Ohio journal of public health最新文献_第8页

Opioid Dispensing Practices in the Acute Care Setting: A Retrospective Study 阿片类药物在急性护理环境中的配药实践：一项回顾性研究

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9011

Mohamad Moussa, Lekha Vemuru, Robert Dohar, D. Lubarsky, S. Khuder

{"title":"Opioid Dispensing Practices in the Acute Care Setting: A Retrospective Study","authors":"Mohamad Moussa, Lekha Vemuru, Robert Dohar, D. Lubarsky, S. Khuder","doi":"10.18061/ojph.v3i2.9011","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9011","url":null,"abstract":"Background: Ohio remains one of the most afflicted states nationally with 46.3 per 100 000 deaths due to drug overdose. Opioids are commonly administered in emergency departments for the management of pain. Given the high volume of patients presenting with pain, emergency clinicians must be cognizant of responsible opioid dispensing practices. Ohio established guidelines in April 2012 to provide a general approach for responsible opioid prescribing practices in the emergency setting. The purpose of this study assesses clinician opioid dispensing before and after the implementation of the Ohio Opioid Prescribing Guidelines. \u0000Methods: The study design used retrospective data analysis of opioid medications ordered by emergency clinicians to be administered in the emergency room between January 1, 2007, to December 31, 2017, at the University of Toledo Medical Center. A segmented regression analysis with an interrupted time series was used to determine impact. \u0000Results: All opioid medication usage showed a significant decrease after guideline implementation except for morphine and fentanyl which showed statistically significant increases in administration over time (P < 0.05). \u0000Conclusion: There was a significant decrease in the use of opioids since the implementation of the Ohio Opioid Prescribing Guidelines, yet morphine and fentanyl use has generally increased across all age groups. Age demographics frequently receiving opioids in the emergency room have seemed to shift over time as well as specific opioid drugs dispensed for the management of pain in certain age groups. Further study is needed to evaluate the use of opioids prescribed by emergency physicians after discharge from the emergency department.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47824978","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}

引用次数: 0

Detecting Environmental Contamination of MRSA in Ambulances: A Novel and Efficient Sampling Methodology 检测救护车中MRSA的环境污染:一种新颖有效的采样方法

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9012

R. Orellana, A. Hoet, J. V. van Balen, Bo Lu, Christina Kelley, K. Stevenson

{"title":"Detecting Environmental Contamination of MRSA in Ambulances: A Novel and Efficient Sampling Methodology","authors":"R. Orellana, A. Hoet, J. V. van Balen, Bo Lu, Christina Kelley, K. Stevenson","doi":"10.18061/ojph.v3i2.9012","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9012","url":null,"abstract":"Background: Methicillin-resistant Staphylococcus aureus (MRSA) can be found in emergency medical services (EMS) ambulances. This poses an occupational risk and patient safety hazard. Screening for environmental contamination is often not performed due to limited resources and logistical challenges. This study’s objective was to compare traditional screening of individual surfaces versus “pooled sampling” to efficiently identify contamination. \u0000Methods: A cross-sectional study, conducted among 145 Ohio EMS ambulances from 84 agencies, tested a novel pooled sampling methodology to detect MRSA contaminated ambulances. For ambulances screened using pooled sampling, 3 samples were collected within each ambulance. Pool One included cabinets, doorways, and ceiling bar. Pool Two included cot, seats, and backboard. Pool Three included steering wheel, kits, and clipboard. For ambulances screened with the traditional detection technique, each of the 9 aforementioned surfaces were sampled individually. Descriptive statistics and unadjusted and adjusted odds ratios (OR) were calculated to compare the 2 methods. \u0000Results: Forty-seven of 145 ambulances (32.4%) had at least 1 of the 9 locations contaminated with MRSA. When comparing the 2 screening methodologies, no significant difference was observed regarding the overall detection of MRSA contaminated ambulances (24/60 [40%] versus 23/85 [27.6%], P value: 0.1000). This indicates that pooled sampling appears as an efficient method for identification of MRSA contaminated ambulances. \u0000Conclusion: One-third of Ohio ambulances had MRSA contamination in this study. Therefore, an efficient methodology to identify contaminated ambulances with hazardous pathogens is incredibly valuable. Pooling can help save resources and simplify sampling logistics, all which could positively impact infection control practices in emergency medical services.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44197713","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}

