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Trend Analysis Of Automobile Collision Amongst 15-19 Year Olds In Virginia, 2000-2004, Imo F. Ndem Jan 2007

Trend Analysis Of Automobile Collision Amongst 15-19 Year Olds In Virginia, 2000-2004, Imo F. Ndem

Theses and Dissertations

Purpose. This research study on automobile collision in Virginia amongst fifteen to nineteen (15-19) year olds looked into the trend analysis over a five (5) year period of 2000 to 2004. Trend analysis is usually done for aggregates of all injuries—either intentional or unintentional injuries, or both. The primary objective of this research study was to examine the trend in hospitalization rates and mortality rates for males and females independently. It further looked into the trend, if any, in hospitalization rates, mortality rates, and case-fatality rates, for both males and females combined. The different Tables illustrate the extent and the …

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Examination Of Birth Outcomes With Mode Of Delivery For Breech Presentation, Kelly Marie Arey Jan 2007

Examination Of Birth Outcomes With Mode Of Delivery For Breech Presentation, Kelly Marie Arey

Theses and Dissertations

Introduction: Approximately 3% to 4% of all pregnancies at term will have a fetus with a breech presentation. Studies have shown that the US has almost completely abandoned vaginal delivery for breech presentation through the influence of the "Term Breech Trial" (TBT) which concluded that a policy of planned caesarian section would reduce perinatal mortality, late neonatal mortality, and serious neonatal morbidity by approximately two-thirds for term fetuses. However, the recommendations are still being challenged by others.Objectives: The purpose of the study was to describe who in Virginia is having a vaginal delivery for a breech presentation and to determine …

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Has Richmond, Virginia Become Safer In The Past Five Years (2002-2006)?: An Analysis Of Ambulance Data Regarding Penetrating Trauma Incidents, Ashleigh K. Mccabe Jan 2007

Has Richmond, Virginia Become Safer In The Past Five Years (2002-2006)?: An Analysis Of Ambulance Data Regarding Penetrating Trauma Incidents, Ashleigh K. Mccabe

Theses and Dissertations

Introduction: The World Health Assembly declared violence as a worldwide public health problem. Homicides have been identified as a leading cause of death in the United States across all age groups. The national homicide rate for 2004 and 2005 are 5.5 and 5.6 per 100,000 population, respectively. The reported rates for Virginia are 5.2 (2004) and 5.6 (2005) per 100,000 population, showing a 16.9% increase. Richmond has been ranked as high as the sixth most dangerous among similar cities in the United States. This study examines penetrating trauma injuries identified through 9-1-1 calls as an indicator of the incidence of …

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Breast And Cervical Cancer Screening In Virginia: The Impact Of Insurance Coverage And The Every Woman's Life Screening Program, Kamila Somayaji Jan 2007

Breast And Cervical Cancer Screening In Virginia: The Impact Of Insurance Coverage And The Every Woman's Life Screening Program, Kamila Somayaji

Theses and Dissertations

Background: Screening for breast and cervical cancers is important because early detection increases cancer survival. Since 1991, the U.S. government has helped finance a national early detection program for breast and cervical cancer among uninsured low-income women, known in Virginia (VA) as Every Woman's Life (EWL).Objectives: This study aims to determine whether there are differences in the prevalence of breast and cervical cancer screening based on insurance coverage, assess the prevalence of screening by health district, and evaluate the ability of EWL to effectively reach its target population.Methods: Cross-sectional data from the 2005 Behavioral Risk Factor Surveillance System survey were …

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The Association Between Adult Self-Reported Asthma & Potential Exposures To Asthma Triggers In Virginia Workplaces: An Ecological Study, Jeanette R. Bowman Jan 2007

The Association Between Adult Self-Reported Asthma & Potential Exposures To Asthma Triggers In Virginia Workplaces: An Ecological Study, Jeanette R. Bowman

