Digital Commons Network^™

Functional Health Literacy In An Urban Primary Care Clinic, Nancy Trygar Artinian, M. Patricia Lange, Thomas Templin, Lynda G Stallwood, Christopher E. Hermann

Nursing Faculty Research Publications

The purpose of this study was to determine the level of functional health literacy in a sample of patients treated in 1of our 5 primary care clinics. A total of 92 randomly selected adults (mean age = 59 years) completed the TOFHLA while waiting for a scheduled appointment. Twenty eight percent of the sample had less than adequate levels of functional health literacy. Income, car ownership and education were significant and independent predictors of literacy level in this sample. Low levels of functional health literacy limit a patient's ability to read, understand and act on health information. It is essential …

Severity Message From Hazard Alert Symbol On Caution Signs, Roger C. Jensen, Andrew M. Mccammack

Safety Health & Industrial Hygiene

Standards for the design of signal word panels specify different combinations of colors, signal words, and a hazard alert symbol. The warning sign standards of the American National Standards Institute specify a yellow signal word panel, with the word Caution and a hazard alert symbol, for signs marking people hazards. The same panel, without the symbol, is intended for property hazards. The purpose of this study was to determine if the presence or absence of the symbol effectively conveys the intended severity messages. A sample of 59 college students rated their impressions of a Caution sign with and without the …

Expanding Self-Direction In Services For The Aged And People With Disabilities, Ruth A. Burgess

Theses, Dissertations and Capstones

Medicaid-funded long-term care services are traditionally delivered in nursing homes. States may apply for waivers which allow them to provide home and community based services with Medicaid funds. Because these services are by definition an alternative to nursing home care, waiver services are generally based upon a medical model which emphasizes medical deficits and tends to restrict consumers’ movements to inside the home. Recent developments such as the Olmstead Decision and federal New Freedom Initiatives have caused states to recognize that consumers desire and have a legal right to be part of a community rather than institutionalized or homebound. These …

Profile: University Of Minnesota School Of Public Health Around The World In 10 Minutes

International Journal of Global Health

What does the phrase "global health" mean to you? Does it mean doing HIV/AIDS education in Mysore? Working to improve air quality in Manila? Or marrying eastern and western health practices for the Hmong in Minneapolis? If you answered "all of the above," you're right. Global health is all this and more. At the University of Minnesota School of Public Health, we ascribe to the philosophy whereby public health challenges are exchanged equally between developed and developing countries, and together we share the responsibility for finding solutions to these challenges.

Child Rearing Practices In Eastern Nigeria: Implications For Social Work In The United States, Chinyelu B. Okafor

International Journal of Global Health

This qualitative study describes the childrearing practices among the Igbos of Eastern Nigeria, and offers implications for social work and educational services for African immigrants raising families in the United States. First objective for the study was to ascertain how rural Igbos of Eastern Nigeria raise their children from birth to age eight years of age. Second objective was to determine parent's concept of reward and punishment, how gender role is communicated, and what constitutes parental expectations from successful parenting. Method: Focus group discussions with 400 men and women in 20 villages from five rural Local Government Areas (counties) of …

Increased Morbidity And Mortality In Single Parent Families: A Review, Katie Steneroden

International Journal of Global Health

American families have changed dramatically in composition in recent decades. Increasing proportions of children are being raised in single parent households, reflecting both rising divorce rates, the growing percentage of births to unmarried women and adoption by single parents. As fewer children grow up in traditional families, there is increasing concern about the impact of alternative family structures on children's health and well-being. Many believe that there is a vital connection between family structure and youth well-being, with the nuclear family constituting the optimal structure for fostering "normal" development. Some say the change in the typical nuclear family is one …

Cover - Front Matter - Table Of Contents

International Journal of Global Health

No abstract provided.

Assessing The Integrity Of Motivational Interviewing Interventions: Reliability Of The Motivational Interviewing Skills Code, Theresa Moyers, Tim Martin, Delwyn Catley, Kari Jo Harris, Jasjit S. Ahluwalia

Public and Community Health Sciences Faculty Publications

The motivational interviewing skills code (MISC) was used to review 86 audiotaped interactions between clinicians and patients participating in a smoking cessation intervention. Intraclass correlations (ICCs) were completed for two of the MISC elements: global evaluations and behavior counts. Results indicate 75% of the global ratings yielded ICCs in the good to excellent range, while only 44% of the behavior counts yielded this level of accuracy. Adherence scores were created to form overall ratings of clinician adherence to using motivational interviewing and 80% of these competence measures yielded ICCs in the good to excellent range. Specific recommendations regarding modifications for …

