Microsoft word - apha presentations_2013_rev.docx

Listing of
Faculty, Student, and Alumni Presentations
141st Annual Meeting & Expo
November 2 - 6, 2013
Boston, Massachusetts
Monday, November 4, 2013
292140 - Ethical issues encountered when researching mother-to-child transmission of HIV
through breastfeeding: The touro Ethiopia breastmilk study
Lucy Thairu, MS, PhD, Public Health Program, Touro University, Vallejo, CA
Background: Ethical dilemmas faced in international research are rarely predictable and often
arise after receiving IRB approval. Quick response is essential to protect human subjects but
making immediate changes to study protocols is rarely a quick process. Barriers to quick
response can include communication delays between study staff and investigators, delays in the
identifying problems, and difficulties communicating the realities of the work to US-based IRBs.

Wednesday, November 6, 2013: 11:10 AM - 11:20 AM
282964 - School-based comprehensive oral health services in north Vallejo: Assessing oral
health behaviors, beliefs and attitudes through a caregiver perspective

Ruby Warnock, MPH (c), College of Education and Health Sciences, Public Health Program,
Touro University California, Vallejo, CA
 Ana Maria Mejia, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Tra Truong, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Annette Aalborg, DrPH , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Gayle Cummings, MPH , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Mey Saephan, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Nishit Vora, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Armando Vallin, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Mithu Bindal, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA  Lien Le, MPH (c) , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA Background: Children of lower socioeconomic status have higher prevalence of untreated dental caries than the general population. Studies show School-Based Health Centers (SBHC) are effective at addressing health care access disparities and increasing the use of health services and satisfaction. The School-Based Comprehensive Oral Health Services Project at Elsa Widenmann Elementary School in Vallejo, CA serves low-income families with children aged 0 to 18 lacking access to quality oral health services. Monday, November 4, 2013
283296 - What are the effects of women's economic self-help group programs on women's
empowerment? A systematic review
Carinne Brody, DrPH, Public Health Program, Touro University California, Vallejo, CA
Shari Dworkin, PhD, MS , Social and Behavioral Sciences and Center for AIDS Prevention
Studies, University of California at San Francisco, San Francisco, CA
Megan Dunbar, DrPH, MPH, Pangaea Global AIDS Foundation, Oakland, CA
Laura Pascoe, Geography, University of California, David, Davis, CA
Padmini Murthy, MD, MPH, MS, CHES , New York Medical College School of Public Health,
Pleasant Valley, NY
Ruby Warnock, MPH (c), Public Health Program, Touro University California, Vallejo, CA
Keely Johnson, MPH (c), Public Health Program, Touro University California, Vallejo, CA
The concept of women's empowerment as an essential component of international development
has gained attention over the past two decades. There has been a shift from thinking of women
as targets for fertility control to acknowledging women as autonomous agents who make
strategic life choices. There has been an explosion of work that attempts to gain a deeper
understanding of empowerment. Along with empowerment as a concept came grassroots
movements aimed at disenfranchised women. These movements led to the birth of economic
self-help groups that have the unexpected consequence of empowering women by enabling
them to take more active roles in decision-making. The objective of this systematic review is to
determine the impact of women's participation in economic self-help groups on their
empowerment in low and middle-income countries. We base our methodology on the
understanding that evidence has been generated from both quantitative and qualitative
research, much of which can be useful in informing policy and practice. We intend to conduct
an integrated mixed-methods review in order to benefit from data generated through both
qualitative and quantitative methodologies and to enhance the review's utility and impact for
policymakers. Our search strategy includes searching relevant electronic databases, searching
the grey literature, hand searching journals and websites, conducting bibliographic back
referencing and program-specific searches, and obtaining key contact recommendations. Our
integrated analysis has three stages: a summary of quantitative effects, a summary of relevant
qualitative pieces, a synthesis of both summaries that goes beyond the primary studies and
generates a new interpretation.
Wednesday, November 6, 2013: 10:45 AM - 11:00 AM
