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2023

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Full-Text Articles in Public Health

Utilisation Des Ponts Élévateurs De Véhicules Hors Terre À Deux Colonnes : Identification De Déterminants Techniques De Stabilité Et Des Déterminants Du Travail Des Techniciens Automobiles, Damien Burlet-Vienney, Sylvie Beaugrand, Bertrand Galy, Maud Gonella, François Gauthier, Élise Ledoux, Isabelle Berger, Isvieysys Armas Marrero, Kariane Cusson Bertrand Jan 2023

Utilisation Des Ponts Élévateurs De Véhicules Hors Terre À Deux Colonnes : Identification De Déterminants Techniques De Stabilité Et Des Déterminants Du Travail Des Techniciens Automobiles, Damien Burlet-Vienney, Sylvie Beaugrand, Bertrand Galy, Maud Gonella, François Gauthier, Élise Ledoux, Isabelle Berger, Isvieysys Armas Marrero, Kariane Cusson Bertrand

Rapports de recherche scientifique

Cette recherche porte spécifiquement sur l’utilisation des ponts élévateurs de véhicules (PEV) hors terre à deux colonnes (HT2C). Les PEV HT2C sont utilisés par les techniciens automobiles lors de l’entretien et de la réparation des véhicules et les amènent à travailler sous ou à proximité d’une charge surélevée de plusieurs tonnes. La mort d’un jeune technicien en 2014 est à l’origine d’une concertation du secteur de la réparation automobile et de ces travaux de recherche. La chute d’un véhicule d’un PEV HT2C est le risque ciblé par cette étude.

De nombreux facteurs sont susceptibles de contribuer à la chute d’un …


Oral/Oropharyngeal “Selfies” In Gay And Bisexual Men: A Pilot Study Exploring Oropharyngeal Screening For Hpv-Related Possible Malignancies, Michael W Ross, Sarah L Bennis, C Mark Nichols, I Niles Zoschke, J Michael Wilkerson, B R Simon Rosser, Cyndee L Stull, Alan G Nyitray, Charlene Flash, Samir S Khariwala Jan 2023

Oral/Oropharyngeal “Selfies” In Gay And Bisexual Men: A Pilot Study Exploring Oropharyngeal Screening For Hpv-Related Possible Malignancies, Michael W Ross, Sarah L Bennis, C Mark Nichols, I Niles Zoschke, J Michael Wilkerson, B R Simon Rosser, Cyndee L Stull, Alan G Nyitray, Charlene Flash, Samir S Khariwala

Faculty, Staff and Student Publications

Objectives: This study aims to determine the potential uptake and quality of oropharyngeal "selfies" taken by gay/bisexual men as a screening approach for HPV-associated oropharyngeal cancer.

Methods: From 1,699 gay/bisexual men in the US, surveyed about knowledge and attitudes to HPV-associated oropharyngeal cancer, a random sample of 320 men were invited to take an oropharyngeal "selfie" by smartphone and send it to the study website: 113 (35.5%) did so. Images were rated for quality by three healthcare professional raters blinded to each other's rating, with an otolaryngologist as the gold standard. In the second wave, those whose images were rated …


Prospective Investigation Of Insomnia Symptoms And Sleep Duration As Risk Factors For Stroke Incidence And All-Cause Mortality In U.S Adult, Wendemi Sawadogo Jan 2023

Prospective Investigation Of Insomnia Symptoms And Sleep Duration As Risk Factors For Stroke Incidence And All-Cause Mortality In U.S Adult, Wendemi Sawadogo

Theses and Dissertations

Background and Objectives: Stroke is the second leading cause of death in the world. In the United States, on average, someone has a stroke every 40 seconds and someone dies as a result of stroke every 3.5 minutes. Identifying modifiable risk factors of stroke is therefore a public health priority. The purpose of this study was to investigate the extent to which insomnia symptoms and sleep duration contribute to stroke incidence, all-cause mortality, and explore potential causal pathways.

