Digital Commons Network^™

Patient Perceptions Of Quality: The Influence Of Value And Beneficence, Rebecca H. Waldon

Theses and Dissertations (ETD)

The influence of patient values and patient perception of benefits on patient perceptions of quality have not been extensively investigated, even though patient and provider perceptions of quality have been widely studied. Refocusing quality assessment and improvement to include factors that influence patient perceptions of quality is necessary for humanitarian and economic reasons. The health care patient has certain expectations of health care. These expectations are based on the value the patient places on the services. Value is a predictor of patient-perception of quality. The relative worth of patient goals may also be related to patient perceptions of quality. If …

Managing Occupational Hazards Confronting Healthcare Workers, Kiran A. Mody

Theses

The primary goal of this thesis is to identify, evaluate, and control occupational hazards that may exist in health care facilities.

Due to the complex nature of health care facilities, healthcare workers are always challenged by an imposing group of occupational hazards. The magnitude and diversity of these hazards, and the constantly changing nature of government regulations make it difficult to guarantee absolute protection and accuracy of the material contained herein. However, awareness of the risks, compliance with basic preventive measures, and adequate interventions are all essential components to consider in protecting healthcare workers.

Therefore, potential health effects of various …

Prevention Of Occupational Exposure Of Tuberculosis To Health Care Workers, Thomas C. Carle

Theses

The resurgence of tuberculosis in the United States within the past decade has prompted the health care community to develop tuberculosis elimination policies. However, recent outbreaks of tuberculosis have proved to be resistant to multiple antibiotics. Tuberculosis infections among health care workers is also rising. This increase in occupational exposures has prompted the examination of current exposure control measures.

The occupational exposure to tuberculosis is prevented by the use of administrative policies, engineering controls and personal protective equipment. Each control measure has inherent strengths and weaknesses and when implemented through an exposure control plan the risk of occupational exposure can …

Patients As Subjects For Research: Ethical Dilemmas For The Primary Care Clinician-Investigator, Susan F. Slatkoff, Peter Curtis, Ann L. Coker

CRVAW Faculty Journal Articles

Background: Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN). In 1987, University of North Carolina (UNC) Hospitals Family Practice Center clinicians were approached for a control population to study this association. Methods: One hundred fives patients attending the UNC Hospitals Neoplasia Clinic with biopsy-proven CIN 2 or 3 and 268 control patients attending the UNC Family Practice Center for a routine Papanicolaou smear were enrolled in this case-control study. Case and control patients consented to having an additional cervical specimen taken and to being interviewed. The cervical specimens were classified by the Southern blot …

An Assessment Of Four-Hour Sample Durations Used To Determine Full-Shift Noise Exposures In A Foundry, Vince Marlo Fleming

Community & Environmental Health Theses & Dissertations

Full-shift sampling, usually eight hours, is traditionally performed to assess daily occupational noise exposure. This sampling approach is inefficient, and costly for repeated, long-term exposure evaluations. This study assessed the use of four-hour sample durations and subsequent data analysis to determine daily occupational noise exposures in a foundry. The four-hour sample durations were extracted from full-shift samples and analyzed on their ability to provide valid data for estimating mean daily noise exposure levels without significantly affecting sampling precision or accuracy. Results of this study indicate four-hour sample durations can be used successfully to estimate full-shift noise exposures provided certain criteria …

The Identification And Magnitude Estimation Of Occupational Stressors In The Industrial Hygiene Profession, Judith Hinch

Community & Environmental Health Theses & Dissertations

The industrial hygiene professional is responsible for the evaluation and control of hazards in the workplace. Job stress has been identified as a factor affecting the health, safety and productivity of workers and can be considered a workplace hazard.

This study involved the development of an instrument to identify and quantify sources of stress within a give profession. The industrial hygiene profession was chosen, though the method can be, and has been, used to evaluate stress in other groups of individuals. The method involved the identification of the most significant sources of stress by surveying a small number of the …

Ua12/4 Commuter Link, Vol. 2, No. 2, Wku Health Services

WKU Administration Documents

Newsletter created for non-traditional students returning to WKU.

The Effect Of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program On Knowledge, Attitudes And Sexual Behavior Of Selected College Students, Arlene Jaine Jackson Montgomery

Health Services Research Dissertations

The problem studied in this investigation was whether a behaviorally focused Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Program affects the knowledge, sexual attitudes and sexual behavior of college students.

Three hundred and six first-and third-year college students were included in the study from one university located in Southeastern Virginia. The sample was predominately female, African-American and mainly between the ages of 16-22 years of age.

