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Documentation Des Risques Dans Les Centres De Transfert Des Matières Dangereuses, Brigitte Roberge, Marc Baril, Claude Bariteau

Rapports de recherche scientifique

No abstract provided.

History-Adjusted Marginal Structural Models: Time-Varying Effect Modification, Maya L. Petersen, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

Marginal structural models (MSM) provide a powerful tool for estimating the causal effect of a treatment, particularly in the context of longitudinal data structures. These models, introduced by Robins, model the marginal distributions of treatment-specific counterfactual outcomes, possibly conditional on a subset of the baseline covariates. However, standard MSM cannot incorporate modification of treatment effects by time-varying covariates. In the context of clinical decision- making such time-varying effect modifiers are often of considerable interest, as they are used in practice to guide treatment decisions for an individual. In this article we introduce a generalization of marginal structural models, which we …

History-Adjusted Marginal Structural Models: Optimal Treatment Strategies, Maya L. Petersen, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

Much of clinical medicine involves choosing a future treatment plan that is expected to optimize a patient's long-term outcome, and modifying this treatment plan over time in response to changes in patient characteristics. However, dynamic treatment regimens, or decision rules for altering treatment in response to time-varying covariates, are rarely estimated based on observational data. In a companion paper, we introduced a generalization of Marginal Structural Models, named History-Adjusted Marginal Structural Models, that estimate modification of causal effects by time-varying covariates. Here, we illustrate how History-Adjusted Marginal Structural Models can be used to identify a specific type of optimal dynamic …

Addressing The Marion County Health Department’S Need For A Comprehensive Resource Detailing Florida Medicare’S Medical Necessity Policies

Florida Public Health Review

No abstract provided.

Epidemiology Of Escherichia Coli O157:H7 Outbreaks, United States, 1982–2002, Josefa M. Rangel, Phyllis H. Sparling, Collen Crowe, Patricia M. Griffin, David L. Swerdlow

United States Public Health Resources

Escherichia coli O157:H7 causes 73,000 illnesses in the United States annually. We reviewed E. coliO157 outbreaks reported to Centers for Disease Control and Prevention (CDC) to better understand the epidemiology of E. coli O157. E. coli O157 outbreaks (>2 cases of E. coli O157 infection with a common epidemiologic exposure) reported to CDC from 1982 to 2002 were reviewed. In that period, 49 states reported 350 outbreaks, representing 8,598 cases, 1,493 (17%) hospitalizations, 354 (4%) hemolytic uremic syndrome cases, and 40 (0.5%) deaths. Transmission route for 183 (52%) was foodborne, 74 (21%) unknown, 50 (14%) person-to-person, 31 (9%) …

Correlates Of Physical Activity In Persons With Arthritis: Review And Recommendations, Sarah Wilcox, Cheryl Der Ananian, Patricia A. Sharpe, Jennifer Robbins, Theresa Brady

Faculty Publications

Background: Physical activity (PA) is important for arthritis self-management. A better understanding of the PA correlates in persons with arthritis will help inform interventions. Methods: Computer searches were conducted on PubMed, PsychInfo, Current Contents, and Cinahl databases. Reference lists of extracted articles were also searched. Thirty-six studies published between 1976 and February 2004 met inclusion criteria. Results: PA correlates are presented for sociodemographic, psychological, health-related, social, and environmental categories. Self-efficacy, perceived benefits and barriers, mental well-being, prior PA, and pain received the most consistent support as PA correlates, whereas sociodemographic, social, and environmental variables were the least studied. Too few …

Prevention Research Centers: Contributions To Updating The Public Health Workforce Through Training, Adele L. Franks, Ross C. Brownson, Carol Bryant, Kelli Mccormack Brown, Steven P. Hooker, Delores M. Pluto, Dennis M. Shepard, Russell R. Pate, Elizabeth A. Baker, Kathleen N. Gillespie, Terry L. Leet, Margret A. O'Neall, Eduardo J. Simoes

