Medicine and Health Sciences Commons^™

Mapping--The Missing Link In Reducing Risk Under Sara Iii, Ute J. Dymon

RISK: Health, Safety & Environment (1990-2002)

Dr. Dymon explains how maps can, e.g., hasten effective community responses to natural and artificial hazards and laments widespread failure to prepare and use hazard maps more extensively.

A Comparative Pharmacokinetic Study Of The Role Of Gender And Developmental Differences In Occupational And Environmental Exposure To Benzene, Elizabeth A. Brown

Theses and Dissertations

The purpose of this study is two-fold. First, it shows that physiological differences between men and women result in gender-specific exposures with respect to benzene. Second, it assesses the potential for a lactating woman's occupational and personal benzene exposure to impact a nursing infant's exposure, highlighting the possibility of subjecting an infant to the effects of industrial chemicals via breast feeding. This study employs physiologically based pharmacokinetic (PBPK) modeling to investigate the influence of physiological parameters and to evaluate the ability of inhaled benzene to transfer from mother to infant through breastmilk. The models are run through scenarios that simulate …

Farmer Dies After Being Run Over By Tractor While Checking Gas Wells, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 64-year-old male farmer was killed when the tractor he had been operating rolled onto him. The victim had completed his morning rounds on his farm when he apparently got off his tractor while on a steep slope. The victim walked in front of the tractor for an unknown reason. The tractor rolled forward, pushed the victim down and rolled over him. The victim was crushed by the weight of the tractor. The coroner estimated time of death at 7:00 am on Friday, June 3. The victim was found by his son on Sunday, June 5 at 11:40 pm.

• Parking …

Part-Time Farmer Dies After Pick-Up Truck Overturns, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

A 52-year-old part-time farmer was killed when a pick-up truck overturned and crushed him. The victim, along with a neighbor (the witness), was loading the neighbor's tractor on a flatbed trailer to transport it to the victim's tobacco field for plowing. The trailer, attached to the pick-up truck, was parked on a gradual downward slope in preparation for tractor loading. The victim was standing on the front of the trailer while the tractor was being driven onto the trailer by the witness. Before the tractor was completely on the trailer, the truck and trailer began to roll down the slope. …

Tractor Overturn Kills Farmer, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 60-year-old farmer died when the tractor he was operating rolled over on top of him. The victim was attempting to hook up a camper to a tractor in order to pull it to a paved roadway. Having recently sold the camper, the farmer, assisted by the buyer, was preparing to remove it from the farmer's property.

The victim, driving a tractor which was equipped with a front end loader, pulled forward past the tongue of the camper in order to line up the tractor draw bar with the camper tongue. The ground sloped more than one-half inch per foot …

Part-Time Farmer Dies After Tractor Leaves Public Roadway And Over-Turns, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 58-year-old part-time farmer, on route to his home, was killed when the tractor he was operating ran off the road and overturned. The victim was traveling west on State Route 32 at approximately 1:15 pm on Saturday, May 21, 1994. The victim had just completed plowing a neighbor's vegetable garden and was driving the half mile home to his farm at the time of the incident. The right front wheel of the tractor edged off the roadway onto the narrow shoulder and over an embankment. The tractor momentum and the steep embankment caused the tractor to turn over onto …

Ua66/14/4 Kentucky Partnership Newsletter, Vol. Ii, No. 4, Kentucky Partnership For Farm Family Health & Safety

University Organizations

Newsletter created by and about the Kentucky Partnership for Farm Family Health & Safety.

Small Group Market Health Insurance Purchasing Cooperatives Revisited, Karl Polzer

National Health Policy Forum

As Congress was in the final stages of considering the Clinton administration's proposal for comprehensive health reform and various derivatives of it, this Forum session examined the progress of several purchasing cooperatives in helping employees of small firms find affordable insurance coverage. The first half of the meeting focused on California's purchasing alliance, especially its impact on prices in the small-group insurance market. Varying models of cooperatives (or alliances) being set up in Florida, Iowa, and Kentucky also were discussed, with special attention being paid to their potential for addressing fundamental problems such as rising costs and access to insurance.

