Digital Commons Network^™

Enhancing The Use Of Emergency Contraception In A Refugee Setting: Findings From A Baseline Survey In Kakuma Refugee Camps, Kenya, Esther G. Muia, Joyce Olenja

Reproductive Health

In August 1992, the International Rescue Committee (IRC) at the request of the United Nations, the United Nations High Commission for Refugees, and the Kenyan Government, initiated a primary health care program in the Kakuma Refugee Camp. Since then, the population of the camp has continued to grow, and activities have moved from a crisis to a maintenance phase. In January 1997, IRC assumed the additional responsibility of the camp hospital, bringing the entire health sector under their management. IRC's programs focus on maintaining and improving public health and promoting self-reliance, particularly of the most vulnerable communities. This project focuses …

Factors Associated With Healthy Eating: Attitudes, Cultural Adherence, And Snacking Behavior Among Korean-American Adolescents, Kyoung Eun Oh

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescents have increased nutrition needs and report frequent meal skipping and snacking, but there are few studies that examine the determinants of unhealthy eating, especially among ethnic minority groups. This study investigated dietary intake and snacking behavior among Korean-American adolescents in the Los Angeles area. We determined the relationship between dietary fat intake and overall quality of the diet as assessed by two healthy eating indices: the Healthy Eating Index (HEl) and Mean Nutrient Adequacy Ratio (MNAR). HEl assessed degree of compliance to Food Guide Pyramid and Dietary Guidelines for Americans while MNAR assessed nutrient consumption compared to Recommended Dietary …

Client-Centered Versus Traditional-Directive Educational Approach: A Randomized Study Of Exercises And Perceived Control Among Patients With Type 2 Diabetes, Melissa D. Olfert

Loma Linda University Electronic Theses, Dissertations & Projects

A patient’s adherence to self-management therapies in diabetes strongly influences health outcomes, health care utilization, and ultimately health care costs. Engaging in regular exercise therapy reduces risk factors associated with type 2 diabetes. The purpose of this randomized prospective study was to determine if a client-centered approach (CCA) toward diabetes education, verses a traditional-directive approach (TDA), would improve exercise participation, perceived control, intention to exercise, and glycemic control in patients with type 2 diabetes.

Fifty-nine type 2 patients were randomized into two groups: CCA and TDA. Diabetes education in the CCA group provided empowerment toward acquiring knowledge, skills, and responsibility …

The Effect Of Stress And Genetic Factors On Alcohol Consumption Among Males In Olancho District, Honduras, Gloria Amanda Madrid

Loma Linda University Electronic Theses, Dissertations & Projects

Alcoholism is a major public health problem globally. More than twenty studies have examined the association between the neurotransmitter dopamine DRD2 TaqI polymorphism and the onset of alcoholism, with half supporting an association. This study was based on the assumption that there is a relationship between the presence of the DRD2, one’s exposure to stress, and alcohol consumption. We examined the gene-stress interactional model in a sample of 309 males of Mayan descendents in the Olancho district of Honduras (age range 18-87). Participants were interviewed by a health care professional and blood samples were obtained for genetic identification. The Michigan …

Predicting Milk And Soft Drink Consumption Among Female Adolescents Using The Theory Of Planned Behavior, Nada Osman Kassem

Loma Linda University Electronic Theses, Dissertations & Projects

A total of 756 female adolescents, aged 13 to 18 years, from five public high schools in Antelope Valley Union High School District located in North Los Angeles County participated in this study between February 1999 and March 1999. The ethnic composition was 53.3% White/Anglo Americans, 19.3% Hispanics or Latinos and 10.2% Black/African Americans. The constructs of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control and their underlying beliefs) were assessed to determine the predictors of low-fat milk and regular soda consumption. A cross-sectional design with group-administered questionnaires was utilized.

Most participants (89.6%, n = 636) …

Risk Factors Associated With Infant Mortality Among Very Low Birthweight Infants Of Teenage Mothers In San Bernardino County, C. Letitia Henry

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Typically, infant mortality decreases as maternal age increases in teenagers. In contrast to these national data, San Bernardino County (SBC) experienced a different phenomenon in 1989-1994 among very low birthweight (VLBW) infants. The infant mortality rate (IMR) of VLBW infants born to mothers under 17 years old (283 per 1000 live births) was significantly lower than the IMR of VLBW infants born to mothers between the ages of 17-19 years old (430 per 1000 live births) (p = .02).

Purpose. The purpose of the study was to explain the discrepancy between IMRs of VLBW infants of younger teenage mothers …

Looking Back: Unneeded X-Rays, Allan Mazur

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

From the discovery of x-rays in 1896 to the present, Dr. Mazur explores the history of risk management of radiation exposure from x-rays and nuclear fallout.

