Medicine and Health Sciences Commons^™

Systematic Screening As A Strategy To Increase Services Integration And Revenues In Honduras, Ricardo Vernon, James R. Foreit, Fiorella Mancini, Suyapa Pavon, Jheisy Torres

Reproductive Health

This operations research study, undertaken by the Honduras Family Planning Association (Asociación Hondureña de Planificación de Familia—ASHONPLAFA), tested the effectiveness of systematic screening to increase the number of services and revenue per visit in a reproductive health program. Despite monitoring plans, provider compliance with the intervention was low; the overall proportion of clients screened was less than 11 percent, and the frequency of screening varied greatly by clinic contact point. Although the study did not show an increase in the mean number of services per client, the negative results could reasonably be attributed to lack of implementation of the intervention. …

Systematic Screening To Integrate Reproductive Health Services In India, N.P. Das, Urvi Shah, Varsha Chitania, Pratibha Patel, M.E. Khan, Anurag Mishra, James R. Foreit

Reproductive Health

This study, conducted in large public clinics and small health posts in the city of Vadodara, India, tested the effectiveness of a systematic screening technique in integrating reproductive health services at the provider level. The objective was to determine if women screened during clinic visits received more services, appointments, and referrals per visit than women who were not screened. Results show that in experimental group clinics the number of services per visit increased while control clinics experienced a slight decrease; the effect of systematic screening was smaller in health posts than in clinics. In experimental posts, services per visit increased …

Nursing Staff Dynamics And Implications For Maternal Health Provision In Public Health Facilities In The Context Of Hiv/Aids, Loveday Penn-Kekana, Duane Blaauw, Khin San Tint, Desiree Monareng, Jane Chege

Reproductive Health

This study, carried out in Limpopo, KwaZulu-Natal, and Mpumalanga provinces in South Africa, aimed to document nursing staff dynamics in maternal health services, and to explore the factors associated with these dynamics. The study found that a high percentage of nursing staff working in public facilities were demotivated, burnt out, and were considering leaving the facility where they were working. A range of factors, both financial and nonfinancial, were associated with nurses considering going overseas: inadequate pay, poor promotion, feeling unsupported by management, and having bad relationships at work were all associated with lack of organizational commitment. As a result …

Feasibility Of Introducing A Comprehensive Package Of Antenatal Care Services In Rural Public Clinics In South Africa, Jane Chege, Ian Askew, Nzwakie Mosery, Mbali Ndube-Nxumalo, Busi Kunene, Mags Beksinska, Janet Dalton, Ester Snyman, Wilem Sturm, Preshny Moodley

Reproductive Health

The Maternal, Child and Women’s Health Unit, in collaboration with the Population Council’s FRONTIERS in Reproductive Health (FRONTIERS) program, the Reproductive Health Research Unit of the University of Witwatersrand, and the Department of Medical Microbiology and Infectious Diseases of the Nelson Mandela School of Medicine, University of Natal, developed and then pilot-tested this revised model in KwaZulu-Natal, South Africa. The project’s objective was to develop and test an improved and integrated antenatal care program for public-sector clinics that would increase the range and quality of services received by pregnant women and improve their reproductive health behavior and status. Various problems, …

Using Systematic Screening To Increase Integration Of Reproductive Health Services Delivery In Senegal, Diouratie Sanogo, Ricardo Vernon, James R. Foreit, Awa M. Coll-Seck, Colonel Adama Adoye, Laty G. Ndoye, Cheikh Bamba Diop, Balla Mbacke Mboup, Omar Sarr

Reproductive Health

This study tested the systematic screening technique to increase the integration of reproductive health services in Senegal. The study took place in four urban health posts in the city of Dakar and three rural health posts in the district of Kebemer. A before and after design tested the hypothesis that the use of the systematic screening tool would result in more services received per client visit. In Dakar, services per visit increased significantly by 20 percent, while in Kebemer, services per visit also increased significantly by 35 percent. The study also examined several techniques to improve provider compliance with the …

Measurement Of Carbon Monoxide In Diesel Engine Exhaust, Michel Grenier

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

The measurement of carbon monoxide concentrations in the exhaust of diesel engines allows the identification of engines needing maintenance. Selecting the right instruments and the protocol to be followed is very important. The objectives of the work presented in this report are the selection and evaluation of the measuring instruments, as well as the selection of the protocol to be followed. The work related to the evaluation of the measuring instruments was carried out in the laboratory and underground, in order to identify the factors that could affect the measurement protocol. …

Importance De L’Organisation Du Travail Comme Soutien Aux Stratégies Protectrices Des Auxiliaires Familiales Et Sociales Afs Et Des Infirmières Des Services De Soins Et De Maintien À Domicile. Annexe 1 : Rapport De L'Étude Du Clsc 1, Esther Cloutier, Élise Ledoux, François Ouellet, Madeleine Bourdouxhe, Isabelle Gagnon, Hélène David, Catherine Teiger

Rapports de recherche scientifique

No abstract provided.

