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Hospital Evacuations: Historical Precedence And Modern Preparedness, Nicholas Squillace

Master of Public Health Program Student Publications

Objectives: The purpose of this research was to identify common problems encountered during hospital evacuations and how those problems are or should be addressed when creating a hospital evacuation plan.

Methods: Articles relating to hospital evacuations were retrieved from PubMed and CINAHL in addition to government websites and the Joint Commission on Accreditation of Healthcare Organizations. The articles collected were limited to within the last 20 years, from 1990 to 2010. Hospital plans were collected from search engines including Google and Yahoo. Moreover, a plan was obtained from a Dayton area hospital.

Results: Numerous instances of hospital evacuations that were …

Bioethics And Biosecurity Education In China: Rise Of A Scientific Superpower., Barr S. Michael, Joy Yueyue Zhang

Book Chapters

This chapter explores ethics, education and the life sciences in China. It is based on work conducted by the authors in two separate but complimentary projects. Barr’s observations derive from interviews and discussions in Beijing, Shanghai and Guangzhou with life scientists and policymakers in infectious-disease hospitals, university-research labs, the Chinese Academy of Sciences, and the Ministry of Health. Zhang’s study focused on China’s governance of stem-cell research and involved interviews with scientists, ethicists and policymakers at more than 25 sites across China. Below, we set the context by describing the role of science in China’s quest to become a leading …

Girl-Centered Program Design: A Toolkit To Develop, Strengthen And Expand Adolescent Girls Programs, Karen Austrian, Dennitah Ghati

Poverty, Gender, and Youth

"Girl-Centered Program Design: A Toolkit to Develop, Strengthen and Expand Adolescent Girls Programs" is a set of tools and guidelines for strengthening programs for adolescent girls in urban Kenya. Based on discussions from a 2010 meeting of the Kenya Adolescent Girls’ Brain Trust, hosted by the Binti Pamoja Center and the Population Council, the toolkit is written for those interested in working with adolescent girls ages 10–24. It can be used by anyone who is designing or running a program, writing a proposal to work with girls, or seeking innovative ideas on how to strengthen program activities. The toolkit has …

Schooling And Conflict In Darfur: A Snapshot Of Basic Education Services For Displaced Children, Cynthia B. Lloyd, Safaa El-Kogali, Jenny Perlman Robinson, Johanna Rankin, Ali Rashed

Poverty, Gender, and Youth

Schooling and Conflict in Darfur, a joint project of the Population Council and the Women's Refugee Commission, is a report based on a 2008 survey designed to provide a more accurate picture of the state of formal and non-formal education for displaced children of primary school age (6-14) in North and West Darfur. The findings are based on a scientifically selected sample of internally displaced persons (IDP) communities in North and West Darfur. The goal of the report is to provide donors, policymakers, and practitioners information to help plan and implement effective, targeted education programs for internally displaced children in …

Socioeconomic And Environmental Causes For Respiratory Infection Death In Alaska Native Villages, Sarah Mcbeth

Master of Public Health Program Student Publications

Objectives. This ecological study evaluates the association between community characteristics and death rates from pneumonia/influenza, tuberculosis, and infectious diseases in 196 Alaska Native villages.

Methods. Ecological variables studied included percentage of Natives in the population, age distribution, latitude, average household size, socioeconomic status, percentage of homes with complete plumbing and/or kitchens, type of heating fuel used, community alcohol restrictions, level of healthcare access, and residence in specific regions of Alaska. These data come from the 2000 U.S. Census, the Alaska Alcohol Beverage Control Board, and the Alaska Native Tribal Health Consortium. A stepwise analysis of variance using the Proc GLM …

A Pilot Study Of A Computer-Tailored Program To Increase Calcium And Vitamin D Consumption In Young Women: Does Adding Heel Quantitative Ultrasound Feedback Change Outcomes?, Donald H. Lein

All ETDs from UAB

Osteoporosis and osteoporosis-related fractures are costly personal and national

Associations Between Mental Health And Diabetes: Findings From The South Carolina Medicaid Managed Care Program In 2006-2008, Ana Lopez-De Fede, James W. Hardin, Kathy L. Mayfield-Smith, Qiduan Liu

Publications

Objectives: To assess differences in services associated with mental health status and prescriptions among Medicaid patients diagnosed with diabetes mellitus. Design: Secondary data analyses of South Carolina (SC) Medicaid enrollees. Participants: SC Medicaid enrollees with a diagnosis of diabetes mellitus (N5555) continuously enrolled in either managed care (MC) or fee for service (FFS) programs between 2006 and 2008. Main Outcome Measures: Health Plan Employer Data and Information Set (HEDIS)- based diabetes management service outcomes including: 1) whether the recipient received a nephrology exam; 2) the number of eye exams received; 3) the number of low-density lipoprotein cholesterol services received; and …

