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Self-Efficacy And Self-Care In The Hypertensive Female Patient, Robert Davis Lutz

Loma Linda University Electronic Theses, Dissertations & Projects

This study focused upon physician/patient interaction as it pertains to patient involvement in personal health-care planning decision making, and self-care. The study was a multi-intervention trial that allowed for testing the effectiveness of two instruments used separately or simultaneously, in combination. Participants were 73 female patients, ages 41 to 76, diagnosed with essential hypertension and requiring medication for control.

Patients were randomly assigned to four groups: 1) a control group that was given no intervention, 2) a Pre-Knowledge Intervention (PKI) group that was given an interactive treatment plan with foreknowledge of what their physicians would probably do at their next …

A Dream For The Future Of Public Health, Mary Guinan

School of Public Health Faculty Research

The following is a commencement address Dr. Guinan delivered at the Emory University School of Public Health in May 1992, just weeks after riots erupted in response to the Rodney King verdict. Her remarks were very timely, but her message is timeless. It is just as relevant today, more than a year later, as it was that day.

The Development Of Microbicides: A New Method Of Hiv Prevention For Women, Christopher J. Elias, Lori L. Heise

HIV and AIDS

A critical review of current epidemiological trends and social science research demonstrates that there is an urgent need for expanding the range of female-controlled HIV prevention methods. Existing efforts to control the spread of HIV infection primarily through the encouragement of a reduction in the number of sexual partners, widespread condom promotion, and the control of other sexually transmitted infections are inadequate for many of the world's women. Underlying gender power inequities severely limit the ability of many women to protect themselves from HIV infection, especially in the absence of a prevention technology they can use, when necessary, without their …

Community-Based Aids Prevention And Care In Africa: Workshop Report, Andrea Eschen

HIV and AIDS

Representatives from community-based AIDS prevention and care programs in five sub-Saharan African countries spoke about their programs’ strengths, shortcomings, and hopes for the future at a meeting organized by the Population Council that took place on June 5, 1993, in Berlin just prior to the IXth International Conference on AIDS. Participants’ experiences and insights demonstrated the ingenuity and imagination that communities have generated to prevent the spread of HIV and AIDS and how they have taken action where government activities have fallen short. The workshop brought representatives of these programs together with staff of governmental and nongovernmental organizations, funding institutions, …

Pus, Pox, Propaganda And Progress: The Compulsory Smallpox Vaccination Controversy In Utah, 1899-1901, Eric L. Bluth

Theses and Dissertations

This thesis examines the compulsory smallpox vaccination controversy in Utah, 1899-1901. It looks at the two smallpox epidemics during 1899-1901 and follows the boards of health attempts to eradicate smallpox primarily by compelling the vaccination of school children.

Dr. Theodore B. Beatty, secretary of the State Board of Health, championed the effort to vaccinate all Utahns; however, the opposition led by Charles W. Penrose, editor of the Deseret Evening News, produced anti-compulsion and vaccination information which influenced Utahns to generally oppose vaccination. Consequently, the legislature passed an anti-compulsory vaccination statute over the governor's veto to annul the courts decision …

Gente Joven/Young People: A Dialogue On Sexuality With Adolescents In Mexico, Magaly Marques, John M. Paxman, Judith Bruce

Poverty, Gender, and Youth

This issue of Quality/Calidad/Qualité describes the experience of one adolescent sexuality program, Gente Joven in Mexico. Gente Joven began by acknowledging reality: that the problems related to teenage sexuality will not go away simply by denying their existence. Along the way Gente Joven learned, and is continuing to learn, many lessons about how to build a successful program for adolescents. Here they share their experiences and the Afterword explores in greater depth one particular issue that Gente Joven has identified as its next major challenge: re-examining their work with young people from a gender perspective.

