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Globalization, International Law, And Emerging Infectious Diseases, David P. Fidler

Articles by Maurer Faculty

The global nature of the threat posed by new and reemerging infectious diseases will require international cooperation in identifying, controlling, and preventing these diseases. Because of this need for international cooperation, international law will certainly play a role in the global strategy for the control of emerging diseases. Recognizing this fact, the World Health Organization has already proposed revising the International Health Regulations. This article examines some basic problems that the global campaign against emerging infectious diseases might face in applying international law to facilitate international cooperation. The international legal component of the global control strategy for these diseases needs …

Host Restriction Phenotypes Of Salmonella Typhi And Salmonella Gallinarum, Lisa Pascopella, Bärbel Raupach, Nafisa Ghori, Denise Monack, Stanley Falkow, P. L. C. Small

Public and Community Health Sciences Faculty Publications

Salmonella typhi and Salmonella gallinarum phenotypes correlated with mouse host restriction have been identified by using in vitro and in vivo systems. S. typhi is capable of entering the murine intestinal epithelium via M cells, as is Salmonella typhimurium, which causes systemic infection in the mouse. But, unlike S. typhimurium, S. typhi does not destroy the epithelium and is cleared from the Peyer’s patches soon after M-cell entry. S. gallinarum appears to be incapable of entering the murine Peyer’s patch epithelium. Our in vitro evidence suggests that S. gallinarum is taken up in murine phagocytic cells by a mechanism different …

Rationing Health Care And The Need For Credible Scarcity: Why American's Can't Say No, Wendy K. Mariner

Faculty Scholarship

With adequate cost containment unlikely in the foreseeable future, health care use will have to be curtailed, ideally with open and explicit criteria for equitably allocating resources or rationing. Yet, consensus on any such criteria appears remote because Americans cannot say no to health care. Americans may refuse to accept rationing for two reasons. The absence of any global limitation on health care resources may encourage patients to believe that health care resources are not scarce and do not need to be rationed. A belief in vitalism--that everyone is morally entitled to unlimited longevity and good health--may discourage setting limits …

Prospects For The Control Of Bolivian Hemorrhagic Fever, Paul E. Kilgore, Clarence J. Peters, James N. Mills, Pierre E. Rollin, Lori Armstrong, Ali S. Khan, Thomas G. Ksiazek

Department of Pharmacy Practice

No abstract provided.

Moraxella (Branhamella) Catarrhalis: A Molecular Epidemiology Study, Lyndell R. Gill

Electronic Theses and Dissertations

Moraxella (Branhamella) catarrhalis is the third-most-frequently isolated microorganism associated with acute exacerbations of chronic bronchitis in patients during their stay at the Mountain Home VA Medical Center (MHVAMC). In order to develop a practical, epidemiologically-meaningful typing method for M. (B.) catarrhalis, we tested two methods based on analysis of chromosomal DNA for typeability, reproducibility, and ability to differentiate between unrelated strains (discriminatory power, D). M. (B.) catarrhalis isolants from MHVAMC from 7/1/87-6/30/88 were grown overnight in broth and embedded in agarose. DNA was isolated by standard methods. The DNA was subjected to: (1) restriction endonuclease digestion (with either Bgl II …

A Population-Based Serologic Survey Of Immunity To Tetanus In The United States, Peter J. Gergen, Geraldine M. Mcquillan, Michele Kiely, Trena M. Ezzati-Rice, Roland W. Sutter, Gabriel Virella

Publications and Research

Background. Vaccination rates are frequently considered a surrogate measure of protection. To provide more accurate estimates, serum levels of antibody against tetanus were measured as part of the third National Health and Nutrition Examination Survey (NHANES III), which studied a representative sample of the civilian, noninstitutionalized population of the United States.

Methods. We measured tetanus antitoxin using a solid- phase enzyme immunoassay in serum samples from 10,618 persons six years of age and older who were examined during phase 1 of NHANES III in 1988 to 1991.

Results. Overall, 69.7 percent of Americans six years of age and …

An Overview Of The Effectiveness And Efficiency Of Hiv Prevention Programs, D. R. Holtgrave, Noreen L. Qualls, J. W. Curran, Ronald O. Valdiserri, Mary Guinan, William C. Parra

School of Public Health Faculty Research

Because of the enormity of the HIV-AIDS epidemic and the urgency for preventing transmission, HIV prevention programs are a high priority for careful and timely evaluations. Information on program effectiveness and efficiency is needed for decision-making about future HIV prevention priorities. General characteristics of successful HIV prevention programs, programs empirically evaluated and found to change (or not change) high-risk behaviors or in need of further empirical study, and economic evaluations of certain programs are described and summarized with attention limited to programs that have a behavioral basis. HIV prevention programs have an impact on averting or reducing risk behaviors, particularly …

