Public Health Commons^™

Aiding Counseling Services To Increase Cultural Knowledge About Black And Lgbtq+ Populations, Brianna L. Walden

Public Health Capstone Projects

OBJECTIVES: The capstone project I would like to undertake is the creation of a quality improvement plan for the counseling and social work department of The Children’s Home to help them expand to reach vulnerable populations. A quality improvement plan, along with graphics reflecting the current data about mental health, will be delivered to The Children’s Home which they will be able to use in future projects and grant applications.

METHODS: The methods and research will be based on the 2024 Community Health Needs Assessment (CHNA) and Community Counseling Needs Assessment conducted by The Children’s Home in August 2024 to …

Cortical Visual Impairment Awareness And Education, Sarah Kozosey

Public Health Capstone Projects

Objectives: This Capstone Project, conducted in collaboration with The Children’s Home (TCH), aims to raise awareness of the educational aspect of cortical visual impairment (CVI) by compiling the work already done in schools, hospitals, and the communities it serves. The focus is on raising awareness and education, interdisciplinary collaboration, diagnosis and early detection, public health implications, and strategic planning and implementation through secondary research. Methods: This project uses CH’s strategic plan to improve the flow of grand rounds already enforced. Meetings with multiple people on the Marketing & Development team and Pediatric VIEW team will answer how much progress has …

Cracking The Code Of Hbv Persistence: Cutting-Edge Approaches To Targeting Cccdna In Chronic Hepatitis B With Or Without Pyogenic Liver Abscesses, Umar Saeed, Zahra Zahid Piracha, Mahmood Khan, Muhammad Nouman Tariq, Syed Shahan Gilani, Muhammad Raza, Rakshana Munuswamy, Naveen Bose, Dilber Uzun Ozsahin, Ilker Özşahin, Surya M. Nauli

Pharmacy Faculty Articles and Research

Chronic Hepatitis B Virus (HBV) infection remains a formidable global health challenge, driving severe liver complications such as hepatocellular carcinoma (HCC) and pyogenic liver abscesses (PLA). At the core of HBV persistence lies covalently closed circular DNA (cccDNA), a viral reservoir that fuels ongoing infection despite antiviral treatments. This review highlights molecular mechanisms governing cccDNA formation, maintenance, and clearance, spotlighting innovative therapeutic strategies to disrupt this key viral element. We explore cutting-edge approaches, including epigenetic modulation to silence cccDNA, RNA interference (RNAi) for viral RNA degradation, and CRISPR/Cas genome editing to excise cccDNA directly. Additionally, emerging antiviral therapies and immunotherapies, …

Construct Validity, Test-Retest Reliability, And Inter-Rater Objectivity Of The Swimming Competence Assessment Scale (Scas), Jon Sundan, Håvard Lorås, Monika Haga

International Journal of Aquatic Research and Education

This study aimed to investigate the construct validity, test-retest reliability, and inter-rater reliability of a newly developed and comprehensive instrument for assessment of children’s swimming competence. The Swimming Competence Assessment Scale (SCAS) consists of six consecutive test items (entry, swim on front, surface dive, float, swim on back and exit) that aligns with the Norwegian curricular standard of swimming competence. The exploratory factor analysis retained a unidimensional model, supporting one underlaying statistical dimension with acceptable internal consistency (α = 0.79). Intraclass correlation coefficients (ICCs) between test and retest ranged from .84 to .98, and .97 for the total score. Strong …

"Feel For The Water": What Is It, Really?, Robert Keig Stallman, Kristine De Martelaer

International Journal of Aquatic Research and Education

The phrase, 'feel for the water,' is commonly used. But what does it really mean? The traditional idea of this 'feel' focuses on the sensation of touch and use of the hands to produce propulsion. But what about water resistance? Mastering a feel for how to reduce resistance is equally important as the unique relationship between aquatic propulsion and resistance is of great importance. While being in the water, the effects of gravity and buoyancy also need to be perceived by the learner and taught by the instructor. Reflection on the effects on propulsion-resistance and gravity-buoyancy requires relevant exercises to …

