Digital Commons Network^™

Tobacco Control: Are We Appropriately Training Future Health Professionals, Francisco Soto Mas, Chiehwen Hsu

Francisco Soto Mas

Information on how health professionals perceive tobacco use as well as their attitudes toward tobacco control is scarce. This study assessed the attitudes and perceptions of public health students toward tobacco use and tobacco control, which constitutes a necessary first step in designing effective training strategies. Although the majority of respondents agreed that tobacco use constitutes a relevant public health problem, they did not perceive tobacco control to be a public health priority. Academic institutions may not be properly training public health students, and may therefore be missing the opportunity to advance tobacco control at the national and global levels.

Primary Care Nurse Attitudes, Beliefs And Confidence Levels Regarding Alcohol Abuse And Its Treatment: Impact Of Educational Intervention., Raja Sekhar Vadlamudi

Electronic Theses and Dissertations

Alcohol abuse has been a major burden on the society. In the fight against it a key issue the education of the primary care nurses has been ignored. This study evaluates the effect of education program on the attitudes, beliefs, and confidence levels of primary care nurses regarding alcohol abuse and its treatment. Data from the Project Mainstream educational intervention were used with permission from the investigators. Two hundred one students and faculty of nursing at Vanderbilt University participated in the intervention, which was designed to train primary care providers in the Brief Negotiated Intervention technique for early detection and …

Health-Exposure Modelling And The Ecological Fallacy, Jon Wakefield, Gavin Shaddick

UW Biostatistics Working Paper Series

Recently there has been increased interest in modelling the association between aggregate disease counts and environmental exposures measured, for example via air pollution monitors, at point locations. This paper has two aims: first we develop a model for such data in order to avoid ecological bias; second we illustrate that modelling the exposure surface and estimating exposures may lead to bias in estimation of health effects. Design issues are also briefly considered, in particular the loss of information in moving from individual to ecological data, and the at-risk populations to consider in relation to the pollution monitor locations. The approach …

Ada News - 12/12/2005, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Trapped In A State Of Mitigating Danger: Forgotten Process, Forgotten Women, Alva Hunt Reid

Doctoral Dissertations

Women who are in intimate partner abusive relationships undergo a change process, which is a spectrum of emotional and behavioral responses to violence that is identifiable in stages. The end result is that women terminate their relationships or renegotiate their circumstances to halt the violence: Treatment protocol for abused women is shifting to individualized intervention based on these stages. Leaving and returning to an abusive relationship is a predominant theme in the change process that has not been investigated.

The present study examined this forgotten leave-return process in a sample of forgotten women. Grounded theory methodology was utilized to describe …

Chlorpyrifos In Human Breast Milk?, Karyn Ann Casey

Doctoral Dissertations

The widespread use of pesticides by farmers, pest control operators and even the general public can pose significant risks to children's health. One particular pesticide, chlorpyrifos, was the most widely used pesticide in the United States with total use estimated at approximately 30 million pounds per year. Young children and the developing fetus are far more susceptible to the effects of pesticide exposure as a result of unusual exposure patterns and developmental immaturities. Transplacental transfer and lactational exposure are the pathways exclusive to the developing fetus and infant. Chlorpyrifos exposure is of special concern in this population because of its …

Applications Of Pooled Dna Samples To The Assessment Of Population Affinities: Short Tandem Repeats, M. H. Crawford, P. Banerjee, D. A. Demarchi, M. Zlojutro, J. Mccomb, G. Livshits, M. Henneberg, M.J. Mosher, M. S. Schanfield, J. A. Knowles

Anthropology Faculty and Staff Publications

Pooled DNA samples have been used in association studies of Mendelian disease genes. This method involves combining equal quantities of DNA from patients and control subjects into separate pools and comparing the pools for distributions of genetic markers. In this study identical quantities of DNA from 300 individuals representing 6 populations were pooled and amplified for 296 loci using the touchdown polymerase chain reaction (PCR) method. The purpose of this study is to test the efficacy of pooled DNA markers in the reconstruction of the genetic structure of human populations. The populations sampled included Chuvash, Buryats, Kizhi, Native Americans, South …