Freshmen students were presently enrolled in the institution's HIV/AIDS education program, which was a part of a required course. The class sessions consisted of a pretest prior to student's completing the reading assignment …

A Case Study Of Health Risk Communication: What The Public Wants And What It Gets, Jeannette M. Trauth

RISK: Health, Safety & Environment (1990-2002)

Dr. Trauth presents a content analysis of 40 years of coverage of a major local source of air pollution by a Pittsburgh newspaper. She also summarizes the results of a survey conducted to determine the extent to which citizens of most likely affected communities, e.g., understand health risks and desire further information.

Certified Nursing Assistants' Satisfaction With Education And Training Programs In Long-Term Care Facilities: A Massachusetts Study, Sheila Kenny Morin

Theses Digitization Project

No abstract provided.

Family Planning And Reproductive Health: Briefing Sheets For A Gender Analysis, Kirsten Moore, Debbie Rogow

Reproductive Health

This series of briefing sheets, developed by the Population Council, represents a starting point for the application of gender to the family planning (FP) and reproductive health (RH) arena. The information covers five key areas of RH: gender-based abuse, FP and gender issues among adolescents, sexuality and FP, men’s and women’s social and economic responsibilities for childrearing, and the complicated nexus between gender and FP/RH. In so doing, it provides a strong foundation for gender training. This concept was first developed to fulfill a need for gender training within the regional Operations Research/Technical Assistance Projects. To date, two such workshops …

Community-Based Aids Prevention And Care In Africa: Case Studies From Five African Countries, Ann Leonard

HIV and AIDS

The Population Council carried out a three-year project entitled “Community-Based AIDS Prevention and Care in Africa: Building on Local Initiatives.” Given the constraints faced by the health care infrastructure in responding to the AIDS crisis and the limitations of traditional educational approaches in motivating people to modify their sexual behavior, in the African context community-based AIDS prevention and care of those affected are the first line of defense against the infection. This project was developed to explore efforts by organizations in Africa dealing directly with the consequences of AIDS, to understand the essential components of effective community-based efforts for AIDS …

Profile Of Clients Of Different Providers Of Family Planning Services In Egypt, Social Planning, Analysis & Administration Consultants (Spaac)

Reproductive Health

The Government of Egypt launched its national family planning (FP) program in 1966. The early phase was mainly supply oriented and aimed at ensuring wide distribution of contraceptives primarily through pharmacies to meet rising demand. Between 1988 and 1992 a number of additional sources of FP services appeared, with an increase in clinic-based services through both the private and public sectors. In 1992 about one-fourth of users relied on pharmacies to get their FP supplies compared to about one-half in 1988. This change evolved through the influence of two forces: the initiation of a number of FP projects, and expanded …

Gender Inequalities And Demographic Behavior: Egypt, Nora Guhl Naguib, Cynthia B. Lloyd, Barbara L. Ibrahim

Poverty, Gender, and Youth

This is one of three reports on the relationship between gender equity, family structure and dynamics, and the achievement of reproductive choice prepared by the Population Council for the 1994 International Year of the Family and the 1994 International Conference on Population and Development. These reports provide critical reviews of the relationship between gender inequality and demographic behavior in three demographically significant, culturally distinct parts of the developing world: Egypt, India, and Ghana and Kenya. Their purpose is to help governments and international agencies design and implement policies that are affirmative of women, sensitive to the family's central role in …

Population Policy In Bangladesh: A Review Of Ten Priority Areas, Barkat-E- Khuda, Abul Barkat, Javed Helali, Peter C. Miller, John G. Haaga

Poverty, Gender, and Youth

One of the most important factors contributing to the success of Bangladesh’s FP-MCH Program in recent years has been the strong support provided at the policy level by all the governments of Bangladesh since independence. This has given the government confidence and supported the development of a coherent set of policies at the implementation level. However, the success of policies at one stage in the development of a family planning (FP) program carries with it the need for changes in policy to support the program at the next stage. In Bangladesh, if the nation is to attain the demographic goals …

The Effects Of Different Types Of Noise On Human Heart Rate, Jose R. Fabregas

Theses

In an industrial environment, chronic noise exposure is assumed to affect human heart rate. If this is true, people who are more sensitive to noise will run a higher risk of incurring cardiovascular diseases.

Sixteen healthy experimental subjects, all with normal hearing, eight males and eight females, were exposed to five different types of pink and white noise at 60, 70, 80, and 85 dBA in order to determine if any relationship exists between the heart rate and sex. Each individual was exposed for a maximum of thirty seconds for each type and level of noise. Audiometric tests were given …

Partnership For Prevention: A Report Of A Meeting Between Women's Health Advocates, Program Planners, And Scientists, Population Council

Reproductive Health

In May 1994, the Population Council, in conjunction with the Pacific Institute for Women's Health and the International Women's Health Coalition, hosted a meeting for women's health advocates from around the world to discuss the development of microbicides. This process was the first step in building greater understanding and mutual respect among women's health advocates and Population Council staff and scientists with regard to the technology of microbicides. Participants hoped that the recommendations resulting from this initiative would have a positive influence not only on the development of microbicides, but on all reproductive health technologies. This report aims to reproduce …

