Social and Behavioral Sciences Commons^™

Cost Estimates Of Foundational Public Health Capabilities: Pilot Test Results Of An Expert Consensus Methodology In Kentucky, C. B. Mamaril, Glen P. Mays

Health Management and Policy Presentations

The Institute of Medicine's 2012 report on U.S. public health financing recommended research to identify the components and costs of a "minimum package" of public health services and foundational capabilities to be made available in every U.S. community. We present results from pilot testing of a proposed methodology for estimating the costs and resource requirements for a set of foundational public health capabilities identified by the Public Health Leadership Forum. Using pilot data from Kentucky public health settings, we estimate both current and projected costs under a range of assumptions about the resources required to fully implement the capabilities at …

Ending Failures, Showing Results, Improving Population Health: Insights From Research & Reform In The U.S., Glen P. Mays

Health Management and Policy Presentations

A growing body of empirical research supports the value of aligning the delivery systems for public health, medical care, and social services for populations with shared needs and risk factors. This presentation reviews selected studies from the field of public health services & systems research (PHSSR) in the U.S. that suggest pathways for achieving greater system alignment in the Canadian context.

How Can Public Health Economics Help Health Systems Focus Upstream?, Glen P. Mays

Health Management and Policy Presentations

Research on the health and economic impact of public health strategies can help newly evolving health care delivery systems focus on upstream health determinants and make evidence-informed decisions about resource allocation across the prevention-treatment spectrum. Examples from research underway in the U.S. have particular relevance for Canada's evolving regional health authorities and their integrated approaches to medical care and public health delivery.

The P38alpha Mitogen-Activated Protein Kinase Limits The Cns Proinflammatory Cytokine Response To Systemic Lipopolysaccharide, Potentially Through An Il-10 Dependent Mechanism, Adam D. Bachstetter, Bin Xing, Linda J. Van Eldik

Sanders-Brown Center on Aging Faculty Publications

BACKGROUND: The p38α mitogen-activated protein kinase (MAPK) is a well-characterized intracellular kinase involved in the overproduction of proinflammatory cytokines from glia. As such, p38α appears to be a promising therapeutic target for neurodegenerative diseases associated with neuroinflammation. However, the in vivo role of p38α in cytokine production in the CNS is poorly defined, and prior work suggests that p38α may be affecting a yet to be identified negative feedback mechanism that limits the acute, injury-induced proinflammatory cytokine surge in the CNS.

METHODS: To attempt to define this negative feedback mechanism, we used two in vitro and two in vivo models …

Tougher Than Rocket Science, Or Just Messier? Using Research To Improve U.S. Public Health Delivery, Glen P. Mays

Health Management and Policy Presentations

Advances in the field of public health services & systems research (PHSSR) are incorporating complexity in theory and methods to derive strong inferences about the health and economic effects attributable to public health strategies. Opportunities for comparative international research in Canada and the U.S. promise to strengthen these avenues of inquiry.

Ohms Changes Everything: The Impact Of Ohms On The Nunn Center For Oral History, Kopana Terry

Library Presentations

No abstract provided.

Archives And Preservation Technical Talk: Introduction And Legal And Copyright Issues In Archives, Ruth E. Bryan

Library Presentations

The Association of Earth Science Editors held their annual meeting at the University of Kentucky in October 2014. They requested a technical talk on archives and preservation topics. A group of co-presenters organized by Ruth Bryan conducted a survey of the membership (results in the Introduction) and crafted 30-minute presentations on individual topics. Included in this paper is the Introduction and the Legal (property rights/donor restrictions) and Copyright (intellectual rights) presentation of the technical talk.

Public Health Services Research: Informing Public Health Practice & Policy, Glen P. Mays

Health Management and Policy Presentations

Heterogeneity in the mechanisms used for organizing and financing public health strategies creates opportunities for comparative effectiveness research (CER) in public health that examine which organization and financing mechanisms work best, for whom, and under what circumstances. Findings from these types of studies have direct utility in shaping public health policy and practice decisions.