Water Orientation Skills And Basic Safety And Swimming Skills Of Children With Autism Spectrum Disorder, Kelle L. Murphy, Min Liu

International Journal of Aquatic Research and Education

Drowning is the leading cause of death among individuals with autism spectrum disorder (ASD). The current study examined water orientation (i.e., comfort level), water safety, and beginning swimming skills of individuals with ASD of ages ranging from 3 to 13 years using the Aquatic Orientation Checklist (AOC) (Kilian et al., 1984). Data were collected during consecutive Fall and Spring semesters. A total of 23 children (n = 15 boys; n = 8 girls) volunteered for the study. Lessons were conducted twice a week for 10 weeks continuously and each lesson was 45 minutes in length. Overall, the swimming program had …

Fighting Instinct: The Brain, Emotions And Decision-Making In The Water, Jill Nash, Sam Hills

International Journal of Aquatic Research and Education

This conceptual paper explores the complex interplay among the human brain, emotions, and decision-making processes, particularly in aquatic environments. Integrating insights from neuroscience, psychology, and behavioural economics, we investigate how instinctual responses and emotional states influence our decisions during water-related activities. By analysing both biological and psychological factors, the paper aims to illuminate the intricacies of human behaviour in various aquatic settings and highlights significant gaps in the research on emotional decision-making that warrant further investigation. Additionally, the paper suggests interventions, including plausible communication strategies, to mitigate the impact of instinctual responses and improve safety and decision-making efficiency.

Goggles And Water Competence: An Addendum, Marek Rejman, Robert Keig Stallman Ph.D.

International Journal of Aquatic Research and Education

We offer this short addendum to the 2017 article that appeared in IJARE, ‘’From swimming skill to water competence: Towards a more inclusive drowning prevention future’’ (Stallman et al., 2017), as an editorial to argue that the essential water competencies ought to be mastered “without goggles.” The focus is on the potential negative effect of goggle use during beginning swimming instruction along with their likely absence during unintended and unexpected immersions in natural bodies of water that often lead to drowning. Rejman and Stallman (2024) demonstrated the development of dependence on goggles among young adults and described its negative effect …

In This Issue 14:4, Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

In This Issue 14:4

The Perceived Benefits Of And Barriers To Open-Water Swimming: A Mixed-Methods Examination, David Elliott Ph.D, Mark A. Christie Ph.D

International Journal of Aquatic Research and Education

This study set out to determine the perceived benefits of, and barriers to, open-water swimming (OWS). Adopting a mixed-methods approach, six hundred and sixty-five open-water swimmers responded to an online survey consisting of the Exercise Benefits and Barriers Scale (EBBS) and a series of open-ended questions. Data from the EBBS revealed the strongest perceived benefits to be ‘Psychological Outlook’ and ‘Life Enhancement.’ In terms of barriers, those presented in the EBBS received low ratings with only ‘Physical Exertion’ considered as being somewhat problematic. Content analysis performed on the open-ended responses showed social aspects, mental well-being, and connection to nature as …

Evaluation Of Online Information On The Cold Shock Response To Accidental Immersion In Cold Water, Adam Wilson, Heather Massey, Clare M. Eglin

International Journal of Aquatic Research and Education

Many of the UK open water accidental deaths have been attributed to the initial responses to cold water immersion (CWI) collectively known as the cold shock response (CSR). The aim of this study was to analyse the publicly available internet information on CWI and CSR for accuracy and quality compared to the ‘gold standard’ published, peer-reviewed research. Seventy-eight webpages which provided information in English on unexpected CWI and CSR were evaluated. Webpages were accessible, widely available, and had appropriate readability scores. Webpage accuracy was suboptimal including only presenting on average 10 (range 3-16) CSR components out of 19. Quality of …

From Pregnancy To Beyond: Renewed Emphasis On Comprehensive Hiv Prevention In South Africa., Chibuzor M. Babalola, Remco P.H. Peters, Christina A. Muzny, Dvora Joseph Davey, Christopher M. Taylor, Mandisa M. Mdingi, Freedom Mukomana, Lindsey De Vos, Andrew Medina-Marino, Jeffrey D. Klausner

School of Medicine Faculty Publications

No abstract provided.

