International Public Health Commons^™

Allocation Of Resources And Health Professionals’ Burden During The Covid-19 Pandemic: Reflections On Advanced Directives, Informed Consent And Social Perception In Mexico, Karen Herrera-Ferrá, Leonardo Souza-García, Antonio Muñoz-Torres

Journal of Health Ethics

One of the main problems in the COVID-19 pandemic is the insufficient availability of resources. This deficiency has resulted in emotional and moral burdens of health professionals. Decisions are having to be made as to who will live and who will die. Moreover, given the global impact of this pandemic, negative impacts are heightened in low and middle-income countries such as Mexico.

Authors focus on two issues related to, but not exclusive, to the Mexican healthcare system in an attempt to partially address scarce resources and health professionals’ burden. First, is the empowerment of patients’ autonomy through the incorporation of …

Quality Of Life Of Adults With Chronic Spinal Cord Injury In Mainland China: A Cross-Sectional Study, Fengshui Chang, Haixia Xie, Qi Zhang, Mei Sun, Yuhui Yang, Gang Chen, Huifang Wang, Chengyue Li, Jun Lu

Community & Environmental Health Faculty Publications

Objective: To evaluate the quality of life of patients with chronic spinal cord injury in mainland China.

Design: Cross-sectional study. Subjects: A total of 247 adults ≥ 1 year post-SCI in mainland China.

Methods: The World Health Organization (WHO) Quality of Life Scale Brief Version (WHOQOL-BREF) and the add-on modules on disability-related QoL (WHOQOL-DIS) were used to assess quality of life. Anxiety/depression was measured using the Zung Self-Rating Anxiety/Depression Scale. Quality of life was compared with that of reference populations from China, Korea, the international field trial (23 countries). Multivariate linear regression was conducted to determine the factors that might …

Anemia And It's Associated Factors Among Adolescents In Kuwait, Lemia Shaban, Abdullah Al-Taiar, Abdur Rahman, Reem Al-Sabah, Olusegun Mojiminiyi

Community & Environmental Health Faculty Publications

We estimated the prevalence of anemia among school children and investigated factors associated with this problem in Kuwait. A cross-sectional study was conducted on 1415 adolescents randomly selected from middle schools in Kuwait. Hemoglobin, iron, ferritin, folate and vitamin B-12, in addition to many other laboratory indicators, were measured in a venous blood sample. Data on risk factors for anemia were collected from parents and adolescents. Multiple logistic regression was used to investigate factors associated with anemia. The prevalence of anemia was 8.06% (95% CI: 6.69-9.60%), which was significantly higher among females compared to males (10.96% vs. 5.04%; p < 0.001). Mean (SD) Hb level was 133.7 (9.89) g/L and 130.00 (10.48) g/L among males and females, respectively (p < 0.001). The prevalence of mild, moderate and severe anemia was 5.94%, 1.91% and 0.21%, respectively. Gender, age, iron concentration and ferritin were associated with anemia in multivariable analysis. These data indicate that anemia among school children in Kuwait is of mild public health significance. Further reduction in anemia in school girls should focus on correcting iron deficiency. Surveillance systems for anemia may consider using a cut-off point that is specific for the method of blood sampling and the method of Hb measurement.

The Perception, Usage, And Knowledge Of Moringa Oleifera In Mare-Brignol, Haiti After Increased Education And Access, Preethashree Anbukkarasu, Phillip Saad, Nichika R. Holdrum, Chinelo Germain, Leticia Ebihara, Archi Patel

Digital Repository: Showcase of Undergraduate Research Excellence

No abstract provided.