Reproductive Health Approach To Family Planning, Population Council

Reproductive Health

This report collects presentations from a panel held on Professional Development Day at the USAID Cooperating Agencies meeting in November 1994. The panel was designed to review key reproductive health elements that relate to family planning, including: reproductive tract and sexually transmitted infections, including AIDS; the prevention and treatment of unsafe abortion; pregnancy, labor, and delivery care; and postpartum care. While there is increasing international consensus that family planning should be broadened to include reproductive health care, it is far from clear as to how this should be done, and which elements should be incorporated. This panel explored some of …

Factors That Contribute To The Varying Performance Of Bspos And Bhws In The Delivery Of Family Planning Services In Iloilo City, Fely David, Fely Chin

Reproductive Health

In 1992, the Population Council established the Family Planning Operations Research and Training (FPORT) Program in the Philippines. It brought together program managers and regional researchers to identify problem areas that might benefit from operations research. From Western Visayas (Region VI), the City Population Office (CPO) of Iloilo City in collaboration with the Social Science Research Institute of the Central Philippine University, identified a problem concerning the poor performance of volunteer family planning (FP) workers and undertook to study it. The study focused on the Barangay Service Point Officers (BSPOs) who assist in the delivery of FP services under the …

Planning Services In Iloilo City: A Diagnostic Study Of The Implementation Of The Department Of Health Training Courses For Family Planning Providers In Region Ii And Cordillera Administrative Region, Steven Rood, Marcelo Raquepo, Mary Ann Ladia

Reproductive Health

This research project is one of several being undertaken in the Philippines under the Family Planning Operations Research and Training (FPORT) Program of the Department of Health (DOH) and the Population Council. The general aim of FPORT is to train researchers to provide information to family planning (FP) practitioners that will be of value in the operation of FP programs. It was decided that researchers in northern Luzon would focus on FP trainings undertaken by the Department of Health. Several meetings among researchers and health personnel were held to shape research questions that would be of use to the DOH …

Factors Affecting The Family Planning Program Drop-Out Rate In Bukidnon, Philippines, Lita Sealza

Reproductive Health

This study has involved interviews with a randomly selected sample of 389 family planning (FP) acceptors from 20 barangays in Bukidnon province, Philippines. Respondents were currently married women who had either continued to use family planning (FP) since their initial acceptance (current users) or who had stopped using FP altogether (dropouts). Findings from the present study are expected to shed light on several aspects of the dropout problem, namely: How extensive is this problem and how accurate are the DOH records in this regard? How do FP acceptors view their local FP clinic and the services offered? What reasons are …

Family Planning Studies In The Philippines: A Review And Synthesis, Virginia Miralao

Reproductive Health

This report, which summarizes the major study findings on population and family planning (FP) trends in the Philippines, was prepared for the Research Unit of the Family Planning Services (FPS) of the Department of Health (DOH). It was used by the FPS in its National Consultative Planning Workshop in early 1994 to formulate plans for the Philippine Family Planning Program for 1994–1995. Workshop participants included DOH Regional Family Planning Coordinators, representatives of local government offices engaged in population and health activities, and local NGOs and women's groups. The report alerted participants to population and FP issues and trends that could …

A Diagnostic Study Of The Implementation Of Department Of Health Volunteer Workers Program, Marlina Lacuesta, Segundina Sarangani, Napoleon Amoyen

Reproductive Health

This report presents findings from a 1993 survey of 200 Barangay Health Workers (BHWs) from two Davao provinces and two Lanao Provinces in the Philippines. Premised on the belief that the BHWs are important in improving the delivery of health and family planning (FP) services in the countryside, the study examined the factors that affect the performance of these health workers. The study is basically descriptive in nature, with the view to diagnosing problems in the implementation and functioning of the program and suggesting appropriate solutions. The survey method was utilized as a main data collection tool. Beside the survey …

National Research Utilization Conference, September 1994, Family Planning Operations Reserach And Training (Fport) Program

Reproductive Health

The National Research Utilization Conference, held in Manila September 20, 1994, was the third conference convened by the Population Council's Family Planning Operations Research and Training (FPORT) Program in collaboration with the Department of Health. The FPORT program is being conducted under the Population Council's Asia and Near East Operations Research and Technical Assistance Project. This conference is the culmination of activities that started in October 1992 with a workshop on Introduction to Operations Research in Family Planning. The conference disseminated the results of five OR studies, discussed and evaluated policy and program implications, contributed to the legitimation of OR …

Provider Training And Long-Term Client Outcomes: The Csi Experience, Social Planning, Analysis & Administration Consultants (Spaac)

