Public Health Commons^™

A Comparative Study Of Radiological Threat Environments And Radiation Control, Lisa C. Mccormick

All ETDs from UAB

Radiation Control Programs (RCPs) differ from state to state as does their integration with public health agencies. The purpose of this study was threefold: to describe and compare across states the environmental radiological attributes of RCPs, to describe how these programs are organized structurally within state government, and to identify if RCPs differ structurally in environments of differing radiological attributes. Publicly available information from the Nuclear Regulatory Commission and state agency websites was used to determine both the environmental attributes and the different approaches states use to organize RCPs. States were grouped based on environmental attributes by employing a principle …

Therapeutic Interventions For Chlorine Gas Induced Lung Injury, Amit Kumar Yadav

All ETDs from UAB

Rationale: Nitrite (NO2-) has been shown to limit injury to the heart, liver and kidneys in various models of ischemia-reperfusion injury. Currently, potential protective effects of systemic NO2- in limiting lung injury or enhancing repair have not been documented. Objectives: To assess the efficacy and mechanisms by which post-exposure intra-peritoneal injections of NO2- mitigate Cl2 induced lung injury in rats. Methods: Rats were exposed to Cl2 (400 ppm) for 30 minutes and returned to room air. Nitrite (1mg/Kg) or saline were administered intraperitoneally at 10 min, 2, 4 and 6 hrs post exposure. Rats were sacrificed at 6 hrs or …

A Pilot Study For A Computer-Tailored Program To Increase Calcium And Vitamin D Consumption In Young Women: Does Adding Quantitative Ultrasound Change Outcomes?, Donald Henry Lein

All ETDs from UAB

Osteoporosis and osteoporosis-related fractures are costly personal and national problems. No cure exists so experts stress early practice of bone protective behaviors, like adequate calcium and vitamin D intake, to prevent osteoporosis and osteoporosis-related fractures. However, young women in the United States do not consume adequate amounts of these two nutrients. Further evaluation to identify cost effective programs to increase calcium and vitamin D consumption in young women is needed. The purpose of this study was to evaluate whether quantitative ultrasound (QUS) with bone strength feedback to a computer-tailored feedback and counseling intervention was needed to increase calcium and vitamin …

Fertility Enhancing Drugs, Assisted Reproductive Technologies And Effects On Maternal And Infant Outcomes Among Live Births In Texas, Suzanne Jay Roseman

All ETDs from UAB

Most studies evaluating outcomes among infertility treatment users use a spontaneously conceived (SC) group for comparative purposes, despite obvious limitations to this approach. Further, lack of comprehensive U.S. data-sources recording infertility treatments, especially non-assisted reproductive technology (non-ART) infertility treatments, has hampered the ability of U.S. researchers to explore the effects of a particular infertility treatment modality (for example ART) on maternal and infant outcomes while controlling for the effects of infertility itself. The present study makes use of the new data item: "Pregnancy resulted from infertility treatment," further categorized into ART and non-ART infertility treatments--from the 2003 revision of birth …

Awareness And Knowledge Of Hiv/Aids Among Female Indian University Students In South India And As Immigrants In The U.S.-Mexico Border Region, Thenral D. Mangadu

Open Access Theses & Dissertations

ABSTRACT

The prevention of HIV/AIDS is a major global public health goal. The Joint United Nations Programme on HIV and AIDS (UNAIDS) estimates that 33 million individuals are infected with HIV worldwide and over two million of these cases are from India. The main mode of transmission of HIV in India is heterosexual contact.

In the past decades there has been a steady increase in immigration rates from India to the U.S. Education and marriage are the main reasons for immigration from India to the U.S. In general, the frequently risky sexual and substance use behaviors of college students in …

The Latina/O Mental Health Paradox Or Racial/Ethnic Disparities? Depression Among New Immigrants To The U.S, Sandra Iveth Ramirez

Open Access Theses & Dissertations

The Latino/a Mental Health Paradox states that the foreign-born immigrants have better mental health outcomes when compared with native-born groups of various ethno-racial backgrounds, with the gap in mental stress minimizing overtime. The objective of this study is to examine whether Latina/os immigrants suffer an ethno-racial disparity in mental health or if they have favorable mental health outcomes as predicted by the Paradox. Expanding on the Latina/o Mental Health Paradox, rather than comparing Latina/o immigrants with native-born, this study will compare depression among recently legalized Latina/os with recent legalized European immigrants.