Findings From Two Decades Of Family Planning Research, John A. Ross, Elizabeth Frankenberg

Poverty, Gender, and Youth

This book presents a selection of empirical conclusions, or findings, from the body of family planning research that has accumulated over the last two decades. Twelve topics of current interest are reviewed, as a sequel to three similar publications issued in 1971, 1972, and 1974. A findings document compresses what has been learned into straightforward declarative statements, giving summary evidence to support each statement. In cases where a conclusion is well founded, with extensive supporting evidence, only illustrative or summary references are needed. In other cases, citations are required for individual studies. Generalizations that are unsupported or too ambiguous to …

Family Planning And Population: A Compendium Of International Statistics, John A. Ross, W. Parker Mauldin, Vincent C. Miller

Poverty, Gender, and Youth

This volume provides statistics on all large-scale family planning (FP) programs in the developing world, together with selected demographic and socioeconomic statistics. Time trends are given for some indicators, and data are arranged for comparative analysis across countries. Where available, time trends go back to the mid-1980s. This volume’s predecessor, published in 1992, should be consulted for earlier demographic and socioeconomic data, and for tables on maternal and child health indicators that are not repeated here. The data on FP programs come from a series of three questionnaires sent since 1987 to 100 developing countries, which have generally been kept …

Fertility, Family Size, And Structure: Consequences For Families And Children, Cynthia B. Lloyd

Poverty, Gender, and Youth

In 1989 the Population Council began a research project on the consequences of high fertility at the family level and its implications for the next generation. Since its inception, the project has been supported by Swedish SIDA and has involved the collaboration of researchers from selected developing countries. In countries where there has been limited research on this topic, such as India, Mali, Nigeria, Pakistan, and Senegal, the Population Council provided funding for new studies or for analysis of existing data with the potential for producing insights on this topic. In instances where relevant research was already underway, the Council …

Wasteland Development And The Empowerment Of Women: The Sarthi Experience, Madhu Sarin

Poverty, Gender, and Youth

This issue of SEEDS describes an innovative approach to rehabilitation of wastelands developed by Social Action for Rural and Tribal Inhabitants of India (SARTHI), a nongovernmental organization based in the Panchmahals District of Gujarat State in Western India. By assisting rural women to organize themselves around the rehabilitation of patches of degraded common land, SARTHI has been able to help them not only meet their needs for biomass in a more efficient and ecologically sound manner, but also to empower them to start asserting themselves in dealing with a broader range of problems. As primary gatherers and users of biomass, …

Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff

Reproductive Health

These proceedings come from papers and discussions as part of the Population Council invitational seminar entited "Rethinking Postpartum Health Care," in 1992. The seminar on postpartum reproductive health was the fifth in a series of seminars convened by the Population Council as part of its Robert H. Ebert Program on Critical Issues in Reproductive Health and Population. The program focuses on four topics: 1) improving and devising new approaches to postpartum care; 2) improving the quality of care in family planning and reproductive health services; 3) managing unwanted pregnancy and preventing the consequences of unsafe abortion; and 4) bringing attention …

Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh

Reproductive Health

Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based …

Review Of Existing Norplant® Acceptor Tracking System, Joedo Prihartono

Reproductive Health

Family planning (FP) activities in Indonesia are considered a successful national program. Since its introduction in the 1970s, the total number of active contraceptive users dramatically increased to 21 million couples. The government continuously tries to improve the quality of FP services. New developments in contraceptives at the international level have been monitored to assess the possibility of their application in Indonesia, to broaden the variety of available contraceptives. Norplant® implants were introduced in 1981, and as of 1993 there were more than two million cumulative Norplant users in Indonesia. As a long-term progestin-only contraceptive, this method must be removed …

The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar

Reproductive Health

Although the Indonesian Norplant® program is unique in terms of scale and pace of expansion, it also characterizes many of the operational problems that other developing countries are likely to confront as they expand their Norplant programs. Many of the concerns—such as screening and counseling, use-effectiveness, removal on demand, and tracking and notification systems for five-year removal—can only be answered through research on the Indonesian program. As this report states, operations research on issues related to Norplant within the Indonesian program will be of direct relevance to the growing number of Norplant programs in other developing countries. While the Indonesian …

Foreword: Health Care Reform In The United States—The Presidential Task Force, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This essay serves as the foreword to Implementing U.S. Health Care Reform, a symposium held in 1993.