引用次数: 0

Eight Months and Counting 八个月及以后

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9008

Amy K Ferketich

引用次数: 0

It’s Time to Mobilize in Support of Inclusive LGBTQ+ Community Needs Assessments 是时候动员起来支持包容性LGBTQ+社区需求评估了

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9009

A. M. Snyder, Shaunte L. Rouse

引用次数: 0

Ohio Journal of Public Health Vol. 3, Issue 2 (October 2020): Full Issue 《俄亥俄州公共卫生杂志》第3卷第2期（2020年10月）：完整版

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9007

Ohio Public Health Association Opha

引用次数: 0

Mobilizing Communities to Sustainably Produce Face Masks: Public Health Practice in the Time of COVID-19 动员社区可持续生产口罩:2019冠状病毒病时期的公共卫生实践

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9013

A. M. Snyder, Heidi L. Weisel, Sheryl L. Chatfield

{"title":"Mobilizing Communities to Sustainably Produce Face Masks: Public Health Practice in the Time of COVID-19","authors":"A. M. Snyder, Heidi L. Weisel, Sheryl L. Chatfield","doi":"10.18061/ojph.v3i2.9013","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9013","url":null,"abstract":"Background: Face mask shortages in health care and use recommendations and requirements in a variety of com-munity and professional contexts associated with the coronavirus disease 2019 (COVID-19) pandemic in the United States created initial and ongoing demand for face masks. In March 2020, the US Centers for Disease Control and Prevention (CDC) provided guidelines for use of cotton masks for individuals in health care settings and in public. Community volun-teers provide a potential workforce to rapidly and flexibly address critical needs in emergent circumstances. \u0000Methods: People Protecting Each-other Sustainably (PPEs) was developed to recruit and manage over 100 Northeast Ohio volunteers. People Protecting Each-other Sustainably used the social media platform Facebook to facilitate material donations, volunteer recruitment and training, and to function as an ongoing central communications hub. Leaders used an assembly line process with zero contact pick up and drop off at multiple stages of production to allow safe assembly and distribution of face masks. \u0000Results: A total of 7 695 handmade face masks were created to distribute to local frontline responders in 10 weeks. Use of upsourced and donated materials allowed this project to reduce potential landfill waste and made a zero cost project possible. Volunteers had positive responses to the project and reported benefits from their participation. \u0000Conclusion: This model has been successfully recreated by a smaller group in Geauga County, Ohio, with similarly successful results. Clearly this model of community mobilization has the potential to be replicated in other state of emer-gency crises and emergency response situations to produce lifesaving or necessary equipment when industry standard equipment is not readily available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43270934","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}

引用次数: 1

How My Provider Communicates: A Qualitative Exploration of Pregnant Women’s Communicative Experiences When Receiving Prenatal Care in Ohio 我的提供者如何沟通：俄亥俄州孕妇接受产前护理时沟通体验的定性探索

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9010

Na’Tasha M. Evans, Kamesha Spates, J. Sheu

{"title":"How My Provider Communicates: A Qualitative Exploration of Pregnant Women’s Communicative Experiences When Receiving Prenatal Care in Ohio","authors":"Na’Tasha M. Evans, Kamesha Spates, J. Sheu","doi":"10.18061/ojph.v3i2.9010","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9010","url":null,"abstract":"Background: Ohio disproportionately has one of the highest infant mortality rates in the United States. Failure to receive effective prenatal care can result in adverse pregnancy outcomes, specifically infant morbidity and mortality. Therefore, the purpose of this study is to gain a better understanding of pregnant women’s communicative experiences when receiving prenatal care in Ohio.\u0000Methods: We interviewed pregnant women (N=30) between the ages of 19 to 39 years who were in the second or third trimester of pregnancy residing in Ohio using semi-structured interviews. The data were analyzed using a two-stage inductive thematic analytic technique.\u0000Results: Findings demonstrated that pregnant women’s communicative experiences when receiving prenatal care in Ohio could be categorized into 4 overarching salient themes: (1) dialogue with the prenatal care provider, (2) time required for the prenatal care visit, (3) the prenatal care provider’s interpersonal and personality characteristics, and (4) continuity of care.\u0000Conclusion: Results identified pregnant women’s communicative experiences when receiving prenatal care in Ohio. Findings may assist prenatal care providers in enhancing prenatal care outcomes in Ohio by promoting continuous dialogue, spending time with patients, displaying positive interpersonal and personality characteristics, and providing continuous prenatal care.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43428534","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}

