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Combining the Performance Strengths of the Logistic Regression and Neural Network Models: A Medical Outcomes Approach

Wun Wong, Peter J. Fos, Frederick E. Petry
2003 The Scientific World Journal  
TheScientificWorldJOURNAL (2003) 3, David J. Fine, Designing Health Care for Populations: Applied Epidemiology for Health Care Administration (Jossey-Bass, April 2000). Dr.  ... 
doi:10.1100/tsw.2003.35 pmid:12847297 pmcid:PMC5974797 fatcat:jgsd6xzzozapfp6xsiphl47yhu

The Relationship of Diabetes and COVID-19: A Health Disparity

Peter J Fos, Peggy A Honoré, Katrina Kellum
2020 Diabetes & its Complications  
Source: Louisiana Department of Health ( Note: Data are of April 16, 2020 © 2020 Peter J Fos, et al.  ... 
doi:10.33425/2639-9326.1065 fatcat:iozqjv3n5ngq3ph4u6g76vsn34

Mindfulness Intervention to Decrease Post-Disaster Anxiety

Katrina P Kellum, Peter J Fos, Peggy A Honore
2020 Nursing & Primary Care  
The objective of this study was to evaluate the effectiveness of a mindfulness-based intervention to reduce postdisaster anxiety disorders following Hurricane Katrina and the Deepwater Horizon Gulf Oil Spill. The sample consisted of 14 patients of a community health clinic who were 55 years and older, with a diagnosis of anxiety, and with a score of >10 on the Generalized Anxiety Disorder-7 (GAD-7) assessment scale. The intervention was comprised of three individual sessions and included
more » ... and included education about the collaborative approach to anxiety, documentation of expectations of the participants and their anxiety triggers, provision of mindfulness training, and re-evaluation of anxiety by the patient at subsequent sessions. Participants completed a pre-and post-intervention GAD-7 questionnaire. The intervention resulted in a statistically significant decrease in overall anxiety. The study indicated that mindfulness-based therapy can effectively reduce post-disaster anxiety and that a permanent nurse consultation liaison is needed at mental health care facilities following disasters.
doi:10.33425/2639-9474.1139 fatcat:5lzzi5ombbbx3a36feit3q45py

The effects on population health status of using dedicated property taxes to fund local public health agencies

Peggy A Honoré, Peter J Fos, Xueyuan Wang, Ramal Moonesinghe
2011 BMC Public Health  
In the United States, a dedicated property tax describes the legal authority given to a local jurisdiction to levy and collect a tax for a specific purpose. We investigated for an association of locally dedicated property taxes to fund local public health agencies and improved health status in the eight states designated as the Mississippi Delta Region. Methods: We analyzed the difference in health outcomes of counties with and without a dedicated public health tax after adjusting for a set of
more » ... sting for a set of control variables using regression models for county level data from 720 counties of the Mississippi Delta Region. Results: Levying a dedicated public health tax for counties with per capita income above $28,000 is associated with improved health outcomes of those counties when compared to counties without a dedicated property tax for public health. Alternatively, levying a dedicated property tax in counties with lower per capita income is associated with poor health outcomes. Conclusions: There are both positive and negative consequences of using dedicated property taxes to fund public health. Policymakers should carefully examine both the positive association of improved health outcomes and negative impact of taxation on poor populations before authorizing the use of dedicated local property tax levies to fund public health agencies.
doi:10.1186/1471-2458-11-471 pmid:21672231 pmcid:PMC3141454 fatcat:tk5eat4jnzdldfli5ij35e6pce

Health status, physical disability, and obesity among adult Mississippians with chronic joint symptoms or doctor-diagnosed arthritis: findings from the Behavioral Risk Factor Surveillance System, 2003

Nadine T James, Carl W Miller, Peter J Fos, Lei Zhang, Peggy Wall, Cindy Welch
2008 Preventing Chronic Disease  
Br J Rheumatol 1998;37(12):1315-9. 32. Minor MA, Brown JD. Exercise maintenance of persons with arthritis after participation in a class experience. Health Educ Q 1993;20(1):83-5. 33.  ... 
pmid:18558035 pmcid:PMC2483552 fatcat:5danfqixobdyhpn5wzhfap3qie

Evaluación del estado de salud con la Encuesta SF-36: resultados preliminares en México