Occupational Therapy In Haiti: A Pilot Study To Identify Intervention Methods Used During Short-Term Medical Missions, Sheelagh M. Schlegel, Kathleen Mathieson

Occupational Therapy Faculty Publications

Due to the shortage of occupational therapists (OTs) in Haiti and over 800,000 individuals with disabilities, most occupational therapy assessments and interventions are provided by OTs on short-term medical missions (STMMs). Learning which methods OT use to provide assessments and interventions during these STMMs is the first step to understanding how to facilitate followup and carry-over for clients and ensure longevity for STMMs in Haiti. This study used a cross-sectional, descriptive design to gather data on methods used by OTs. Thirty-three OTs, who travelled to Haiti on STMMs, completed a 16-question, online survey. The most common method provided by OTs …

The Impact Of Income On Nutrition: A Case Study Of Northern Mozambique, Hunter Swanigan, Lawton Lanier Nalley

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

In 2017, Mozambique ranked as one of the least developed countries in the world by measures of health, education, and income. With a minimal annual income, purchasing adequate food to meet recommended levels of nutrients for a healthy diet is difficult, leaving 40% of the country undernourished. This study analyzed what foods are available during the dry months (hungry season) of May through October in the Nampula province of Mozambique to determine if it is possible to meet recommended levels of nutrients from purchasing and growing food. Three different levels of income were used to determine what percentage of the …

Baylor International Pediatric Aids Initiative (Bipai): Maseru, Lesotho, Whitney J. Cameron

Posters

Describes her experience working in Maseru, Lesotho.

Disparities In The Prevalence And Risk Factors Of Anaemia Among Children Aged 6–24 Months And 25–59 Months In Ethiopia, Tafere Gebreegziabher Belay, Nigatu Regassa, Micaela Wakefield, Kelly Pritchett, Susan Hawk

All Faculty Scholarship for the College of Education and Professional Studies

Despite global efforts made to address anaemia, the prevalence remains high in most Sub-Saharan African countries. In Ethiopia, anaemia poses a very strong public health concern. The purpose of the present study was to examine the key risk factors related to anaemia among children aged 6–24 months (younger age group) and 25–59 months (older age group). We used the 2016 Ethiopian Demographic and Health Survey data, collected from 11 023 mothers with under five children. Ordered logistic regression modelling was used for assessing risk factors of childhood anaemia. The results suggest that the prevalence of anaemia was 72 % in …

Association Between Pm2.5 Concentrations And Hospitalization Cases For Schizophrenia And Mood Disorders In Ho Chi Minh City, Vietnam From 2019 To 2020, Do Thi Hoai Thuong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The evidence for adverse effects of ambient particulate matter pollution on mental and behavioral disorders (MBDs) is limited. Until now, few epidemiological studies have focused on this field, especially in developing countries. With the changes in concentrations and sources of air pollution over the past decade in Vietnam lead to high levels of air pollutants, especially particulate matters including PM2.5. Therefore, it is worthwhile to investigate the acute effects of outdoor air pollution on MBDs. However, no Vietnamese study has looked into the short-term effect of PM2.5 on hospitalization for MBDs. To examine the association between PM2.5 and the cases …

What The Covid-19 Crisis Is Telling Humanity, David Wiebers, Valery Feigin

Animal Sentience

The planet is in a global health emergency exacting enormous medical and economic tolls. It is imperative for us as a society and species to focus and reflect deeply upon what this and other related human health crises are telling us about our role in these increasingly frequent events and about what we can do to prevent them in the future.

Cause: It is human behavior that is responsible for the vast majority of zoonotic diseases that jump the species barrier from animals to humans: (1) hunting, capture, and sale of wild animals for human consumption, particularly in live-animal markets; …

Association Between Participation In Annual Physical Examinations And Risk Factors For Noncommunicable Diseases In Adults With Disabilities: Evidence From Shanghai, China, Yugang Li, Qi Zhang, Xiaohong Li, Mei Sun, Jun Lu, Gang Chen

Community & Environmental Health Faculty Publications

The relationships between regular participation in annual physical examinations and the risk factors for noncommunicable diseases (NCDs) among adults with disabilities remains unclear. To address this gap, we used data from 130,899 individuals with disabilities in Shanghai (2014-2016) and evaluated four risk factors for NCDs: hypertension, hyperglycemia, hyperlipidemia, and being overweight. Overall, 4540 individuals participated in annual physical examinations across all three years and 11,388 missed examinations in 2015 (group without regular participation). Chi-squared tests and binary logistic regression were used to assess differences in patient characteristics and explore correlations between variables. Significant differences in age (χ² = 102.620, …

Who Infant And Young Child Feeding Indicators In Relation To Anthropometric Measurements, Abdullah Al-Taiar, Nawal Alqaoud, Majeda S. Hammoud, Faheema Alanezi, Nawal Aldalmani, Monica Subhakaran

Community & Environmental Health Faculty Publications

Objective: This study aimed to report the WHO infant and young child feeding (IYCF) indicators from Kuwait and to investigate the associations between these indicators and anthropometric measurements.

