Public Health Commons^™

The Phenomenon Of Integration Of Religious Practices As An Auxiliary Tool In Contemporary Medicine: Ukrainian Hospital Chapels In Modern Times, Mariia Ovchar, Yalovyk Anton, Igor Koreshchuk

Occasional Papers on Religion in Eastern Europe

The relevance of the research topic is ensured by the wide integration of such religious practices as an aid in contemporary medicine. The article describes the activities of more than 15 currently operating famous hospital chapels. The histories behind the foundation of each of them are analyzed, and the facts of public participation and the leadership of hospitals in the establishment of chapels at medical institutions are given. Special attention is paid to the characteristics of the psychological support component as an auxiliary factor along with the main course of treatment. For clarity of the descriptive part, the study presents …

Structural Violence & Small Victories: Political Epidemiology Of Hiv Among Msm In Nigeria, 2000-2010, Debbie A. Dada

Harvey M. Applebaum ’59 Award

No abstract provided.

Assessing The Association Among Hospital Ownership Penalties Assessed Under The Hospital Readmissions Reduction Program And 30-Day Risk Standardized Mortality Rates For Selected Conditions, 2016-2018, Jennifer Carmona

Dissertations and Theses

Background: The Hospital Readmissions Reduction Program (HRRP) is an aspect of Patient Protection and Affordable Care Act (ACA) of 2010. HRRP requires Medicare to reduce payments to hospitals with relatively high readmission rates. While the implementation of the program has been accompanied by reductions in readmission rates, some have expressed concerns about unintended consequences, including harm to patient care and even death. Under HRRP, hospitals serving a high proportion of socioeconomically disadvantaged patients, like public hospitals, have been more likely to receive financial penalties, potentially impeding their ability to invest resources in improving patient outcomes. There is previous research …

Contraceptive Use And Sterilization Among People With Disabilities, Gabrielle Y. Defiebre

Dissertations and Theses

Background

Approximately 20% of individuals in the United States (US) have a disability, with 1 in 4 adult women above the age of 18 having a disability. People with disabilities include individuals who may experience difficulties with mobility, cognition, independent living, vision, hearing, and/or self-care. Disabled people face physical/environmental barriers, provider-level barriers, and system-level barriers in accessing health care, including sexual and reproductive health care, and are more likely than people without disabilities to have unmet medical needs. Four recent studies have indicated that those with disabilities are more likely to have received female sterilization as a family planning service …

Association Between Childhood Obesity, Family Meals, And Dietary Quality Among Us Children Aged 6 To 17 Years Residing In Snap-Eligible Households, Noemi Rodriguez

Dissertations and Theses

Background:

Between 20 and 21% of US children 6-19 have obesity. Children residing in households eligible for the Supplemental Nutrition Assistance Program (SNAP) are exposed to vulnerable socioeconomic conditions, often living in low-resourced households and communities. These children are at a high risk for obesity, and thus to obesity-related comorbidities as well as adulthood obesity. The US Department of Agriculture (USDA) recommends family meals as well as diets meeting the American Dietary Guidelines as an obesity prevention strategy. These are connected; the dominantly theorized pathway by which family meals protect against childhood obesity is through the diet quality of the …

Psychosocial Influences On And Behavioral Characteristics Of Young Adult Food Addiction, Rachel A. Wattick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction. Research on food addiction has increased in recent years, but there are few studies focusing on college-attending young adults, who may be at risk of developing food addiction due to the stress of the college environment. Additionally, causes and characteristics of food addiction are under-explored.

Aim. This dissertation aims to 1) determine the impact of adverse childhood experiences (ACEs) and other early life influences on the development of food addiction in college-attending young adults and 2) determine the psychosocial and behavioral characteristics of young adults with food addiction.

Methods. A sequential explanatory mixed-methods design was used for aims 1 …

Examining Cognitive Empathy Elements Within Ai Chatbots For Healthcare Systems, Lamia Alam

Dissertations, Master's Theses and Master's Reports

Empathy is an essential part of communication in healthcare. It is a multidimensional concept and the two key dimensions: emotional and cognitive empathy allow clinicians to understand a patient’s situation, reasoning, and feelings clearly (Mercer and Reynolds, 2002). As artificial intelligence (AI) is increasingly being used in healthcare for many routine tasks, accurate diagnoses, and complex treatment plans, it is becoming more crucial to incorporate clinical empathy into patient-faced AI systems. Unless patients perceive that the AI is understanding their situation, the communication between patient and AI may not sustain efficiently. AI may not really exhibit any emotional empathy at …

Review Of Analytical Techniques For Arsenic Detection And Determination In Drinking Water, Abhijnan Bhat, Tony O'Hara, Furong Tian, Baljit Singh Dr.