Self-Reported Memory Complaints: Implications From A Longitudinal Cohort With Autopsies, Richard J. Kryscio, Erin L. Abner, Gregory E. Cooper, David W. Fardo, Greg A. Jicha, Peter T. Nelson, Charles D. Smith, Linda J. Van Eldik, Lijie Wan, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

OBJECTIVE: We assessed salience of subjective memory complaints (SMCs) by older individuals as a predictor of subsequent cognitive impairment while accounting for risk factors and eventual neuropathologies.

METHODS: Subjects (n = 531) enrolled while cognitively intact at the University of Kentucky were asked annually if they perceived changes in memory since their last visit. A multistate model estimated when transition to impairment occurred while adjusting for intervening death. Risk factors affecting the timing and probability of an impairment were identified. The association between SMCs and Alzheimer-type neuropathology was assessed from autopsies (n = 243).

RESULTS: SMCs were …

Laboratories And The Value Stream Of Next-Generation Public Health, Glen P. Mays

Health Management and Policy Presentations

Public health laboratories are the information engines for public health agencies and delivery systems. Measuring the value stream that flows from this information can support objective assessments of the health and economic benefits attributable to laboratory infrastructure and information.

Governmental Public Health And The Economics Of Adaptation To Population Health, Glen P. Mays

Health Management and Policy Presentations

Research on the organization and financing of public health strategies offers valuable insight for governmental public health agencies seeking to adapt to a population health improvement perspective under health system reform.

The Veil, Desire, And The Gaze: Turning The Inside Out, Banu Gökarıksel, Anna Secor

Geography Faculty Publications

In psychoanalytically inflected scholarship, the veil is often understood to remove women from the field of the gaze. Our analysis offers a different understanding of the interplay between the veil, the gaze, and the subject by showing that the veil in fact is visible and that this visibility and its governance are part of the formation of pious, desiring subjects. The question of the gaze is especially pertinent to what we call “veiling fashion” (that is, stylish combinations of the headscarf with a range of clothing items, which variably adhere to an Islamic code of modesty). In 2009 we conducted …

Cyberspace Knowledge Gaps And Boundaries In Sustainability Science: Topics, Regions, Editorial Teams And Journals, Stanley D. Brunn

Geography Faculty Publications

The scholarly world of sustainability science is one that is international and interdisciplinary, but is one, on close reading of research contributions, editoral teams, journal citations, and geographic coverage, that has much unevenness. The focus of this paper is on the cyberspace boundaries between and within fields and disciplines studying sustainability; these boundaries separate knowledge gaps or uneven patterns in sustainability scholarship. I use the volume of hyperlinks on Google Search Engine and Google Scholar to illustrate the nature and extent of the boundaries in cyberspace that exist and also the subject and geographic gaps in the home countries of …

Southeastern Law Librarian Fall 2014, Seaall

Newsletters

No abstract provided.

Chess Improves Cancer Caregivers' Burden And Mood: Results Of An Ehealth Rct, Lori L. Dubenske, David H. Gustafson, Kang Namkoong, Robert P. Hawkins, Amy K. Atwood, Roger L. Brown, Ming-Yuan Chih, Fiona Mctavish, Cindy L. Carmack, Mary K. Buss, Ramaswamy Govindan, James F. Cleary

Community & Leadership Development Faculty Publications

OBJECTIVE: Informal caregivers (family and friends) of people with cancer are often unprepared for their caregiving role, leading to increased burden or distress. Comprehensive Health Enhancement Support System (CHESS) is a Web-based lung cancer information, communication, and coaching system for caregivers. This randomized trial reports the impact on caregiver burden, disruptiveness, and mood of providing caregivers access to CHESS versus the Internet with a list of recommended lung cancer websites.