A Preventionist Framework For Reducing Drowning: A Case For Parenting Interventions, Miriam G. Clark, Linda Quan, Patricia Chamberlain

International Journal of Aquatic Research and Education

Drowning is preventable but still claims the lives of over 300,000 people worldwide every year. The purpose of this theoretical review paper is threefold: 1) discuss the theoretical framework for a multi-faceted system of prevention; 2) discuss the importance of parenting, a crucial area where current drowning prevention research is falling short in this multi-faceted approach; and 3) discuss how evidence-based practices from psychosocial parenting research could be used to create drowning prevention interventions that support parents to implement water safety practices in their families. Practical ideas for integrating psychosocial parent interventions with drowning prevention knowledge are discussed. Such interventions …

Exploring Health Equity With Culturally Specific Providers Of Permanent Supportive Housing, Judith Solomon

University Honors Theses

Chronic homelessness is an important public health issue. Permanent Supportive Housing (PSH) is a promising opportunity for transitioning people experiencing homelessness into housing, however there remain unaddressed racial inequities in service provision and outcomes. The aim of this study is to better understand the role of culturally specific (CS) providers of PSH in improving health equity. I analyzed interviews with CS PSH providers for themes related to health and healthcare. Providers spoke about the importance of connecting clients to healthcare. Providers stressed the importance of honesty and lived experience, highlighting the strong sense of responsibility to the community. Providers also …

Body Composition And Its Outcomes And Management In Multiple Sclerosis: Narrative Review, Lara A Pilutti

Faculty, Staff and Student Publications

Background: There is emerging interest in obesity and its prevalence, outcomes, and management in people with multiple sclerosis (MS). Body mass index (BMI) is the traditional marker of obesity in MS, whereas body composition, inclusive of specific body tissue compartments (e.g., fat, bone, and muscle), is often overlooked despite its relevance.

Objective: This narrative review (a) underscored the use and utility of dual-energy X-ray absorptiometry (DEXA) as an accurate and reliable measure of body composition; (b) thematically analyzed and synthesized the current evidence regarding body composition (using DEXA); and (c) determined gaps to be addressed in future research. Methods: …

Precision Phenotyping For Curating Research Cohorts Of Patients With Unexplained Post-Acute Sequelae Of Covid-19, Ingrid V Bassett, Douglas S Bell, Elmer V Bernstam, Maha R Farhat, Darren W Henderson, Emily S Lau, Michele Morris, Yevgeniy R Semenov, Virginia A Triant, Shyam Visweswaran, Zachary H Strasser, Jeffrey G Klann, Shawn N Murphy, Hossein Estiri

Faculty, Staff and Student Publications

BACKGROUND: Scalable identification of patients with post-acute sequelae of COVID-19 (PASC) is challenging due to a lack of reproducible precision phenotyping algorithms, which has led to suboptimal accuracy, demographic biases, and underestimation of the PASC.