Faculty Publications

Because public health is a continually evolving field, it is essential to provide ample training opportunities for public health professionals. As a natural outgrowth of the Centers for Disease Control and Prevention's Prevention Research Centers Program, training courses of many types have been developed for public health practitioners working in the field. This article describes three of the Prevention Research Center training program offerings: Evidence-Based Public Health, Physical Activity and Public Health for Practitioners, and Social Marketing. These courses illustrate the commitment of the Prevention Research Centers Program to helping create a better trained public health workforce, thereby enhancing the …

Deaf Culture In Mombasa And Hiv/Aids Education, Krystel Viehmann

Independent Study Project (ISP) Collection

Ten years ago a crisis was recognized by the Kenyan deaf community when it was realized that the country’s roughly 1 million deaf citizens had received little or no education about the HIV/AIDS pandemic. In Kenya, as elsewhere, the deaf population has formed a community characterized by a common, shared language and experience as a disabled population. The intracacies of this unique culture affect their interactions with the majority hearing community as they have their own customs and ways of interacting with one another that are distinct from the hearing majority. In 2004, the first VCT (Voluntary Counseling and Testing) …

A New Kind Of "Outrageous Misconduct": Effects To Undermine The Law's Ability To Deter And Punish Intentional And Outrageous Corporate Behavior, Candace Howard

Student Articles and Papers

The current tort "reform" movement, if successful, will completely undermine our most effective tool for deterring outrageous corporate misconduct: the threat of punitive damages. Such "reform" would have a particularly egregious impact on the environment and public health because, due to a lack of enforcement and the undetectable nature of many pollutants, environmental offenses are often more difficult to deter than other types of offenses. The essay argues that, although rarely imposed for environmental offenses, punitive damages are especially vital in that arena because, when imposed, they are richly deserved. It concludes that, rather than tort reform, what we need …

Una Enfermedad De La Sociedad: Una Investigación De Las Causas, Los Tratamientos, Y La Prevención De La Desnutrición De Niños En El Centro De Nutrición Infantil, Albina R. De Patiño, Kimberly A. Mukerjee

Independent Study Project (ISP) Collection

Antes de empezar mi proyecto en el Centro de Nutrición Infantil, investigué los datos sobre la situación actual de desnutrición en Bolivia. Es importante incluir esta información para identificar los datos epidemiológicos de esta región de Cochabamba, y comparar con los datos obtenidos del país y de América Latina. Este es un resumen crítico de la información obtenida. La crisis de la pobreza en América Latina es un gran factor que afecta la salud de la población infantil. Cerca de un millón de niños latinoamericanos mueren al año víctimas de las condiciones inherentes a la pobreza, como la desnutrición, las …

Supporting Ourselves: Maintaining Mental Well-Being Through An Hiv+/Aids Support Group In A Rural South African Community, Narda Hernández

Independent Study Project (ISP) Collection

This paper primarily explores the importance of the support group for people infected and affected by HIV+/AIDS. At St. Matthew’s Clinic in the rural area of Qoboqobo, I invited women between the ages of 25-49 to freely participate in the focus group discussions. I believe that the health care sector could benefit from these groups, both as formal outreach services and informal support networks. There is a lack of healthcare services in rural areas. Of particular interest, PLWA are continuously encouraged to join an HIV/AIDS support group. This paper aims to explore how people are dealing with stress and HIV/AIDS-related …

The Legacy Of Irop: Giving Back The Gift Of Mentorship, Elizabeth Gagnon

Inquiry Journal 2005

No abstract provided.

Correlates Of In-Home Smoking Behavior Of Parents With Newborns, James Kyung Jo

Loma Linda University Electronic Theses, Dissertations & Projects

Secondhand smoke has been shown to have adverse health effects on young children. It is associated with various health effects such as respiratory infections, Sudden Infant Death Syndrome (SIDS), and asthma. Because of the dangers secondhand smoke poses to young children, there is a need for educating parents about the dangers of secondhand smoke as well as determining factors associated with secondhand smoke exposure among children. Understanding these factors may be first step toward developing strategies to reduce ETS exposure.