Methods: The Health and Retirement Study (HRS) and the REasons for Geographic And Racial Differences in Stroke (REGARDS) study were …


“It's Just Not Enough”: Examining The Experiences Of School-Based Sexual Health Education And Conversation Engagement With Trusted Adults Among Black Boys In Richmond, Va, Sharyn A. Dougherty Jan 2023

“It's Just Not Enough”: Examining The Experiences Of School-Based Sexual Health Education And Conversation Engagement With Trusted Adults Among Black Boys In Richmond, Va, Sharyn A. Dougherty

Theses and Dissertations

The Centers for Disease Control and Prevention estimate that youth make up a quarter of the sexually active population, yet account for half of the 20 million new sexually transmitted infections in the United States.In 2021, youth age 15-19 living in Virginia’s central region, which includes the Richmond Metropolitan area, had the second highest number of chlamydia cases and fourth highest number of gonorrhea cases among all age groups, with the highest rates among Black youth. The aim of this study is to explore the experiences of Black youth in Richmond, VA with school-based sexual health education (SHE) and their …


Angiopoietin-Like4 Is A Novel Marker Of Covid-19 Severity, Pavan K. Bhatraju, Eric D. Morrell, Ian B. Stanaway, Neha A. Sathe, Avantika Srivastava, Radu Postelnicu, Richard Green, Adair Andrews, Martin Gonzalez, Christopher J. Kratochvil, Vishakha K. Kumar, Tien-Ying Hsiang, Michael Gale, George L. Anesi, David Wyles, M. Jana Broadhurst, David Brett-Major, Vikramjit Mukherjee, Jonathan E. Sevransky, Douglas Landsittel, Chi Hung, William A Altemeier, Sina A. Gharib, Timothy M. Uyeki, J. Perren Cobb, Janice M. Liebler, David R. Crosslin, Gail P. Jarvik, Leopoldo N. Segal, Laura Evans, Carmen Mikacenic, Mark M. Wurfel Jan 2023

Angiopoietin-Like4 Is A Novel Marker Of Covid-19 Severity, Pavan K. Bhatraju, Eric D. Morrell, Ian B. Stanaway, Neha A. Sathe, Avantika Srivastava, Radu Postelnicu, Richard Green, Adair Andrews, Martin Gonzalez, Christopher J. Kratochvil, Vishakha K. Kumar, Tien-Ying Hsiang, Michael Gale, George L. Anesi, David Wyles, M. Jana Broadhurst, David Brett-Major, Vikramjit Mukherjee, Jonathan E. Sevransky, Douglas Landsittel, Chi Hung, William A Altemeier, Sina A. Gharib, Timothy M. Uyeki, J. Perren Cobb, Janice M. Liebler, David R. Crosslin, Gail P. Jarvik, Leopoldo N. Segal, Laura Evans, Carmen Mikacenic, Mark M. Wurfel

Journal Articles: Epidemiology

IMPORTANCE: Vascular dysfunction and capillary leak are common in critically ill COVID-19 patients, but identification of endothelial pathways involved in COVID-19 pathogenesis has been limited. Angiopoietin-like 4 (ANGPTL4) is a protein secreted in response to hypoxic and nutrient-poor conditions that has a variety of biological effects including vascular injury and capillary leak.

OBJECTIVES: To assess the role of ANGPTL4 in COVID-19-related outcomes.

DESIGN SETTING AND PARTICIPANTS: Two hundred twenty-five COVID-19 ICU patients were enrolled from April 2020 to May 2021 in a prospective, multicenter cohort study from three different medical centers, University of Washington, University of Southern California and New …


An Epidemiological Synthesis Of Emerging And Re-Emerging Zoonotic Disease Threats In Cameroon, 2000-2022: A Systematic Review, Nancy B. Tahmo, Frankline Sevidzem Wirsiy, Dum-Buo Nnamdi, Marcel Tongo, James V. Lawler, M. Jana Broadhurst, Charles S. Wondji, David Brett-Major Jan 2023

An Epidemiological Synthesis Of Emerging And Re-Emerging Zoonotic Disease Threats In Cameroon, 2000-2022: A Systematic Review, Nancy B. Tahmo, Frankline Sevidzem Wirsiy, Dum-Buo Nnamdi, Marcel Tongo, James V. Lawler, M. Jana Broadhurst, Charles S. Wondji, David Brett-Major

Journal Articles: Epidemiology

INTRODUCTION: Population factors such as urbanization, socio-economic, and environmental factors are driving forces for emerging/re-emerging zoonotic diseases in Cameroon. To inform preparedness and prioritization efforts, this study mapped out epidemiological data (including prevalence) of zoonotic diseases occurring in Cameroon between 2000 and 2022 by demographic factors.

