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2011

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Full-Text Articles in Medicine and Health Sciences

Current Research Projects Of The Public Health Pbrn Program, Glen P. Mays Dec 2011

Current Research Projects Of The Public Health Pbrn Program, Glen P. Mays

Glen Mays

The Robert Wood Johnson Foundation’s Public Health Practice-Based Research Networks Program supports research on the organization, financing, and delivery of public health services using the infrastructure of practice-based networks (PBRNs). A Public Health PBRN brings multiple public health agencies into collaboration with an academic research partner to design and conduct studies in real-world practice settings. The program supports research through several different mechanisms, including (1) large-scale Research Implementation Awards (RIAs) conducted by established networks; (2) Quick-Strike Research Fund (QSRF) awards that support short-term, time-sensitive studies on emerging issues; and (3) supplemental Research Acceleration and Capacity Expansion (RACE) awards designed to …


Alternative Medical Care And Livelihood In Latin America = 拉丁美洲另類醫療與人民生計實踐, Aleida Guevara Dec 2011

Alternative Medical Care And Livelihood In Latin America = 拉丁美洲另類醫療與人民生計實踐, Aleida Guevara

South South Forum 南南論壇

No abstract provided.


Driving Qi With Research: Findings From Public Health Pbrns, Glen P. Mays Dec 2011

Driving Qi With Research: Findings From Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.


Driving Qi With Research: Findings From Public Health Pbrns, Glen Mays Dec 2011

Driving Qi With Research: Findings From Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.


Overview Of The Public Health Pbrn Program, Glen Mays Dec 2011

Overview Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Public Health Practice-Based Research Networks Program is a national program of the Robert Wood Johnson Foundation that supports the development of research networks for studying the comparative effectiveness, efficiency and equity of public health strategies deployed in real-world practice settings. A practice-based research network (PBRN) brings multiple public health agencies together with research partners to design and implement studies of population-based strategies that prevent disease and injury and promote health. Participating practitioners and researchers collaborate to identify pressing research questions of interest, design rigorous and relevant studies, execute research effectively, and translate findings rapidly into practice. As such, PBRNs …


Empathy-Based Conservation: An Interdisciplinary Approach To Conservation Policy And Decision-Making, Kaitlyn Delashmutt Dec 2011

Empathy-Based Conservation: An Interdisciplinary Approach To Conservation Policy And Decision-Making, Kaitlyn Delashmutt

Department of Environmental Studies: Undergraduate Student Theses

In the late 20th century, neuroscientists in Italy discovered a neuron in the brain capable of mentally mimicking the emotions derived from the actions of others (Rizzolatti and Craighero, 2004). It is the process that makes your elbow ache when someone else knocks their elbow on the counter or the uncontrollable smile that creeps up when someone smiles at you. No questions asked, people intuitively sense what others are feeling. The old school of thought was that humans deduced through logic and reason the actions of others and interpreted the emotions through a rational process (Carew et al, 2008). …


The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen Mays Nov 2011

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen Mays

Glen Mays

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.


The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen P. Mays Nov 2011

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen P. Mays

Health Management and Policy Presentations

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.


Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen Mays Nov 2011

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen Mays

Glen Mays

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.


Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen P. Mays Nov 2011

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen P. Mays

Health Management and Policy Presentations

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.


Disparities Research In Public Health Pbrns, Glen P. Mays Nov 2011

Disparities Research In Public Health Pbrns, Glen P. Mays

Health Management and Policy Presentations

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.


Disparities Research In Public Health Pbrns, Glen Mays Nov 2011

Disparities Research In Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.


