Public Health Commons^™

Influence Of Stigma On Retention In Hiv Care And Adherence To Antiretroviral Therapy In Specialized Hiv Clinics Targeting Men Who Have Sex With Men And Transgender Women In Lima, Peru, David Oliveros Oliveros

Public Health Theses

HIV stigma is a social determinant of health that can influence adherence to antiretroviraltherapy (ART) and engagement in HIV care that impacts viral suppression levels for people with HIV (PWH). In Peru, a country which lags behind 95-95-95 targets for HIV outcomes, LGBTQ-affirming clinics have the potential to mitigate these negative health effects of stigma and discrimination among men who have sex with men (MSM) and transgender women (TGW), two populations that continue to be disproportionately affected by HIV. Using a validated HIV stigma scale and multivariate logistic regression models, this study assessed the magnitude and types of stigma present …

Intersectoral Responses To Climate Change And Waterborne Diseases In The Caribbean Region: Current Actions And Pathways Forward Using The One Health Framework, Sydney A. Steel

Public Health Theses

The Caribbean exists on the frontlines of climate change, and many climate-related threats are already felt throughout the region and projected to worsen in the coming decades. A critical climate-related threat is that of waterborne diseases, as extreme weather events, sea level rise, and temperature increases are shown to contribute to potable water inaccessibility and a more favorable environment for pathogen proliferation and transmission. The complexity of this challenge calls for increased regional and inter-sectoral collaboration in both preparedness and response efforts. Countries and territories across the Caribbean are currently displaying variable yet marked interest in One Health, yet there …

Examining Genetically Regulated Gene Expression As A Potential Biomarker For Postpartum Depression Screening, Eileen Zhu

Public Health Theses

Background: PPD is one of most common complications of pregnancy but is underdiagnosed and undertreated with less than 10% of women with PPD receiving adequate treatment. Currently, the most well-validated screening questionnaire for perinatal depression, the EPDS, produces a high false positive rate and results in a large number of unnecessary referrals. Objective: The principal emphasis of this investigation will center upon the estrogen sensitivity, which hypothesizes that individuals with a history of PPD will have differences in estrogen receptor gene (ESR1 and ESR2) mediated responses to estradiol and thus, are likely to be more sensitive to the abrupt drop …

Why Inhumane? An Ethical Issue On Medical Negligence From Health Professionals, Zahira Amir Ali

School of Nursing & Midwifery

Medical negligence in healthcare settings is an infidelity to the profession, and a sin towards human lives. Often used as a matter of excuse, blame game, irrational mistake, and frustration with stressful environments, it is overlooked and swept under the carpet. However, acknowledging the ethical values of the profession, sensitizing healthcare professionals to implement best practices, and reporting events to prevent harm in future, is certainly imperative. This paper shares an overview of medical negligence under an analysis of different biomedical ethical theories and shares relatable recommendations for future implications in healthcare practice.

Recognizing Early Warning Signs (Ews) In Patients Is Critically Important, Shamsa Samani, Salma Amin Rattani

School of Nursing & Midwifery

Introduction: Monitoring vital signs is a basic indicator of a patient’s health status and allows prompt detection of delayed recovery or adverse effects and early intervention. Patients with adverse events during hospitalization often display clinical decline for several hours before the event is observed. Non-critical care Nurses’ inconsistent recognition and response to patient deterioration lead to an increase in the length of hospital stay, unexpected admissions to the ICU, and increased morbidity and mortality.
Aim: The study aimed to assess the factors that facilitate or impede the detection of early warning signs among adult patients hospitalized in tertiary care settings. …

Walkable Neighborhoods: Linkages Between Place, Health, And Happiness In Younger And Older Adults, Kevin M. Leyden, Michael J. Hogan, Lorraine D'Arcy, Brendan Bunting, Sebastiaan Bierema

Articles

Problem, research strategy, and findings: We examined whether living in a walkable neighborhood influenced the happiness of younger and older city residents. The data for this study came from a comprehensive household population survey of 1,064 adults living in 16 neighborhoods in Dublin City (Ireland) and its suburbs. We used multigroup structural equation modeling to analyze the direct and indirect effects of walkability on happiness, mediated by health, trust, and satisfaction with neighborhood appearance. We found living in a walkable neighborhood was directly linked to the happiness of people aged 36 to 45 (p¼.001) and, to a lesser extent, those …

T2 Dc: Transitional Support For Adolescents With Asd, Priscila De La Cruz, Charli Gipson, Carys Kirlew, Keelin Lagos