Isolation And Characterization Of A B-D-Glucuronidase-Producing Strain Of Escherichia Coli Serotype O157:H7 In The United States, Peggy S. Hayes, Kristina Blom, Peter Feng, Jay Lewis, Nancy A. Strockbine, Bala Swaminathan

United States Public Health Resources

A phenotypic variant of Escherichia coli serotype O157:H7 (G5101) was isolated from a patient with bloody diarrhea. Strain G5101 does not ferment sorbitol but is β-D-glucuronidase and urease positive. Serotyping and colony hybridization using a serotype-specific DNA probe confirmed that the isolate was O157:H7. G5101 produces Shiga-like toxins I and II and contains an eae gene that is highly conserved in the O157:H7 serotype. This strain would have been missed by laboratories that screen for the sorbitol-negative, β-D-glucuronidase- negative phenotype in isolating E. coli O157:H7 from clinical and food specimens.

The Effects Of Malnutrition On Child Mortality In Developing Countries, D.L. Pelletier, Edward A. Frongillo Jr., D.G. Schroeder, J.P. Habicht

Faculty Publications

No abstract provided.

Korean Response To Public Health Clinic Programs., Won Jae Lee

All ETDs from UAB

No abstract provided.

Tuberculosis And The Power Of The State: Toward The Development Of Rational Standards For The Review Of Compulsory Public Health Powers, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This article uses tuberculosis as the paradigm for exploring rational standards for the exercise of compulsory public health powers. Extant doctrine in disability and constitutional law provides a lens for examining judicial review of state interventions. The author first sets out the central epidemiological and biological aspects of tuberculosis to demonstrate the strength of the governmental interest in curtailing the epidemic. Second, he examines the interventions of testing, screening, and confinement of persons with tuberculosis, where he focuses on two congregate settings--correctional and health care facilities--that present substantial health risks and are principal foci for the exercise of state intervention. …

The Risk Of Domestic Violence And Women With Hiv Infection: Implications For Partner Notification, Public Policy, And The Law, Karen H. Rothenberg, Stephen Paskey

Journal Articles

No abstract provided.

Cluster Analysis Of The Coprolites From Antelope House: Implications For Anasazi Diet And Cuisine, Mark Q. Sutton, Karl Reinhard

Karl Reinhard Publications

This paper reports on a cluster analysis of 155 coprolites from Antelope House, a prehistoric Anasazi site in Canyon de Chelly, Arizona. The analysis revealed three primary clusters; whole kernel maize, milled maize, and nonmaize, which we believe to represent seasonal- and preference-related cuisine. Protein residue analysis on a subsample of the specimens added depth to the analysis.

The Resurgent Tuberculosis Epidemic In The Era Of Aids: Reflections On Public Health, Law, And Society, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The resurgence of tuberculosis and the rise in drug-resistant cases is neither inexplicable nor unexpected, but rather is the predictable outcome of a complex configuration of biological, social, and behavioral factors that have converged in America over the past decade. This article examines the biological, social, and behavioral causes of the epidemic, and suggests a comprehensive public health strategy for curtailing tuberculosis and other infectious diseases. When thoughtfully conceived, public health strategies can be implemented that are consistent with the limitations that both constitutional law and disability law place on the authority of the state. While traditional concepts of public …

Practice Nurses And Hepatitis B : Preventative Actions And Their Relationship To Health Beliefs, Helen Le Sueur

Theses : Honours

Hepatitis B is a major, largely undiagnosed disease in the community and nurses working in doctors' surgeries (practice nurses) undertake many clinical tasks which may expose them to the Hepatitis B virus. Using the Health Belief Model as the theoretical framework, the purpose of this correlational-descriptive study was to determine what actions are taken, by practice nurses in Western Australia to protect themselves against Hepatitis B, and to what extent their health beliefs contribute to those actions. A response rate of 59% (118) was obtained from an anonymous, confidential questionnaire sent to a random sample of 200 practice nurses in …

A Mathematical Model To Describe Haemophilus Influenzae Type B Within Western Australia, Kevin Dennis

Theses: Doctorates and Masters

This work is primarily aimed at determining the effect that an immunisation policy Is likely to have on the incidence of Haemophllus influenzae Type B (HIB) and systematic HIB in Western Australia. There was a significant effort made to collect data pertinent to the estimation of parameter values but since HIB has only been a notifiable disease since 1992, there was a distinct lack of relevant data available. Private communication with individual’s such as Dr Jeffrey Hanna and Dr Beryl Wild resulted in practical information being obtained that was used to estimate certain parameters. The deterministic mathematical models within the …