Theses and Dissertations

Introduction: Work-related asthma (WRA) is thought to be the most common occupational lung disease in the U.S., but there is no standard case definition of WRA. Most states, including Virginia, do not require WRA diagnoses to be reported to health departments. At present, there is too little epidemiological data on WRA in Virginia to direct public health planning efforts. Objectives: The first objective of this study was to estimate potential exposure to workplace asthma triggers in each of Virginia's 35 health districts. The second objective was to examine associations at the health district level between workplace asthma triggers, other asthma …

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Disparities In The Use Of Emergency Contraceptives, Rebecca Dallman Jan 2007

Disparities In The Use Of Emergency Contraceptives, Rebecca Dallman

Theses and Dissertations

Purpose: Unintended pregnancies are often a burden to pregnant women and to the health care system. The rates of unintended pregnancies have decreased since the wide use of contraceptives has increased; however, young women, women with low income, and racial/ethnic minorities are more likely to use contraceptives inconsistently, which increases the risk of an unintended pregnancy. This risk could be reduced with the proper use of emergency contraceptives (ECs).Methods and Analysis: A cross-sectional study was conducted using the data from the female respondents of the 2002 Cycle 6 NSFG. Logistic regression was used to determine rates of use of ECs …

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Outcomes Of Status Epilepticus In The Elderly, Alan R. Towne Jan 2007

Outcomes Of Status Epilepticus In The Elderly, Alan R. Towne

Theses and Dissertations

Background: Status epilepticus (SE) is a serious medical condition associated with significant morbidity and mortality. Few studies have addressed this condition in the elderly. The present study examines predictors of SE mortality in this growing population.Methods: SE patients visiting the Virginia Commonwealth University Medical Center from July 1, 1989, to June 30,2006 were included in the study. Data on demographic characteristics, SE type, etiology, time to treatment and mortality were collected. Logistic regression analysis was conducted to examine the determinants of mortality due to SE. Data was stratified by age to examine the characteristics of SE among the elderly population.Results: …

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Student Perceptions Of The Effectiveness Of A Student Random Drug Testing Program In One New Jersey High School, Lisa Brady Jan 2007

Student Perceptions Of The Effectiveness Of A Student Random Drug Testing Program In One New Jersey High School, Lisa Brady

Seton Hall University Dissertations and Theses (ETDs)

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Maximising Parent Involvement In The Pedestrian Safety Of 4 To 6 Year Old Children: Final Report, Child Health Promotion Research Centre Jan 2007

Maximising Parent Involvement In The Pedestrian Safety Of 4 To 6 Year Old Children: Final Report, Child Health Promotion Research Centre

Research outputs pre 2011

In Australia pedestrian injury is the leading specific cause of death among 5-9 year old children, and pedestrian injuries among 0-14 year old children in 1999-20000 were the second highest cause of hospitalisation. This mortality and morbidity can be attributed largely to unsafe road environments and under 10 year old children's significant deficits in cognitive and perceptual abilities when crossing roads. For all children under 10 years learning to cross the road needs to be taught by parents in the same way that children learn to swim i.e. under close adult supervision and in the 'real' environment where the skills …

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The Latino Caregiver Experience Among Dementia And Non-Dementia Caregivers : Can Community Based Care Management Improve Caregiver Health?, Catherine Oliveros Jan 2007

The Latino Caregiver Experience Among Dementia And Non-Dementia Caregivers : Can Community Based Care Management Improve Caregiver Health?, Catherine Oliveros

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: This study provides an analysis of the Latino caregiving community in Southeast Texas and the role community based care management plays in influencing caregiver physical and emotional well-being. Design and Methods: A non-random sample of 63 Latino caregivers was interviewed by phone. Caregiver physical and emotional well-being was studied through burden, depression, perceived health status, and resourcefulness. Regression, correlation, and comparison analysis was performed with key variables. Results: Acculturation was positively correlated with care management use. In comparing dementia and non-dementia caregivers both groups had similar levels of depression and burden, however, the dementia group had significantly lower levels …

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Utilization Of Health And Medical Services: Factors Influencing Health Care Seeking Behaviour And Unmet Health Needs In Rural Areas Of Kenya, Trish Prosser Jan 2007

