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The Determinants Of Post-Discharge Healthcare Utilization And Outcomes For Veterans With Posttraumatic Stress Disorder: A Social Ecological Perspective, Shyuemeng Luu

Theses and Dissertations

Posttraumatic stress disorder (PTSD) has a persistent nature: PTSD troubles patients

even decades after the occurrence of traumatic events. The “health behavioral model” is

adopted to examine the effects of external environmental, predisposing, enabling, and

need for care factors on the use of VA post-discharge ambulatory care and readmissions.

Data were obtained from the Patient Treatment File (PTF) and the Outpatient Care File

(OPT), the Area Resource File (ARF), American Hospital Association data sets (AHA), and the Uniform Crime Report (UCR).

The use of VA post-discharge ambulatory care is analyzed by using structural equation modeling (SEM). The readmission to VAMCs …

Predictors Of Condom Use Self-Efficacy And Perceptions Of Responsibilities Of Safer Sex Behaviors Among College Students, Lucy Ann Quatrella

Seton Hall University Dissertations and Theses (ETDs)

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Natural Antibodies To Adrenal Hormones And Apolipoprotein E In Cardiovascular Physiology, Shabana Aafaqi

Student Works (2000-2009)

Natural autoantibodies (NAA} are autoantibodies that are present in the sera of healthy individuals. NAA can belong to the lgA, lgG and lgM isotypcs. They exhibit high degrees of polyreactivity and connectivity but low affinity to self antigens. The main function of NAA in healthy people is probably 10 clear the catabolic waste and ageing cells. In this study, an indirect Enzyme-linked lmmunosorbent Assay (ELISA) method was used to detect NAA against hormones, namely adreno-co11ical (hydrocortisone, aldostcrone, androstcncdionc), adrcno-medullary (adrenaline. noradrenaline) and other related steroid hormones (progesterone, testosterone, P-cstradiol). In eleven normal human serum (NHS), lgG anti-cortisol were delcctcd in …

Tahap Kandungan Raksa Di Dalam Darah Kakitangan Pergigian, Wan Mohd Azhar Wan Ibrahim

Student Works (2000-2009)

Bahan tampalan amalgam pergigian yang digunakan oleh doktor pergigian untuk rawatan tampalan gigi mengandungi raksa. Kadar kandungan raksa adalah berbeza-beza dari satu produk ke produk yang lain. Pernbebasan raksa semasa rawatan tampalan boleh berlaku. Wap raksa yang bebas itu berkumpul dan boleh terperangkap di dalam dewan clan bilik surgeri pergigian. Wap raksa ini kemudian boleh memasuki ke dalam badan manusia melalui pernafasan dan berkumpul di dalam darah. Kadar kandungan raksa yang melebihi piawai yang di tetapkan akan rnembahayakan kesihatan. Oleh yang demikian penyelidikan ini dijalankan untuk mengkaji tahap kandungan raksa di dalam darah kakitangan pergigian dan faktor-faktor yang menyebabkan wap …

University Baccalaureate Curriculum Analysis For Safety And Health In The United States Of America (Usa) Toward A Model University Baccalaureate Curriculum, Margie L. Kolbe-Mims

Theses: Doctorates and Masters

The goal of this research was to determine a model safety and health baccalaureate curriculum. A secondary target was to ascertain if safety and health practitioners and safety and health educators would concur on course offerings. To simplify this study effort, a search of literature was conducted on the Occupational Safety and Health field. There were no in-depth studies of this type for such a general population; therefore no instrument was available for this study. The perusal of literature indicated that most such studies had been conducted using a more specific target group of subjects. That is, faculties or former …

Social Identity And Substance Abuse In The Lesbian Community, Molly Kerby

Masters Theses & Specialist Projects

The purpose of this study was to determine the degree of substance use (alcohol, tobacco, and other drugs) among members of the lesbian community. Additionally, the investigator attempted to determine if there was a relationship between negative social identity and low selfesteem that is reflected in higher rates of substance abuse. The data collection method employed in this study was a type of nonprobability sampling procedure referred to as a purposive sample. The questionnaire was derived from instruments used by other researchers and validated by an expert panel. In order to select respondents from the lesbian population to be included …

