Community Health and Preventive Medicine Commons^™

Change In Quality Of Life After A Cancer Diagnosis Among A Nationally Representative Cohort Of Older Adults In The Us, R. M. Schwartz, K. A. Ornstein, B. Liu, N. Alpert, K. G. Bevilacqua, E. Taioli

Journal Articles

No abstract provided.

Comorbidities In A Sample Of Adults With Hiv In Puerto Rico: An Exploratory Study., Carlos E. Rodríguez-Díaz, Edda I Santiago-Rodríguez, Gerardo G Jovet-Toledo, Jorge Santana-Bagur, Yemile Ron-Suarez, Juan C Orengo, Felipe Arbelaez, Homero Monsanto

Prevention and Community Health Faculty Publications

Background: Puerto Rico is among the areas with the highest estimated rates of people living with HIV in the United States. Despite the epidemiologic data available, there is limited real-world information that can help understand the comorbidities of people with HIV. In this study, we describe common comorbidities among adults with HIV attending treatment clinics in Puerto Rico.

Methods: An exploratory, retrospective, cross-sectional study was conducted at five HIV clinics in Puerto Rico. A random sample of medical records was reviewed. Descriptive statistics were used to summarize patient demographics, morbidity, and clinical characteristics. Multivariate analyses were conducted to explore comorbidities …

Malaria Care-Seeking Behaviour Among Hiv-Infected Patients Receiving Antiretroviral Treatment In South-Eastern Nigeria: A Cross-Sectional Study., Uchechukwu M Chukwuocha, Gregory N Iwuoha, Geoffrey C Nwakwuo, Peter K Egbe, Chidinma D. Ezeihekaibe, Christopher P Ekiyor, Ikechukwu N S Dozie, Sahai Burrowes

This study assesses malaria prevention and treatment behaviour among people living with HIV/AIDS (PLWHA) in Owerri, South Eastern Nigeria. Although Nigeria bears one of the world's largest burdens of both malaria and HIV, there is almost no research studying how co-infected patients manage their care. We systematically sampled 398 PLWHA receiving care at Imo State Specialist Hospital and the Federal Medical Centre in Owerri to complete a structured, pre-tested questionnaire on malaria care-seeking behaviour. Descriptive statistics were reported and chi-square tests and multivariate logistic regressions were also used. The majority of HIV-infected patients (78.9%) reported having had an episode of …

The Evidence Of Human Exposure To Glyphosate: A Review, C. Gillezeau, M. Van Gerwen, R. M. Shaffer, I. Rana, L. Zhang, L. Sheppard, E. Taioli

Journal Articles

© 2019 The Author(s). Background: Despite the growing and widespread use of glyphosate, a broad-spectrum herbicide and desiccant, very few studies have evaluated the extent and amount of human exposure. Objective: We review documented levels of human exposure among workers in occupational settings and the general population. Methods: We conducted a review of scientific publications on glyphosate levels in humans; 19 studies were identified, of which five investigated occupational exposure to glyphosate, 11 documented the exposure in general populations, and three reported on both. Results: Eight studies reported urinary levels in 423 occupationally and para-occupationally exposed subjects; 14 studies reported …

Transfer Of Extracellular Vesicle-Associated-Rnas Induces Drug Resistance In Alk-Translocated Lung Adenocarcinoma, H. H. Kwok, Z. Ning, P. W. Chong, T. S. Wan, M. H. Ng, G. Y. Ho, M. S. Ip, D. C. Lam

Journal Articles

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Anaplastic lymphoma kinase (ALK) translocation is an actionable mutation in lung adenocarcinoma. Nonetheless tumour consists of heterogeneous cell subpopulations with diverse phenotypes and genotypes, and cancer cells can actively release extracellular vesicles (EVs) to modulate the phenotype of other cells in the tumour microenvironment. We hypothesized that EVs derived from a drug-resistant subpopulation of cells could induce drug resistance in recipient cells. We have established ALK-translocated lung adenocarcinoma cell lines and subclones. The subclones have been characterized and the expression of EV-RNAs determined by quantitative polymerase chain reaction. The effects of …

Implementing The Summer Food Service Program Within The Healthcare Setting, Laura M. Plencner, Margo Quiriconi, Sarah Sentmore, Molly Krager

Posters

The Summer Food Service Program was established to ensure that children continue to receive adequate nutrition while school is out. This poster describes how the program was implemented in the Children's Mercy Kansas City healthcare system from 2016-2018.

