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Securing Health Or Just Health Care? The Effect Of The Health Care System On The Health Of America, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The author first analyzes why the prevention of illness and promotion of health provide the leading justification for the government to act for the welfare of the population. His analysis focuses principally on the foundational importance of health for human happiness, the exercise of rights and privileges, and the formation of family and social relationships. He explains why health care, although critically important; is not the only, nor even the most important, determinant of health. Most morbidity and mortality in the United States is attributable to environmental conditions, pathogens, and human behavior, which are all more responsive to population-based interventions …

Abortion/Reproductive Rights, Sandra S. Klein

Journal Articles

The issue of a woman's right to choose whether or not to continue with a pregnancy has proven to be complicated for many reasons, not the least of which is the implications for a person's right to do with her body as she sees fit. The bibliography that follows provides the researcher with an in depth look at this issue, with an emphasis on the privacy aspects.

In The Affirmative, Vol.1, No.1 (Dec 1993), Andy Goodband,, Linda Jipson, Michael Martin, Bill Osborne, Lee Richards, Sandy Titus, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

A Comparison Of Four Muscle Relaxant Techniques And Their Incidence Of Postoperative Myalgia In Ambulatory Patients, William James Garske Jr.

Community & Environmental Health Theses & Dissertations

Postoperative myalgia was measured 24 and 72 hours following the administration of four different anesthetic regimens to 36 patients undergoing outpatient or 23-hour admission procedures. Each patient, ASA class I or II, was to undergo procedures of limited duration, 30 to 90 minutes, and surgical stimulation, including procedures such as knee arthroscopy, hernia repair, and breast biopsy. Anesthesia was induced with propofol 1.5 mg/kg, fentanyl 50 mcg, and maintained with O₂ , N₂O, and isoflurane. Group I (n=20), the control, received no muscle relaxant and was maintained with mask ventilation. Group II (n=5) received succinylcholine 1.5 mg/kg …

Interaoperative Frozen Section Consultation: An Analysis Of Accuracy In A Teaching Hospital., Farrukh Aijaz, Suhail Muzaffar, Akbar Shah Hussainy, Shahid Pervez, Sheema H. Hasan, Hizbullah Sheikh

Department of Pathology and Laboratory Medicine

This Is a retrospective quality assurance study of all frozen sections done at The Aga Khan University Hospital during a six year period (1986 to 1991). There were 1,031 frozen sections out of a cumulative total of 42,985 surgical specimens (2.39%). Nine hundred and seventy-six (94.66%) were concordant. In 92(8.9%) fresh specimens were brought from other hospitals of Karachi, in 37 cases (3.58%) the diagnosis was deferred till the evaluation of permanent paraffin sections and 18 (1,74%) were discordant with 7 (0.67%) false positive and 11(1,06%) false negative. Among the discordant cases, 9 were attributed to misinterpretation, 7 due to …

Validation Of A Bag Sampling Method For 1,3-Butadiene, Lori Eckenrode

Community & Environmental Health Theses & Dissertations

At this time there is no NIOSH approved means for bag sampling 1,3-butadiene. An attempt was made to use the application of cold (0°F) to inhibit the reactivity of the gas prior to analysis. The State of California Air Resources Board has an approved method for the gas chromatographic analysis of 1,3-butadiene from stationary sources. The method was utilized in the application of industrial hygiene monitoring of affected workers. The application of cold was found to be ineffective at inhibiting the highly reactive nature of 1,3-butadiene. Analyte losses were too great to classify the method as an accurate measure of …

The Road Not Taken: State Constitutions As An Alternative Source Of Protection For Reproductive Rights, Kevin F. O'Neill

Law Faculty Articles and Essays

Lawyers seeking constitutional protection for reproductive rights have relied almost exclusively on a liberty/privacy theory under the Federal Constitution. In the wake of Planned Parenthood of Southeastern Pennsylvania v. Casey, this theory may be seen as providing a floor of minimum protection-preventing states from banning abortion outright. But it is not strong enough to prevent states from enacting restrictions on the availability of abortion. Thus, the battle over reproductive rights may be seen as shifting from one phase ("Can abortion be banned?") to another ("How far can states go in restricting access to abortion'?"). If proponents of reproductive freedom are …

