Public Health Commons^™

Ai-Aki: Ai-Consulted Inpatient Care For Acute Kidney Injury, William Jingyi Zhang

Public Health Theses

Acute kidney injury (AKI) increases the risk of death in hospitalized adults, and early medical chart review and involvement by a nephrologist may lead to improved patient outcomes. A Kidney Action Team—comprised of a pharmacist and a board-certified nephrologist or nephrology fellow—can serve as a remote consultation service to deliver recommendations for AKI patient diagnosis, initial work up, and care. We aimed to evaluate whether an AI-automated clinical decision support system for AKI could demonstrate predictive power comparable to that of human specialists, with regards to AKI evaluation and treatment. This study uses data from KAT-AKI (NCT04040296), a triple-masked, randomized …

Opportunities For Prep In High Risk Hiv Negative Patients, Steven Veselsky, Erin Smith, Amethyst Wilder, Misty Burkes, Nnamdi Ilouga, Jean B. Wiggins, Erik Shaw, William Hannah

South Atlantic Division GME Research Day 2024

No abstract provided.

Project Hydration: A Clean Drinking Water Solution For Washington, D.C., Djenaba Diallo, Matthew Liu, Miqueas Ramirez De La Rosa, Syieda Tomlinson, Zaniya Willson

DC Health and Academic Prep Program (DC HAPP)

Water pollution is a global issue that has been ongoing since 1800 (NOAA,2024). Water pollution occurs when harmful substances, mostly chemicals or microorganisms, contaminate a stream, river, lake, ocean, aquifer, or other body of water, creating harmful water quality and rendering it toxic to humans and the environment. D.C. has faced ongoing challenges with lead contamination in its drinking water. As of 2024, D.C. Water still has tens of thousands of lead service lines (D.C. Water, 2024). Lead is a poisonous metal in small amounts in the earth's crust. On May 8, 2024, D.C. issued a boil water advisory due …

Feasibility Assessment Of A Novel Isolation Care Tent In Uganda During The 2022, M. Jana Broadhurst, Rodgers R. Ayebare, David Brett-Major, Sean M. Carroll, Jacob Lacore, Alexander D. Laskey, James V. Lawler, Patricia Lord, Ruben M. Vazquez, Peter Waitt, Mohammed Lamorde

Journal Articles: Epidemiology

This case study describes a feasibility assessment of a novel isolation care tent used in health facilities in Uganda during the 2022 Sudan ebolavirus outbreak. The Isolation System for Treatment and Agile Response to High-Risk Infections Model 1B (ISTARI 1B) is a single-occupancy, portable, negative-pressure isolation tent designed for the safe delivery of standard care to patients with a communicable disease, including Ebola disease (Sudan). At the request of the Uganda Ministry of Health, the Makerere University Infectious Diseases Institute and University of Nebraska Medical Center partnered to evaluate 7 health facilities across 4 districts in Uganda for infrastructure, case …

Redesigning Surveillance Through The Global Emerging Infections Surveillance Program, David Brett-Major

Journal Articles: Epidemiology

No abstract provided.

N.U.R.T.U.R.E: Neutralizing Unsafe Risks Through Unique Responsive Environmental Care, Clara Durante, Easton Duppins, Feven Eskinder, Hiba Mohammed, Faith Niranoluwa

DC Health and Academic Prep Program (DC HAPP)

Environmental factors can be distinguished by physical, chemical, biological, behavioral, and socioeconomic categories. Each category has its own individual effect on human health. These environmental factors play a critical role in determining the health outcomes of pregnancies, influencing both maternal and fetal well-being. This project aims to empower pregnant women by providing comprehensive support and education on mitigating environmental risks. Environmental factors have a significant impact on pregnancy outcomes, specifically among women from lower socioeconomic status (SES) background. Low SES is linked with increased exposure to harmful environmental toxins, high stress levels, limited access to healthcare, which contribute to pregnancy …

Infographic: Equity Opportunities: Income: Need For Dental Care Among Third Grade Students In North Dakota, Shawnda Schroeder

Indigenous Health Faculty Publications

We have third grade students in North Dakota whose dental care needs are not being met. Programs, providers, and initiatives need to focus on providing equal access to preventive dental care supplies and educational resources to support good dental hygiene. Children attending schools where more than 50% of the students are eligible for the national school lunch program (NSLP) have a significantly higher need for early or urgent dental care and a higher rate of rampant decay compared to those attending schools with less than 50% of students eligible for the NSLP

Emergency Department And Dental Clinic Perceptions Of Appropriate, And Preventable, Use Of The Ed For Non-Traumatic Dental Conditions In Hot-Spot Counties: A Mixed Methods Study, Shawnda Schroeder, Judy Beck, Nick Medalen, Anastasia Stepanov

Indigenous Health Faculty Publications

Objectives:Frequency of emergency department (ED) use for nontraumatic dental conditions (NTDC) is a well-researched community health concern. However, research predominately relies on ambulatory ED discharge records. This explanatory sequential mixed methods study reviewed NTDC ED use in hot-spot counties and assessed perceptions around preventable and appropriate use among EDs and dental clinics.

