Digital Commons Network^™

News From Cart, Patricia J. Fanning, Amos Nwosu

Bridgewater Review

No abstract provided.

Public Health Advocacy To Change Corporate Practices: Implications For Health Education Practice And Research, Nicholas Freudenberg

Publications and Research

Corporate practices, such as advertising, public relations, lobbying, litigation, and sponsoring scientific research, have a significant impact on the health of the people in the United States. Recently, health professionals and advocates have created a new scope of practice that aims to modify corporate practices that harm health. This article describes how corporate policies influence health and reviews recent health campaigns aimed at changing corporate behavior in six industries selected for their central role in the U.S. economy and their influence on major causes of mortality and morbidity. These are the alcohol, automobile, food, gun, pharmaceutical, and tobacco industries. The …

Primary Prevention Healthcare Among Black American Men: Social Ecological Factors Predictive Of Prostate Cancer Early Detection Access, Virginia Diane Bush Agbonkhese Woods

Loma Linda University Electronic Theses, Dissertations & Projects

Access to healthcare requires individuals to have a place to go, a healthcare provider to see them, resources to obtain proper care, and the appropriate health services given in an appropriate timeframe. Non-Hispanic Black American men have the highest incidence rate of prostate cancer in the world, 180.6 per 100,000 (NCI, 2004). It is not clear as to why high rates persist, but higher death rates are associated with late detection. This mixed-methods ecological study was to investigate physician and Black male perceptions and practices regarding prostate cancer early detection with prostate specific antigen (PSA) blood test, and the digital …

Commencement Program 2005, Loma Linda University

Commencement Programs

CONTENTS

2 | 2005 Events of Commencement

3 | President's Welcome

5 | Celebrating Our Centennial of Global Service

7 | Path of History: Loma Linda University Historical Sites

11 | The Academic Procession

12 | Significance of Academic Regalia

13 | The Speakers

20 | The University Honorees

25 | The School Honorees

35 | The Programs

• School of Medicine, 36
• School of Dentistry, 43
• Graduate School, 52
• School of Nursing, 62
• School of Allied Health Professions - Physical Therapy, 67
• School of Allied Health Professions, 73
• School of Public Health, 81

Cancer In Louisiana: 1998-2002, Volume 20, Louisiana Tumor Registry, Mei-Chin Hsieh, Patricia A. Andrews, Catherine N. Correa, Xiao-Cheng Wu, Lesong Chen, Suling Huang, Henri F. Lucas, Vivien W. Chen

Policy & Position Papers

Mission:

To collect and report complete, high-quality, and timely population-based cancer data in Louisiana to support cancer research, control, and prevention.

Vision:

To reduce suffering and death from cancer using information collected by the Louisiana Tumor Registry.

History:

Cancer registration in Louisiana began in 1947 at the Charity Hospital Tumor Registry in New Orleans. In 1974, as part of its Surveillance, Epidemiology and End Results (SEER) Program, the National Cancer Institute provided funds for a population-based cancer incidence and survival registry covering Jefferson, Orleans, and St. Bernard parishes. Five years later, the Louisiana Tumor Registry (LTR) was transferred to the …

Social Welfare Systems And Their Effects On Adolescent Violence, Injecting Drug Use, And Negative Health Behaviors, Elvin A. Hernandez

Loma Linda University Electronic Theses, Dissertations & Projects

Youth and young adults who are injection drug users (IDU’s) often live and survive in physical and emotional environments that are associated with negative behaviors and outcomes. Past environmental and social factors, such as participation in social welfare systems or institutionalization in foster care or juvenile hall, have been found to be associated with IDU-involved young adults’ health behaviors when they become older. Social networks, which include drug, sex, or hangout networks, may influence their health outcomes and behaviors. The goals of this dissertation include an investigation of how reported past social welfare participation and institutionalization is associated with IDU-involved …

Predictors Of Intention To Use Contraception, Given Alcohol Consumption, Among Women In Southeast Alaska, Donna Louise Hebbeler

Loma Linda University Electronic Theses, Dissertations & Projects

Fetal alcohol exposure is a serious public health problem and is 100% preventable. Traditionally, FASD prevention programs and research recommendations have targeted peri-conceptual or pregnant women. Another approach to the prevention of FASD involves preventing pregnancy in women who use alcohol. The purpose of this cross sectional study was to identify factors that predicted women’s intention to use contraception using the theory of planned behavior (TPB), to determine if predictors of the theoretical constructs varied in women depending on alcohol use, and to examine interactions between alcohol use and TPB constructs. Qualitative data was gathered to triangulate with the quantitative …

