• Endothelial Mineralocorticoid Receptor Deletion Ablates Leptin-Induced Preeclampsia Characteristics in Pregnancy

      Wright, Derrian; Kennard, Simone; Antonova, Galina; Jaffe, Iris Z; Belin de Chantemele, Eric J; Faulkner, Jessica L; Vascular Biology Center (Augusta Univ.); Melecular Cardiology Research Institute (Tufts University) (Augusta University Libraries, 2021-05)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.
    • Engaging African Americans in developing an intervention to reduce breast cancer recurrence: A brief report

      Smith, Selina A.; Whitehead, Mary S.; Sheats, Joyce Q.; Fontenot, Brittney; Alema-Mensah, Ernest; Ansa, Benjamin E.; Augusta University (Georgia Public Health Association, 2016)
      Background: To develop a culturally appropriate lifestyle intervention, involvement of its intended users is needed. Methods: Members of an African American (AA) breast cancer support group participated in two 4-hour guided discussions, which were audiotaped, transcribed, and analyzed to guide the content. Results: The support group collaborated with researchers to develop 24 experiential nutrition education sessions using a social cognitive framework and incorporating self-regulation skills (goal-setting, self-monitoring, problem-solving, stimulus control) and social support to enhance self-efficacy for changes in dietary intake. Conclusions: Community engagement fostered autonomy, built collaboration, and enhanced the capacity of AA breast cancer survivors to participate in developing a lifestyle intervention.
    • Engaging homeless service providers in educational efforts during a tuberculosis outbreak in Atlanta

      Nandi, Preetha; Worrell, Mary Claire; Andrews, Tom; Sales, Rose-Marie; McMichael, Jeff; Hampton, Kristen H; Goswami, Neela D.; Emory University; Georgia Department of Health; University of North Carolina (Georgia Public Health Association, 2016)
      Background: During an outbreak of tuberculosis (TB) in the homeless population of metropolitan Atlanta, education of homeless service providers (HSPs) about the implementation of local infection control measures was imperative to limiting the spread of TB and to preventing future outbreaks. Methods: By use of educational sessions and teaching posters, two interventions were designed to focus educational efforts from November 2014 to August 2015: 1) a spatially-targeted approach that identified HSPs within an area of Fulton County, GA (which includes downtown Atlanta) with high TB case density (cases per square mile) from 2009 – 2014, and 2) an organizational meeting approach that included scheduled meetings of professionals who had regular contact with homeless individuals at risk of TB infection. Results: Of the 18 HSPs targeted in the identified high-TB density area, 9 engaged in educational activities, and 9 were closed at time of contact or unreachable by email or phone. Through organizational meetings, 36 additional facilities were reached. Conclusions: The HSPs with successful contact were amenable to educational efforts, and a combination of spatially targeted and organizational meeting approaches with teaching aids was feasible in developing sustainable TB educational programs in the homeless community
    • Engaging rural Georgians in Internal Revenue Service (IRS)-mandated community health needs assessments

      Lawrence, H Raymona; Nazaruk, Dziyana; Denis-Luque, Marie; Tedders, Stuart H.; Georgia Southern University, Georgia College and State University (Georgia Public Health Association, 2016)
      ABSTRACT Background: On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law. The law became effective on March 23, 2012. The ACA stipulates that non-profit hospitals must demonstrate benefit to their communities through the process of community health needs assessments (CHNAs). Failure to comply with this law may result in loss of non-profit status or large fines. This report describes strategies for engaging rural communities in Internal Revenue Service (IRS)-mandated CHNAs. Methods: Public health practitioners from Georgia Southern University’s Jiann Ping Hsu College of Public Health collaborated with 18 rural, non-profit hospitals to complete community-specific CHNAs. Quantitative and qualitative data were gathered from primary and secondary data sources to provide a comprehensive assessment of the needs and the assets of each of the communities. Results: The project team assisted 18 rural, non-profit hospitals in assessing the needs of their communities. Technical reports provided to the hospitals described the issues discovered during the assessment. Hospitals were empowered to utilize the information to prioritize community- specific issues and to develop comprehensive plans for implementation. Conclusions: The CHNA process provides an opportunity to strengthen relationships between public health services and hospitals as well as between hospitals and the communities they serve. Hospitals need to identify and engage diverse sectors of the community in order to comprehensively assess the needs and assets of communities to address the social determinants of health and to reduce health inequities/disparities.
    • Enhancing the future public health workforce through competency-based student field placements