Leading Improvement Through Inquiry: Practice-Based Research Networks In Public Health, Glen Mays Nov 2011

Leading Improvement Through Inquiry: Practice-Based Research Networks In Public Health, Glen Mays

Glen Mays

The field of public health has surged in public visibility and attention in recent years due to its potential to mitigate leading risks to human health and wellbeing. Advances in prevention research provide an expanding toolbox of programs, policies, and interventions to reduce health risks. As these advances occur, uncertainties loom large regarding how best to deliver efficacious public health strategies to the populations at greatest risk. The nation's local, state, and federal public health agencies—together with their peers and partners in the private and public sectors—represent a vast yet diffuse delivery system of actors charged, to greater or lesser …


Community-University Research Partnerships For Workers' And Environmental Health In Campinas Brazil, Maria Inês Monteiro, Carlos Eduardo Siqueira, Heleno Rodrigues Correa-Filho Nov 2011

Community-University Research Partnerships For Workers' And Environmental Health In Campinas Brazil, Maria Inês Monteiro, Carlos Eduardo Siqueira, Heleno Rodrigues Correa-Filho

C. Eduardo Siqueira

Three partnerships between the University of Campinas, community, and pubLic health care services are discussed in this article. A theoretical framework underpins the critical reviews of their accomplishments following criteria proposed by scholars of community-university partnerships and community-based participatory research. The article concludes that despite the significant achievements, there still remain important barriers for their development due to performance criteria that do not value research that partner with communities, health care services, or labor unions.


Using Pbrn Research To Inform Policy And Practice, Glen Mays Oct 2011

Using Pbrn Research To Inform Policy And Practice, Glen Mays

Glen Mays

This brief provides examples of how findings from RWJF-supported research projects underway through the public health PBRNs and the larger field of PHSSR are being used to inform public health practice and policy.


Public Health Pbrn Network Analysis Survey Instrument, Glen Mays Oct 2011

Public Health Pbrn Network Analysis Survey Instrument, Glen Mays

Glen Mays

This survey instrument was used to collect data on research activities patterns of interaction within public health practice-based research networks (PBRNs).


Poor Women With Sexually Transmitted Infections: Providers’ Perspectives On Diagnoses, Genevieve R. Cox Oct 2011

Poor Women With Sexually Transmitted Infections: Providers’ Perspectives On Diagnoses, Genevieve R. Cox

Sociology

This article presents results from a study of health care providers, mainly nurses and nurse practitioners, who routinely diagnose sexually transmitted diseases (STDs) in rural low-income populations in West Virginia (WV). A qualitative analysis of eighteen semi-structured interviews reveals that providers who consistently work with low-income populations believe patients undergo a negative change in self-image in response to a chronic STD diagnosis. Providers express concerns about a number of issues related to low-income, rural women’s access to sexual health care and see the need for more sexuality education, more funding for free and reduced cost clinics, and more available health …


Health & Wellness In The Business Context, Michael T. Childress Oct 2011

Health & Wellness In The Business Context, Michael T. Childress

Issue Brief on Topics Affecting Kentucky’s Economy

No abstract provided.


Economic Empowerment And Hiv Prevention Among Young Women And Girls In Kenya: Lessons From The Study Of Economic Empowerment Programs, Samantha Van Putten Oct 2011

Economic Empowerment And Hiv Prevention Among Young Women And Girls In Kenya: Lessons From The Study Of Economic Empowerment Programs, Samantha Van Putten

Independent Study Project (ISP) Collection

One of the major issues facing Kenya is HIV/AIDS. With recognition by the global community that providing women with economic opportunities can help both those who are HIV positive, as well as in prevention for those who are not infected, programs combining microfinance and HIV education have started to emerge. While women in these programs 3 3 have shown preliminary signs of success, young girls did not respond as well in part due to lack of interest in the particular programs themselves. As such, this study examines two economic empowerment programs for girls and young mothers at the non-governmental organization …


Infectious Disease As A Security Threat, With Particular Application To The Migration Context, Marielena Faria Oct 2011

Infectious Disease As A Security Threat, With Particular Application To The Migration Context, Marielena Faria