METHODS: Following the PRISMA guidelines, a protocol was registered in the PROSPERO database (CRD42022333059). Independent reviewers searched the PubMed, Embase, CINAHL, Cochrane, and Scopus databases on May 30, 2022 for relevant articles; duplicates were removed, and the titles, abstracts, and full texts were screened to identify eligible articles.

RESULTS: Out of 4142 articles identified, …


The Association Between Mediated Deprivation And Ovarian Cancer Survival Among African American Women, Andrew B. Lawson, Joanne Kim, Courtney Johnson, Kendra Ratnapradipa, Anthony J. Alberg, Maxwell Akonde, Theresa Hastert, Elisa V. Bandera, Paul Terry, Hannah Mandle, Michele L. Cote, Melissa Bondy, Jeffrey Marks, Lauren C. Peres, Joellen Schildkraut, Edward S. Peters Jan 2023

The Association Between Mediated Deprivation And Ovarian Cancer Survival Among African American Women, Andrew B. Lawson, Joanne Kim, Courtney Johnson, Kendra Ratnapradipa, Anthony J. Alberg, Maxwell Akonde, Theresa Hastert, Elisa V. Bandera, Paul Terry, Hannah Mandle, Michele L. Cote, Melissa Bondy, Jeffrey Marks, Lauren C. Peres, Joellen Schildkraut, Edward S. Peters

Journal Articles: Epidemiology

BACKGROUND: Deprivation indices are often used to adjust for socio-economic disparities in health studies. Their role has been partially evaluated for certain population-level cancer outcomes, but examination of their role in ovarian cancer is limited. In this study, we evaluated a range of well-recognized deprivation indices in relation to cancer survival in a cohort of self-identified Black women diagnosed with ovarian cancer. This study aimed to determine if clinical or diagnostic characteristics lie on a mediating pathway between socioeconomic status (SES) and deprivation and ovarian cancer survival in a minority population that experiences worse survival from ovarian cancer.

METHODS: We …


Protecting Low-Income Consumers In The Era Of Digital Grocery Shopping: Implications For Wic Online Ordering, Qi Zhang, Priyanka Patel, Caitlin M. Lowery Jan 2023

Protecting Low-Income Consumers In The Era Of Digital Grocery Shopping: Implications For Wic Online Ordering, Qi Zhang, Priyanka Patel, Caitlin M. Lowery

Community & Environmental Health Faculty Publications

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is now expected to allow participants to redeem their food benefits online, i.e., via online ordering, rather than only in-store. However, it is unclear how this new benefit redemption model may impact participants’ welfare since vendors may have an asymmetric information advantage compared with WIC customers. The WIC online ordering environment may also change the landscape for WIC vendors, which will eventually affect WIC participants. To protect WIC consumers’ rights in the new online ordering model, policymakers need an appropriate legal and regulatory framework. This narrative review provides that …


Psychometric Properties Of The Persian Version Of Consideration Of Future Safety Consequence (Cfsc) Scale, Fazel Rajabi, Hamidreza Mokarami, Payam Farhadi, Sean Banaee, Mehdi Jahangiri Jan 2023

Psychometric Properties Of The Persian Version Of Consideration Of Future Safety Consequence (Cfsc) Scale, Fazel Rajabi, Hamidreza Mokarami, Payam Farhadi, Sean Banaee, Mehdi Jahangiri

Community & Environmental Health Faculty Publications

Background: Personality traits, due to having a relative stability, are important factors for predicting employees’ safety behavior. Consideration of Future Safety Consequence (CFSC) is a personality trait that was recently introduced to predict the safety behaviors. The purpose of this study was to translate and assess the psychometric properties of the Persian version of the CFSC scale.