The Educational Interaction Between Physical Therapy And Occupational Therapy Students, Kimberly K. Cleary, Dana M. Howell

Occupational Science and Occupational Therapy Faculty and Staff Research

The objectives of this study were to identify the prevalence of shared learning in U.S. physical therapy (PT) and occupational therapy (OT) education programs; determine what terminology is used for these courses; and identify perceived barriers, benefits, and challenges of the educational interactions. A survey, designed to collect information about the educational interaction between PT and OT students, was mailed to all program directors (n = 206) at each of the academic institutions (N = 103) in the United States with accredited or developing entry-level programs in PT and OT. A census study was conducted, and the entire study population …

Environmental Planning, R. Steven Konkel

Environmental Health Science Faculty and Staff Research

Our understanding of the importance of healthy ecosystems and the impact of people on the natural and the built environment continues to grow. The need for stewardship to preserve, protect, and enhance the natural environment and promote healthy populations is increasingly seen as a universal responsibility of environmental health and safety (EHS) professionals.

Message Deleted? Resolving Physician-Patient E-Mail Through Contract Law, Michael Mccann

Law Faculty Scholarship

This article examines the impact of e-mail on the physician-patient relationship, and how contract law can resolve the uncertainties incumbent in this nascent form of communication. Significantly, courts have yet to indicate when the physician-patient relationship begins by e-mail, or to what extent e-mail affects the duties of the relationship. Instead of waiting for judicial guidance, physicians and patients can employ specialized contracts to clarify the role that e-mail plays in their relationship. As a result, more physicians and patients will regard e-mail correspondence as a valuable means of communication, and a tool for improving the quality of health care …

Progress And Opportunities In Lesbian, Gay, Bisexual And Transgender Health Communications, Laurie A. Drabble, J. Keatley, G. Marcelle

Faculty Publications

This article describes elements of effective health communication and highlights strategies that may best be adopted or adapted in relation to lesbian, gay, bisexual, and transgender (LGBT) populations. Studies have documented the utility of multidimensional approaches to health communication from the macro level of interventions targeting entire populations to the micro level of communication between health care provider and consumer. Although evidence of health disparities in LGBT communities underscores the importance of population-specific interventions, health promotion campaigns rarely target these populations and health communication activities seldom account for the diversity of LGBT communities. Advances in health communication suggest promising direction …

The Impact Of Asthma Self-Management Education Programs On The Health Outcomes: A Meta-Analysis (Systemic Review) Of Randomized Controlled Trials, Surender Gaddam

Theses Digitization Project

An attempt has been made in this study to critically appraise, systematically review and gather together the results obtained in individual trials and examine the strength of evidence supporting the component for Education for a Partnership in Asthma Care of the National Asthma Education and Prevention Program (NAEPP) to test whether health outcomes are influenced by education and self-management programs.

The Treatment Of Hypnotic Dependent Sleep Disorder: A Case Study, Theodore Cooper, K. Lichstein, N. Aguillard

Selected Works Temporary Series

No abstract provided.

A Prospective Evaluation Of The Relationships Between Smoking Dosage And Body Mass Index In An Adolescent, Biracial Cohort., Theodore Cooper, R. Klesges, L. Robinson, S. Zbikowski

Selected Works Temporary Series

No abstract provided.

Impact Of Traditional Practices On Women's Health In Africa: Research Conducted In Cape Coast, Ghana, June 2001, Clementine M. Msengi

International Journal of Global Health

Traditional cultural practices are found in every social unit, in all societies. They stem from values and beliefs intrinsic in the cultural fabric of any given society. Such beliefs lead to certain practices in the area of health that can be a detriment or a benefit to a segment of a population. Examples in Africa range from FGC (female genital cutting); preadolescent or early adolescent marriage; nutritional taboos; social, cultural, and educational preference for male children; pregnancy practices and taboos, dowry-related mistreatment and enslavement of wives; abuse related suicides; etc. In all these examples, it is women who are affected …

The Risks Associated With Agriculture: A Review, Danelle Bickett-Weddle

International Journal of Global Health

Agriculture dates back to the first recorded civilizations in Mesopotamia (currently known as Iraq) in 8000 B.C. and is defined as "the science, art, or practice of cultivating the soil, producing crops, and raising livestock and in varying degrees the preparation and marketing of the resulting products." (1) It is a worldwide craft and agriculture is thought to be one of the three most hazardous occupations in the United States. There has been data collection regarding farm size, crops or animals produced and income generated for more than 150 years. A farm includes any place that sells or produces, or …

Health And Environmental Effects Of Landfilling And Incineration Of Waste - A Literature Review, D. Crowley, A. Staines, C. Collins, J. Bracken, M. Bruen, J Fry, Victor Hrymak, D. Malone, B. Magette, M. Ryan, C Thunhurst