Trends And Differentials In Mortality From Cancers Of The Oral Cavity And Pharynx In The United States, 1973-1 987, Howard I. Goldberg, Stuart A. Lockwood, Stephen W. Wyatt, Linda S. Crossett

United States Public Health Resources

Background. This analysis consisted of an examination of trends and differentials in mortality from cancers of the oral cavity and pharynx in the United States for a recent 15-year period.

Methods. The authors have used national cause of death data for the United States and intercensal population estimates to examine mortality from oral and pharyngeal cancers between 1973 and 1987 and to study differentials according to gender, race, and region of residence.

Results. The overall mortality rate from these cancers decreased by 19% during the 15-year period, with most of the decline occurring after 1979. Mortality was …

Aging And Exercise: A Health Perspective, Joanna L. Bokovoy, Steven N. Blair

Faculty Publications

Habitual exercise provides protection against fatal coronary heart disease, extends longevity, and enhances quality of life. National surveys show less physical activity in older men and women compared with middle-aged and younger persons; older women are particularly sedentary. Although there are still few longitudinal studies on exercise and physical activity in older individuals, the data support a positive relationship between physical activity and health function in older individuals. The data further show that with regular physical activity, health and fitness are maintained or even increased over time in older individuals. Studies on physical activity requirements for beneficial health effects in …

Logger Killed When Struck By Log That Rolled Off Truck During Unloading Operation, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 51-year-old male self-employed logger/farmer was preparing to unload logs at a sawmill. The load consisted of about 18 logs, 10-22" in diameter and 8-12 feet long. The load had been secured by 2 binders (chains) to the back of a Chevrolet flatbed single-axle truck. The forward of the 2 chains had been removed by the victim. As the second chain was loosened, a log from the top rolled off the truck striking the victim. The victim was crushed by the weight of the log. The Kentucky FACE investigator concluded that to prevent similar occurrences, loggers and logging operations should: …

Part-Time Farmer Drowns In Pond After Tractor Rollover, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

On Sunday May 22, 1994, a 54-year-old part-time farmer died when the tractor he was operating rolled over, pinning him under water. The victim was pulling a wagon on which two children and one adult were riding on their way to the farmer's fishing pond. As the tractor approached the pond down a 14 degree slope, it began to slide on the loose ground. The tractor turned 180 degrees on the bank of the pond, then turned over into 4.5 feet of water. Evidence at the scene and from interviews with a rescuer indicate that the tractor rolled one half …

Demolition Foreman Dies After 35-Foot Fall Through Hole In Flat Roof, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Falls

A 51-year-old male demolition foreman (the victim) died from head injuries sustained when he fell through a hole in a flat roof to a concrete floor. At about 3:25 pm the victim was on the roof to retrieve a four by eight sheet of 3/4" plywood to be used at another location on the plant site. After moving the plywood, partially exposing the hole, the victim fell 35 feet to a concrete floor. There were no witnesses to the fall. He was found by the site supervisor approximately one-half hour later. Emergency medical personnel were called. Co-workers at the scene …

Mass Media And Environmental Risk: Seven Principles, Peter M. Sandman

RISK: Health, Safety & Environment (1990-2002)

Dr. Sandman suggests that, when spokespersons for risk sources are inept in conveying their messages, they and we pay heavily for their mistakes.

In The Affirmative, Vol.1, No.3 (June 1994), Andy Goodband,, Linda Jipson, Michael Martin, Bill Osborne, Lee Richards, Sandy Titus, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

Ua66/14/4 Kentucky Partnership Newsletter, Vol. Ii, No. 3, Kentucky Partnership For Farm Family Health & Safety

University Organizations

Newsletter created by and about the Kentucky Partnership for Farm Family Health & Safety.

Inhalant Abuse In The Pacific Islands: Gasoline Sniffing In Chuuk, Federated States Of Micronesia, Mac Marshall, Rocky Sexton, Lee Insko

Pacific Studies

No abstract provided.

