Medicine and Health Sciences Commons^™

Civic Attitude And Activity Of Loma Linda University Dental Graduates, Gregory W. Olson

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Dentistry is regarded as a profession and granted certain privileges, such as self-regulation. Associated with this status are stated and implied responsibilities which are widely debated. In recent years, dental professionalism seems to be on the decline. Evidence cited includes access-to-care issues and decreased public trust in dentists. In response, academia and professional organizations have developed curricula and statements intended to bolster professionalism. Meanwhile little is known about practicing dentists’ attitudes or participation in health-related civic matters. Objectives: This study seeks to examine the importance Loma Linda University (LLU) dental graduates place on public roles, their reported participation in …

Associations Of American Indian Children's Screen-Time Behavior With Parental Television Behavior, Parental Perceptions Of Children's Screen Time, And Media-Related Resources In The Home, Daheia J. Barr-Anderson, Jayne A. Fulkerson, Mary Smyth, John H. Himes, Peter J. Hannan, Bonnie Holy Rock, Mary Story

Faculty Publications

Introduction: American Indian children have high rates of overweight and obesity, which may be partially attributable to screen-time behavior. Young children's screen-time behavior is strongly influenced by their environment and their parents' behavior. We explored whether parental television watching time, parental perceptions of children's screen time, and media-related resources in the home are related to scree time (ie, television, DVD/video, video game, and computer use) among Oglala Lakota youth residing on or near the Pine Ridge Reservation in South Dakota.

Methods: We collected baseline data from 431 child and parent/caregiver pairs who participated in Bright Start, a group-randomized, controlled, school-based …

La Sécurité Des Têtes D'Abattage Multifonctionnelles, Laurent Giraud, Nicolas Gagné, Daoud Ait-Kadi, Priscille Hastey, Marina Koutchouk, Sébastien Tanchoux, Steve Vezeau

Rapports de recherche scientifique

Les abatteuses forestières sont des véhicules tout-terrains conçus pour travailler en forêt, qui servent de véhicule moteur pour déplacer une tête d’abattage groupeuse ou une tête d’abattage multifonctionnelle. L’utilisation d’abatteuses avec une tête d’abattage multifonctionnelle s’est largement répandue au Québec ces dernières années, pour de nombreuses raisons dont :

• La réduction de la superficie des sentiers de débardage;
• L’élimination des aires d’ébranchage en bordure de route;
• La réduction de la diversité des machines, car une seule machine tronçonne et façonne les arbres en billots, là où il en fallait plusieurs avec les anciennes méthodes;
• La réduction de la dégradation des …

A Quantitative Method For Reproducible Ionization Chamber Alignment To A Water Surface For External Beam Radiation Therapy Depth Dose Measurements, James Ververs

Theses and Dissertations

Ionization chambers (ICs) are the most commonly used detectors for radiation therapy dose measurements. Typical IC measurements use cylindrical ICs in a water phantom and therefore require initial IC alignment to the water surface. This alignment has long been ignored and only recently has a qualitative governing recommendation been made. This thesis describes a reproducible methodology for quantitative ionization chamber water surface alignment. Depth-ionization measurements are taken with twenty-eight IC designs under varying conditions including, but not limited to, changes in scan direction, speed, and resolution, radiation beam type, field size, energy, and electron contamination. Measurements are acquired using standard …

Analisis Faktor Determinan Permasalahan Pelayanan Kesehatan Ibu Dan Anak, Zahtamal Zahtamal, Tuti Restuastuti, Fifia Chandra

Kesmas

Masalah kesehatan yang dihadapi Indonesia kini adalah status kesehatan masyarakat yang rendah, antara lain ditandai dengan angka kematian ibu dan bayi yang tinggi serta masih banyak indikator pelayanan kesehatan ibu dan anak (KIA) yang belum ideal. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan permasalahan pelayanan KIA. Desain penelitian yang digunakan pada penelitian ini adalah cross sectional, data faktor predisposisi dikumpulkan dari 550 orang responden yang tersebar di 4 kabupaten/kota dengan menggunakan kuesioner. Selanjutnya, data faktor determinan yang lain dikumpulkan dengan wawancara pada informan antara lain kepala dinas kesehatan kabupaten/kota dan kepala subdinas kesehatan keluarga. Hasil penelitian menunjukkan faktor …

Kajian Keselamatan Kebakaran Pada Lima Sekolah Dasar Di Dki Jakarta, Fatma Lestari, Sandra Fikawati, Ahmad Syafiq, Anisa Sukmaningtias

