Medicine and Health Sciences Commons^™

The Nuclear Contamination Of Kazakhstan, Rebecca Marie Matter

Graduate Program in International Studies Theses & Dissertations

This thesis studies the radioactive contamination of Kazakhstan's environment, concentrating on the period between February 1989 and January 1993. For each type of nuclear degradation in Kazakhstan the thesis asks the questions: what is its cause and extent, what are its consequences for humans, and what are the human responses. The main causes of Kazakhstan's nuclear devastation are atomic weapons' tests, uranium mining, manufacturing of uranium fuel, and the operation of a fast breeder reactor power generator unit. The amount of radioactive contamination is colossal. The consequences for the health of the population, especially at Semey, are severe. The human …

Pain And Hospital Patients Perception Of Quality, Kathy L. Beck

Theses and Dissertations (ETD)

Each year pain disables approximately 50 million Americans. These patients seekhealth care for the relief of pain and its underlying cause. Many of those seeking relief from pain are hospitalized and others experience pain during their hospitalization. All of these patients have the right to relief of their pain and none should suffer pain needlessly. Yet, often nurses fail to accurately assess and adequately manage patients' pain.

Adequate pain management may increase patient perception of nursing care quality. The purpose of this study is to determine the relationships between pain relief and patients' and nurses' perceptions of quality. The relationship …

The Degree Of Exposure To Anesthetic Nitrous Oxide Waste Gas In The Operating Room During Various Surgical Procedures, Kathryn Ann Longworth

Community & Environmental Health Theses & Dissertations

Halsey (1991) summarized the underlying reasons for continuing concern about the problem of waste anesthetic gases. Careful and systematic monitoring studies indicate that individual trends in anesthetic pollution levels are not as low as was confidently predicted 10 years ago, when scavenging devices became commonplace. Second, there are now clear legal requirements for assessment of the situation. It is estimated that each year more than 200,000 health professionals are occupationally at risk of illness as a consequence of chronic exposure to low doses of waste anesthetic gases (Rogers, 1986).

These contaminants are suspected pf being ~eratogenic, carcinogenic, mutagenic, and embryo-lethal. …

A Comparison Of Four Muscle Relaxant Techniques And Their Incidence Of Postoperative Myalgia In Ambulatory Patients, William James Garske Jr.

Community & Environmental Health Theses & Dissertations

Postoperative myalgia was measured 24 and 72 hours following the administration of four different anesthetic regimens to 36 patients undergoing outpatient or 23-hour admission procedures. Each patient, ASA class I or II, was to undergo procedures of limited duration, 30 to 90 minutes, and surgical stimulation, including procedures such as knee arthroscopy, hernia repair, and breast biopsy. Anesthesia was induced with propofol 1.5 mg/kg, fentanyl 50 mcg, and maintained with O₂ , N₂O, and isoflurane. Group I (n=20), the control, received no muscle relaxant and was maintained with mask ventilation. Group II (n=5) received succinylcholine 1.5 mg/kg …

Validation Of A Bag Sampling Method For 1,3-Butadiene, Lori Eckenrode

Community & Environmental Health Theses & Dissertations

At this time there is no NIOSH approved means for bag sampling 1,3-butadiene. An attempt was made to use the application of cold (0°F) to inhibit the reactivity of the gas prior to analysis. The State of California Air Resources Board has an approved method for the gas chromatographic analysis of 1,3-butadiene from stationary sources. The method was utilized in the application of industrial hygiene monitoring of affected workers. The application of cold was found to be ineffective at inhibiting the highly reactive nature of 1,3-butadiene. Analyte losses were too great to classify the method as an accurate measure of …

Analysis And Evaluation Of The Workplace Exposure Assessment Workbook Developed By Keith Tait Including Some Recommended Revisions, Lisa Hebberd

UNLV Theses, Dissertations, Professional Papers, and Capstones

Some risk due to the contamination of workplace environments is an inevitable part of human lives. These risks can often be reduced by improving the control of environmental pollution in the workplace. An extremely important challenge for any industry is to develop a mechanism to identify acceptable levels of safety, or "acceptable risk" in the workplace for specific situations, and to assure adequate quality control over measured or calculated exposure concentrations and their possible contributions to adverse health effects.

The Effect Of The Cooper Wellness Program In Promoting Long- Term Lifestyle Behavior Changes, Ernesto P. S. Medina Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

Most research on health behavior change programs examines their effectiveness in producing initial behavior changes, but fails to evaluate long-term maintenance of those changes. This study examined the effectiveness of the Cooper Wellness Program (CWP) in Dallas, Texas, in promoting maintenance of lifestyle behavior changes for one year or longer in the areas of diet, exercise, and stress management.

