Public Health Education and Promotion Commons^™

Environmental Toxins And Their Impact On Neurological Health, Maria Allesandra Elsasser

Master's Projects and Capstones

This paper evaluates the impact of environmental toxins on neurological health from a public health perspective. Employing a comprehensive review of literature across various databases, the study sheds light on the mechanisms through which environmental neurotoxicity influences health, highlighting key correlations between toxin exposure and the onset of neurodegenerative disorders. The research identifies significant gaps in current approaches to managing these risks, particularly concerning policy regulations and public awareness. Based on these findings, strategic recommendations are proposed to address and mitigate the identified challenges, with implications emphasizing the broader benefits for public health.

Advancing Kidney Health In Hispanic/Latino Communities In The Us: Promotoras, Health Education, And Food Security, Estefania Huerta

Master's Projects and Capstones

Chronic Kidney Disease (CKD) is not only a public health concern that affects the health of people living in the United States, but also a global health concern affecting millions worldwide. Diabetes is the leading cause of CKD and when CKD is not managed, it can turn into a life-threatening condition known as End-Stage Renal Disease (ESRD) where life is not sustainable without dialysis or a kidney transplant. Although CKD is prevalent among all populations in the United States, the Hispanic/Latino population suffers the most complications (Desai et al., 2019). In 1973, Congress extended Medicare services to people with ESRD …

Certified Community Behavioral Health (Ccbhc) Outpatient Redesign For Behavioral Health Care, Fatmata Kula Jah

Master's Projects and Capstones

The purpose of this study is to review and utilize components of the Certified Community Behavioral Health Clinic (CCBHC) model to create an outpatient redesign model for behavioral health (without duplicating it). This was accomplished by recommending greater use of, and comprehensive integration of, Peer Support Specialists within the current behavioral health continuum of care by increasing funding for the CCBHC demonstration program through legislative expansion by using Medicaid eligibility. This study also recommends enhanced utilization of technological innovations in order to provide equitable access to populations in rural areas. This will enable CCBHCs to fulfill their mandate of providing …

Expanding The Volunteer Role To Include Advance Care Planning Knowledge, Andrea C. Leomo

Master's Projects and Capstones

Problem: Transition patients at the end-of-life are those patients who are not mentally ready or physically eligible for hospice thus not enrolled in a Palliative or Hospice Program. Only one-third of the Transition patient census had completed and filed advance care plans. Healthcare providers are obligated to perform life-saving measures unless documented otherwise. A lack of advance care planning can create complicated scenarios and cause discordant care incidents.

Context: End-of-life care is a delicate subject to navigate conversations with patients. With holistic care being a large component of hospice and palliative care, it is important to have updated and accurate …

Inclusive Education Is Power: Revising Sexual Health Education For People With Disabilities, Carly M. Tsuruda

Master's Projects and Capstones

For people with disabilities in the United States, comprehensive sexual health education is not always available. There are a number of reasons for the lack of comprehensive sexual health education, including excessive censorship and curriculum that is not representative of people with disabilities. Sexual health education and disability are both topics that have several preconceived notions attached to them, yet there is a dearth in resources that could provide accurate information to those both with and without disabilities. These preconceived notions that have been associated with these identity labels lead to negative health outcomes for people with disabilities such as …

Health Risks Of Herbal Medicine In The Us: Recommendations To Improve Awareness And Advance Safety, Darya Sinkevich

Master's Projects and Capstones

Adults in the U.S. use herbal medicine as an alternative and in conjunction with conventional healthcare, in many cases because of cultural and economic considerations. With insufficient governmental regulation of the content of herbal supplements, and limited education of healthcare providers on the potential risks and benefits consumers can experience unexpected and potentially harmful health impacts from using herbal medicine.

The health risks associated with these products include but are not limited to, herbal and prescription drug interactions and heavy metal toxicity. For this project, a scoping literature review was conducted using multiple databases to identify the prevalence, health risk, …

“Am I Light Enough?”: Mercury Poisoning Due To Skin-Lightening Products, A Policy, And A Culturally Competent Solution, Raven Joyce Redaniel Uayan

Master's Projects and Capstones

Introduction: This paper aims to declare skin-lightening products containing mercury as a public health issue that deserves recognition in health and attention in health policy reforms.