Utilization Of Health And Medical Services: Factors Influencing Health Care Seeking Behaviour And Unmet Health Needs In Rural Areas Of Kenya, Trish Prosser

Theses: Doctorates and Masters

There are many factors that influence health and health care seeking. Although many of these factors are similar across populations, exactly how they interact and influence the actions of people is often unique to a population in the context of the environment they live in. The current study, a population-based cross sectional survey, identifies three specific geographically diverse populations in rural areas of Kenya, to gain information regarding overall influences on health care seeking, and also information specific to each geographical area to directly target the health needs of the individual population living there. Participants of the survey were interviewed …

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Through The Quarantine Looking Glass: Drug-Resistant Tuberculosis And Public Health Governance, Law, And Ethics, David P. Fidler, Lawrence O. Gostin, Howard Markel Jan 2007

Through The Quarantine Looking Glass: Drug-Resistant Tuberculosis And Public Health Governance, Law, And Ethics, David P. Fidler, Lawrence O. Gostin, Howard Markel

Articles by Maurer Faculty

No abstract provided.

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Foreign Policy, Trade And Health: At The Cutting Edge Of Global Health Diplomacy, David P. Fidler, Nick Drager Jan 2007

Foreign Policy, Trade And Health: At The Cutting Edge Of Global Health Diplomacy, David P. Fidler, Nick Drager

Articles by Maurer Faculty

No abstract provided.

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Sharing H5n1 Viruses To Stop A Global Influenza Pandemic, David P. Fidler, Laurie Garrett Jan 2007

Sharing H5n1 Viruses To Stop A Global Influenza Pandemic, David P. Fidler, Laurie Garrett

Articles by Maurer Faculty

No abstract provided.

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Xdr Tuberculosis, The New International Health Regulations, And Human Rights, David P. Fidler, Philippe Calain Jan 2007

Xdr Tuberculosis, The New International Health Regulations, And Human Rights, David P. Fidler, Philippe Calain

Articles by Maurer Faculty

No abstract provided.

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Changes In Formal-Informal Caregiving In Elderly Stroke Survivors, Holly Anne Beard Jan 2007

Changes In Formal-Informal Caregiving In Elderly Stroke Survivors, Holly Anne Beard

Health Services Research Dissertations

The purpose of this study is to determine the extent to which the Andersen and Aday Model of Health Services Use to predict cross-sectional and longitudinal differences in the caregiving source among stroke survivors (n=477) over a six-year period. This study involves a secondary analysis of a longitudinal panel study focusing upon three waves of interview data from the HAS/AHEAD study spanning 1998 through 2002. Multinomial logistic regression was utilized to examine caregiving source cross-sectionally at each wave. Clustered multinomial logistic regression was used to examine relationships between predictor variables in the model and caregiving source across waves while holding …

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Effects Of Family Factors On The Development Of Alcohol-Related Problems Among Males From Pre-Adolescence To Adulthood Dec 2006

Effects Of Family Factors On The Development Of Alcohol-Related Problems Among Males From Pre-Adolescence To Adulthood

Florida Public Health Review

Alcohol use is a leading risk factor in suicides, homicides and unintentional injuries (including motor vehicle crashes and drownings) among adolescents, and is associated with adolescent health risk behaviors such as cigarette smoking, illicit drug use, and risky sexual behavior. The purpose of this study was to determine if family factors would predict alcohol-related problems as the study cohort transitioned into young adulthood, and to determine if early alcohol use remained a significant influence on the development of alcohol-related problems in young adulthood. Results of the analyses indicate that three of the family factors measured in mid-adolescence were statistically significant …

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Assessment Of Client Satisfaction In Six Urban Wic Clinics, Catherine Christie, Judy E. Perkin Dec 2006

Assessment Of Client Satisfaction In Six Urban Wic Clinics, Catherine Christie, Judy E. Perkin

Florida Public Health Review

Customer service is a measure of support and courtesy provided to individuals who patronize an organization, and is a factor vital to the success of any business. Programs that strive to meet critical needs of at risk populations, such as the Special Supplementation Nutrition Program for Women, Infants, and Children (WIC), may also benefit from assessment of client satisfaction. The purpose of the study was to examine factors related to customer satisfaction in Duval County Florida WIC clinics and identify potential barriers to participation through a two-year project initiated by the health department and the state university. The study examined …