Reproductive Health

The present study examined the impact of the Clinical Services Improvement (CSI) Project's provider training program on clients' long-term satisfaction and method use. A sample of 154 clients who received a family planning (FP) method in one of 30 CSI clinics were followed up over a period of 19 months through a series of home interviews. The interviews monitored clients' use of the FP method received at the clinic as well as their satisfaction with that method and the services at CSI. Results of the present study show that provider training on counseling and interpersonal communication has a positive impact …

Étude Exploratoire De L'Organisation Du Travail, De La Santé Et Sécurité Et Des Stratégies D'Adaptation Dans L'Industrie Du Vêtement Au Québec, Marguerite-Michelle Côté, Danièle Champoux

Rapports de recherche scientifique

L'industrie du vêtement, composante principale du secteur de I'habillement, demeure très importante en termes d'emplois au Québec en dépit d'importantes pertes d'effectifs depuis la fin des années 80. Les indicateurs de lésions les plus récents montrent que depuis 1989, le taux d'incidence a diminué mais que l'indice de gravité des lésions demeure supérieur aux indicateurs pour l'ensemble des secteurs manufacturant des biens durables. L'industrie du vêtement est en outre fortement touchée par la crise économique et par les modifications du marché associées à la concurrence étrangère et aux nouveaux accords de libre-échange et tarifaires. La main-d'œuvre y est dans une …

Évaluation Des Risques Associés À L'Utilisation Des Presses À Métal Dans L'Industrie Québécoise, Raymond Bélanger, Serge Massé, Chantal Tellier, Réal Bourbonnière, Christian Sirard

Rapports de recherche scientifique

Aborder, dans le cadre d'un rapport d'étude sur la sécurité du travail, un domaine aussi complexe que celui des presses à métal, n'était pas simple. Dans le but de favoriser une bonne compréhension de l'ensemble de la problématique, une mise en contexte nous a alors paru inévitable et essentielle.

Ainsi, après un exposé succinct de la problématique et la description des objectifs et de la méthodologie retenue lors de l'étude, une mise en situation substantielle est présentée. On y retrouve, plus particulièrement, la description d'une presse à métal, de son mode de fonctionnement ainsi que des divers éléments - matrice, …

Identification Des Risques Associés À La Manutention Des Dalles De Bétonnière, Jean-Guy Richard

Rapports de recherche scientifique

Origine et historique du projet

À l'été 1992, le Groupe Béton Québec s'adressait à l'Institut pour souligner l'importance des lésions attribuables à la manutention des dalles de bétonnière et suggérer un projet de développement de dalles plus légères. Cette demande s'appuyait sur une analyse de leurs données de SST et faisait suite à une tentative infructueuse de développement d'une dalle plus légère.

L'importance du problème devait être confirmée par la suite par l'Association Béton Québec, par l'Association des entrepreneurs en construction du Québec et par la Direction du support conseil et de l'expertise de la CSST.

Suite à l'analyse de …

Les Vibrations Engendrées Par Les Marteaux-Riveteurs Dans L'Assemblage Aérospatial, Paul-Émile Boileau, Jérôme Boutin, Pierre Drouin, Henri Scory

Rapports de recherche scientifique

L'étude vise principalement à évaluer les niveaux d'exposition aux vibrations mains-bras auxquels sont assujettis les opérateurs de marteaux-riveteurs et de béliers lors d'opérations typiquement rencontrées dans l'assemblage aérospatial. Deux types de marteaux conventionnels sont comparés à des équivalents ayant reçu un traitement antivibratile; le premier étant commercialement connu sous le nom « antivibration », l'autre ayant été recouvert de matériau viscoélastique et comportant un silencieux pour réduire le bruit. Parallèlement. un bélier métallique est comparé à un bélier commercialement connu sous le nom «antivibration». De plus, l'efficacité d'absorption des vibrations par des tampons amortisseurs conçus pour réduire le bruit est …

Validation D'Une Méthode De Mesure Des Vibrations Mains-Bras Appliquée Aux Foreuses À Béquille, Paul-Émile Boileau, Jérôme Boutin, Pierre Drouin

Rapports de recherche scientifique

En 1982, une étude effectuée par le CRIQ (Centre de recherche industrielle du Québec) estimait à 27 000, le nombre de travailleurs québécois sujets à utiliser une foreuse à béquille dans le cadre de leur travail (statistiques provenant de l'Association des mines et métaux du Québec). Dans une analyse récente, le "Mines Accident Prevention Association of Ontario" considérait le phénomène de Raynaud et la surdité professionnelle comme les deux maladies comportant le plus grand nombre de demandes d'indemnisation dans le secteur minier. Entre 1980 et 1988, plus de 2 000 demandes d'indemnisation ont été enregistrées dans les mines de l'Ontario …