Medicine and Health Sciences Commons^™

Chief Medical Officers' Perceptions Of Disease Management Programs, Gang Xu, Lisa E. Paddock, John P. O'Connor, David B. Nash, Mark Zitter

College of Population Health Faculty Papers

The purpose of this article is to examine chief medical officers' (CMOs) perception of disease management programs. Five open-ended questions, each addressing a major issue in the development of disease management programs, were given to 31 CMOs who attended a series of invitation-only conferences on disease management in the fall of 1999. Qualitative data analysis was conducted using the transcripts on each of the issues. Overall, the CMOs viewed the emergence of capitated disease management programs positively. They considered the population of a program to be the contractual patients and/or those at risk for the target disease. On the issue …

Measurement Of The Impact Of Winona Health Online, David B. Nash, David Shulkin, Florence Comite, Ron Loeppke, Bruce Van Cleave, Robert Kane, Jon Christianson, Douglas Pousma

College of Population Health Faculty Papers

The purpose of this article is to present the methodology to study the clinical and financial outcomes associated with the use of Winona Health Online, a novel community-wide interactive healthcare Website in Winona, Minnesota. Outcome methodology was developed by the University of Minnesota School of Public Health and the Carlson School of Management in cooperation with nationally recognized outcomes and disease state management experts, healthcare practitioners in Winona, statisticians, and health economists. The main areas of measurement include health status, satisfaction, cost and utilization of services, and clinical quality.

A Peculiar Logic Of Pro-Abortion Advocacy, Ibpp Editor

International Bulletin of Political Psychology

This article identifies a weakness in pro-abortion advocacy and how this weakness can be resolved to support said advocacy.

How Can Health Serve As A Bridge For Peace? Certi Crisis And Transition Tool Kit, Rosalia Rodriguez-Garcia, James Macinko, F. Xavier Solorzano, Marita Schlesser, George Washington University School Of Public Health And Health Services

Global Health Faculty Publications

No abstract provided.

Étude De Cas D'Amélioration Ergonomique Des Outils Présentant Des Risques D'Atteintes Musculo-Squelettiques, Georges Toulouse, Yves Beauchamp

Rapports de recherche scientifique

No abstract provided.

Effects Of Cold Stress On Worker Performance In A Refrigerated Warehouse, Margarita Chernyshov

Theses

The effects of cold stress were evaluated on worker performance in a low temperature environment. Level of clothing protection was compared to the functional ability of working on various tasks. Physical as well as mental effects were discussed to develop a basis for the physiological adaptations due to cold stress. The study focused on workers that performed various simple and complex tasks in a refrigerated warehouse with a temperature range 32° - 40°F. Surveys were distributed to employees who presently and previously worked in this refrigerated area. The "Picker" and "Feeder" tasks were analyzed as they pertain to this low …

Strategic Plan, Steve Konkel, Joe E. Beck, Eric Barker

Environmental Health Science Faculty and Staff Research

The Kentucky Association of Counties (KACo) strategic effort was organized under the aegis of Robert Arnold, the Executive Director of KACo. Strategic Focus, a strategic planning and facilitation organization, was selected to facilitate the meetings and provide consultation regarding development of the plan.

Tobacco Use Among Latinos, Gerardo Marín

Psychology

No abstract provided.

Letter Of Congratulations, Deborah Ann Turner

International Journal of Global Health

Congratulations to the members of the Global Health Corps on the launching of their new publication, International Journal of Global Health.

There are many aspects of the University of Northern Iowa that make it a unique and outstanding institution of higher learning. However, there is none so great as the atmosphere that fosters both the development and delivery of a service such as the Global Health Corps.

Cover - Front Matter - Table Of Contents

International Journal of Global Health

No abstract provided.

Profile: Friends Of Dolpa

International Journal of Global Health

Friends of Dolpa is a small non-profit organization working directly with Himalayan peoples to improve education and cultural preservation in the remote district of Dolpa, in northwestern Nepal. The organization supports locally managed projects in and near Shey-Phoksundo National Park. Until recently, Pockets of Ancient cultures and unique natural environments have survived intact in Nepal's remote corners. This generation of Dolpali people, no longer isolated, are in a process of defining for themselves how to control and participate in development while maintaining their unique heritage and traditions.

Humanitarian Health Education Programming: Diffusion Of Health Messages Through Folk Media, Archana Daya Shankar

International Journal of Global Health

For several decades, numerous health programs for the underserved have been launched in rural areas of developing countries. World organization, NGO's and government agencies have been allocating a significant portion of their budgets for developing health education programs for underserved population in different parts of the world. The success rate of reaching the goals of these programs has been very slow. For example, in India experience in rural health development has clearly indicated that isolated urban health programs do not provide appropriate assistance to the underserved sections of society (Hedge, 1997).