METHODS: In a retrospective case-control study, we developed a precision phenotyping algorithm for identifying cohorts of patients with PASC. We used longitudinal electronic health records data from over 295,000 patients from 14 hospitals and 20 community health centers in Massachusetts. The algorithm employs an attention mechanism to simultaneously exclude sequelae that prior conditions can explain and include infection-associated chronic conditions. We performed independent chart reviews …

Functional Characterization Of Cryopreserved Plasmodium Yoelii Sporozoites In Vitro, Victoria I. Mills

USF Tampa Graduate Theses and Dissertations

Malaria is a major global health burden, contributing to morbidity and mortality across various continents. Due to challenges in malaria research and its advancements, developing novel interventions and further understanding host-parasite interactions is required for future studies. Plasmodium vivax is a human malaria species that is difficult to maintain in laboratory settings, posing obstacles in research. Cryopreservation offers a reliable method to provide a consistent supply of sporozoites for reproducible studies. Plasmodium yoelii is a rodent malaria model commonly used in studies due to its genetic similarity to human malaria species. Utilizing cryopreserved P. yoelii sporozoites potentially extends their usability …

Developing A Novel Index For Individual-Level Social Determinants And Cardiovascular Diseases In The Coronary Artery Risk Development In Young Adults (Cardia) Study, Lili Liu, Bing Yu, Ankeet Bhatt, Penny Gordon-Larsen, Donald Lloyd-Jones, Kai Zhang, Lifang Hou

Faculty, Staff and Student Publications

Background: Social determinants of health (SDH) have been found to contribute to cardiovascular risk and the development of cardiovascular disease (CVD). However, few studies have examined early-life exposure to SDH and the combined effect of multiple SDH measures on CVD. There is an urgent need to develop an SDH index for use in practice and clinical settings.

Methods: A total of 3189 participants from the CARDIA Study who had chest CT scans at the year-25 (Y25) visit were included in this study. Personal and parental SDH measures, including education, occupation, income, financial strain, and childhood family environment, were obtained through …

Understanding Hereditary Breast And Ovarian Cancer Syndrome In Black/African American Women: Implications For Equitable Outcomes And Interventions, Alexandria E. Fletcher

Walden Dissertations and Doctoral Studies

Black/African American women face significant health disparities in hereditary breast and ovarian cancer syndrome (HBOC) due to systemic barriers to genetic counseling and testing, leading to poorer survival outcomes. Guided by the Social Determinants of Health (SDH) framework and Intersectionality Theory, this quantitative descriptive study examined disparities in access to genetic services, socioeconomic barriers, and healthcare biases. Data from the 2023 National Health Interview Survey (NHIS) included 1,357 Black/African American and White women aged 25–65 with a family history of HBOC. The Surveillance, Epidemiology, and End Results (SEER) dataset analyzed 15,684 Black/African American and 105,547 White women with breast cancer, …

Alcohol Use Disorder Medication Coverage And Utilization Management In Medicaid Managed Care Plans, Maureen T. Stewart, Sage R. Feltus, Christina Andrews Ph.D., Andrea Acevedo, Cindy Parks Thomas, Jeffrey Bratberg, Constance M. Horgan, Dominic Hodgkin, Rachel Sayko Adams

Faculty Publications

IMPORTANCE Evidence-based, patient-centered treatment for alcohol use disorder (AUD) can include pharmacotherapy with naltrexone, acamprosate, or disulfiram; however, these medications are rarely used. Medicaid managed care plans (MCPs) manage health services for nearly 80% of Medicaid enrollees and are the largest payer for addiction treatment services. Little is known about Medicaid MCP policies for AUD medications.

OBJECTIVES To describe Medicaid MCPs’ coverage and management of acamprosate, naltrexone, and disulfiram for AUD and examine associations of plan characteristics and state policies with medication coverage.

DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study, a content analysis was performed of 2021 insurance benefit …

Physical Activity, Smokeless Tobacco, Urban/Rural Status And E-Cigarette Use Among African American Young Adults, Destiny Britt

Walden Dissertations and Doctoral Studies

The growing prevalence of e-cigarette use is fueled by the false belief that they are safer than traditional cigarettes. African American adults aged 18 and older are disproportionately impacted by tobacco products, including e-cigarettes. Little research focuses specifically on e-cigarette use among young African Americans, examining how factors like physical activity, smokeless tobacco, and urban/rural status influence their usage. This study aimed to investigate these influences while considering gender, academic level, alcohol and marijuana use, cigarette smoking, and anxiety/depression as controlling factors. Using the social ecological model (SEM), the research sought to understand how environmental factors interact with individual behaviors, …