Methods: In the first stage of this cross-sectional study, the instrument was prepared by the forward-backward forward translation technique and evaluated by 487 employees of a gas refinery. The validity of the scale was evaluated through face, concurrent, validity, and construct validity. The …


Virtual Home Visits During Covid-19 Pandemic: Mothers' And Home Visitors' Perspectives, Abdullah Al-Taiar, Michele A. Kekeh, Stephanie Ewers, Amy L. Prusinski, Kimberly J. Alombro, Nancy Welch Jan 2023

Virtual Home Visits During Covid-19 Pandemic: Mothers' And Home Visitors' Perspectives, Abdullah Al-Taiar, Michele A. Kekeh, Stephanie Ewers, Amy L. Prusinski, Kimberly J. Alombro, Nancy Welch

Community & Environmental Health Faculty Publications

Background

The experiences of mothers enrolled in Maternal, Infant and Early Childhood Home Visiting (MIECHV) program with virtual home visiting (VHV) during the pandemic remain mostly unknown. This study aimed to describe in detail the experience of home visitors and mothers with VHV during COVID-19 pandemic. This is a prerequisite for guiding future efforts to optimize MIECHV services that are provided through virtual operation.

Methods

Focus groups discussion were conducted with home visitors (n = 13) and mothers (n = 30) who were enrolled in BabyCare program in Virginia from January 2019 to June 2022. This included mothers who received …


Unveiling Similarities And Differences Between Cutaneous And Ocular Melanomas, Abdallah Badou, Nour El Imane Issam Salah, Mohamed Elbelhadji Jan 2023

Unveiling Similarities And Differences Between Cutaneous And Ocular Melanomas, Abdallah Badou, Nour El Imane Issam Salah, Mohamed Elbelhadji

Health Sciences

Melanomas are outstandingly aggressive cancers, still their incidence is increasing. They can occur in the skin as cutaneous melanoma or in the eye as ocular melanoma. Their pathogenesis is generally similar; however, the prognosis of ocular melanoma patients is still poor, due to its special genetic profile and tumor microenvironment. Here we review the similarities and differences between cutaneous and ocular melanoma, with a focus on their prognostic significance, their molecular signature, and their tumor microenvironment, in order to understand the strategies adopted to escape immune response. Gathering and understanding available knowledge of melanomas and their specificities may help to …


Conspiracy Theories And Ebola: Lessons Learned Important For Future Pandemics, Shawn C. Smallman Jan 2023

Conspiracy Theories And Ebola: Lessons Learned Important For Future Pandemics, Shawn C. Smallman

International & Global Studies Faculty Publications and Presentations

The public health campaign against Ebola in the Democratic Republic of the Congo faced serious challenges, some due to conspiracy theories and denial. These beliefs were so powerful that they even caused repeated attacks upon health care providers and medical centers. These conspiracy theories were nothing new, as they are a common feature of all frightening epidemics, such as HIV and COVID-19. These narratives also circulated during the 2015 West African Ebola outbreak. Addressing conspiracy theories during an epidemic requires a coordinated campaign involving not only local leaders but also the cooperation of social media organizations


Implications Of Lgbtq Identity On Help-Seeking In College Students, Matthew T. Allen Jan 2023

Implications Of Lgbtq Identity On Help-Seeking In College Students, Matthew T. Allen

Murray State Theses and Dissertations

LGBTQ individuals find themselves experiencing both mental and physical health concerns at disproportionate rates than cisgender and heterosexual individuals. However, LGBTQ individuals have been shown to seek help for these concerns. Studies examining this phenomenon on college campuses have focused predominantly on mental health concerns. This study hoped to look at both physical and mental health concerns and determine the implications of an LGBTQ identity on help-seeking behavior in college students. The study utilized quantitative research methods through targeted snowball sampling on social media and email. At the conclusion of the collection period, 61 participants completed a survey that included …


Impact Of Insurance Payer On Stage At Diagnosis Of Prostate Cancer, Hunter M. Stiff Jan 2023

Impact Of Insurance Payer On Stage At Diagnosis Of Prostate Cancer, Hunter M. Stiff

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objectives: Prostate cancer (CaP) is the most common site of cancer in men in the United States and is very treatable when diagnosed in localized and regional stages. While there are widely available forms of screening that can detect CaP in its early stages, factors that can affect healthcare access such as health insurance, race, and Appalachian residency have been linked with differences in rates of distant-stage CaP diagnosis. This study aimed to explore the relationships between health insurance, race, Appalachian residency, and late-stage CaP diagnosis in the state of Kentucky.