The Utilization Of Outpatient Laboratory Resources At Ireland Army Community Hospital After Implementation Of Tricare, Susan Seeley

Masters Theses & Specialist Projects

The purpose of this study was to compare out patient laboratory utilization patterns of active duty and retired military personnel and their dependents before and after the implementation of TRICARE. A stratified random sample was taken of patient test results over a two year period resulting in a sample size of 104 observations. The Complete Blood Count (CBC) results were used as indicators for the study. Data was gathered on the patient's rank, active duty/retiree status, age, dependent status, and gender. Additionally, the total number of tests were recorded for the year prior to the introduction of TRICARE and after …

Évaluation De Matériaux Utilisés Pour La Fabrication De Gants De Pompier, Martin Filteau, Yun Shao

Rapports de recherche scientifique

No abstract provided.

La Santé Et La Sécurité Du Travail Dans Les Supermarchés : L'Analyse Des Lésions Professionnelles Et Un Regard Sur L'Organisation Du Travail : 2e Rapport, Lina Forcier, Claire Lapointe, Jacques Lemaire, Ilkka Kuorinka, Monique Lortie, Peter Buckle

Rapports de recherche scientifique

No abstract provided.

La Santé Et La Sécurité Du Travail Dans Les Supermarchés : La Santé Musculo-Squelettique Des Travailleurs : 4e Rapport, Lina Forcier, Claire Lapointe, Jacques Lemaire, Ilkka Kuorinka, Monique Lortie, Peter Buckle, Sylvie Beaugrand

Rapports de recherche scientifique

No abstract provided.

La Santé Et La Sécurité Du Travail Dans Les Supermarchés : Résumé, Lina Forcier, Sylvie Beaugrand, Claire Lapointe, Monique Lortie, Jacques Lemaire, Ilkka Kuorinka, Peter Buckle, Jean-Guy Richard

Rapports de recherche scientifique

No abstract provided.

Un Regard Sur Les Supermarchés Corporatifs Dans Le But D'Y Examiner La Santé Et La Sécurité Du Travail, Lina Forcier, Claire Lapointe, Jacques Lemaire, Ilkka Kuorinka, Monique Lortie, Peter Buckle, Sylvie Beaugrand, Jean-Guy Richard

Rapports de recherche scientifique

No abstract provided.

La Santé Et La Sécurité Du Travail Dans Les Supermarchés : Intégration Des Résultats Et Pistes Possibles Pour La Prévention : 6e Rapport, Lina Forcier, Sylvie Beaugrand, Claire Lapointe, Monique Lortie, Ilkka Kuorinka, Peter Buckle, Jean-Guy Richard

Rapports de recherche scientifique

No abstract provided.

La Santé Et La Sécurité Du Travail Dans Les Supermarchés : L'Analyse Du Travail : 3e Rapport, Sylvie Beaugrand, Lina Forcier, Jean-Guy Richard, Monique Lortie, Ilkka Kuorinka, Peter Buckle, Jacques Lemaire

Rapports de recherche scientifique

No abstract provided.

Conception D'Un Étançonnement Adapté Aux Excavations En Milieu Urbain : Phase 2, André Lan, Jean Arteau, Martin Tremblay, Serge Gamelin, Denis Leboeuf, Omar Chaallal, Jean-Marc Dugré

Rapports de recherche scientifique

No abstract provided.

Northwest Tribal Registry--Seattle Indian Health Board Record Linkage Project., J. Bettles, D. Robertson, F.C. Romero, T. Becker, P. Stehr-Green

Native Health Database Full Text

In the last ten years several reports using a variety of health data sets have shown a high proportion of racial misclassification for Northwest American Indians and Alaskan Natives (AI/ANs). The result of this has been an underestimation of the burden of various diseases among Northwest AI/ANs. To address health issues related to misclassification, the Northwest Tribal Epidemiology Center has developed the Northwest Tribal Registry (NTR), which contains a demographic data set of 135,060 Northwest AI/ANs, and which can be used for record linkage studies to ascertain accurate disease rates for Northwest AI/ANs.