Could Distance Be A Proxy For Severity-Of-Illness? A Comparison Of Hospital Costs In Distant And Local Patients., H G. Welch, E B. Larson, W P. Welch

Dartmouth Scholarship

We test the hypothesis that hospital costs, after adjusting for DRG mix, are higher in distant patients than in local patients. Data were obtained from the Washington State Commission Hospital Abstract Reporting System (CHARS) and included all patients discharged from 15 metropolitan hospitals in the state of Washington during fiscal year 1987 (N = 181,072).

“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.

A Risk Assessment Of The Health Liabilities From Exposure To Toxic Metals Found In The Composted Material Of Air Force Municipal Solid Waste, Timothy L. Merrymon

Theses and Dissertations

This thesis assesses the risk of the health liabilities from exposure to toxic metals found in the composted material of Air Force municipal solid waste (MSW). The goal is to determine the probability that the composted MSW could be a health hazard if it were used as a soil amendment. The research limited the assessment of the exposure risk to heavy metals found in raw MSW and its resulting compost. The thesis uses reviews of present literature to examine the food and soil ingestion exposure pathways. These pathways are assessed using the heavy metal concentrations found in MSW compost and …

The Aids Project Newsline, Vol.6, No.2 (July 1993), Jeffrey Levensaler, The Aids Project

AIDS Project Newsline (1991-1996)

No abstract provided.

Toxics Use Reduction: Pro And Con, Francine Laden, George M. Gray

RISK: Health, Safety & Environment (1990-2002)

With the Massachusetts Toxics Use Reduction Act as an example, important issues related to the goals and effectiveness of TUR are examined. The benefits as claimed by proponents are contrasted with shortcomings outlined by opponents in point-counterpoint style. Ultimately, the authors call for more balanced analysis.

Caffeine And Nicotine : A Review Of Their Combined Use, Interactive Effects And The Impact Of Caffeine Abstinence On Tobacco Cessation And Withdrawal, John A. Swanson

Loma Linda University Electronic Theses, Dissertations & Projects

There is good epidemiologic support to suggest a strong significant relationship between coffee consumption and smoking. In six epidemiological studies reviewed and analyzed, 86.4% of smokers consumed coffee versus 77.2% of nonsmokers. Seventeen experimental studies suggest that the phannacologic effect of caffeine in coffee may be partially but not totally responsible for the relationship. The behavioral relationship appears to be supported by conditioning, a reciprocal interaction (caffeine intake increases anxiety/arousal - nicotine decreases it), and combined effects of third variables (e.g., stress, alcohol).

In abstinent smokers, caffeine plasma levels increase, remain elevated for as long as six months and may …

Aggressive Angiomyxoma Of Vulva, Farrukh Aijaz, Shahid Pervez, Shehnaz Wasti, Sheema H. Hassan

Department of Pathology and Laboratory Medicine

No abstract provided.

Commencement Program 1993, Loma Linda University

Commencement Programs

CONTENTS

2 | 1993 Events of Commencement

3 | Academic Procession

4 | The Speakers

7 | The Honorees

11 | The Zapara Award

Order of Program

• School of Medicine, 14
• School of Dentistry, 21
• Graduate School, 29
• School of Nursing, 37
• School of Public Health, 41
• School of Allied Health Professions, 48

Modern Techniques Used To Improve A Hearing Conservation Program In A Power Generating Plant, Eilyn Fabregas

Theses

A noise survey was conducted on the pump floor of a power generating plant, which included measuring noise levels at 261 areas of the floor (6,000 square feet) and the employees' noise doses, or 8-hour time-weighted average (TWAs). The noise levels of the 261 areas were recorded using a Sound Level Meter, and the noise doses (i.e., TWAs) were measured using a noise Dosimeter. It was found that both noise levels and TWAs were higher than the OSHA's permissible exposure limit (PEL) of 90 dBA and the action level of 85 dBA. According to the data gathered, it was determined …