Methods: A sample of 26,622 men from the state …


The Use Of Equity-Informed Qualitative Methods In Implementation Science Research To Advance Health Equity: A Scoping Review Of Us-Based Studies, Maryann Deyling Jan 2023

The Use Of Equity-Informed Qualitative Methods In Implementation Science Research To Advance Health Equity: A Scoping Review Of Us-Based Studies, Maryann Deyling

Public Health Theses

Background: Qualitative research methods are central to understanding the complex nuances of implementation of evidence-based interventions and are well-suited to exploring health equity research questions. Scholars have increasingly called for centering equity in implementation science research, but less is known about how qualitative methods have been used for this purpose. This scoping review asks: What equity-informed qualitative methods are used in implementation research focused on health equity? We conceptualize “equity-informed” as encompassing participatory methods and qualitative data collection and analytic methods that explore participants’ unique viewpoints and perspectives on equitable implementation. Methods: This review was carried out in the context …


Ua61/3 Health & Human Services Dean's Office, Wku Archives Jan 2023

Ua61/3 Health & Human Services Dean's Office, Wku Archives

WKU Archives Collection Inventories

Unprocessed records created by and about the Dean of the College of Health and Human Services.


A Qualitative Enquiry Of Health Care Workers’ Narratives On Knowledge And Sources Of Information On Principles Of Respectful Maternity Care (Rmc), Adelaide Lusambili, Stefania Wisofschi, Terrance J. Wade, Marleen Temmerman, Jerim Obure Jan 2023

A Qualitative Enquiry Of Health Care Workers’ Narratives On Knowledge And Sources Of Information On Principles Of Respectful Maternity Care (Rmc), Adelaide Lusambili, Stefania Wisofschi, Terrance J. Wade, Marleen Temmerman, Jerim Obure

Institute for Human Development, East Africa

Research from sub-Saharan Africa indicate that many women experience varied forms of disrespectful maternity care, which amount to a violation of their rights and dignity. Notably, there is little research that sheds light on health care workers (HCWs) training and knowledge of principles of respectful maternity care (RMC). Formulating appropriate interventional strategies to promote the respectful provision of services for women during pregnancy, childbirth, and postpartum period requires an understanding of the current state of knowledge and sources of information on respectful maternity care among HCWs. This paper reports findings from a qualitative study that examined the knowledge and sources …


Delivering Health Services During Early Days Of Covid-19 Pandemic: Perspectives Of Frontline Healthcare Workers In Kenya’S Urban Informal Settlements, Vibian Angweny, Sabina Odero, Stephen Mulupi, Derrick Ssewanyana, Constance Shumba, Eunice Ndirangu, Amina Abubakar Jan 2023

Delivering Health Services During Early Days Of Covid-19 Pandemic: Perspectives Of Frontline Healthcare Workers In Kenya’S Urban Informal Settlements, Vibian Angweny, Sabina Odero, Stephen Mulupi, Derrick Ssewanyana, Constance Shumba, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

The COVID-19 pandemic has caused widespread disruptions to health, economic and social lives globally. This qualitative study explores frontline healthcare workers’ (HCWs) experiences delivering routine care in Kenya’s informal settlements during the early phases of the pandemic, amidst stringent COVID-19 mitigation measures. Thirteen telephone interviews were conducted with facility and community-based HCWs serving three informal settlements in Nairobi and Mombasa. Data were analyzed using the framework approach. Results indicate there were widespread fears and anxieties surrounding COVID-19 and its management. Secondly, access to facility-based care at the onset of the pandemic was reported to decline, with service availability hampered by …


The Impact Of Sugar Sweetened Beverages (Ssbs) Taxes On Consumption And Health Outcomes In Latinx Youth Residing In Los Angeles County, Jacquelyn Campos-Araujo Jan 2023

The Impact Of Sugar Sweetened Beverages (Ssbs) Taxes On Consumption And Health Outcomes In Latinx Youth Residing In Los Angeles County, Jacquelyn Campos-Araujo

Pitzer Senior Theses

This proposed research study aims to investigate whether the implementation of sugar-sweetened beverage (SSB) taxes will lead to reduced consumption and improved health outcomes in the Latinx youth population residing in Los Angeles County. The study will utilize a mixed-methods design, including a baseline survey and health examination, the implementation of SSB taxes, and a follow-up survey and health examination. The expected results suggest a statistically significant reduction in SSB consumption and improved glycemic control following the implementation of the SSB taxation intervention. However, I predict a slight decrease in the number of participants with dental caries, indicating that further …


