Medicine and Health Sciences Commons^™

Public Health Campaigns To Change Industry Practices That Damage Health: An Analysis Of 12 Case Studies, Nicholas Freudenberg, Sarah Picard Bradley, Monica Serrano

Publications and Research

Industry practices such as advertising, production of unsafe products, and efforts to defeat health legislation play a major role in current patterns of U.S. ill health. Changing these practices may be a promising strategy to promote health. The authors analyze 12 campaigns designed to modify the health-related practices of U.S. corporations in the alcohol, automobile, food and beverage, firearms, pharmaceutical, and tobacco industries. The objectives are to examine the interactions between advocacy campaigns and industry opponents; explore the roles of government, researchers, and media; and identify characteristics of campaigns that are effective in changing health-damaging practices. The authors compared campaigns …

Intake Of Coffee And Tea And Risk Of Ovarian Cancer: A Prospective Cohort Study, Stephanie A. Navarro Silvera, Meera Jain, Geoffrey R. Howe, Anthony B. Miller, Thomas E. Rohan

Department of Public Health Scholarship and Creative Works

There is some evidence from case-control studies that coffee consumption might be positively associated with ovarian cancer risk, whereas the epidemiologic evidence regarding tea consumption and ovarian cancer is inconsistent. To date, there have been few prospective studies of these associations. Therefore, we examined ovarian cancer risk in association with both coffee and tea intake in a prospective cohort study of 49,613 Canadian women enrolled in the National Breast Screening Study (NBSS) who completed a self-administered food frequency questionnaire between 1980 and 1985. Linkages to national mortality and cancer databases yielded data on deaths and cancer incidence, with follow-up ending …

Systematic Review Of Baseline Low-Dose Ct Lung Cancer Screening., Michael Lock

Michael Lock

The purpose of this systematic review was to provide physicians and patients with a synthesis of the available data and an assessment of the operating characteristics associated with baseline LDCT screening for lung cancer. Various databases, meeting abstracts, clinical trials in progress, and major textbooks for relevant data from 1966 to 2006 were searched for relevant studies. The median value of sensitivity, specificity, positive predictive value and negative predictive value were 81%, 81%, 8% and 99%, respectively. Of the studies that compared LDCT with other lung cancer screening maneuvers, it was found that LDCT detected a greater number of cancerous …

Hubungan Perilaku Pemberantasan Sarang Nyamuk Dan Kejadian Demam Berdarah Dengue Di Kota Bandar Lampung, Amrul Hasan

Kesmas

Kasus demam berdarah dengue di Kota Bandar Lampung terus mengalami peningkatan. Pada tahun 2001 incidence rate sebesar 13,56 per 100.000 penduduk, meningkat menjadi 109,8/100.000 penduduk pada tahun 2006 dan akhir Februari 2007 Kota Bandar Lampung dinyatakan Kejadian Luar Biasa (KLB) Demam berdarah dengue lokal. Penelitian ini bertujuan mengetahui hubungan kebiasaan melakukan pemberantasan sarang nyamuk (PSN) dengan kejadian demam berdarah dengue di Kota Bandar Lampung. Penelitian ini menggunakan desain kasus kontrol dengan jumlah sampel sebanyak 406 individu terdiri dari 203 kasus dan 203 kontrol. Kasus adalah individu yang menderita DBD yang pernah dirawat di rumah sakit dan dilaporkan ke Dinas Kesehatan …

Pengetahuan Dan Sikap Pemakaian Kontrasepsi Pada Remaja Putri “Gaul” Di Parkir Timur Senayan, Jakarta, Musafaah Musafaah

Kesmas

Banyak remaja yang secara seksual aktif telah melakukan hubungan seks sebelum menikah dan berlsiko kehamilan dan penyakit menular seksual. Kesepakatan Kairo 1994, menyatakan bahwa remaja mempunyai kebebasan berpikir dan berhak membuat keputusan tentang kesehatan reproduksi. Itu berarti bahwa remaja berhak terlibat dalam program Keluarga Berencana (KB) dan mendapat pelayanan kontrasepsi. Penelitian ini bertujuan untuk mengidentifikasi pengetahuan dan sikap pada remaja putri “gaul” terhadap pemakaian kontrasepsi. Penelitian dengan desain cross sectional ini dilakukan pada remaja putri berumur 15 – 24 tahun yang belum menikah yang biasa nongkrong dan berkumpul pada malam Minggu, di Parkir Timur Senayan, Jakarta Selatan. Sampel diambil dengan …

