Fazlay Faruque

Use of hyperspectral imaging to distinguish normal, precancerous, and cancerous cells†

The objective of the current study was to test the hypothesis that the cytologic diagnosis of cancer cells can be enhanced by the technique of hyperspectral imaging (HSI).

Estimating the global abundance of ground level presence of particulate matter (PM2.5).

With the increasing awareness of the health impacts of particulate matter, there is a growing need to comprehend the spatial and temporal variations of the global abundance of ground level airborne particulate matter with a diameter of 2.5 microns or less (PM2.5). Here we use a suite of remote sensing and meteorological data products together with ground-based observations of particulate matter from 8,329 measurement sites in 55 countries taken 1997-2014 to train a machine-learning algorithm to estimate the daily distributions of PM2.5 from 1997 to the present. In this first paper of a series, we present the methodology and global average results from this period and demonstrate that the new PM2.5 data product can reliably represent global observations of PM2.5 for epidemiological studies.

Utilizing Geographic Information Systems in Community Assessment and Nursing Research

Application of Geographic Information Systems (GIS) in health sciences is relatively new, but it appears to be expanding faster than any other areas of GIS application. Although health scientists have long been using geographic information conceptually, the current availability of user-friendly GIS tools has caused a rapid endorsement of GIS in community health research. Locations of disease incidence, surrounding environments, health care facilities, geographic boundaries of the communities, and other essential community infrastructures have always been essential components of epidemiological and health care studies. This article provides an example of the effective use of GIS in a community assessment project. The purpose of this project was to survey the households in Hinds County, Mississippi, to assess community health status and the under-utilization of health care services. Ultimately, the assessment will be used to positively influence health outcomes within defined geographic communities. Community assessment was accomplished using extensive face-to-face surveys coupled with GIS technology to optimize the process and to evaluate the results. Many studies have been designed and conducted worldwide to educate high-risk group.

Mapping urban and peri-urban breeding habitats of Aedes mosquitoes using a fuzzy analytical hierarchical process based on climatic and physical parameters

The spread of dengue fever depends mainly on the availability of favourable breeding sites for its mosquito vectors around human dwellings. To investigate if the various factors influencing breeding habitats can be mapped from space, dengue indices, such as the container index, the house index and the Breteau index, were calculated from Ministry of Public health data collected three times annually in Phitsanulok, Thailand between 2009 and 2011. The most influential factors were found to be temperature, humidity, rainfall, population density, elevation and land cover. Models were worked out using parameters mostly derived from freely available satellite images and fuzzy logic software with parameter synchronisation and a predication algorithm based on data mining and the Decision Tree method. The models developed were found to be sufficiently flexible to accommodate additional parameters and sampling data that might improve prediction of favourable breeding hotspots. The algorithm applied can not only be used for the prediction of near real-time scenarios with respect to dengue, but can also be applied for monitoring other diseases influenced by environmental and climatic factors. The multi-criteria model presented is a cost-effective way of identifying outbreak hotspots and early warning systems lend themselves for development based on this strategy. The proposed approach demonstrates the successful utilisation of remotely sensed images to map mosquito breeding habitats.

The geographic distribution of mammography resources in Mississippi.

OBJECTIVE: To determine whether the availability of mammography resources affected breast cancer incidence rates, stage of disease at initial diagnosis, mortality rates and/or mortality-to-incidence ratios throughout Mississippi. METHODS: Mammography facilities were geocoded and the numbers of residents residing within a thirty minute drive of a mammography facility were calculated. Other data were extracted from the Mississippi Cancer Registry, the U.S. Census, and the Mississippi Behavioral Risk Factor Surveillance Survey (BRFSS). RESULTS & DISCUSSION: There were no statistically-significant differences between breast cancer incidence rates in Black versus White females in Mississippi; however, there were significant differences in the use of mammography, percentages of advanced-stage initial diagnoses, mortality rates, and mortality-to-incidence ratios, where Black females fared worse in each category. No statistically-significant correlations were observed between breast cancer outcomes and the availability of mammography facilities. The use of mammography was negatively correlated with advanced stage of disease at initial diagnosis. By combining Black and White subsets, a correlation between mammography use and improved survival was detected; this was not apparent in either subset alone. There was also a correlation between breast cancer mortality-to-incidence ratios and the percentage of the population living below the poverty level. CONCLUSIONS: The accessibility and use of mammography resources has a greater impact on breast cancer in Mississippi than does the geographic resource distribution per se. Therefore, intensified mammography campaigns to reduce the percentage of advanced-stage breast cancers initially diagnosed in Black women, especially in communities with high levels of poverty, are warranted in Mississippi.

Geospatial information technology: an adjunct to service-based outreach and education.