An Assessment Of Associations Between Selected Health Practices And Mental Wellness, Ginger Bomar

Masters Theses & Specialist Projects

The purpose of this study was to assess the relationship between mental well-being and selected health behaviors. A cross-sectional study was performed on a sample of 490 students at Western Kentucky University during the 1993 Spring, Summer, and Fall semesters. Study participants completed the Participant Data Sheet, General Weil-Being Schedule, and the Health Behavior Instrument. The data were gathered and analyzed via correlation analysis which revealed a relationship between mental well-being and certain health behaviors. The correlations between general well-being and selected health behaviors were stronger among males than females. There was a relationship found between mental well-being and hours …

Psychosocial Determinants Of Age-Appropriate Immunizations Of Infants In Norfolk, Virginia, Hoda Youssef Atta

Health Services Research Dissertations

This study represents an investigation of psychosocial factors affecting age-appropriate immunizations of infants in Norfolk, Virginia. A household survey was conducted in Norfolk, Virginia, from 4/93-8/93, to assess immunization coverage of children 12-30 months of age. This survey included a total of 389 children in the target age range. A subset of 201 mothers were randomly selected and reinterviewed to assess their knowledge and attitudes and the relationships of these factors to age-appropriate immunizations at 12 months of age. Sixty-two percent of children were not age-appropriately immunized at 12 months of age. Almost all mothers (99%) considered vaccines to be …

The Influence Of Prepregnancy Weight And Maternal Weight Gain : On Birth Weight Among Black Wic Participants In San Bernardino County, Marta Lukas Sovyanhadi

Loma Linda University Electronic Theses, Dissertations & Projects

Birth records show that San Bernardino County has the highest black infant mortality rate of the 16 counties in California with the largest proportion of African-Americans births. Although total infant deaths in San Bernardino County had fallen to 8.6 per 1,000 live births by 1992, the infant mortality rate among the black population of the county was close to two times higher at 16.8 per 1,000. This is the first study to address the high infant mortality rate among blacks in San Bernardino County. Factors which may affect the black infant mortality rate were examined.

Subjects were drawn from a …

Managing Occupational Hazards Confronting Healthcare Workers, Kiran A. Mody

Theses

The primary goal of this thesis is to identify, evaluate, and control occupational hazards that may exist in health care facilities.

Due to the complex nature of health care facilities, healthcare workers are always challenged by an imposing group of occupational hazards. The magnitude and diversity of these hazards, and the constantly changing nature of government regulations make it difficult to guarantee absolute protection and accuracy of the material contained herein. However, awareness of the risks, compliance with basic preventive measures, and adequate interventions are all essential components to consider in protecting healthcare workers.

Therefore, potential health effects of various …

Molecular Subtyping Of Salmonella Enteritidis Phage Type 8 Strains From The United States, Miguel A. Usera, Tanja Popovic, Cheryl A. Bopp, Nancy A. Strockbine

United States Public Health Resources

Salmonella enteridis is now the most common serotype of the genus Salmonella reported in the United States. Bacteriophage typing has been helpful for subdividing S. enteritidis strains from different sources in the United States. Most S. enteritidis outbreaks reported were egg related, and the majority of them were caused by strains of phage type 8. To determine whether restriction fragment length polymorphism of the rRNA genes (ribotyping) and of the genomic DNAs from two lysogenic phages from S. enteritidis could be used to discriminate between S. enteritidis phage type 8 strains, we conducted Southern hybridization studies on 24 isolates from …

Arab Women: A Profile Of Diversity And Change, Nahid Toubia, Amira Bahyeldin, Nadia Hijab, Heba Abdel Latif

Poverty, Gender, and Youth

The status of Arab women is the subject of much speculation, generalization, and stereotyping by those inside and outside the region. The paucity of objective, accessible information makes Arab women one of the least understood social groups. The aim of this book is to help correct misconceptions about Arab women by introducing systematic information for 21 Arab countries. Widely published international statistical data, mostly from the United Nations and the World Bank, were used for the comparisons. These datasets are compiled from country reports, national surveys, and aggregated smaller studies. They are by no means comprehensive or devoid of inaccuracies, …

Sanitation And Parasitism At Harpers Ferry, West Virginia, Karl J. Reinhard

Karl Reinhard Publications

One focus of historical archaeology at Harpers Ferry National Historical Park, West Virginia, is tracing the development of sanitation at the town through the 1800s and 1900s. Historical documentation indicates that there was a degree of resistance to the modernization of village sanitation. This study attempts to verify this resistance through examination of privy soils for parasites indicative of fecalborne disease, specifically the helminth species Ascaris lumbricoides and Trichuris trichiura. The presence of these parasites in the early 1900s would indicate that fecal-borne disease due to poor sanitation continued to be an aspect of town life. The analysis revealed the …