Background and Literature Review: The public health issue analyzed with research and literature review encompasses worldwide mercury poisoning cases, databases of illegal skin-lightening creams, cosmetic safety laws, and policies on online selling platforms. The literature review addresses the existing knowledge regarding mercury in skin-lightening products and identifies the gaps in health policy and awareness surrounding this issue.

Methods: The paper includes many articles analyzing the issue from a global perspective, utilizing …

Supporting Oaxacan Youth Mental Health, Academic Achievement, And Cultural Connection, Itahi Arteaga, Jazminne Orozco Arteaga, Rebecca Heymann

Summer 2023 Virtual OTD Capstone Symposium

Oaxacan Indigenous youth in the U.S. experience generational, cultural, and social conflicts that impact their participation, performance, and well-being, yet there are no occupation-based programs that address their mental health, academic achievement, and cultural connection In San Diego.

The purpose of the capstone project was to develop a culturally-informed occupational therapy program for Oaxacan indigenous youth that will motivate and provide the skills needed to navigate different cultures while encouraging belonging.

Exploring The Post-Surgical Needs Of Guatemalan Children And Their Families From Low Socioeconomic Status (Ses) Communities Using An Occupational Therapy Perspective, Diana Del Carmen Tojin Romero, Karen Aranha, Angela Labrie Blackwell

Summer 2023 Virtual OTD Capstone Symposium

Background: Despite a decline in infant mortality rates in the Global South (GS), there has been a rise in congenital and developmental disabilities. International short-term medical (ISTM) missions in Guatemala seek to address the surgical needs of children from low SES communities, but the understanding of the impacts of such assistance and the post-surgical needs of these communities remains limited. Embracing the Human Rights-Based Approach (HRBA) to healthcare as a foundation for this study recognizes health as a fundamental human right. The main tenets of this approach will guide this investigation to understand the post-surgical needs of children and their …

‘Safe Couch, Safe House’ Program (Scshp): Reducing Exposure To Toxic Flame Retardants For Children In A Low-Income Public Housing At Hunters View, Bayview-Hunters Point, San Francisco., Aliza Khan

Master's Projects and Capstones

Since the 1970s, flame retardants have been used extensively in consumer goods, including furniture, textile, and electronics, to meet California’s flammability standards. (Gibson et al.,2019) Polybrominated Diphenyl Ethers (PBDEs), once the most widely used flame retardants being used in consumer products, were phased out from use in manufacturing as evidence emerged about PBDEs persistence and toxicity. (Hoffman et al.,2017) PBDEs were replaced by Organophosphate Flame Retardants (OPFRs), which has proven to be a case of ‘regrettable substitution’ as exposure to OPFRs is ubiquitous and pervasive in humans due to their volatility and propensity to leach from products into the environment. …

Health Literacy Barriers And Occupation Based Education For Healthcare Providers Serving Hispanic Americans, Serina Subedi, Rocio Alvarenga, Lisa Griggs-Stapleton

Summer 2023 Virtual OTD Capstone Symposium

The purpose of the program was to shed light on addressing health literacy barriers and provide occupation-based education for healthcare providers serving Hispanic Americans, specifically in rural areas. Additionally, the purpose of the program was to close the gap by providing healthcare practitioners with tools and resources to assist in combating the barriers faced to include the lack of occupational therapy services. The pre-and post-survey during the needs assessment helped determine the participant's baseline understanding of various aspects related to health literacy and guided the development of the educational modules and informative resources. Based on the outcomes of the survey, …

The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam

Dissertations

Despite a rapid increase in the older Chinese American adult population, there are very few research studies examining the impact of social determinants of health and acculturation on the quality of life in older Chinese American adults. The purpose of the study was to determine the impact of social determinants of health and acculturation on quality of life in older Chinese American adults with chronic pain. This quantitative, descriptive correlational study utilized Madeleine Leininger’s Transcultural Theory as its theoretical framework. Two research questions guided this study: (1) Was there a difference in the quality of life in older Chinese American …

Neuroimaging Manifestatations In Covid-19 And Its Sequelae, Abhigna M, Vikram Patil

Digital Journal of Clinical Medicine

BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged as a novel pathogenic virus in late 2019, infecting millions of people with severe pulmonary infections. It spread worldwide in a short time and became a pandemic, after which the World Health Organization (WHO) declared it a public health emergency. Central nervous system involvement by COVID-19 is already an established entity in the literature. The aim of this study was to evaluate in detail the acute and delayed neurological manifestations of COVID -19.