Concurrent Panel Session 2: Health Challenges Facing Las Vegas, Carlos Brandenburg, Shawn Gerstenberger, Zaven Khachaturian, John Mcdonald, Dennis Pirages, Thom Reilly, Kathy Silver, Bonnie Sorenson, Carolyn B. Yucha, Maurizio Trevisan

Shaping the Future of Southern Nevada: Economic, Environmental, and Social Sustainability

Moderator: Marcia Turner, NSHE Health Science System Scribe: Candace Griffith, UNLV Department of Sociology Conference white paper & Full summary of panel session, 8 pages

V Is For Voluntary: Uptake Of Hiv Testing And Counseling In Mombasa District, Kenya, Julie Caplow

Independent Study Project (ISP) Collection

Voluntary counseling and testing (VCT) is a crucial HIV intervention strategy, promoting safe behavior, providing personalized support, and serving as an entry point for care and treatment. Experts agree that knowledge of HIV status should ideally be universal; however, as VCT is a voluntary service, certain challenges arise in promoting its uptake. Though Kenya has made remarkable headway in expanding its VCT provision, setting a leading example for the world, 80% of adult citizens still have never been tested. This project investigates the factors controlling the uptake of VCT in Mombasa district and seeks ways to reach more people with …

Glycaemic Index, Glycaemic Load And Ovarian Cancer Risk: A Prospective Cohort, Stephanie A. Navarro Silvera, Meera Jain, Geoffrey R. Howe, Anthony B. Miller, Thomas E. Rohan

Department of Public Health Scholarship and Creative Works

Background

There is some evidence that plasma insulin levels might influence ovarian cancer risk. Glyacemic index (GI) and glycaemic load (GL) are measures that allow the carbohydrate content of individual foods to be classified according to their postprandial glycaemic effects and hence their effects on circulating insulin levels. Therefore, we examined ovarian cancer risk in association with GI and GL, and intake of dietary carbohydrate and sugar. Methods

The study was conducted in a prospective cohort of 49 613 Canadian women enrolled in the National Breast Screening Study (NBSS) who completed a self-administered food-frequency questionnaire (FFQ) between 1980 and 1985. …

Glycaemic Index, Glycaemic Load And Ovarian Cancer Risk: A Prospective Cohort Study, Stephanie A. Navarro Silvera, Meera Jain, Geoffrey R. Howe, Anthony B. Miller, Thomas E. Rohan

Department of Public Health Scholarship and Creative Works

Background

There is some evidence that plasma insulin levels might influence ovarian cancer risk. The glycaemic index (GI) and glycaemic load (GL) are measures that allow the carbohydrate content of individual foods to be classified according to their postprandial glycaemic effects and hence their effects on circulating insulin levels. Therefore, we examined ovarian cancer risk in association with GI and GL, and intake of dietary carbohydrate and sugar.

Methods

The study was conducted in a prospective cohort of 49 613 Canadian women enrolled in the National Breast Screening Study (NBSS) who completed a self-administered food-frequency questionnaire (FFQ) between 1980 and …

Local And National Health Advancement Using The Power Of Sport In South Africa, Lisa Zook

Independent Study Project (ISP) Collection

South Africa currently suffers greatly from disease and poverty. In particular, the country has a remarkably high prevalence of HIV/AIDS. This study looks at how the popularity of sport is being used to combat these social and health concerns. Many believe the power of sport is one means by which educational messages can be communicated to the public. Over a period of one month, three different sports related non-governmental organizations (NGOs) were examined. Two of the organizations, PeacePlayers International, which uses basketball to teach HIV/AIDS education and personal development, and loveLife Games, which uses sport to attract youth to their …

Assessment Of Indirect Cost-Of-Illness In A Subsistence Farming Society By Using Different Valuation Methods, Tin Su

Tin Tin Su

Indirect costs or productive labour time lost are the largest share of household economic burden of illness. However, the estimate of household indirect cost can vary depending on the valuation methods used. We therefore estimated household indirect cost in a subsistence farming society in Burkina Faso based on daily production value. These results were validated by using willingness-to-pay method and current wage rate. Among the three methods, the value of a day lost for adults assessed by willingness-to-pay method was considerably higher than other methods. There were no significant differences in indirect costs estimated by daily production value and wage …

Benign Proliferative Epithelial Disorders Of The Breast: A Review Of The Epidemiologic Evidence, Stephanie A. Navarro Silvera, Thomas E. Rohan