Articles

Arsenic occurs in the natural environment in four oxidation states: As(V), As(III), As(0) and As(−III). The behavior of arsenic species changes depending on the biotic or abiotic conditions in water. In groundwater, arsenic is predominantly present as As(III) and As(V), with a minor amount of methyl and dimethyl arsenic compounds being reported. Global intake of As(III) and As(V) via drinking water and food has dramatically increased in recent years. The commonly used term inorganic arsenic includes both As(III) and As(V) species and constitutes the highest toxicological risk associated with arsenic in water compared to the organic arsenic species. Inorganic arsenic …

Communication In Mass Media Surrounding Public Health Crises: A Comparative Analysis, Megan Grace Kramer

Honors Program Theses

No abstract provided.

Creation And Evaluation Of The Illinois Cancer Risk Index As A Predictor Of Four Common Cancers, Lei Guo, Margaret E. Wright, Meridith C. Osias, Mahdi Vaezi, M. Courtney Hughes

Faculty Articles, Papers, and Other Scholarship

Introduction

Nearly half of all cancer deaths in the US are attributed to 4 common cancers: lung, colorectal, breast, and prostate. Illinois residents experience higher rates of cancer death from all 4 cancers compared with the US overall. We developed the Illinois Cancer Risk Index (ICRI), which incorporates many predictors of these cancers into a single summary measure, to identify Illinois counties that would benefit most from public health intervention.

Methods

We identified 90 county-level predictors of 4 common cancers, used multicollinearity testing to reduce this number to 61, and applied factor analysis to extract and analyze 4 factors representing …

Access To The Kidney Transplant Waitlist For People Living With Hiv, Brittany A. Shelton

All ETDs from UAB

People living with HIV (PLWH) have experienced substantial increases in life expectancy, largely attributable to improvements in care such as antiretroviral therapy. As a result, there has been a concurrent increase in the development of aging-related comorbidities such as end-stage organ disease. One such comorbidity is kidney disease. Concerningly, PLWH are at disproportionately higher risk of chronic kidney disease and end-stage kidney disease (ESKD) as compared to HIV-negative counterparts. Kidney transplantation is the ideal therapy for ESKD as it is both cost-effective and provides a significant survival benefit and yet, despite excellent transplant outcomes among PLWH, access to transplantation among …

Racial Differences In The Association Of Insulin Resistance With Risk Of Incident Heart Failure In Participants Of Regards, Nirav Patel

All ETDs from UAB

Background: Insulin resistance is linked to the development of heart failure (HF). However, there is limited understanding of the racial differences in the association of insulin resistance with the risk of incident HF among individuals without diabetes. Objectives: In a US national cohort of Black and White participants, we sought to evaluate: 1) the relationship between insulin resistance with incident HF participants, and 2) whether there are racial differences in the association of insulin resistance with HF. Methods: We examined >16,000 participants without HF and diabetes at baseline from the REGARDS cohort. Cox regression modeling was used to assess the …

Longitudinal Assessment Of Hospital Utilization Among Infants With Neonatal Abstinence Syndrome And Mothers With Opioid Use, Florida 1998-2018, Amanda Louise Elmore

Theses and Dissertations

Over the past few decades, maternal opioid use and Neonatal Abstinence Syndrome (NAS) have significantly increased. However, few studies have examined prevalence trends by sociodemographic variables. Therefore, the first aim of my dissertation was to determine the prevalence by year for each outcome for the total sample and by maternal race/ethnicity, education level, and insurance type.

Prenatal opioid exposure (POE) poses neonatal risks including Neonatal Abstinence Syndrome (NAS) and studies suggest the effects may extend through childhood. However, there are critical gaps in literature on the long-term developmental outcomes of opioid-exposed infants by presence of NAS. Therefore, the second aim …

Epidemiological Models, Parameters, And Prediction Of The Covid-19 Outbreak In A Southwest Georgia Hotspot, Daniel F. Linder, William M. Sewell Iii, Jack D. Owens, Jim Franklin, Mark Miller, Casey Newton, Priyank Shah

Journal of the Georgia Public Health Association

Background: We investigate epidemiological models, their parameters, and the models’ predictive performance of daily new cases during the first three weeks of the SARS-CoV-2 outbreak in a southwest Georgia hotspot.