Kesmas

Kebakaran gedung di Indonesia merupakan masalah besar. Untuk mengkaji keselamatan kebakaran, telah dilakukan penelitian kualitatif di sekolah-sekolah dasar negeri (SDN) di Daerah Khusus Ibu Kota (DKI) Jakarta. Tiga SDN di Jakarta Selatan (SDN Pondok Labu 11 Pagi, SDN Pondok Labu 12 Pagi, dan SDN Pondok Labu 15 Pagi) dan 2 SDN di Jakarta Timur (SDN Kramat Jati 16 Pagi dan SDN Kramat Jati 18 Pagi) dipilih sebagai sampel secara purposif. Empat komponen keselamatan kebakaran yang diatur regulasi (sarana proteksi kebakaran, akses mobil pemadam kebakaran, sarana penyelamatan jiwa, dan Manajemen Keselamatan Kebakaran Gedung (MKKG) dikaji secara kualitiatif dengan mewawancarai orangorang yang …

Determinan Kinerja Dan Kompetensi Bidan Di Provinsi Sumatera Utara, Nusa Tenggara Timur, Kalimantan Barat, Dan Sulawesi Selatan, Ronald Hutapea

Kesmas

Kinerja sesungguhnya dari seorang bidan ditentukan oleh beberapa faktor yang berpengaruh sejak masa pendidikan bidan yang ditempuhnya. Banyak variabel yang dapat saling mempengaruhi untuk membentuk kemampuannya dalam menjalankan tugas. Penelitian ini menggunakan pendekatan sistem bertujuan untuk menetapkan korelasi dari beberapa variabel yang terdapat dalam ke-4 komponen pendidikan bidan yakni input, process, output, dan outcome. Dengan cara survei, sebanyak 261 responden dari 4 provinsi yaitu Sumatera Utara, Kalimantan Barat, Sulawesi Selatan, dan Nusa Tenggara Timur diminta untuk menilai kinerja bidan. Selanjutnya, suatu survei mendalam diadakan terhadap 107 bidan untuk meneliti korelasi dari sejumlah variabel yang mempengaruhi proses pendidikannya. Hasil penelitian menunjukkan …

Hubungan Kadar Timbel Dalam Darah Dengan Kadar Hemoglobin Dan Hematokrit Pada Petugas Pintu Tol Jagorawi, Tan Malaka, Meiri Iryani

Kesmas

Penelitian tentang hubungan antara kadar timbel dalam darah dengan anemia yang tercermin dalam kadar hemoglobin dan hematokrit pada petugas pintu tol Jagorawi Jakarta. Landasan teori penelitian ini adalah hasil pemantauan kualitas udara Daerah Khusus Ibu Kota (DKI) Jakarta dimana kadar timbel di udara ambien melebihi Baku Mutu Lingkungan (BML) dan adanya petunjuk literatur bahwa timbel memiliki pengaruh negatif terhadap sistem hemopoitik pada manusia. Seratus orang pekerja terpilih untuk penelitian ini. Sebanyak 12% dari pekerja yang merupakan subjek pada penelitian ini tergolong anemia berdasarkan kadar hemoglobin darah dan 10% anemia berdasarkan nilai hematokrit. Kadar timbel darah yang didapatkan pada penelitian ini …

Kesiapsiagaan Masyarakat Menghadapi Bencana Gunung Merapi: Studi Kasus Di Desa Umbulharjo, Sleman, Happy Ade Permanasari, Sunarto Sunarto

Kesmas

Daerah Istimewa Yogyakarta adalah provinsi yang rawan bencana terutama Gunung Merapi. Untuk meminimalkan korban bencana dikembangkan program kesiapsiagaan masyarakat menghadapi bencana gunung merapi melalui desa siaga. Tujuan penelitian ini mengetahui pelaksanaan kegiatan dan penerapan program kesiapsiagaan masyarakat menghadapi bencana gunung merapi di Desa Siaga Umbulharjo. Penelitian ini menggunakan rancangan penelitian studi kasus dengan analisis kualitatif. Subjek yang diteliti adalah pelaku pelaksanaan kegiatan pada pelaksanaan desa siaga, sedangkan objek penelitian adalah situasi sosial dalam pelaksanaan kegiatan. Pengumpulan data dilakukan dengan metode observasi nonpartisipatif, wawancara mendalam, dokumentasi, member check, dan triangulasi. Pelaksanaan kegiatan sudah baik, pembiayaan sudah cukup, pelatihan-pelatihan sudah baik, sosialisasi, …