280229 - Embracing the grey: How to systematically search literature not indexed in an
electronic database to comprehensively answer pressing global health questions
Ruby Warnock, MPH (c), Public Health Program, Touro University California, Vallejo, CA Keely Johnson, MPH (c), Public Health Program, Touro University California, Vallejo, CA Carinne Brody, DrPH, Public Health Program, Touro University California, Vallejo, CA Background: The importance of synthesizing data from both peer reviewed and grey literature is increasingly recognized as integral to comprehensively answering important global health and development research questions. In this paper, we describe our experience combining traditional search methods along with methods for searching the relevant grey literature
relating to the impact of women's participation in economic self-help groups on their
empowerment and health in low and middle-income countries. As these types of
comprehensive reviews become more prevalent, consensus around clearly defined guidelines
for the search process is necessary.
Monday, November 4, 2013
287613 - Are your patients receiving food stamps - why you want to know
Le'Anna St. John, PA-C, MPAS , MSPAS/MPH Program, Touro University California, Vallejo, CA, Garland L. Brinkley, CPH, MPH, PhD, Public Health Program, Touro University California, Vallejo, CA Purpose: Participation in federal Supplemental Nutrition Assistant Programs (SNAP) has been associated with an increased BMI and waist circumference among its participants. This study examined the potential for CalFresh recipients (California's SNAP program) to consume a daily caloric intake beyond 3,000 and to consider if nutritional education should be routinely provided to patients participating in SNAP programs. Tuesday, November 5, 2013
288052 - Economic value of an MPH degree to a clinician
Garland L. Brinkley, CPH, MPH, PhD, Public Health Program, Touro University California,
Vallejo, CA
Le'Anna St. John, PA-C, MPAS , MSPAS/MPH Program, Touro University California, Vallejo,
CA
Background: With the passage of the ACA and the aging of the US population, the current
number of clinicians will be wholly inadequate to provide individualized treatment to the
dramatic future increases in new consumers. Clinicians who obtain or who currently have an
MPH degree which focuses upon treating groups rather than individuals will be necessary to
address chronic health conditions for the lowest cost. However, while the need for prevention
options is widely recognized, the economic advantages to clinicians have not been sufficiently
considered. This study attempts to shed light on the monetary value of an additional MPH
degree to a clinician.
Tuesday, November 5, 2013: 11:18 AM - 11:30 AM
291273 - Is healthy for life (H4L), a community-driven, low-cost health education intervention
delivered in public schools, effective in reducing childhood obesity in the napa valley unified
school district (NVUSD)?
Rachel Jeriko, Public Health Program, Touro University California, Vallejo, CA Annette Aalborg, DrPH , College of Education and Health Sciences, Public Health Program, Touro University California, Vallejo, CA Childhood obesity in Napa, CA has risen to 39%, giving Napa County the highest rate in the region. The Healthy for Life (H4L) program is a school-based community-driven health education program implemented in the Napa Valley Unified School District (NVUSD). The program delivers nutrition and physical activity health education classes designed to improve children's healthy eating and physical activity behaviors. The study's purpose is to assess if H4L, a community coalition-developed program, is effective in reducing childhood obesity over time. Monday, November 4, 2013: 2:30 PM - 3:30 PM
3302.0 Poster Session 3: HIV/AIDS & Related Issues
Poster
Board 4
Relationship between maternal levels of education and literacy with knowledge about mother-
to-child transmission (MTCT) of HIV among women of reproductive age from urban oromia in
Ethiopia - Linae Young, MPH Candidate 2013
Board 6
Ethical issues encountered when researching mother-to-child transmission of HIV through
breastfeeding: The touro Ethiopia breastmilk study - Lucy Thairu, MS, PhD

Tuesday, November 5, 2013: 5:30 PM - 5:50 PM
288733 - Student community based research teams: Improving public health competencies and
skills
Annette Aalborg, DrPH , College of Education and Health Sciences, Public Health Program,
Touro University California, Vallejo, CA
Gayle Cummings, MPH , College of Education and Health Sciences, Public Health Program,
Touro University California, Vallejo, CA
Background: Public Health (PH) field study supervisors and employers have reported MPH
students frequently lack applied PH skills required in the PH workforce setting. Study Aims: To
assess student's learning of applied PH competencies and skills among MPH students
participating in faculty led community-based research projects.