Meta-Analytic Connectivity Modelling Of Healthy Swallowing, Chris R. Tilton Jan 2023

Meta-Analytic Connectivity Modelling Of Healthy Swallowing, Chris R. Tilton

Honors Theses and Capstones

A quantitative, voxel-wise meta-analysis was performed to investigate the brain regions involved in healthy human swallowing. Studies included in the meta-analysis (1) examined water swallowing, saliva swallowing, or both, (2) included healthy, normal subjects, and (3) reported stereotaxic brain activation coordinates in standard space. Following these criteria, a systematic literature review identified 8 studies that met the criteria. An activation likelihood estimation (ALE) meta-analysis and meta-analytic connectivity modelling (MACM) analysis were performed with BrainMap software. Ten clusters with high activation likelihood were found in the bilateral precentral gyri, right insula, left declive, right medial frontal gyrus, right dorsal nucleus of …


Identification Of Novel Biosynthetic Gene Clusters Encoding For Polyketide/Nrps-Producing Chemotherapeutic Compounds From Marine-Derived Streptomyces Hygroscopicus From A Marine Sanctuary, Hannah Ruth Flaherty Jan 2023

Identification Of Novel Biosynthetic Gene Clusters Encoding For Polyketide/Nrps-Producing Chemotherapeutic Compounds From Marine-Derived Streptomyces Hygroscopicus From A Marine Sanctuary, Hannah Ruth Flaherty

Honors Theses and Capstones

Nearly one out of six deaths in 2020, around ten million people, were caused by cancer, making it a leading cause of death worldwide (WHO, 2022). This major public health issue, in addition to the rise of multidrug-resistant (MDR) pathogens, provides a high demand for the discovery of new pharmaceutical drugs to be used clinically to treat these conditions. The Streptomyces genus accounts to produce 39% of all microbial metabolites currently approved for human health, indicating its potential as an important species to study for antimicrobial and anticancer agents. The long linear genome of Streptomyces contains specialized sequences known as …


Groundwater Quality: Global Challenges, Emerging Threats And Novel Approaches, Dan Lapworth, Thomas Boving, Bentje Brauns, Jane Dottridge, Paul Hynds, Seifu Kebede, David Kreamer, Bruce Misstear, Abhijit Mukherjee, Abhijit Mukherjee, Viviana Re, James Sorensen, Claudia Ruz Vargas Jan 2023

Groundwater Quality: Global Challenges, Emerging Threats And Novel Approaches, Dan Lapworth, Thomas Boving, Bentje Brauns, Jane Dottridge, Paul Hynds, Seifu Kebede, David Kreamer, Bruce Misstear, Abhijit Mukherjee, Abhijit Mukherjee, Viviana Re, James Sorensen, Claudia Ruz Vargas

Articles

Improving our understanding of groundwater quality threats to human health and the environment is essential to protect and manage groundwater resources effectively. This essay highlights some global groundwater quality challenges, describes key contaminant groups and threats of emerging concern, including antimicrobial resistance, and discusses novel approaches to assessing groundwater quality. Groundwater quality monitoring needs to improve significantly in order to effectively identify and mitigate threats to groundwater from historical, current and future pollution.


Quantifying Farm-To-Fork Greenhouse Gas Emissions For Five Dietary Patterns Across Europe And North America: A Pooled Analysis From 2009 To 2020, Daniel Burke, Paul Hynds, Anushree Priyadarshini Jan 2023

Quantifying Farm-To-Fork Greenhouse Gas Emissions For Five Dietary Patterns Across Europe And North America: A Pooled Analysis From 2009 To 2020, Daniel Burke, Paul Hynds, Anushree Priyadarshini

Articles

Dietary patterns are inherently related to greenhouse (GHG) emissions via agricultural practices and food production systems. As the global population is predicted to increase from 8 billion (current) to 9.6 billion by 2050 added pressure will be placed on existing agricultural systems, resulting in increased GHG emissions thus exacerbating climate change. Therefore, there is an urgent need to understand present-day dietary patterns to shift to sustainable and healthy diets to mitigate GHG emissions and meet future climate targets. However, no review or pooled analyses of dietary pattern emissions from a farm-to-fork perspective has been undertaken to date. The current study …


