Medicine and Health Sciences Commons^™

Retirees And Pharmaceutical Costs: Is There Really A Crisis?, Justine Maiello

Seton Hall University Dissertations and Theses (ETDs)

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Justification For The Continuance Of A Pediatric Physician's Office Laboratory, Veronica C. Santilli

Seton Hall University Dissertations and Theses (ETDs)

The continued viability of the Physician's Office Laboratory (POL) has been questioned because of barriers imposed by managed care organizations, oversight by regulatory agencies and competition for professionally trained laboratory staff. Pediatricians view the POL as an important adjunct to quality healthcare services for children and do not consider the POL as a "profit center", whose priority is generation of revenues for the The practice. parents of pediatric patients consider an on-site laboratory a convenience and valuable service. Through an analysis of patients' satisfaction, physicians' perceptions of enhancement to quality care, managed care reimbursement data and costs associated with maintenance …

A Case Study Of An Ergonomic Evaluation For A Shop Floor Facility, Ivan Siguencia

Theses

The aim of this paper is to discuss and recommend solutions for the ergonomic hazards present in a shop floor type of manufacturing facility. This type of study is important since the ergonomic issues that concern the shop floor worker are different than those faced by the assembly line worker. The shop floor employee for the most part enjoys work satisfaction, task variety, and is able to control his own work pace. From an ergonomic standpoint, this is the preferred work environment.

The focus of this paper is a case study. This study is a one-day ergonomic assessment of a …

Production Of A Monoclonal Antibody Against Benzo[Α]Pyrene Diol Epoxide Dna Adducts, Brian Peden Austin

Chemistry & Biochemistry Theses & Dissertations

Benzo[α]pyrene is a ubiquitous pollutant produced from the incomplete combustion of organic material such as fossil fuels. It is found in the workplace, urban air, drinking water, and the food supply. Recently, it has been proposed that benzo[α]pyrene may be the causative agent in the formation of lung adenocarcinomas among some Taiwanese women exposed to cooking oil fumes without adequate ventilation. In this study, calf thymus DNA was modified in vitro with benzo[α]pyrene-diol epoxide (BPDE) to a level consistent with that found in biological samples. This DNA of low modification was used as an immunogen in the production of a …

An Evaluation Of Germ City : Finding A Suitable Design, Suzanne Cherie Lusher

Theses, Dissertations and Capstones

Evaluations are used to determine a program’s merit. “Germ City” utilizes experiential learning of adequate hand washing skills. An elementary school in southwestern West Virginia served to determine if the evaluation design for “Germ City” would prove to be an effective assessment for the hand-washing program. Four hundred and eighty-four participants completed an eight-question pre/post test; one hundred and forty-nine students underwent a hand quadrant evaluation. In addition, a soap and paper towel usage log was recorded. Fifty-four percent of the participants were male, forty-six percent female (n=483) with a mean grade level of 3.6 (n=484). Post test results indicated …

Comparison Of Domestic Violence Outcomes Among Emergency Department Nurses, Pamela S. Neal

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to examine the relationships between domestic violence education, organizational support, screening, danger assessment, safety planning, and referral practices among professional registered nurses in two ED settings.

Sample & Setting: A convenience sample of 63 professional registered nurses provided data from two EDs. An ED located in Kentucky where state mandated continuing education in domestic violence was required (n = 33) and an ED in West Virginia (n = 30) where mandated continuing education in domestic violence was not required was the setting for the study. The samples were separated based on nurses who …

Managed Healthcare And Integrated Delivery Systems: A Model For Getting Ahead Of The Change Curve, Philip Sheridan Carney

Theses Digitization Project

Managed care became the dominant model for moderating healthcare costs in the 1990's. The later half of this past decade witnessed early signs of a return to escalating premiums. Providers and consumers have reacted negatively to perceptions of health plan micro-management and restriction of choice.

Barriers To Initiation And Continuation Of Vision Care Among Diabetics, Jennifer Eilleen Werner

Theses Digitization Project

No abstract provided.

Characteristic Differences Between Parents/Guardians Who Keep Immunization Records And Those Who Do Not, Rebecca Bonilla Mangual

Theses Digitization Project

No abstract provided.

Providers Choices In Web-Medical Records: An Analysis Of Trade-Offs Made By Physicians In San Bernardino County, Jay Eriah Shankar

Theses Digitization Project

This thesis concluded that offering physicians an appropriate Web-based transcription service should be well received and improve their medical record management and patient care.

Delays In The Emergency Department And Their Effects On The Ambulance Provider, Simon Peter Moore

Theses Digitization Project

This thesis is a case analysis of the nature of delays in emergency room admissions and the effects on ambulance dispatching and availability as it occurred in Southern California.

Peer Nutrition Education: A Model For Nutrition Education Among Spanish-Language Participants Of The Special Supplemental Nutrition Program For Women, Infants And Children (Wic), Maximino Alfredo Mejía

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the steady improvement in the health status of Americans, Hispanics are a minority in the United States with greater prevalence of several infectious and chronic diseases and less health knowledge than the average citizen. Nearly half of the Hispanics living in this country die of preventable nutrition-related conditions, with heart disease and cancer being the leading causes. Since this minority has limited access to health care and preventive services, there is a need for an inexpensive, viable model of health education for this underserved segment of the population in order to lower the excess of preventable diseases. We trained …

Biomarkers Of Bone Turnover In Vegetarians And Omnivores, Susan Kim Louie Lue

Loma Linda University Electronic Theses, Dissertations & Projects

A cross-sectional study on fasting serum and 24-hour urine samples were used to determine whether biochemical markers of bone turnover, resorption and formation, differed in a group of 50 healthy premenopausal Caucasian women eating vegan, lactoovovegetarian(LOV) and omnivorous diets.