      Carvalho, Michelle; Lloyd, Laura; Alperin, Melissa; McCormick, Lisa; Mitner, Kathleen; Emory University (Georgia Public Health Association, 2017)
      Background: The Public Health Workforce Interest and Needs (PHWINS) 2014 survey from ASTHO (Association of State and Territorial Health Officials) demonstrated a dramatic need for succession planning and retention of the future public health workforce. To address this need, the Region IV Public Health Training Center’s (R-IV PHTC) Pathways to Practice Scholars Program places students from accredited schools and programs of public health into practical field placement positions across eight states. Skill- and competency-based student field placements reinforce the value of working with medically underserved areas/populations (MUA/Ps) through public health agencies. Field placements use adult learning theory through experiential learning to build essential skills from the Council on Linkage (COL) core competencies. Methods: Host agencies include state and local health departments, Area Health Education Centers, primary care settings, and community organizations in one of eight southeastern states serving MUA/Ps. Agencies propose practical projects using COL domains. Proposals are converted to job postings. Once an agency selects a student, the team collaboratively develops a detailed work plan using specific COL competencies. Results: A brief overview of evaluation findings will be shared but are not the focus of this workshop. Evaluation instruments included a pre-survey, work plan, mid-term survey, final evaluation, and alumni survey. Students submit a final report, reflection summary, webinar presentation and/or abstract worthy of submission to a professional conference. Findings demonstrated increases in students’ perceived ability to perform core competencies and future plans to work in MUA/Ps. Conclusions: This program builds leadership and real-world experience in the future workforce while serving immediate needs of public health agencies. The workshop focuses on interactive discussion about processes and tools to create COL competency-based field placement position descriptions and detailed work plans. Participants can engage in dialogue about developing student positions which enhance their work while training the future workforce.
    • Escape from a Life of Secrets and Emergence of Psychopathy from a Mask of Sanity

      Sivised, Vittika; Department of English and Foreign Languages (Augusta University Libraries, 2016-10-11)
      This paper explores the progression of psychopathy within the main character of Jim Thompson’s The Killer Inside Me. Lou Ford hides behind a social mask depicting a kindhearted oaf to conceal the psychopathic and violent personality that lies beneath. Throughout the novel, Lou Ford’s psychopathic personality begins to surface as he progresses from mere verbal jabs to murder as he tries to escape from his past and his obligations to his father. These obligations that he has put upon himself keep him from leaving the town; however, as he destroys the chains that bind him to the town by murdering those who represents these chains, his psychopathic personality, which is his real personality, grows in strength, and soon, the truth of his violent nature is known by the rest of the characters. In the end, to truly escape from the town, Lou Ford commits his final act: suicide. This act of suicide frees him from the past and he was able to be who he always was, a psychopath.
    • Establishing a GFP Marker in Zebrafish to Study the Localization of Tinagl1

      Blackburn, Helena; Biological Sciences, Cellular Biology and Anatomy (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Evaluating public and private partnership to improve food and language nutrition among children 0-5 years

      Ejikeme, Chinwe; Threets-Powell, Kia; Vall, Emily Anne; Wagner, Laura; Fiedorowicz, Luke; Idaikkadar, Audrey; O'connor, Jean (Georgia Public Health Association, 2016)
      Background: Racial and ethnic minority populations in Georgia experience increased rates of chronic disease and poor health and education outcomes, which can be prevented through enhanced public- private partnerships. Using the Centers for Disease Control and Prevention (CDC) evaluation framework, the Evaluation Subcommittee for the Georgia Partnership for Food and Language Nutrition Project comprised of representatives from various stakeholders affiliated with state agencies, academia, and community-based organizations developed an evaluation plan to improve the collaborative effort designed to improve food and language nutrition among children 0-5 years. The purpose of this mixed-methods study was to assess influential collaborative factors. Methods: An online assessment survey that included open-ended qualitative questions was administered to all stakeholders (n=15; response rate=67%) to assess the strengths and weaknesses of the partnership, its leadership effectiveness and partners’ perceptions about the partnership. Baseline descriptive statistics were calculated and content analysis was performed with the qualitative data to understand partners’ perceptions. Results: The partnership scored variably across four categories that determine partnership strengths. Five factors were identified as the strengths of the partnership: favorable political and social climate; members see collaboration as in their self interest; unique purpose of partnership mission and goals; skilled leadership; and sufficient resources to support its operation.However, other areas were found to need urgent intervention, including improving on the leadership of the Georgia Department of Public Health (GA-DPH). In addition, communication as well as process and structure factors were identified as weaknesses including: a need to establish informal relationships and develop communication skills; a lack of flexibility; and an absence of clear roles and policy guides. Conclusions: Developing an action plan to address identified weaknesses will help ensure the accomplishment of the expected health and education outcomes among targeted, minority Georgia communities.
    • Evaluation of food access and food security concerns among public housing residents