Independent Study Project (ISP) Collection

This paper analyzes the threat infectious diseases impose on global security, specifically in the migration context. Infectious diseases can threaten security through a variety of areas, and this paper aims to identify the global spread of infectious diseases through migration, international crises, humanitarian emergencies, HIV/AIDS, and emerging and re-emerging infectious diseases. This paper explores global health, security, and migration in an attempt to determine if combining these three areas can be meaningful. Generally, studies approach only two of the three areas to examine a topic, but this paper will assess and point out when combining all three fields is relevant. …


Building A Sustainable Pbrn: Securing Ongoing Funding, Glen Mays Sep 2011

Building A Sustainable Pbrn: Securing Ongoing Funding, Glen Mays

Glen Mays

Practice-based research networks require a diversified mix of funding to sustain their activities in research production and translation.


Holding My Breath: The Experience Of Being Sikh After 9/11, Muninder Kaur Ahluwalia Sep 2011

Holding My Breath: The Experience Of Being Sikh After 9/11, Muninder Kaur Ahluwalia

Department of Counseling Scholarship and Creative Works

This article is based on the author’s experiences after the 9/11 terrorist attacks in New York City and the impact of the attacks on her life as a New Yorker, an academic, and a member of a Sikh family and community. To position the author’s narrative, her reflection integrates race-based traumatic stress (Carter, 2007), a model suggesting that individuals who are targets of racism experience harm or injury. The author outlines lessons learned that affect her both personally and professionally, including (a) Paralysis can happen but advocacy and allies are healing, (b) Trauma changes the work, and (c) …


Hiv And Concurrent Sexual Partnerships: Modelling The Role Of Coital Dilution, Larry Sawers, Alan G. Isaac, Eileen Stillwaggon Sep 2011

Hiv And Concurrent Sexual Partnerships: Modelling The Role Of Coital Dilution, Larry Sawers, Alan G. Isaac, Eileen Stillwaggon

Economics Faculty Publications

Background: The concurrency hypothesis asserts that high prevalence of overlapping sexual partnerships explains extraordinarily high HIV levels in sub-Saharan Africa. Earlier simulation models show that the network effect of concurrency can increase HIV incidence, but those models do not account for the coital dilution effect (nonprimary partnerships have lower coital frequency than primary partnerships).

Methods: We modify the model of Eaton et al (AIDS and Behavior, September 2010) to incorporate coital dilution by assigning lower coital frequencies to non-primary partnerships. We parameterize coital dilution based on the empirical work of Morris et al (PLoS ONE, December …


The Effect Of Education On Health: Cross-Country Evidence, Raquel Fonseca, Yuhui Zheng Aug 2011

The Effect Of Education On Health: Cross-Country Evidence, Raquel Fonseca, Yuhui Zheng

Yuhui Zheng

This paper sheds light on the causal relationship between education and health outcomes. It combines three surveys (SHARE, HRS and ELSA) that include nationally representative samples of people aged 50 and over from thirteen OECD countries. It uses variation in the timing of educational reforms across these countries as an instrument for education. Using IV-Probit models, it finds causal evidence that more years of education lead to a lower probability of reporting poor health and lower prevalence for diabetes and hypertension. These effects are larger than those from the Probit, that do not control for the endogeneity of education. The …


Why The Master? Human Capital Development For Practicing U.S. Cycling Coaches, Daniel Larson, Joel Maxcy Aug 2011

Why The Master? Human Capital Development For Practicing U.S. Cycling Coaches, Daniel Larson, Joel Maxcy

Faculty and Research Publications

The economic structure of the industry of cycling coaches has yet to be the subject of any apparent published inquiry. This study describes the basic characteristics of practicing cycling coaches and presents economic models of the determinants of commercial success for individual coaches. Data were collected through an independent survey of current and former U.S.A. Cycling (USAC) coaches in 2010 (N = 386). Results of ordinary least squares and negative-binomial regression models suggest that coaching and competitive experience are associated with larger clienteles, but formal human capital investments do not generally add to a coach's ability to garner more clients. …


