating the parents of children between the ages of 6-18 years on sexual health topics. The result indicated significantly higher improvement in characteristics, such as, sexual knowledge and development of self-efficacy, in the experimental group as compared to the control one. Based on previous studies analyzed, the researchers believe that this …

The Influence Of Racial Barriers On Maternal Mortality In Black Women In The United States, Mariah Williams

PCOM Capstone Projects

In the United States, Black women are 3-4x more likely to die a pregnancy related death compared to that of white women. The maternal mortality rate in the U.S. has continually been on the rise for years, and the racial disparities amongst Black mothers have only become more apparent. This capstone paper will be examining the factors contributing to maternal mortality in the United States, especially those based in racial inequity, inequality, and biases. Much of the research on the issue analyzes access, racism, racial biases, medical mistrust, and provider-patient relationships as contributing factors to the disparities we see in …

Alternative Response To Mental Health- Related 911 Calls, Nayo Macauley

PCOM Capstone Projects

Over the last 3 decades, efforts to improve interactions between law enforcement and mentally ill individuals has resulted in several training programs for police officers with the goal of reducing the risk of violent altercations and incarceration and instead, seeking to connect this population to the resources they need. Despite widespread mental health training for police officers, people suffering from mental illness were found to be 16 times more likely to be met with excessive force resulting in injury or death when police officers responded to a 911 call. The review will investigate the largest mental health training program called …

Homelessness Interventions For The Youth, Christopher Stuever

PCOM Capstone Projects

Objective: Gather information on the current policies and interventions used in the United States to form a comprehensive understanding of what has been successful and what has failed in their implementation that has led to the current epidemic of homelessness among the youth and young adult population in the United States. Background: In a nation boasting wealth and success, the United States continues to fall short when it comes to taking care of its overwhelming homeless population. A specific area of concern within this population comes with the alarming number of young adults and children that experience homelessness every year. …