Department of Public Health Scholarship and Creative Works

Nearly one in four breast cancers is diagnosed before the age of 50, and many early-stage premalignant lesions are present but not yet diagnosed. Therefore, we review evidence to support the strategy that breast cancer prevention efforts must begin early in life. This study follows the literature review methods and format. Exposures during childhood and adolescence affect a woman’s long-term risk of breast cancer, but have received far less research attention than exposures that occur later in life. Breast tissue undergoes rapid cellular proliferation between menarche and first full-term pregnancy, and risk accumulates rapidly until the terminal differentiation that accompanies …

Patient Involvement In Patient Safety: What Factors Influence Patient Participation And Engagement?, Rachel Davis, Rosamond Jacklin, Nick Sevdalis, Charles A. Vincent

Faculty Publications

BACKGROUND: Patients can play an important role in improving patient safety by becoming actively involved in their health care. However, there is a paucity of empirical data on the extent to which patients take on such a role. In order to encourage patient participation in patient safety we first need to assess the full range of factors that may be implicated in such involvement. OBJECTIVE: To delineate factors that could affect the participation of the patient in quality and safety issues in their health care. METHOD: Literature review of patient involvement in health care, drawing from direct evidence (specifically from …

Determinan Penyalahgunaan Narkoba Pada Pekerja Pengunjung Tempat Hiburan, Arvida Bar

Kesmas

Angka penyalahgunaan narkoba di Indonesia dari tahun ke tahun makin meningkat, Sampai kini tercatat 1,5% atau 3,2 juta penduduk Indonesia merupakan pengguna narkoba. Penyalahguna narkoba terbesar berdasarkan pekerjaan adalah wiraswasta dan pengangguran. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan penyalahgunaan narkoba pada pekerja. Desain pada penelitian ini adalah krosseksional dengan sumber data sekunder survei BPS tahun 2004. Besar sample adalah 8000 pekerja yang berkunjung ke tempat hiburan di Jakarta, Surabaya, Bandung, Medan, Semarang, Yogjakarta, Palembang, Balikpapan, Kendari, Manado, Makasar, Jambi, Bengkulu, Palangkaraya dan Mataram yang dipilih di tempat hiburan secara konsekutif. Hasil penelitian memperlihatkan 26,39% pekerja yang menjadi penyalahguna …

Emergency Roadside Technician Dies When Struck By A Single-Unit Truck On An Interstate Shoulder, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

In the winter of 2005 a 52-year-old male emergency roadside technician (ERT), (providing traffic control support for police), died when he fell approximately 75 – 80 feet from a bridge after being struck by a single-unit truck. A policeman had responded to a call from a semi-truck driver on the interstate who had blown a tire while driving on an interstate. After the tire blew, the driver immediately pulled the semi onto the right shoulder and called police for assistance. This section of the shoulder was on a bridge on the blind side of a hill, and was too narrow …

Workers Struck By Trains While Driving, Kentucky Injury Prevention And Research Center

Kentucky Haz Alerts--Motor Vehicle

To prevent injuries while driving vehicles across railroad tracks:

• A hazard assessment should be performed before crossing railroad tracks.
• Safety belts should be used while driving.
• Commercial vehicles should not be stopped on railroad tracks.
• Braking mechanism checks should be performed before commercial vehicles enter roadways.
• Cell phones should not be utilized while driving.
• Employers should provide employees training on railway traffic safety.

Consider The Source : The Effects Of Adult Sources Of Human Immunodefciency [Sic] Virus And Sexually Transmitted Infection Prevention Information On Teen Risk Behaviors For Sexually Transmitted Infection, Janet E. Flores

Loma Linda University Electronic Theses, Dissertations & Projects

Sexually transmitted infections (STIs), including the Human Immunodeficiency Virus (HIV), are major health problems for adolescents, who represent over 26% of new cases of STIs diagnosed annually in the United States. Half of all HIV cases in people under age 25 result from sexual transmission during adolescence. Adolescent STI prevention is a national priority for the United States, and parents, schools, and medical providers, among others, are expected to have the greatest impact on adolescent STI risk reduction in teens.

This study used secondary Youth Risk Behavior Surveillance Survey (YRBS) data to explore the prevalence of high school students with …

A Model For Preventing Anorexia In College Students, Laura Ann Negin

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of anorexia nervosa in the general population is relatively low, but anorexia is at the forefront of health concerns because of its seriousness. Unhealthy weight loss has numerous physical, psychological, and social consequences. Most seriously, the mortality rate for people with eating disorders is the highest of all the major psychiatric disorders.