Smoking Tobacco Prevalence Among College Students In The Kingdom Of Saudi Arabia: Systematic Review And Meta-Analysis, Saad A. Alotaibi, Mohammed A. Alsuliman, Praveen K. Durgampudi

Community & Environmental Health Faculty Publications

INTRODUCTION:

During the last two decades, several studies have been published regarding the prevalence of tobacco smoking among college students in the Kingdom of Saudi Arabia (KSA). This systematic review and meta-analysis is intended to determine and examine the smoking prevalence in Saudi college students from 2010-2018.

METHODS:

PubMed, Science Direct, APA PsycNET, Web of Science, and CINAHL were used to search for published articles reporting the smoking prevalence among Saudi college students. After eliminating irrelevant articles, investigators independently assessed the quality of each article, based on Russell & Gregory guidelines. MetaXL software was used to calculate the pooled prevalence …

Family-Based Intervention For Patients With Type 2 Diabetes Via Wechat In China: Protocol For A Randomized Control Trial, Linqi Mao, Jun Lu, Qi Zhang, Yuxi Zhao, Gang Chen, Mei Sun, Fengshui Chang, Xiaohong Li

Community & Environmental Health Faculty Publications

Background

China has the largest number of cases of diabetes with a high rate of uncontrolled blood sugar. Many studies show that family members’ involvement is related to better glycemic control. However, there is a significant problem with low participation of family members. The widespread use of WeChat provides an opportunity for family members to support their diabetic loved ones in their type 2 diabetes self-management practices. The main aim of this study is to examine the effectiveness of a family-based intervention via WeChat.

Methods

A parallel, two-group, randomized controlled trial will be conducted in the central urban area of …

Toxic Environmental Risk Factors For Alzheimer's Disease: A Systematic Review, Oluwaseyi Olayinka, Olaniyi O. Olayinka, Brook T. Alemu, Muge Akpinar-Elci, George T. Grossberg

Community & Environmental Health Faculty Publications

There is growing evidence of a possible association between toxic environmental factors and Alzheimer’s disease (AD), a disabling neurodegenerative condition with no known cause. Previous reviews of toxic environmental factors for AD either focused on occupational exposures or used a non-systematic methodology. The objective of this systematic review is to assess the evidence on the link between AD and exposure to a variety of toxic environmental risk factors beyond the work environment. Structured database search was used to identify relevant studies. Twenty-nine eligible studies examining the effect of various toxic environmental agents including electromagnetic fields, solvents, pesticides, toxic metals, and …

Ua66/14/4 Ogden College Of Science & Engineering Nursing Allied Organizations, Wku Archives

WKU Archives Collection Inventories

Allied organizations associated with the Nursing Department including the Kentucky Partnership for Farm Family Health & Safety.

Development Of A Quantitative Measure Of Community Readiness For Change, Drew Hicks

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Introduction: Recruiting community involvement in public health interventions is often met with varying degrees of success. Attitudes, resources, and leadership all impact a community’s ability to effect change. Being able to assess community readiness for change is vital to the successful adoption of any health or wellness initiative. Past efforts in measuring community readiness have been largely limited. This study reports on the development and validation of a survey measuring community readiness to change for health and wellness in the college campus community.
Objective: To develop an instrument capable of measuring the attitudes and ability of a college campus …

For All Children Everywhere: Community Benefit Report 2018, Children's Mercy Hospital

Community Benefits

Fiscal year report on the community benefit provided by Children's Mercy Kansas City to the communities in the Kansas City region.

Partner Build Grow: Resources To Sustain Partnerships And Advance Prevention Initiatives, Evelyn Frankford, Rachel Sadlon, Olga Acosta Price, Linda Sheriff

Prevention and Community Health Faculty Publications

Alignment of programs, practices, and policies by practitioners at the state and local levels can create health-promoting environments for all children. Such alignment, guided by principles of prevention science and public health, can enhance school–community partnerships involved with the mental, emotional, and behavioral well-being and positive development of children and youth. The key to success of such prevention approaches is sustaining the work over time. Partner Build Grow, an online Action Guide, supports sustainability through cross-sector collaborations and systems change to create school– community environments that promote equity. Informed by local and national experts along with field experience and application …

The Use Of Mobile Healthcare Clinics To Expand Access To Underserved Populations: A Rapid Review, Alejandro Jimenez

Undergraduate Honors Theses

Access and utilization of health care is essential for the maintenance of overall health and prevention of chronic diseases. Several factors contribute to healthcare access disparities, including race, ethnicity, poverty, and rurality. Mobile healthcare clinics can be used to travel to medically underserved areas and reduce healthcare disparities. This rapid review examined the scope and impact of mobile healthcare units, and their use in reducing healthcare disparities. The exploration was done in 4 stages (1) identification of existing and relevant research studies, (2) selection of studies using prespecified eligibility criteria, (3) extraction of data from collected studies, and (4) summarization …