      Gaddis,Cheryl L. R.; Lian, Brad; Watts, Nicole; Thompson, Leontyne; Mercer University, Department of Public Health (Journal of the Georgia Public Health Association, 2015)
      Background: In 2012, food insecurity affected 14.5% of the households in the U.S and 20% in the state of Georgia. Individuals who are food-insecure can experience malnutrition, and social and physical problems. The purpose of this study was to assess food access and security concerns in two counties of the North Central Health District 5-2 (NCHD 5-2) in Georgia and to aid in devising interventions to increase food access and reduce food insecurity. Methods: Data collection involved surveying 399 public housing residents within two NCHD 5-2 counties using the Household Food Security Survey developed by the US Department of Agriculture. The survey contained 24 questions focusing on demographics and household food status and on the severity and prevalence of food access and security. Results: Of the 399 participants, 91.9% reported annual household incomes less than $30,000; 61% (n = 244) reported receiving Supplemental Nutrition Assistance Program (SNAP/food stamps) benefits, 11% (n = 46) received Women, Infants, and Children (WIC) benefits, and 3.3% (n = 13) received Temporary Assistance for Needy Families (TANF). Results for food security status (whether or not families have access to food at all times) showed that 7.3% (n = 29) were classified as high food secure, 22.8% (n = 91) as marginally food secure, 30.6% (n = 122) as low food secure, and 39.3% (n = 157) as very low food secure. Conclusions: Most of the residents with some form of food insecurity received government food assistance, yet still identified as being unable to feed themselves or their families for the month. Recommendations to evaluate this problem include additional research and implementation of public health efforts to address food access and insecurity through policy changes and implementation of programs.
    • Evaluation of Mammal Hair as a Potential Wild Pig Repellent on Cowden Plantation in Jackson, South Carolina

      Hitchens, Samantha; Biological Sciences (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • Evaluation of trends in diabetes care in a patient-centered medical home

      Saucier, Ashley N; McMechan, Danielle; Dahl-Smith, Julie; Duffie, Carla; Hodo, Denise; Andrews, Holly E; Hobbs, Joseph; Augusta University (Georgia Public Health Association, 2017)
      Background: The patient-centered medical home (PCMH) is a model used in primary care to achieve effective management of chronic diseases. The Augusta University Health Family Medicine Center (AUFMC), a PCMH recognized by the National Committee for Quality Assurance, has implemented strategies to manage its patient population with diabetes. The present study evaluated the effects of these interventions through trend analysis of selected diabetic core measures by use of a qualified clinical data registry, the Practice Partner Research Network. Methods: For this retrospective study, de-identified data were abstracted for adult patients with diabetes for the period of 2013-2015. Process and outcome measures were determined for selected diabetic core measures, based on the 2015 American Diabetes Association and Physician Quality Reporting System of the Centers for Medicaid and Medicare (CMS). These measures included glycated hemoglobin (HbA1c), blood pressure (BP), low-density lipoprotein cholesterol (LDL), urine microalbumin (Um), diabetic foot and eye exams, and influenza and pneumococcal vaccinations. These values were analyzed by the Cochran-Armitage test for trends over time to determine the proportions of patients at the recommended goals. Results: Over time, there were increasing trends for patients who were at the goals for frequencies of HbA1c, Um, LDL, pneumococcal vaccinations, and diabetic retinal exams (p<0.01). Increasing trends were also evident for patients at goal values for HbA1c, BP, and LDL levels (p<0.01). Decreasing trends were noted, however, in the rate of diabetic foot exams (p<0.01). Conclusions: Since AUFMC achieved PCMH recognition status, efforts to improve the management of patients with diabetes have yielded positive outcomes and valuable lessons. Areas of strength include utilization of the diabetes registry, education by regular providers, tailored use of electronic health records for patient education and physician documentation, and appropriate utilization of all team members. Trend analysis indicated that targeted diabetic interventions contributed to improved outcomes in selected diabetic core measures.
    • Evaluation results of an innovative pilot program to increase access to fresh fruits and vegetables in Cobb County, GA