Modification By Frailty Status Of Ambient Air Pollution Effects On Lung Function In Older Adults In The Cardiovascular Health Study, Sandrah P. Eckel, Thomas A. Louis, Paulo H.M. Chaves, Linda P. Fried, Helene G. Margolis

Johns Hopkins University, Dept. of Biostatistics Working Papers

Older adult susceptibility to air pollution health effects is well-recognized. Advanced age may act as a partial surrogate for conditions associated with aging. The authors investigated whether gerontologic frailty (a clinical health status metric) modified the effects of ambient ozone or particulate matter (PM10) air pollution on lung function in 3382 older adults using 7 years of followup data from the Cardiovascular Health Study (CHS) and the CHS Environmental Factors Ancillary Study. Monthly average pollution and annual frailty assessments were related to up to 3 repeated measurements of lung function using novel cumulative summaries of pollution and frailty histories that …

Validity Of Estimating Minute-By-Minute Energy Expenditure Of Continuous Walking Bouts By Accelerometry, Erin E. Kuffel, Scott E. Crouter, Jere D. Haas, Edward A. Frongillo Jr., David R. Bassett Jr

Faculty Publications

Background: Objective measurement of physical activity remains an important challenge. For wearable monitors such as accelerometer-based physical activity monitors, more accurate methods are needed to convert activity counts into energy expenditure (EE).

Purpose: The purpose of this study was to examine the accuracy of the refined Crouter 2-Regression Model (C2RM) for estimating EE during the transition from rest to walking and walking to rest. A secondary purpose was to determine the extent of overestimation in minute-by-minute EE between the refined C2RM and the 2006 C2RM.

Methods: Thirty volunteers (age, 28 ± 7.7 yrs) performed 15 minutes of seated rest, 8 …

Analyse Des Activités De Manutention De Journaliers D'Une Grande Municipalité Québécoise : Un Outil Pour Composer Avec Le Caractère Changeant De La Manutention, Denys Denis, Marie St-Vincent, Monique Lortie, Maud Gonella, Marie-Hélène Dion

Rapports de recherche scientifique

Un trait caractéristique de la grande majorité des activités de manutention est d'être changeant, les tâches de manutention simples (i.e. circonscrites dans l'espace, les lieux et le temps) ayant, dans bien des cas, été automatisées dans les entreprises. Les tâches de manutention que l'on confie aux travailleurs sont plus complexes et demandent de manipuler des charges variées, dans des contextes de travail diversifiés et changeants qui demandent des ajustements constants. Cet aspect « mouvant » est parfois difficile à saisir pour un intervenant qui n'est pas spécialiste de la manutention. C'est le cas d'une grande majorité d'intervenants en santé et …

Supporting School Wellness Policices Through Game On! Implementation In 13 High-Need Connecticut Schools, Sarah M. Bourque

Master's Theses

No abstract provided.

Analyse Cinématique Du Genou Lors De La Marche De Travailleurs Exposés À Une Surcharge : Une Étude Pilote, Nathaly Gaudreault, Jacques A. De Guise, Nicola Hagemeister, Stéphane Poitras

Rapports de recherche scientifique

L’arthrose du genou peut causer des incapacités fonctionnelles ou occupationnelles chroniques. Une forte prévalence d’arthrose au genou est rapportée chez les travailleurs qui occupent un emploi soumettant les genoux à une surcharge mécanique. Dans cette étude pilote, la marche de travailleurs exposés à des tâches soumettant les genoux à une surcharge a été comparée à celle de travailleurs non exposés à une telle surcharge. Les auteurs voulaient déterminer si l’exposition à une surcharge peut entraîner des changements dans les mouvements des os du genou (fémur et tibia) qui pourraient rendre ces personnes vulnérables à l’arthrose. Vingt-quatre travailleurs qui occupent un …

The Community Action Framework In Practice: An Illustration Based On The Ready By 21 Coalition Of Austin/Travis County, Raphael Travis Jr., Tamara Leech

Department of Public Health Scholarship and Creative Works

The field of positive youth development has expanded focus from articulating and measuring desired manifestations of positive well-being to assembling the environmental conditions known to promote these desired outcomes. Evidence of the effectiveness of community-level efforts promoting positive youth development is still emerging, in particular theory-driven examples of community-driven youth development. This study examined the Community Action Framework, one theory-based community youth development model, through the experiences of the Ready by 21 Austin/Travis County coalition (RB21). The coalition connects youth-serving organizations and also regional coalitions, while promoting the positive development of area youth. Participant observation, interviewing, and archival strategies were …