DC Health and Academic Prep Program (DC HAPP)

Autism spectrum disorder (ASD) is defined by the CDC as a developmental disorder within the brain5. Throughout the nation, 1 in 36 children experience ASD, boys being four times more prevalent than girls. ASD has nonbehavioral effects such as gastrointestinal (GI) disorders, seizures, or sleep disorders, amongst many other mental side effects1. Recent studies have associated a lack of resources with feelings of isolation, difficulty in accomplishing daily activities, and many more negative impacts for individuals with ASD. As ASD is lifelong, we want to facilitate a smooth transition into adulthood as there are limited resources in DC for young …

Mgso4 For Neuroprophylaxis In Preterm Birth – Clinical Audit- Re Audit, Dr Anupama Marnal B A Sr, Poornima M Associate Professor, Suma K B Professor, Sahana K Assistant Professor

Digital Journal of Clinical Medicine

No abstract provided.

Rational Use Of Blood And Blood Components In A Tertiary Care Hospital: A Crossectional Study., Rupali Chordia Dr, Dr Himani Shemar Dr

Digital Journal of Clinical Medicine

Abstract:

Introduction: Blood transfusion is a life saving process and a complex phenomenon. Judicial use of blood and its components is the need of the hour. Objectives: The present study was planned with the objective to assess the appropriateness of blood transfusions in patients admitted in the hospital as per WHO guidelines. Materials and Methods: A crossectional study was conducted at tertiary care hospital for a period of one and a half years. Records of patients from blood bank were evaluated to collect data. MS Excel was used to enter the data and IBM SPSS Statistics for Windows …

Redefining The Role Of Asha Workers In Indian Healthcare, Sufiya Mohsin, Satish Kumar Gupta, Imran Ahmed Khan, Anish Kumar Gupta

Digital Journal of Clinical Medicine

Community health professionals are critical in filling the gap between traditional healthcare systems and marginalized populations. Accredited Social Health Activists (ASHA) workers have been an important workforce in providing essential healthcare services to rural and marginalized communities. ASHA workers have emerged as a cornerstone of India's healthcare system, playing a pivotal role in bridging the gap between rural and marginalized communities and formal healthcare services. There is a need for expansion of the working of ASHAs to utilize them more efficiently. Through enhanced training, technological integration, and policy support, ASHA workers can transform into empowered agents of change, ensuring equitable …

Case Series; Imaging In Lesser-Known Ailments Of The Pituitary Gland And Sellar Region, Harisha H L, Kavya Bhadrapura Thimmegowda, Ajay Hanumanthu, Vikram Patil Dr, Gurumurthy B, Dr Abhijith Roys

Digital Journal of Clinical Medicine

No abstract provided.

Mpd, Dr.Amara Charitha Duggirala, Dr.Savitha Vijayakumar, Dr . Shashidhara K C, Dr.Jerin Joseph

Digital Journal of Clinical Medicine

No abstract provided.

Turnover, Covid-19, And Reasons For Leaving And Staying Within Governmental Public Health, Jonathan P. Leider, Gulzar H. Shah, Valerie A. Yeager, Jingjing Yin, Kusuma Madamala

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

Background and Objectives:

Public health workforce recruitment and retention continue to challenge public health agencies. This study aims to describe the trends in intention to leave and retire and analyze factors associated with intentions to leave and intentions to stay.

Design:

Using national-level data from the 2017 and 2021 Public Health Workforce Interests and Needs Surveys, bivariate analyses of intent to leave were conducted using a Rao-Scott adjusted chi-square and multivariate analysis using logistic regression models.

Results:

In 2021, 20% of employees planned to retire and 30% were considering leaving. In contrast, 23% of employees planned to retire and 28% …

Gaps In Behavioral Health Care In Rural Primary Care Clinics And The Promise Of Vbhi: Perspectives From Clinic Staff, Monique Gill

Articles, Abstracts, and Reports

No abstract provided.

Bibliography, Kim Riddle

Faculty/Staff Personal Papers

Bibliography of presentations and research by Kim (Bourne) Riddle.

