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Prescriptions For Excellence In Health Care Winter 2009 Download Pdf Of Full Issue

Prescriptions for Excellence in Health Care Newsletter Supplement

No abstract provided.

Arborist Dies After Fall From Tree, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

A 30-year old arborist was hired by a private resident to remove trees from a yard. At approximately 5:00 PM, the arborist, along with a ground person, arrived at the residence. The arborist donned climbing spurs, and a tree climbing saddle then spoke briefly with the homeowner. With the climbing line and spurs, the arborist climbed the first tree. After trimming limbs from the tree trunk, the arborist began cutting the tree trunk one section at a time. There was a power line near the trees. The arborist was working at the fork of the tree and had cut a …

The Medical Education Of Physicians, Jonathan Saxton

National Health Policy Forum

This background paper provides a descriptive overview of the process of education, licensing, certification, and continuing education involved in becoming and continuing to practice as a physician.

Team Semi Driver Dies After Rig Is Struck By Impaired Driver, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

During the early hours one fall morning, a husband and wife driving team were traveling west on a divided interstate highway. A concrete barrier separated the four east bound lanes from the four west bound lanes. The wife was driving while the husband was asleep in the sleeper berth. Driving conditions were dark and the pavement dry. They were traveling in the second lane from the median and there was a passenger car to the right of the semi in the third lane from the median traveling next to the front wheel well and bumper. The passenger car driver veered …

The Economic Stimulus: Gauging The Early Effects Of Arra Funding On Health Centers And Medically Underserved Populations And Communities, Peter Shin, Brian K. Bruen, Emily Jones, Leighton C. Ku, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

During times of economic crisis, community health centers and other health care safety net providers become even more vital to the communities they serve. The current downturn, with its high levels of unemployment and enormous impact on family incomes, carries major implications for health insurance coverage. The American Recovery and Reinvestment Act (ARRA), signed into law on February 17, 2009, provided slightly more than two billion dollars to community health centers for capital improvements, expansion (or retention) of personnel and services, and adoption of health information technology. All of these uses not only support health centers' mission to serve populations …

Smart Density: A More Accurate Method Of Measuring Rural Residential Density For Health-Related Research, Peter M. Owens, Linda Titus-Ernstoff, Lucinda Gibson, Michael L. Beach, Sandy Beauregard, Madeline A. Dalton

Dartmouth Scholarship

Studies involving the built environment have typically relied on US Census data to measure residential density. However, census geographic units are often unsuited to health-related research, especially in rural areas where development is clustered and discontinuous. We evaluated the accuracy of both standard census methods and alternative GIS-based methods to measure rural density.

Findings From The Nevada Business Summit On Early Childhood Investment, Nevada Institute For Children’S Research And Policy, The United Way Of Southern Nevada, The Nevada Head Start State Collaboration, Early Childhood Comprehensive Systems Office, The Agassi Foundation, The Children’S Cabinet, Denise Tanata Ashby, Amanda Haboush

Nevada Institute for Children's Research and Policy Reports

On February 10, 2010, a partnership of the United Way of Southern Nevada, the UNLV Nevada Institute for Children’s Research and Policy, the Agassi Foundation for Education and the State of Nevada Head Start State Collaboration Office, with support from The Lincy Foundation, hosted the Nevada Business Summit on Early Childhood Investment. The summit met to discuss effective ways to invest in early childhood education and health, in hopes of creating solutions that would provide long term human capital development through early intervention. The summit tied issues of employment opportunities, job readiness and economic trends with the need to invest …

Traveling Exhibit: The Lives They Left Behind: Suitcases From A State Hospital Attic, Laura J. Hall

Posters and Presentations

The Lives They Left Behind: Suitcases from a State Hospital Attic was a traveling exhibit that explored the stories of patients from the Willard Psychiatric Center in New York, whose personal belongings were discovered after the institution closed in 1995. The exhibit highlighted the intersection of mental health, poverty, and systemic failures in care. Through a series of public events including panel discussions on homelessness, health equity, and mental health policy, the exhibit aimed to raise awareness and promote dialogue on mental health issues. Curated locally by Laura J. Hall and funded by the New Mexico Humanities Council, it was …

Using A Participatory Research Process To Address Disproportionate Hispanic Cancer Burden, Pamela C. Hull, Juan R. Canedo, Michelle C. Reece, Irma Lira, Francisco Reyes, Erandi Garcia, Paul Juarez, Elizabeth Williams, Baqar A. Husaini

Public Health, Health Administration, and Health Sciences Faculty Research

Community-based participatory research (CBPR) offers great potential for increasing the impact of research on reducing cancer health disparities. This article reports how the Community Outreach Core (COC) of the Meharry–Vanderbilt–Tennessee State University (TSU) Cancer Partnership has collaborated with community partners to develop and implement CBPR. The COC, Progreso Community Center, and Nashville Latino Health Coalition jointly developed and conducted the 2007 Hispanic Health in Nashville Survey as a participatory needs assessment to guide planning for subsequent CBPR projects and community health initiatives. Trained community and student interviewers surveyed 500 Hispanic adults in the Nashville area, using a convenience sampling method. …