Medicare Competitive Pricing: Lessons Being Learned In Phoenix And Kansas City, Nora Super

National Health Policy Forum

Written as policymakers scrutinized two Medicare competitive bidding demonstration projects set to take place in Phoenix and Kansas City, this issue brief analyzes two demonstration projects designed to test whether Medicare could pay health plans in a competitive manner. The brief reviews decisions made by the Competitive Pricing Advisory Commission (CPAC), including design considerations such as plan eligibility and participation, the standard benefit package, the bidding process, and the government contribution to premiums. It also looks at the reasons for opposition to the project and the relationship of this demonstration to broader efforts to reform the Medicare program.

Intercomparison Of Retrospective Radon Detectors, R. William Field, Daniel J. Steck, Mary Ann Parkhurst, Judy A. Mahaffey, Michael C.R. Alavanja

Physics Faculty Publications

We performed both a laboratory and a field intercomparison of two novel glass-based retrospective radon detectors previously used in major radon case-control studies performed in Missouri and Iowa. The new detectors estimate retrospective residential radon exposure from the accumulation of a long-lived radon decay product, ²¹⁰Pb, in glass. The detectors use track registration material in direct contact with glass surfaces to measure the α-emission of a ²¹⁰Pb-decay product, ²¹⁰Po. The detector's track density generation rate (tracks per square centimeter per hour) is proportional to the surface α-activity. In the absence of other strong sources of α-emission in …

The Public Stake In Biomedical Research: A Policy Perspective, Karen Matherlee

National Health Policy Forum

An introduction to a Forum series on biomedical research policy issues, this paper provides background on the organization and structure of both public and private research entities. It outlines the federal components, from the National Institutes of Health (NIH) to the Department of Veterans Affairs. It also looks at the rapid growth in pharmaceutical, biotechnology, and medical device research and development and the varying responses from managed care plans, practice-based research networks, and contract research organizations. After laying out various tensions in the field, such as competition among disease-oriented advocates, alignment of different priorities, allocation of dollars between basic and …

Tracking Of Physical Activity, Physical Inactivity, And Health-Related Physical Fitness In Rural Youth, Russell R. Pate, Stewart G. Trost, Marsha Dowda, Alise E. Ott, Dianne S. Ward, Ruth P. Saunders, Gwen A. Felton

Faculty Publications

This study examined the tracking of selected measures of physical activity, inactivity, and fitness in a cohort of rural youth. Students (N=181, 54.7% female, 63.5% African American) completed test batteries during their fifth- (age=10.7±0.7 years), sixth-, and seventh-grade years. The Previous Day Physical Activity Recall (PDPAR) was used to assess 30-min blocks of vigorous physical activity (VPA), moderate-to-vigorous physical activity (MVPA), TV watching and other sedentary activities, and estimated energy expenditure (EE). Fitness measures included the PWC 170 cycle ergometer test, strength tests, triceps skinfold thickness, and BMI. Intraclass correlation coefficients (ICCs) for VPA, MVPA, and after-school EE …

Validity Of The Previous Day Physical Activity Recall (Pdpar) In Fifth-Grade Children, Stewart G. Trost, Dianne S. Ward, Ben Mcgraw, Russell R. Pate

Faculty Publications

This study evaluated the validity of the Previous Day Physical Activity Recall (PDPAR) self-report instrument in quantifying after-school physical activity behavior in fifth-grade children. Thirty-eight fifth-grade students (mean age, 10.8 ± 0.1; 52.6%; female; 26.3% African American) from two urban elementary schools completed the PDPAR after wearing a CSA WAM 7164 accelerometer for a day. The mean within-subject correlation between self-reported MET level and total counts for each 30-min block was 0.57 (95% C.I., 0.51-0.62). Self-reported mean MET level during the after-school period and the number of 30-min blocks with activity rated at > 6 METs were significantly correlated with the …

La Sélection Et Le Développement De Gants De Protection Contre Les Lacérations Dans Le Secteur De La Fabrication Des Produits En Métal, Chantal Tellier, Jaime Lara, Renaud Daigle

Rapports de recherche scientifique

No abstract provided.