METHODS: A total of 285 informal caregivers of patients with advanced nonsmall cell lung cancer were randomly assigned to a comparison group that received Internet or a treatment group that …

The Safety Of Women On College Campuses: Implications Of Evolving Paradigms In Postsecondary Education [October 2014], Carol E. Jordan

Psychology Faculty Publications

No abstract provided.

[Review Of] The Quality Infrastructure: Measuring, Analyzing, And Improving Library Services, Jennifer A. Bartlett

Library Faculty and Staff Publications

No abstract provided.

[Review Of] The New Faces Of American Poverty: A Reference Guide To The Great Recession, Jennifer A. Bartlett

Library Faculty and Staff Publications

No abstract provided.

Aging In Rural Appalachia: Perspectives From Geriatric Social Service Professionals, Natalie D. Pope, Diane N. Loeffler, D. Lee Ferrell

Social Work Faculty Publications

This paper uses qualitative methodology to explore the experience of growing old in rural Appalachia. Given the growing population of older adults seeking and utilizing services, it is important to understand the challenges and specific needs related to aging. Within the context of rural Appalachia, these challenges and needs may be different than those in urban areas or areas outside of the region itself. From interviews with 14 geriatric service providers in rural southeast Ohio, the authors were able to identity three prevalent themes associated with aging in rural North Central Appalachia: scarcity of resources, valuing neighbors and family, and …

Examining The Associations Of Racism, Sexism, And Stressful Life Events On Psychological Distress Among African-American Women, Danelle Stevens-Watkins, Brea Perry, Erin L. Pullen, Jennifer Jewell, Carrie B. Oser

Educational, School, and Counseling Psychology Faculty Publications

African-American women may be susceptible to stressful events and adverse health outcomes as a result of their distinct social location at the intersection of gender and race. Here, racism and sexism are examined concurrently using survey data from 204 African-American women residing in a southeastern U.S. urban city. Associations among racism, sexism, and stressful events across social roles and contexts (i.e., social network loss, motherhood and childbirth, employment and finances, personal illness and injury, and victimization) are investigated. Then, the relationships among these stressors on psychological distress are compared, and a moderation model is explored. Findings suggest that racism and …

Straight From The Horse’S Mouth: Making Oral History Interviews Accessible, Judy Sackett, Kopana Terry

Library Presentations

The Louie B. Nunn Center for Oral History, University of Kentucky Libraries, contains a collection of nearly 9,000 interviews. The presenters will describe the collection, highlighting some of the major projects that may be of particular interest to library users. Oral history interviews can be a valuable source of information for both scholarly and family researchers. Learn how access to these collections is continuously improving.

A Collaborative Approach To Teaching Information Literacy In First-Year Agriculture Courses, Jason Keinsley, Beth Reeder, Lauren Robinson, Melinda Borie

Library Presentations

We will discuss our redesign of the information literacy component of the first-year general agriculture course at the University of Kentucky. More specifically, we will share how we are customizing content to meet individual instructor needs by team teaching, providing more active learning opportunities, and adapting our pedagogical toolkit. Challenges include varying numbers of sessions requested per course section, location disparities, and time constraints.

Technology Telling Stories: Library Instruction Perspectives From An Information Literacy Librarian And An Archivist, Beth Fuchs, Jaime Marie Burton

Library Presentations

Connecting with today’s undergraduates requires more than just a demonstration of technology, tasks, and procedures – it also requires capturing their imaginations, emotions, and feelings. Telling stories with technology connects real world, tangible experiences with abstract ideas and research methods, therefore getting students to care about what they are researching and invest in not just the topic, but in cultivating their own habits of mind.

Con: Are We Ready To Translate Alzheimer's Disease-Modifying Therapies To People With Down Syndrome?, Elizabeth Head, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

BACKGROUND: Adults with Down syndrome develop Alzheimer's disease neuropathology in an age-dependent manner. This unique feature provides an opportunity to test interventions targeted for prevention of Alzheimer's disease neuropathology and dementia in Down syndrome.