Détermination Du Béryllium Dans L’Air En Milieu De Travail : Mise Au Point D’Une Méthode D’Analyse En Fluorescence, Marie-Claude Giguère, Pierre Larivière, Chantal Dion, Huu Van Tra

Rapports de recherche scientifique

Le béryllium (Be) est rencontré lors de multiples usages industriels grâce à ses propriétés uniques, toutefois il représente un risque pour la santé des travailleurs qui y sont exposés. La bérylliose chronique (BC), une maladie professionnelle reliée à l'exposition au Be, serait la progression d'une phase de sensibilisation consistant en une réponse immunitaire spécifique suite à une exposition au Be. La voie d'absorption principale du Be est l'inhalation de particules, toutefois la pénétration cutanée ne serait pas négligeable dans le processus de sensibilisation.

Depuis les années 90, la CSST a dû indemniser de nombreux travailleurs amenant une préoccupation grandissante face …

Caractérisation Des Poussières Dans Les Boulangeries Artisanales, Brigitte Roberge, Simon Aubin, Yves Cloutier

Rapports de recherche scientifique

Plusieurs études concluent que les boulangers exposés à la poussière de farine risquent d'être sensibilisés et de développer des symptômes respiratoires, voire de l'asthme professionnel (AP). D'autres rapportent une augmentation du risque de sensibilisation à la farine à des niveaux de 2 mg/m³ bien qu'il y ait prévalence de sensibilisation chez les boulangers exposés à 1 mg/m³ de poussière de farine. Selon des études récentes, les travailleurs de boulangeries industrielles ou artisanales pourraient être exposés jusqu'à 7,8 mg/m³ et ceux des meuneries jusqu'à 16 mg/m³. La majorité des études rapportent des niveaux exprimés en fraction …

Validating The Pridit Method For Determining Hospital Quality With Outcomes Data., Robert D. Lieberthal, Phd, Dominique Comer, Pharmd, Katherine O’Connell, Bs

College of Population Health Lectures, Presentations, Workshops

Presented for The 46th Actuarial Research Conference, University of Connecticut, Storrs, CT.

15 PowerPoint slides

Development Of Dose Conversion Coefficients For Radionuclides Produced In Spallation Neutron Sources, Phillip W. Patton

Transmutation Sciences Physics (TRP)

A research consortium comprised of representatives from several universities and national laboratories will be established as part of this project to generate internal and external dose conversion coefficients for radionuclides produced in spallation neutron sources. Information obtained from this multi-year study will be used to support the siting and licensing of future accelerator-driven nuclear initiatives within the U.S. Department of Energy complex, including the Spallation Neutron Source (SNS) and Accelerator Production of Tritium (APT) projects. Determination of these coefficients will also fill data gaps for several hundred radionuclides that exist in Federal Guidance Report (FGR) No. 11 and in Publications …

The Use Of Chloramines To Eradicate Quagga Mussel Larvae, Trea Lacroix, Kumud Acharya

Undergraduate Research Opportunities Program (UROP)

Quagga Mussels, Dressenia bugensis, are a growing problem in the western United States, particularly in their ability to infest underwater infrastructures and clog water intake pipes and screens of power and treatment plants. Chlorine has been found to be the most effective chemical to get rid of veligers (planktonic larval form of quagga mussels) in the pipes. However, chlorine leaves a residue called trihalomethane, which is a carcinogen at higher concentrations. The purpose of this project is to test the effectiveness of an alternate chemical, chloramines (chlorine and ammonia), which leaves behind little to no residual trihalomethane. Upon experimentation with …

Aids/Hiv Denialism: Patients' Privacy Rights, Fadia Abdullah, Guadalupe Medrano

Undergraduate Research Opportunities Program (UROP)

HIV is a sexually transmitted disease that develops into AIDS. There is no cure for it, only treatment. In this poster, we look at the pros and cons of disclosing this type of information. People who decide to disclose their HIV status may have various reasons for doing so, but most do it for emotional support and for prevention of spreading the disease. Those who decide to keep it private primarily do it to not face rejection, discrimination, degradation, and loss of respect. (Petronio Page 72) The problem with creating a public database is that many organizations are against the …

Regulation Of The Shigella Flexneri Icsp Gene And H-Ns Dependent Repression, Rosa Ojeda, Amanda Wigley, Dustin Harrison, Helen Wing

Undergraduate Research Opportunities Program (UROP)