Genotype-By-Sex Interaction In The Regulation Of High-Density Lipoprotein: Theframingham Heart Study, M.J. Mosher, L. J. Martin, L. A. Cupples, Q. Yang, T. D. Dyer, J. T. Williams, K. E. North

Anthropology Faculty and Staff Publications

Low levels of high-density lipoprotein (HDL) are widely documented as a risk factor for cardiovascular disease (CVD). Furthermore, there is marked sexual dimorphism in both HDL levels and the prevalence of CVD. However, the extent to which genetic factors contribute to such dimorphism has been largely unexplored. We examined the evidence for genotypeby- sex effects on HDL in a longitudinal sample of 1,562 participants from 330 families in the Framingham Heart Study at three times points corresponding approximately to 1971-1974, 1980-1983, and 1988-1991. Using a variance component method, we conducted a genome scan of HDL at each time point in …

The Health Status Of Southern Children: A Neglected Regional Disparity, Jeffrey Goldhagen, Radley Remo, Thomas Bryant, Peter Wludyka, Amy B. Dailey, David Wood, Graham Watts, William Livingood

Health Sciences Faculty Publications

Purpose: Great variations exist in child health outcomes among states in the United States, with southern states consistently ranked among the lowest in the country. Investigation of the geographical distribution of children’s health status and the regional factors contributing to these outcomes has been neglected. We attempted to identify the degree to which region of residence may be linked to health outcomes for children with the specific aim of determining whether living in the southern region of the United States is adversely associated with children’s health status.

Methods: A child health index (CHI) that ranked each state in the United …

Center For Professional Ethics, Winter 2005, Case Western Reserve University

Center for Professional Ethics

Incomplete draft of issue:

Table of Contents:

• The Race at Case: One Leg of a Long Marathon
• Truth and Trust in a Time of Continuing Change: A Talk by Caroline Whitbeck
• Religious Lawyering: Professor Russell Pearce Keeps His Faith
• News and Notes

What Is Comprehensive Sexuality Education Really All About? Perceptions Of Students Enrolled In An Undergraduate Human Sexuality Course, Eva Goldfarb

Department of Public Health Scholarship and Creative Works

The purpose of this study was to use qualitative evaluation techniques to explore the perceptions of students enrolled in undergraduate human sexuality classes regarding their expectations for the course as well as outcomes. One hundred forty-eight students were surveyed at the beginning and again at the end of the semester-long course. While pregnancy and STI prevention were considered important components of their courses, other outcomes associated with positive, healthy sexuality were given greater emphasis. Results suggest that while primary and secondary level sexuality education have been increasingly focused on abstinence-only education with a focus on pregnancy and STI reduction, this …

Pooling Information Across Different Studies And Oligonucleotide Microarray Chip Types To Identify Prognostic Genes For Lung Cancer., Jeffrey S. Morris, Guosheng Yin, Keith A. Baggerly, Chunlei Wu, Li Zhang

Jeffrey S. Morris

Our goal in this work is to pool information across microarray studies conducted at different institutions using two different versions of Affymetrix chips to identify genes whose expression levels offer information on lung cancer patients’ survival above and beyond the information provided by readily available clinical covariates. We combine information across chip types by identifying “matching probes” present on both chips, and then assembling them into new probesets based on Unigene clusters. This method yields comparable expression level quantifications across chips without sacrificing much precision or significantly altering the relative ordering of the samples. We fit a series of multivariable …

The Only Way Out Is To Die: Perceptions And Experiences Of Rural, Homebound, Older Diabetics, Sharon Robbins George

Doctoral Dissertations

The purpose of this phenomenological study was to investigate the meaning of diabetes, as perceived and experienced by rural, homebound, 65-year and older, diabetics requiring insulin. The sixty-five year and older persons are disproportionately affected by diabetes. They are more likely than younger diabetics to have co-morbidities, disabilities and difficulty preventing diabetic complications. Guidelines for diabetes management and treatment developed by the American Diabetes Association are not specifically targeted for the 65-year and older population. Phenomenological research was used to examine and describe the understanding of diabetes from perspectives of older diabetics.