Correlates And Infant Mortality: Sudden Infant Death Syndrome Among Black Women In The United States, Paulette Aubrey

Masters Theses

Often referred to as "cot death" or "crib death," sudden infant death syndrome (SIDS) is the single leading cause of infant death in infants aged 28 days to 1 year of life. Although the exact etiology of SIDS remains unknown, epidemiological studies have identified risk factors associated with higher rates of SIDS. In this study, the relationship between sudden infant death syndrome and maternal education among black women who gave birth in the United States during 1983 was examined.

The population for this study consisted of black infants who were born in 1983 and died before their first birthday. Among …

War Crimes Of The 90s: Rape As A Strategy, Mary Guinan

School of Public Health Faculty Research

Historically, only men went to war. The winners took the losers' women and could rape, enslave, or kill them. As we moved into a more modern civilization, the rights of the winner over the women of the loser became less clear and were only vaguely documented. Even for modern war historians, what happens to the men on and off the battlefield is the main preoccupation. After all, women do not face combat and what happens to them seems unimportant. The rape of women by conquering armies has continued through all wars, but has rarely been considered a war crime, especially …

Structuring Support For Volunteer Commitment: An Aids Services Program Study, Taryn Lindhorst, Ronald Mancoske

The Journal of Sociology & Social Welfare

Since the AIDS epidemic began over a decade ago, the bulk of services for people living with HIV in the community setting have been provided by volunteers. Volunteers are confronted with the stigmatized status of people with HIV and must learn to manage multiple crisis issues. This paper describes research on volunteerism in a buddy program for people living with AIDS and the perceptions of volunteers about the structural supports of the volunteer program. Issues around perceptions of stress and the relationship between bereavement and volunteering are explored.

Ua12/2/1 College Heights Herald, Vol. 68, No. 38, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

• Tungate, Matthew. Some Not Enthused by Bill Clinton Proposals – Politics
• Anna, Cara. Ralph Willard: Coach Appeals for Fan Support – Basketball
• Gagliardi, Melissa. Diddle Arena Beomcing Country Heaven – Concerts
• Broadbent, Stephanie. Safe Sex Can be Kinky & Erotic Speaker Says – Buck Harris, HIV, AIDS
• Howard Lindsey to be Arraigned Tomorrow
• Native American Lecture Coming – Hardin Planetarium
• Hofmann, Martin. Editorial Cartoon Rush Limbaugh
• Molley, Sean. Men Make Mistakes – Thomas Meredith
• Wheeler, Shayne. Prayers for President Thomas Meredith
• Zorn, William. Another Big …

Systematic Development Of Trans-Theoretically Based Behavioral Risk Management Programs, Galen E. Cole, David R. Holtgrave, Nilka M. Rios

RISK: Health, Safety & Environment (1990-2002)

The authors explain the development and use of a behavioral Risk management strategy. It is designed for developing interventions to change behaviors, e.g., to lower the Risk of AIDS. The advantage of their strategy is said to be its structure combined with flexibility. Intervenors are not restricted to a single model in determining factors most relevant to changing Risky behavior.

A Dream For The Future Of Public Health, Mary Guinan

School of Public Health Faculty Research

The following is a commencement address Dr. Guinan delivered at the Emory University School of Public Health in May 1992, just weeks after riots erupted in response to the Rodney King verdict. Her remarks were very timely, but her message is timeless. It is just as relevant today, more than a year later, as it was that day.

Do People Who Have Participated In A Work Hardening Program Perceive Benefits From Group Psychological Counseling In Controlling Or Decreasing Chronic Low Back Or Neck Pain?, Antonio Cofer

College of Graduate Studies: Theses & Dissertations (1964–2006)

No abstract provided.