This dissertation presents a model for preventing anorexia nervosa in a population of college students that includes a comprehensive institutional approach, psychoeducational software, a high-risk population, a holistic approach that identifies an individual’s personal risk factors and protective factors, and individual therapy.

The model is built …

The Effectiveness Of A Dynamic Interdisciplinary Food Safety Curriculum Targeted On Middle School Students In Scott County, Sarah M. Johnson

Masters Theses

The focus of this study was to provide a comparison of data collected from seventh grade students on food safety knowledge who have been through USDA’s National Integrated Food Safety Initiative program with those seventh grade students who have had no formal school instruction on this topic. Middle school students were specifically targeted because they are more likely to synthesize this information in a way that will lead to the development of new behaviors.

The population consisted of seventh grade students at Burchfield, Fairview, Huntsville and Oneida Middle Schools. Burchfield and Huntsville were the two schools used as the comparison …

Collaboration Addresses Information And Education Needs Of An Urban Public Health Workforce, Deborah H. Charbonneau, Ellen B. Marks, Annette M. Healy, Carrie F. Croatt-Moore

Library Scholarly Publications

Addressing the health information needs of diverse, multiethnic, and multilingual communities can be both a challenge and an opportunity for libraries. The Vera P. Shiffman Medical Library at Wayne State University in Detroit, Michigan, is the only academic medical library in the Detroit area open to the public. The library provides services to many communities in southeastern Michigan. The diverse geographic area served by the library includes the nation’s highest concentration of Arab Americans. A review of the literature reveals that limited research has addressed how libraries can meet the health information needs of this target community. An understanding of …

Factors Associated With Aids Risk Behaviors Of African Born Adolescents In Southern California, Dixon Anjejo

Loma Linda University Electronic Theses, Dissertations & Projects

The study was aimed at determining if cultural beliefs are salient factors contributing to the spread of HIV/AIDS among African born adolescents aged 15 to 19 years living in southern California. We used a cross-sectional design and collected data in two phases. The first phase was qualitative and data were collected from 25 participants in focus groups. The second phase utilized a questionnaire which was developed from the results of the focus group, using the theory of planned behavior. One hundred and thirty-five black African born teenagers between the ages of 15-19 years living in southern California completed the questionnaire. …

A Qualitative Study Of Inpatient Rehabilitation Client Perceptions Of The Semi-Fixed Environment, Liane Hewitt

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Literature supports the importance of the environment on promoting or compromising health. However, little is known about how the semi-fixed environment affects client perceptions and recovery from a debilitating condition. The purpose of this study was to investigate beliefs about control within the semi-fixed environment and client perceptions of the rehabilitation process.

Design and Method. This study utilized a basic qualitative research design with 10 rehabilitation clients whose average inpatient length of stay was 14 days. Data were collected in two phases. Phase I included two inpatient visits involving semi-structured interviews on the rehabilitation process and …

Differential Neuromuscular Training Effects On Acl Injury Risk Factors In"High-Risk" Versus "Low-Risk" Athletes, Gregory D. Myer, Kevin R. Ford, Jensen L. Brent, Timothy E. Hewett

Kinesiology and Health Promotion Faculty Publications

BACKGROUND: Neuromuscular training may reduce risk factors that contribute to ACL injury incidence in female athletes. Multi-component, ACL injury prevention training programs can be time and labor intensive, which may ultimately limit training program utilization or compliance. The purpose of this study was to determine the effect of neuromuscular training on those classified as "high-risk" compared to those classified as "low-risk." The hypothesis was that high-risk athletes would decrease knee abduction moments while low-risk and control athletes would not show measurable changes.

METHODS: Eighteen high school female athletes participated in neuromuscular training 3x/week over a 7-week period. Knee kinematics and …

Long Haul Trucker Dies After Striking An Embankment At The End Of An Interstate Highway Off-Ramp, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Motor Vehicle

In the fall of year 2005, at 12:40 AM, a 47-year-old male semi-truck driver began his delivery route hauling a refrigerated trailer loaded with 23,000 pounds of produce. His first delivery was approximately 265 miles away. After two hours and twenty minutes, he exited the interstate 23 miles from the start of his route. At the end of the exit ramp he attempted to turn right onto a 4-lane highway. He missed the turn and drove straight across the highway through a guardrail; the truck became airborne, and crashed into an embankment exploding into flames. An unidentified motorist driving behind …

A Medical Mission: Healing Wounds, Improving Health, And Discovering Hope In Honduras, Michaela Maynard