Factors Associated With Asthma Readmissions In Children's Hospitals, Maria Acedo Kronenburg

Health Services Research Dissertations

Asthma is the most common chronic illness of childhood. Pediatric asthma hospitalization rates and costs of care have risen in recent years. Readmissions, an adverse outcome often used to monitor quality of care, may account for the increase in asthma hospitalization rates. This research examined selected hospital and patient risk factors related to asthma readmissions, using Donabedian's framework for structure, process, and outcomes to assess the quality of care for children with asthma. Outcome measures included readmission for asthma within one year of initial hospitalization, readmission within 30 days, and multiple readmissions within one year. Structure factors measured were insurance …

Tactile Hazardous Material Information System (Thmis), Alejandro Ruiz

Theses

In today's work environment, many dangers exist around that can harm workers who are not aware of the hazards in their environment. If these workers happen to be visually impaired, then identifying those hazards with the present labeling systems would be difficult. The Hazardous Material Information System (HMIS) was chosen to be adapted with tactile patterns and numbers. The tactile patterns and numbers would not change the layout and intent of the HMIS, but enhance its effectiveness.

Five tactile patterns and five tactile numbers were designed to be recognizable and simple. The patterns and numbers were tested and observed to …

Recognition Of Treponematoses In Post Repatriation X Ray And Cd Rom Nebraska Record, Karl J. Reinhard, Bruce Rothschild, Christine Rothschild, Larry Martin

Karl Reinhard Publications

Repatriation has compromised the opportunity to directly examine skeletons and to apply new diagnostic criteria and techniques. Pre-repatriation approaches to non-metric data acquisition, must make a number of assumptions: ( I ) Phenomena must be correctly identitied and segregated; (2) Criteria for severity must be specific to the phenomena studied; and (3) As criteria for disease rewgnition may change with time, it is valuable only as long as the raw data is also recorded. As part of data preservation, x-rays and CD-ROM images were recorded for skeletons trom Nebraska sites undergoing repatriation. This report concentrates on four of them 250K …

The Role Of Mummy Studies In Paleoparasitology, Adauto Araujo, Karl J. Reinhard, Luiz Fernando Ferreira

Karl Reinhard Publications

Paieoparasitology has advance during the past decade to the status of a statistically based science focused on problems of disease ecology and geographic distribution of parasitism. For most of its development, paleoparasitology has focused on the analysis of coprolites and latrine sediments. During the past few years, mummies have been increasingly included in paleoparasitology studies. We evaluate in this paper the interpretive value of mummies relative to other sources of paleoparasitological data.

EI estudio de la paleoparasitologia ha logrado transformarse, en esta ultima decada, en una ciencia basada en la estadistica, enfocada a temas tales como la ecologia de enfermedades …

Archaeoparasitology, Karl Reinhard

Karl Reinhard Publications

The field devoted to the identification of parasite remains in the archaeological record and the reconstruction of past human-parasite interactions. Parasitic disease has always been a major problem. Recent summaries of the prevalence of parasitic diseases in the world today show that there are 4.5 billion infections with all species of parasitic worm, 1 billion infections with giant intestinal roundworm (Ascaris lumbricoides), 750,000,000 infections with whipworms (Trichuris trichiura), 900,000,000 infections with hookworm (Ancylostoma duodenale and Necator americanus), 657,000,000 infections with filarial worms, 200,000,000 with blood flukes (schistosome species), and 489,000,000 infections with malaria. These infections cause between 1,590,000 to 3,130,000 …

Coprolite Analysis: The Analysis Of Ancient Human Feces For Dietary Data, Karl Reinhard

Karl Reinhard Publications

Although archaeological fieldwork is hot and dirty, the most “earthy” side of the discipline is the laboratory analysis of coprolites. Each coprolite contains the remains of one to several actual meals eaten in prehistory, and analysis of many coprolites provides a picture of ancient diet that is unique in accuracy.

The term coprolite originally referred to fossilized feces in paleontological context. In archaeology, the term broadened to refer to any formed fecal mass, including mineralized, desiccated, or frozen feces and even the intestinal contents of mummies. Coprolites contain the remains of animals (parasites) that lived in the humans, the foods …

Paleopharmacology, Karl Reinhard

Karl Reinhard Publications

An emerging field devoted to the exploration of the archaeological record for evidence of medicinal plants.