Attributable Risk Function In The Proportional Hazards Model, Ying Qing Chen, Chengcheng Hu, Yan Wang

UW Biostatistics Working Paper Series

As an epidemiological parameter, the population attributable fraction is an important measure to quantify the public health attributable risk of an exposure to morbidity and mortality. In this article, we extend this parameter to the attributable fraction function in survival analysis of time-to-event outcomes, and further establish its estimation and inference procedures based on the widely used proportional hazards models. Numerical examples and simulations studies are presented to validate and demonstrate the proposed methods.

Female Breast Cancer Incidence And Survival In Utah According To Religious Preference, 1985-1999, Ray M. Merrill, Jeffrey A. Folsom

Faculty Publications

Female breast cancer incidence rates in Utah are among the lowest in the U.S. The influence of the Church of Jesus Christ of Latter-day Saint (LDS or Mormon) religion on these rates, as well as on disease-specific survival, will be explored for individuals diagnosed with breast cancer in Utah from 1985 through 1999. Methods: Population-based records for incident female breast cancer patients were linked with membership records from the LDS Church to determine religious affiliation and, for LDS Church members, level of religiosity. Incidence rates were age-adjusted to the 2000 U.S. standard population using the direct method. Cox proportional hazards …

Mesure Des Émissions De Monoxyde De Carbone Des Générateurs D'Air Chaud Utilisés Sur Les Chantiers De Construction, Stéphane Brunet

Rapports de recherche scientifique

No abstract provided.

Our Public Health History In Florida: Interview With Laurence G. Branch

Florida Public Health Review

No abstract provided.

Traffic Technician Dies From Fall While Changing Traffic Signal Bulb, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

On Monday, March 31, 2003, a 39-year-old male (decedent) highway traffic technician, working alone, received fatal head injuries after falling out of the bucket of an aerial boom truck. Injuries sustained in the fall resulted in his death four days later. He was changing a burned-out green traffic bulb in a traffic signal suspended over 2 lanes of traffic. As he worked from the aerial lift suspended over traffic to change the burned out bulb, a cargo truck drove underneath the bucket, striking it, and causing the decedent to fall to the asphalt below. As the worker fell approximately 10 …

Évaluation De L'Exposition Humaine Aux Organophosphorés Et Des Risques Associés À L'Aide De Biomarqueurs Urinaires, Gaétan Carrier, Robert C. Brunet, Michèle Bouchard, Nathalie H. Gosselin, Marie-Josée Dumoulin, Yvette Bonvalot

Rapports de recherche scientifique

Les travaux exécutés dans le cadre de cet ouvrage proposent aux intervenants de la santé des outils pour aider à prévenir les risques des humains exposés à trois insecticides de la famille des organophosphorés, le parathion, le malathion et le chlorpyrifos et un phytocide, le triclopyr largement utilisé comme herbicide. Il s’agit du développement de biomarqueurs pouvant servir des tests de dépistage pour estimer l’exposition individuelle et le risque associé à ces substances toxiques.

Les tests proposés possèdent toutes les qualités recherchées dans un test de dépistage, ils sont facilement applicables, ont un haut degré de …

Hospital Oversight In Medicare: Accreditation And Deeming Authority, Lisa Sprague

National Health Policy Forum

To be eligible to receive payment from Medicare, hospitals must be certified to meet certain conditions. Hospitals may gain such credentials by choosing to be reviewed by a state certification agency under contract to the Centers for Medicare & Medicaid Services or to be accredited by either the Joint Commission on Accreditation of Healthcare Organizations or the American Osteopathic Association. This issue brief looks at how accreditation of hospitals developed and how it continues to change. It considers the legal and practical reasons that a majority of hospitals choose accreditation and why some hospitals do not, along with broader consideration …

Evaluation Of Over-The-Counter Sales As A Syndromic Surveillance Method For Waterborne Disease In New Mexico, Camilla M. Bustamante

Health, Exercise, and Sports Sciences ETDs

This research evaluates the use of Over-the-Counter anti-diarrheal medications as a potential syndromic indicator and surveillance mechanism for waterborne disease in New Mexico. The purpose was to determine the usefulness of such data for either supplemental or stand alone use in a system for waterborne disease surveillance. The use of syndromic indicators for waterborne disease was elevated in 1993 after an outbreak of cryptosporidium was detected in Milwaukee Wisconsin by an alert pharmacist who noticed increased sales of over-the-counter medications over a period of time. In 2001, terrorist threats for anthrax exposure to U.S. populations further prompted funding and research …

Our Public Health History In Florida: Interview With Charles S. Mahan

Florida Public Health Review

No abstract provided.