A purposive sample of participants was recruited from …

Désir Et Impuissance Dans Halfaouine Et Bye-Bye, Scott Homler

Présence Francophone: Revue internationale de langue et de littérature

The experience of adolescence and the trials of Arab and Beur masculinity are explored in the films of Férid Boughédir and Karim Dridi in order to reveal the psychology and the politics of masculinity in evolution. Studying two films, Halfaouine and Bye-Bye, as well as the autobiography of Abdelkébir Khatibi entitled La mémoire tatouée, we see that they reflect a number of discursive stages of an emergent identity of protest that is based on flight and self-destruction.

Velo-Cardio-Facial Syndrome, Robert J. Shprintzen, Anne Marie Higgins, Kevin M. Antshel, Wanda Fremont, Nancy Roizen, Wendy R. Kates

Communication Disorders Faculty Publications

Purpose of review: Velo-cardio-facial syndrome has emerged from obscurity to become one of the most researched disorders this past decade. It is one of the most common genetic syndromes in humans, the most common contiguous gene syndrome in humans, the most common syndrome of cleft palate, and the most common syndrome of conotruncal heart malformations. Velo-cardio-facial syndrome has an expansive phenotype, a factor reflected in the wide range of studies that cover both clinical features and molecular genetics. In this review, we cover multiple areas of research during the past year, including psychiatric disorders, neuroimaging, and the delineation of clinical …

Magnetic Resonance Spectroscopy Correlates Of Outcome In Nonaccidental Trauma, Janice Lyanne Enriquez

Loma Linda University Electronic Theses, Dissertations & Projects

Nonaccidental head trauma (NAHT) in infants and children involves intentional injury that is often associated with severe neurological and neuropsychological sequelae. Injuries due to NAHT result in immediate changes in neural function, as evidenced by abnormal biochemical metabolite levels and clinical variables, which are predictive of long-term outcome. Identification of the association between biochemical metabolite levels and clinical variables with long-term outcome of NAHT would permit for an understanding of the types of services that could potentially facilitate recovery or reduce the severity of impairment. Infants and children who sustain such injuries are often excluded from the abuse as well …

Factors Related To Delayed Time For Hiv Care Among Youth Living With Hiv: A Cross-Sectional Analysis Of Social Support Networks And Access To Care, Patricia L. Jones

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: This research explored the pattern of influence social support networks had on delayed time between diagnosis and first doctor’s visit after diagnosis of HIV in youth. Results showed that factors related to receiving a referral were prosocial peer behaviors and excessive fibbing in the past 6 months. The study identified sources of social support and described the relationship between the source of support and time of first doctor’s visit after HIV diagnosis. Both descriptive and multivariate analyses were performed on all youth (N=347) and specifically on those seeking care. Methodology: Historical data were extracted from the baseline dataset of …

Exposure Utilization And Completion Of Cognitive Behavioral Therapy For Ptsd In A “Realworld” Clinical Practice, Claudia Zayfert, Jason C. Deviva, Carolyn Becker, Julie L. Pike, Karen L. Gillock, Sarah A. Hayes

Department of Psychology: Faculty Publications

This study assessed rates of imaginal exposure therapy (ET) utilization and completion of cognitive behavioral therapy (CBT) for posttraumatic stress disorder (PTSD) in a clinical setting and examined variables associated with CBT completion. Using a clinical definition, the completion rate of CBT was markedly lower than rates reported in randomized trials. CBT completion was inversely related to severity of overall pretreatment measures of PTSD, avoidance, hyperarousal, depression, impaired social functioning, and borderline personality disorder. Regression yielded avoidance and depression as unique predictors of completion. Most dropouts occurred before starting imaginal ET, although initiating ET was associated with greater likelihood of …

Hypertrophy Of Ligamentum Flavum In Lumbar Spinal Stenosis Associated With Increased Proteinase Inhibitor Concentration, Jong-Beom Park, Jin-Kyung Lee, Sung-Jin Park, K. Daniel Riew

Open Access Publications

No abstract provided.