Prolonged Injustice In Urban America, Jametta Magwood, Edith M. Williams, Saundra H. Glover

Faculty Publications

Environmental inequality is the suggestion that the working class, the poor, persons of color, and ultimately the economically disadvantaged are subjected to living conditions that may prove to be hazardous both personally, professionally, and also to the infrastructure of the urban communities that these people inhabit. These injustices affect not only housing but education, quality healthcare access, and access to employment. This article investigates the distinct relationship of environmental inequalities imposed in urban communities that are promoted by a prominent institution: the government. It has been suggested that the government is primarily controlled by individuals who are incapable of identifying …

The Role Of Socioeconomic Factors In Racial And Ethnic Disparities Among Child And Adult Tuberculosis Cases, Spatial And Non-Spatial Analysis: Alabama 1993-2007, Sharada Adolph

All ETDs from UAB

This study aimed to evaluate the role of individual and community/population level socioeconomic factors on racial/ethnic disparities among children and adults with TB, and used area-based socioeconomic measures (ABSMs) for the identification of high-risk geographic areas for populations-at-risk. Joinpoint, multivariable and Poisson regression, and spatial methods were used to determine the trends and risks of disease in a low TB incidence state. General disease trends declined significantly by factors of -0.044838 from 1993-1998, and -0.061821 from 2001-2007; but, were disparate and increased for the foreign-born, African Americans (AA) and Latinos, and in long-term care settings. The average annual percentage change …

A Pilot Study For A Computer-Tailored Program To Increase Calcium And Vitamin D Consumption In Young Women: Does Adding Quantitative Ultrasound Change Outcomes?, Donald Henry Lein

All ETDs from UAB

Osteoporosis and osteoporosis-related fractures are costly personal and national problems. No cure exists so experts stress early practice of bone protective behaviors, like adequate calcium and vitamin D intake, to prevent osteoporosis and osteoporosis-related fractures. However, young women in the United States do not consume adequate amounts of these two nutrients. Further evaluation to identify cost effective programs to increase calcium and vitamin D consumption in young women is needed. The purpose of this study was to evaluate whether quantitative ultrasound (QUS) with bone strength feedback to a computer-tailored feedback and counseling intervention was needed to increase calcium and vitamin …

Awareness And Knowledge Of Hiv/Aids Among Female Indian University Students In South India And As Immigrants In The U.S.-Mexico Border Region, Thenral D. Mangadu

Open Access Theses & Dissertations

ABSTRACT

The prevention of HIV/AIDS is a major global public health goal. The Joint United Nations Programme on HIV and AIDS (UNAIDS) estimates that 33 million individuals are infected with HIV worldwide and over two million of these cases are from India. The main mode of transmission of HIV in India is heterosexual contact.

In the past decades there has been a steady increase in immigration rates from India to the U.S. Education and marriage are the main reasons for immigration from India to the U.S. In general, the frequently risky sexual and substance use behaviors of college students in …

Safe Medication Use Among Hispanic College Students: Knowledge, Attitudes And Behaviors, Tania Guadalupe Quiroz

Open Access Theses & Dissertations

College students are at increased risk of medication errors. Research suggests that young adults are active users of over-the- counter (OTC) medications and other products that may increase the risk for negative health outcomes. Therefore, it is very important to analyze young adults' attitudes, beliefs, and behaviors about medication use among college students in order to provide them with the necessary information. Due to language and cultural factors, the issue is particularly relevant in U.S.-Mexico border communities. This casual-comparative study examined knowledge, attitudes, and behaviors regarding medication use among Hispanic college students. Data was collected through a survey developed by …

Clean Water For Developing Countries, Hilary Wighton

Social Sciences

No abstract provided.

Fall 09 Prescriptions For Excellence Download Full Pdf

Prescriptions for Excellence in Health Care Newsletter Supplement

No abstract provided.

A Review Of The National Physical Activity Plans Of Six Countries, Daniel B. Bornstein, Russell R. Pate, Michael Pratt

Faculty Publications

Background: Architects of the United States national physical activity plan can benefit from a thorough understanding of national physical activity plans from other nations. The purpose of this paper was to search for and analyze comprehensive national physical activity plan documents that can best inform the development of the U.S. plan. Methods: Electronic databases were searched for national physical activity plan documents, yielding 252 documents from 56 countries. After eliminating documents that were not written in English, did not address physical activity primarily, and did not meet our definition of a national physical activity plan, we were left with physical …

Impact Of Ambient Air Pollution On Survival Of Renal Transplant Recipients, Rhonda Kristine Hwang