DISCUSSION: In considering clinical trial designs, however, there are several challenges that we believe will be critical to examine further. These include: accuracy in dementia, mild cognitive impairment and preclinical Alzheimer's disease diagnoses in Down syndrome; clinical trial outcome measures appropriate for individuals with Down syndrome; in vivo imaging outcome measures (and practical considerations); and contributions of medical co-morbidities to disease progression. Also, when studies are …

Calcineurin And Glial Signaling: Neuroinflammation And Beyond, Jennifer L. Furman, Christopher M. Norris

Sanders-Brown Center on Aging Faculty Publications

Similar to peripheral immune/inflammatory cells, neuroglial cells appear to rely on calcineurin (CN) signaling pathways to regulate cytokine production and cellular activation. Several studies suggest that harmful immune/inflammatory responses may be the most impactful consequence of aberrant CN activity in glial cells. However, newly identified roles for CN in glutamate uptake, gap junction regulation, Ca²⁺ dyshomeostasis, and amyloid production suggest that CN's influence in glia may extend well beyond neuroinflammation. The following review will discuss the various actions of CN in glial cells, with particular emphasis on astrocytes, and consider the implications for neurologic dysfunction arising with aging, injury, …

Using A Train-The-Trainer Model And Active Learning To Reach Biology Freshmen, Valerie E. Perry, Beth Reeder, Melinda Borie

Library Presentations

Using the train-the-trainer model as our foundation, we created a new information literacy program in an introductory lab course. We will describe the program’s development, implementation, and evolution since first implemented in Spring Semester 2013.We also will share the advantages of using the train-the-trainer model in an information literacy program, particularly regarding its potential to reduce librarians’ time commitment and help librarians build lasting relationships with teaching faculty and graduate students.

Assessing The Relationships Between Perceived Support From Close Others, Goal Commitment, And Persistence Decisions At The College Level, Renee E. Strom, Matthew W. Savage

Communication Faculty Publications

Research on supportive communication was examined in relation to students’ goals of earning a college degree and their intent to persist. Theories of student departure (Bean, 1985; Tinto, 1993) informed research questions assessing the impact of how social support from family members and friends affected commitment to the goal of graduation and how commitment to the goal of graduation influenced intent to persist. First-year college students completed a questionnaire at 2 time points during their first year of college. Results revealed that initial support from family and friends positively impacted initial commitment to the goal of graduation. Subsequent support from …

Online Deception In Social Media, Michail Tsikerdekis, Sherali Zeadally

Information Science Faculty Publications

The unknown and the invisible exploit the unwary and the uninformed for illicit financial gain and reputation damage.

Paternal Incarceration And Children's Food Insecurity: A Consideration Of Variation And Mechanisms, Kristen Turney

University of Kentucky Center for Poverty Research Discussion Paper Series

Despite growing attention to the unintended consequences of paternal incarceration for children’s wellbeing across the life course, little is known about whether and how paternal incarceration is related to food insecurity among children, an especially acute and severe form of deprivation. In this article, I use data from the Fragile Families and Child Wellbeing Study, a cohort of children born to mostly unmarried mothers, to examine the relationship between paternal incarceration and three indicators of food insecurity among young children: current food insecurity (at age five), onset of food insecurity (between ages three and five), and exit from food insecurity …

Childhood Stress: A Qualitative Analysis Of The Intergenerational Circumstances Of Child Hunger, Mariana Chilton, Molly Knowles

University of Kentucky Center for Poverty Research Discussion Paper Series

Adverse Childhood Experiences (ACEs), including abuse, neglect, and household instability, affect lifelong health and economic potential. While relationships between household food insecurity and caregiver’s childhood exposure to abuse and neglect are underexplored, preliminary evidence indicates that caregivers reporting very low food security report traumatic events in their childhoods that lead to poor physical and mental health. Building on this evidence, this study investigates how adverse childhood experiences are associated with the intergenerational transmission of household food insecurity.