Medical Relief After An Unnatural Disaster: How International Health Care Providers May Prove Counter-Productive To Recovery, Maureen Mccue

International Journal of Global Health

Equally severe natural disasters that hit equally populous areas produce vastly different impacts and outcomes depending on preexisting political and economic conditions. International relief organizations and civil defense disaster response teams employ effective life saving protocols in the immediate aftermath of a disaster. However, there is little information that addresses the ongoing needs or assesses appropriate responses to the persistent hardships and ill health remaining months after a disastrous event hits an impoverished nation. This article relates the experience of27 volunteer health care workers who provided relief care to Nicaraguan victims of Hurricane Mitch three months after the event. Issues …

Health Assessment Of Bosnian Refugees In Black Hawk County, Iowa, Clementine Mukeshimana

International Journal of Global Health

This study examined the public health status of the Bosnian refugees in Black Hawk County Health, Iowa. A random sample of 557 Bosnian medical records was selected from People's Community Health Clinic. Virtually all Bosnians seek health care at People's Community Health Clinic in Waterloo. High rates of smoking behaviors and dental health problems were the most common health concerns among this group. The Bosnians refugees had rather low hypertension rates, low use of alcohol, healthy weight and a health diet, and low history of cardiovascular diseases.

Information For Authors

International Journal of Global Health

No abstract provided.

Private Choice Versus Public Health: Religion, Morality, And Childhood Vaccination Law, Ross D. Silverman, Thomas May

University of Maryland Law Journal of Race, Religion, Gender and Class

No abstract provided.

Probabilities Of Transition Among Health States For Older Adults, Paula Diehr, Donald L. Patrick

UW Biostatistics Working Paper Series

Goal: To estimate the probabilities of transition among self-rated health states for older adults, and examine how they vary by age and sex. Methods: We used self-rated health (Excellent, Very Good, Good, Fair, Poor, Dead) collected in two longitudinal studies of older adults (Mean age 75) to estimate the probability of transition in two years. We used the estimates to project future health for selected cohorts.

Findings: These older adults were most likely to be in the same health state 2 years later, but a substantial proportion changed in both directions. Transition probabilities varied by initial health state, age and …

Comparison Of Nutrition And Dental Practices Of International Students At The University Of Northern Iowa Before And After Coming To The United States, Joseph Ogah

International Journal of Global Health

This study examined possible changes in nutrition and dental practices of international students after migration to the United States (US). A random sample of 81 international students at the University of Northern Iowa responded to a mail-in survey in the Fall Semester of 1999 (65% female, 85% over 21 years old, and 54% graduate students). Chi-square analyses showed that, while in the United States, the sample of international students consumed more high fat food (p = .002), more high sugar food (p < .001), more fast food (p < .001), less fruits and vegetables (p = .022), and fewer breakfasts (p= .23) than they did before coming. They also brushed their teeth more (p .031) and sought less dental care (p < .001). No significant changes were observed in the consumptions of cereals, protein products, milk, and high caffeine beverages. It was concluded that some nutrition and dental practices of international students studying in the US change for the worse. Implications for culturally appropriate diet education programming for international college students were discussed.

Information For Authors

International Journal of Global Health

No abstract provided.

Russian Citizens' Trusted Sources Of Health Promotion Information, Cynthia M. Goody, Elizabeth Swanson, Ann L. Bossen, Elena V. Frolova, Olga Kuznetsova, Swajatoslaw Plavinski

International Journal of Global Health

This study examined Russian citizens' trusted sources of health information. A random sample of 906 people, from two villages in St. Petersburg, Russia, responded to a health needs assessment questionnaire. Results suggest that medical professionals and special books, such as informational pamphlets about treating a myriad of illnesses, are significant trusted sources of health information for people in Russia. Further, these data suggest differences between trusted sources of health information exist between villages rather than by gender or age group. This work has implications for health care practitioners in Russia, who are advancing the discipline of family practice, as well …

Evidence For The Importance Of Community Involvement: Implications For Initiatives To Prevent Mother-To-Child Transmission Of Hiv, Ann Leonard, Purnima Mane, Naomi Rutenberg

HIV and AIDS

This paper offers lessons learned from a literature review of community involvement in biomedical and other technologies that can guide appropriate and effective introduction of services for prevention of mother-to-child transmission of HIV. A companion paper discusses research in Botswana and Zambia that showed gaps in community knowledge about HIV transmission, particularly from mother to child, and yielded insights into community perspectives about barriers to using voluntary counseling and testing services; stigma and fear associated with HIV; traditional norms on breastfeeding; and the role of family and community members in women’s decisions to participate in programs to prevent mother-to-child transmission …

Pick-Me-Up Newsletter - Issue 1, Volume 1, Nova Southeastern University

Pick Me Up Newsletter

No abstract provided.