Reports

A literature review on the health effects of landfill and incineration is presented together with an application to Ireland of the findings

Physician Incentives: Managed Care And Ethics, Douglas A. Mains, Alberto Coustasse, Kristine Lykens

Management Faculty Research

The authors review the principle features of the managed care system in an effort to understand the ethical assumptions inherent in managed care. The interrelationships among physician incentives, responsibilities of patients and the physician-patient relationship are examined in light of the ethical concerns identified in the managed care system. The managed care system creates ethical tensions for those who influence the allocation of scare resources. Managed care's administrative controls have increasingly changed the doctor-patient relationship to the businessperson-consumer relationship. Managed care goals of quality and access demand that physicians be both patient advocate and organizational advocate, even though these roles …

Nsucommuniversity Link - January 2003, Nova Southeastern University

NSU Digital: Communiversity

No abstract provided.

A Prospective Evaluation Of The Relationships Between Smoking Dosage And Body Mass Index In An Adolescent, Biracial Cohort., Theodore Cooper, R. Klesges, L. Robinson, S. Zbikowski

Departmental Papers (Psych)

No abstract provided.

Sodium Tanshinone Iia Sulfonate Mediates Electron Transfer Reaction In Rat Heart Mitochondria, Guangyin Zhou, Wen Jiang, Yan Zhao, Guangén Ma, Wenjuan Xin, Junjie Yin, Baolu Zhao

United States Public Health Resources

In this paper, an electron transfer reaction mediated by sodium tanshinone IIA sulfonate (STS) was studied in rat heart mitochondria. It was found that STS could stimulate mitochondrial NADH oxidation dose-dependently and partly restore NADH oxidation in the presence of respiratory inhibitor (rotenone or antimycin A or KCN). It was likely that STS could accept electrons from complex I similar to ferricyanide and could be converted to its semiquinone form that could then reduce oxygen molecule. The data also showed that cytochrome c (Cyt c) could be reduced by STS in the presence of KCN, or STS could transfer the …

A Preliminary Linkage Map Of The Hard Tick, Ixodes Scapularis, A. J. Ullmann, J. Piesman, M. C. Dolan, W. C. Black Iv

United States Public Health Resources

Blackwell Publishing Ltd. A linkage map of the Ixodes scapularis genome was constructed, based upon segregation amongst 127 loci. These included 84 random amplified polymorphic DNA (RAPD) markers, 32 Sequence-Tagged RAPD (STAR) markers, 5 cDNAs, and 5 microsatellites in 232 F₁ intercross progeny from a single, field-collected P₁ female. A preliminary linkage map of 616 cM was generated across 14 linkage groups with one marker every 10.8 cM. Assuming a genome size of ~ 10 ⁹ bp, the relationship of physical to genetic distance was found to be ~ 300 kb/cM in the I. scapularis genome.

Absence Of Interferon-Γ–Inducible Gene Igtp Does Not Significantly Alter The Development Of Chagasic Cardiomyopathy In Mice Infected With Trypanosoma Cruzi (Brazil Strain), A. P. De Souza, B. Tang, H. B. Tanowitz, S. M. Factor, V. Shtutin, J. Shirani, G. A. Taylor, L. M. Weiss, L. A. Jelicks

United States Public Health Resources

Interferon-γ (IFN-γ) contributes to host resistance during acute infection with Trypanosoma cruzi, the causative agent of Chagas’ disease. Inducibly expressed guanosine triphosphatase (IGTP), a 48-kDa guanosine triphosphatase (GTPase), is a member of a family of GTPase proteins inducibly expressed by IFN-γ. The expression pattern of IGTP suggests that it may mediate IFN-γ–induced responses in a variety of cell types. IGTP has been demonstrated to be important for control of Toxoplasma gondii infection but not for resistance against Listeria monocytogenes. We evaluated the role of IGTP in development of chronic chagasic cardiomyopathy in IGTP null mice and C57X129sv (wild …

Accuracy Of Six Commercially Available Systems For Identification Of Members Of The Family Vibrionaceae, Caroline M. O’Hara, Evangeline G. Sowers, Cheryl A. Bopp, Sarah B. Duda, Nancy A. Strockbine

United States Public Health Resources

Six commercially available bacterial identification products were tested with Vibrio alginolyticus (12 strains), V. cholerae (30 strains), Photobacterium (Vibrio) damselae (10 strains), V. fluvialis (10 strains), V. furnissii (4 strains), V. hollisae (10 strains), V. metschnikovii (9 strains), V. mimicus (10 strains), V. parahaemolyticus (30 strains), and V. vulnificus (10 strains) to determine the accuracy of each system for identification. The products included API 20E, Crystal E/NF, MicroScan Neg ID2 and Rapid Neg ID3, and Vitek GNI+ and ID-GNB. Each product was tested only with those species that were listed in its database. Overall, the systems correctly …