Methods:Tooth pain data (2015-2021) were drawn from State Medicaid, and the Early Notification of Community-Based Epidemics (ESSENCE). NTDC data were compiled using International Classification of Disease, Ninth and Tenth Revisions. Employing extreme case sampling, providers in counties with the highest per-capita NTDC ED use were interviewed.

Results:North Dakota …

Infographic: Oral Health Of North Dakota’S Third Grade Students: Comparing To National Trends, Shawnda Schroeder

Indigenous Health Faculty Publications

No abstract provided.

Too Hot To Thrive: A Qualitative Inquiry Of Community Perspectives On The Effect Of High Ambient Temperature On Postpartum Women And Neonates In Kilifi, Kenya., Adelaide Lusambili, Sari Kovats, Britt Nakstad, Veronique Filippi, Peter Khaemba, Nathalie Roos, Cherie Part, Stanley Luchters, Matthew Chersich, Jeremy Hess

Institute for Human Development, East Africa

Objectives; To understand community perspectives on the effects of high ambient temperature on the health and wellbeing of neonates, and impacts on post-partum women and infant care in Kilifi.

Design; Qualitative study using key informant interviews, in-depth interviews and focus group discussions with pregnant and postpartum women (n = 22), mothers-in-law (n = 19), male spouses (n = 20), community health volunteers (CHVs) (n = 22) and stakeholders from health and government ministries (n = 16).

Settings; We conducted our research in Kilifi County in Kenya’s Coast Province. The area is largely rural and during …

Exploring The Willingness Toward Hiv Immediate Test And Treat Among Msm In Nairobi And Its Environs: A Cross-Sectional Study., Kingori Ndungu, Peter Gichanga, Marleen Temmerman

Centre of Excellence in Women and Child Health

Background: In the test and treat initiative, high-risk populations are screened for human immunodeficiency virus (HIV) infection and start early treatment if diagnosed positive. This study explores factors associated with willingness to initiate testing and immediate treatment among men who have sex with men (MSM) in Nairobi and its environs. The study was informed by a conceptual framework combining the AIDS Risk Reduction Model (ARRM) and the Modified Social Ecological Model.

Methods: This cross-sectional exploratory study targeted MSM (aged 18–60 years) reporting active engagement in anal or oral sex with men in Nairobi and its surrounding areas. Purposive sampling was …

Caregiver Burden And Resilience In Family Members Of Alcohol Dependent Patients: Observations From Eastern India, Shatavisa Mukherjee, Nikhil Era, Siddhartha Roy

Digital Journal of Clinical Medicine

Background: Caregiver burden for alcohol dependent patients refers to the physical, emotional, financial, and social challenges faced by individuals who provide care and support to someone struggling with alcohol dependence. Caregivers often experience high levels of stress, anxiety, and emotional distress when dealing with a loved one's alcohol dependence. The present study tried to analyse the caregiver burden and resilience among family members of alcohol dependent individuals in eastern India.

Methods: A cross-sectional observational study patients attending general outpatient clinics who had positive alcohol consumption history and were being accompanied by their caregivers to the facility. Patient and caregiver’s demographics …

Evaluation Of The Role Of Prolactin To Prevent Diabetic Retinopathy, Suliman A. Suliman

Digital Journal of Clinical Medicine

Abstract:

Introduction: Diabetic retinopathy (DR) is a one of the long-term complications of DM and constitutes the leading cause of blindness in working-age individuals and affects a majority of diabetic patients by 20 years after disease onset.

Objective: The aim of this study it investigation of the potential role of prolactin in the prevention of Diabetic retinopathy.

Methods: The study was conducted on 90 diabetic patients who were divided into a group that included 37 patients without retinopathy and a group that included 27 patients with non-proliferative retinopathy and 26 patients with proliferative retinopathy who attended the Endocrinology clinic and …

The Crucial Role Of Community Medicine In Improving Public Health, Malik Maaz Ahmad, Imran Ahmed Khan, Neha Priyanka

Digital Journal of Clinical Medicine

Community medicine, also known as Social and Preventive Medicine, is a specialized field of medicine that focuses on promoting and protecting the health and well-being of communities and populations. Unlike other medical specialties that primarily focus on individual patients, community medicine takes a broader approach, addressing the health needs of entire populations. The specialty of community medicine plays a vital role in clinical practice and public health. Its focus on prevention, population health, and evidence-based medicine makes it an essential discipline in improving the health and well-being of communities. Community-based medical education is of vital relevance in the modern change …

Umbrella Review As A Data Collection Tool: Towards Observation, Analysis, And Empirical Transformation Of Qualitative Drivers Describing Healthcare Workforce Shortage Factors Into Quantitative Data To Support Medical Education Interventions In A Global Challenge., Fabio Galli, Marco Grech

Digital Journal of Clinical Medicine

A healthcare workforce shortage of 18 million is expected by 2030, against a global demand of 80 million, and it is difficult to analyse and monitor the real drivers driving this personnel shortage on a global level. The transformation of qualitative data into quantitative data can be a strategy in this global challenge, that can implement the medical education intervention strategies.