Integrating Consumer Risk Perception And Awareness With Simulation-Based Quantitative Microbial Risk Assessment Using A Coupled Systems Framework: A Case Study Of Private Groundwater Users In Ontario, Tessa Latchmore, Sarah Lavallee, Paul Hynds, R. Stephen Brown R. Stephen Brown, Anna Majury Jan 2023

Integrating Consumer Risk Perception And Awareness With Simulation-Based Quantitative Microbial Risk Assessment Using A Coupled Systems Framework: A Case Study Of Private Groundwater Users In Ontario, Tessa Latchmore, Sarah Lavallee, Paul Hynds, R. Stephen Brown R. Stephen Brown, Anna Majury

Articles

Private well users in Ontario are responsible for ensuring the potability of their own private drinking water source through protective actions (i.e., water treatment, well maintenance, and regular water quality testing). In the absence of regulation and limited surveillance, quantitative microbial risk assessment (QMRA) represents the most practical and robust approach to estimating the human health burden attributable to private wells. For an increasingly accurate estimation, QMRA of private well water should be represented by a coupled model, which includes both the socio-cognitive and physical aspects of private well water contamination and microbial exposure. The objective of the current study …


Assessing The Risk Of Acute Gastrointestinal Illness Attributable To Three Enteric Pathogens From Contaminated Private Water Wells In Ontario, Tessa Latchmore, Paul Hynds, R. Stephen Brown, Kevin Mcdermott, Anna Majury Jan 2023

Assessing The Risk Of Acute Gastrointestinal Illness Attributable To Three Enteric Pathogens From Contaminated Private Water Wells In Ontario, Tessa Latchmore, Paul Hynds, R. Stephen Brown, Kevin Mcdermott, Anna Majury

Articles

The province of Ontario compromises the largest groundwater reliant population in Canada serving approximately 1.6 million individuals. Unlike municipal water systems, private well water is not required to meet water quality regulatory standards and thus source maintenance, treatment and testing remains the responsibility of the well owner. Infections associated with private drinking water systems are rarely documented given their typically sporadic nature, thus the human health effects (e.g., acute gastrointestinal illness (AGI)) on consumers remains relatively unknown, representing a significant gap in water safety management. The current study sought to quantify the risk of waterborne AGI attributed to Giardia, shiga-toxin …


Occurrence Of High-Risk Clonal Lineages St58, St69, St224, And St410 Among Extended-Spectrum-Lactamase-Producing Escherichia Coli Isolated From Healthy Free-Range Chickens (Gallus Gallus Domesticus) In A Rural Region In Tunisia, Saloua Benlabidi, Anis Raddaoui, Sana Lengliz, Sarah Cheriet, Paul Hynds, Wafa Achour, Taoufik Ghrairi, Mohamed Salah Abbassi Salah Abbassi Jan 2023

Occurrence Of High-Risk Clonal Lineages St58, St69, St224, And St410 Among Extended-Spectrum-Lactamase-Producing Escherichia Coli Isolated From Healthy Free-Range Chickens (Gallus Gallus Domesticus) In A Rural Region In Tunisia, Saloua Benlabidi, Anis Raddaoui, Sana Lengliz, Sarah Cheriet, Paul Hynds, Wafa Achour, Taoufik Ghrairi, Mohamed Salah Abbassi Salah Abbassi

Articles

Antimicrobial-resistant Escherichia coli isolates have emerged in various ecologic compartments and evolved to spread globally. We sought to (1.) investigate the occurrence of ESBL-producing E. coli (ESBL-Ec) in feces from free-range chickens in a rural region and (2.) characterize the genetic background of antimicrobial resistance and the genetic relatedness of collected isolates. Ninety-five feces swabs from free-range chickens associated with two households (House 1/House 2) in a rural region in northern Tunisia were collected. Samples were screened to recover ESBL-Ec, and collected isolates were characterized for phenotype/genotype of antimicrobial resistance, integrons, and molecular typing (pulsed-field gel electrophoresis (PFGE) and multilocus …