Tuesday, November 5, 2013: 8:45 AM - 9:00 AM
283411 - Costs and benefits: An ethical analysis tool for short-term global health field study
programs
Carinne Brody, DrPH, Public Health Program, Touro University California, Vallejo, CA
Assefaw Ghebrekidan, MD, DrPH , Public Health program, Touro University, Vallejo, CA
The number of academic global health programs within US-based universities has increased
over the past ten years. Today, most medical and global public health programs include some
type of overseas field study component. There appears to be collective agreement that
institutions who send students on short-term field study experiences in resource-poor countries
have a minimum moral obligation to ensure that host institutions are not worse off as a result of
their collaboration. Considering the benefits to US-based students in terms of their awareness to
global health issues and their opportunity to apply didactic training to practical situations, we
argue that sending institutions are also obliged to ensure that host institutions benefit from the
partnership. There are several barriers to assessing the costs and benefits of these partnerships
including the sending institutions lack of initiative, the host institutions fear of disrupting the
partnership and unclear guidelines for how to make this calculation. The objective of this
project is to develop an online tool for calculating the benefit and the burden of short-term
global health field study experiences that can be adapted to any institutional partnership. Data
from five large sending universities and fifteen recipient organizations is collected and analyzed
using iterative versions of an adapted version of cost-benefit analysis tool. A new tool is
developed using the results of these analyses.
Monday, November 4, 2013: 2:30 PM - 2:50 PM
281451 - Distribution of misoprostol in post-abortion care services in La Paz, Bolivia
Manjot Multani, MPH, College of Health Sciences and Education, Touro University California,
Vallejo, CA
Background the two major causes of maternal mortality worldwide are unsafe abortion and
post-partum hemorrhage, 13% and 25% of maternal deaths respectively. Misoprostol is a drug
used to prevent and/or treat PPH and to safely evacuate the fetus in the first trimester. In most
countries, the drug has been approved to prevent gastric ulcers and is used off-label to
terminate pregnancy. It is debatable whether misoprostol is more effective than oxytocin in
treating PPH. In countries where abortion is illegal, as in Bolivia, the off-label use of misoprostol
is controversial. The purpose of this study was to investigate the use of misoprostol in Post
Abortion Care services (PAC) in La Paz, Bolivia. PAC services are nationwide programs
implemented in developing countries with restrictive abortion laws to offer women obstetric
and gynecological care in a safe, clinical environment.

Monday, November 4, 2013
286190 - Relationship between maternal levels of education and literacy with knowledge about
mother-to-child transmission (MTCT) of HIV among women of reproductive age from urban
oromia in Ethiopia
Linae Young, MPH Candidate 2013, Master of Public Health, Touro University, Vallejo, CA In 2009, approximately 370,000 children were infected with HIV, more than 90% were infected through MTCT (1). In the absence of any intervention, the risk of MTCT during pregnancy, childbirth, and breastfeeding ranges from 15-45% (2). Prior to the use of antiretroviral treatment (ART), HIV was responsible for 35.2% of child mortality within the first year of birth and 52.5% by age two (3). This research assessed the knowledge of a) MTCT through breastfeeding, pregnancy and delivery and b) the use of ART for the prevention of MTCT. This research utilized secondary data from the 2011 Ethiopia Demographic and Health Survey Monday, November 4, 2013
286155 - Public health surveillance of toxic cyanobacteria in freshwater using remote sensing
Trina Mackie, PhD, Public Health Program, College or Education and Health Sciences, Touro University California, Vallejo, CA Cyanotoxins, produced by the cyanobacteria that can proliferate in fresh and salt-water, cause a range of harmful health effects. Cyanobacterial blooms are now increasingly prevalent in freshwaters as eutrophication becomes ever more common with anthropogenic drivers like climate change, hydroelectric dams and agricultural waste. This research project evaluated the efficacy of remote sensors to assist in characterizing the presence, distribution, and concentration of toxic algae in freshwater systems for surveillance and early detection, which are keys to effective public health disease prevention.

Source: http://cehs.tu.edu/publichealth/_resources/mphwebfiles/APHAPresentations_2013_rev.pdf