An Examination Of The Five Factors Of Personality, Pubertal Onset And Alcohol Usage In Adolescent Males, Sarah Wickman

Masters Theses & Specialist Projects

Recent national surveys have demonstrated an increase in alcohol use among adolescents over the past five years (Johnston, O'Malley, & Bachman, 2003; Kann et al., 2000). It is important to understand factors that influence alcohol use in order to aid in the creation of preventative measures due to the many possible negative consequences associated with drinking alcohol (i.e., unwanted sexual activity, delinquency, abuse of other drugs, violence, car accidents, and poor academic performance) (Boyd, Howard, & Zucker, 1995). Two factors that have been studied as possible predictors of adult and adolescent alcohol use are personality and pubertal onset. Specifically, studies …

Review Of Practice Issues In Hiv/Aids Services. Ronald J. Mancoske And James Donald Smith (Eds.). Reviewed By Vijayan K. Pillay., Vijayan K. Pillai

The Journal of Sociology & Social Welfare

Book review Ronald J. Mancoske and James Donald Smith (Eds.), Practice Issues in HIV/AIDS Services. Binghamton, NY, 2004. $39.95 hardcover, $24.95 papercover.

High Potency And Other Alcoholic Beverage Consumption Among Adolescents, Edessa C. Jobli, Heather S. Dore, Chudley Werch, Michele Johnson Moore

Public Health Faculty Research and Scholarship

This study examined the prevalence of high potency (liquor, malt liquor, fortified wine) and other alcoholic beverage consumption (beer, wine/wine coolers) among adolescents, the impact of gender and ethnicity, and the risk and protective factors that predicted consumption. A confidential survey revealed that, among eighth grade students, wine/wine coolers were the most popular alcoholic beverages, with the highest levels of lifetime use, and the greatest current frequency and quantity of use, followed closely by beer and liquor. Minor gender differences were found, as well as notable ethnic differences, in consumption. Intentions and attitudes were important predictors of use across beverages. …

Are Specific Language Impairment And Dyslexia Distinct Disorders?, Hugh W. Catts, Suzanne M. Adlof, Tiffany Hogan, Susan Ellis Weismer

Faculty Publications

Purpose - The purpose of this study was to determine whether specific language impairment (SLI) and dyslexia are distinct developmental disorders.

Method - Study 1 investigated the overlap between SLI identified in kindergarten and dyslexia identified in 2nd, 4th, or 8th grades in a representative sample of 527 children. Study 2 examined phonological processing in a subsample of participants, including 21 children with dyslexia only, and 43 children with SLI only, 18 children with SLI and dyslexia, and 165 children with typical language/reading development. Measures of phonological awareness and nonword repetition were considered.

Results - Study 1 showed limited but …

Being Whole: Aligning Personhoods To Achieve Successful Childbirth With A History Of Childhood Sexual Abuse During Perinatal Services, Karla Kendall Richmond Phd, Msn, Rnc, Cns

Dissertations

Being a pregnant female is a temporary condition. A woman with a history of childhood sexual abuse aligns the personhoods of child victim, adult survivor and pregnant female to achieve a successful pregnancy, labor, delivery and postpartum experience. Female survivors desire to be recognized and function as whole being during the perinatal experience. It is estimated that 15 to 32 percent of females prior to the age of eighteen have unwanted sexual contact. Female survivors carry this history of childhood sexual abuse (CSA) with them throughout their lives which may involve childbirth. There are many long-term psychological consequences that can …

Resident Efficiency In A Pediatric Emergency Department., M Denise Dowd, Celeste Tarantino, Theodore M. Barnett, Laura Fitzmaurice, Jane F. Knapp

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVES: To measure the hourly rate of patients evaluated and treated by resident physicians in an academic pediatric emergency department (PED) and examine differences in the rate by subspecialty and year of training.