Annual Report To The Nation On The Status Of Cancer, 1975-2006, Featuring Colorectal Cancer Trends And Impact Of Interventions (Risk Factors, Screening, And Treatment) To Reduce Future Rates, Brenda K. Edwards, Elizabeth Ward, Betsy A. Kohler, Christie Eheman, Ann G. Zauber, Robert N. Anderson, Ahmedin Jemal, Maria J. Schymura, Iris Lansdorp-Vogelaar, Laura C. Seeff, Marjolein Van Ballegooijen, S. Luuk Goede, Lynn A. G. Ries

United States Public Health Resources

BACKGROUND. The American Cancer Society, the Centers for Disease Control and Prevention (CDC), the National Cancer Institute (NCI), and the North American Association of Central Cancer Registries (NAACCR) collaborate annually to provide updated information regarding cancer occurrence and trends in the United States. This year’s report includes trends in colorectal cancer (CRC) incidence and death rates and highlights the use of microsimulation modeling as a tool for interpreting past trends and projecting future trends to assist in cancer control planning and policy decisions.

METHODS. Information regarding invasive cancers was obtained from the NCI, CDC, and NAACCR; and information …

Risky Business: Effectiveness Of State Market-Based Health Programs, Christopher Stream, Nathan Myers

Public Policy and Leadership Faculty Research

Since the 1990s, state governments have been leaders of health care reform. Today, approximately 47 million people are without health insurance. As health care costs and uninsurance levels continue to rise, states are pursuing a variety of government- and market-based strategies to address this growing social problem. Health care research has indicated that state-based programs have proven to be successful in extending access to coverage. However, the question remains as to whether the market-based programs have had a positive impact on state health care. Advocates for market-based state health programs argue that the reforms benefit the greater good because they …

An Integrated Intervention To Reduce Intimate Partner Violence In Pregnancy: A Randomized Trial, Michele Kiely, Ayman El-Mohandes, M. Nabil El-Khorazaty, Marie G. Gantz

Publications and Research

OBJECTIVE: We estimated the efficacy of a psycho-behavioral intervention in reducing intimate partner violence (IPV) recurrence during pregnancy and postpartum, and in improving birth outcomes in African-American women

METHODS: We conducted a randomized controlled trial in which 1,044 women were recruited. Individually-tailored counseling sessions were adapted from evidence-based interventions for IPV and other risks. Logistic regression was used to model IPV victimization recurrence, to predict minor, severe, physical and sexual IPV.

RESULTS: Women randomized to the intervention were less likely to have recurrent episodes of IPV victimization (OR=0.48, 95%CI=0.29-0.80). Women with minor IPV were significantly less likely to experience further …

Factor Vii Deficiency And Pregnancy: A Case Report And Review Of Literature, Syed Mohammad Asad Zaidi, Rahat Qureshi, Salman Naseem Adil

Department of Obstetrics & Gynaecology

Factor VII deficiency is one of the 'rare inherited disorders of coagulation.' Few cases of Factor VII deficiency have been reported during pregnancy, a state which could potentially cause fatal haemorrhage. Here we report a case of a pregnant lady with a history of heavy menorrhagia and multiple first pregnancy failures. Delivery was carried out via Caesarean section due to non-reassuring foetal heart monitoring. Patient was treated with Fresh Frozen Plasma (FFPs) and Factor VII concentrates, however, the patient developed bleeding postoperatively. Literature indicates that whilst Factor VII levels rise during pregnancy in normal women, no increase is seen in …

Cytotoxicity Of Bacterial-Derived Toxins To Immortal Lung Epithelial And Macrophage Cells, Dianne E. Peterson, Jayne M. Collier, Matthew E. Katterman, Rachel A. Turner, Mark R. Riley

Department of Agricultural and Biological Systems Engineering: Faculty Publications

Health risks associated with inhalation and deposition of biological materials have been a topic of great concern due to highly publicized cases of inhalation anthrax, of new regulations on the release of particulate matter, and to increased concerns on the hazards of indoor air pollution. Here, we present an evaluation of the sensitivity of two immortal cell lines (A549, human lung carcinoma epithelia) and NR8383 (rat alveolar macrophages) to a variety of bacterial-derived inhalation hazards and simulants including etoposide, gliotoxin, streptolysin O, and warfarin. The cell response is evaluated through quantification of changes in mitochondrial succinate dehydrogenase activity, release of …

Report: Fostering A Movement Towards Evidence-Based Screening, Assessment, And Treatment, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Evidence Based Practices Dissemination Strategies

Policy & Position Papers

No abstract provided.

