Medicine and Health Sciences Commons^™

Exponential Growth, Animal Welfare, Environmental And Food Safety Impact: The Case Of China’S Livestock Production, Peter J. Li

Peter J. Li, PhD

Developmental states are criticized for rapid “industrialization without enlightenment.” In the last 30 years, China’s breathtaking growth has been achieved at a high environmental and food safety cost. This article, utilizing a recent survey of China’s livestock industry, illustrates the initiating role of China’s developmental state in the exponential expansion of the country’s livestock production. The enthusiastic response of the livestock industry to the many state policy incentives has made China the world’s biggest animal farming nation. Shortage of meat and dairy supply is history. Yet, the Chinese government is facing new challenges of no less a threat to political …

Noncompliance With Public Health Service (Phs) Policy On Humane Care And Use Of Laboratory Animals: An Exploratory Analysis, Leah M. Gomez, Kathleen Conlee, Martin Stephens

Martin Stephens, PhD

The National Institutes of Health (NIH) is a major biomedical research-funding body in the United States. Approximately 40% of NIH-funded research involves experimentation on nonhuman animals (Monastersky, 2008). Institutions that conduct animal research with NIH funds must adhere to the Public Health Service (PHS) care and use standards of the Office of Laboratory Animal Welfare (OLAW, 2002a). Institutions deviating significantly from the PHS’s animal care and use standards must report these incidents to the NIH’s OLAW. This study is an exploratory analysis of all the significant deviations reported by animal-research facilities to OLAW during a 3-month period. The study identifies …

Why-The-United-States-Needs-A-National-Birth-Cohort-Study.Pdf, Ezekiel J. Dixon-Román

Ezekiel J Dixon-Román

Providing Information Across Multiple Devices To The Public Health Workforce: Challenges And Opportunities, E. Hatheway Simpson, Lisa Sedlar

E. Hatheway Simpson

Public health workers are increasingly using mobile technology to access information. PHPartners.org, the web portal of the Partners in Information Access for the Public Health Workforce, has implemented a responsively designed website to allow users to access and easily view the same information across multiple devices including mobile phones, tablets, and desktop computers. This webinar will present an overview of the benefits of responsive web design, the challenges to implementation, and future developments.

Making The Blue Zones: Neoliberalism And Nudges In Public Health Promotion, Eric Carter

Eric D. Carter

This paper evaluates the ideological and political origins of a place-based and commercial health promotion effort, the Blue Zones Project (BZP), launched in Iowa in 2011. Through critical discourse analysis, I argue that the BZP does reflect a neoliberalization of public health, but as an "actually existing neoliberalism" it emerges from a specific policy context, including dramatic health sector policy changes due to the national Affordable Care Act, also known as Obamacare; a media discourse of health crisis for an aging Midwestern population; and an effort to refashion Iowa cities as sites of healthy and active living, to retain and …

Consumer Hookah Consumption: Is The Hubble Bubble The New Coffee And Cocktail?, Tracy Harmon-Kizer

Tracy R. Harmon-Kizer Ph.D.

Hookah smoking is a growing practice among American teens and young adults. In a single hookah smoking session, a smoker may inhale 100 to 200 times the volume of smoke inhaled in a single cigarette. Yet, the risks and adverse consequences of hookah smoking are relatively unfamiliar to health professionals, tobacco policy regulators and consumer behavior researchers. To extend our understanding of this epidemic-like consumption practice, this study explores consumer initiation and continued practice, and the meanings, attitudes and beliefs held by those who smoke hookah, especially with respect to cigarette smoking. Our findings reveal adulterated ways in which hookah …

The Public Health Impacts Of Concentrated Animal Feeding Operations On Local Communities, Michael Greger, Gowri Koneswaran

Michael Greger, MD, FACLM

Large-scale farm animal production facilities, also known as concentrated animal feeding operations (CAFOs), release a significant amount of contaminants into the air and water. Adverse health effects related to exposure to these contaminants among CAFO workers have been welldocumented; however, less is known about their impact on the health of residents in nearby communities. Epidemiological research in this area suggests that neighboring residents are at increased risk of developing neurobehavioral symptoms and respiratory illnesses, including asthma. Additional research is needed to better understand community-scale exposures and health outcomes related to the management practices and emissions of CAFOs.

The Human/Animal Interface: Emergence And Resurgence Of Zoonotic Infectious Diseases, Michael Greger

Michael Greger, MD, FACLM

Emerging infectious diseases, most of which are considered zoonotic in origin, continue to exact a significant toll on society. The origins of major human infectious diseases are reviewed and the factors underlying disease emergence explored. Anthropogenic changes, largely in land use and agriculture, are implicated in the apparent increased frequency of emergence and reemergence of zoonoses in recent decades. Special emphasis is placed on the pathogen with likely the greatest zoonotic potential, influenzavirus A.