Atypical Immune Response: Acquired Hemolytic Anemia In A Non-Hodgkin Lymphoma Patient With Unusual Findings, Mannan Mangal

Digital Journal of Clinical Medicine

Acquired hemolytic anemia, caused by external factors like autoimmune disorders or infections, includes rare cases of Cold Agglutinin Syndrome (CAS), a cold-antibody-mediated condition affecting 1 in 1 million annually. This report highlights a unique case of CAS in a patient with Non-Hodgkin lymphoma and polyclonal gammopathy, contrasting with the typical presentation of warm-reactive autoantibodies and monoclonal antibodies. The patient presented with weakness, breathlessness, and splenomegaly, with laboratory findings showing a hemoglobin level of 5.8 g/dL and elevated ferritin. Imaging revealed mesenteric lymphadenopathy and thickening of the cecum, suggesting possible lymphomatous involvement. Non-Hodgkin lymphoma was confirmed via lymph node biopsy. This …

Group Approach: Inter-Institute Interactive Sessions For Psychiatry Postgraduate Residents On Mastering The Art Of Prioritization In Everyday Learning., Abhay Koul, Murali M R, Kishor M, Narendra Kumar M S

Digital Journal of Clinical Medicine

Collaboration and knowedge-sharing are essential in Psychiatry as complex mental health challenges require innovative solutions. Inter-institute interactive sessions are important platforms, providing psychiatry postgraduate residents with opportunities to connect, exchange ideas, and advance their understanding of the field collectively. Inter-institution sessions help break the geographic barriers between institutions and build bridges that foster collaboration, networking, and professional growth. There is hardly any literature available on these aspects. The Department of Psychiatry, JSS Medical College, Myusru organized an interactive session between psychiatry post-graduates of JSS Medical College and Mysore Medical College. Students were informed about the rules of the group approach …

Hawk's Eye Housing Project Clatsop County Context And Early-Stage Reflections, Sarah E Roth, Ritu Ghosal

Articles, Abstracts, and Reports

No abstract provided.

A “Shift” In Behavioral Health Care: Putting Early Learnings Into Action, Keri B Vartanian, Roxanne Marsillo, Benjamin Gronowski, Maggie Weller, Emily Root, Bradley Raburn, Natalie Kenton

Articles, Abstracts, and Reports

No abstract provided.

Population Burden Of Rare Infectious And Inflammatory Diseases Of The Heart, Meera Marji

Theses and Dissertations--Epidemiology and Biostatistics

Rare diseases of the heart, such as infective endocarditis (IE), myocarditis, and pericarditis, have earned limited attention in cardiovascular research despite their potential for severe morbidity and mortality. Amidst the opioid crisis in the United States, there has been a notable increase in endocarditis hospitalizations among people who inject drugs. Kentucky, at the epicenter of the opioid epidemic, lacks available data on IE hospitalizations. Moreover, the COVID-19 pandemic has introduced unprecedented challenges to healthcare systems, influencing hospitalizations and healthcare utilization patterns. While trends before, during, and after the pandemic have been extensively studied for common cardiovascular diseases, such as heart …

Introduction To Trauma-Informed Counselor Education And Supervision (Tices) Framework, Isak Kim, Yoon Suh Moh, Charmayne R. Adams, Jaeyoung Kim

Office of Health Promotion Scholarship

Many counselors in training may be susceptible to traumatization and/or retraumatization during their training process due to the elevated prevalence of their past trauma experience and the nature of their professional work involving exposure to trauma narratives in coursework and during fieldwork. Recognizing the growing need for a trauma-informed approach in training future helping professionals, including counselors-in-training, we present an overview of a framework called the Trauma-Informed Counselor Education and Supervision (TI-CES). This framework draws on assumptions and principles from trauma-informed care (TIC). Also, we address the applications of four key assumptions (i.e., Realize, Recognize, Respond, and …

Impact Of Blue Wavelength Light From Mobile Devices On Sleep And Quality Of Life In Belmont University Undergraduates, Amanda A. Parente, Christian Williams, Frecia Gonzalez

SPARK Symposium Presentations

Introduction: Previous studies have documented an association of excessive blue wavelength light exposure with negative health consequences including reduced sleep time, lower sleep quality, and emotional symptoms. The increased use and ubiquity of mobile blue wavelength light-emitting devices raises the possibility of prevalent negative effects on sleep and quality of life, particularly among college-aged individuals where use of these devices is especially frequent.