In the future, archaeology will have a role in pharmaceutical research. In the late twentieth century, much of the world’s pharmaceutical research has been based on ethnographic documentation of tribally recognized medicinal plants. Once the active chemical compounds in the plants are identified, they are either extracted or synthesized for commercial use. The American film Medicine Man depicts this approach. As shown in the film, such pharmacological research is threatened by declining tribal populations with loss of traditional herbal knowledge coupled with declining biodiversity. …

Cardiovascular Disease Prevention By Sports: Myth Or Reality?, Maria João C. A. Almeida, Steven N. Blair

Faculty Publications

Low levels of physical activity and fitness substantially increase risk of several chronic diseases, reduce longevity, and lead to loss of function. The strength and relation of inactivity to health problems and the high prevalence of sedentary habits in most countries of the world make lack of exercise a major public health problem. Fortunately, there is now good consensus regarding public health recommendations for physical activity from many important medical, scientific, and public health organizations. Recent research on physical activity interventions provides additional approaches to helping sedentary adults become more physically active.

Regional Differences In Indian Health 1998-1999, Indian Health Service

Native Health Database Full Text

This document contains tables and charts that describe the Indian Health Service (IHS) program and the health status of American Indians and Alaska Natives residing in the IHS area. The information is grouped into five major categories: 1) IHS structures, 2) population statistics, 3) natality and infant/maternal mortality statistics, 4) general mortality statistics, and 5) patient care statistics.

Cancer In Louisiana: 1991-1995, Volume 11, Louisiana Tumor Registry, Patricia A. Andrews, Xiao-Cheng Wu, Catherine N. Correa, Beth A. Schmidt, Mohammed N. Ahmed, Vivien W. Chen

Policy & Position Papers

Mission:

To collect and report complete, high-quality, and timely population-based cancer data in Louisiana to support cancer research, control, and prevention.

Vision:

To reduce suffering and death from cancer using information collected by the Louisiana Tumor Registry.

History:

Cancer registration in Louisiana began in 1947 at the Charity Hospital Tumor Registry in New Orleans. In 1974, as part of its Surveillance, Epidemiology and End Results (SEER) Program, the National Cancer Institute provided funds for a population-based cancer incidence and survival registry covering Jefferson, Orleans, and St. Bernard parishes. Five years later, the Louisiana Tumor Registry (LTR) was transferred to the …

Adjustment Of Permissible Exposure Values To Unusual Work Schedules, Jules Brodeur, Adolf Vyskocil, Robert Tardif, Guy Perrault, Daniel Drolet, Ginette Truchon, François Lemay

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

Caractérisation De L'Environnement Vibratoire Dans Différentes Catégories De Véhicules : Industriels, Utilitaires Et De Transport Urbain, Paul-Émile Boileau, Subhash Rakheja

Rapports de recherche scientifique

Des classes spectrales représentant l'environnement vibratoire dans l'habitacle de quatre catégories de véhicules (autobus urbains, chenillettes de déneigement, chariots élévateurs à conduite assise, chariots élévateurs à station debout) sont définies pour caractériser les vibrations agissant dans les directions longitudinale (axe x), latérale (axe y), verticale (axe z), ainsi qu'en roulis et en tangage (θ). Ces classes spectrales sont représentées en exprimant l'amplitude de la densité spectrale de puissance (DSP) en fonction de la fréquence entre 0. 5 et 40 Hz. Une équation mathématique est développée pour exprimer cette relation pour des conditions moyenne et sévère; la première étant basée sur …

Évaluation De La Concentration De Fibres D'Amiante Émises Dans L'Air Ambiant De Bâtiments Scolaires, Chantal Dion, Guy Perrault

Rapports de recherche scientifique

Une démarche préventive a été initiée dans les écoles, en mars 1998, par le ministère de l'Éducation du Québec (MEQ) et le ministère de la Santé et des Services Sociaux (MSSS), afin d'évaluer les possibilités d'exposition à l'amiante. Un critère de gestion de 0, 01 fé¹/mL a été retenu par le MSSS pour identifier des sources possibles d'émission de fibres dans l'air des édifices publics.

L'objectif de la présente étude était de prélever un nombre significatif d'échantillons dans des locaux des bâtiments scolaires dont les matériaux floqués étaient très dégradés et d'évaluer les concentrations de fibres d'amiante dans …

Élaboration D'Une Formation À L'Affilage Des Couteaux Dans Six Usines D'Abattage Et De Transformation Du Porc : Une Étude Ergonomique, Nicole Vézina, Johane Prévost, Alain P. Lajoie

Rapports de recherche scientifique

Dans les usines d'abattage et de transformation du porc, l'utilisation du couteau est intensive et son entretien par un bon affilage sur le fusil (lime) est nécessaire afin de maintenir pendant le travail, la qualité de coupe de la lame. Plusieurs études ont permis de constater que les travailleurs dans ce secteur d'emploi éprouvent des difficultés à maintenir leur couteau bien tranchant. Dans le contexte où la qualité de coupe de la lame conditionne les efforts du travailleur pour réaliser la découpe et où la fréquence des lésions musculo-squelettiques aux membres supérieurs dans ces usines est très élevée, un projet …

Innovations Organisationnelles Et Sécurité Du Travail Dans Le Secteur Du Textile, Normand Laplante

