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The Complexity Of Re-Evaluating Antiretroviral Therapy Eligibility Guidelines For Hiv/Aids Patients In Uganda, Jennifer Klein

Independent Study Project (ISP) Collection

When I first learned that the eligibility criteria for Antiretroviral Drugs (ARVs) in Uganda is to have a CD4 cell count of 200 or below, I was shocked. Actually, I think my exact response was, “So patients must have full-blown AIDS, severely weakened immune systems, and may be on their deathbeds before they can receive the drugs?” I knew little of the subject, other than that in the United States HIV-positive patients who are on drugs may avoid many of the opportunistic infections and complications that come from delaying treatment until the CD4 count is low. My initial confusion over …

Health Compromising Behaviors By Gender Among Florida Adolescents

Florida Public Health Review

No abstract provided.

Application Of The Asset Mapping Model To Church Based Hiv/Aids Prevention And Control In Aba, Abia State, Nigeria, Godwin Nwadibia Aja

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined whether HIV/AIDS activities were more frequent among churches with needs and assets for HIV/AIDS prevention and control in Aba, Nigeria and whether this connection was mediated by collective efficacy. A cross-sectional design was used to obtain data in two phases. First, a three-step forum focus group discussion (FFGD) method was used to obtain data from 32 representatives of five denominations. Second, a quantitative survey questionnaire was constructed based on the result of the FFGD and the collective efficacy model. This questionnaire was administered to 830 members aged 18 years and above from 83 churches that had operated …

Sex Education In Amsterdam: What They Do And Why They Choose To Do It., Coral E. Hackler

Independent Study Project (ISP) Collection

Sex education in the Netherlands has been regarded by many as exemplary. Around the world the phrase “Double Dutch” is known as the term of using both the condom and the pill. The actual effectiveness of sexuality education in the Netherlands has rarely been studied. The teachers themselves must decide what they believe will be the most effective methods of sexuality education. This begs one to question why a teacher chooses the methods they have chosen and what makes them believe that these methods are effective. Because there is no research on how sexuality education is directly influencing students, teachers …

Taming The Mind: Current Mental Health Treatments And Obstacles To Expanding The Western-Model In A Tibetan Exile Community, Dylan Brock

Independent Study Project (ISP) Collection

No abstract provided.

Health Policy Newsletter December 2007 Vol.20, No.4, Department Of Health Policy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Care For Homebound Geriatric Patients: Perspective From The Front-Line, Alfred E. Stillman Md, Macp

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Competition And Collaboration, Chicago-Style, Laura A. Dummit, Lisa Sprague

National Health Policy Forum

The National Health Policy Forum sponsored a site visit to Chicago, Illinois, March 16-18, 2008 to consider how competition and collaboration have shaped Chicago?s health care market. Chicago is a study of contrasts between wealth and poverty and between large, internationally known facilities and struggling community hospitals. The stressed state of the county health system concerned all of the stakeholders and may be an impetus for increased cooperation among the haves and the have nots. No longer waiting for state health reform efforts, key players were working to shore up needed providers and develop a more equitable distribution of resources, …

Download The Pdf Of The Full Issue

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Does Gender Discrimination Impact Regular Mammography Screening? Findings From The Race Differences In Screening Mammography Study, Amy B. Dailey, Stanislav V. Kasl, Beth A. Jones

Health Sciences Faculty Publications

Objective: To determine if gender discrimination, conceptualized as a negative life stressor, is a deterrent to adherence to mammography screening guidelines.