Youth Aging Out Of Foster Care: The Invisible Public Health Care Crisis Emergent Findings And Implications For Policy And Practice, Angelique G. Day

Angelique G Day

The purpose of this paper is to review related literature on foster care transitions and identify the implications for practice. Findings indicate that young people aging out of foster care face significant barriers that impede their ability to transition successfully to adulthood. This population is growing, and the collective negative social outcomes constitute a serious public health care crisis that needs to be addressed.

Child Mental Health And Service Needs In Iraq: Beliefs And Attitudes Of Primary School Teachers., A Al-Obaidi, B Nelson, G Albadawi, M Hicks, A Guarino

Madelyn Hsiao-Rei Hicks

No abstract provided.

The Impacts Of Social Enterpriseled Activity On Health And Wellbeing: An Integrative Review, Michael J. Roy, Cam Donaldson, Rachel Baker, Susan M. Kerr

Michael J Roy

No abstract provided.

Emes Phd Summer School Presentation, Michael J. Roy

Michael J Roy

Introduction/Theory

The persistent and well-documented problem of health inequalities has challenged public health researchers since the relationship between income and health was first established. In the context of austerity measures leading to public-sector funding cuts, and faced with continuing, even growing, inequalities, more innovative, community-based solutions have gained prominence. With this in mind, social enterprises - businesses which, rather than distributing profits to shareholders, re-invest their profits in fulfilment of a social mission – could prove to be a potentially innovative response. However there is a significant gap in knowledge of how, and to what extent, social enterprise impacts upon …

Conceptualising Social Enterprise As A Public Health Intervention Through The Lens Of The ‘Assets-Based’ Approach To Health And Well-Being, Michael J. Roy

Michael J Roy

No abstract provided.

Developing A Conceptual Framework Of Social Enterprise As A Public Health Intervention, Michael J. Roy, Cam Donaldson, Rachel Baker, Susan M. Kerr

Michael J Roy

The persistent and well-documented problem of health inequalities has challenged public health researchers since the relationship between income and health was first established. In the context of austerity measures leading to public-sector funding cuts, and faced with continuing, even growing, inequalities, more innovative, community-based solutions have gained prominence.

Health inequalities in many places have persisted and widened in recent years. Our own city of Glasgow serves as useful illustration, with one quarter of our citizens defined as deprived and life expectancy gaps of up to 28 years between the richest and poorest. With this in mind, social enterprises - businesses …

A Public Health Approach To Understanding And Preventing Violent Radicalisation., K Bhui, M Hicks, M Lashley, E Jones

Madelyn Hsiao-Rei Hicks

No abstract provided.

Suicide Bombing: How To Prevent Death In Civilians? - Authors’ Reply., M Hicks, H Dardagan, P Bagnall, M Spagat, J Sloboda

Madelyn Hsiao-Rei Hicks

No abstract provided.

Social Marketing, Stages Of Change, And Public Health Smoking Interventions, Paula Diehr

Paula Diehr

As a "thought experiment," the authors used a modified stages of change model for smoking to define homogeneous segments within various hypothetical populations. The authors then estimated the population effect of public health interventions that targeted the different segments. Under most assumptions, interventions that emphasized primary and secondary prevention, by targeting the Never Smoker, Maintenance, or Action segments, resulted in the highest nonsmoking life expectancy. This result is consistent with both social marketing and public health principles. Although the best thing for an individual smoker is to stop smoking, the greatest public health benefit is achieved by interventions that target …

Casualties In Civilians And Coalition Soldiers From Suicide Bombings In Iraq, 2003—10: A Descriptive Study., M Hicks, H Dardagan, P Bagnall, M Spagat, J Sloboda

Madelyn Hsiao-Rei Hicks

BACKGROUND:

Suicide bombs in Iraq are a major public health problem. We aimed to describe documented casualties from suicide bombs in Iraq during 2003-10 in Iraqi civilians and coalition soldiers.

METHODS:

In this descriptive study, we analysed and compared suicide bomb casualties in Iraq that were documented in two datasets covering March 20, 2003, to Dec 31, 2010--one reporting coalition-soldier deaths from suicide bombs, the other reporting deaths and injuries of Iraqi civilians from armed violence. We analysed deaths and injuries over time, by bomb subtype and victim demographics.

FINDINGS:

In 2003-10, 1003 documented suicide bomb events caused 19% (42,928 …

Violent Deaths Of Iraqi Civilians, 2003-2008: Analysis By Perpetrator, Weapon, Time, And Location., M Hicks, H Dardagan, G Guerrero Serdán, P Bagnall, J Sloboda, M Spagat

Madelyn Hsiao-Rei Hicks

No abstract provided.

Global Comparison Of Warring Groups In 2002-2007: Fatalities From Targeting Civilians Vs. Fighting Battles., M Hicks, U Lee, R Sundberg, M Spagat

Madelyn Hsiao-Rei Hicks

BACKGROUND:

Warring groups that compete to dominate a civilian population confront contending behavioral options: target civilians or battle the enemy. We aimed to describe degrees to which combatant groups concentrated lethal behavior into intentionally targeting civilians as opposed to engaging in battle with opponents in contemporary armed conflict.