Unintended Consequences Of Covid-19 Non-Pharmaceutical Interventions (Npis) For Population Health And Health Inequalities, Coilin Ohaiseadha, Gerry A. Quinn, Ronan Connolly, Awwad Wilson, Michael Connolly, Willie Soon, Paul Hynds Jan 2023

Unintended Consequences Of Covid-19 Non-Pharmaceutical Interventions (Npis) For Population Health And Health Inequalities, Coilin Ohaiseadha, Gerry A. Quinn, Ronan Connolly, Awwad Wilson, Michael Connolly, Willie Soon, Paul Hynds

Articles

Since the start of the COVID-19 pandemic in early 2020, governments around the world have adopted an array of measures intended to control the transmission of the SARS-CoV-2 virus, using both pharmaceutical and non-pharmaceutical interventions (NPIs). NPIs are public health interventions that do not rely on vaccines or medicines and include policies such as lockdowns, stay-at-home orders, school closures, and travel restrictions. Although the intention was to slow viral transmission, emerging research indicates that these NPIs have also had unintended consequences for other aspects of public health. Hence, we conducted a narrative review of studies investigating these unintended consequences of …


Identifying Novel Data-Driven Dietary Patterns Via Dimensionality Reduction And Associations With Socioeconomic Profile And Health Outcomes In Ireland, Daniel Burke, Annemarie E. Bennett, Paul Hynds, Anushree Priyadarshini Jan 2023

Identifying Novel Data-Driven Dietary Patterns Via Dimensionality Reduction And Associations With Socioeconomic Profile And Health Outcomes In Ireland, Daniel Burke, Annemarie E. Bennett, Paul Hynds, Anushree Priyadarshini

Articles

Dietary patterns and body mass index (BMI) play a significant role in the development of noncommunicable diseases (NCDs), which are the leading cause of mortality worldwide, including Ireland. A cross-sectional survey was conducted across Ireland to collate respondents’ socioeconomic profiles, health status, and dietary patterns with a representative sample size of 957 adult respondents. Principal component analysis (PCA) and statistical analyses were subsequently employed. To the author’s knowledge, this is the first study to use recent (2021) nationally representative data to characterise dietary patterns in Ireland via dimensionality reduction. Five distinct dietary patterns (“meat-focused”, “dairy/ovo-focused”, “vegetable-focused”, “seafood-focused”, and “potatofocused”) were …


Behavioral Pathways To Private Well Risk Mitigation: A Structural Equation Modeling Approach, Simon Mooney, Martin Boudou, Jean O'Dwyer, Paul Hynds Jan 2023

Behavioral Pathways To Private Well Risk Mitigation: A Structural Equation Modeling Approach, Simon Mooney, Martin Boudou, Jean O'Dwyer, Paul Hynds

Articles

Complex, multi hazard risks such as private groundwater contamination necessitate multiannual risk reduction actions including seasonal, weather-based hazard evaluations. In the Republic of Ireland (ROI), high rural reliance on unregulated private wells renders behavior promotion a vital instrument toward safeguarding household health from waterborne infection. However, to date, pathways between behavioral predictors remain unknown while latent constructs such as extreme weather event (EWE) risk perception and self-efficacy (perceived behavioral competency) have yet to be sufficiently explored. Accordingly, a nationwide survey of 560 Irish private well owners was conducted, with structural equation modeling (SEM) employed to identify underlying relationships determining key …


The Geographic Pattern And Socioecological Factors Of Helicobacter Pylori Infections In The United States, Judith Ann Merryweather Jan 2023

The Geographic Pattern And Socioecological Factors Of Helicobacter Pylori Infections In The United States, Judith Ann Merryweather

Walden Dissertations and Doctoral Studies

AbstractHelicobacter pylori (H. pylori) is one of the most common human pathogens and may play a role in the development of several distinct diseases, which include gastric ulcer, duodenal ulcer, and gastric cancer. Studying geographic territories of the United States may reveal clusters with high rates of H. pylori infection and perhaps the prevalence of gastric cancer; however, geographic mapping of patterns in the United States is scarce. The purpose of this study was to investigate changes in H pylori infection patterns in the United States between two different time points (2000–2002 and 2016–2018). The primary hypotheses of this study …