Browsing by Subject "Fort Worth"
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Item A Novel Approach to Inquiry-Based Learning Models in the Sciences: Utilization of Case Presentations and Patient Encounter Workshops in High School Life Science Classrooms(2004-07-01) Whitaker, Lekeisha R.; Rustin E. Reeves; Victoria Rudick; Rouel RoqueA Novel Approach to Inquiry-Based Learning Models in the Sciences: Utilization of Case Presentations and Patient Encounter Workshops in High School Life Science Classrooms. Lekeisha R. Whitaker. Abstract. A novel approach to inquiry-based learning models is needed in a curriculum that reflects changing demographics, societal demands, and diverse cultural background. The proposed module which is designed to teach the urinary system to Fort Worth Independent District high school biology students as outlined in the Texas Essential Knowledge and Skills (TEKS) guide, represents application of this novel tool in the classroom. It is designed to be implemented in inquiry-based learning classrooms that function to encourage the natural process of inquiry throughout grade levels. The proposed module takes advantage of media resources, introductory case reports, and patient encounter workshops that outline diet, disease, and health disparities as a way to capture student interest in content relevant material, engage students in the daily lessons, and invoke long-term retention of basic life science concepts. Through future research and testing of module design and effectiveness in the classroom, the proposed approach to inquiry-based learning may serve to optimize student understanding of fundamental science concepts and diet and disease as it relates to normal body function, with implications that may affect change in lifestyle. Furthermore, the proposed learning module, if effective, may also serve as a template to be used to teach other life science subjects.Item Acculturation and Psychological Distress in Mexican-American Health Fair Participants(2004-12-01) Bereolos, Nicole M.; Coggin, Claudia; Franks, Susan; Simpkins, JamesBereolos, Nicole M., Acculturation and psychological distress in Mexican-American health fair participants. Master in Public Health (Health Behaviors), December 2004, 20 pp., 3 tables, 23 titles. Immigrants who have integrated into their host culture along with maintaining their cultural identity have better psychological well-being. Greater degrees of psychological distress in less acculturated immigrants may occur due to stressors associated with the transition. This isolation has prevented providers from addressing their mental health needs. This project studied psychological well-being as its relates to acculturation. Self-report questionnaires were offered at the Hispanic Health Fair in Fort Worth, Texas. Psychological distress was significantly higher for the low acculturated (LA) than the moderately acculturated (MA). Specifically, a higher degree of anxiety for the LA group was found compared to the MA. The difference in depression was not significant, however results suggest that mild psychological distress is likely prevalent in the LA. Results underscore the importance of gaining knowledge about the needs of Mexican-Americans that are rarely seen within traditional health service.Item Association Between Emergency Hospital Admissions of the Adult Population with Preexisting Respiratory Conditions and Ozone Air Quality Index(2006-12-01) Muzina, Miranda; Terry Gratton; Douglas Mains; Raghbir SandhuMuzina, Miranda, Association Between Emergency Hospital Admissions of the Adult Population with Preexisting Respiratory Conditions and Ozone Air Quality Index. Master of Public Health (Environmental Health), December 2006, 117 pp., 23 tables, 18 figures, references, 128 titles. This study examined if an association exists between seasonal ozone air pollution in the Fort Worth area and patients admitted to local area hospitals with existing asthma, pneumonia, bronchitis and COPD. Ozone is secondary pollutant formed in a complex reaction between oxides of nitrogen and volatile organic compounds, in the presence of sunlight and heat. The EPA has classified the Dallas-Fort Worth area as a non-attainment area by for ozone. The study did not find any apparent association between seasonal ozone AQI and the emergency respiration admissions. The available hospital data significantly limited analyzing the connection between emergency hospitalization and daily fluctuations of ozone. Further studies are needed to address this complex relationship in a broader perspective.Item Do Social Factors Influence the Severity of Diabetes among Hispanics in Fort Worth?: A Cross-Sectional Study(2004-05-01) Moayad, Neda Zandi; Hector Balcazar; Manuel Bayona; Sue LurieNeda Zandi Moayad, Do social factors influence the severity of Diabetes among Hispanics in Fort Worth? A cross-sectional study. Doctor of Public Health, May 2004, 91 pp., 5 tables, bibliography, 99 titles. The Latino population is the fastest growing ethnic group in Texas, representing more than 35% of the total population. There is evidence that diabetes among Latinos has increased considerably in recent years. The prevalence of type II diabetes in Latinos ages 45-74 is three times higher than in the non-Latino whites of the same age group. The goal of this research was to assess the importance of selected potential prognostic factors to severe type II diabetes in Latino patients. Among other findings, the results of this study show that family history of diabetes, place of birth and having spent childhood in Mexico, preferring Spanish as the spoken language, having been educated in Mexico, receiving food stamps, smoking, being overweight and obsess, acculturation and low family cohesiveness were associated with severe diabetes. These findings indicate that level of family cohesiveness and acculturation and other variables might be predictors of diabetes severity.Item Enhancing the Care of the Elderly; An Educational Intervention to Improve Nutritional Knowledge of Nursing Home Staff(1998-06-01) Cummings, Dana; Gilbert Ramirez; Claudia Coggin; Antonio ReneCummings, Dana M., Enhancing the Care of Elderly; an Educational Intervention to Improve Nutritional Knowledge of Nursing Home Staff. Master of Public Health, June 1998, 81 p.p., 5 tables, bibliography, 