Methods: We fit stochastic versions of the classical SIR, a network-based SIR, an SEIR model with two different priors on the latent period rate parameter, and a simple doubling time model to SARS-CoV-2 patients’ date of hospital admission and length of symptoms data from the Phoebe Putney Health System.

Results: The estimated basic reproductive numbers and 95% Bayesian credible intervals for each of the models were: 1.98 (1.63, 2.45) for …

An Analysis Of Georgia Mothers Who Gave Birth In 2015 And 2016 Without Receiving Prenatal Care, Joncel Stephens, Shanta R. Dube, Merrilee Gober

Journal of the Georgia Public Health Association

Background: The present study characterizes the population of women residing in the state of Georgia who did not receive prenatal care before giving birth to a live infant. The association between mother’s place of residence (rural/non-rural) and preterm delivery was also examined.

Methods: This study examined data obtained from the Georgia Department of Public Health which includes data for 7,062 mothers who did not receive prenatal care before giving birth to a live infant in Georgia in the years 2015 and 2016. Data on the resulting births was also studied. Descriptive analyses of the following variables were used …

Can Mini Grant Programs Address Community Health Improvement Plans In Rural Areas? A Local Evaluation, Kelley Ditzel, Cameron Watts

Journal of the Georgia Public Health Association

Background: In the rural community of Hancock County, Georgia, it became apparent in the summer of 2017 that outside help was necessary to address the failing health and education problems plaguing this area. The North Central Health District received Healthcare Georgia Foundation grant leading to the creation of the Hancock Health Improvement Partnership (HHIP) composed of 11 community leaders who developed the Community Health Improvement Plan to positively impact their county.

Methods: This evaluation was conducted to report the efficacy of the mini grant program developed by the HHIP, particularly how grants could best improve organizational capacity, incentivize community collaborations, …

Perception Of Health Care Access In Rural Georgia: Findings From A Community Health Needs Assessment Survey, Elisa M. Childs, Tiffany R. Washington

Journal of the Georgia Public Health Association

Background: Limited access to health care services has been cited as a barrier to care for individuals who live in rural areas, contributing to significant health disparities in this population. While perception of services has been cited as a determinant of utilization of health services, it is unknown how perception of services influences health care access in rural areas. The paucity of studies specific to areas in the United States that are medically underserved, necessitated this study and its quantification of the issues that are relevant to individuals living in rural Georgia.

Methods: This study examined the perception of health …

Elderly Educated Blacks And The Influence Of Exercise Identity, Self-Determination, And Social Determinants Of Health On Physical Activity, George Leonard Shaw Jr., Miles Anthony Irving

Journal of the Georgia Public Health Association

ABSTRACT:

Background: This study examined the influence of socio-economic status (SES), exercise self-definition, and self-determination variables on physical activity participation among African American retirees.

Methods: Both African American men and women, of at least 60 years of age, were surveyed. All participants lived independently. The data collected included demographic, Godin Leisure-Time Physical Activity Questionnaire (LTPA), Exercise Self-Definition Questionnaire (ESD), Behavioral Regulations Exercise Questionnaire-2 (BREQ-2), and Basic Psychological Needs Satisfaction in Exercise Scale (BPNES). The findings and analysis were conducted using data from149 participants.

Results: Only gender was a statistically significant predictor of physical activity participation in the study. Based on …

Role Of Community-Level Health Behaviors And Social Determinants Of Health In Preventable Hospitalizations, Elizabeth Ayangunna, Kingsley A. Kalu, Gulzar H. Shah

Journal of the Georgia Public Health Association

Background

Hospitalizations contribute significantly to the country’s health expenditures. There are factors in addition to clinical care that determines whether a community can prevent hospitalizations from certain medical conditions.

Purpose

The purpose of this paper is to explain the role of community-level health behaviors and social determinants of health (SDoH) in preventable hospitalizations.

Methods

This study used secondary data from the 2021 County Health Rankings for 8 states in HHS Region 4--Georgia, Florida, North Carolina, South Carolina, Alabama, Mississippi, Florida, and Tennessee. Descriptive analyses and multivariate linear regression were computed to examine the association between the dependent variable- preventable hospitalizations …

Impact Of Public Health Nurse Training On Their Perception To Provide Hypertension And Diabetes Care To Patients In Their Communities., Stephen Goggans, Jean O'Connor, Elena A. Wood, Elizabeth Sacksteder Laclair, Kathryn Martin, Paul Wallach

Journal of the Georgia Public Health Association

To evaluate the impact of protocol training by a medical school and public health department on nurses’ perceptions to deliver care to patients with hypertension and diabetes.

