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Psycho-Social Consequences Of Secondary Infertility In Karachi., Neelofar Sami, Tazeen Saeed Ali

Community Health Sciences

OBJECTIVE:

To explore the experiences of social consequences among women suffering from secondary infertility.

METHODS:

Descriptive case series of 400 women with secondary infertility attending tertiary care hospitals in Karachi, Pakistan.

RESULTS:

More than two thirds (67.7%) of women stated that their inability to give live births or give birth to sons had resulted in marital dissonance. The respondents had been threatened for divorce (20%), husband's remarrying (38%) or to be returned to their parent's home (26%) by their in laws or husbands. Majority (68%) of the women threatened did not have any live births. However, those who had live …

Community Reactions To Campaigns Addressing Crystal Methamphetamine Use Among Gay And Bisexual Men In New York City, Jose Nanín, Jeffrey T. Parsons, David S. Bimbi, Christian Grov, Justin T. Brown

Publications and Research

Crystal methamphetamine (aka “crystal meth”) use with high-risk sex has become an emerging health problem for gay and bisexual men in New York City since the late 1990s. Public health campaigns were eventually developed to encourage gay and bisexual men to avoid or reconsider using crystal meth. Reactions to three campaigns were measured with a cross-sectional survey administered in 2004. Among an ethnically-diverse sample of 971 gay and bisexual men, 61.8% reported seeing the campaigns. Those who reported ever using crystal meth, recent use, and recent use with sex were significantly more likely to have seen the campaigns. In …

The Effect Of Advertising On Attitudes Toward Tobacco Use And Decisions About Smoking Among Virginia Adolescents, John Rosser Matthews Iii

Theses and Dissertations

Purpose: This study seeks to determine 1) whether the type of advertising exposure is associated with adolescent health perceptions of tobacco use, and 2) whether the type of media exposure is associated with initiation plans (non-smokers) or quitting plans (smokers). Methods: This was a cross-sectional survey of middle school students (n=l1,128).Psychosocial variables were knowledge of the risks of tobacco use (range: 3-15) and benefits of being tobacco free (range: 7-35) with higher scores indicating greater understanding. Intentions to quit or initiate were construed as binary variables. Exposure variables were tobacco advertisements or anti-tobacco media messages. Covariates were gender, race, grade …

The Politics And Economics Of Health: A Cross-National Comparison Of Civic Engagement And Health Status, Suzanne J. Wood

School of Public Service Theses & Dissertations

Over the past two decades, various structural modifications associated with the provision of national health and its systems have been undertaken. The preponderance of liberalization experiences have occurred in the absence of epidemiological, political, or social considerations associated with adoption and implementation. Often, financial and political manipulation by international organizations and powerful foreign governments has served as the impetus for fundamental shifts leading to an asymmetrical distribution of resources by population density, geography, and along various socio-cultural boundaries. Consequently, structural adjustments have resulted in unpredictable and divergent outcomes with regard to health status. The question of whether or not health …

Neck Loading In High Performance Combat Pilots During Aerial Combat Manoeuvres And Specific Neck Strengthening Exercises, Kevin J. Netto

Theses: Doctorates and Masters

Background: Neck pain and injury is a common occurrence in high performance combat pilots (HPCP) around the world. The cause of this has been attributed to exposure to the unavoidable high mechanical loading related to the neck being positioned in non-neutral head postures whilst being exposed to moderate to high +Gz levels. Specific neck conditioning exercises have been proposed as being a possible method to decrease the incidence of neck pain and injury in this population. However, there has been sparsely published research examining the suitability of selected exercises for HPCP who participate in regular aerial combat manoeuvres (ACM).

Controlling And Constraining The Participation Of The Hepatitis C-Affected Community In Australia: A Critical Discourse Analysis Of The First National Hepatitis C Strategy And Selected News Media Texts, Judith D. Pugh

Theses: Doctorates and Masters

The construction of texts that place hepatitis C-positive persons at social risk (Candlin, 1989, p. ix), informs this study of the ways in which public health policy makers and journalists in Australia communicate about hepatitis C. The institutions of public health and the news media form part of the cultural context within which persons construct their illness narratives. The privileged perspectives and framing of public health policy and news media discourses; the discursive practices associated with the institutions of public health and the media around hepatitis C and hepatitis C-positive persons, the “objects” of knowledge (Foucault, 1969/2002, p. 81); and …

Exploring Young People's Concepts Of Smoking Addiction: Perceived Opportunities To Try Smoking Without Becoming Addicted, Calvin Wang

Theses: Doctorates and Masters

This study explores how young people conceptualise addiction to smoking and, also the relationship between young people's addiction beliefs and intentions to smoke cigarettes. Addiction to smoking is a major health problem, not just for adults, but also for young smokers, up to 60% of whom are dependent on nicotine. However, anti-smoking prevention efforts targeted at young people generally emphasise ill-health effects and little attention is paid to addiction education which is generally considered relevant only to adult smoking and cessation efforts. Perhaps as a consequence, young people appear to have many misconceptions and unrealistic ideas about addiction, and these …