The gram negative bacterium Shigella flexneri is known to cause dysentery in humans and primates. In order to help prevent the spread of shigellosis, gene regulation must be understood. Studies show that the virulence genes in S .flexneri are thermo regulated. At 30°C histone-like nucleoid structuring protein (H-NS) represses transcription of virulence genes and at 37°C VirB derepresses virulence genes. One of the genes that contribute to the virulence of S. flexneri is icsP. My project focuses on the regulation of the S. flexneri icsP gene and has two main goals. The first is to identify the sequence of H-NS …

Bending The Health Care Cost Curve In North Carolina: The Experience Of Community Health Centers, Patrick Richard, Peter Shin, Kristina Vasilkovska, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

North Carolina is known for innovative practices in primary care delivery and education, and accordingly one might expect to see greater efficiencies overall in care delivery, and less direct, measurable impact by community health centers on cost and outcome. Of interest is whether community health centers (CHCs) are cost effective providers in states with a sophisticated primary care infrastructure and focus on the needs of medically underserved communities. Building on the large body of health services research literature that has documented the quality and cost-effectiveness of federally-funded primary health centers nationwide, as well as estimates of national savings that are …

Colorectal Cancer (Crc) Vaccine Study: Aim 2 Internship Experience, Selasie Goka

Summer Training Program in Cancer Immunotherapy

Activities:

1. Conducted literature review

2. CRC vaccine study booklet and survey

3. Recruitment survey questionnaire

4. Prepare web-based decision counseling program

38 PowerPoint Slides.

International Evidence On Medical Spending Risk., Robert D. Lieberthal, Phd

College of Population Health Lectures, Presentations, Workshops

Presented for the American Risk and Insurance Association. 2011 ARIA Annual Meeting, San Diego, CA.

20 PowerPoint slides.

Presentation is associated with the paper: http://jdc.jefferson.edu/healthpolicyfaculty/45/

The Holistic Complementary Structure Of Western Bio-Medicine And Traditional Healing And Achieving Complete Health, Candace Gail Oubre

USF Tampa Graduate Theses and Dissertations

Achieving complete health requires a deep understanding of complementary cultural competency sensitivity between physician and patient. This may include but is not limited to access to preventative health care resources, access to health educational resources and access to cultural healing resources, for example, shamans, Ayurvedic physicians, and herbal healers. Advocates of cultural competency emphasize great importance on knowledge of the patients' cultural background; however, the transcendence of this knowledge can be explained further through complementary cultural competency sensitivity. This is when the cultures of the physician and patient complement each other in terms of understanding what is in the patients' …

Feasibility And Results Of A Computer-Based Driver Safety Assessment, Thomas J. Mahoney

Master's Theses

No abstract provided.

Madison County, Kentucky Hazardous Materials Commodity Flow Analysis, Dr. Vijay Golla, Dr. Ritchie D. Taylor, Aditya Stanam, Prachi Chavan, Connie Ellis, Bryan Makinen, Carl Richards, Michael Bryant

Public Health Faculty Publications

This report presents the results of a Commodity Flow Analysis of Hazardous Materials for Interstate-75 (I-75) (North and South Bound lanes) conducted by Western Kentucky University in partnership with the Madison County (Kentucky) Local Emergency Planning Committee (LEPC). The only Kentucky County within the study area is Madison County as shown in Figure 1.1. The purpose of report is to give information on patterns of hazardous materials being transported along I-75 as observed from July 25th 2011 to August 5th 2011. A secondary purpose is to summarize incidents involving hazardous materials over the previous 6 years (January 2006 – June …

The Situation Analysis Of Children And Women In Belize 2011: An Ecological Review, Mark C. Edberg, C. Chambers, D. Shaw

Center for Social Well-Being and Development

No abstract provided.

Benzodiazepine Use Among Adults Residing In The Urban Settlements Of Karachi, Pakistan: A Cross Sectional Study., Saleem P. Iqbal, Syed Ahmer, Salima Farooq, Yasmin Parpio, Ambreen Tharani, Rashid A. M Khan, Mohammad Zaman

Department of Paediatrics and Child Health

Background: There are hardly any studies carried out in Pakistan on the usage of benzodiazepines at the level of community. This research was aimed to determine the frequency of benzodiazepine use, along with its associations with socio-demographic and clinical characteristics among community dwelling adults, residing in two urban settlements of Karachi, Pakistan. Methods: We performed a cross sectional study from August 2008 to December 2009, in 2 areas of Karachi, namely Garden and Sultanabad. We followed the systematic sampling strategy to randomly select the households, with an adult of either sex and of age 18 years or more. Data collection …