This exemplar highlights how geospatial information technology was effective in supporting academic practice, faculty outreach, and education initiatives at the University of Mississippi School of Nursing. Using this cutting-edge technology created a community-based prototype for fully integrating point-of-service research, practice, and academics into a cohesive strategy to influence change within the health care delivery system. This exemplar discusses ways this knowledge benefits practice and curriculum development; informs critical decision making affecting the people we serve; underscores the vital role nurses play in linking this technology to practice; and develops community residents as partners in their own health and that of the community.

The impact of preventive screening resource distribution on geographic and population-based disparities in colorectal cancer in Mississippi

BackgroundThe state of Mississippi has the highest colorectal cancer (CRC) mortality rate in the USA. The geographic distribution of CRC screening resources and geographic- and population-based CRC characteristics in Mississippi are investigated to reveal the geographic disparity in CRC screening.MethodsThe primary practice sites of licensed gastroenterologists and the addresses of licensed medical facilities offering on-site colonoscopies were verified via telephone surveys, then these CRC screening resource data were geocoded and analyzed using Geographic Information Systems. Correlation analyses were performed to detect the strength of associations between CRC screening resources, CRC screening behavior and CRC outcome data.ResultsAge-adjusted colorectal cancer incidence rates, mortality rates, mortality-to-incidence ratios, and self-reported endoscopic screening rates from the years 2006 through 2010 were significantly different for Black and White Mississippians; Blacks fared worse than Whites in all categories throughout all nine Public Health Districts. CRC screening rates were negatively correlated with CRC incidence rates and CRC mortality rates. The availability of gastroenterologists varied tremendously throughout the state; regions with the poorest CRC outcomes tended to be underserved by gastroenterologists.ConclusionsSignificant population-based and geographic disparities in CRC screening behaviors and CRC outcomes exist in Mississippi. The effects of CRC screening resources are related to CRC screening behaviors and outcomes at a regional level, whereas at the county level, socioeconomic factors are more strongly associated with CRC outcomes. Thus, effective control of CRC in rural states with high poverty levels requires both adequate preventive CRC screening capacity and a strategy to address fundamental causes of health care disparities.

GeoMedStat: an integrated spatial surveillance system to track air pollution and associated healthcare events.

Air pollutants, such as particulate matter with a diameter ≤2.5 microns (PM2.5) and ozone (O3), are known to exacerbate asthma and other respiratory diseases. An integrated surveillance system that tracks such air pollutants and associated disease incidence can assist in risk assessment, healthcare preparedness and public awareness. However, the implementation of such an integrated environmental health surveillance system is a challenge due to the disparate sources of many types of data and the implementation becomes even more complicated for a spatial and real-time system due to lack of standardised technological components and data incompatibility. In addition, accessing and utilising health data that are considered as Protected Health Information (PHI) require maintaining stringent protocols, which have to be supported by the system. This paper aims to illustrate the development of a spatial surveillance system (GeoMedStat) that is capable of tracking daily environmental pollutants along with both daily and historical patient encounter data. It utilises satellite data and the groundmonitor data from the US National Aeronautics and Space Administration (NASA) and the US Environemental Protection Agenecy (EPA), rspectively as inputs estimating air pollutants and is linked to hospital information systems for accessing chief complaints and disease classification codes. The components, developmental methods, functionality of GeoMedStat and its use as a real-time environmental health surveillance system for asthma and other respiratory syndromes in connection with with PM2.5 and ozone are described. It is expected that the framework presented will serve as an example to others developing real-time spatial surveillance systems for pollutants and hospital visits.

Rating the Shrink/Swell Behavior of the Porters Creek Formation

The Porters Creek Formation, a Tertiary age formation found in the Gulf Coastal Plain region, is known to exhibit shrink/swell behavior. This formation consists of mixed-layer clays composed mostly of montmorillonite. However, to date, the Porters Creek Formation has been ranked as only moderately expansive compared with other expansive geologic materials. During this investigation, surface and subsurface samples of the Porters Creek Formation were subjected to a variety of geotechnical tests to determine their shrink/swell potential. The tests included Atterberg limits, percentage of clay, activity, and volumetric change of samples using a potential volume change meter. The results were used to rank the shrink/swell behavior of the samples in six commonly used classification systems that are based on empirical relationships between the engineering properties of the clay mineral constituents. The same classification systems were then used to classify other geologic formations known to exhibit shrink/swell behavior; then, these results were compared with the results of analyses of the Porters Creek Formation. The samples from the Porters Creek Formation generally ranked in the highest or second highest category of shrink/swell potential, higher than generally expected. This indicates that the Porters Creek Formation has the same high potential for damaging shrink/swell behavior as other formations known to cause damage to roads and other engineered construction, and the current ranking of the Porters Creek Formation by the Federal Highway Administration is too low.

Reducing cardiovascular health disparities in the mississippi delta: the mercy delta express project

Abstract P-319 Key Words: Health Disparities, CVD Prevention, Community-Driven Health Services