The Impact Covid-19 On The Healthcare Industry’S Systems And Policies: A Case Study, Jameyshia Franklin

West Chester University Doctoral Projects

People worldwide experienced some impacts from the 2019 Coronavirus at various degree. The healthcare industry worldwide was significantly affected by the high volume of patients being infected with the Coronavirus. The COVID-19 virus brought on several challenges for the healthcare industry and the federal government in the United States. Hospitals operated under severe circumstances to treat sick COVID-19 patients and keep their employees safe from contracting the disease. Government mandated social distancing, mask wearing, and cancelation and closing of services to assist with stopping the spread of the virus. This study aimed to identify how the pandemic affected the healthcare …

Epigenetics And Social Inequalities In Asthma And Allergy, Elizabeth S. Clausing, Cassidy J. Tomlinson, Amy L. Non

School of Global Integrative Studies: Faculty Publications

Respiratory illnesses, such as asthma and allergy disorders, are disproportionately more common among minority racial/ethnic groups and those of low socioeconomic status. In the United States, asthma prevalence and severity are highest among Puerto Ricans (19.2%), American Indians/Alaska Natives (13%), and Black Americans (12.7%) and higher in families living below the poverty threshold than among those living above it (11% vs 8%–9%).¹ Many studies of asthma/allergy inequalities assume that genetic differences underlie racial/ethnic differences in these disorders, pointing to genetic ancestry differences between races, but most genetic variants fail to explain racial/ethnic differences and are usually studied only in …

Institute Of Public Health Newsletter- Volume4, Issue2, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Institute Of Public Health Newsletter- Volume5, Issue1, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Reproductive Justice And Feminism: A Comparative Legal Analysis Of The Policies And Healthcare Systems In The United States And Colombia, Samantha Cooke

Modern Languages, Philosophy and Classics Theses

This thesis seeks to offer a comparative legal analysis of the state of the laws regarding abortion and reproductive autonomy in the United States of America and Colombia. This thesis will first address a brief history of feminism and its origins in the United States and Colombia. It will also analyze the policies held by each respective nation; starting with old legislation and moving to current policies regarding abortion. It will also include a comparison between both the U.S. and Colombia; offering suggestions for the future with regards to potential policy changes. The purpose of this thesis is to demonstrate …

Parental Instincts: The Neurological And Biological Factors Associated With Parenthood, Jared Reeder

Undergraduate Honors Theses

The following project involves a systematic review of the scientific literature on neural and biological changes of mothers and fathers in parenthood. Until very recently, little scientific research was devoted to studying how bearing children affects a man or woman’s long-term biology. Over the last twenty years, studies of neuroplastic changes in new mothers show specific neural mechanisms responsible for altering the behaviors of mothers during and after pregnancy. These changes in neuroplasticity alter behavior in such a way that led to mothers requiring less sleep and being more prone to hearing the cries of their children. In addition to …

Adolescent Thc Usage In Virginia: Post-Legalization Challenges And Strategies For Schools, David Naff, Meg Sheriff, Jill Flynn, Marzia Farhana, Kris Herakovich-Curtis, Gerron Scott, Fred Gatty, Priyadarshini Pattath, Diane Williams, Kiana Bradford, Reena Desai, Lauren Powell, Lisa Gwyn

MERC Publications

Recreational marijuana was legalized for anyone over the age of 21 in Virginia in 2021. This research and policy brief explores evidence of the impact of such legalization on Tetrahydrocannabinol (THC) usage in PK-12 aged youth, including smoking, vaping, edibles, and dabbing. It addresses the following questions: 1) What are the recent trends in marijuana usage among PK-12 aged youth? 2) What are the impacts of THC usage in schools, particularly after legalization? 3) How can schools and school systems effectively respond to THC usage? 4) What are relevant federal, state, and school division policies that guide responses to youth …

Emoting In Context: Lived Narratives Of Filipino Health-Care Frontliners During The Early Days Of The Covid-19 Pandemic, John Martin Bernard Gappy

Sociology & Anthropology Department Faculty Publications

The current SARS-CoV-2 pandemic has placed the entire world in a liminal position whereby our well-rehearsed and predictive practices have been deeply shaken. Within this context of liminality, studies point to potential distress among healthcare workers who are taking care of COVID-19 patients. Most studies focus on emotional distress of frontline healthcare workers as fixed entities. The current approach perceives emotion as a type of connection with social worlds. This article focuses on contextual acts of emoting and is organized around personal, situational, and cultural features of nine frontline medical doctors affiliated with ten hospitals in Metro-Manila who were taking …

Simplifying Blood Pressure Measurements In Clinical Settings, Uwe Reischl, Conrad Colby

Public and Population Health Faculty Publications and Presentations

Background: Upper arm sphygmomanometry is the most commonly used method to measure blood pressure in adults. However, variations in upper arm circumference and use of different cuff-sizes results in different pressure readings. When using the same cuff size, pressure readings will be higher for larger arm circumferences and lower for smaller arm circumferences. The objective of this study was to identify an adjustment factor that will allow pressure readings obtained for any combination of arm circumference and cuff size to be compared.