Identifying Influential Observations Through The Intraclass Correlation Coefficient, Angel De Jesus Davalos

Open Access Theses & Dissertations

In this thesis, we analyze the performance of adapting the DFBETA statistic for identifying influential observations on the intraclass correlation coefficient under the assumptions of the one-way random effects model. Additionally, we introduce an approach for transforming negative intraclass correlation coefficient estimation values using the method of moments estimator. We apply this method on a data set of repeated blood pressure measurements, after which we will investigate implications of identifying influential observations.

Atopy In Us-Mexico Border Elementary School Children: A Pilot Study, Julia Laura Alvarez

Open Access Theses & Dissertations

Background and Significance. Atopy is a hypersensitivity disorder that mainly affects the mucous membranes and the skin. It is reported to be the most prevalent type of clinical allergy syndrome. Persons who have atopy suffer from various combinations of asthma, rhino-conjunctivitis and/or eczema. Atopy is defined as an inherited predisposition to generate IgE against common environmental allergens. Atopy is a type I hypersensitivity condition mediated by IgE immune response, while allergy is any excessive immune response to a foreign antigen. Thus, all atopic disorders are allergic response but some allergic conditions are not atopic per se.

The etiology of pediatric …

Experimental Study Of The Effects Of Green Tea, Alejandra Avila

Open Access Theses & Dissertations

Background. Leishmaniasis is a parasitic disease caused by an intracellular parasite belonging to the genus Leishmania. The cutaneous form of the disease causes often significant disfigurement, accelerates progression to clinical AIDS and tuberculosis, and is associated with a number of adverse economic, psychosocial, and nutritional consequences. An estimated 350 million persons are at risk for this globally distributed disease and 1.5-2 million new cases occur annually. Leishmaniasis is endemic in 88 countries on five continents. It is distributed throughout most of the Americas ranging from southern Texas to northern Argentina. It is also regarded as a threat to the readiness …

The Effects Of Self Management, Education And Their Combination On Glucose Control Among Hispanics Visting A Community Health Clinic, Isela De Baca

Open Access Theses & Dissertations

The purpose of the present study was to measure the impact of diabetes self-management instruction alone, and in combination with diabetes education, on glucose control among diabetic patients at a local community clinic. The researcher of the study was particularly interested in assessing whether self-management goals and diabetes classes positively influence A1C values in this sample.

For this study, the medical charts of 131 patients at Centro San Vicente Health Clinic, a Federally Qualified Community Health Center in El Paso, Texas were reviewed. In addition to collecting A1c values at pretest (baseline) and at three and six months post intervention, …

Observer-Dependent Model For Analyzing Subjective Parameters In Epidemiology, Milad Zarei

Open Access Theses & Dissertations

Although medical technologies for preventing the contagion and spread of infectious diseases have improved steadily throughout the last century, new infectious diseases are still emerging and spreading swiftly. The modeling of infectious disease spread is crucial in addressing the lack of predictive ability in epidemiology. Managing the spread of infectious diseases requires processing quantitative epidemiological data and the ability to capture the dynamics of the infectious disease in order to provide a measure of control.

In this thesis, I have introducing cognitive biases in diseases spread modeling. For the first time, to the author's knowledge, the human subjective experience has …

Predicting Walking Using The Theory Of Planned Behavior In A Worksite Wellness Setting., Lucia Hernandez

Open Access Theses & Dissertations

The study examined constructs from the Theory of Planned Behavior (TpB) as predictors of walking behavior among adult university employees. Specifically, attitudes, subjective norms, and perceived behavioral control towards walking were used to predict behavioral intentions to walk and concurrent walking behavior in a sample of adult university employees. The study is a secondary analysis of data already collected on a sample of 118 employees enrolled in a Worksite Wellness Program from a large southwestern university who completed a self-administered questionnaire regarding, TpB constructs and actual walking behavior. The questions from the survey where derived from the Theory of Planned …

What Motivates Young Latina Females Along The U.S. Mexico Border Region To Participate In Team Sports?, Dora A. Pichardo

Open Access Theses & Dissertations

Physical activity gives women and girls an overall better quantity of life and positive health benefits. Statistics indicate lack of participation in physical activity and exercise by the U.S. general population and among the Latino population in particular. The primary purpose of this study is to explore the variables that motivate young Latinas to play and eventually continue to stay involved in team sports. This is a survey correlational study including young Latina females a U.S.-Mexico border community. Statistical analysis included frequencies, means, and Pearson Product Momentum Correlations. Sixty-nine participants (12 to 15 years old) completed the survey. The response …

Safe Medication Use Among Hispanic College Students: Knowledge, Attitudes And Behaviors, Tania Guadalupe Quiroz

Open Access Theses & Dissertations

College students are at increased risk of medication errors. Research suggests that young adults are active users of over-the- counter (OTC) medications and other products that may increase the risk for negative health outcomes. Therefore, it is very important to analyze young adults' attitudes, beliefs, and behaviors about medication use among college students in order to provide them with the necessary information. Due to language and cultural factors, the issue is particularly relevant in U.S.-Mexico border communities. This casual-comparative study examined knowledge, attitudes, and behaviors regarding medication use among Hispanic college students. Data was collected through a survey developed by …

Health Risk And Health-Seeking Behaviors Of Migrant And Seasonal Farmworkers On The Us-Mexico Border, Claudia Delilah Saenz

Open Access Theses & Dissertations

Background and Significance

The estimated 1–3 million migrant and seasonal farmworkers (MSFW) employed in the U.S. play a crucial role in assuring the success of the multi-billion dollar agricultural industry and the nation's access to a safe and nutritious food supply. This predominantly Mexican immigrant occupational group is documented to be at–risk for chronic and infectious disease morbidity and premature mortality but published studies are limited which describe their reproductive/sexual health, mental health, substance abuse, and workplace violence situation. Prior studies are especially scant regarding U.S.–Mexico border MSFW.

Objectives and Hypothesis

The major objective of the pilot study was to …

Psychological Care For Persons Of Diverse Religions: A Collaborative Continuum, Glen Milstein, Anne Marie Yali

Publications and Research

The purpose of this paper is to describe to psychologists and other clinicians a continuum of mental health care for persons of diverse religions. The continuum delineates boundaries between clinical care provided by mental health professionals and religious care provided by clergy, as well as describes pathways of collaboration across these boundaries. A prevention science based model of Clergy Outreach and Professional Engagement (COPE) is offered to guide this collaboration. The model describes a continuum that moves from the care already present in religious communities, through professional clinical care provided in response to dysfunction and returns persons to their own …

Hepatic Failure, Neonatal Hemochromatosis And Porto-Pulmonary Hypertension In A Newborn With Trisomy 21 - A Case Report, Erin Neil, Josef Cortez, Aparna Joshi, Erawati V. Bawle, Janet Poulik, Mark Zilberman, Mohammad F. El-Baba, Beena G. Sood

Wayne State University Associated BioMed Central Scholarship

Abstract

Liver failure in neonates is a rare but often fatal disease. Trisomy 21 is not usually associated with significant infantile liver disease. If present, hepatic dysfunction in an infant with Trisomy 21 is likely to be attributed to transient myeloproliferative disorder with hepatic infiltration by hematopoietic elements and may be associated with secondary hemosiderosis. A less commonly recognized cause of liver failure in neonates with Trisomy 21 is neonatal hemochromatosis (NH); this association has been reported in nine cases of Trisomy 21 in literature. NH is a rare, severe liver disease of intra-uterine onset that is characterized by neonatal …

It’S Not A Small World After All: Regulating Obesity Globally, Eloisa Rodriguez-Dod

Faculty Publications

The rate of obesity and overweight among the world population has increased dramatically over the past several years in both adults and children. Childhood obesity is a critical health care concern. There have been well-publicized efforts to regulate children‘s obesity both in the U.S. and abroad through such measures as mandated nutritional school lunch programs.

This article focuses, however, on a less examined area of regulation—the recent worldwide efforts to curb obesity among adults. The regulations discussed in this article include measures proposed or adopted by either administrative agencies or legislative bodies, whether on a local or national level. The …

Heat Stress Evaluation Of Protective Clothing Ensembles, Amanda Lee Pease

USF Tampa Graduate Theses and Dissertations

Clothing directly affects the level of heat stress exposure. Useful measures to express the thermal characteristics are WBGT (wet bulb globe temperature) clothing adjustment factor (CAF) or apparent total evaporative resistance (R_e,T,_a). The CAF is assigned through laboratory wear trials following a heat stress protocol in which the air temperature and humidity are progressively increased until the participant clearly loses the ability to maintain thermal equilibrium. The critical condition is the point of thermal transition and from these conditions both the CAF and Re,T,a are computed. The first objective of this study is to compare the …

Photovoice In The Workplace, Marian Flum, Carlos Eduardo Siqueira, Anthony Decaro, Scott Redway

Gastón Institute Publications

Background Photovoice, a photographic participatory action research methodology was used in a workplace setting to assess hazards that were creating extremely high injury and incidents rates for university custodians and to promote the conditions to eliminate or reduce those hazards. Methods University custodians participated in a Photovoice project to identify, categorize, and prioritize occupational hazards and to discuss and propose solutions to these problems. Results were presented to management and to all custodians for further discussion. The effort was led by a worker-based union-sponsored participatory evaluation team in partnership with a university researcher. Results Visual depiction of hazardous tasks and …

Traumatic Events, Perceived Stress, And Health In Women With Fibromyalgia And Healthy Controls, Bruce W. Smith, Erin M. Tooley

Arts & Sciences Faculty Publications

This study examined the relationship between trauma, stress and health in 41 women with fibromyalgia (FM) and 44 women who were healthy controls (HC). The participants were assessed for traumatic events, perceived stress and mental and physical health. Perceived stress was related to worse mental and physical health in both groups. Traumatic events were related to worse mental and physical health in the FM group but were unrelated to health in the HC group. Perceived stress partially mediated the effect of traumatic events on mental and physical health in the FM group. Finally, adult abuse partially mediated the effects of …

Athlete And Coach Knowledge, Attitudes, And Perceptions Of Sickle Cell Trait And National Collegiate Athletic Association Mandated Testing: Recommendations For Intervention, Raymona Holloway Lawrence

College of Graduate Studies: Theses & Dissertations

Individuals with Sickle Cell Trait have died suddenly after extreme exertion during military training, athletic practice or games (Kerle & Nishimura, 1996; Harrelson, Fincher & Robinson, 1995; Howe & Bowden, 2007). One of those deaths, Dale Lloyd, a football player at Rice University, prompted a change in the National Collegiate Athletic Association's (NCAA) Sports Medicine Handbook Guideline 3c: The Student Athlete with Sickle Cell Trait. Effective August 2010, the NCAA Division I Proposal No. 2009-75-B mandated sickle cell trait testing in all Division I athletes unless documented results of a prior test are provided to the institution or the student-athlete …

Barbers Against Prostate Cancer: A Feasibility Study For Prostate Cancer Education In An Urban African American Community, John S. Luque, Brian M. Rivers, Maisha Kambon, Ronald Brookins, B. Lee Green, Cathy D. Meade

Community Health: Faculty Publications

The goal of this pilot study was to assess the feasibility of training barbers to deliver a brief culturally and literacy appropriate prostate cancer educational intervention to urban African American men. Eight barbers received training to deliver a 2-month educational intervention in the barbershop and completed pre- and posttest training assessments. The training workshops led to a significant increase in mean prostate cancer knowledge scores among the barbers (60% before vs. 79% after; P < 0.05). The barbers also reported positively on the intervention in terms of satisfaction and relative ease of engaging clients. Training barbers to deliver a prostate cancer educational intervention is a feasible strategy for raising prostate cancer awareness of the disease among a priority population.

A Qualitative Study Of Stressors, Stress Symptoms, And Coping Mechanisms Among College Students Using Nominal Group Process, Helen W. Bland, Bridget F. Melton, Stephen Patrick Gonzalez

Community Health: Faculty Publications

Background: Stress is part of the college experience; however, how students deal with stress can greatly impact their behaviors and health status. Purpose: The purpose of this study was to qualitatively assess sources of stress, types of stressors, and coping mechanisms employed among undergraduate students.

Methods: Nominal group process was utilized to obtain information related to study variables and help prioritize the accounts provided by study participants (n = 173).

Results: Participants gave insight into the unique stress faced by this generation (grades, GPA, multitasking, parental expectations), stress symptoms (more psychological in nature), and coping strategies (prayer, talking to mom, …

An Evaluation Of A Community Dietetics Intervention On The Management Of Malnutrition For Healthcare Professionals, Sharon Kennelly, N. P. Kennedy, G. Flanaghan-Rughoobur, C. Glennon-Slattery, Sheila Sugrue

Articles

Background: Healthcare professionals working in the community setting have limited knowledge of the evidence-based management of malnutrition. The present study aimed to evaluate a community dietetics intervention, which included an education programme for healthcare professionals in conjunction with the introduction of a community dietetics service for patients ‘at risk’ of malnutrition. Changes in nutritional knowledge and the reported management of malnourished patients were investigated and the acceptability of the intervention was explored. Methods: An education programme, incorporating ‘Malnutrition Universal Screening Tool (MUST)’ training, was implemented in eight of 10 eligible primary care practices (14 general practitioners and nine practice nurses …

Women’S Health Guides [Review Article], Meg Miner

Scholarly Publications

The fight for equal rights for women may be over a hundred years old, but in medical research, women have only been treated equally since the 1990s. That is also the time that evidence-based women’s health handbooks started to appear. Up to that point, most studies only included recommendations for women that had been deduced from analyses of men’s responses to clinical trials.This article reviews four new publications on women’s health: two that were written for health professionals and two for consumers.

Impact Of The Iowa Smoke-Free Ban Among The College Students Of The University Of Northern Iowa, Jean Marie Vianney Hirwa Kavamahanga

Dissertations and Theses @ UNI

The purpose of this study was to measure the effects of the Iowa Smoke-Free Ban impact on: smoking behavior, knowledge of the ban and knowledge of smoking health effect, reported smoking in both indoor and outside venues; support for smoke-free public venues; and self-reported effects of the law on consumption and quitting. A non-random sample of 113 students (49.44% male and 50.44% female) participated in this study.

The 35-item questionnaire was used to evaluate the impact of the Iowa smoke-free ban among college students of the University of Northern Iowa. Descriptive statistics were used to analyze the survey responses. The …

"A Cage Of Ovulating Females" : Mary Breckinridge And The Politics Of Contraception In Rural Appalachia, Dana Allen Johnson

Theses, Dissertations and Capstones

Mary Breckinridge and the Frontier Nursing Service have been the focus of intense scholarly effort over the last twenty years. Scholarship on Mary Breckinridge has centered on her healthcare reform work in Appalachia and its effects on the local residents and culture. This thesis examines the oral contraceptive trial that the FNS performed in Leslie County in the late 1950s and early 1960s. Although Breckinridge and the FNS maintained a restrictive contraceptive stance, they paradoxically permitted the contraceptive trial to be conducted on their patients in Leslie County. The decision to participate in the contraceptive trial resulted from a complex …

Understanding Environmental Health Disparities Of Roma Populations In Romania, Jennifer L. Hall

Dissertations and Theses @ UNI

The Roma are the largest and most marginalized minority group of Central and Eastern Europe (CEE) with the highest number residing in Romania. Their problems and struggles are multi-faceted and deeply rooted in a long history of discrimination and stigmatization. Over the years, many strategies have been developed and implemented across CEE, yet very few studies have addressed their environmental and occupational health issues. Moreover, because the vast majority of these studies have employed quantitative methodology, they have had the unfortunate effect of dehumanizing and devaluing the Roma people through scientific reductionism.

The purpose of this study was to gain …

Industrial Heat Stress : Using Ice Slurry Ingestion As A Practical Approach To Reducing Heat Strain In Workers, Joseph E. Maté

Theses: Doctorates and Masters

Personnel working in industry can encounter hot and humid conditions where uncompensable heat loads are experienced; an inability to dissipate stored heat increases the risk of developing a heat illness. In order to minimise the incidence of heat illnesses, several heat stress reduction interventions have been developed which aim to allow for safe repeated bouts of exposure to high thermal heat loads. These vary from modification of the working environment, wearing of personal protective equipment designed to cool, heat stress indices and/or hydration regimens. Despite these interventions, personnel still experience heat stress related illnesses. Consequently, the overall aim of the …