Exposure Assessment Of Mercury In Fish From Kentucky Surface Waters, Najla Gubari

Masters Theses & Specialist Projects

Consumption of fish contaminated with mercury is the primary exposure pathway by which humans are exposed to mercury. Mercury is known to be a neurological toxin that can cause attention and language deficits, impaired memory, and impaired visual and motor function, especially in children under the age of six. In addition, mercury exposure can lead to other health problems in adults, such as damage to the kidney and increased risk of coronary heart disease. This study assesses the exposure to mercury through consumption of fish from Kentucky surface waters. The exposure assessment is based on data collected by the Kentucky …

Relationships Between Environmental Factors And Fungi On Occupants' Perceptions Of Indoor Air Quality, Monica Rodriguez

Masters Theses & Specialist Projects

In recent decades, concerns about potential health effects resulting from exposure to contaminants that cause indoor air pollution have dramatically increased. The purpose of this study was to assess the indoor air quality of three buildings at Western Kentucky University and to examine and characterize indoor levels of basic comfort parameters, carbon dioxide, and fungi as well as occupants' perceptions of poor indoor air quality and the role of fungi on reported health symptoms. The three buildings included in the study were: Tate Page Hall (TPH), Jones Jagger Hall (JJH) and Science and Technology Hall (STH). Fifty-three questionnaires were completed …

Parents' Perception Of Their Children's Asthma, 2002-2008: A Community-Based Study, John M. Pascoe, William Spears, Shalini Forbis, Jessica L. Saunders

Population and Public Health Sciences Faculty Publications

Childhood asthma is a chronic health condition that is one of the leading causes of hospitalizations and missed school days for children. It also affects the lives of both asthmatic children and their families.

Scale Development For Perceived School Climate For Girls’ Physical Activity, Amanda Birnbaum, Kelly R. Evenson, Robert W. Motl, Rod K. Dishman, Carolyn C. Voorhees, James F. Sallis, John P. Elder, Marsha Dowda

Department of Public Health Scholarship and Creative Works

Objectives: To test an original scale assessing perceived school climate for girls' physical activity in middle school girls. Methods: Confirmatory factor analysis (CFA) and structural equation modeling (SEM). Results: CFA retained 5 of 14 original items. A model with 2 correlated factors, perceptions about teachers' and boys' behaviors, respectively, fit the data well in both sixth and eighth-graders. SEM detected a positive, significant direct association of the teacher factor, but not the boy factor, with girls' self-reported physical activity. Conclusions: School climate for girls' physical activity is a measurable construct, and preliminary evidence suggests a relationship with physical activity.

Exposure To Secondhand Smoke And Nicotine Dependence, Chizimuzo T.C. Okoli, Ellen J. Hahn, Steven R. Browning, Mary Kay Rayens

Nursing Presentations

Background

• Nicotine dependence (ND) : “the smoking behavior accompanied by a reluctance to quit (Khurana, Batra, Patkar, & Leone, 2003).

• The US Public Health Service Clinical Practice Guideline ‘Treating Tobacco Use and Dependence’: A chronic condition that often requires repeated interventions (Office of the Surgeon General, 2000).

• Secondhand Smoke (SHS) is a potential source of exposure to high levels of nicotine. (Dimich-Ward, Gee, Brauer, Leung,1997)

• No current studies addressing the contribution of SHS to Nicotine Dependence (ND) or smoking behaviors

Reliability And Validity Of Skinfold Testers When Estimating Body Composition In Indiana High School Wrestlers: A Case Report, William Rowe Mathie Jr.