Methods: To investigate the relationship between arm circumferences, cuff size and pressure readings, experiments were conducted using laboratory …

Perspective: Organic Food Consumption During Pregnancy And The Potential Effects On Maternal And Offspring Health, Cynthia L. Curl, Annica Balentine

Public and Population Health Faculty Publications and Presentations

Pregnancy represents a critical window for both maternal and child health. Previous studies have shown that the consumption of an organic diet during pregnancy can reduce pesticide exposure compared with the consumption of a conventional diet. It is possible that this could, in turn, improve pregnancy outcomes, because maternal pesticide exposure during pregnancy has been associated with increased risk of pregnancy complications. Organic foods are produced by methods that comply with organic standards, generally restricting the use of agrochemicals, such as synthetic pesticides. In the past few decades, the global demand for organic foods has increased drastically, driven in large …

Factors Contributing To Adult Obesity: A Midwestern Analysis, Makul Sharma, Hop Lewis

Scholarship in Medicine - All Papers

Objective: To investigate the association between adult obesity and several health-related factors: access to healthy food, exercise opportunities, and physical inactivity in Ohio compared to other Midwestern regional states (Illinois and Iowa) in 2022

Methods: Data was obtained from a County Health Rankings Model using the Behavioral Risk Factor Surveillance System (BRFSS). Data were then weighted to reflect population distribution and then used to measure various health behaviors and health-related quality of life (RQoL) indicators.

Results: We found significantly higher rates of adult obesity in Ohio compared to Illinois and Iowa. It was also determined that adult obesity in Ohio …

The Effect Of Neighborhood Safety On Childhood Mental And Behavioral Health Problems, Courtney Kiggins, Alayna Pavol

Scholarship in Medicine - All Papers

The correlation between socioeconomic status (SES) and adverse childhood experiences (ACEs) with mental and behavioral health problems is well documented, however the connection between neighborhood safety and mental and behavioral health problems is not well understood. This study analyzes the impact of neighborhood safety on childhood mental and behavioral health outcomes. Data collected by the National Survey of Children’s Health (NSCH) was used for this study and statistically analyzed using IBM SPSS software. A strong connection was found between poverty level and childhood mental and behavioral health outcomes, where those who were more impoverished had higher percentages of children experiencing …

The Impact Of Food Insecurity On Health Outcomes, Ali El Kharsa, Gabrielle Montes

Scholarship in Medicine - All Papers

Objective: This research study aims to investigate how food insecurity in the United States has changed between 2016 and 2022 and its correlation with health outcomes by looking at the percent of reporting fair or poor health. Our study also compares healthy food access and food environment index in the US between 2016 and 2022.

Research Methods & Procedures: Paired t-tests compared the levels of food insecurity between 2016 and 2022 and compared food environment index and healthy food access in the United States between 2016 and 2022. A Pearson correlation determined the relationship between food insecurity and the percentage …

Family Medicine Editors Collaborate Towards Antiracist Publishing, Sarina Schrager, Sumi Sexton, Marjorie A. Bowman, Caroline Richardson

Population and Public Health Sciences Faculty Publications

Editors of 10 North American Family Medicine journals simultaneously published a Joint Call for Action to address systemic racism and encourage diversity, equity, inclusion and accessibility/antiracism (DEIA) initiatives in medicine and medical publishing in January 2021. The efforts of the journals since publication of the joint editorial are summarized and include working to diversify editorial teams, editorial boards and authors; enhanced content about DEIA topics; mentoring of authors who are underrepresented in medicine (URM); and presenting content related to DEIA in Family Medicine publishing at national meetings. Editors had a follow up meeting in November 2022 to continue working toward …

Overlooked Sex And Gender Aspects Of Emerging Infectious Disease Outbreaks: Lessons Learned From Covid-19 To Move Towards Health Equity In Pandemic Response, Lynn Lieberman Lawry, Roberta Lugo-Robles, Vicki Mciver

Journal Articles: Epidemiology

Sex and gender issues are especially important in emerging infectious diseases (EIDs) but are routinely overlooked despite data and practice. Each of these have an effect either directly, via the effects on vulnerability to infectious diseases, exposures to infectious pathogens, and responses to illness, and indirectly through effects on disease prevention and control programs. The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the viral agent of coronavirus disease 2019 (COVID-19) has underscored the importance of understanding the sex and gender impacts on pandemics. This review takes a broader looks at how sex and gender impact vulnerability, exposure risk, and treatment and …