Commencement Program 1994, Loma Linda University

Commencement Programs

CONTENTS

2 | 1994 Events of Commencement

3 | Academic Procession

4 | The Speakers

7 | The Honorees

14 | The Zapara Award

Order of Programs

• School of Medicine, 16
• School of Dentistry, 22
• Graduate School, 29
• School of Nursing, 37
• School of Public Health
• School of Allied Health Professions, 48

Immunohistochemical Estrogen Receptor Determination In Human Breast Carcinoma: Correlation With Histologic Differentiation And Age Of The Patients, Shahid Pervez, S. Shaikh, F. Aijaz, S. A. Aziz, M. Naqvi, Sheema H. Hasan

Department of Pathology and Laboratory Medicine

An immunohistochemical assay for the measurement of estrogen receptor (ER) has been evaluated on 290 consecutive human breast biopsy and mastectomy specimens in the year 1992 at The Aga Khan University Hospital laboratories. Immunohistochemical localization of estrogen receptor on frozen/paraffin section was scored in a semi-quantitative fashion incorporating both the intensity and the distribution of specific staining. Histologic grading of the tumour was performed according to Bloom’s method. In this study, 21% of the tumours were estrogen receptor negative, 15% were weak positive, 25% intermediate positive and 39% strong positive. Fifty percent of the well differentiated tumours showed strong ER …

Prevalence Of Fatty Liver In Japanese Children Ages 4 To 12 Years Old : Relationship To Obesity : An Epidemiological Ultrasonographic Survey, Kunihiko Tominaga

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of fatty liver disease in children is not well established and its relationship to childhood obesity is poorly defined. The present study of 810 northern Japanese school-aged children (4-12 years old), determined the prevalence of fatty liver and its relationship to gender and degree of obesity. Diagnosis of fatty liver was assessed by real-time ultrasonography.

RESULTS: 1. The overall prevalence of fatty liver is 2.6 %. 2. Fatty liver prevalence is higher for boys (3.4 %) than for girls (1.8 %), although not statistically significant (P = 0.15). 3. Fatty liver occurs in children as young as 6 …

An Assessment Of Three Different Forms Of Sterlization And Clinical Usage On Various Orthodontic Pin And Ligature Cutters : A Pilot Study, Warren L. Creed

Loma Linda University Electronic Theses, Dissertations & Projects

With an awareness of cross infection in dentistry and of AIDS (acquired immune deficiency syndrome), sterilization in the dental office has been brought to the public's attention by the news media. Much work has been done on which sterilization methods are acceptable but little has been written about the effects of sterilization procedures on the instruments themselves. In this study, 36 pin and ligature cutters were sterilized 250 cycles using three different methods of sterilization following the guidelines given by the Center for Disease Control (CDC). The cutters were examined for changes in lateral hinge movement, visual appearance and ordinal …

The Influence Of Prepregnancy Weight And Maternal Weight Gain : On Birth Weight Among Black Wic Participants In San Bernardino County, Marta Lukas Sovyanhadi

Loma Linda University Electronic Theses, Dissertations & Projects

Birth records show that San Bernardino County has the highest black infant mortality rate of the 16 counties in California with the largest proportion of African-Americans births. Although total infant deaths in San Bernardino County had fallen to 8.6 per 1,000 live births by 1992, the infant mortality rate among the black population of the county was close to two times higher at 16.8 per 1,000. This is the first study to address the high infant mortality rate among blacks in San Bernardino County. Factors which may affect the black infant mortality rate were examined.

Subjects were drawn from a …

The Media, Risk Assessment And Numbers: They Don't Add Up, Sharon M. Friedman

RISK: Health, Safety & Environment (1990-2002)

Professor Friedman argues that, for risks to be reported accurately, journalism educators must help their students understand science, numbers and statistics.