RESULTS: COVID-19 infection can cause various neurologic manifestations and imaging findings. The most common neuroradiological abnormality is cerebrovascular …

Prevalence And Factors Associated With Sexual And Reproductive Health Literacy Among Youth Living With Hiv In Uganda: A Cross-Sectional Study, Benedicto Mugabi, Miisa Nanyingi, Richard Kabanda, Juliet Ndibazza, Peter Elyanu, John Baptist Asiimwe, Gorret Nazziwa, Gilbert Habaasa, Adeodata Kekitiinwa

School of Nursing & Midwifery, East Africa

Background

Adequate sexual and reproductive health literacy (SRHL) among young people has been linked to informed sexual behaviours. Studies on SRHL have largely been conducted among the general adolescent population. Little is known about youth aged 15-24 years living with human immunodeficiency virus (YLHIV). There is a possible lack of SRHL in this population, considering the high rate of teenage pregnancies and unprotected sex reported by YLHIV. This study aimed to assess the prevalence and associated personal and environmental factors for SRHL among YLHIV at a high-volume urban HIV Clinic in Uganda.

Methods

Through a cross-sectional survey, YLHIV receiving routine …

Investigation Of Orthohantavirus Genetics In Rodent Reservoirs And Clinical Samples, Samuel Melvin Goodfellow

Biomedical Sciences ETDs

Orthohantaviruses are negative-sense, single stranded RNA viruses with trisegmented genomes that can cause severe disease in humans and are carried by several host reservoirs throughout the world. In the United States, Sin Nombre orthohantavirus (SNV) is the primary cause of hantavirus cardiopulmonary syndrome (HCPS) with a fatality rate of ~36% and the highest cases occuring in the southwest region. The primary SNV host reservoir is thought to be the western deer mouse, Peromyscus maniculatus, however it has been shown that other rodents can carry different orthohantaviruses. We designed a pan-orthohantavirus detection tool to survey several small mammal populations throughout New …

Early Childhood Nutrition Education Implementation Evaluation And Planning: Learn, Grow, Eat & Go!, Alyssa L. Wessling

Capstone Experience: Master of Public Health

The obesity rate among American children aged two to five years old is 12.7% (Centers for Disease Control, 2022), indicating a need for health interventions at this critical life stage. Nebraska Extension’s Nutrition Education Program has identified a need for direct education materials to reach Nebraskans in early childhood. Learn, Grow, Eat & Go! Early Childhood was identified as an appropriate curriculum to be tested in an early childhood intervention pilot. Learn, Grow, Eat & Go! Early Childhood is a newly developed program built upon the foundation of teaching children about healthful foods and physical activity through gardening. An early …

Food Insecurity And Residential Segregation Among Adults In The United States: The National Health And Nutrition Examination Survey 2017- March 2020 Pre-Pandemic Data., Chandre' L. Chaney

Electronic Theses and Dissertations

Food insecurity is when a household has insufficient food supply due to limited economic resources. It is a public health issue that continues to persist. The health, social, and economic impact affects millions of people nationwide. Residential segregation is a primary cause of inequities and health disparities. It shapes the differences in socio-economic conditions between Blacks and Whites living in the U.S. This country is segregated across racial lines in many of our most populated metropolitan cities. Americans worship in different churches, learn in disparate schools, and live in separate neighborhoods. Residential segregation has consequences that impact the economy, professional …

Impact Of A Cancer Education Curriculum On Appalachian Kentucky Middle And High School Students, Lauren Hudson‑Rose, L. Todd Weiss, Nathan L. Vanderford

Markey Cancer Center Faculty Publications

Appalachian Kentucky is disproportionately affected by elevated cancer incidence and mortality rates. This disparity is driven by inequities in health behaviors and social determinants of health including decreased education attainment levels that cause lower health literacy. To increase cancer literacy in the region, a three-part cancer education curriculum was designed for Appalachian Kentucky middle and high school students. This study was designed to evaluate the effect the curriculum had on students’ cancer literacy. The curriculum lessons were disseminated to Appalachian Kentucky middle and high school teachers who engaged 223 students with the material. For each lesson, students filled out a …

The Relationship Between Congenital Heart Disease And Infant Mortality In Low- And Middle-Income Countries: A Comprehensive Literature Review, Helen Nneoma Odo