5m3 Interview On "Estratégias Para A Televisão Digital Terrestre", Nicola Matteucci Jun 2011

5m3 Interview On "Estratégias Para A Televisão Digital Terrestre", Nicola Matteucci

Nicola Matteucci

O 5M3 lançou três questões autor, no sentido de actualizar o artigo e obter uma visão a posteriori sobre o seu conteúdo. O resultado é o Anexo a este 5M3, no qual mantivemos os comentários no seu detalhe e na língua em que o autor as escreveu. O 5M3 quis saber se o processo de transição para a TDT tem sido demasiado tecnocrático: e o lado dos consumidores? Matteucci concorda. O debate terá sido muito pautado por um enfoque na questão da “convergência tecnológica” em prejuízo de uma maior atenção ao lado da procura. O 5M3 lançou também uma questão …


A Tale Of Two Cities? The Heterogeneous Impact Of Medicaid Managed Care In Kentucky, James Marton, Aaron Yelowitz, Jeffery C. Talbert Jun 2011

A Tale Of Two Cities? The Heterogeneous Impact Of Medicaid Managed Care In Kentucky, James Marton, Aaron Yelowitz, Jeffery C. Talbert

University of Kentucky Center for Poverty Research Discussion Paper Series

Does managed care produce lower health care utilization and costs through better aligned financial incentives and alternative delivery methods (the “pure” HMO effect) or by attracting more healthy enrollees (enrollee selection)? The purpose of this paper is to shed new light on this fundamental question using a quasi-experimental approach that exploits the timing and county specific implementation of Medicaid managed care plans in two distinct sub-sets of Kentucky counties in the late 1990s. We find large differences in the relative success of each region in reducing utilization that are likely driven by important differences in plan design. Asthmatic children enrolled …


Do Medical Technology And Healthcare Spending Affect Health Outcomes?, Chandni V. Vaid Jun 2011

Do Medical Technology And Healthcare Spending Affect Health Outcomes?, Chandni V. Vaid

Honors Theses

Healthcare expenditures have been on the rise for many countries, especially for the developed countries. As of 2009, Japan, Australia and Canada are spending around 8 to 10% of their total GDP on healthcare, while the United States is currently up to 16%. One of the major factors contributing to increased expenditures on healthcare is the emergence of medical technology. Using data from the Organization for Economic Co-operation and Development (OECD), I empirically investigate the effects of medical technologies and healthcare expenditure on health outcomes for a group of 17 countries. Medical technology is measured by the number of MRI …


Regional Variation In The Length Of Hospital Stay And Insurance Coverage: A State-Wide Variation In Length Of Stay And Insurance Types, Samuel S. Yoon Jun 2011

Regional Variation In The Length Of Hospital Stay And Insurance Coverage: A State-Wide Variation In Length Of Stay And Insurance Types, Samuel S. Yoon

Honors Theses

With the continuously growing healthcare expenditure, it is important to examine the causes of this phenomenon. Length of hospital stay is one possible cause. Using the panel data from 2001 – 2008 Healthcare Cost and Utilization Project, Statehealthfacts.org, Center for Disease Control and Prevention Behavioral Risk Factor Surveillance System, Almanac of Hospital Financial & Operating Indicators 2007, and Current Population Survey March Supplements, this paper utilizes regression analysis to investigate geographic variation on the length of stay, focusing on the relationship between the different insurance types and the length of stay. As a variety of insurance types offers different reimbursement …


Food Prices And The Dynamics Of Body Weight, Dana P. Goldman, Darius N. Lakdawalla, Yuhui Zheng Apr 2011

Food Prices And The Dynamics Of Body Weight, Dana P. Goldman, Darius N. Lakdawalla, Yuhui Zheng

Yuhui Zheng

No abstract provided.