Methods: African American and white women (1451) aged 40–79 years who obtained an index screening mammogram at one of five urban hospitals in Connecticut between October 1996 and January 1998 were enrolled in this study. This logistic regression analysis includes the 1229 women who completed telephone interviews at baseline and follow-up (average 29.4 months later) and for whom the study outcome, nonadherence to age-specific mammography screening guidelines, was determined. Gender discrimination was measured as lifetime experience in seven possible …

Accumulating Disadvantage Over The Life Course: Evidence From A Longitudinal Study Investigating The Relationship Between Educational Advantage In Youth And Health In Middle Age, Katrina M. Walsemann, Arline T. Geronimus, Gilbert C. Gee

Faculty Publications

Recent studies suggest the importance of examining cumulative risk or advantage as potential predictors of health over the life course. Researchers investigating the cumulative health effects of education, however, have mainly conceptualized education in years or degrees, often disregarding educational quality and access to educational opportunities that may place individuals on divergent academic trajectories. We investigate whether educational advantages in youth are associated with an individual's health trajectory. We develop a novel index of educational advantage and employ random-intercept modeling using data from the National Longitudinal Survey of Youth. We find a widening health disparity in adulthood between respondents with …

Simulation-Based Training For Patient Safety: 10 Principles That Matter, Eduardo Salas, Katherine A. Wilson, Elizabeth Lazzara, Heidi B. King, Jeffery S. Augenstein

Publications

Simulation-based training can improve patient care when factors influencing its design, delivery, evaluation, and transfer are taken into consideration. In this paper, we provide a number of principles and practical tips that organizations in health care can use to begin implementing effective simulation-based training as a way to enhance patient safety. We commend the health care community for their efforts thus far. We hope that the information provided in this paper will encourage thinking beyond the "bells and whistles" of the simulation and bring to light full potential of simulation-based training in health care and patient safety.

Using Built Environment Characteristics To Predict Walking For Exercise, Gina S. Lovasi, Anne V. Moudon, Amber L. Pearson, Philip M. Hurvitz, Eric B. Larson, David S. Siscovick, Ethan M. Berke

Dartmouth Scholarship

Environments conducive to walking may help people avoid sedentary lifestyles and associated diseases. Recent studies developed walkability models combining several built environment characteristics to optimally predict walking. Developing and testing such models with the same data could lead to overestimating one's ability to predict walking in an independent sample of the population. More accurate estimates of model fit can be obtained by splitting a single study population into training and validation sets (holdout approach) or through developing and evaluating models in different populations. We used these two approaches to test whether built environment characteristics near the home predict walking for …

The Mind-Body Connection: The Association Between Adolescent Locus Of Control And Indicators Of Physical Health, C. Jayne Brahler, James Cropper

Physical Therapy Faculty Publications

Locus of control (LOC) describes an individual’s generalized beliefs or expectancies that their reinforcements are under internal versus external control (1). An individual exhibits either an internal or external LOC. This study examines the link between LOC and selected health risk factors in adolescents. A convenience sample of 167 high school physical education students completed a 13-item LOC questionnaire based on Rotter’s 1966 instrument.

Various anthropometric measurements, blood pressure, body mass index (BMI), and body fat were recorded on all subjects. A subsample of 61 female students received blood chemistry analysis that included a lipid profile, hemoglobin A1c (HbA1c), Apo …

Infant Feeding Decisions Among Pregnant Black Wic Participants And The Role Of Peer Support, Astrid D. Mickens

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify the important factors that impact infant feeding decisions among Black women, and to determine whether peer support influences the relationship among theoretical constructs of the social learning theory. A convenience sample of 110 Black pregnant women, ages 18-45, attending Women, Infant and Children (WIC) clinics throughout Riverside and San Bernardino Counties were recruited to participate in the study through the Nutrition Services Department. Eligible participants included pregnant Black WIC clients in any stage of pregnancy.

The survey questions contained information about perceived support, cognitive knowledge, abilities and beliefs regarding breastfeeding. The goal …

Long Driving Hours And Health Of Truck Drivers, Stephen J. Benstowe

Theses

In recent time, the health of truck drivers has become a concern for regulatory agencies and safety professionals all over the world. Fatal and non-fatal injury rates for truck drivers are among the highest of all occupations. Truck driving is an important and tedious job. Driving for long hours, drivers are confined to a small space, sit with static lower and upper extremities posture, mentally focus and absorb vibrations.