The women, ages 20-42, had participated in a study of bone mineral density(BMD). The three groups were comparable in mean age, BMI, calorie intake, calories spent in exercise, kcal/kg body weight, protein/day, protein/kg body weight and urinary creatinine.

Biomarkers included those of bone resorption—pyridinoline, deoxypyridinoline, and N-telopeptides, and of bone turnover—serum and urinary osteocalcin(OC), skeletal alkaline phosphatase, and propeptide-type-I-carboxyterminal-procollagen(PICP). In all …

Testing The Relationship Between Measures Of Patient Satisfaction And Hospital Accreditation Ratings, Albert John Heuer

Seton Hall University Dissertations and Theses (ETDs)

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Predictors Of Young Women's Attitudes Toward Sexual Health Practices, Alison G. Dougall

Theses : Honours

The present study examined whether cognitive (beliefs), affective (emotions) and I or behavioural processes predicted young women's attitudes towards their sexual health practices. For pragmatic reasons, safer sex promotion has largely relied on the provision of factual information to promote behaviour change. Although the importance of emotional and behavioural influences has been indicated, these elements have not traditionally been included in sexual health interventions. In order to examine this issue, Zanna and Rempel's (1988) tripartite model of attitude formation was used. A convenience sample of female participants (N=98) aged 18 to 29 years was asked to rate their attitudes towards …

The Role Of Diet And Physical Activity For Ovarian Cancer Results From The Adventist Health Study, Fatemeh Kiani

Loma Linda University Electronic Theses, Dissertations & Projects

A few aspects of the epidemiology of ovarian cancer are well understood, such as the inverse relationship with parity and oral contraceptive (OC) use. The role of other factors such as the potential influence of diet or physical activity is far from being established. A few studies, however, have been able to identify dietary risk factors for ovarian cancer. In this dissertation, I have conducted two studies that investigate the relationship between dietary factors and physical activity and the three endpoints: 1) nonfatal ovarian cancer (1976-1982; time to diagnosis), 2) fatal ovarian cancer (1976-1988; time to death), and 3) total …

The Hand Center: Considerations Related To The Design, Planning, Staffing, And Marketing, Marcia L. Miller

Community & Environmental Health Theses & Dissertations

A therapist intent on planning a hand therapy center has no resources that are specific to this specialty area of practice. There are contributions utilized to plan occupational and physical therapy departments that can be synthesized to a degree in the planning of a hand therapy center. The practice of hand therapy incorporates a high degree of physical interaction, with close proximity to the patient and handling by the therapist. This paper explores the unique requirements of a hand therapy department. In order to determine hand therapists' preferences for equipment and space utilization a survey was developed and distributed to …

Examination Of The Transtheoretical Model Of Behaviour Change To Increase Physical Activity Within An Organisational Setting, Justine L. Goldspink

Theses : Honours

This study explored the application of Prochaska and DiClemente's (1982) transtheoretical model of behaviour change (TIM) to the area of physical activity adoption and maintenance within an organisational setting. One hundred and nine employees of the Bunbury Centrelink Call Centre participated in a six-week physical activity intervention modelled on the Take Charge Challenge (TCC) (Leonard, 2000). Based on the TIM, this program attempts to increase individual physical activity through organisational change in order to counterbalance the sedentary nature of roles undertaken by staff and to maximise physical and psychological health benefits for employees. Time (in minutes/ week) engaging in physical …

Fatigue, Ambulance Perspectives In A Comparative Study Between Air And Road Transports, Wayne J. Mckenna

Theses: Doctorates and Masters

The study of fatigue in the health and transport sectors has predominantly been focused on night shift or day shift operations. This study has been applied to the hours of operation of Ambulance Officers who perform both night and day shifts, while also being required for on-call. The Officer on-call is on stand-by between shifts, to be available to respond for duties from the completion of one shift until the commencement of the next, usually a ten-hour shift. Studies of a similar focus have not been identified so a comparison of these specific findings has not been possible. However trends …

Risk Factors For Coronary Heart Disease And Mediation By Socio-Economic Status : An Analysis Of The 1995 National Health Survey, Natalie J. Sherriffs

Theses: Doctorates and Masters

As the leading cause of death and disease in Australia, Coronary Heart Disease (CHD) places a significant burden on society. There are many lifestyle factors that are known to increase the risk of CHD. This study looks at both risk factors and protective factors of CHD. Research also shows CHD prevalence to be predicted by socio-economic status (SES) variables. This study aims to identify the extent to which risk and protective factors predict CHD prevalence in an Australian National survey and whether the association between risk factors and CHD is confounded by SES variables. This study used data from the …

A Retrospective Cohort Study Of Workers' Compensation Indicators From An Occupational Safety And Health Perspective, Alan D. Verdonk

Theses: Doctorates and Masters

Since 1984 the role of the government in Western Australia, has changed in relation to occupational safety and health. This study considers the effect of the occupational safety and health legislation using workers' compensation accident data. Academic and general staff accident data from a Western Australian University were researched. The time period is 20 years- 1979 through 1998 inclusive. 2,773 worker's compensation claims were analysed using Mann Whitney -U tests and cross-tabulations of safety prevention expenditure against the claims. The work environment provides the full spectrum of workplace activities ranging from domicile duties (student housing services) to heavy machinery work …

Analysis Of Variables Related To Drug And Alcohol Use, Wendy J. Wonch

Dissertations, Theses, and Masters Projects

No abstract provided.