METHODS: For all residents rotating in an academic, urban children's hospital PED, the rate of patients seen per hour over the course of their rotation was calculated using an electronic tracking system, EmSTAT, for calendar year 2000. Rates are reported as the mean number of patients seen per resident hour worked. Mean differences are reported for resident subspecialties (emergency medicine, pediatrics, and family practice) and postgraduate year …

Perceptions Of High Risk Behaviors Among Culturally Diverse Adolescents And The Role Of Parental Influence And Parent Communication, Sharlene E. Junio

Master's Projects

Eighty seven ethnically diverse 9th and 1oth graders from an urban high school in Northern California were studied. Students were mostly female, between 14 and 16 years of age, and reported to be mostly Asian and Filipino. Students completed an 18-item Likert scale questionnaire requesting information about their overall relationship with their parents and their communication with their parents about drugs, sex, alcohol, birth control, and personal problems. Results of this study showed that participants rated their overall relationship with their parents as "good" or "very good." Despite this, communication was lacking among parents and adolescents in all topics of …

Remote Physiological Monitoring: Clinical, Financial, And Behavioral Outcomes In A Heart Failure Population, Laurel R. Hudson Msn, Rn, G. Brent Hamar Dds, Mph, Patty Orr Rn, Edd, Jeffrey H. Johnson Bs, Amy Neftzger Ma, Richard S. Chung Md, Myra L. Williams Mph, William M. Gandy Edd, Albert Crawford Phd, Mba, Msis, Janice L. Clarke Rn, Bba, Neil I. Goldfarb

College of Population Health Faculty Papers

This article reports on the outcomes associated with remote physiological monitoring (RPM) conducted as part of a heart failure disease management program. Claims data, medical records, data transmission records, and survey results for 91 individuals ages 50–92 (mean 74 years) successfully completing a heart failure RPM program were analyzed for time periods before, during, and after the monitoring intervention. The program was associated with significant reductions in per member per month costs and emergency room and hospital utilization. More detailed analyses were performed for specific gender and age subgroups. Participant surveys indicated high levels of satisfaction, and improvements in self-perceived …

How Accurate Are Athletes' Perceptions Of Their Coaches' Expectations?, Angela Marathakis

Masters Theses

The purpose of the present study was to determine the extent to which there is a correspondence between athletes' perceptions of their coach's expectations and the coach's actual expectations. It was predicted that a significant difference would exist between the coach's expectations of high and low expectancy athletes (Solomon et. al, 1996a; Solomon, 2002; Solomon et. al 1996b). In addition, for both groups of athletes, it was predicted that there would be no difference between athletes' perceptions of their coach's expectations and the coach's actual expectations, supporting the notion that both groups of athletes accurately perceive the expectations their coach …

Phonological Process Use In The Speech Of Children Fitted With Cochlear Implants, Rhonda Gale Parker

Masters Theses

Objective: The purpose of this study was to examine the use of both developmental and non-developmental phonological processes in a group of young children using cochlear implants.

Participants: 6 preschool children with severe to profound binaural hearing loss with cochlear implants

Method: 15-25 minute conversational speech samples from six children were collected at three-month intervals over a period of 12-21 months for a prior study. These samples were then transcribed and analyzed using Natural Phonological Analysis (NPA) and a data collection form created solely for the purpose of this study.

Data Analysis: Pearson correlations were used to determine relationships among …

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

College of Nursing Faculty Research and Publications

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …