Digital Commons Network^™

Sis-Map; Suicide Risk Assessment Scale, Amresh Srivastava

Data and Test Instruments

This is a New Scale for Assessment of suicide risk to evaluate clients referals and disposition. This Copy Right to Amresh Shrivastava and Chrles Nelson

Subjects With Discordant Airways Obstruction: Lost Between Spirometric Definitions Of Copd, Bernd Lamprecht, Lea Schirnhofer, Bernhard Kaiser, Sonia A. Buist, David Mannino, Michael Studnicka

Preventive Medicine and Environmental Health Faculty Publications

Background. Since the FEV1/FVC ratio declines with age, using the fixed ratio of 0.70 leads to overdiagnosis of COPD in older populations and underdiagnosis among young adults. Objective. To evaluate whether discordant obstructive cases (FEV1/FVC < 0.70 but ≥LLN) are a healthy population or have clinical features that would place them at increased risk. Methods. We used post-bronchodilator spirometry data from the population-based Austrian Burden of Obstructive Lung Disease (BOLD) study. Those with post-bronchodilator FEV1/FVC ratio

Using A Technology-Based Intervention To Promote Weight Loss In Sedentary Overweight Or Obese Adults: A Randomized Controlled Trial Study Design, Vaughn W. Barry, Amanda C. Mcclain, Sara L. Shuger, Xuemei Sui, James W. Hardin, Gregory A. Hand, Sarah Wilcox, Steven N. Blair

Faculty Publications

Purpose: The SenseWear^TM Armband is an activity monitor developed to improve lifestyle self-monitoring. Currently, few studies assess electronic self-monitoring and weight loss with a lifestyle intervention program. To our knowledge, only one study has used the SenseWear Armband in combination with a lifestyle intervention to improve weight loss, and no studies have evaluated whether a self-monitoring intervention based solely on the armband can promote weight loss. Consequently, the aims of the study were to assess weight loss from electronic self-monitoring, to compare these values to the lifestyle intervention and standard care groups, and to compare weight loss with lifestyle …

Prescriptions For Excellence In Healthcare Winter 2010 Dowload Full Pdf

Prescriptions for Excellence in Health Care Newsletter Supplement

No abstract provided.

No Outcome, No Income Cms's "Meaningful Use" Initiative, Richard Jacoby Md, Bettina Berman Rn, David B. Nash Md, Mba

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Patient Awareness Of Practicing Hand Hygiene: An Intervention For Hospitalized Oncology Patients, Brianna Germain Mph

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Bryn Mawr Rehab's Career Development Program For Individuals With Disabilities, Teenice Nebblets, Donna Phillips

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Ceo Of North Shore-Long Island Jewish Health System Visits Tju

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Breaking The Language Barrier: Health Care Quality, Efficiency And Saving Through Professional Medical Interpretation

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Addressing Population Health Through Interdisiplinary Collaborations

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Get Healthy Philly: Policy Change To Promote Healthy Eating, Active Living, And Tobacco Control, Laura Kimberly Msw, Mbe

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Innovatively Changing Us Health Care From The Perspecitve Of A Japanese Physician, Akira Babazono Ms, Md, Phd

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Uganda And The Current Hiv Treatment Crisis - A Perspective, Ellen J. Plumb Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Utilization Of Palliative Care: Providers Still Hinder Access, Barbara Reville Ms, Aprn-Bc, Achpn

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Project Red: A Transformation Approach To Post-Discharge Care, Shane Flickinger Mha, Shawna G. Kates Lsw, Msw, Mba, Cmac

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Hpn Winter 2011 Download Full Pdf

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Prevalence Of Head Lice And Hygiene Practices Among Women Over Twelve Years Of Age In Sindh, Balochistan, And North West Frontier Province: National Health Survey Of Pakistan, 1990-1994., Sadia Mahmud, Gregory Pappas, Wilbur C Hadden

Community Health Sciences

Background: Head lice infestation is an infection of the scalp and skin which causes blood loss, discomfort, and social and psychological distress with the possibility of secondary bacterial infections occurring at scratch sites. In Pakistan, although some small scale studies have been conducted to investigate prevalence of head lice in school children and the general population, no population based estimates have been reported. The National Health Survey of Pakistan (NHSP 1990 - 94) was a nationally representative health examination survey of the Pakistani population. The NHSP is the first population based household survey to collect data on the prevalence of …

A Study Of Riders' Noise Exposure On Bay Area Rapid Transit Trains, Alexis Dinno, Cynthia Powell, Margaret Mary King

Community Health Faculty Publications and Presentations

Excessive noise exposure may present a hazard to hearing, cardiovascular and psychosomatic health. Mass transit systems, such as the Bay Area Rapid Transit (BART) system, are potential sources of excessive noise. The purpose of this study was to characterize transit noise and riders' exposure to noise on the BART system using three dosimetry metrics. We made 268 dosimetry measurements on a convenience sample of 51 line segments. Dosimetry measures were modeled using linear and non-linear multiple regression as functions of average velocity, tunnel enclosure, flooring, and wet weather conditions, and presented visually on a map of the BART system. This …

Chhs February 2011 Enewsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Prevalence And Natural History Of Neuropsychiatric Syndromes In Veteran Hospice Patients, Elizabeth R. Goy, Linda Ganzini

United States Public Health Resources

Context. Prospective studies are needed to adequately describe the overall impact of neuropsychiatric syndromes on the course of hospice enrollment in outpatient settings.

Objectives. To determine the prevalence and natural history of delirium, cognitive impairment, alcohol abuse, anxiety, depression, and suicidal ideation (SI) in community-dwelling veteran hospice patients.

Methods. Home hospice patients were visited regularly from enrollment until their deaths, study withdrawal, or discharge from hospice. Family caregivers gave consent for those with Mini-Mental State Examination (MMSE) scores less than or equal to 23. Measures included the Structured Clinical Interview for DSM-IV for depression (past and current) …

Involvement Of Medical Students And Fresh Medical Graduates Of Karachi, Pakistan In Research, Kiran Ejaz, Muhammad Shahid Shamim, Muhammad Shahzad Shamim, Syed Abid Hussain

Department of Emergency Medicine

OBJECTIVE: To study the involvement in research, of final year medical students and fresh graduates of Karachi, Pakistan and to identify the factors influencing their interest in medical research.

METHODS: A cross-sectional, questionnaire based study was conducted in 2007-2008. Five institutes representing the private and public hospitals in the city were selected by cluster sampling. Final year medical students and fresh graduates were included. Descriptive statistics were charted using SPSS v.16 after double data entry.

RESULTS: Out of 378, 186 (49%) participants had journal reading habits due to the requirement of their institution. Mostly, 157 (41%) undergraduates had already participated …

Being Surveyed Can Change Later Behavior And Related Parameter Estimates, Alix Peterson Zwane, Jonathan Zinman, Eric Van Dusen, William Pariente

Dartmouth Scholarship

Does completing a household survey change the later behavior of those surveyed? In three field studies of health and two of microlending, we randomly assigned subjects to be surveyed about health and/or household finances and then measured subsequent use of a related product with data that does not rely on subjects' self-reports. In the three health experiments, we find that being surveyed increases use of water treatment products and take-up of medical insurance. Frequent surveys on reported diarrhea also led to biased estimates of the impact of improved source water quality. In two microlending studies, we do not find an …

Education And Levels Of Salivary Cortisol Over The Day In Us Adults, Jennifer B. Dowd, Nalini Ranjit, D. Phuong Do, Elizabeth A. Young, James S. House, George A. Kaplan

Faculty Publications

Background - Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is hypothesized to be an important pathway linking socioeconomic position and chronic disease.

Purpose - This paper tests the association between education and the diurnal rhythm of salivary control.

Methods - Up to 8 measures of cortisol (mean of 5.38 per respondent) over two days were obtained from 311 respondents aged 18-70, drawn from 2001-2002 Chicago Community Adult Health Study. Multi-level models with linear splines were used to estimate waking level, rates of cortisol decline, and area-under-the-curve over the day, by categories of education.

Results - Lower education (0-11 years) was associated …

The Association Between Blood Pressure And Years Of Schooling Versus Educational Credentials: Test Of The Sheepskin Effect, Sze Yan Liu, Stephen L. Buka, Crystal D. Linkletter, Ichiro Kawachi, Laura Kubzansky, Eric B. Loucks

Department of Public Health Scholarship and Creative Works

Purpose

Attaining a degree may offer greater opportunities for health than years of schooling alone. This study examines whether there is a degree, or “sheepskin”, effect on the association between education and blood pressure.

Methods

Multivariable-adjusted ordinal and linear regression models assessed associations of years of schooling and degree attainment with systolic and diastolic blood pressure in a sample of 552 adults aged 38–47 years.