This thesis provides an in-depth review of the literature related to the problems of long distance truck drivers and commercial motor vehicle operators. The Literature suggests that continuous exposure of truck …

The Public Health Of Disabilities : Functional Independence, Health-Related Quality Of Life, And Parental Stress In Adolescents With Disabilities, Taylor Reese Spencer

UCHC Graduate School Masters Theses 2003 - 2010

Background/Objectives: To investigate the null hypotheses that no correlation exists between functional independence, health related quality of life, and parental stress

Design: Baseline cross-sectional analysis of a population

Participants and Setting: Participants were recruited from camps, wheelchair sports, and disability-related meetings. They are 10-21 years old with disabilities, in school for the prior year, understand English, and demonstrate necessary cognitive comprehension. We enrolled 72 youths, with 39 completing all components. There were 39 males and 33 females. Fifty six subjects self-identified as Caucasian. Six were African American, 5 were Hispanic, 2 were Asian, and 3 self-identified as “other.” The range …

Mental Health And Business Professionals’ Employment-Related Perceptions Of Individuals With Psychological Disorders, Kevan Mock

Theses, Dissertations and Capstones

Mental health and business professionals’ employment-related perceptions of 6 psychological disorders (i.e. alcoholism, insomnia, major depression, social phobia, post- traumatic stress disorder, obesity) were examined. The 33 professionals (n = 18 mental health; n = 15 business) evaluated each disorder on 18 employment-related dimensions (e.g. employability, productivity, trainability). Specifically, they evaluated the perceived likelihood of each of the 18 employment-related dimensions being associated with each of the 6 psychological disorders (1 = not likely; 5 = highly likely). Perceptions of the 33 mental health and business professionals were compared with the perceptions of college students (n = 106) obtained in …

Sequential Treatment For Nicotine Dependence And Postcessation Weight Concern In A Female Diagnosed With Paranoid Schizophrenia., Theodore Cooper, B. Hanson, R. Burke, Y. Hunt

Selected Works Temporary Series

No abstract provided.

Demographics And Risky Lifestyle Behaviors Associated With Willingness To Risk Sexually Transmitted Infection In Air Force Recruits., Theodore Cooper, M. Debon, K. Haddock, D. Rodriguez Esquivel, R. Klesges, H. Lando, G. Talcott

Selected Works Temporary Series

No abstract provided.

A Primer On The Implementation Of Group Cognitive-Behavioral Therapy. [Review Of The Book Cognitive Behavioral Therapy In Groups]., T. Taylor, Theodore Cooper

Selected Works Temporary Series

No abstract provided.

International Perspective Of Aquatic Instructors’ Attitudes Toward Teaching Swimming To Children With Disabilities, Phillip Conatser

International Journal of Aquatic Research and Education

The purpose of this study was to examine attitudes of aquatic instructors (N = 23) toward teaching swimming to children with mild and severe disabilities in an inclusive setting. Aquatic instructors from 23 cities in 7 countries participated in the study. Data were collected by mail survey using the Aquatic Instructors Attitudes Toward Teaching Swimming to Individuals With Disabilities questionnaire (Conatser, Block, & Lapore, 2000). A correlated t test showed that aquatic instructors were significantly more favorable toward teaching aquatics to children with mild disabilities than children with severe disabilities. Instructors agreed they should include children with mild disabilities and …

An Hsus Report: Human Health Implications Of Intensive Poultry Production And Avian Influenza, The Humane Society Of The United States

Impact of Animal Agriculture

The high stocking density, stress, unhygienic conditions, lack of sunlight, and breeding practices typical of industrial poultry and egg production systems may facilitate the emergence and spread of diseases, including highly pathogenic avian influenza viruses with public health implications such as H5N1.

An Hsi Report: Human Health Implications Of Intensive Poultry Production And Avian Influenza, Humane Society International

HSI REPORTS

The high stocking density, stress, unhygienic conditions, lack of sunlight, and breeding practices typical of industrial poultry and egg production systems may facilitate the emergence and spread of diseases, including highly pathogenic avian influenza viruses with public health implications such as H5N1.