The CWP offers an intensive live-in lifestyle behavior modification program in four-, seven-, or 13-day formats. Data were collected from 223 individuals who attended the CWP between January, 1989, to February, 1992. The study addressed the following areas: 1) long-term maintenance …

A Cipp Evaluation Of The Administrative Associate Training Program Through Sentara, Patricia A. Criswell

Community & Environmental Health Theses & Dissertations

Hospitals are facing change in today's environment. In order to meet these growing challenges, they are responding by providing value added services. Value added services have been defined as reducing inefficiencies and improving quality and service. Operational restructuring in the form of a new concept called patient-focused care has become the paradigm shift and structural revamping at several hospitals across the nation. Sentara Hospitals have adopted this program to improve the clinical and service quality delivered to the patient. An integral component of this new approach is the multiskilling of staff to reduce duplication, inefficiencies, and improve the quality provided …

Attitudes Of Virginia Dental Hygienists Towards Issues Relevant To The Independent Practice Of Dental Hygiene, Linda Hawkins Mccain

Community & Environmental Health Theses & Dissertations

Adequate studies have not been conducted to assess the attitudes of dental hygienists toward independent practice of dental hygiene. The purpose of this study was to investigate these attitudes. The method of investigation was a survey questionnaire designed by the principle investigator. The research results indicated weak support for the independent practice of dental hygiene. The support for general supervision of hygienists in Virginia and the desire to be allowed to practice in nontraditional settings was stronger. There was reported a very strong opposition to preceptorship in dental hygiene. The majority of Virginia dental hygienists agreed that they were educationally …

Caffeine And Nicotine : A Review Of Their Combined Use, Interactive Effects And The Impact Of Caffeine Abstinence On Tobacco Cessation And Withdrawal, John A. Swanson

Loma Linda University Electronic Theses, Dissertations & Projects

There is good epidemiologic support to suggest a strong significant relationship between coffee consumption and smoking. In six epidemiological studies reviewed and analyzed, 86.4% of smokers consumed coffee versus 77.2% of nonsmokers. Seventeen experimental studies suggest that the phannacologic effect of caffeine in coffee may be partially but not totally responsible for the relationship. The behavioral relationship appears to be supported by conditioning, a reciprocal interaction (caffeine intake increases anxiety/arousal - nicotine decreases it), and combined effects of third variables (e.g., stress, alcohol).

In abstinent smokers, caffeine plasma levels increase, remain elevated for as long as six months and may …

The Impact Of A Primary Health Care Training Program On Morbidity In Kiyeyi, Rural Uganda, 1986-1991 : An Evaluation Of The Uganda-Finland Health Care Program, Marja-Leena Salin

Loma Linda University Electronic Theses, Dissertations & Projects

This study examines the effects of primary health care education efforts in reducing the disease case rates of acute respiratory infections, diarrhoea, malnutrition and measles in a rural Ugandan population between 1986 and 1991.

The intervention, a health education program offered by the Kiyeyi Health Center staff, consisted of a 12-week intensive training for community health workers and traditional birth attendants. Follow-up and supervision took place at regular intervals and continuing education was arranged every other year. Beginning in 1986, this training program was introduced in the first of seven clusters of villages, then expanded successively on an annual basis …

Compliance Documentation For Osha's Bloodborne Pathogen Standard Including Exposure Control Plan And Training, Edward Lloyd Tyerman

Theses

The Occupational Safety and Health Administration's (OSHA) regulation on Bloodborne Pathogens is in full effect since its introduction on December, 1991. This standard mandates that every company whose workers may expect to come into contact with human blood, or other body fluids, during the course of their work develop an Exposure Control Plan, train employees about Bloodborne Pathogens and establish work practice controls. All hospitals, physician and dental offices, ambulance companies, emergency medical technicians, medical laboratories, fire departments, and sites with their own first aid and response teams must comply with the standard.

Bloodborne pathogens include, among others, the human …

Modern Techniques Used To Improve A Hearing Conservation Program In A Power Generating Plant, Eilyn Fabregas

Theses

A noise survey was conducted on the pump floor of a power generating plant, which included measuring noise levels at 261 areas of the floor (6,000 square feet) and the employees' noise doses, or 8-hour time-weighted average (TWAs). The noise levels of the 261 areas were recorded using a Sound Level Meter, and the noise doses (i.e., TWAs) were measured using a noise Dosimeter. It was found that both noise levels and TWAs were higher than the OSHA's permissible exposure limit (PEL) of 90 dBA and the action level of 85 dBA. According to the data gathered, it was determined …

Reducing Health And Safety Risks By Replacing Compressed Air With An Electromechanical System, Joseph Michael Schwed

Theses

The continuous use of compressed air in many applications can often be expensive and very noisy. When compressed air is blowing freely from a nozzle, it can be used in a variety of processes. One of these is checking for the presence of a product inside a box.