Clinical Case Mix And Other Challenges To Detroit's Medicaid-Dependent Nursing Homes, Richard L. Douglass, William Lavery, Paul Bridgewater, Gloria Long, Joyce Blair

Michigan Journal of Public Health

Nursing homes that care for the poor in Detroit are frequently dependent upon Medicaid as their principal source of revenue. These facilities face numerous challenges because they face limited resources for maintenance of facilities, staff and administrative supports, and other normal costs. They lack the kinds of support that are provided in-kind, or by more generous sources of revenue and are often characterized as institutions of poor quality; yet nearly 70% of the nation’s Medicaid-recipient elderly nursing home patients are in for-profit facilities that are sustained largely on Medicaid funding. These facilities are often sources of care for underserved minority …

Correlation Between Acculturation And Health Promotion Behavior Among Hispanics/Latinos In Black Hawk County, Iowa, Ki-Hyung Park

Dissertations and Theses @ UNI

The elimination of the health disparities between different segments of population such as ethnic or racial minority groups in the United States is one of the principal goals of Healthy People 2010. Since 2002, the Hispanic/Latino population has been the largest minority group in the United States, and currently Hispanic/Latinos are the largest minority group in Iowa. The study assesses the relationships among health status, health promoting behavior, and acculturation of Hispanic/Latino immigrants in Black Hawk County, Iowa. A community sample of 54 adults completed a face-to-face structured interview. The instrumentation included the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II), …

The Relationship Between Nutritional Knowledge And Consumption Attitudes Toward Soy-Foods Among A Midwest Rural America Older Population, Li Chuan Chen

Dissertations and Theses @ UNI

Preservation of good health in old age has become significantly important to most older people. Increasing health care costs challenge the majority of the rapidly growing older population. The use of functional foods (i.e., soy foods, oats, and broccoli) to help reduce the risk of chronic disease and relieve physical discomfort is one of the major health care developments in many economically advanced countries. For older people consumption of functional foods is not only cost-effective, but also necessary. Soy-based foods were first identified as a healthy as well as functional food during the last decade of the twentieth century by …

The Use Of The Tripartite Model Of Attitudes To Explain Ems Providers' Attitudes About The Ems Agenda For The Future, Carolyn Angela Rinaca

Health Services Research Dissertations

A dynamic and revolutionary health care system compels the Nation to develop a more cohesive, unified healthcare workforce. The Emergency Medical Services (EMS) profession has contributed to this development with the publication of the EMS Agenda for the Future. The EMS Agenda for the Future describes the future direction for emergency medical services agencies and organizations within the nation. It is a vision that integrates EMS systems with other health care professions. The EMS Agenda for the Future is designed to assist EMS professionals in realizing their full potential for proficiency and contributes to the development of the EMS profession. …

High Potency And Other Alcoholic Beverage Consumption Among Adolescents, Edessa C. Jobli, Heather S. Dore, Chudley Werch, Michele Johnson Moore

Public Health Faculty Research and Scholarship

This study examined the prevalence of high potency (liquor, malt liquor, fortified wine) and other alcoholic beverage consumption (beer, wine/wine coolers) among adolescents, the impact of gender and ethnicity, and the risk and protective factors that predicted consumption. A confidential survey revealed that, among eighth grade students, wine/wine coolers were the most popular alcoholic beverages, with the highest levels of lifetime use, and the greatest current frequency and quantity of use, followed closely by beer and liquor. Minor gender differences were found, as well as notable ethnic differences, in consumption. Intentions and attitudes were important predictors of use across beverages. …

Intimate Partner Violence And Disabilities Among Women Attending Family Practice Clinics, Ann L. Coker, Paige H. Smith, Mary Kay Fadden

CRVAW Faculty Journal Articles

Purpose: To estimate the frequency and type of disabilities preventing work among those experiencing intimate partner violence (IPV) compared with those never experiencing IPV.

Methods: We used a large cross-sectional survey of women, ages 18–65, attending family practice clinics from 1997 through 1998. Participation included a 5–10-minute in-clinic survey assessing IPV experience and a longer telephone survey assessing health status and chronic disabilities that prevented work outside the home or housework.

Results: Of 1,152 eligible women surveyed, 54% experienced some type of IPV, and 24% were currently in a violent relationship. Women who had ever experienced IPV …

Is The Number Of Sick Persons In A Cohort Constant Over Time?, Paula Diehr, Ann Derleth, Anne Newman, Liming Cai

UW Biostatistics Working Paper Series

Objectives: To estimate the number of persons in a cohort who are sick, over time.

Methods: We calculated the number of sick persons in the Cardiovascular Health Study (CHS), a cohort study of older adults followed up to 14 years, using eight definitions of “healthy” and “sick”. We projected the number in each health state over time for a birth cohort.