Senior Honors Projects

According to the United Nations, less than one-sixth of the world’s population is made up of the industrialized world. In contrast, the developing world, consisting of approximately 125 low and middle-income countries, is home to about 5.1 billion people. It is in these developing counties that there is an insatiable need for improved public health. In January of 2007, I spent a week working in a medical clinic in Guaimaca, Honduras. I witnessed first hand the suffering, poverty, and injustice of one small town. Yet, what struck me the most was that despite the hardships and the lack of basic …

Perilaku Menyusui Bayi Pada Etnik Bugis Di Pekkae, 2003, Asiah Hamzah

Kesmas

Studi penilaian ASI di Kabupaten Barru tahun 1998, menemukan 99,0% bayi dan balita masih mendapat ASI. Namun, bayi baru lahir tidak diberi ASI pada jam pertama, Pemberian ASI pada hari I (40,6%) masih rendah, masih banyak yang memberikan hari II (18,4%), dan hari III (41,0%). Umumnya bayi mendapat kolostrom (83,2%) dan ASI (99,0%), tetapi sekitar 75% bayi mendapat makanan prelakteal. Penelitian ini bertujuan mengetahui perilaku menyusui bayi pada etnik Bugis Kecamatan Tanete Rilau Kabupaten Barru. Metode penelitian yang dilakukan adalah metode kualitatif dengan paradigma etnometodologi dan interaksi simbolik. Pradigma etnometodologi digunakan untuk mengetahui makna perilaku ibu dalam menyusui bayi menurut …

Relapse Opiat Di Rumah Sakit Ketergantungan Obat Jakarta, Tahun 2003-2005, Akhmad Muttaqin

Kesmas

Penyalahgunaan ulang opiat merupakan penyakit kronik yang berkali-kali muncul. Angka kambuh (relapse) pecandu Narkotika, Psikotropika dan Zat Adiktif (Napza) secara umum tidak jauh berbeda dengan angka relapse pecandu opiat. Tujuan penelitian ini mengetahui berbagai faktor saja yang berhubungan dengan kejadian relapse opiat di RSKO Jakarta tahun 2003-2005. Penelitian dengan disain kasus control ini dilakukan terhadap data sekunder rekam medik. Variabel yang diteliti meliputi faktor individu (jenis kelamin, tingkat pendidikan, golongan umur, status perkawinan, status pekerjaan, dan status infeksi hepatitis) serta faktor zat (pola penggunaan, lama pakai, cara pakai, frekuensi pakai, dan kadar zat). Sampel studi terdiri dari 72 kasus dan …

Repeatability Of Serial Carotid Intima Media Thickness Scanning On Individual Subjects, Judi Nightingale

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Heart disease affects millions of Americans each year. In order to improve primary prevention, early risk identification is essential. B-mode ultrasound of the common carotid artery (CCA) intima-media thickness (IMT) assesses risk of a coronary event early in the process of plaque development. Because IMT changes are so small over time, in order to determine clinically significant versus clinically insignificant changes in IMT over a 12 month time period, a protocol is needed which can detect the least significant difference (LSD) of at least 0.030 mm.

Purpose. The purpose of this study was to develop and test a well-defined …

Patient Advocacy Resource Manual, Jeff Hope

Student Organizations

Patient Advocacy began as a freestanding group, formed by medical students who wanted to help homeless men and women with their psychosocial needs, such as finding a job, obtaining health insurance, and joining a drug and alcohol rehabilitation program. Later, we merged with Jeff HOPE to form an organization that can address all of the needs of our patients. This combination of energies and talents has proven quite beneficial, especially because our patients often need services that are beyond the scope of what the Jeff HOPE medical clinic can provide. Thus, one of our most important responsibilities is to link …

Adequacy Of Communicating Results From Screening Mammograms To African American And White Women, Beth Jones, Kam Reams, Lisa Calvocoressi, Amy B. Dailey, Stanislav V. Kasl, Nancy M. Liston

Health Sciences Faculty Publications

Objective. We examined whether African American women were as likely as White women to receive the results of a recent mammogram and to self-report results that matched the mammography radiology report (i.e., were adequately communicated). We also sought to determine whether the adequacy of communication was the same for normal and abnormal results.

Methods. From a prospective cohort study of mammography screening, we compared self-reported mammogram results, which were collected by telephone interview, to results listed in the radiology record of 411 African American and 734 White women who underwent screening in 5 hospital-based facilities in Connecticut between October 1996 …