Loma Linda University Electronic Theses, Dissertations & Projects

There is increasing evidence that ambient air pollution is associated with coronary heart disease morbidity and mortality. This research has focused on the general public and less so on possible sensitive subgroups even though these may have even greater susceptibility to adverse effects of ambient air pollution. With highly prevalent traditional as well as nontraditional risk factors, renal transplant recipients may potentially be a sensitive subgroup. The purpose of this study was to evaluate the possible effect of between long-term exposure to air pollution on the risk of CHD mortality among renal transplant recipients. This cohort study includes 32,239 adult, …

Health Center Data Warehouses: Opportunities And Challenges For Quality Improvement, A. Seiji Hayashi, Emily Jones, David M. Stevens, Peter Shin, Brad Finnegan, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This Policy Research Brief reports on a pilot effort to leverage the growing presence of health center data warehouses to advance health care quality improvement through data sharing and exchange. This project builds on a partnership between the Michigan Primary Care Association and The George Washington University's Geiger Gibson/RCHN Community Health Foundation Research Collaborative that centers on developing approaches to using existing health center data for quality improvement.

War And Hiv In Latin America, Shawn Smallman

International & Global Studies Faculty Publications and Presentations

Conflict has shaped the HIV pandemic from its inception, from the spread of HIV-1 in Central Africa, to the diffusion of HIV-2 from Portuguese Africa to the globe. At the same time, the relationship between HIV and conflict has been non-linear and poorly understood. Nancy Mock and her colleagues have been almost the only scholars to propose a model to understand this relationship. Their work suggests that several key variables (such as the time scale of the conflict, the characteristics of the parties involved, and the geographic scale of the fighting) explain wide variations in how warfare appears to have …

Underwriting In The Non-Group Health Insurance Market: The Fundamentals, Kathryn Linehan

National Health Policy Forum

Non-group health insurance is coverage that individuals purchase on their own rather than as part of a group. Most states currently permit non-group insurers to underwrite, a process whereby an insurer assesses the health and other characteristics of individuals to determine their likely utilization of health services or risk; insurers then use this assessment to determine whether they will offer coverage and the premium they will charge. Policymakers have identified underwriting and related practices in non-group markets as a target for reform to enable broader access for the currently uninsured. This publication reviews the characteristics of non-group markets and insurers' …

Weathering The Storm: Climate Change, Vulnerability, And Adaptation In Bangladesh, Justin Guay

Electronic Theses and Dissertations

The world is guaranteed a certain level of climate change due to the emissions already released into the atmosphere. Therefore, adaptation to climate change is necessary. Increases in diarrheal disease and malnutrition due to climate change are analyzed for Bangladesh. Relative risks determined by the World Health Organization, estimates obtained from agricultural models, and migration estimates are utilized to determine the costs associated with each of these diseases, as well as reductions in rice production and increases in urban migration. It is found that climate change will create additional costs for treating each of these diseases that equal .05% of …

The Determinants Of First Nation And Inuit Health: A Critical Population Health Approach, Chantelle A.M. Richmond, Nancy A. Ross

Aboriginal Policy Research Consortium International (APRCi)

Environmental dispossession disproportionately affects the health of Canada’s Aboriginal population, yet little is known about how its effects are sustained over time. We use a critical population health approach to explore the determinants of health in rural and remote First Nation and Inuit communities, and to conceptualize the pathways by which environmental dispossession affects these health determinants. We draw from narrative analysis of interviews with 26 Community Health Representa- tives (CHRs) from First Nation and Inuit communities across Canada. CHRs identified six health determinants: balance, life control, education, material resources, social resources, and environmental/ cultural connections. CHRs articulated the role …

Does Unemployment Decrease Cancer Mortality?, Benjamin Torres Galick

Economics Honors Projects

Recent research indicates that healthier lifestyles during recessions decrease the most common U.S. mortalities, but not cancer. However, they combine specific cancer mortalities with different progressions into one, possibly obscuring cancer’s link to unemployment. This paper estimates a fixed-effects regression model on unemployment and the nine most prevalent cancers between 1988 and 2002 using state-level panel data. Five cancers and total cancer are procyclical, and suggest that unemployment affects both incidence and gestation for some cancers. Consistent with the medical literature, this paper contradicts previous economic research and suggests that behavioral factors significantly impact cancer mortality.

Evaluation Of X-Ray Fluorescence (Xrf) Lead Detection Method For Candy, Ashley Marie Phipps

UNLV Theses, Dissertations, Professional Papers, and Capstones

The harmful effects of childhood exposure to environmental lead continue to be a major health concern. Due to the significance of this hazard, a Healthy People 2010 objective was set to reduce all young children's blood lead levels to less than 10 micrograms per deciliter. Identification and removal of lead-contaminated candies is an integral part of the primary prevention of lead poisoning in children.