Access To Outreach Athletic Trainers Improves Orthopedic Specialty Appointment Adherence, Katie Sniffen, Katie Smith, Michael Rozier, Katherine Stamatakis, Paula Buchanan, Leslie Hinyard

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Adolescent sports participation carries an inherent risk of musculoskeletal injury, with an estimated 2 million injuries occurring annually among high school athletes. Navigating the healthcare system to receive appropriate care can be challenging, potentially leading to delayed treatment and poorer outcomes. Athletic trainers (ATs) may play a crucial role in facilitating timely access to specialized care. The objective of this study was to assess the relationship between referral pathways (outreach athletic trainers (OATs), non-outreach athletic trainers (ATs), urgent care (UC), and emergency department (ED)) and appointment adherence while controlling for predisposing, enabling, and need factors. Methods: Using electronic medical …

Associations Of Sociodemographic, Clinical Factors And Hla-B Alleles With Enthesitis And Peripheral Arthritis In Patients With Ankylosing Spondylitis, Amirali Tahanan, Minjae Lee, Matthew A Brown, Michael H Weisman, John D Reveille

Faculty, Staff and Student Publications

Objectives: Factors associated with peripheral arthritis and enthesitis, especially Achilles tendonitis and plantar fasciitis, were examined in a longitudinal cohort of 1075 patients with ankylosing spondylitis (AS) (also known as radiographic axial spondyloarthritis).

Methods: Patients were derived from the Prospective Study of Outcomes in Ankylosing Spondylitis cohort. Disease activity and functional indices, as well as physical examination and medications used, were measured at every study visit. Univariable and multivariable analyses of the association of peripheral arthritis and enthesitis with clinical, sociodemographic factors were performed. Human leucocyte antigen (HLA)-B alleles were analysed by single-stranded conformational polymorphism analysis.

Results: Those with peripheral …

Ubiquitous News Coverage And Its Varied Effects In Communicating Protective Behaviors To American Adults In Infectious Disease Outbreaks: Time-Series And Longitudinal Panel Study, Anqi Shao, Kaiping Chen, Branden Johnson, Shaila Miranda, Qidi Xing

Information Systems Faculty Publications and Presentations

Background: Effective communication is essential for promoting preventive behaviors during infectious disease outbreaks like COVID-19. While consistent news can better inform the public about these health behaviors, the public may not adopt them.

Objective: This study aims to explore the role of different media platforms in shaping public discourse on preventive measures to infectious diseases such as quarantine and vaccination, and how media exposure influences individuals’ intentions to adopt these behaviors in the United States.

Methods: This study uses data from 3 selected top national newspapers in the United States, Twitter discussions, and a US nationwide longitudinal panel survey from …

Fact Sheet: Fentanyl, Aaron Hunt, Gabriela Murza, Amy May, Jenna Hawks, Alyssa Ferrin

All Current Publications

This fact sheet provides essential information on fentanyl, a potent synthetic opioid increasingly found in illegal street drugs, posing significant overdose risks. It highlights how opioids affect the body, the dangers of fentanyl, and the importance of harm-reduction strategies, such as fentanyl test strips, naloxone access, and safe syringe disposal. Information on signs and symptoms and how to respond to an overdose are also included.

Comparative Assessment Of The Impacts Of Wildland–Urban Interface Fire Ash On Growth Of The Diatom Thalassiosira Weissflogii, Talal Alshehri, Amar Yasser Jassim, Bo Cai Ph.D., Tammi L. Richardson, Mohammed Baalousha M.Sc, Ph.D.