Oral Contraceptives And Reproductive Cancers: Weighing The Risks And Benefits, Ann L. Coker, Susan Harlap, Judith A. Fortney

CRVAW Faculty Journal Articles

The hypothetical incidence of reproductive cancers resulting from oral contraceptive use was estimated in several models comparing the cumulative lifetime incidence of cancer of the breast, cervix, ovary and endometrium expected in pill users with the incidence expected in nonusers. The potential number of cancer-free days that would be gained or lost by pill users was com- pared with similar estimates among nonusers. If five years or more of pill use were associated with a 20% increase in the risk of breast cancerbeing diagnosed before age 50, a 20% increase in cervical cancer risk and a 50% reduction in the …

Pus, Pox, Propaganda And Progress: The Compulsory Smallpox Vaccination Controversy In Utah, 1899-1901, Eric L. Bluth

Theses and Dissertations

This thesis examines the compulsory smallpox vaccination controversy in Utah, 1899-1901. It looks at the two smallpox epidemics during 1899-1901 and follows the boards of health attempts to eradicate smallpox primarily by compelling the vaccination of school children.

Dr. Theodore B. Beatty, secretary of the State Board of Health, championed the effort to vaccinate all Utahns; however, the opposition led by Charles W. Penrose, editor of the Deseret Evening News, produced anti-compulsion and vaccination information which influenced Utahns to generally oppose vaccination. Consequently, the legislature passed an anti-compulsory vaccination statute over the governor's veto to annul the courts decision …

Determining The Effects Of Environmental Issues Instruction On Iowa Teachers, Paul P. Torbert

Dissertations and Theses @ UNI

The purpose of this study was to determine the effectiveness of the Environmental Issues Instruction (eii) program. The study utilized the pre-experimental one-group pre-test post-test survey design with a retrospective pre-test. Statistical analysis of four issue topics revealed 198 participants attained two-tailed probability levels less than the .01 level of significance. Analysis of teacher grade levels revealed kindergarten through eighth grade teachers attained two-tailed probability levels less than the .01 level of significance. Ninth through twelfth grade teachers also attained two-tailed probability levels less than the .01 level of significance with one exception. The researcher concludes that the Environmental Issues …

The Relationship Of Locus-Of-Control And Altruism To Prehospital Emergency Medical Care Providers Universal Precaution Practices, Joanne L. Wakeham

Health Services Research Dissertations

The purpose of this study was to determine the relationship between locus of control, altruism, occupational risk, and personal factors to the frequency of universal precautions practices of prehospital emergency medical care providers. The effects of OSHA's Occupational Exposure to Bloodborne Pathogens; Final Rule on reducing prehospital emergency medical care providers occupational exposure to bloodborne pathogens were also examined. Prehospital emergency medical care providers from municipal and private EMS agencies in the Tidewater Emergency Medical Services region participated in this study. Prehospital emergency medical care providers self-reported perceptions of locus of control, altruism, occupational risk, and universal precautions practices were …

Foreword: Health Care Reform In The United States—The Presidential Task Force, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This essay serves as the foreword to Implementing U.S. Health Care Reform, a symposium held in 1993.

The exact specifications of the new health care system depend on the package that President Clinton will send to Capitol Hill and the changes that Congress will make in the reform package. Some of the basic structures and organizing principles of the new system that are being considered by the President are already the subject of intense public scrutiny.

The design being considered would involve new relations between the federal government and the states, between the public and private sectors, and between …

Health Care Reform In The United States, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

The author presents a brief description of the design features and objectives of the health care reform package, together with the reasons to support reform of the health care system in the United States.

An Analysis Of Substance Abusers' Field Dependence & Time Spent In Rehabilitative Therapy, Robert Fane

Masters Theses & Specialist Projects

This project was designed to determine if significant differences existed between the level of psychological differentiation, as determined by the Group Embedded Figures Test (GEFT), of individuals entering a treatment center for chemical dependency and the length of stay at the facility.

The subjects consisted of 43 white males who were seeking treatment for addiction to mood altering chemicals at a regional treatment facility in Bowling Green, Kentucky. Each subject was interviewed to collect pertinent background information pertaining to past substance abuse and was evaluated to determine psychological differentiation, utilizing the GEFT.

It was determined through an analysis of variance …