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Smallpox Vaccination Outcomes And Adverse Event Surveillance Of 18 Counties In North Central Florida Dec 2006

Smallpox Vaccination Outcomes And Adverse Event Surveillance Of 18 Counties In North Central Florida

Florida Public Health Review

Based on the directive from President George W. Bush to prepare the nation better for a possible smallpox attack, Florida enacted Operation Vaccinate Florida- Stage I (OVF I). Between February 10, 2003, and March 31, 2003, Florida vaccinated 4,434 individuals against smallpox. During this period a smallpox vaccine surveillance study was conducted in 18 counties in North Central Florida. The study was conducted via journal log, which participants completed daily by recording all symptoms, vaccination site stage development, and demographic information. The study included 350 vaccinees from Alachua, Baker, Bradford, Clay, Columbia, Dixie, Duval, Hamilton, Gilchrist, Lafayette, Levy, Flagler, Marion, …

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Bird Flu Update Dec 2006

Bird Flu Update

Florida Public Health Review

No abstract provided.

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Conducting Surveys Among Immigrants: Methodology And Implementation Of A Health Needs Assessment In The Haitian Community Of Miami, Florida Dec 2006

Conducting Surveys Among Immigrants: Methodology And Implementation Of A Health Needs Assessment In The Haitian Community Of Miami, Florida

Florida Public Health Review

Lack of reliable data about foreign-born groups creates gaps in demographic measurement methodology leading to a cycle of misinformed policy development. Haitian immigrants represent one of the largest foreign-born groups in Florida. Only limited information is available on the health care issues that they face. This paper describes the methodological design and strategies employed for the implementation of a study whose primary purpose was to identify and evaluate basic health care needs and barriers to health care access for the Haitian immigrant population of Miami, Florida. Information was collected during face-to-face interviews on demographic characteristic and health needs and access …

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Be Headsmart® Seniors! -- The Effectiveness Of A Psychoeducational Fall And Consequential Injury Prevention Program Dec 2006

Be Headsmart® Seniors! -- The Effectiveness Of A Psychoeducational Fall And Consequential Injury Prevention Program

Florida Public Health Review

This study tested the utility of the Be HeadSmart® Seniors! fall prevention intervention, HeadSmartz, a Cranium Challenge, in the promotion of safety improvement behavior change. It employed a quasi-experimental two-group design. Of the 106 individuals included in this study, 64 received the intervention and 42 only received the safety brochure. The Cranium Challenge is an interactive, visual, and auditory program based upon the popular board game CraniumTM. This game stimulated various parts of the participant’s brain verbally, through trivia questions and word games, visually, or by humming, whistling, or playing charades. The presentation included trivia questions created in a PowerPoint …

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Faktor-Faktor Yang Mempengaruhi Kematian Pasien Penyakit Jantung Koroner Di Pusat Jantung Nasional Harapan Kita Tahun 2004, Fatmah A. Gobel, Renti Mahkota Dec 2006

Faktor-Faktor Yang Mempengaruhi Kematian Pasien Penyakit Jantung Koroner Di Pusat Jantung Nasional Harapan Kita Tahun 2004, Fatmah A. Gobel, Renti Mahkota

Kesmas

Menurut estimasi WHO, sekitar 50% dari 12 juta penduduk dunia meninggal akibat penyakit jantung dan pembuluh darah. Faktor prognosis pasien PJK dapat diubah dan dikendalikan, dan memungkinkan untuk mencegah kematian akibat PJK. Penelitian ini bertujuan mengetahui faktor prognosis yang berhubungan dengan terjadinya kematian pasien PJK di PJN Harapan Kita Tahun 2004, menggunakan data sekunder (data rekam medik pasien). Variabel-variabel yang diteliti meliputi variabel independen (jaminan pembayaran, asal daerah/kawasan, penyakit penyerta hipertensi, diabetes melitus, dislipidemia dan riwayat PJK sebelumnya) dan variabel kovariat (umur, jenis kelamin, pendidikan dan pekerjaan). Desain epidemiologi yang digunakan adalah analitik kasus kontrol dengan jumlah kasus 130, kontrol …