In the manufacturing field, a facility has been using compressed air as a quality assurance inspector, to make certain that products are shipped properly. As the products go by on a conveyor, two employees must insert them into a carton as it is transferred to another conveyor. If an employee does not …

Laboratory Health And Safety Compliance Guide For Private Colleges And Universities, Gina Marie Ochs

Theses

Academic laboratories are presented with the unique challenge of ensuring the health and safety of all people involved in daily activities. The Occupational Safety and Health Administration (OSHA) recently enacted the regulation 29 CFR 1910.1450, "Occupational Exposure to Hazardous Chemicals in Laboratories," which applies to all private employers (including colleges and universities). In this work, a guide is developed to assist private colleges and universities comply with applicable governmental regulations and to ensure the health and safety of all individuals involved with laboratory activities.

Academic laboratories warrant special consideration because of the nature of experimentation (variation in research and classroom …

Diet And Colon Cancer Risk In The Population Of Thailand, Nithat Sirichotiratana

Loma Linda University Electronic Theses, Dissertations & Projects

Epidemiological studies have emphasized environmental influences, especially a diet high in animal fat and low in fiber, as major risk factors for colon cancer. In order to examine the relationship between dietary fat and fiber and occurrence of colon cancer, patient medical records from the National Cancer Institute between 1981-1991 were used for the first hospital-based case-control study of diet and colon cancer in Thailand. These records included a total of 168 cases and 357 controls. Data on the frequency consumption of various food items were obtained by using an existing food frequency questionnaire, completed as part of patient’s history …

Correlates And Infant Mortality: Sudden Infant Death Syndrome Among Black Women In The United States, Paulette Aubrey

Masters Theses

Often referred to as "cot death" or "crib death," sudden infant death syndrome (SIDS) is the single leading cause of infant death in infants aged 28 days to 1 year of life. Although the exact etiology of SIDS remains unknown, epidemiological studies have identified risk factors associated with higher rates of SIDS. In this study, the relationship between sudden infant death syndrome and maternal education among black women who gave birth in the United States during 1983 was examined.

The population for this study consisted of black infants who were born in 1983 and died before their first birthday. Among …

A Multiple Case Study Of Selected Individuals Who Facilitate The Successful Adoption Of Environmental Public Policy, John H. Austin

Health Services Research Dissertations

The purpose of this study was to determine the personal and professional characteristics of successful individuals who have had a positive influence on the development of public policy concerning the environment. Additionally, which characteristics are most likely to enhance success and determine which of these characteristics might contribute to efforts toward developing public environmental policy in the future were investigated. The purpose was accomplished through the design and implementation of a multiple case study utilizing a qualitative research methodology. The sample for this study included six public servants who were identified as actively involved in affecting the development of public …

The Identification And Magnitude Estimation Of Stressors In A Selected Military Population At One Training Command, Susan W. Miller

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify the most stressful aspects of being a student at a military training command. ·Forty students listed the significant stressors that they encounter at the training command. This list was reviewed and consolidated into a stressor rating questionnaire with 16 stressors. A convenience sample of 86 students rated the stressors. In the second part of the study, the students rated the stressors on a scale of "0 to 1000". The study revealed that the most significant stressors for students were absence of family and friends, uncertainty about their future, dealing with instructor's attitudes, …

Computerizing Occupational Safety And Health Information, James Luke

Theses

Various regulations increase the responsibility of employers to retain appropriate safety and health information, for as long as several years. Handling this increasing volume of safety and health information manually is impractical, time consuming and hence, not at all cost effective.

The purpose of this research is to examine the various aspects of computerizing safety and health information, and to evaluate a number of commercially available safety software packages.

This paper initially discusses the impact of OSHA on retaining safety and health information, and the different areas which can benefit from computerization. It also provides guidelines to analyze existing safety …

Self-Efficacy And Self-Care In The Hypertensive Female Patient, Robert Davis Lutz

Loma Linda University Electronic Theses, Dissertations & Projects

This study focused upon physician/patient interaction as it pertains to patient involvement in personal health-care planning decision making, and self-care. The study was a multi-intervention trial that allowed for testing the effectiveness of two instruments used separately or simultaneously, in combination. Participants were 73 female patients, ages 41 to 76, diagnosed with essential hypertension and requiring medication for control.

Patients were randomly assigned to four groups: 1) a control group that was given no intervention, 2) a Pre-Knowledge Intervention (PKI) group that was given an interactive treatment plan with foreknowledge of what their physicians would probably do at their next …

Substance Abuse Treatment In Learning Centers: A Comparison Across Variables, Nicole Thomson Flynn

Dissertations, Theses, and Masters Projects

No abstract provided.