The exact specifications of the new health care system depend on the package that President Clinton will send to Capitol Hill and the changes that Congress will make in the reform package. Some of the basic structures and organizing principles of the new system that are being considered by the President are already the subject of intense public scrutiny.

The design being considered would involve new relations between the federal government and the states, between the public and private sectors, and between …

Health Care Beliefs Of Elderly Vietnamese Refugees, Gayle Watson

Theses : Honours

Since 1975, a large number of Vietnamese refugees have settled in Australia. They can be recognised as a distinct cultural group within our society. However, little research has focused upon the health practices and beliefs of these people. This is a study of elderly Vietnamese refugees who have previously been identified as maintaining a great adherence to traditional values and behaviours. The aim of the research is to describe the health practices and beliefs of elderly Vietnamese refugees. As a mini ethno-nursing study, this research sought qualitative data, guided by the Health Belief Model adapted to accommodate cultural perspectives. With …

“Planem Family Blong Iu”: Poster Art In The Solomon Islands, Judith Fitzpatrick

Pacific Studies

No abstract provided.

Correlates To Performance On Field Tests Of Muscular Strength, Jeffrey A. Woods, Russell R. Pate, Maria L. Burgess

Faculty Publications

Field tests of upper body muscular strength and endurance (UBMSE) are often administered to children, but little is known about the determinants of performance on these tests. Therefore the purpose of this investigation was to examine potential determinants of performance on several common field tests of UBMSE including pull-ups, flexed-arm hang, push-ups, and two types of modified pull-ups. Subjects were 56 girls, and 38 boys, ages 9 to 11 years. Potential determinants assessed were age, height, weight, gender, % fat, physical activity, and laboratory measures of muscular strength and endurance. Multiple regression analysis revealed that the laboratory measures of UBMSE …

Ua12/4 Commuter Link, Vol. 1, No. 1, Wku Health Services

WKU Administration Documents

Newsletter created for non-traditional students returning to WKU.

Hyperparathyroidism With Normal Albumin-Corrected Total Calcium In Patients With Multiple Endocrine Neoplasia Type 1, J. J. Shepherd, Bin Tean Teh, V. Parameswaran, R. David

Henry Ford Hospital Medical Journal

In the largest reported family of patients with multiple endocrine neoplasia type 1 (MEN 1), hyperparathyroidism was expressed at first screening in 33 patients by elevation of ionized calcium (IC) (30 cases) or parathyroid hormone (three cases) without elevation of albumin-corrected total calcium (ACTC). Three of these 33 patients have shown a progressive rise in IC and later an elevation of ACTC. However, the age distribution suggests that in others the level of IC may remain stable at a minimally elevated level throughout life with ACTC remaining normal except for transient rises at the times of intercurrent illness or surgical …

Statement On Exercise: Benefits And Recommendations For Physical Activity Programs For All Americans - A Statement For Health Professionals By The Committee On Exercise And Cardiac Rehabilitation Of The Council On Clinical Cardiology, American Heart Association, Gerald F. Fletcher, Steven N. Blair, James Blumenthal, Carl Caspersen, Bernard Chaitman, Stephen Epstein, Harold Falls, Erika S. Sivarajan Froelicher, Victor F. Froelicher, Ileana L. Piña

Faculty Publications

No abstract provided.

Awareness Of And Rights Related To The Patient Self-Determination Act Of 1990 By Selected Post-Adolescent College Students, Toni M. Vargas

Community & Environmental Health Theses & Dissertations

The purpose of this study was to determine if the Patient Self-Determination Act was effective in providing information to young adults and will young adults not only have an accurate understanding of their health care rights but sufficient opportunity to exercise those rights. From a sample of convenience, 83 college students were randomly selected to complete a questionnaire. The questionnaire contained 71 questions devised to reflect various aspects of the Patient Self-Determination Act. Five additional questions were asked to determine a generalized profile of the students. Data analysis of the responses identified 5 significant legal misunderstandings and 5 significant medical …

Commencement Program 1992, Loma Linda University

Commencement Programs

CONTENTS

2 | 1992 Events of Commencement

3 | Academic Procession

4 | The Speakers

8 | The Honorees

16 | The Zapara Awards

Order of Programs

• School of Medicine, 18
• School of Dentistry, 25
• Graduate School, 32
• School of Nursing, 40
• School of Public Health, 44
• School of Allied Health Professions, 51