Capstone Experience: Master of Public Health

Congenital heart diseases (CHD) are conditions that are present at birth and can affect the structure of an infant’s heart and the way it works. Millions of children are born each year with congenital heart disease yet screening for CHD is not practiced in Low- and Middle-income countries (LMICs). Studies on access to healthcare for infants with congenital heart disease have not kept pace. This literature review centers on the role of congenital heart disease in infant mortality, its burden, incidence and prevalence in LMICs. The databases of PubMed, Google Scholar and Embase were searched and the selected articles for …

The Power Of A Story: How Emotions And Numeracy Affect Parental Decisions About The Human Papillomavirus Vaccine, Candice Fawn Coffman

Open Access Theses & Dissertations

The Human Papillomavirus (HPV) is the most common sexually transmitted infection (CDC, 2021). There are two strains of HPV known for causing cervical, penile, anal, vaginal, and oropharynx (throat) cancers (CDC, 2020). A vaccine is available to prevent these cancer-causing strains of HPV for individuals between the ages of 9-45. Unfortunately, vaccination uptake and completion rates are below the recommended rates to achieve herd immunity. A primary barrier to vaccination is concern about potential adverse events following vaccination. The purpose of the present study is to examine the influence of anecdotal versus statistical information on parents' intentions to vaccinate their …

Examining The Association Between Emotional Intelligence, Meaning In Life, Stress, And Burnout Among Preâ??Medical Students In The United States, Nayla Paulina Paulina Bejarano Chacon

Open Access Theses & Dissertations

Background and significance: The Association of American Medical Colleges (AAMC) has estimated that by 2034 there will be a physician shortage of around 124,000 physicians. With burnout being one of the main drivers, it is crucial to assess it. Burnout is characterized by high levels of emotional exhaustion and cynicism and low levels of academic efficacy.There has been substantial research on burnout among healthcare providers across different levels of training; however, few studies have examined burnout among undergraduate students who wish to pursue a graduate degree in healthcare. Given the shortage of healthcare providers in the United States, it is …

Effectiveness Of Amiodarone, Propafenone And Synchronized Electrical Cardioversion For Conversion Of Atrial Fibrillation Paroxysm To Sinus Rhythm In Rigas Stradins University Hospital Department Of Emergency Medicine., Mihails Tracevskis

Digital Journal of Clinical Medicine

Abstract

Introduction: Atrial fibrillation remains a pervasive global health concern, contributing significantly to the incidence of stroke, heart failure, sudden death, and overall cardiovascular morbidity.

Materials and methods: The present study undertook a retrospective analysis involving a meticulous examination of 127 patients, representing a diverse cohort of individuals encompassing 73 men (with a median age of 62 and a range of 37-75) and 54 women (with a median age of 60 and a range of 42-78) duration of atrial fibrillation 48 hours or less.

Results: The results highlighted amiodarone's remarkable efficiency, as it successfully converted 81.2% of cases (56 …

Sideffect Gameplan: Development Of An Alcohol And Other Drug Serious Game For High School Students Using A Systematic And Iterative User-Centred Game Development Framework, Joanna Nicholas, Brennen Mills, Sara Hansen, Stephen J. Bright, Joseph Scott, Imogen Ridout, Jess Watson, Heather Boyd, Luke Brook, Luke Hopper

Research outputs 2022 to 2026

Serious games have shown to be effective in improving motivation to learn, knowledge and retention, thus are being increasingly used for alcohol and other drug (AOD) education. This paper outlines the development of an online AOD serious game for in-class use by Australian secondary school teachers for students in Years 9–10. Adapted from Edwards et al. (2018), the seven-step systematic and iterative user-centred development framework included: (1) Forming an expert multidisciplinary design team, (2) Defining the problem and establishing user preferences, (3) Incorporating the evidence base, (4) Serious game design, (5) Incorporating behavioural and psychological theory, (6) Developing a logic …

Smallholder Farmers’ Health, Occupational Nutrition, And Sustainable Agriculture, Jen Fuk Liem

Occupational and Environmental Medicine Journal of Indonesia

Smallholder Farmers’ Health, Occupational Nutrition, and Sustainable Agriculture

The Vigilance Screening Tool In The Workplace: Scoping Review, Iwan Sugiarta, Dewi Yunia Fitriani, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