15 titles. Gross deficiencies exist in the quality and quantity of health care personnel taking care of the aged (Hersch, 1989). Eighty to ninety percent of nursing home staff are untrained aides paid the minimum wage to care for one of the sickest and frailest populations in the United States (Patenaude, 1997). The purpose of this study was to determine if short term nutrition education, utilizing principles for adult learners, would result in knowledge improvement in nursing home staff. An interactive, participatory instructional model was implemented into an existing structure of regular staff inservices to answer this question. To test the effectiveness of the intervention a questionnaire was developed using items from previously validated instruments. Using three nursing homes in the Dallas-Fort Worth metroplex, a total of 157 pre-test and 132 post-test questionnaires were completed. A significant increase in overall knowledge from 80.6% at baseline to 96.1% at post-test was found (p [less than] .001). Participants also showed a significant (p [less than] 0.001) overall increase in knowledge for each of the three learning domains; patient care related to nutrition, food and fluid intake of residents, and eating. These findings suggest that employing short-term education to nursing home staff, using principles for adult learners, can improve nutritional knowledge significantly.Item Ethnic Differences in the Distribution of Factors Associated with Obesity in Children(2002-08-01) Ahmad, Naveed; Bayona, Manuel; Urrutia-Rojas, XimenaAhmad, Naveed M.D., Ethnic Differences in the Distribution of Factors Associated with Obesity in Children. Masters of Public Health (Biostatistics), August 2002, 31 pp., 6 tables, 1 illustration, references, 24 titles. Childhood obesity has risen dramatically during the last few decades and the factors associated with it vary for different ethnicities. The purpose of this study is to find ethnic differences in the distribution of factors associated with obesity in children. The data used in this study was collected in a school-based study of 1,076 school children in Fort Worth, Texas. Obesity was found to be more prevalent in Hispanics and African Americans than in Caucasians. Reported factors associated with childhood obesity, that were more prevalent in Hispanics were: eating more sweets and less vegetables, not doing regular daily exercise and watching more TV. In African Americans children the more common correlates of obesity were: reported eating more sweets, fewer fruits, watching more TV, and not doing daily exercise. For Caucasians reported correlates of obesity were: eating more chips, and being less involved in active sports, when compared to African American and Hispanic children.Item Latino Immigrants in Fort Worth: Contributing Factors to Lack of Health Insurance and Their Impacton Utilization of Health Services(2004-04-14) Moreno, Jose J.; Lykens, Kristine; Urrutia-Rojas, Ximena; Mains, Doug A.This quantitative research study consists of a secondary data analysis examining the factors contributing to the lack of health insurance in a group of Latino immigrants in Fort Worth, and the impact it has on their utilization for health care services. The data analyzed was previously collected to assess the needs for health insurance of Latino immigrants in Fort Worth. Bivariate analysis and multivariate logistic regression analysis methods of the sampled population were determine some of the main factors for lack of health insurance resulting in underutilization of health care service. Results of the study lacked the strong statistical association expected from the predictor variables, however, results of the study reveal areas where health care policies affect and may improve conditions of the immigrant population in Fort Worth, Texas.Item Overweightness and Obesity as Risk Factors for Acanthosis Nigricans(2001-12-01) Wadley, Wendy Whittaker; Urrutia-Rojas, Ximena; Bae, Sejong; Bayona, ManuelWadley, Wendy Whittaker, Overweightness and Obesity as Risk Factors for Acanthosis Nigricans. Master of Public Health (Community Health), December, 2001, 42 pp., 6 tables, references, 54 titles. This study was a secondary analysis of data from a cross-sectional study of 1,066 fifth grade students, who were screened for risk factors for type 2 diabetes (T2DM) at Fort Worth Independent School District in Texas. Participants (ages 8 to 13) were 55.8% Hispanic, 23.6% African American, 16.1% Caucasian, and 4.5% other minorities. The study’s hypotheses were a) overweight or obese children (Body Mass Index [BMI] ≥85th percentile) were more likely to have acanthosis nigricans (AN) than non-overweight of non-obese children, b) obese children (BMI≥85th-94.9th percentile). Findings supported both hypotheses, overweight or obese children are 17 times (OR=17.24) more likely to have AN that non-overweight or non-obese children, and obese children were about four times (OR=3.88) more likely than overweight children to have AN.Item Potential Predictors of Hypertension Among Children in Fort Worth, Texas: A Cross-Sectional Epidemiologic Study(2002-05-01) Egbuchunam, Christie U.; Bayona, Manuel; Urrutia-Rojas, Ximena; Wilkinson, GreggEgbuchunam, Christie U., Potential Predictors of Hypertension Among Children in Fort Worth, Texas; A Cross-Sectional Epidemiologic Study. Master of Public Health (Epidemiology), May, 2002, 110 pp., 15 tables, 2 illustrations, bibliography, 84 titles. Most studies have identified obesity, gender and age as major factors that influence blood pressure increase in children. The objective of this study was to assess factors that may either directly influence hypertension in children, or interact with obesity, age and gender. A cross-sectional study was carried out to identify and assess the crude and multiple logistic regression adjusted associations between selected variables and hypertension. Obesity and Acanthosis Nigricans (AN) were importantly associated with hypertension. Reduced playing time, and excessive television watching or playing of video games were also associated with hypertension; especially among those who were obese or had AN. Hispanic and African American children had higher likelihood of hypertension than Caucasian children.Item Item
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