引用次数: 0

Strategies to Enhance Qualitative and Mixed Methods Research Instruction to Prepare MPH Students for Public Health Practice 加强定性和混合方法研究性教学的策略为公共卫生专业学生的公共卫生实践做准备

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9014

Sheryl L. Chatfield

{"title":"Strategies to Enhance Qualitative and Mixed Methods Research Instruction to Prepare MPH Students for Public Health Practice","authors":"Sheryl L. Chatfield","doi":"10.18061/ojph.v3i2.9014","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9014","url":null,"abstract":"Background: The 2016 Council on Education for Public Health (CEPH) accreditation guidelines for Master of Public Health (MPH) programs describe skills, including qualitative and quantitative research skills while removing the requirement to structure programs around 5 designated core areas. These revised guidelines provide an opportunity to integrate qualitative and mixed methods instruction in multiple courses. The purpose of this paper is to describe process and outcomes of a project aimed at integrating qualitative and mixed methods content into core courses within the Kent State University MPH program. \u0000Methods: Content development work was conducted from May through October 2019. The work consisted of content analysis of current core course content, research texts, practicum presentations, and feedback from alumni working in public health practice. Five key qualitative processes that support CEPH competencies and reflect current public health practice in Ohio were articulated to form a framework for new course content. \u0000Results: New content was developed for each of the 6 current core MPH courses to address CEPH competencies, incorporate the identified 5 key processes, and to emphasize cross-methodological comparison and the complementary nature of qualitative and quantitative approaches to research questions or practice issues. Initial student responses to content were positive; further evaluation efforts are planned. \u0000Conclusion: New content provides MPH students with skills practice associated with qualitative and mixed methods approaches to research and applied public health. To address complex public health challenges, current and future public health professionals will benefit from being able to flexibly move across methodological boundaries.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633670","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}

引用次数: 0

Public Health in 2020 2020年的公共卫生

Ohio journal of public health Pub Date : 2020-06-01 DOI: 10.18061/ojph.v3i1.9026

Amy K Ferketich

引用次数: 0

Remembering Your Roots: The Role of Horticulture Therapy in People Living with Dementia 记住你的根:园艺疗法在痴呆症患者中的作用

Ohio journal of public health Pub Date : 2020-06-01 DOI: 10.18061/ojph.v3i1.9020

K. R. Kroustos, Gretchen Horning, Jennifer Gurevich, A. Gurevich, K. F. Sobota

{"title":"Remembering Your Roots: The Role of Horticulture Therapy in People Living with Dementia","authors":"K. R. Kroustos, Gretchen Horning, Jennifer Gurevich, A. Gurevich, K. F. Sobota","doi":"10.18061/ojph.v3i1.9020","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9020","url":null,"abstract":"Introduction: Dementia is a debilitating disease affecting over 50 million people. Major challenges facing patients with dementia lie in the impact of the behavioral and psychological symptoms of dementia (BPSD). The American Geriatrics Society and Dementia Action Alliance recommend against the use of antipsychotics as first-line treatment. Antipsychotics often fail to treat BPSD whereas nonmedication practices such as horticulture therapy may lessen BPSD. Guideline evidence has provided a unique opportunity for public health officials to assist in filling this vital role in the approach to BPSD management.Methods: Several studies and meta-analyses were reviewed to determine the effectiveness of horticulture therapy in managing BPSD, and evidence supports horticulture therapy as an effective method of addressing BPSD.Results: The benefits of horticulture therapy extend beyond addressing only BPSD; through multisensory stimulation, patients have increased physical activity, reduced stress, and improved sleep. Horticulture therapy has been shown to decrease the sense of loss and reestablish the patient in a familiar nurturing role, providing the patient with a sense of purpose.Conclusion: Stakeholders within the public health sector are strategically positioned to implement evidence-based interventions that address the unmet needs for the care of dementia within the community.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42997437","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}

引用次数: 0