VIGILANCE SCREENING TOOLS IN THE WORKPLACE: SCOPING REVIEW

ABSTRACT

Background: Vigilance performance examination is currently used widely in many disciplines, neurophysiology, sleep medicine, psychology to its application to workers whose daily activities require prime vigilance. A more objective inspection of vigilance has not yet become a routine screening examination for workers to detect decreased vigilance as part of a fit-to-work assessment, but only in the form of research / study using a partial sampling technique. The aim is to provide an overview of vigilance screening tools in the workplace, its terminologies and how the process of maintaining quality such …

Examining The Chelating Effectiveness Of Dimercaptosuccinic Acid And Ethylenediaminetetraacetic Acid Calcium Disodium In Patients With Lead Poisoning : An Evidence-Based Case Report, Heru Alfares, Reza A. Rafsanzani, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Evidence Based Case Report:

Examining the Chelating Effectiveness of Dimercaptosuccinic Acid and Ethylenediaminetetraacetic acid Calcium Disodium in Patients with Lead Poisoning

Heru Alfares¹, Reza A. Rafsanzani¹, Muchtaruddin Mansyur²

¹ Occupational Medicine Specialist Study Program, Faculty of Medicine, Universitas Indonesia, Jakarta,

² Dept. of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta,

ABSTRACT

Background: Lead environmental and occupational exposures harm workers’ health, both acute and chronic lead poisoning. Chelation therapy is one of the treatments for lead poisoning using several chelating agents available, including ethylenediaminetetraacetic acid (EDTA), dimercaptosuccinic acid (DMSA), dimercaptopropanesulfonate (DMPS), and 2,3-dimercaptopropanol …

Correlation Of Plasma Melatonin Concentration And Alertness Level Among Female Nurses In Jakarta Indonesia, Andreas Kresna, Liem Jen Fuk, Indah Suci Widyahening, Dewi Sumaryani Soemarko, Dewi Yunia Fitriani

Occupational and Environmental Medicine Journal of Indonesia

Background

Working in shift especially night shift could alter alertness level, increase fatigue, and working accident. One of the factors that affect the circadian rhythm were melatonin. Melatonin was a hormone that regulate the wake and sleep cycle that have an impact on alertness levels. This study was aimed to find correlation between plasma melatonin and alertness level.

Methods

A cross-sectional study was conducted on 40 female night shift nurses. Individual characteristics were obtained by self-administered questionnaire. Plasma melatonin concentrations and alertness level was collected twice at night time (11 pm – 00 am) and at morning (7 am − …

Editorial, Al Asyary

Kesmas

No abstract provided.

The Influence Of The Covid-19 Pandemic On Physical Growth And Personal Hygiene Of Adolescents, Ruslan Halifu, Ahmad Amiruddin, Wa Ode Nesya J Samrida, Wa Ode Sitti Justin, Selvi Mayang Sari, Sudirman Pabokori

Kesmas

The COVID-19 pandemic has influenced the community's lifestyle, including adolescents’ behavior. One aspect majorly affected was physical growth, which encompasses several areas, including nutritional status and personal hygiene. Maintaining the quality of physical growth is very important, even beyond the pandemic. Therefore, this study aimed to determine the influence of the COVID-19 pandemic on adolescents' nutritional status and personal hygiene. A literature review method was used through a bibliometric and content analysis of publications obtained from databases such as Google Scholar. The articles obtained were classified by publication year, study location, keywords, and journal titles. Based on the literature search, …

Kangaroo Mother Care In Improving Thermoregulation Of Premature Babies During The Covid-19 Pandemic: A Case Report, Ari Damayanti Wahyuningrum, Yuni Sufyanti Arief, Rizki Fitriyasari Pk, Chui Ping Lei, Rinik Eko Kapti

Kesmas

Premature babies lose four times more heat than those with sufficient birth weight. Moreover, their body temperature regulation center does not function properly. This study aimed to investigate Kangaroo Mother Care's effect in increasing premature babies' thermoregulation during the COVID-19 pandemic at Hospital A in Malang City, Indonesia. This study was a case report with data from follow-up checks on premature babies discharged from the hospital. The Kangaroo Mother Care method, carried out by the mother, increased the thermoregulation of premature babies' temperature by 0.2ᴼC compared to the father. It was because women have a slightly higher body temperature than …