Methods: In 2024, cross-sectional, internet survey-based study designed to examine the relationship between self-reported exposure to mobile devices and measures of sleepiness and quality of life. Eligible participants were undergraduate students at Belmont University, aged 18+ years …

Biomedical Versus Ayurvedic Traditions: The Triumph Of Indian Medicine In A Postcolonial World, Emma Jones

BYU Asian Studies Student Journal

The importance of a full understanding of Ayurvedic medicine and other traditional practices. By recognizing how Ayurvedic medicine was disparaged during the colonial period by the Western world, explaining the significance of social determinants of health within the context of Ayurvedic medicine, and acknowledging the importance of spiritual and mental health on physical health as understood today. During the colonial period in India, changes came in many forms, not the least of which was the dismissal of a century’s old medical tradition that had contributed to the health of millions of South Asians. This health tradition is focused on prevention …

A Sampling Strategy For Longitudinal And Cross-Sectional Analyses Using A Large National Claims Database, Timothy L. Mcmurry, Jennifer M. Lobo, Soyoun Kim, Hyojung Kang, Min-Woong Sohn

Health Management and Policy Faculty Publications

Importance: The United States (US) Medicare claims files are valuable sources of national healthcare utilization data with over 45 million beneficiaries each year. Due to their massive sizes and costs involved in obtaining the data, a method of randomly drawing a representative sample for retrospective cohort studies with multi-year follow-up is not well-documented.

Objective: To present a method to construct longitudinal patient samples from Medicare claims files that are representative of Medicare populations each year.

Design: Retrospective cohort and cross-sectional designs.

Participants: US Medicare beneficiaries with diabetes over a 10-year period.

Methods: Medicare Master Beneficiary Summary Files were used to …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Feeding The Future: Reducing Food Insecurity In Southeast Dc, Kimaya Davis, Brooke Oliver, Noam Procunier, Kateryn Rivera, Anthony Ventura

DC Health and Academic Prep Program (DC HAPP)

A food desert is a region where people have limited access to healthful or affordable food usually due to low income and low vehicle access. Food insecurity also has to do with food deserts as food insecurity is a lack of safe and nutritious food for normal growth and development to live a healthy life. Food deserts are relevant because without access to healthy foods people living in food deserts might be at a higher risk of diet related conditions like obesity, diabetes, and cardiovascular disease. Research from the American Board of Physician Specialities suggests that eating local can help …

Enhancing Health Education: The Role Of Social Emotional Learning In Prek-12 Students' Well-Being, Elena Saldutti, Joseph Donnelly, Judy Lobianco, Mary Connolly

Department of Public Health Scholarship and Creative Works

Purpose: This commentary delves into the profound impact of Social Emotional Learning (SEL), particularly through the lens of the Collaborative for Academic, Social, and Emotional Learning (CASEL), on Health Education, elucidating its potential to nurture the well-being of PreK-12 students. Results: Students experiencing comprehensive skills-based health/SEL education gain knowledge, skills, and competencies that are used within and beyond the classroom, fostering the development of healthier decision-making, bolstering self-esteem, and enriching the emotional and mental wellness of students. Health educators have the opportunity to utilize CASEL's SEL Competencies in conjunction with the National Health Education Standards, as both are mutually aligned …

Cognitive Functioning In Well-Controlled Asthma, Erin Walsh

West Chester University Doctoral Projects

Asthma is a common lung disease that impacts lung functioning through inflammatory based mechanisms. Past research suggests that decreased blood oxygenation due to asthma attacks may impair cognitive capabilities (Irani et al., 2017). Moreover, the observed differences in cognition between those with and without asthma may be associated with disease severity or asthma control respectively in asthma populations. The current study explored differences in cognitive functioning between college students with and without self-reported asthma. Sociodemographic data, self-reported asthma severity, and measures of asthma control were collected. The current study did not find significant differences in measures of cognitive efficiency between …

Institute Of Public Health Newsletter, Jan-Jun 2024, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Sars-Cov-2 Infectivity, And Interaction With Ace2 In The Human Oral Cavity: A Comprehensive Study, Blake Joseph Henkel

Undergraduate Honors Theses

The oral cavity has the ability to transport infections throughout the body and be infected by bacteria, fungi, protozoa, and viruses, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is the virus that led to the most recent pandemic. SARS-CoV-2 has unique ways of interacting with the human body to infect individuals, which has led researchers and scientists to have limited knowledge on its long-term impact on human health. However, there are ways to identify various oral cavity infections and prevent infection now and in the future. Many studies have been conducted in an attempt to understand the body’s …