Experiences Of Formal Caregivers Providing Dementia Care To American Indians, Damon Grew Peter Syphers, C.J. Schumaker, Ronald P. Hudak

Journal of Sustainable Social Impact

Alzheimer’s disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest aging populations in the United States and the smallest, most underrecognized, and most culturally diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study …

Assessment Of Perceived Levels Of Stress And Coping Mechanisms Among University Students, Nancy Adomako-Saahene

All Graduate Theses, Dissertations, and Other Capstone Projects

Majority of researchers have documented stress among college students. This study contributes to the existing literature on stress by assessing the relationship between perceived stress levels and the coping strategies utilized by university students. The study was conducted using a descriptive, inferential, cross-sectional, and correlational research design. The population for this study was students at a large, Midwestern university. A convenience sampling technique was used to select the students for the study. Perceived Stress Scale (PSS) was used to assess the participant’s perceived level of stress, whereas COPE Inventory was used to examine strategies participants use in coping with stress. …

The Association Between Health-Related Fitness And Physical Activity During Weekdays: Do Fit Students Exercise More After School?, Dehong Yang, Xihe Zhu, Justin A. Haegele, Patrick B. Wilson, Xueping Wu

Human Movement Studies & Special Education Faculty Publications

Physically active students are more likely to be fit and learn better in school than sedentary ones. For school-aged children, it is unclear whether physical fitness level is an important determinant for student's activity afterschool. This study examined the association between health-related physical fitness test performance and afterschool physical activity during weekdays. Participants (n = 97, 11-13 years old) completed health-related fitness tests. They wore Actigraph GT3X accelerometers for five consecutive days, recording physical activity participation during after school hours. Descriptive statistics for both afterschool physical activity and health-related fitness were summarized. Regression analyses were conducted to determine the association …

Let Me Upgrade You: Common Measures In Public Health Accreditation Action Plans, Gurleen K. Roberts

College of Graduate Studies: Theses & Dissertations

Objectives: The purpose of this study is to understand the success rates for health departments pursuing and achieving accreditation in version 1.0 and 1.5 of the Public Health Accreditation Board (PHAB) standards and measures. During the accreditation process, health departments that present performance gaps are asked to complete an Action Plan to specify how they plan to improve to meet the desired conformity. This study will highlight specific measures that are often included in Action Plans so that health departments pursuing accreditation can be better prepared to address these common pitfalls.

Methods: This study is a non-experimental, secondary …

Meaning And Hope In Health Behavior Change: An Examination Of Health Coaching For Individuals With Disabilities, Krys Standley

Graduate Student Theses, Dissertations, & Professional Papers

Introduction:In an effort to expand the reach of health-promotion efforts for people with disabilities, a one-on-one health promotion intervention titled Health My Way was piloted. This intervention incorporated health coaching and health-promotion curriculum designed specifically for people with disabilities.

Purpose:The intervention was evaluated for its effects on health behavior change. Additionally, personal sense of meaning and hope were examined as potential mechanisms of influence in the hypothesized behavior change process.

Methodology:A convergent-parallel mixed-methods research design was used to examine the research questions. Pre- and post-intervention surveys were used to evaluate changes in levels of meaning, hope, and …

Model-Based Methods To Translate Adolescent Medicine Trials Network For Hiv/Aids Interventions Findings Into Policy Recommendations: Rationale And Protocol For A Modeling Core (Atn 161), Anne M. Neilan, Kunjal Patel, Allison L. Agwu, Ingrid V. Bassett, K. Rivet Amico, Catherine M. Crespi, Aditya H. Gaur, Keith J. Horvath, Kimberly A. Powers, H. Jonathon Rendina, Lisa B. Hightow-Weidman, Xiaoming Li, Sylvie Naar, Sharon Nachman, Jeffrey T. Parsons, Kit N. Simpson, Bonita F. Stanton, Kenneth A. Freedberg, Audrey C. Bangs, Michael G. Hudgens, Andrea L. Ciaranello

Publications and Research

BACKGROUND: The United States Centers for Disease Control and Prevention estimates that approximately 60,000 US youth are living with HIV. US youth living with HIV (YLWH) have poorer outcomes compared with adults, including lower rates of diagnosis, engagement, retention, and virologic suppression. With Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) support, new trials of youth-centered interventions to improve retention in care and medication adherence among YLWH are underway.

OBJECTIVE: This study aimed to use a computer simulation model, the Cost-Effectiveness of Preventing AIDS Complications (CEPAC)-Adolescent Model, to evaluate selected ongoing and forthcoming ATN interventions to improve viral load suppression …