METHODOLOGY/PRINCIPAL FINDINGS:

We identified all 226 formally organized state and non-state groups (i.e. actors) that engaged in lethal armed conflict during 2002-2007: 43 state and 183 non-state. We summed civilians killed by an actor's intentional targeting with civilians and combatants killed in battles in which the actor was involved for total fatalities …

“They Don't Want Anything To Do With You”: Patient Views Of Primary Care Management Of Chronic Pain., Gonzalo Bacigalupe

Gonzalo Bacigalupe, EdD, MPH

No abstract provided.

The Ces-D In Chinese American Women: Construct Validity, Diagnostic Validity For Major Depression, And Cultural Response Bias., Z Li, M Hicks

Madelyn Hsiao-Rei Hicks

Previous studies of the Center for Epidemiologic Studies Depression Scale (CES-D) in Chinese Americans describe internal reliability and factor structure. We report CES-D construct validity and diagnostic validity for major depression in a probability sample of 168 community-dwelling Chinese American women. Internal consistency was satisfactory (Cronbach's alpha=0.86). Good construct validity was indicated by significantly higher mean CES-D scores for respondents who reported lower social support, worse self-perceived general health, or stressful life events, including intimate partner violence. Cultural response bias was found, with positively-stated CES-D items (e.g. "I was happy") producing higher depression scores in immigrants and subjects who preferred …

Controlling Influenza A (H1n1) In China: Bayesian Or Frequentist Approach, Dejian Lai, Chiehwen Ed Hsu

Chiehwen Ed Hsu

In this article we discuss two approaches to controlling the newly identified influenza A (H1N1) via Bayesian and frequentist statistical reasoning. We reviewed the measures implemented in China as an example to illustrate these two approaches. Since May 2009, China has deployed strict controlling mechanisms based on the strong prior Bayesian assumption that the origin of influenza A (H1N1) was from outside China and as such strict border control would keep the virus from entering China. After more than two months of hard work by Chinese health professionals and officials, the number of confirmed influenza A (H1N1) has increased steadily …

Worksite Wellness And The 10 Essential Public Health Services, William C. Mcpeck

William C. McPeck

This white paper examines how the 10 Essential Public Health Services being promoted by the CDC relate to worksite wellness.

Tracking Civilian Casualties In Combat Zones Using Civilian Battle Damage Assessment Ratios., E Cameron, M Spagat, M Hicks

Madelyn Hsiao-Rei Hicks

No abstract provided.

The Dirty War Index: A Public Health And Human Rights Tool For Examining And Monitoring Armed Conflict Outcomes., M Hicks, M Spagat

Madelyn Hsiao-Rei Hicks

War, a major public health problem, is a situation where the interests of public health, human rights, and humanitarian law intersect.

The DWI is a data-driven public health tool that identifies rates of particularly undesirable or prohibited, i.e., “dirty,” outcomes inflicted on populations during war (e.g., civilian death, child injury, or torture).

A DWI is calculated as: (Number of “dirty,” i.e., undesirable or prohibited cases/Total number of cases) × 100.

DWIs are designed for direct, easy translation of war's public health outcomes into the human rights, policy, and interdisciplinary work needed to address war's practice.

DWIs support monitoring, deterrence, and …

Public Health Citation Patterns: An Analysis Of The American Journal Of Public Health, 2003-2005, Melissa L. Rethlefsen, Lisa C. Wallis

Lisa C. Wallis, MSPH, MS

Assessing Chronic Disease Management Strategies Through Community Based Participatory Research, Kevin D. Willison

Kevin D Willison

Comprehensive chronic disease management (CDM) strategies aim to improve such aspects as continuity of care, health-related quality of life and, overall population health. Here, consideration is made of how CDM may be enhanced through a more integrated and holistic health care system by incorporating a community based participatory research (CBPR) approach. This has the potential to provide meaningful participation by citizens in public health policy development. That CBPR may garner improved assessment of the effectiveness of existing CDM strategies, as imbedded in such practices as (regulated) complementary/alternative medicine (CAM), public health, and transcultural health care initiatives, should not be overlooked.

Public Health Decision Makers’ Informational Needs And Preferences For Receiving Research Evidence, Maureen Dobbins, Susan Jack, Helen Thomas, Anita Kothari

Anita Kothari

Objectives: The purpose of this study was to identify decision-makers’ preferences for the transfer and exchange of research knowledge. This article is focused on how the participants define evidence-based decision-making and their preferences for receiving research evidence to integrate into the decision-making process.

Methods: Semistructured interviews were conducted with a purposive sample of 16 Ontario public health decision-makers from six Ontario public health units in this fundamental qualitative descriptive study. The sample included nine program managers, six directors, and one Medical Officer of Health. Participants were asked to define the term evidence-based decision-making and identify preferred research dissemination strategies. The …

Mortality In Iraq., M Hicks

Madelyn Hsiao-Rei Hicks

No abstract provided.