Results: The number of sick persons in CHS was approximately constant for 14 years, for all definitions of “sick”. The estimated number of sick persons in the birth cohort was approximately constant from ages 55-75, after which it decreased. …

People Living With, Not Dying From Disease: Patient Empowerment Through Anti-Retroviral Therapy And Possibilities For Social Change, Xin Wei Ngiam

Independent Study Project (ISP) Collection

In South Africa today, it is estimated that there are 6.5 million people living with HIV/AIDS, at least half a million of whom require urgent treatment. On the continent of Africa as a whole the numbers are even more startling. Unfortunately, although the South African government has now committed itself to rolling out anti-retroviral therapy through the public healthcare system, progress has been slower than expected. Yet in numerous sites around South Africa, rollout centres have been established successfully, even in the most rural parts of the country. These programmes rely on existing community initiatives, community health workers and volunteers, …

A Preliminary Test Of A Student-Centered Intervention On Increasing Physical Activity In Underserved Adolescents, Dawn K. Wilson, Alexandra E. Evans, Joel Williams, Gary Mixon, John R. Sirard, Russell R. Pate

Faculty Publications

Background - Previous studies have shown that choice and self-initiated behavior changes are important for increasing intrinsic motivation and physical activity (PA), however, little of this research has focused on underserved adolescents.

Purpose - This study examined the effects of a 4-week student-centered intervention on increasing PA in underserved adolescents.

Methods - Twenty-eight students in the intervention school were matched (on race, percentage on free or reduced-price lunch program, gender, and age) with 20 students from another school who served as the comparison group (30 girls, 18 boys; ages 10-12 years; 83% African American; 83% on free or reduced-price lunch). …

Recruitment And Retention Of Emergency Medical Technicians: A Qualitative Study, P. Daniel Patterson, Janice C. Probst, Katherine H. Leith, Sara J. Corwin, M. Paige Powell

Faculty Publications

Emergency medical technicians (EMTs) are critical to out-of-hospital care, but maintaining staff can be difficult. The study objective was to identify factors that contribute to recruitment and retention of EMTs and paramedics. Information was drawn from three focus groups of EMT-Basic, EMT-Intermediate, and EMT-Paramedic personnel recruited from participants at an annual conference. Thoughts and feelings of EMTs and paramedics were investigated using eight questions designed to explore entry into emergency medical services, what it is like to be an EMT or paramedic, and the EMT educational process. Data were analyzed at the group level for common themes using NVivo. For …

Development Of An Instrument To Measure Lifelong Learning Among Physicians, Mohammadreza Hojat, Thomas J. Nasca, James B. Erdmann, Anthony J. Frisby, J. Jon Veloski, Joseph S. Gonnella

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Jefferson College Of Health Professions Students Study In Cardenas, Cuba -- Philadelphia's Sister City, Adrienne Tarola, Debra Tupe

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

A Multi-Disciplinary Approach To Cancer Care: The Beginning Of A New Era, Nicholas Petrelli

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.

Problem Behaviors Vs. The Situational Adversity Approach: Hiv Risk Behaviors Of Homeless Youth In Fort Lauderdale, Florida

Florida Public Health Review

No abstract provided.

From The Editor: A Health Care Tipping Point?, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Jefferson Health System Out-Patient Rehab Network, William E. Staas Jr.

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

Keeping Track Of Care: Quality And Technology At Lifebridge Health System (Baltimore), Judith Moore

National Health Policy Forum

This one-day site visit focused on quality and technology in acute, post-acute and long-term care at Sinai Hospital and Levindale Hebrew Geriatric Center and Hospital, both components of LifeBridge Health System in Baltimore. Participants traced the treatment paths of hypothetical cardiac and cancer patients through the hospital and explored the range of home- and community-based as well as institutional care available through the geriatric center. The role of clinical information technology was highlighted in both settings.

The Relationship Of Attitude, Self-Efficacy, Physician, And Significant Other Influence To Type 2 Diabetes Outcomes, Heidi A. Larson

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to investigate the Theory of Planned Behavior (TPB) and its' relationship to Type 2 diabetes outcomes. One hundred and sixty-two adults ages 45 to 75 with Type 2 diabetes were recruited from two physicians' offices in the Midwest. Participants completed instruments that assessed (a) diabetes-specific attitude, (b) diabetes-specific self-efficacy, ( c) physician influence, ( d) significant other influence, and ( e) diabetes-specific quality of life. A measurement of metabolic control was also obtained. Multiple regressions were performed using (a) quality of life and (b) metabolic control as criterion variables. Attitude, self-efficacy, and physician influence …

Effects Of Resistance Training Volume And Variety On Dietary Intake And Mood State In Untrained Subject, Suzette K. Smith

Loma Linda University Electronic Theses, Dissertations & Projects

Background: While there is research on the effects of aerobic training on various aspects of mood state and nutrient intake, little is known of the effect of resistance training on these variables.

Purpose: To examine the effects of resistance training (RT) volume and variety on total energy (kcal) and macronutrient intake, and mood states in a healthy, untrained population.

Method:The investigation was part of a prospective experimental study examining the effects of three RT protocols on body composition and strength. An initial 102, healthy, untrained male and female participants, ages 20-40, were recruited, and randomized into one of three …

Health Volunteers Overseas Program, Patricia Graham, John Melvin

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available.

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Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jmc’S Interdisciplinary Smoking Cessation Program, Sandra B. Weibel, Frank Leone

Population Health Matters (Formerly Health Policy Newsletter)

No abstract available