The study examined correlates of in-home smoking behavior of parents with newborns by analyzing 657 respondents who filled out the …

Comparisons Between Rail-Trail Users And Nonusers And Men And Women's Patterns Of Use In A Suburban Community, Philip J. Troped, Ruth P. Saunders, Russell R. Pate

Faculty Publications

Background: Physical activity research on trails is limited. We compared rail-trail users and nonusers on demographics, physical activity, and barriers/concerns about trail use; and described use among men and women. Methods: Four hundred thirteen adults completed a physical activity survey during fall 1998. Chi-square statistics and t-tests were used to compare trail users to nonusers, and men and women on trail use. Results: More trail users (79%) performed recreational physical activity ≥ 3 d/wk, compared to nonusers (47%). Walking was the most common activity for trail users and nonusers. Both groups shared concerns about safe access to the trail …

The Great Pestilence: Yellow Fever In Portsmouth, Virginia, 1855, Burden Susan Lundgren

Health Services Research Dissertations

In 1855, the town of Portsmouth, Virginia was devastated by an epidemic of yellow fever. Most citizens fled. Of those who remained, most became infected and a thousand died. The municipal government collapsed. In their place, a small organization known as the Portsmouth Relief Association assumed responsibility for ensuring the survival of the town. This organization managed the care of the sick, the burial of the dead, and the care of orphans. It was the sole agent receiving and allocating the funds and resources that poured into the community. Scarce food, drugs and other supplies were available only through the …

Downward Comparison As An Intervention To Lower Self-Reported Risk-Taking Behaviors, John P. Barile

Psychology Theses & Dissertations

This research investigated the utility of using first-person editorial-style stories as a means to lower the occurrence of self-reported risk-taking behaviors such as drunk driving and red-light running in undergraduate college students. This study assessed the frequency of risk-taking behaviors of college students before and after a three-week online intervention. Students were randomized into one of three conditions. Two risk taking treatment groups read and rated stories about a college student that had suffered a severe consequence from either drunk driving or red-light running. A third group received non-driving college stories that involved no health risk. The stories were presented …

Development Of Dose Conversion Coefficients For Radionuclides Produced In Spallation Neutron Sources Quarterly Progress Report 1/1/05 – 3/31/05, Phillip W. Patton, Mark Rudin

Transmutation Sciences Physics (TRP)

The research consortium comprised of representatives from several universities and national laboratories has successfully generated internal and external dose conversion coefficients for twenty radionuclides produced in spallation neutron sources. In addition, the group has identified twenty radionuclide that are missing electron capture files and eighteen additional radionuclides missing substantial physical data. The goal for the current year is to develop a methodology that will allow for producing the dose coefficients for these radionuclides with missing data. Methods to obtain these data are being investigated.

Scale And Shape Issues In Focused Cluster Power For Count Data, Robin C. Puett, Andrew B. Lawson, Allan B. Clark, Tim E. Aldrich, Dwayne E. Porter, Charles E. Feigley, James R. Hébert

Faculty Publications

Background: Interest in the development of statistical methods for disease cluster detection has experienced rapid growth in recent years. Evaluations of statistical power provide important information for the selection of an appropriate statistical method in environmentally-related disease cluster investigations. Published power evaluations have not yet addressed the use of models for focused cluster detection and have not fully investigated the issues of disease cluster scale and shape. As meteorological and other factors can impact the dispersion of environmental toxicants, it follows that environmental exposures and associated diseases can be dispersed in a variety of spatial patterns. This study simulates …

Exploring California's Rural Health System: From The Redwood Forests To The Baja Border, Eileen Salinsky, Jessamyn Taylor

National Health Policy Forum

This three day site visit to California explored the state’s rural health system with a particular focus on the financial health of inpatient and outpatient providers and how that affects access to care. The role of telemedicine as a tool for expanding access was explored as well as the special needs of vulnerable populations such as farmworkers. Participants learned how state and federal regulation and payment policies and state budget deficits impact the viability of rural health systems.