Otitis Media, Mastoiditis, And Infracranial Lesions In Two Plains Indian Children, Robert W. Mann, Douglas W. Owsley, Karl J. Reinhard

Karl Reinhard Publications

One disease condition that is common to nearly all children is otitis media, also known as middle ear disease. Although most people speak of it as a middle ear "infection," other causes such as neoplasm (tumor) can result in manifestations and symptoms mimicking an infectious process. This paper presents findings related to osseous lesions in two Indian children, approximately three to five years of age, who died with otitis media and infracranial lesions. Through macroscopic and radiographic analysis, it is possible to show that one child probably suffered from tuberculosis and the other from histiocytosis X. From an epidemiological and …

Trade, Contact, And Female Health In Northeast Nebraska, Karl Reinhard, Larry Tieszen, Karin L. Sandness, Lynae M. Beiningen, Elizabeth Miller, A. Mohammad Ghazi, Christiana E. Miewald, Sandra V. Barnum

Karl Reinhard Publications

Most scholars are understandably preoccupied with the impact of Europeans on native peoples who were passive, unwilling, or resistant participants in that contact. We present in this chapter a different case. The Missouri River tribes, including the Omaha and Ponca, willingly engaged in relations with Euramericans, especially in the fur trade that dominated interaction in this region. The time frame for this study is 1780- 1820, a period when interaction between individual traders and Native Americans was replaced by the dominance of the American Fur Company in organized exploitation of the Missouri River lands and peoples. This involvement later contributed …

Human Immunodeficiency Virus And Acquired Immune Deficiency : Beliefs, Knowledge, And Behaviors Of High-School Students Attending Seventh-Day Adventist Academies, Deborah L. Gray

Dissertations

Problem. Few attempts have been conducted to assess knowledge of HIV/AIDS in the adolescent population attending Seventh-day Adventist secondary schools. This present study was to investigate the HIV/AIDS-related beliefs, HIV/AIDS-related knowledge, and HIV/AIDS-related behaviors of adolescents according to gender, grade level, ethnicity, geographical location, and religious affiliation.

Method. The subjects for this study were 1,292 9th- through 12th-grade students attending selected non-boarding Seventh-day Adventist academies representing three geographical regions of the United States and the Virgin Islands. The survey instrument utilized was the "AIDS Survey for Students" obtained from the U.S. Center for Disease Control. Chi-square analysis was used to …

The Effect Of Incentives On Employee Motivation For Renewed Participation In Worksite Health Promotion Programs, Donald Eugene Owens

Dissertations and Theses @ UNI

The purpose of this study was to describe (a) the incentives employees value strongly enough to become involved in a worksite fitness program, and (b) the incentives their employers offer to encourage involvement in a worksite fitness program. Specifically, the study was designed to answer the following questions: 1. What incentives would entice employees who had once exercised regularly but have discontinued exercising to become involved in a worksite fitness program? 2. What incentives are currently offered to employees at Principal Financial Group to become involved in the company's fitness program? An extensive review of related literature indicated that when …

Responsibilities Of Worksite Health Promotion Directors, Anne Bernice Mcgown Patneaude

Dissertations and Theses @ UNI

The purpose of this study was to identify the areas of responsibility that were perceived by worksite health promotion directors as most important to the success of their organization's health promotion program. A survey instrument was designed and mailed to 111 health promotion directors in the state of Iowa, Minnesota, and Wisconsin that were 1992 members of the Association of Fitness in Business (AFB). Subjects were asked to rate the importance that 27 responsibilities associated with four areas of competence receive within their organization. The results are based on the responses of 23 (20.72%) of these directors. Females represented 7 …

“The Horror” Reconsidered: An Evaluation Of The Historical Evidence For Population Decline In Hawai‘I, 1778–1803, Andrew F. Bushnell

Pacific Studies

No abstract provided.

The Impact Of A Primary Health Care Training Program On Morbidity In Kiyeyi, Rural Uganda, 1986-1991 : An Evaluation Of The Uganda-Finland Health Care Program, Marja-Leena Salin

Loma Linda University Electronic Theses, Dissertations & Projects

This study examines the effects of primary health care education efforts in reducing the disease case rates of acute respiratory infections, diarrhoea, malnutrition and measles in a rural Ugandan population between 1986 and 1991.

The intervention, a health education program offered by the Kiyeyi Health Center staff, consisted of a 12-week intensive training for community health workers and traditional birth attendants. Follow-up and supervision took place at regular intervals and continuing education was arranged every other year. Beginning in 1986, this training program was introduced in the first of seven clusters of villages, then expanded successively on an annual basis …