Journal of the Georgia Public Health Association最新文献

{"title":"Enhancing the Future Public Health Workforce Through Competency-Based Student Field Placements","authors":"Michelle L. Carvalho, Laura M. Lloyd, M. Alperin, L. McCormick, K. Miner","doi":"10.21633/jgpha.7.131","DOIUrl":"https://doi.org/10.21633/jgpha.7.131","url":null,"abstract":"Recommended Citation Carvalho, Michelle L.; Lloyd, Laura M.; Alperin, Melissa; McCormick, Lisa; and Miner, Kathleen R. (2017) \"Enhancing the Future Public Health Workforce Through Competency-Based Student Field Placements,\" Journal of the Georgia Public Health Association: Vol. 7 : No. 1 , Article 30. DOI: 10.21633/jgpha.7.131 Available at: https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/30","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"7 1","pages":"73-73"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67772149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social networks as predictors of colorectal cancer screening in African Americans.","authors":"Ernest Alema-Mensah,&nbsp;Selina A Smith,&nbsp;Mechelle Claridy,&nbsp;Victor Ede,&nbsp;Benjamin Ansa,&nbsp;Daniel S Blumenthal","doi":"10.21633/jgpha.6.306","DOIUrl":"https://doi.org/10.21633/jgpha.6.306","url":null,"abstract":"<p><strong>Background: </strong>Early detection can reduce colorectal cancer (CRC) mortality by 15%-33%, and screening is widely recommended for average-risk adults beginning at age 50 years. Colorectal cancer mortality rates are higher in African Americans than in whites, while screening rates are somewhat lower. Individual social networks can reduce emotional and/or logistical barriers to health-promoting but distasteful procedures such as CRC screening. The aim of this study was to examine social network interactions, and their impact on CRC screening among African Americans. We hypothesized a positive association between social network index (SNI) scores and CRC screening.</p><p><strong>Methods: </strong>In a community intervention trial with four arms, we previously demonstrated the efficacy of a small group educational intervention to promote CRC screening among African Americans. This intervention outperformed a one-on-one educational intervention, a reduced out-of-pocket expense intervention, and a control condition. In the present analysis, we compared the SNI scores for participants in the small group intervention cohort with a comparison group comprised of the other three cohorts. Social networks were assessed using the Social Network Index developed by Cohen.</p><p><strong>Results: </strong>Small group participants had a significantly higher network diversity score (Mean difference 0.71; 95% CI, 0.12-1.31; p=0.0017) than the comparison group. In the second component of the SNI score - the number of people talked to over a two week period - the small group intervention cohort also scored significantly higher than the comparison group. (Mean difference, 9.29; 95% CI, 3.963-14.6266; p=0.0004).</p><p><strong>Conclusions: </strong>The findings suggest that social interaction and support was at least partially responsible for the relatively high post-intervention screening rate in the small group intervention participants. Education in small groups could foster strong social networks. Strong and positive network diversity and a large number of people in social networks may enhance CRC screening rates among African Americans.</p>","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"6 3","pages":"369-372"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5515378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35186768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of a faith-based integration tool to assess mental and physical health interventions.","authors":"Donna M Saunders,&nbsp;Jean Leak,&nbsp;Monique E Carver,&nbsp;Selina A Smith","doi":"10.21633/jgpha.7.105","DOIUrl":"https://doi.org/10.21633/jgpha.7.105","url":null,"abstract":"<p><strong>Background: </strong>To build on current research involving faith-based interventions (FBIs) for addressing mental and physical health, this study a) reviewed the extent to which relevant publications integrate faith concepts with health and b) initiated analysis of the degree of FBI integration with intervention outcomes.</p><p><strong>Methods: </strong>Derived from a systematic search of articles published between 2007 and 2017, 36 studies were assessed with a Faith-Based Integration Assessment Tool (FIAT) to quantify faith-health integration. Basic statistical procedures were employed to determine the association of faith-based integration with intervention outcomes.</p><p><strong>Results: </strong>The assessed studies possessed (on average) moderate, inconsistent integration because of poor use of faith measures, and moderate, inconsistent use of faith practices. Analysis procedures for determining the effect of FBI integration on intervention outcomes were inadequate for formulating practical conclusions.</p><p><strong>Conclusions: </strong>Regardless of integration, interventions were associated with beneficial outcomes. To determine the link between FBI integration and intervention outcomes, additional analyses are needed.</p>","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"7 1","pages":"26-38"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35753719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operational and Financial Performance of Georgia’s Critical Access Hospitals","authors":"L. Kimsey, Bettye A Apenteng, William Mase, Samuel T. Opoku, M. Hanna, K. Boakye, Lisa Carhuff, Charles F. Owens, Angela H. Peden, S. Tedders, Patricia Whaley","doi":"10.21633/JGPHA.7.106","DOIUrl":"https://doi.org/10.21633/JGPHA.7.106","url":null,"abstract":"Background: Georgia’s Critical Access Hospitals (CAHs) face increasingly complex threats to financial sustainability, as demonstrated by the disproportionally high number of closures in comparison to other states in the nation. Methods: Financial performance measures (including profitability, revenue, liquidity, debt, utilization, and productivity), site visits, key personnel interviews, and a revenue cycle management assessment were used to assess the strategic landscape of CAHs in Georgia, analyze financial and operational performance, and provide recommendations. Results: For CAHs in Georgia, financial and operating performance indicators, interviews, and assessments depict a challenging operating environment, but opportunities for improvement exist through