Faculty Publications

Fires at the wildland–urban interface (WUI) result in the release of ash into the atmosphere that can be transported for long distances and deposited on land and in oceans. Wildfire ash has the potential to increase phytoplankton biomass in the open ocean by providing both major nutrients and trace metals. However, fires that originate at the WUI contain potentially toxic concentrations of metals such as Ti, Cr, Cu, Pb, and Zn, especially in coastal oceans close to WUI fires, where ash deposition rates are high. Here, we investigated the impact of fire ash from different sources originating from vegetation, structures, …

Does Travel Time Matter?: Predictors Of Transportation Vulnerability And Access To Hiv Care Among People Living With Hiv In South Carolina, Sayward Elizabeth Harrison, Peiyin Hung, Katherine Green, Sarah J. Miller, Mariajosé Patron, Divya Ahuja, Sharon Weissman, Caroline Rudisill, Tammeka Evans

Faculty Publications

Background

People living with HIV (PLHIV) in the southern United States (US) are at high risk for poor outcomes across the HIV care continuum leading to low rates of viral suppression. Understanding structural barriers to care—including transportation vulnerability—is critical to improve HIV outcomes. This study investigated relationships between travel time to HIV care, transportation vulnerability, and HIV care disruptions to inform future transportation interventions for PLHIV residing in South Carolina and other southern US states.

Methods

A total of 160 PLHIV (N = 160) were recruited from a large immunology center in South Carolina. Participants reported on transportation experiences, transportation …

A Qualitative Approach To Identifying Obstacles To Mental Healthcare In The Rio Grande Valley From The Perspective Of Mental Healthcare Professionals., Shania M. Linder, Cristian Botello, Raquel Villarreal, Nelda Rodriguez, Mario Gil, Dayana Zamora

Research Symposium

Background: There are many factors that prevent members of the Hispanic/Latino community from accessing mental health resources. This is important to investigate because there is a lack of knowledge on why residents of the Rio Grande Valley, an underserved region of South Texas, are unable to access and/or utilize mental health resources.

Methods: A focus group session was held at a mental health counseling clinic in Cameron County, Texas on February 1, 2024. The participants consisted of mental health professionals, such as two mental health clinicians, a clinical counselor, two school counselors, a licensed professional counselor supervisor, and a …

Evaluating The Effectiveness Of Cryoneurolysis As A Preoperative Intervention In Total Knee Arthroplasty: A Literature Review, Paul Bonilla, Anesu K. Murambadoro, Juan Pablo Flanagan, Victoria Elizondo, Aamir Ahmad

Research Symposium

Background: Total knee arthroplasty (TKA) is a highly effective treatment for knee osteoarthritis, but significant postoperative pain often necessitates opioid use. Over 70% of patients use opioid drugs 3 weeks after TKA and up to 15% of TKA patients develop opioid dependence, increasing the risk of adverse effects, infections, and contributes to costly revision surgeries. Cryoneurolysis, a minimally invasive technique involving freezing peripheral nerves, has gained attention as a promising preoperative intervention. This study explores the potential of cryoneurolysis as a preoperative intervention to alleviate pain, reduce opioid dependence, and improve functionality.

Methods: A literature search was conducted using the …

Atypical Presentation Of Pediatric Cat Scratch Disease: A Case Report, Paul Bonilla, Kassandra Pulido, Natasha Bell, Otto Velasquez

Research Symposium

Background: Skin lesions and/or regional lymphadenopathy are defining characteristics of Cat Scratch Disease (CSD), a zoonotic infection commonly caused by animals carrying Bartonella henselae. While CSD is often self-limiting, rare cases with a disseminated course and visceral organ involvement may complicate diagnosis, especially in pediatric patients. This case report describes an atypical presentation of B. henselae infection in an 11-year-old female with Type I diabetes (T1D).

Case Presentation: An 11-year-old girl with a history of T1D presented to her pediatrician with abdominal pain and fever. A rapid test confirmed Streptococcal Pharyngitis and she was prescribed amoxicillin and sent home. …