Training was delivered using the Georgia Diabetes and Hypertension Nurse protocols for public health nurses. A survey was developed and distributed post training to participants. The training included lectures, workshops, case discussions, simulation, and physical examination practice on standardized patients. Participants were asked about perceptions, both before and after training completion regarding frequency in changing practice and confidence in treating hypertension and diabetes for six items.

Perceived levels of confidence for all questionnaire …

Barriers To Hiv Related Services Among Men Who Have Sex With Men (Msm) In Rural Georgia, Jordan D. Helms, Alvin Tran, Neal Carnes, Eric J. Nehl

Journal of the Georgia Public Health Association

Background: Gay, bisexual, and men who have sex with men (MSM) living in the Southeastern United States are at high risk of contracting HIV, and those in rural communities experience challenges in accessing HIV prevention and treatment.

Methods: Seven health care workers and 17 MSM in rural health care districts participated in semi-structured interviews. A theory-informed thematic analysis approach was used to summarize and compare perspectives between health care workers and MSM participants.

Results: Stigma, insufficient resources, and social structures of rural life emerged as barriers to accessing HIV-related services

Conclusions: Overcoming these barriers are necessary to reduce HIV infection …

Cyberbullying In Middle School Students: An Intervention Using An Educational Mobile Application For Caregivers: A Pilot Study, Gregory C. Claxton

Journal of the Georgia Public Health Association

Cyberbullying among middle school students is a growing problem that is shown to affect psychological development in middle school youth which can result in self-harm and suicide. Evidence suggests more frequent communication between children and their caregivers is a protective factor against cyberbullying. The KnowBullying app is designed to increase caregiver and student communication to prevent bullying. This study examines the effectiveness of the KnowBullying app regarding enhanced caregiver and child communication and cyberbullying experience reduction in middle school students. Five students and nine caregivers were given surveys before and after the caregivers downloaded and used the KnowBullying app. The …

Air Pollutant Levels And Asthma Emergency Room Visits In A Highly Populous Us Urban County During 2018-19, Osaremhen Ikhile, Jingjing Yin, Atin Adhikari

Journal of the Georgia Public Health Association

Objective: Air pollutants are linked to asthma exacerbation. The study purpose was to demonstrate an association between air pollutants levels and asthma emergency room (ER) visit trends in a highly populated US urban county in Georgia during 2018-2019.

Methods: Time series analyses were conducted for the variations in daily numbers of children and adult asthma emergency room visits and changes in daily mean PM_2.5, daily mean PM₁₀ concentrations, daily max 1-hour SO₂ concentrations, daily max 1-hour NO₂ concentrations, daily max 8-hour ozone concentrations, and airborne pollen loads for 2018 to 2019 and potential trends were …

Qualitative Analysis Of Cancer Care Experiences Among Rural Cancer Survivors And Caregivers, Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, Lady Beverly Luma, Tamara Robinson, Danae Dinkel, Laura Schabloske, Shinobu Watanabe-Galloway

Journal Articles: Epidemiology

PURPOSE: Rural (vs urban) patients experience poorer cancer outcomes and are less likely to be engaged in cancer prevention, such as screening. As part of a community needs assessment, we explored rural cancer survivors' and caregivers' experiences, perceptions, and attitudes toward cancer care services.

METHODS: We conducted 3 focus groups (N = 20) in Spring 2021 in rural Nebraska.

FINDINGS: Three patterns of cancer diagnosis were regular care/screening without noticeable symptoms, treatment for symptoms not initially identified as cancer related, and symptom self-identification. Most participants, regardless of how diagnosis was made, had positive experiences with timely referral for testing (imaging …