Rapports de recherche scientifique

Plusieurs entreprises implantent des innovations diverses dans le but de maintenir ou d'accroître leur compétitivité et d'améliorer la qualité de leur production. Dans cette recherche, nous étudions plus particulièrement les stratégies d'implantation de changements organisationnels au sein de sept entreprises du secteur du textile et les impacts sur la sécurité des travailleurs. Ce rapport présente les relations entre le mode de gestion de la santé et sécurité du travail, son intégration au changement organisationnel et les performances des entreprises au chapitre de la santé et sécurité du travail. Ces performances sont évaluées à partir des statistiques de lésions professionnelles, des …

Une Banque De Solutions : Un Outil Pour Les Bâtisseurs, Michèle Gervais, Denise Chicoine, Denise Granger

Rapports de recherche scientifique

Le concept de banque de solutions a pris son essor dans les années 1980. Les banques sont considérées comme d'excellents véhicules pour la diffusion de l'information en matière de prévention. Elles répertorient des solutions qui ont été implantées avec succès dans des entreprises afin que ces expériences puissent servir à d'autres industries. Néanmoins, une enquête récente sur les banques existantes révèle que certaines banques n'ont pas connu la croissance escomptée et elles ont été délaissées par leur clientèle. Dans le but de contrer ce phénomène, une analyse des conditions nécessaires au bon fonctionnement des banques, issue de la littérature, met …

Équipes Semi-Autonomes De Travail : Description Et Préoccupations De 12 Entreprises Manufacturières Québécoises, Mario Roy, Jean-Charles Guindon, Clotilde Pelletier

Rapports de recherche scientifique

L'organisation du travail en équipes semi-autonomes (ESA) vient bouleverser la répartition du pouvoir décisionnel au sein des entreprises. En plus de réaliser le travail, les membres des ESA assument des responsabilités qui sont dévolues aux contremaîtres ou superviseurs de premier niveau dans les organisations traditionnelles. Ce changement de rôle fait en sorte que les ESA deviennent un nouvel acteur dans la gestion de la santé et de la sécurité du travail des établissements. L'arrivée de ce nouvel acteur implique une répartition des responsabilités qui reste à être inventée dans les milieux visés puisque le rôle des ESA n'a évidemment pas …

Components And Organizational Determinants Of Workplace Interventions Designed To Facilitate Early Return To Work, Raymond Baril, Diane Berthelette

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

Les Accidents De Travail En Forêt : Analyse De Scénarios D'Accidents Survenus Entre Le 1er Juin 1997 Et Le 31 Mai 1998 : Résumé, François Hébert, Esther Cloutier, Michèle Gervais, Denise Granger, Micheline Lévy, Paul Massicotte

Rapports de recherche scientifique

No abstract provided.

Les Accidents De Travail En Forêt : Analyse De Scénarios D'Accidents Survenus Entre Le 1Er Juin 1997 Et Le 31 Mai 1998, François Hébert, Esther Cloutier, Michèle Gervais, Denise Granger, Micheline Lévy, Paul Massicotte

Rapports de recherche scientifique

No abstract provided.

Analyse Comparative Des Principales Méthodes D'Évaluation Des Risques De Maux De Dos Et Préparation D'Une Grille D'Identification Des Facteurs De Risques, Robert Gilbert, Daniel Leblanc, Sylvie Nadeau

Rapports de recherche scientifique

L'objectif premier de cette recherche est de revoir, de façon critique et rigoureuse, la problématique des maux de dos et ses fondements. Pour ce faire, nous avons d'abord construit une grille d'analyse s'appuyant sur:

Il est évident que la cause immédiate (au sens des arbres de défaillances) des lésions au dos est l'effort, en principe répété ou non. C'est en ce sens que nous avons analysé les divers mécanismes lésionnels concernant les diverses structures du dos.

De ces analyses, la question fondamentale qui …

Élaboration D'Une Stratégie D'Échantillonnage Et D'Analyse Pour Les Principaux Procédés Produisant Ou Utilisant Des Dérivés Du Chrome Hexavalent, Notamment Les Chromates, Au Québec, Pierre Larivière, Claude Ostiguy, Guy Perrault, Marc-André Lavoie

Rapports de recherche scientifique

Ce travail vise à proposer différentes stratégies d’échantillonnage pour les principaux procédés produisant et utilisant des chromates au Québec. Elle vise de plus à classifier les différents produits du chrome hexavalent en fonction de leur solubilité ou de leur insolubilité afin de faciliter l’application du règlement.

Les Composantes Et Les Déterminants Organisationnels Des Interventions De Maintien Du Lien D'Emploi En Entreprises, Raymond Baril, Diane Berthelette

Rapports de recherche scientifique

Click here for the English version of this report