implementation of a Lean Six Sigma program and improved benchmarking processes. Conclusions: Georgia’s CAHs operate in a challenging environment, but operational improvement strategies (such as a Lean Six Sigma program) and benchmarking directed towards business processes, including revenue cycle management, provide opportunities for sustainability in the future.","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"7 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67771845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"STD Services’ Delivery Arrangements in Georgia’s County Health Departments","authors":"Karmen S. Williams, G. Shah, Angela H. Peden, W. Livingood","doi":"10.21633/JGPHA.6.305","DOIUrl":"https://doi.org/10.21633/JGPHA.6.305","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"294 1","pages":"337-345"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67771976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financing Public Health in Georgia","authors":"Dionne Denson","doi":"10.21633/jgpha.7.152","DOIUrl":"https://doi.org/10.21633/jgpha.7.152","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"7 1","pages":"94-94"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67772290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental students develop program addressing geriatric oral health at local nursing home","authors":"N. Wilson, Katharine Ciarrocca, M. Chana","doi":"10.21633/jgpha.6.310","DOIUrl":"https://doi.org/10.21633/jgpha.6.310","url":null,"abstract":"Background: The elderly, especially those who reside in institutions and have a minority or low-income background, often have unmet oral health needs. As life expectancy increases, so will the need for oral health providers skilled in addressing the unique challenges presented by geriatric patients. Methods: Dentists for Della is a student organization at the Dental College of Georgia that aims to improve the oral health status of residents at the Georgia War Veterans Nursing Home (GWVNH) in Augusta, Georgia. The students conduct fundraising activities so that third and fourth year students can provide needed dental treatment at no cost to the residents. Students also regularly rotate at GWVNH in order to provide tooth brushing help, denture cleanings, and head and neck examinations, including oral cancer screenings. Results: Dentists for Della has funded approximately $40,000 worth of dental work since 2013. The program also provides an educational experience valued by students: the ability to interact with patients as early as their first semester of dental school. Conclusions: Dentists for Della is a vital program which not only provides educational opportunities in institutional public health dentistry and geriatrics for dental students, it also provides a much needed safety net for Georgia veterans with no ability to access other means of dental care.","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67771530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partnership Between Academic and Public Health to Train Public Health Nurses New Chronic Diseases Protocols","authors":"Kathryn R Martin, Elena A Wood, Stephen Goggans, A. Mulloy, Shilpa Brown, P. Wallach","doi":"10.21633/jgpha.7.126","DOIUrl":"https://doi.org/10.21633/jgpha.7.126","url":null,"abstract":"Background : According to the Georgia Department of Public Health (DPH), cardiovascular disease is the leading cause of death in Georgia (29% in 2013). Diabetes (DM) and hypertension (HTN) are known risk factors for cardiovascular disease. In 2013, the prevalence of diabetes was 11% and of hypertension was 35% of the state’s adult population. There are not sufficient healthcare providers to manage these patients. To address this concern, the DPH Chronic Disease Prevention Section contracted with the Medical College of Georgia (MCG) at Augusta University to design and implement an innovative training program for Georgia public health nurses on diabetes and hypertension protocols. Methods : The two days’ training consisted of lectures, workshops, case discussions, simulation, physical examination practice, and both written and clinical skills testing developed and presented by MCG faculty members in accordance with DPH DM and HTN protocols. The epidemiology, risk factors, disease process, and appropriate pharmacologic and non-pharmacologic management protocols were covered during the training sessions. Results : A post-training evaluation survey was conducted to evaluate accomplishment of the 10 learning objectives, the effectiveness of teaching approaches, appropriateness of training facilities, and whether personal learning goals were met. Participants rated “meeting program objectives” highly with 96% of responses “met”, 3.5% “somewhat met”, and 0.5% “not met”. Participants were asked to rate personal knowledge of HTN and DM before and after the training (5-1 Likert scale with 5 = most knowledgeable and 1 = least knowledgeable). Average for pre-training was 3.0, and after the training 4.2. Conclusions : A partnership between the DPH and a public medical school resulted in a successful training of public health nurses. Participants agreed that the training effectively improved knowledge and ability to provide care with diabetic and hypertensive patients. Evaluation of the training on public health nurses’ actual practice is desired, with the hope of disseminating better services to and improved healthcare for the population of Georgia.","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"13 1","pages":"68-68"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67772491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Zika Virus Communication Preferences of Pregnant Women: Beyond the Verbal","authors":"Mallory K. Ellingson, A. Chamberlain","doi":"10.21633/jgpha.7.146","DOIUrl":"https://doi.org/10.21633/jgpha.7.146","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"7 1","pages":"88-88"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67772631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Probiotics as a Novel Treatment of Mastitis in Dairy Goats to Combat a Nutritional Concern","authors":"Vishal K Singh","doi":"10.21633/jgpha.7.148","DOIUrl":"https://doi.org/10.21633/jgpha.7.148","url":null,"abstract":"","PeriodicalId":73981,"journal":{"name":"Journal of the Georgia Public Health Association","volume":"299 1","pages":"90-90"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67772691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}