Books Received And Book Notices, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Book Listing for the Vol 15, No 2 Edition of the Pacific Studies Journal

Shared Responsibility For Medication Use : An Experiment, Marjorie Tessner

Loma Linda University Electronic Theses, Dissertations & Projects

Medication adherence is an important part of effective therapy for gastrointestinal disease. Theory has suggested that the more involved the individual is in their care the more adherent they will be to their medication regime. However, such management is often complicated by patient psychological factors, health beliefs, self-efficacy, and lack of knowledge about medication.

In this experimental study of the impact of shared responsibility for medication use: an experiment, 60 patients from four ethnic groups were randomly assigned to three groups of 20 each: 1) routine discharge medication group, 2) formal education group, and 3) self medication and shared responsibility …

Identified Barriers To Well Child Care For Homeless Children Under Age Thirteen, Judith G. Riemer

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify barriers perceived by homeless families to well child care for their children under age thirteen and to determine if there is a relationship between perceived barriers and duration of homelessness. Using an investigator-modified version of Melnyk's Barriers Scale and a demographic measure, a convenience sample of homeless families (N = 53) from three transitional shelters in two southern California counties were surveyed via questionnaire. Barriers to well child care for homeless children were identified. No relationship was determined to exist between duration of homelessness and perceived barriers using a measurement of correlation.

The Impact Of An Incentive/Competition Program On Participation And Smoking Cessation Among High Risk Smokers At The Worksite, Dyann M. Matson

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared the effectiveness of a multicomponent smoking cessation/reduction program (”M") at one worksite (N = 81), with the same program plus incentives and team competition ("I") at a second worksite (N = 68). Incentives were discontinued at six months. A third worksite (N = 36) received a traditional smoking cessation program ("T').

The "I" program attracted a higher percentage of hourly (blue-collar) smokers (18.5%) compared to the "M" program (9.3%), or the "T" program (7.9%). Incentives with competition were also effective for improving abstinence for as long as 6 months (41%) compared to the "M" program (23%), and …

Characteristics Of Habitual Dysfunctional Behaviors, Carole Ryan Serena

Loma Linda University Electronic Theses, Dissertations & Projects

The suggestion that habitual dysfunctional behavior disorders (HDBs) have a common underlying cluster of addictive characteristics and dynamics is new. A broad research base which would support this theory has not kept current with clinical In order successes. In order to address the need for relevant research, an anonymous cross sectional study was designed to identify, describe and compare variables associated with 15 habitual dysfunctional behaviors (HDBs) in a sample (N =176) from a broad spectrum of socioeconomic groups.

People reporting two different HDBs (alcohol and food-related behaviors) were compared to those not reporting any HDBs on levels of four …

An Assessment Of Food Sanitation Knowledge And Practice Of Restaurant Workers In Taichung City, Taiwan, Shiow-Fu Sheu

Community & Environmental Health Theses & Dissertations

Taichung city is located in the western middle part of Taiwan, with a population of nearly 800,000. The total number of food service establishments in Taichung City is more than 10,000. Among these, nearly 2000 of the food establishments are considered restaurants. For such a large number of restaurants, the total number of food sanitation inspectors is 16. In order to overcome the shortage of the food inspector manpower problem, Taichung City Health Department has set up a "Food Sanitation Self-inspection Program", in an effort to encourage the restaurants to direct more attention to food sanitation problems. In the meantime, …

Presentation And Evaluation Of Patients With Epidermoid Head And Neck Cancers, Michael S. Benninger

Henry Ford Hospital Medical Journal

Epidermoid cancer of the head and neck occurs most frequently in individuals with predisposing factors for neoplastic development. Primarily these include exposure to smoking and alcohol, although other predisposing factors may he present. Site-speciflc symptoms along with a history of predisposing environmental exposure can direct physicians to suspect head and neck cancer. Endoscopy and ancillary testing are performed for tumor staging and subsequent treatment planning.