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Faktor Kesehatan Reproduksi Ibu Hamil Dan Hubungannya Dengan Kejadian Bayi Berat Lahir Rendah Di Kota Sukabumi Tahun 2005-2006, Etna Saraswati Dec 2006

Faktor Kesehatan Reproduksi Ibu Hamil Dan Hubungannya Dengan Kejadian Bayi Berat Lahir Rendah Di Kota Sukabumi Tahun 2005-2006, Etna Saraswati

Kesmas

Di Indonesia, bayi berat badan rendah (BBLR) merupakan salah satu faktor utama yang berpengaruh terhadap kematian perinatal dan neonatal. Di Propinsi Jawa Barat dilaporkan 6,4% bayi lahir dengan berat badan kurang dari 2,5 Kg. Tujuan penelitian adalah mengetahui berbagai faktor kesehatan reproduksi yang berhubungan dengan kejadian. Penelitian yang menggunakan disain kasus kontrol ini dengan menggunakan formulir kohort ibu hamil di Dinas Kesehatan Kota Sukabumi. Kasus adalah bayi dengan BBLR yang lahir pada tahun 2005 sampai Juni 2006, sedangkan kontrol adalah bayi bukan BBLR yang lahir pada periode yang sama. Pengambilan variabel independen dilakukan melalui wawancara dengan ibu bayi pada kunjungan …

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Praktik Budaya Dalam Kehamilan, Persalinan Dan Nifas Pada Suku Dayak Sanggau, Tahun 2006, Edy Suprabowo Dec 2006

Praktik Budaya Dalam Kehamilan, Persalinan Dan Nifas Pada Suku Dayak Sanggau, Tahun 2006, Edy Suprabowo

Kesmas

Menurut WHO, kematian ibu masih menjadi masalah kesehatan masyarakat utama di berbagai negara di dunia dengan angka kematian rata-rata 400 per 100.000 kelahiran hidup. Angka kematian ibu di Kalimantan Barat adalah 442/100.000 kelahiran hidup berada di atas angka rata-rata dunia tersebut Tujuan umum penelitian ini untuk mengidentifikasi dan menganalisa praktek budaya masyarakat Suku Dayak Sanggau yang berpengaruh terhadap kehamilan, kelahiran, dan nifas. Penelitian ini merupakan penelitian kualitatif, pengambilan data dilakukan dengan metoda wawancara mendalam, diskusi kelompok terarah, dan observasi. Analisis yang digunakan adalah analisi tema. Penelitian diadakan di wilayah kerja Puskesmas Sanggau pada bulan Mei 2006 dengan informan ibu hamil, …

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Penggunaan Obat Yang Tidak Rasional Pada Balita Dengan Diare Di Kalangan Bidan, Di Kabupaten Sumedang Tahun 2006, Uyu Wahyudin, Besral Besral Dec 2006

Penggunaan Obat Yang Tidak Rasional Pada Balita Dengan Diare Di Kalangan Bidan, Di Kabupaten Sumedang Tahun 2006, Uyu Wahyudin, Besral Besral

Kesmas

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pada balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan …

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A Likelihood Based Method For Real Time Estimation Of The Serial Interval And Reproductive Number Of An Epidemic, Laura Forsberg White, Marcello Pagano Dec 2006

A Likelihood Based Method For Real Time Estimation Of The Serial Interval And Reproductive Number Of An Epidemic, Laura Forsberg White, Marcello Pagano

Harvard University Biostatistics Working Paper Series

No abstract provided.

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American Journal Of Medical Quality Dec 2006

American Journal Of Medical Quality

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

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Acpe And Jefferson Medical College Team Up On New Book Dec 2006

Acpe And Jefferson Medical College Team Up On New Book

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

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Department Publications And Presentations Dec 2006

Department Publications And Presentations

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

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