Estimated Risk Of Transmission Of The West Nile Virus Through Blood Transfusion In The Us, 2002, Brad J. Biggerstaff, Lyle R. Petersen

United States Public Health Resources

BACKGROUND: The West Nile virus (WNV) epidemic in 2002 in the US saw over 3300 reported human cases of WNV disease, with over 2300 reported cases of WNV encephalitis and meningitis. The first documented cases of transfusion transmission of WNV through voluntary blood donation also occurred.

STUDY DESIGN AND METHODS: Case onset dates from the 2002 WNV epidemic in the US were used to estimate the risk of transfusion-associated transmission with statistical resampling. An easily computed approximating formula for the mean risk was derived. Estimates were computed for six high-incidence states and metropolitan areas.

RESULTS: Mean and …

Incidence Of Ovarian Cancer By Race And Ethnicity In The United States, 1992–1997, Marc T. Goodman, Holly L. Howe, Ko Hui Tung, Joellyn Hotes, Barry A. Miller, Steven S. Coughlin, Vivien W. Chen

United States Public Health Resources

Ovarian cancer is the fifth most common cancer among U.S. women.¹ An estimated 23,400 new cases were expected to be diagnosed in the U.S. in 2001. As is the case for breast and endometrial cancers, ovarian cancer is more common among women in northern and central Europe, and North America compared with Africa, South America, and Asia.² In the U.S., substantial racial and ethnic variations also are observed in the incidence of ovarian cancer. rates reportedly are highest among non-Hispanic white and American Indian women, and are lower among Hispanic, Native Hawaiian, and Asian women.³ Among white …

Inhibition Of Markers Of Hepatic Stellate Cell Activation By The Hormone Relaxin, Robert G. Bennett, Kusum K. Kharbanda, Dean J. Tuma

United States Public Health Resources

Hepatic fibrois results from excess extracellular matrix produced primarily by hepatic stellate cells (HSC). In response to injury, HSC differentiate to a myofibroblastic phenotype expressing smooth muscle actin and fibrillar collagens. Relaxin is a polypeptide hormone shown to have antifibrotic effects in fibrosis models. In this study, activated HSC from rat liver were treated with relaxin to determine if relaxin can reverse markers of HSC activation. Relaxin treatment resulted in a decrease in the expression of smooth muscle actin, but had no effect on cell proliferation rate. The levels of total collagen and type I collagen were reduced, while the …

Ethanol Consumption Decreases The Synthesis Of The Mannose 6-Phosphatelinsulin-Like Growth Factor Ii Receptor But Does Not Decrease Its Messenger Rna, James Haorah, Richard Macdonald, Julie A. Stoner, Terrence M. Donohue, Jr.

United States Public Health Resources

The mannose 6-phosphatelinsulin-like growth factor I1 receptor (M6P/IGF-IIR) is a protein that facilitates the transport of acid hydrolases into the lysosome. We have shown that chronic ethanol consumption lowers the M6P/IGF-IIR content in rat hepatocytes. Here, we determined the steady-state level of mRNA encoding M6P/IGF-IIR, as well as the rate of receptor synthesis, to ascertain whether the ethanol-elicited reduction in receptor protein content is related to changes in either or both of these parameters. Rats were pair-fed the normal carbohydrate (NC) or low carbohydrate high-fat (LC) liquid diets containing either ethanol or isocaloric maltose-dextrin for 7-8 weeks. RNA was isolated …

Impaired Receptor-Mediated Endocytosis By The Asialoglycoprotein Receptor In Ethanol-Fed Mice: Implications For Studying The Role Of This Receptor In Alcoholic Apoptosis, Shana R. Dalton, Robert L. Wiegert, Cheryl R. Baldwin, Karen M. Kassel, Carol A. Casey

United States Public Health Resources

During receptor-mediated endocytosis (RME), extracellular molecules are internalized after being recognized and bound to specific cell surface receptors. In previous studies of the asialoglycoprotein receptor (ASGPR) in rats, we showed that ethanol impairs RME at multiple ASGPR sites. Ethanol administration has been shown to increase apoptosis, and we demonstrated increased sensitization to apoptotic induction in hepatocytes from ethanol-fed rats. Although a physiological role for the ASGPR has not been identified, investigators have shown its involvement in the uptake/clearance of apoptotic cells in vitvo. This suggests a potential role for the ASGPR in the removal of apoptotic cells, and the recent …