Profile: Global Health Corps Short-Term Health Education Missions, Linda K. Miller

International Journal of Global Health

Global Health Corps is a non -profit organization that provides a field -based training program for post-secondary students in the area of cross-cultural community health. Students practice a variety of culturally appropriate community health activities domestically in the United States, as well as villages and shantytowns around the world. Preventive health activities include basic health assessments, hypertension clinics, program evaluations, health fairs, breastfeeding promotion, hygiene programs, fitness promotion, safety and first-aid programs, violence prevention programs, and educational programs on topics such as nutrition, dental health , prenatal care, well-baby care, reproductive health , infectious disease prevention, cancer prevention, school health …

Vancomycin-Intermediate Staphylococcus Aureus In A Home Health-Care Patient, Jeffrey C. Hageman, David A. Pegues, Carrie Jepson, Rose Lee Bell, Mary Guinan, Kevin W. Ward, Martin D. Cohen, Janet A. Hindler, Fred C. Tenover, Sigrid K. Mcallister, Molly E. Kellum, Scott K. Fridkin

School of Public Health Faculty Research

To date, four of the eight cases of infection by Staphylococcus aureus with reduced susceptibility to vancomycin (vancomycin-intermediate S. aureus [VISA] or glycopeptideintermediate S. aureus [GISA]) have been reported in the United States (1-3). We report a fifth case of VISA infection in the United States, and the first to occur during home health-care therapy. While all previous VISA strains have been oxacillin resistant, one of the two VISA strains identified in this investigation was oxacillin susceptible.

Pick-Me-Up Newsletter - Issue 2, Volume 1, Nova Southeastern University

Pick Me Up Newsletter

No abstract provided.

Cover - Front Matter - Table Of Contents

International Journal of Global Health

No abstract provided.

Cultural Competence In Epidemiological Field Work With Cultures In Flux: Romania, Diane Depken, Catherine Zeman

International Journal of Global Health

This article is a case study of conducting field -based epidemiological work in a former communist country. A brief background of Romanian history and culture is followed by discussion of the challenges of doing epidemiological science in a culture experiencing socio-political flux. In this former communist country where a common understanding of specific methods of epidemiological science and research ethics is not necessarily shared by both visiting and indigenous scientists, successful fieldwork depends on a high degree of understanding, sensitivity, and patience. The United States Department of Health and Human Services' Office of Minority Health, OMH provides guidelines for culturally …

Hiv Voluntary Counseling And Testing Among Youth Ages 14 To 21: Results From An Exploratory Study In Nairobi, Kenya, And Kampala And Masaka, Uganda, Horizons Program, Kenya Project Partners, Uganda Project Partners

HIV and AIDS

HIV voluntary counseling and testing (VCT) programs increase safe sexual behavior and use of care and support services among adults. By helping clients learn their HIV serostatus and creating a personalized HIV risk-reduction plan, VCT can provide the information and support necessary to change risky behaviors that could lead to HIV infection or transmission. Counseling and a risk-reduction plan are the key features distinguishing VCT from other HIV testing services. VCT has become a widely advocated HIV/AIDS prevention strategy among adults. Sixty percent of all new HIV infections in sub-Saharan Africa, however, occur among young people ages 10–24. Because few …

Community Involvement In The Prevention Of Mother-To-Child Transmission Of Hiv: Insights And Recommendations, Naomi Rutenberg, Mary Lyn Field-Nguer, Laura Nyblade

HIV and AIDS

Mother-to-child transmission is the primary route of HIV infection in children under 15 years of age. Since the beginning of the HIV epidemic, an estimated 5.1 million children worldwide have been infected with HIV. Clinical trials in several countries have shown that mother-to-child transmission of HIV can be greatly reduced through administering antiretroviral therapy to pregnant women. These trials culminated in a recommendation by UNAIDS and its partners in the Interagency Task Team for the Prevention of Mother-to-Child Transmission that prevention of perinatal transmission should be a part of the standard package of care for HIV-positive women and their children. …

Globalization, Diet, And Health: An Example From Tonga, Mike Evans, Robert C. Sinclair, Caroline Fusimalohi, Viliami Liava’A

Aboriginal Policy Research Consortium International (APRCi)

The increased flow of goods, people, and ideas associated with globalization have contributed to an

increase in noncommunicable diseases in much of the world. One response has been to encourage lifestyle changes with educational programmes, thus controlling the lifestyle-related disease. Key assumptions with this approach are that people’s food preferences are linked to their consumption patterns, and that consumption patterns can be transformed through educational initiatives. To investigate these assumptions, and policies that derive from it, we undertook a broad-based survey of food-related issues in the Kingdom of Tonga using a questionnaire. Data on the relationships between food preferences, perception …