Louisiana Evidence Based Practice Selection Assessment Guide, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Evidence Based Practices Dissemination Strategies

Policy & Position Papers

No abstract provided.

Stakeholder Education And Awareness Regarding Evidence-Based Practices In Juvenile Justice, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Stakeholder Education And Awareness

Policy & Position Papers

No abstract provided.

Evidence Of Better Practice In Louisiana’S Juvenile Justice System, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Stakeholder Education And Awareness

Policy & Position Papers

No abstract provided.

Evidence Based Practices For Juvenile Justice Reform In Louisiana, Institute For Public Health And Justice, Evidence-Based Treatment And Services, Stakeholder Education And Awareness

Policy & Position Papers

No abstract provided.

Culturally-Adapted And Audio-Technology Assisted Hiv/Aids Awareness And Education Program In Rural Nigeria: A Cohort Study, Ighovwerha Ofotokun, Jose Nilo G. Binongo, Eli S. Rosenberg, Michael Kane, Rick Ifland, Jeffrey L. Lennox, Kirk A. Easley

Faculty Articles

Background: HIV-awareness programs tailored toward the needs of rural communities are needed. We sought to quantify change in HIV knowledge in three rural Nigerian villages following an integrated culturally adapted and technology assisted educational intervention.

Methods: A prospective 14-week cohort study was designed to compare short-term changes in HIV knowledge between seminar-based education program and a novel program, which capitalized on the rural culture of small-group oral learning and was delivered by portable digital-audio technology.

Results: Participants were mostly Moslem (99%), male (53.5%), with no formal education (55%). Baseline HIV knowledge was low (< 80% correct answers for 9 of the 10 questions). Knowledge gain was higher (p < 0.0001 for 8 of 10 questions) in the integrated culturally adapted and technology-facilitated (n = 511) compared with the seminar-based (n = 474) program.

Conclusions: Baseline HIV-awareness was low. Culturally …

Father's Support And Literacy--Factors Associated With Child Mortality In Gambat, Sindh-Pakistan, Ajmal Agha, Fozia Ajmal, Azam Iqbal, Franklin White

Community Health Sciences

Objectives: To determine Under Five Mortality Rate (U5MR) in Gambat and to identify causes of and factors associated with it.
Methods: The study was conducted in taluka Gambat of Sindh, Pakistan from December 2002 to August 2003. The sample of at least 510 mothers was needed to capture expected 1020 live births. We interviewed mothers to elicit information about live births in the past five years, under-five mortality and its cause. Additionally, the mothers were also asked about their mobility and availability of husband's support in child's rearing, other than economic support. Approval was sought from Aga Khan University's Ethical …

Indirect Costs Associated With Surgery For Low Back Pain-A Secondary Analysis Of Clinical Trial Data., Reginald Fayssoux, Neil I Goldfarb, Alexander R Vaccaro, James Harrop

College of Population Health Faculty Papers

This study examines the indirect costs associated with surgery for axial low back pain using data obtained from a prospective multicenter clinical trial that compared Charité artificial disc replacement with anterior lumbar interbody fusion using iliac crest bone graft. While 75% of study subjects reported full- or part-time employment prior to surgery, this percentage dropped to 45% at 6 weeks postoperatively. Return to preoperative employment levels occurred at approximately 6 months postoperatively. Two years after surgery, employment levels were 16% higher than preoperative levels. Lost productivity related to absenteeism resulted in lost wages averaging $2884 per patient during the first …

Explaining Low Rates Of Autism Among Hispanic Schoolchildren In Texas, Raymond F. Palmer, Tatjana Walker, David Mandell, Bryan Bayles, Claudia S. Miller

Public Health (Archived)

In data from the Texas Educational Agency and the Health Resources and Services Administration, we found fewer autism diagnoses in school districts with higher percentages of Hispanic children. Our results are consistent with previous reports of autism rates 2 to 3 times as high among non-Hispanic Whites as among Hispanics. Socioeconomic factors failed to explain lower autism prevalence among Hispanic schoolchildren in Texas. These findings raise questions: Is autism underdiagnosed among Hispanics? Are there protective factors associated with Hispanic ethnicity?

Health Policy Forum: Building Patient Centered Medical Homes In America's Poorest City-Camden, Nj

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Policy Forum: Philadelphia's Public Health Priorities And Initiatives: Implications For Improving The Health Of Vulnerable Populations

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Policy Forum: Innovative Approaches To Medical Education

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jsph Faculty Discusses Health Care In Italy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jsph Hosts Healthy People 2020 Meeting

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Cultural Competency: A Growing Need To Better Serve Our Diverse Populations, Rob Simmons Drph, Mph, Ches, Cph, Nancy L. Chernett Mph, Elain Yuen Phd, Susan Toth-Cohen Phd, Otr/L

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Building A Coordinated Care Model For Diabetes Management

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.