Digital Commons Network^™

Health Policy Forum: Recent And Upcoming Events, Miriam Reisman

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

The Health Policy Forum: Upcoming Speakers 2004

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

The Health Policy Forum: Upcoming Speakers 2004

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

From The Editor: Seeking Middle Ground, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Time For A New Medical Liability Debate, Joel Port, Richard Wells

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Jefferson Medical College And Cme: New Challenges, New Opportunities, Richard C. Wender, Geno J. Merli

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

From The Editor: Tracking Medical Errors: Enter The Private Sector, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

The Process Of Research In International Settings: From Risk Assessment To Program Development And Intervention, M. Catherin Freier, Duane C. Mcbride, Gary Hopkins, Talin Babikian, Lloyd Richardson, Herbert W. Helm

Faculty Publications

Although there are many challenges, international HIV prevention research and program evaluation are critical to advances in the health and welfare of people around the globe. While there is an increasing amount of literature describing outcomes of international prevention programs, there is sparse information regarding the process of developing and implementing international research. This brief report describes key elements in the development of collaborative international prevention research and programmatic implementation. © The Author 2005. Published by Oxford University Pressen behalf of the New York Academy of Medicine. All rights reserved.

Clinical Preventive Services: When Is The Juice Worth The Squeeze?, Eileen Salinsky

National Health Policy Forum

This paper provides an overview of clinical preventive services, including a definition of such services and the role of the U.S. Preventive Services Task Force in recommending which services should be routinely offered to patients. It also describes efforts to analyze the cost effectiveness of clinical preventive services and reviews the insurance coverage policies of private and public payers. Barriers to increased uptake of appropriate services are discussed and policy relevant issues are summarized.

From The Editor: Leapfrogging Quality, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Mental Health And Juvenile Justice: Moving Toward More Effective Systems Of Care, Jane Koppelman

National Health Policy Forum

This issue brief discusses the mental health needs of youth who are involved with the juvenile justice system, how they come into contact with the system, and the evidence of the availability and quality of mental health services for such youth. The paper also explores public policy options for avoiding dependence on the juvenile justice system as a last resort for treating youth with mental disorders.

From The Editor: Consumerism In Health Care, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

A Critical Role For The Programmed Death Ligand 1 In Fetomaternal Tolerance, Indira Guleria, Arezou Khosroshahi, Mohammed Javeed Ansari, Antje Habicht, Miyuki Azuma, Hideo Yagita, Randolph J. Noelle

Dartmouth Scholarship

Fetal survival during gestation implies that tolerance mechanisms suppress the maternal immune response to paternally inherited alloantigens. Here we show that the inhibitory T cell costimulatory molecule, programmed death ligand 1 (PDL1), has an important role in conferring fetomaternal tolerance in an allogeneic pregnancy model. Blockade of PDL1 signaling during murine pregnancy resulted in increased rejection rates of allogeneic concepti but not syngeneic concepti. Fetal rejection was T cell

Bacteriophage-Based Tests For The Detection Of Mycobacterium Tuberculosis In Clinical Specimens: A Systematic Review And Meta-Analysis, Shriprakash Kalantri, Madhukar Pai, Lisa Pascopella, Lee Riley, Arthur Reingold

Public and Community Health Sciences Faculty Publications

Background: Sputum microscopy, the most important conventional test for tuberculosis, is specific in settings with high burden of tuberculosis and low prevalence of non tuberculous mycobacteria. However, the test lacks sensitivity. Although bacteriophage-based tests for tuberculosis have shown promising results, their overall accuracy has not been systematically evaluated.

Methods: We did a systematic review and meta-analysis of published studies to evaluate the accuracy of phage-based tests for the direct detection of M. tuberculosis in clinical specimens. To identify studies, we searched Medline, EMBASE, Web of science and BIOSIS, and contacted authors, experts and test manufacturers. Thirteen studies, all based on …

Specialty Hospitals: Can General Hospitals Compete?, Laura A. Dummit

National Health Policy Forum

The rapid increase in specialty cardiac, surgical, and orthopedic hospitals has captured the attention of general hospitals and policymakers. Although the number of specialty hospitals remains small in absolute terms, their entry into certain health care markets has fueled arguments about the rules of “fair” competition among health care providers. To allow the smoke to clear, Congress effectively stalled the growth in new specialty hospitals by temporarily prohibiting physicians from referring Medicare or Medicaid patients to specialty hospitals in which they had an ownership interest. During this 18-month moratorium, which expired June 8, 2005, two mandated studies of specialty hospitals …

Local Coverage Initiatives: Solution Or Band-Aid For The Uninsured?, Jennifer Ryan

National Health Policy Forum

This issue brief surveys health coverage expansion initiatives that are operating on the county or local level, often without the benefit of federal funding. The paper explores the circumstances that have made these initiatives possible and considers the ongoing barriers that local policymakers face in sustaining the programs. Descriptions of four initiatives illustrate the range and variety of programs in operation today and offer both best practices and lessons learned for other communities. The paper also includes a brief analysis of the key elements that make up a successful coverage initiative. Finally, this issue brief considers the role of local …

Children With Special Health Care Needs: Minding The Gaps, Christie Provost Peters

National Health Policy Forum

This background paper examines the issue of children with special health care needs and their interaction with the health care system. Results from recent national and state surveys and studies were used to review the medical expenditures, utilization, and insurance coverage of these children. The paper also discusses weaknesses within the private and public delivery and financing systems that may hinder the access of certain families with children with special health care needs to important services.

Project Child Health Impact Assessment, Unyi Agba, Kristina Chung, David Diehl, Marisol Olivera, Yolanda Perez

Emerging Leaders Program Team Projects

The 2005 Project Child Health Impact Assessment (CHIA) at the Boston Medical Center (BMC) for the UMass Emerging Leaders Program (ELP) is closely related to one that members of the 2004 ELP cohort assisted with. The 2004 project team provided BMC with preliminary research regarding similar concepts in Europe, Canada and the United States. With this research in hand, the Project CHIA team at BMC decided to research, develop, write and publish pilot analyses that illustrated the impact of public policy on children's health. The 2005 ELP team was asked to provide guidance regarding a communications strategy for these pilot …

Our Public Health History In Florida: Interviews With The Department Chairs

Florida Public Health Review

No abstract provided.

Our Public Health History In Florida: Interview With Donna J. Petersen

Florida Public Health Review

No abstract provided.

Rural Methamphetamine Abuse: An Ethnographic Perspective, Rocky L. Sexton, Robert G. Carlson

Population and Public Health Sciences Faculty Publications

No abstract provided.

Stimulant Abuse In Ohio And The Rural South, Robert G. Carlson

Population and Public Health Sciences Faculty Publications

This paper summarizes the methods and findings from two NIDA-supported studies of methamphetamine (MA) abuse in rural Ohio, Kentucky, and Arkansas, conducted by researchers at the Wright State University Boonshoft School of Medicine, the University of Arkansas for Medical Sciences, and the University of Kentucky. In addition, patterns of MA abuse among young adult MDMA/ecstasy users in urban central Ohio are described. Finally, preliminary findings from the Ohio Substance Abuse Monitoring Network on trends in methamphetamine abuse in Dayton, Ohio, are presented.

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 …

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

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 …

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 …

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 …

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 …

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 …

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 …