Patient Perceptions Of Quality: The Influence Of Value And Beneficence, Rebecca H. Waldon

Theses and Dissertations (ETD)

The influence of patient values and patient perception of benefits on patient perceptions of quality have not been extensively investigated, even though patient and provider perceptions of quality have been widely studied. Refocusing quality assessment and improvement to include factors that influence patient perceptions of quality is necessary for humanitarian and economic reasons. The health care patient has certain expectations of health care. These expectations are based on the value the patient places on the services. Value is a predictor of patient-perception of quality. The relative worth of patient goals may also be related to patient perceptions of quality. If …

Prevention Of Occupational Exposure Of Tuberculosis To Health Care Workers, Thomas C. Carle

Theses

The resurgence of tuberculosis in the United States within the past decade has prompted the health care community to develop tuberculosis elimination policies. However, recent outbreaks of tuberculosis have proved to be resistant to multiple antibiotics. Tuberculosis infections among health care workers is also rising. This increase in occupational exposures has prompted the examination of current exposure control measures.

The occupational exposure to tuberculosis is prevented by the use of administrative policies, engineering controls and personal protective equipment. Each control measure has inherent strengths and weaknesses and when implemented through an exposure control plan the risk of occupational exposure can …

Managing Occupational Hazards Confronting Healthcare Workers, Kiran A. Mody

Theses

The primary goal of this thesis is to identify, evaluate, and control occupational hazards that may exist in health care facilities.

Due to the complex nature of health care facilities, healthcare workers are always challenged by an imposing group of occupational hazards. The magnitude and diversity of these hazards, and the constantly changing nature of government regulations make it difficult to guarantee absolute protection and accuracy of the material contained herein. However, awareness of the risks, compliance with basic preventive measures, and adequate interventions are all essential components to consider in protecting healthcare workers.

Therefore, potential health effects of various …

Federal Support For Medical Education: Framing The Issues For The Systems Reform Debate, Karen Matherlee

National Health Policy Forum

Designed primarily for federal legislative and regulatory health staff involved in systems reform efforts, the session provided a primer on current medical education policies (with emphasis on federal strategies) and a prospectus on policies to change them.

Patients As Subjects For Research: Ethical Dilemmas For The Primary Care Clinician-Investigator, Susan F. Slatkoff, Peter Curtis, Ann L. Coker

CRVAW Faculty Journal Articles

Background: Past studies suggested an association between human papillomavirus (HPV) and cervical intraepithelial neoplasia (CIN). In 1987, University of North Carolina (UNC) Hospitals Family Practice Center clinicians were approached for a control population to study this association. Methods: One hundred fives patients attending the UNC Hospitals Neoplasia Clinic with biopsy-proven CIN 2 or 3 and 268 control patients attending the UNC Family Practice Center for a routine Papanicolaou smear were enrolled in this case-control study. Case and control patients consented to having an additional cervical specimen taken and to being interviewed. The cervical specimens were classified by the Southern blot …

Humic And Fulvic Acids: Sink Or Source In The Availability Of Metals To The Marine Bivalves Macoma Balthica And Potamocorbula Amurensis?, Alan W. Decho, Samuel N. Luoma

Faculty Publications

Humic acids (HA) and fulvic acids (FA) are common forms of organic matter in marine sediments, and are routinely ingested by deposit- and suspension-feeding animals. These compounds may be a sink for metals, implying that once metals are bound to humic substances they are no longer available to food webs. A series of experiments was conducted to quantitatively examine this premise using 2 estuarine bivalves from San Francisco Bay, USA: the suspension feeder Potarnocorbula arnurensis and the facultative deposit feeder Macoma balthica. HA and FA, isolated from marine sediments, were bound as organic coatings to either hydrous ferric oxides …

An Assessment Of Four-Hour Sample Durations Used To Determine Full-Shift Noise Exposures In A Foundry, Vince Marlo Fleming

Community & Environmental Health Theses & Dissertations

Full-shift sampling, usually eight hours, is traditionally performed to assess daily occupational noise exposure. This sampling approach is inefficient, and costly for repeated, long-term exposure evaluations. This study assessed the use of four-hour sample durations and subsequent data analysis to determine daily occupational noise exposures in a foundry. The four-hour sample durations were extracted from full-shift samples and analyzed on their ability to provide valid data for estimating mean daily noise exposure levels without significantly affecting sampling precision or accuracy. Results of this study indicate four-hour sample durations can be used successfully to estimate full-shift noise exposures provided certain criteria …