      Woodruff, C Rebecca; Shipley, Rebecca; Brown, Agnes F.; Coleman, Anne-Marie; Munoz, Jennifer; Honeycutt, Sally; Hermstad, April K; Loh, Lorna; Kegler, Michelle C.; Emory University (Georgia Public Health Association, 2015)
      Background: This abstract describes a public health practice initiative called the Farm Fresh Market (FFM) and presented pilot evaluation results. Methods: The FFM, developed by Cobb and Douglas Public Health, the McCleskey-East Cobb Family YMCA, and Cobb2020, sold low-cost fruits and vegetables to families living in the 30168 zip code of Austell, Georgia. The evaluation focused on documenting to what extent the FFM reached its intended population and increased perceived access to fresh fruits and vegetables among customers. A convenience sample of 100 returning FFM customers completed self-administered, written intercept surveys at the end of the 2014 market season. Results: The market served customers from a range of socioeconomic backgrounds. Most customers strongly agreed that the FFM made it easier (69%) and less expensive (79%) for them to buy fresh fruits and vegetables and easier for them (63%) and their families (64%) to eat a healthy diet. Most customers reported that they ate more vegetables (65%) and fruit (55%) as a result of shopping at the FFM and reported high levels of satisfaction with all aspects of the FFM. Conclusions: The results suggest that the FFM served customers from the local area and that the FFM may have increased perceived access to healthy food options among customers. Community-level interventions to increase access to healthy foods may play an important role in chronic disease prevention.
    • The evidence for and from accreditation

      Bender, Kaye; Public Health Accreditation Board (Georgia Public Health Association, 2016)
      Background: Public health department accreditation administered by the Public Health Accreditation Board (PHAB) began in 2007 after a series of policy briefs, field demonstration initiatives, and completion of a national feasibility study. Methods: Evidence for accreditation was gathered from both national and state-based standards that had been tested and evaluated. Evidence from accreditation was obtained from surveys and focus groups. Results: Preliminary analyses have indicated that the accreditation program is having its intended impact, although longitudinal analyses are planned for the future when a larger number of health departments can respond to surveys over time. Conclusions: PHAB will continue to utilize long-term evaluation methods to describe the long-term impact of the accreditation process on health department performance.
    • Evidence to practice: Using data to see the faces of those we serve

      Ross, David; Public Health Informatics Institute (Georgia Public Health Association, 2016)
    • Evidence-based strategies identified to increase access to oral health services to promote a healthier lifestyle

      Davis, Breyana; Plaspohl, Sara (Georgia Public Health Association, 2016)
      Background: Leading Health Indicators (LHI) are a subset of Healthy People 2020 objectives, selected to communicate at- risk health issues and actions that can be taken to address them. The number of children, adolescents, and adults who visited the dentist in the past year has decreased nationally, suggesting that oral health continues to be a problem caused by barriers preventing access to oral services. Methods: Preliminary research was conducted on the LHI via the Healthy People 2020 website. Health-related peer reviewed articles were selected and reviewed. Results: Evidenced-based literature shows that economic, educational, and personal barriers prevent access to oral services. However, through health promotion and new intervention methods, good oral health can be established. Conclusions: Primary prevention leads to improved oral health status; thus, such methods can be useful in moving the LHI objective towards the Healthy People 2020 target goal.
    • The Evolution of Art Therapy and Proposed Future Application

      Owen, Connor; Art and Design, Communications (Augusta University Libraries, 2020-05-05)
      This item presents the abstract for a poster presentation at the 21st Annual Phi Kappa Phi Student Research and Fine Arts Conference.
    • An Examination of Adolescents’ Knowledge and Attitudes Related to Heart Disease, Nutrition, Physical Activity, and Media Influences and the Adoption of a Healthy Lifestyle