Miguel A. Zúniga, Genny T. Carrillo-Jiménez, Peter J. Fos, Barbara Gandek, Manuel R. Medina-Moreno
1999 Salud Pública de México  
Caminar una cuadra. j. Bañarse o vestirse. 4.  ... 
doi:10.1590/s0036-36341999000200005 fatcat:rgrew4ypifdcpcltzj7xjymurq

Body mass index and health related quality of life in elementary school children: a pilot study

Lei Zhang, Peter J Fos, William D Johnson, Vafa Kamali, Reagan G Cox, Miguel A Zuniga, Theresa Kittle
2008 Health and Quality of Life Outcomes  
We investigated the relationship between Body Mass Index (BMI) and health-related quality of life (HRQOL) indicated by baseline health status in elementary school children. Methods: Data were obtained via parents whose children enrolled in an elementary school, kindergarten to fourth grade, in southern Mississippi in spring 2004. Parents completed the SF-10 for Children™, a brief 10-item questionnaire designed to measure children's HRQOL on a voluntary basis. Results: A total of 279 parents
more » ... of 279 parents completed the questionnaires for their children. On average, physical and psychosocial summary scores, major indicators for HRQOL, were significantly higher among the elementary school children in our study relative to those from U.S. children overall (p < 0.0001 and p = 0.0007, respectively). Males tended to have better physical functioning than their female classmates, whereas females had better psychosocial health. Overall, except for third graders, the physical summary scores increased as grade level increased. The means for psychosocial score fluctuated without a clear pattern over the five grade levels. High level of BMI was significantly associated with children's physical summary scores below 50, a norm used for U.S. children (p = 0.003). Gender and grade were not significant predictors of children's physical and psychosocial scores. Discussion: This study can be used as baseline information to track changes over time, in BMI and health status among the elementary school children. In addition, this study can be used to investigate relationships between BMI, health status, intellectual ability, and performance in school. Conclusion: The findings suggest that programs designed to encourage children to lose weight in a healthy manner, thus reducing their BMI, could improve the physical and psychosocial health, and subsequently increase HRQOL.
doi:10.1186/1477-7525-6-77 pmid:18845000 pmcid:PMC2576174 fatcat:mx5bdkqtcvd5vooji77buuh3im

Utilization of the emergency room: impact of geographic distance

Jae Eun Lee, Jung Hye Sung, William B. Ward, Peter J. Fos, Won Jae Lee, Jae Chang Kim
2007 Geospatial Health  
The aim of this study was to estimate the distance Mississippi patients must travel to access hospital-based emergency rooms (ERs) and to determine whether an association exists between geographic distance and ER utilization. To that end, great circle distances between Census Block Group Centroid Points and 89 hospitals with emergency departments were calculated for the State of Mississippi. Data on the socio-demographic characteristics of each block group came from the 2000 US Census data.
more » ... US Census data. Logistic regression analyses were conducted to test if there was any association between ER utilization and travel distance. Compared to the national benchmark of 35.7%, more than one in two (56.7%), or 1,612,762 Mississippians visited ERs in 2003 with an estimated 6.1 miles per person annual travel for this purpose. The majority of the target population (54.9%) was found to live within 5 miles of hospitals with ERs. Logistic analyses revealed that block groups associated with less miles traveled to hospitals with ERs had a higher proportion of African Americans, impoverished people, female householders, people with more than 12 years education, people older than 65 years, people with high median house values, and people without employment. Twenty-nine of the 89 hospitals (33%) providing ER care in Mississippi were found to be in areas with above-average ER utilization rates. These hospitals served a smaller geographical area (28% of the total) but had a greater proportion of visitors (57%) and served a higher percentage (37%) of the state population. People in areas served by the less utilized ERs traveled more miles to be cared for (7.1 miles vs 5.4 miles; p<0.0001). Logistic regression analysis revealed that shorter distances were associated with increased use of the ERs, even after controlling for socio-demographic factors. The conclusion is that Mississippi ERs are typically located in block groups with higher percentages of disadvantaged residents and that people in these areas are more likely to utilize ER services. Our data suggest that the geographical distance has an impact on ER utilization, especially by reducing utilization in disadvantaged block group areas. Disadvantaged persons living near ER hospitals (<5 miles) were found to be more likely to utilize the ER services. Geographic distance should therefore be considered when planning state-wide ER programmes for disadvantaged populations.
doi:10.4081/gh.2007.272 pmid:18686249 fatcat:sgi26infcbcshellunozpm3ohq