Equine Farm Manager Dies From Accidental Overdose Of Xylazine, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Other

On October 6, 2003, a 49-year-old male equine farm manager accidentally died after injecting himself with an unknown quantity of Sedazine (xylazine), a sedative commonly used to sedate horses. After visiting a barn’s storage area at approximately 8:45 am, the farm manager went to his house located on the farm and apparently tried to ease his pain by injecting himself with xylazine. At approximately 9:45 am, a female co-worker saw the farm manager’s dog running unrestrained outside and went to the farm manager’s house to return the dog. Upon entering the house, she found the farm manager lying face down …

Stage At Diagnosis And Cancer Survival For Indigenous Australians In The Northern Territory, John R. Condon, Tony Barnes, Bruce K. Armstrong, Sid Selva-Nayagam, J. Mark Elwood

Aboriginal Policy Research Consortium International (APRCi)

Objective: To investigate whether Indigenous Australians with cancer have more advanced disease at diagnosis than other Australians, and whether late diagnosis explains lower Indigenous cancer survival rates. Design: Retrospective cohort study.

Setting and participants: Indigenous and non-Indigenous people diagnosed with cancers of the colon and rectum, lung, breast or cervix and non-Hodgkin lymphoma in the Northern Territory of Australia in 1991–2000. Main outcome measures: SEER summary stage of cancer at diagnosis (local, regional or distant spread), cause-specific cancer survival rates and relative risk of cancer death.

Results: Diagnosis with advanced disease (regional or distant spread) was more common for Indigenous …

The Travels Of Our Bodies, Ourselves, Jane Pincus

New England Journal of Public Policy

The women’s health book, Our Bodies, Ourselves: A Book by and for Women, was first printed in 1970 by the small, radical New England Free Press. Published by the group of women soon too become the Boston Women’s Health Book Collective, it was advertised solely by word of mouth. Successive newsprint editions reached a quarter of a million people in the United States through colleges and an extensive network of “underground” bookstores. The book placed female sexuality firmly within the framework of women’s health and combined vividly experienced medical encounters with available health and medical information. It critiqued prevailing cultural …

Kids On The Move: The Effects Of A Short-Term Physical Activity Program In A Group Of Rural Elementary School Students

Florida Public Health Review

No abstract provided.

Pioneer In Florida Public Health Nursing: The Work Of Joyce Ely, Rn

Florida Public Health Review

No abstract provided.

A Summary Of Florida’S Law Of Quarantine Of Persons And Public Health Law Reform Issues

Florida Public Health Review

No abstract provided.

School Health Promotion Activities In Miami-Dade County, Florida

Florida Public Health Review

No abstract provided.

Fpha President’S Message For The Florida Public Health Review

Florida Public Health Review

No abstract provided.

The Florida Public Health Review Celebrates A Birthday- Now What?

Florida Public Health Review

No abstract provided.

Evaluating Sex Offenders Under Sexually Violent Predator Laws: How Might Mental Health Professionals Conceptualize The Notion Of Volitional Impairment?, Cynthia Calkins Mercado, Robert F. Schopp, Brian H. Bornstein

Department of Psychology: Faculty Publications

This paper examines the significance of the Supreme Court’s Hendricks and Crane decisions, with focus given to how mental health professionals may conceptualize the notion of volitional impairment. The Hendricks decision authorized postsentence civil commitment for sex offenders having a mental abnormality or personality disorder, rendering them likely to engage in future acts of sexual violence. In the Supreme Court’s majority opinion, Justice Thomas implied that the Kansas Act was legitimized by limiting the class of offenders eligible for this specialized form of commitment to those who are “unable to control” their dangerousness. In Crane, the Court ruled that …

Visit Satisfaction And The Use Of Tailored Health Behavior Communications In Primary Care, Chris N. Sciamanna, Scott P. Novak, Thomas K. Houston, Robert Gramling, Bess H. Marcus

College of Population Health Faculty Papers

BACKGROUND: Though studies suggest that computer-tailored health communications can help patients improve health behaviors, their effect on patient satisfaction, when used in health care settings, has yet to be examined. METHODS: A computer application was developed to provide tailored, printed feedback for patients and physicians about two of the most common adverse health behaviors seen in primary care, smoking and physical inactivity. Ten primary care providers and 150 of their patients were recruited to use the program in the office before their visit. After the visit, patients completed a self-report survey that addressed demographics, computer use history, satisfaction with the …