Results

Years of schooling was inversely associated with systolic blood pressure adjusting for age, gender and race (β=−0.4, 95% CL:−0.7,−0.1 mmHg systolic blood pressure/year of schooling). Additional adjustment for mother’s education, childhood verbal intelligence quotient, …

Massachusetts’ Home Care Programs And Reasons For Discharge Into Nursing Homes, Cathy M. Wong, Nina M. Silverstein

Gerontology Institute Publications

Home and community-based services (HCBS) are a range of long-term care services intended to enable older adults and persons with disabilities to “age in place” in their own homes and communities. Previous studies well document that older adults prefer receiving HCBS rather than institutional care at a nursing home. One study concluded that 84 percent of older Americans, aged 50 years and older, want to remain in their homes for as long as possible. Medicaid is a major source of funding for long term care. Currently, a large proportion of Medicaid funds in most states has been spent on institutional, …

Cardiorespiratory Fitness And Risk Of Prostate Cancer: Findings From The Aerobics Center Longitudinal Study, Wonwoo Byun, Xuemei Sui, James R. Hébert, Timothy S. Church, I-Min Lee, Charles E. Matthews, Steven N. Blair

Faculty Publications

Objective - To examine the association between cardiorespiratory (CRF) and risk of incident prostate cancer (PrCA).

Methods - Participants were 19,042 male subjects in the Aerobics Center Longitudinal Study (ACLS), ages 20 to 82 years, who received a baseline medical examination including a maximal treadmill exercise test between 1976 and 2003. CRF levels were defined as low (lowest 20%), moderate (middle 40%), and high (upper 40%) according to age-specific distribution of treadmill duration from the overall ACLS population. PrCA was assessed from responses to mail-back health surveys during 1982 to 2004. Cox proportional hazards regression models, adjusted for potential confounders, …

Examining The Role Of Churches In Adolescent Girls' Physical Activity, Karin A. Pfeiffer, Natalie Colabianchi, Marsha Dowda, Dwayne E. Porter, James Hibbert, Russell R. Pate

Faculty Publications

Background: In adults, associations between church attendance and positive health behaviors exist; however, similar evidence among children and youth is lacking. The purposes of this investigation were to examine the associations between physical activity (PA) and church attendance, PA and use of church as a PA facility, and PA and proximity to churches among those who use church as a PA facility (while addressing racial and geographic differences). Methods: High school girls (N=915, age=17.7 ± 0.6 years, 56% African American) completed the 3-Day Physical Activity Recall and surveys including demographics and use of PA facilities. Geographic Information Systems data were …

Who Tests, Who Doesn't, And Why? Uptake Of Mobile Hiv Counseling And Testing In The Kilimanjaro Region Of Tanzania, Jan Ostermann, Elizabeth A. Reddy, Meghan M. Shorter, Charles Muiruri, Antipas Mtalo, Dafrosa K. Itemba, Bernard Njau, John A. Bartlett, John A. Crump, Nathan M. Thielman

Faculty Publications

Background: Optimally, expanded HIV testing programs should reduce barriers to testing while attracting new and highrisk testers. We assessed barriers to testing and HIV risk among clients participating in mobile voluntary counseling and testing (MVCT) campaigns in four rural villages in the Kilimanjaro Region of Tanzania.

Methods: Between December 2007 and April 2008, 878 MVCT participants and 506 randomly selected community residents who did not access MVCT were surveyed. Gender-specific logistic regression models were used to describe differences in socioeconomic characteristics, HIV exposure risk, testing histories, HIV related stigma, and attitudes toward testing between MVCT participants and community residents who …

Système D’Ancrage De Garde-Corps Sur Des Toits Plats Pour Les Couvreurs, André Lan, Renaud Daigle

Rapports de recherche scientifique

Le travail de couvreur a été classé comme l'un des travaux les plus dangereux, avec un taux de mortalité de 29 par 100 000 travailleurs (Toscano, 1997). Les couvreurs sont exposés à environ six fois plus de risques d'accidents graves et mortels que le travailleur moyen, les chutes étant les évènements mortels dans 75 % des cas (Ruser, 1995). Les lésions causées par ces chutes sont habituellement graves, exigeant de longues périodes de traitement et de convalescence occasionnant des frais médicaux importants. Les réglementations internationales sont claires; l'Occupational Safety and Health Administration (OSHA) stipule qu'il faut protéger les travailleurs exposés …

Système D’Ancrage De Garde-Corps Sur Des Toits Plats Pour Les Couvreurs : Annexe, André Lan, Renaud Daigle

Rapports de recherche scientifique

Le travail de couvreur a été classé comme l'un des travaux les plus dangereux, avec un taux de mortalité de 29 par 100 000 travailleurs (Toscano, 1997). Les couvreurs sont exposés à environ six fois plus de risques d'accidents graves et mortels que le travailleur moyen, les chutes étant les évènements mortels dans 75 % des cas (Ruser, 1995). Les lésions causées par ces chutes sont habituellement graves, exigeant de longues périodes de traitement et de convalescence occasionnant des frais médicaux importants. Les réglementations internationales sont claires; l'Occupational Safety and Health Administration (OSHA) stipule qu'il faut protéger les travailleurs exposés …