All-Inclusive List of Electronic Theses and Dissertations

Objective: To determine the reliability and validity of the measurements taken by skin fold testers on Indiana High School wrestlers. Design and Setting: A 2 x 3 x 3 repeated measures design was used for this study. Three independent variables were evaluated. The first independent variable was Body Composition technique (skin fold and hydrostatic weighing), the second is Tester (1 thru 3) and the third is Trial (1 thru 3). The one dependent variable was Body Fat Percentage. Subjects: Three Indiana certified skin fold measurers were recruited to be testers for this study. Twelve male high school wrestlers (age: 16.1±0.9, …

Environmental Factors In Autoimmunity: Assessment Of Immunotoxicity Of Phthalates In The Induction Of Lupus-Type Anti-Dna Antibodies, So-Yon Lim

All-Inclusive List of Electronic Theses and Dissertations

Objectives: Little is known of the role of specific environmental factors in promoting autoimmune disorders such as systemic lupus erythematosus (SLE). The broad objective of this study was to address how exposure to phthalates, common environmental factors m foods, and biomedical devices could affect the immune functions of resistant and autoimmune-prone mice. Methods: The environmental chemical model used in this study is phthalates, which are widely used in various forms and readily occur during day-to-day human contacts. Groups of nonautoimmune-prone (BALB/c, DBA/2 and C57BL/6) and susceptible (NZB, NZB/W Fl) mice were immunized with phthalates ( ortho, meta and para) conjugated …

Our Public Health History In Florida: Interview With Peter J. Levin

Florida Public Health Review

No abstract provided.

Influence Of Cardiorespiratory Fitness On The Association Between C-Reactive Protein And Metabolic Syndrome Prevalence In Racially Diverse Women, Michael J. Lamonte, Barbara E. Ainsworth, J. Larry Durstine

Faculty Publications

No abstract provided.

Health Insurance Coverage For Small Employers, Dawn Gencarelli

National Health Policy Forum

For workers of small employers, access to affordable health insurance coverage is a growing concern. This paper examines the problems these firms and their employees face in obtaining health insurance coverage they can afford. The degree to which these challenges become obstacles varies greatly, depending on, for instance, the size of the employer and the characteristics of its employees. Reviewed here are these challenges to access, as well as some of the efforts made through state and federal reforms to address them, including rules regarding guaranteed issue and guaranteed renewability. This paper also explores some of the more recent initiatives …

Landscaping Laborer Dies When Struck By Bouncing Log, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

On March 5, 2004, a 57-year-old male laborer died when a 19 inch wide x 31 inch long log rolled down a mountain hitting him in his head and chest. The laborer had been employed for three days by a landscaping company contracted to clear the tree canopy over a gas line right-of-way. At approximately 2:20 pm, the company owner and five laborers were felling trees and bucking downed trees with chain saws and pole saws to remove the trees and limbs hanging over and growing in the gas line right-of-way. Two of the laborers were working topside at the …

Fundamentals Of Underwriting In The Nongroup Health Insurance Market: Access To Coverage And Options For Reform, Mark Merlis

National Health Policy Forum

Although the majority of Americans with health insurance obtain coverage through their employers, many individuals must negotiate the nongroup insurance market alone. Insurers use a process called medical underwriting to identify applicants with current or recent medical problems. Because these applicants are likely to cost the insurer more in claims than a healthier person, insurers may charge them higher premiums or restrict or deny coverage. This background paper reviews the practice of underwriting, state and federal regulation of insurers offering nongroup health coverage, and several proposed options for improving access to coverage for applicants who are in poor health.

Causal Inference In Longitudinal Studies With History-Restricted Marginal Structural Models, Romain Neugebauer, Mark J. Van Der Laan, Ira B. Tager

U.C. Berkeley Division of Biostatistics Working Paper Series

Causal Inference based on Marginal Structural Models (MSMs) is particularly attractive to subject-matter investigators because MSM parameters provide explicit representations of causal effects. We introduce History-Restricted Marginal Structural Models (HRMSMs) for longitudinal data for the purpose of defining causal parameters which may often be better suited for Public Health research. This new class of MSMs allows investigators to analyze the causal effect of a treatment on an outcome based on a fixed, shorter and user-specified history of exposure compared to MSMs. By default, the latter represents the treatment causal effect of interest based on a treatment history defined by the …

Health Savings Accounts: The Fundamentals, Beth Fuchs, Julie A. James

National Health Policy Forum

This paper explores the fundamentals of health savings accounts (HSAs). While not intended to be an exhaustive review of these accounts, it describes their intellectual and legislative origins and the mechanics of how they work, explores the early returns on how they are faring in the insurance market, and identifies major issues and controversies that they raise. The paper looks specifically at the basic rules for HSAs and the requirements for health insurance that qualifies as a high-deductible health plan (HDHP) for HSA purposes. Also considered are issues related to provider payments under HSAs and the administration of the benefit …