Bilan Des Analyses Environnementales Réalisées En Laboratoire : Portrait De La Situation Pour La Période 1994-1996, Claude Ostiguy, Pierre Larivière, Alain Lajoie

Rapports de recherche scientifique

No abstract provided.

Recherche De Facteurs De Comparaison Entre Les Systèmes D'Échantillonnage De Poussières Inhalables Et De Poussières Totales, Guy Perrault, Daniel Drolet, Zélie Fortin, Yves Cloutier

Rapports de recherche scientifique

No abstract provided.

Évaluation D'Un Dispositif De Captage À La Source Pour La Fabrication De Petites Pièces En Plastique Renforcé, Louis Lazure

Rapports de recherche scientifique

No abstract provided.

The Abcs Of Pbms, Robin J. Strongin

National Health Policy Forum

This issue brief describes the evolution of the pharmacy benefit manager (PBM) industry since the late 1960s and outlines current business practices in the areas of payment, services, drug formularies, and rebates. Tools of the trade, such as cost-sharing and generic substitution, used to control costs and improve quality are also discussed.

Update: West Nile Virus Encephalitis — New York, 1999, Centers For Disease Control And Prevention, Denis Nash

Publications and Research

The West Nile virus (WNV) encephalitis outbreak continues to wane in the Northeast with the onset of cooler temperatures and continued vector-control operations. This report updates the progress of the ongoing investigation. Since the last published update (1), five additional domestic human cases and one international case have been identified. As of October 19, 56 (31 confirmed and 25 probable) cases of WNV infection have been identified, including seven deaths (Figure 1). The date of onset of the latest cases was September 22. The international case was a Canadian citizen who had visited the New York City (NYC) area in …

Chip And Medicaid Outreach And Enrollment: A Hands-On Look At Marketing And Applications, Judith D. Moore

National Health Policy Forum

The State Children's Health Insurance Program (SCHIP or CHIP), enacted as part of the Balanced Budget Act (BBA) in 1997, has enrolled eligible low-income children in innovative ways and tackled a variety of challenges to make sure that families know about the new program. This issue brief describes the outreach, application, and enrollment process for both SCHIP and Medicaid, analyzing the difficulty in simplifying applications, and noting problems that states must solve around systems design, immigration issues, and the stigma sometimes associated with government programs.

Update: West Nile-Like Viral Encephalitis — New York, 1999, Centers For Disease Control And Prevention, Denis Nash

Publications and Research

The outbreak of human arboviral encephalitis attributable to a mosquito-transmitted West Nile-like virus (WNLV) continues to wane in the Northeast (Figure 1). As of October 5, the number of laboratory-positive cases had increased to 50 (27 confirmed and 23 probable), including five deaths. The increase in cases is mainly a result of completed retesting with West Nile virus antigen of specimens previously tested with the related St. Louis encephalitis virus antigen and to intensive retrospective case finding in the ongoing epidemiologic investigations (1,2).

Site Visit To Baltimore And Fort Detrick, Maryland — Preparing For A Bioterrorist Incident: Linking The Public Health And Medical Communities, Robin J. Strongin

National Health Policy Forum

As follow-up to the NHPF's February 1999 session entitled "Biological Terrorism: Is the Health Care Community Prepared?" the Forum organized a site visit on October 4 and 5, 1999, to Baltimore and Fort Detrick, Maryland. The site visit provided federal congressional and agency staff with the opportunity to learn first-hand how one local area is preparing for the possibility of a bioterrorist incident. Several themes were stressed throughout the two days, including the following: distinguishing bioterrorism from chemical terrorism, understanding the relationships between various agencies and institutions and their related funding streams, determining how the federal government can …