Health Care Beliefs Of Elderly Vietnamese Refugees, Gayle Watson

Theses : Honours

Since 1975, a large number of Vietnamese refugees have settled in Australia. They can be recognised as a distinct cultural group within our society. However, little research has focused upon the health practices and beliefs of these people. This is a study of elderly Vietnamese refugees who have previously been identified as maintaining a great adherence to traditional values and behaviours. The aim of the research is to describe the health practices and beliefs of elderly Vietnamese refugees. As a mini ethno-nursing study, this research sought qualitative data, guided by the Health Belief Model adapted to accommodate cultural perspectives. With …

Pandemic Influenza: An Analysis Of The Spread Of Influenza In Kitchener, October 1918 (Ontario), Niall Phillip Alan Sean Johnson

Theses and Dissertations (Comprehensive)

Influenza remains one of the major killers in modern society. In addition to the mortality it causes, it exacts a huge medical, social and economic toll. Due to its propensity to undergo change, through antigenic drift and shift, this disease continues to torment humankind. These changes are the driving force that enables influenza to periodically become epidemic and pandemic. The study of past pandemics thus may provide useful insight to comb-it the disease now and in the future. The 1918-19 pandemic is one of the three worst outbreaks of disease in recorded history, with only the Justinian plagues and the …

Pus, Pox, Propaganda And Progress: The Compulsory Smallpox Vaccination Controversy In Utah, 1899-1901, Eric L. Bluth

Theses and Dissertations

This thesis examines the compulsory smallpox vaccination controversy in Utah, 1899-1901. It looks at the two smallpox epidemics during 1899-1901 and follows the boards of health attempts to eradicate smallpox primarily by compelling the vaccination of school children.

Dr. Theodore B. Beatty, secretary of the State Board of Health, championed the effort to vaccinate all Utahns; however, the opposition led by Charles W. Penrose, editor of the Deseret Evening News, produced anti-compulsion and vaccination information which influenced Utahns to generally oppose vaccination. Consequently, the legislature passed an anti-compulsory vaccination statute over the governor's veto to annul the courts decision …

Mathematical Transmission Model Of The Spread Of Hiv Through Sexual Contact And Iv Drug Usage Among Heterosexuals In Western Australia, B. Glockner

Theses : Honours

The human immunodeficiency virus (HIV) and its latter stage, the acquired immune deficiency syndrome (AIDS), are still a major health problem in the world and the full extent of the epidemic is unknown. The HIV virus in Australia has been spread mainly through homosexual contact, but this mode of transmission is decreasing while transmission from heterosexual contact and from IV drug use is increasing. The proposed mathematical model concentrates on transmission of the HIV virus through heterosexual contact and IV drug use among heterosexuals in Western Australia. The model parameters will be estimated from surveys conducted by the Australian National …

The Relationship Of Locus-Of-Control And Altruism To Prehospital Emergency Medical Care Providers Universal Precaution Practices, Joanne L. Wakeham

Health Services Research Dissertations

The purpose of this study was to determine the relationship between locus of control, altruism, occupational risk, and personal factors to the frequency of universal precautions practices of prehospital emergency medical care providers. The effects of OSHA's Occupational Exposure to Bloodborne Pathogens; Final Rule on reducing prehospital emergency medical care providers occupational exposure to bloodborne pathogens were also examined. Prehospital emergency medical care providers from municipal and private EMS agencies in the Tidewater Emergency Medical Services region participated in this study. Prehospital emergency medical care providers self-reported perceptions of locus of control, altruism, occupational risk, and universal precautions practices were …

Development Of A Physical Ability Test For Screening Mental Health Technician Trainee Candidates, Brett Andrew Dolezal

Masters Theses

This study was designed to establish a valid physical ability test for use by the Illinois Department of Mental Health and Developmental Disabilities to screen job applicants for the position of Mental Health Technician Trainee. Physical ability tests to determine physical qualifications for jobs requiring substantial physical effort are permitted under current Equal Employment Opportunity Commission (EEOC) and Americans with Disabilities Act (ADA) guidelines if the required physical standards are job related and consistent with business necessity. In order to determine the physical demands encountered by Mental Health Technicians, a job analysis was conducted. The job analysis phase included: (i) …

Do People Who Have Participated In A Work Hardening Program Perceive Benefits From Group Psychological Counseling In Controlling Or Decreasing Chronic Low Back Or Neck Pain?, Antonio Cofer

Legacy ETDs

No abstract provided.

A Comparison Of Division I And Division Ii Student-Athletes' Backgrounds, Time Demands And Perceptions Of Academics And Athletics, Denise Reifel

Masters Theses

No abstract provided.