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Full-Text Articles in Medicine and Health Sciences

Reducing Liver Cancer Disparities - A Community-Based Hepatitis B Prevention Program For The Asian American Communities In Maryland, Chiehwen Ed Hsu Jul 2007

Reducing Liver Cancer Disparities - A Community-Based Hepatitis B Prevention Program For The Asian American Communities In Maryland, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Objectives: Several Asian-American groups are at a higher risk of dying of liver diseases attributable to Hepatitis B infection. This culturally diverse community should be well informed of and protected against liver diseases. The present study assesses the knowledge of Hepatitis B before and after a Hepatitis B educational program and determines the infection status of an Asian community. Methods: Nine Asian communities of Montgomery County, Maryland enrolled in the Hepatitis B prevention program between Year 2005 and 2006. They attended culturally-tailored lectures on prevention, completed self administered pre-and-post tests, and received blood screening for the disease. Results: More than …


Shared Situational Awareness And Actionable Knowledge: Keeping The Human In The Loop, William Chris Chambers, Robert Ryczak, Chiehwen Ed Hsu, Bob Defraites Jul 2007

Shared Situational Awareness And Actionable Knowledge: Keeping The Human In The Loop, William Chris Chambers, Robert Ryczak, Chiehwen Ed Hsu, Bob Defraites

Chiehwen Ed Hsu

We propose a shift from a network-centric to a human-centric framework to assimilate emerging technologies into more effective and persistent situational awareness, integrated with actionable knowledge. Diverse communities of interest are better positioned to unify their efforts and support commanders when they are able to share situational awareness. A recent demonstration of military utility of a medical situational awareness capability for influenza surveillance validated shared situational awareness requirements in general. The current and future information environment will increase military and government requirements for situational awareness and actionable knowledge to support many “observe, assess, plan, and execute” processes by decision-makers. The …


A Spatial-Temporal Approach To Surveillance Of Prostate Cancer Disparities In Population Subgroups, Chiehwen Ed Hsu Dec 2006

A Spatial-Temporal Approach To Surveillance Of Prostate Cancer Disparities In Population Subgroups, Chiehwen Ed Hsu

Chiehwen Ed Hsu

Prostate cancer mortality disparities exist among racial/ethnic groups in the United States, yet few studies have explored the spatiotemporal trend of the disease burden. To better understand mortality disparities by geographic regions over time, the present study analyzed the geographic variations of prostate cancer mortality by three Texas racial/ethnic groups over a 22-year period. Methods: The Spatial Scan Statistic developed by Kulldorff et al was used. Excess mortality was detected using scan windows of 50% and 90% of the study period and a spatial cluster size of 50% of the population at risk. Time trend was analyzed to examine the …