Design: The Kuwait Nutritional Surveillance System uses observational cross-sectional approach to collects data by face-to-face interviews with mothers or child guardians using a structured questionnaire that was developed based on the WHO IYCF indicators. The weight and height of infants and young children were measured using digital scales in a standardised manner.

Setting: Vaccination centres in all governorates (provinces) of Kuwait.

Participants: Infants and young Kuwaiti children aged 0–23 months (N 5839). …

Project Adkeyso: Addressing Female Genital Mutilation And Cutting In Somaliland, Ayanna Joyner

Capstone Showcase

Project Adkeyso: Addressing Female Genital Mutilation and Cutting in Somaliland

Ayanna Joyner

Faculty Advisor: Dr. Comfort Olorunsaiye

Female Genital Mutilation or Cutting (FGM/C) is the procedure of intentionally causing injury and altering the vulva of a young girl or woman for non-medical reasons. There are four types of FGM/C however, type III or infibulation, remains the most dangerous because the procedure consists of the narrowing of the vaginal opening by creating a seal with the labia majora through stitching. With infibulation, there will be a need for further surgeries or re-infibulation, which requires reopening of the stitches covering the vagina …

Grant Proposal For Thrive: Targeting Malnutrition In Children Under-Five In Bolivia’S Indigenous Population, Leah Mccaskey

Capstone Showcase

Thrive: Targeting Malnutrition in Children Under-Five in Bolivia’s Indigenous Population

Leah McCaskey BSPH(c)

Faculty Advisor: Comfort Olorunsaiye, PhD

Malnutrition is a serious public health issue that has been linked to an increase in morbidity and mortality¹. Poor nutrition can lead to severe health issues, including stunted growth, developmental disabilities, immune deficiency, chronic fatigue, and in the most severe cases, death¹. Children under the age of five are the most vulnerable to malnutrition because of the immense nutrition requirements for physical and mental development. Bolivia has the highest prevalence of under-five malnutrition in South America, with 25 …

China's Lack Of Animal Welfare Legislation Increases The Risk Of Further Pandemics, Amanda Whitfort

Animal Sentience

Legislation enforcing positive animal welfare standards provides an important buffer against the spread of disease when other safeguards to promote animal health have failed. The continuing absence of animal welfare legislation in China increases the risk of future pandemics, like COVID-19, and puts animal health, and consequently public health in danger.

Mapping Misinformation In The Coronavirus Outbreak, Ana Santos Rutschman

All Faculty Scholarship

The coronavirus outbreak has sent ripples of fear and confusion across the world. These sentiments—and our collective responses to the outbreak—are made worse by rampant misinformation surrounding the new strain of the virus, COVID-2019. In this post, I survey some of the most pervasive areas of tentacular coronavirus-related misinformation that has proliferated online -- as well as the responses of social media companies like YouTube, Facebook, Pinterest and TikTok that may ultimately prove inadequate given the magnitude of the problem.

Center For Progressive Reform Report: Protecting Workers In A Pandemic--What The Federal Government Should Be Doing, Thomas Mcgarity, Michael C. Duff, Sidney A. Shapiro

All Faculty Scholarship

The "re-opening" of the American economy while the coronavirus that causes COVID-19 is still circulating puts workers at heightened risk of contracting the deadly virus. In some blue-collar industries, the risk is particularly acute because of the inherent nature of the work itself and of the workplaces in which it is conducted. And the risk, for a variety of reasons, falls disproportionately on people of color and low-income workers. With governors stay-at-home orders and other pandemic safety restrictions, Center for Progressive Reform Member Scholars Thomas McGarity, Michael Duff, and Sidney Shapiro examine the federal government's many missed opportunities to stem …

Solidarity Vulnerability And Mistrust, Ana Rosa Linde Arias, Maria Roura, Carlos Eduardo Siqueira

Gastón Institute Publications

Background: The public health response to Zika outbreak has mostly focused on epidemiological surveillance, vector control, and individual level preventative measures. This qualitative study employs a social-ecological framework to examine how macro (historical, legislative, political, socio-economic factors), meso (sources of information, social support, social mobilization) and micro level factors (individual actions, behavioral changes) interacted to influence the response and behavior of women with respect to Zika in different contexts. Methods: A qualitative study was carried out. Women were recruited through the snowball sampling technique from various locations in Brazil, Puerto Rico, and the United States. They were of different nationalities …

Too Much To Ask Too Much To Handle, Ana Rosa Linde Arias, Elisa Tristan-Cheever, Grace Furtado, Carlos Eduardo Siqueira

Gastón Institute Publications

Abstract: Zika virus infection during pregnancy is a cause of congenital brain abnormalities. Its consequences for pregnancies have made governments and both national and international agencies issue advice and recommendations to women. This study was designed to understand the impacts of Zika on women who were less directly affected and less vulnerable to Zika. Women were recruited from various locations in Brazil, Puerto Rico, and the United States. Data were collected through semi-structured interviews and analyzed using thematic analysis. Women perceived that public health systems placed an unfair responsibility for preventing health complications from Zika onto women who had limited …

Reinventing Privatization, Fabiana Turino, Jonathan Filippon, Francis Sodré, Carlos Eduardo Siqueira

Gastón Institute Publications

The Brazilian state apparatus was reformed throughout the 1990s, influenced by New Public Management (NPM). NPM was embodied in the health care sector by the creation of Social Health Organizations (Organizacões Sociais de Saúde or OSS), private non-profit entities to provide welfare services. We performed a systematic review of the literature outlining the origins and role of OSS in Brazil. Our selected articles (peer-reviewed) cover the origins/performance of OSS and their services provision between 1998 and 2018, in English or Portuguese. Databases used were Lilacs, Bireme, Medline, Pubmed, and SciELO. We identified 4,732 articles applying a pre-defined set of descriptors, …

Factors Associated With Hiv Testing In Liberia: Findings From The 2013 Demographic Health Survey, Miatta M.E. Dennis

College of Graduate Studies: Theses & Dissertations

Human immunodeficiency virus (HIV) is among the world’s most serious challenges. The African region is severely affected with nearly one in 25 adults being HIV infected –accounting for over two-thirds of HIV infected people worldwide. In 2013, approximately three in four men and half of women aged 15-49 had never been HIV tested. In 2018, over 7,000 Liberians were HIV positive. Increasing HIV testing rates is the primary step to reducing HIV infection rates. This study examines factors associated with HIV testing behavior among Liberians using the Knowledge Attitude Behavior (KAB) model as a conceptual framework. The 2013 Liberia Demographic …

Entrevista Ccs, Carlos Eduardo Siqueira, Leila B Göttems, Luciano De Paula Camilo

Gastón Institute Publications

No abstract provided.

Determinants Of Maternal Health Services Utility Among Adolescent Mothers In Indonesia : An Analysis Of 2017 Indonesia Demographic And Health Survey, Dewi Nuryana

Chulalongkorn University Theses and Dissertations (Chula ETD)

Maternal Mortality Ratio (MMR) in Indonesia remains high with 305 death per 100,000 live birth in 2015. Approximately 36 of 1000 adolescent girls (15-19 years old) in Indonesia experienced childbirth and face the higher risk for maternal mortality than older women. The aims of this study are to assess maternal health services utility (antenatal care (ANC), delivery services, and postnatal care (PNC)) level and to identify determinants of maternal health services utility among adolescent mothers in Indonesia. The design of this study is cross-sectional survey using secondary data from 2017 Indonesia Demographic and Health Survey (IDHS). The study population is …

Covid-19: A Simple Curve Approximation Tool, Jane Courtney

Articles

In the current COVID-19 pandemic, much focus is put on ‘flattening the curve’. This ‘curve’ refers to the cases versus time graph, which shows the rise of a disease to its peak before descending. The aim in a pandemic is to flatten this curve by reducing the peak and spreading out the timeline. However, the models used to predict this curve are often not clearly outlined, no model parameters are given, and models are not tested against real data. This lack of detail makes it difficult to recreate the curve from these models. What is much needed is a simple …