Gut Microbiome Dysbiosis In Antibiotic-Treated Covid-19 Patients Is Associated With Microbial Translocation And Bacteremia, Lucie Bernard-Raichon, Mericien Venzon, Jon Klein, Jordan E. Axelrad, Chenzhen Zhang, Alexis P. Sullivan, Grant A. Hussey, Arnau Casanovas-Massana, Maria G. Noval, Ana M. Valero-Jimenez, Juan Gago, Gregory Putzel, Alejandro Pironti, Evan Wilder, Yale Impact Research Team, Lorna E. Thorpe, Dan R. Littman, Meike Dittmann, Kenneth A. Stapleford, Bo Shopsin, Victor J. Torres, Albert I. Ko, Akiko Iwasaki, Ken Cadwell, Jonas Schluter, Abeer Obaid, Alice Lu-Culligan, Allison Nelson, Anderson Brito, Angela Nunez, Anjelica Martin, Annie Watkins, Bertie Geng, Chaney Kalinich, Christina Harden, Codruta Todeasa, Cole Jensen, Daniel Kim, David Mcdonald, Denise Shepard, Edward Courchaine, Elizabeth B. White, Eric Song, Erin Silva, Eriko Kudo, Giuseppe Deluliis, Harold Rahming, Hong-Jai Park, Irene Matos, Jessica Nouws, Jordan Valdez, Joseph R. Fauver, Joseph Lim, Kadi-Ann Rose, Kelly Anastasio, Kristina Brower, Laura Glick, Lokesh Sharma, Lorenzo Sewanan, Lynda Knaggs, Maksym Minasyan, Maria Batsu, Mary Petrone, Maxine Kuang, Maura Nakahata, Melissa Campbell, Melissa Linehan, Michael H. Askenase, Michael Simonov, Mikhail Smolgovsky, Nicole Sonnert, Nida Naushad

Journal Articles: Epidemiology

Although microbial populations in the gut microbiome are associated with COVID-19 severity, a causal impact on patient health has not been established. Here we provide evidence that gut microbiome dysbiosis is associated with translocation of bacteria into the blood during COVID-19, causing life-threatening secondary infections. We first demonstrate SARS-CoV-2 infection induces gut microbiome dysbiosis in mice, which correlated with alterations to Paneth cells and goblet cells, and markers of barrier permeability. Samples collected from 96 COVID-19 patients at two different clinical sites also revealed substantial gut microbiome dysbiosis, including blooms of opportunistic pathogenic bacterial genera known to include antimicrobial-resistant species. …

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …

Modelling Air Quality In An Aircraft Passenger Cabin Using Health Care Standards, Bert Silich

International Journal of Aviation, Aeronautics, and Aerospace

The interest in aerosol contamination of aircraft passenger cabins has increased since the onset of the COVID-19 pandemic. Mathematical models have been developed to help describe how an aerosol behaves in a closed space. The number of infectious particles inhaled is of scientific interest because it can be related to the risk of getting ill from a pathogen. The data required to calculate these results is often difficult to obtain in real world settings. In fact, particle inhalation details are not obtained in the day-to-day routine of a health care environment and are they not required to maintain safety. Hospital …

Impact Of Covid-19 On The Diversity Of The Construction Workforce, Anil Baral, Yunping Liang, Mingshu Li, Marilyn Gonzalez, Mohsen Shahandashti, Baabak Ashuri

Durham School of Architectural Engineering and Construction: Faculty Publications

Construction industry employment has been severely impacted by the coronavirus (COVID-19) pandemic. This paper examines the impact of the COVID-19 pandemic in the US construction labor market. This study contributes to the state of knowledge by (1) revealing how the COVID-19 pandemic impacted construction employment across different demographic groups and geographic regions in the US, and (2) identifying vulnerable demographic groups (e.g., minorities, women, older workers) in the construction workforce that are disproportionally impacted by the pandemic. Employment data from the Current Population Survey and Current Employment Statistics (CES) programs, which are administered by the Bureau of Labor Statistics, are …

Association Between Medical Insurance Choices And Healthcare Utilization Among Diabetes Patients In The People's Republic Of China : A Secondary Data Analysis, Duohui Chen

Chulalongkorn University Theses and Dissertations (Chula ETD)

Since 2018, the universal medical insurance coverage rate has reached 95% in China. Due to the lack of medical and health resources and insufficient health service capacity of primary health care facilities in China, the biggest problem with the health system in China is overcrowding, especially in the utilization of outpatient services in secondary and tertiary hospitals. This study aimed to analyze the factors Association between Medical insurance Choices and healthcare Utilization among diabetes patients among patients of age >45 years in China. The logistic regression was used to assess the association between type of hospital of elder diabetic patients …

Human Health Risk Assessment Of Heavy Metals In Roadside Dust Near Hydropower Dams Construction Areas In Wangduephodrang District Of Bhutan, Kinley Dorjee

Chulalongkorn University Theses and Dissertations (Chula ETD)

The concern over the heavy metal laden dust and its impact on human health has gained global importance over the decade. Exposure to roadside dust is associated with various acute and chronic health issues. Bhutan too is battling environmental health issues due to increasing anthropogenic and developmental activities such as hydropower dam construction. This study analyses the heavy metals concentrations in roadside dust near hydropower dam construction areas and assesses the noncancer and cancer risk of exposure to heavy metals laden dust through inhalation. This study was a cross sectional study. The roadside dust samples near hydropower dam construction in …