      Schenkman, Melissa; Martin, Randolph; Butler, Susan; Emory University (Georgia Public Health Association, 2006)
      The present pilot study aimed to determine the attitudes, beliefs, behaviors, and degree of knowledge among adolescents related to healthy eating, exercise, heart disease, the influence of television, and possible factors in modifying their attitudes toward adopting a healthy lifestyle. Juniors and seniors from two private high schools (N=62) in metro Atlanta were surveyed. The study was based on the Social Cognitive Theory and the Health Belief Model. The research questions examined the impact of nutrition and heart disease knowledge on physical activity behavior, and the impact of television media exposure on eating habits. A 36-question cross-sectional survey compiled from various sources in the literature and health-related organizations was used to assess the outcomes of interest. Data analysis was conducted using frequencies, descriptive statistics, simple hypothesis tests, and chisquare analysis. Those who reported physical activity participation and those who did not, were not found to differ significantly on their composite nutrition and heart disease knowledge score, F (6,55)=.763, p=. 602. In addition, the three groups, reporting different amounts of physical activity participation in hours/week, were not found to differ significantly on their composite nutrition and heart disease knowledge score F (6, 50)=1.628, p=. 159. In terms of television viewing’s effect on eating habits, television viewing was not found to play a significant role in the frequency of breakfast food consumption F (3, 57)=2.269, p=. 090; or on how often adolescents ate fast food, F (1, 59)=. 025, p=. 875. Yet, the amount of television hours viewed on a typical weekday were significantly related to how often an adolescent thinks about their health when deciding what to eat (X= .008). The 5 groups of amounts of television viewing hours, differed significantly on how often adolescents’ thought about their health when deciding what to eat, specifically those who thought about their health always and sometimes F (3, 57)=3.241, p=. 029). The Post Hoc test showed a significant difference of .998 hours in the amount of TV watched by those who always think about their health when deciding what to eat (M=2.11 hours/weekday) and those who sometimes think about it (M=3.10 hours/weekday). Suggested primary implications for public health practice include access to school-sponsored or recreational sports teams for all adolescents, nutrition and heart disease education via sports teams, and parental involvement in their adolescent’s food choices and health behavior.
    • Expertise and Sex Identification in Dogs

      Rex Pius Vincent, Karen; Topolski, Richard; Morel, Nicole; Patel, Chandani; Department of Psychological Sciences (Augusta University Libraries, 2021-05-18)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.
    • Exploration of barriers and facilitators to publishing local public health findings: A mixed methods protocol

      Smith, Selina; Webb, Nancy; Blumenthal, Daniel S.; Willcox. Bobbie; Ballance, Darra; Kinard, Faith; Gates, Madison L. (Georgia Public Health Association, 2016)
      Background: Worldwide, the US accounts for a large proportion of journals related to public health. Although the American Public Health Association (APHA) includes 54 affiliated regional and state associations, little is known about their capacity to support public health scholarship. The aim of this study is to assess barriers and facilitators to operation of state journals for the dissemination of local public health research and practices. Methods: A mixed methods approach will be used to complete the 12-month study. Affiliate websites will be accessed through the APHA membership portal to evaluate organizational infrastructure and ascertain the presence/absence of a journal. The leader of each affiliate will be contacted via email containing a link to a 12-question on-line survey to collect his/her perceptions of scholarly journals and the publication of local health data. To determine barriers and facilitators to publication of local public health findings, 30-minute semi-structured telephone interviews will focus on the infrastructure of the association, perceptions of the leader about the journal (if in place), and its operation. Anticipated Results: We anticipate that 54 affiliate websites will be reviewed to complete the extraction checklist, that 74% of affiliate leaders will respond to the survey, and that 11 semi-structured interviews will be conducted. A limited number of state/regional public health associations will operate journals and a small percentage of those without journals may express an interest in implementing them. Barriers to operation of journals may include lack of resources (i.e., personnel, funding), and low prioritization of publication of state and local public health findings. Facilitators may include strong affiliate-academic relationships, affiliate leadership with experience in publications, and affiliate relationships with state and local departments of health. Conclusions: The research proposed in this protocol may stimulate other state public health associations and other academic public health programs to follow suit; it would not be the first time that an observational research study served as an intervention.
    • Exploring Jeffrey Dahmer’s Sexual Development

      Anwar, Fabiha; Holman, Michael; Department of Psychological Sciences (Augusta University Libraries, 2021-05-18)
      This item presents the abstract for a presentation at the 2021 Annual Phi Kappa Phi Student Research and Fine Arts Conference at Augusta University.