This research examined the efficacy of a protocol to use a portable XRF to screen candies for lead contamination. Method Detection Limits (MDLs) of 5.45 ppm and 7.05 ppm were determined in the Bulk Sample and …

Evaluation Of The Program Delivery Of Every Women's Life In Virginia, Landolt Susan Kenney

Theses and Dissertations

Introduction: Among women, breast cancer is the most prevalent cancer and the second leading cause of cancer death. Although technology advances have improved survival rates for breast cancer overall, improvements have not been universally experienced by all socioeconomic and racial groups. Known determinants of breast cancer care disparities include socioeconomic status, race, age, and social support. As a part of the Breast and Cervical Cancer Mortality Prevention Act of 1990 and with the help of CDC funding, the Virginia Breast and Cervical Cancer Early Detection Program (BCCEDP) or Every Woman’s Life (EWL) was created. EWL provides breast cancer screening to …

Physical Activity Levels Of Older Community-Dwelling Adults Are Influenced By Summer Weather Variables, Caitlin A. Brandon, Dawn P. Gill, Mark Speechley, Jason Gilliland, Gareth R. Jones

Geography & Environment Publications

Adequate daily physical activity (PA) is important for maintaining functional capacity and independence in older adults. However, most older adults in Canada do not engage in enough PA to sustain fitness and functional independence. Environmental influences, such as warmer daytime temperatures, may influence PA participation; however, few studies have examined the effect of summertime temperatures on PA levels in older adults. This investigation measured the influence of summertime weather variables on PA in 48 community-dwelling older adults who were randomly recruited from a local seniors’ community centre. Each participant wore an accelerometer for a single 7-consecutive-day period (between 30 May …

Beliefs And Behaviors Regarding Substance Use And Hiv Risk Among Men Who Have Sex With Men (Msm) In A Mid-Sized U.S. Community, David A. Patterson Silver Wolf (Adelv Unegv Waya) Phd, Martin Hall Mssw, Seana Golder Phd

Brown School Faculty Publications

This paper explores the beliefs and behaviors surrounding substance use and HIV risk among a convenience sample of 98 MSM in a mid-size community located in the central U.S. Several interesting patterns were identified in the descriptive analyses. Multivariate analysis identified two variables, belief that recreational drug use made sexual experiences better and reports that most MSM friends drank alcohol or took recreational drugs that were significant predictors of engagement in substance using behavior. Models accounted for 24% of the variance in drinking behavior and 15% of the variance in drug using behavior. Suggestions for HIV/AIDS prevention and intervention and …

The Influence Of The Physical Environment And Sociodemographic Characteristics On Children's Mode Of Travel To And From School, Kristian Larsen, Jason Gilliland, Peter Hess, Patricia Tucker, Jennifer Irwin, Meizi He

Geography & Environment Publications

Objectives: We examined whether certain characteristics of the social and physical environment influence a child's mode of travel between home and school.

Methods: Students aged 11 to 13 years from 21 schools throughout London, Ontario, answered questions from a travel behavior survey. A geographic information system linked survey responses for 614 students who lived within 1 mile of school to data on social and physical characteristics of environments around the home and school. Logistic regression analysis was used to test the influence of environmental factors on mode of travel (motorized vs "active") to and from school.

Results: Over 62% of …

Advancing The Fiscal Health Of Low-Income Families: A Public And Community Health Approach, Doreen Treacy

Center for Social Policy Publications

For decades, health researchers have documented the links between individual and household income/wealth and clinical health outcomes. The research and literature consistently point to both income inequality (i.e. individual household income/wealth as compared to other households in the same state) and individual household income as predictors of diminished health and morbidity. And yet the current framework for providing financial education, disseminating asset building information, and overall responding to the financial health of individuals and households takes no cues from public health and community health best practices. Further, the documented links between financial stress and compromised physical health are compelling enough …

Reasons For Urban Trail Use Predict Levels Of Trail-Related Physical Activity, Genevieve Dunton, Donna Spruijt-Metz, Jennifer Wolch, Chih-Ping Chou, Michael Jerrett, Jason Byrne, Susan Weaver, Kim D. Reynolds

CGU Faculty Publications and Research

Background:

Efforts to increase community levels of physical activity through the development of multiuse urban trails could be strengthened by information about factors predicting trail use. This study examined whether reasons for trail use predict levels of physical activity on urban trails.

Methods:

Adults (N = 335) living within a 1-mile buffer zone of urban trails in Chicago, Dallas, and Los Angeles completed a self-report measure assessing demographics, reason for trail use, and physical activity on the trail. Accelerometers measured total daily moderate-to-vigorous physical activity (MVPA). Environmental features of the urban trail were assessed with the Systematic Pedestrian and Cyclist …

Ua94/6/1 Student / Alumni Personal Papers Western Kentucky University Small Collections, Wku Archives

WKU Archives Collection Inventories

Small collections of personal papers and oral histories relating to the Western Kentucky University.