Motivations And Reasons For Exercising In Water: Gender And Age Differences In A Sample Of Spanish Exercisers, Juan Antonio Moreno Murcia, Celestina Martínez Galindo, Pablo Marcos Pardo

International Journal of Aquatic Research and Education

The purposes of this study were, on the one hand, to relate the reasons for exercising with self-determination and, on the other, to check gender and age differences with a sample of 311 exercisers in water. The data were collected using the Behavioral Regulation in Exercise Questionnaire–2 and Motives for Physical Activities Measure–Revised. A positive and significant correlation was seen between self-determination and the reasons for exercise, with self-determination predicting 22% by enjoyment and 8% by fitness/health reasons. Similarly, the multivariate analysis showed that the women had more self-determination than the men and that they also rated fitness/health, social, enjoyment, …

To The Bitter End: Disparities In End-Of-Life Care, Alberto Coustasse, Theresa Quiroz, Sue G. Lurie

Management Faculty Research

Although technological advancements have provided the means to sustain life and provide care regardless of whether the treatment is appropriate and compassionate given the condition of the patient, bioethical, legal, and moral concerns related to disparities in care still arise in the United States. These concerns call into question the necessity to continue life-sustaining or palliative care treatments when patients and/or families are faced with end-of-life decisions. This study will focus on various historical, clinical cultural, and ethical issues that have placed this dilemma into a controversial public spectrum, by using case studies retrieved from referenced literature, which illustrate disparities …

The Phenomenology Of Koan Meditation In Zen Buddhism, Jerry L. Grenard

CGU Faculty Publications and Research

Zen students described their experiences when working with koans, and a phenomenological method was used to identify the structure of those experiences. Zen koans are statements or stories developed in China and Japan by Zen masters in order to help students transform their conscious awareness of the world. Eight participants including 3 females and 5 males from Southern California with 1 to 30 years of experience in Zen answered open-ended questions about koan practice in one tape-recorded session for each participant. Refl ection yielded the following thematic clusters: (a) motivation, (b) approaches to working with koans, (c) experiences while working …

Racial And Ethnic Disparities In Treatment Of Dementia Among Medicare Beneficiaries, Ilene H. Zuckerman, Priscilla T. Ryder, Linda Simoni-Wastila, Thomas Shaffer, Masayo Sato, Lirong Zhao, Bruce Stuart

Scholarship and Professional Work – COPHS

Objectives—Numerous studies have documented disparities in health care utilization between non-Hispanic White and minority elders. We investigated differences in anti-dementia medication use between non-Hispanic White and minority community-dwelling Medicare beneficiaries with dementia.

Methods—Using multivariate analysis with generalized estimating equations, we estimated prevalence ratios (PRs) for anti-dementia medication use by race/ethnicity for 1,120 beneficiaries with dementia from years 2001 through 2003 of the Medicare Current Beneficiary Survey.

Results—After adjusting for demographics, socioeconomics, health care access and utilization, comorbidities, and service year, we found that anti-dementia medication use was approximately 30% higher among non-Hispanic Whites compared to other racial/ethnic groups (PR = …

Demographics And Risky Lifestyle Behaviors Associated With Willingness To Risk Sexually Transmitted Infection In Air Force Recruits., Theodore Cooper, M. Debon, K. Haddock, D. Rodriguez Esquivel, R. Klesges, H. Lando, G. Talcott

Departmental Papers (Psych)

No abstract provided.

The Public Health Implications Of Trafficking, Tami Ashbridge

Master of Public Health Program Student Publications

Trafficking in human beings is a serious and complex human rights issue. Trafficking for the purpose of sexual exploitation has grave public health implications. The vulnerability of women and children increases their risk of becoming victims of trafficking for the purposes of sexual exploitation. Review of the literature on this subject demonstrates a direct link between the trafficking of women and children for sexual exploitation and the prevalence of HIV/AIDS, STIs and Reproductive/Gynecological Issues, Mental Health, Violence, Abuse and Social Issues. This review supports the concept of human trafficking as a serious public health issue and the need for improved …