Étude Des Horaires De Travail Des Auxiliaires Familiales Et Sociales Des Services De Soins À Domicile Dans Un Clsc - Suivi D’Implantation Du Logiciel De Gestion Des Horaires. Annexe 5 : Rapport D’Intervention Du Clsc 1, Madeleine Bourdouxhe, Esther Cloutier, Élise Ledoux, Catherine Teiger, Hélène David, Isabelle Gagnon, François Ouellet

Rapports de recherche scientifique

Les contraintes de temps sont un élément de l’organisation du travail qui peut influencer les stratégies protectrices chez les auxiliaires familiales et sociales travaillant au maintien à domicile des patients de CLSC. Dans un des quatre CLSC participant à une recherche en cours, le milieu avait signalé un besoin spécifique concernant l’étude des horaires de travail et des heures supplémentaires chez les AFS. Les horaires de travail étaient donc un aspect organisationnel important dans ce CLSC en particulier, d’autant plus qu’on s’apprêtait à y implanter un logiciel de gestion des horaires qui se répand dans les établissements analogues, publics comme …

Importance De L’Organisation Du Travail Comme Soutien Aux Stratégies Protectrices Des Auxiliaires Familiales Et Sociales Et Des Infirmières Des Services De Soins Et De Maintien À Domicile. Annexe 3 : Rapport De L'Étude Du Clsc 3, Esther Cloutier, Isabelle Gagnon, Élise Ledoux, Madeleine Bourdouxhe, Hélène David, François Ouellet, Catherine Teiger

Rapports de recherche scientifique

No abstract provided.

Importance De L’Organisation Du Travail Comme Soutien Aux Stratégies Protectrices Des Auxiliaires Familiales Et Sociales Et Des Infirmières Des Services De Soins Et De Maintien À Domicile. Annexe 4 : Rapport De L’Étude Du Clsc 4, Élise Ledoux, Esther Cloutier, Hélène David, François Ouellet, Madeleine Bourdouxhe, Catherine Teiger, Isabelle Gagnon

Rapports de recherche scientifique

No abstract provided.

Importance De L’Organisation Du Travail Comme Soutien Aux Stratégies Protectrices Des Auxiliaires Familiales Et Sociales Et Des Infirmières Des Services De Soins Et De Maintien À Domicile. Annexe 2 : Rapport De L'Étude Du Clsc 2, Esther Cloutier, Élise Ledoux, Madeleine Bourdouxhe, Isabelle Gagnon, François Ouellet, Hélène David, Catherine Teiger

Rapports de recherche scientifique

No abstract provided.

Liste Des Méthodes De Travail Reliées Aux Opérations De Déblocage Et De Réhabilitation Des Cheminées À Minerai Et À Stérile, John Hadjigeorgiou, Jean-François Lessard

Rapports de recherche scientifique

Ce document est l'annexe du rapport Conception des cheminées à minerai et à stérile (R-380)

This document is annex of the report Conception des cheminées à minerai et à stérile (R-380)

Ending The Exploitation Of The Vulnerable: The Promise Of The Intersection Of American Bioethics, Human Rights, And Health Law, Ruqaiijah Yearby

All Faculty Scholarship

Traditionally, American bioethics has served as a safety net for the rich and powerful, for they are not forced to act as research subjects to obtain access to general health care for themselves or their children. However, American bioethics has failed to protect the vulnerable, i.e. indigent minorities. The vulnerable are not treated the same as the rich. They do not have access to health care. They are exploited in clinical trials that promise monetary gain or access to health care and their autonomy rights are often ignored. Some of the vulnerable most affected by these disparities are African-Americans. African-Americans …

Assessing Clinical Waste Management Performance In A Health Care Organisation, Victor Hrymak

Articles

An assessment of clinical waste management was undertaken in an Irish health care organisation. The methodology and results are presented together with recommendations.

Vascular Sonography Bachelor Of Health Science 2005, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Predicting Postoperative Cardio-Pulmonary Complications By A Test Of Stair Climbing, Nawal Salahuddin, Saulat H. Fatimi, Shehzad Huda, Mohammad Islam, Azam Shafquat

Section of Cardiothoracic Surgery

OBJECTIVE: To assess whether a test of stair climbing ability could be used to predict the risk of developing postoperative cardiopulmonary complications in patients undergoing general anesthesia.
DESIGN: Cohort study.
PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi. The duration of the study was from December 2003 to December 2004. PATIENTS AND METHODS: This study was carried out on consecutive, adult patients presenting for elective thoracic or abdominal surgery under general anesthesia. Pre-operatively, patients were asked to climb a standard staircase. Number of steps climbed was recorded. Those unable to climb stairs due to debilitating …

Association Between A Dopamine-4 Receptor Polymorphism And Blood Pressure, Srijan Sen, Randolph Nesse, Li Sheng, Scott F. Stoltenberg, Lillian Gleiberman, Margit Burmeister, Alan B. Weder

Department of Psychology: Faculty Publications

Background: Dopamine receptor genes are candidates for hypertension susceptibility. Locally released dopamine increases renal sodium excretion, and defective renal dopamine receptor signaling has been shown to play a role in hypertension. Dopamine-4 receptors are expressed in juxtaglomerular and cortical collecting cells, where dopamine activation could alter sodium and water metabolism and affect blood pressure (BP). The dopamine-4 receptor (DRD4) gene has a 16 amino acid (48 base pairs [bp]) repeat polymorphism located in exon 3 where a G-protein binding area is encoded. The long allele (defined as at least one 7 to 10 repeat) has been associated with the personality …

Effects Of Ultrasonic Scaling And Hand-Activated Scaling On Tactile Sensitivity In Dental Hygiene Students, Danielle L. Ryan, Michele Darby, Susan L. Tolle, Deborah Bauman, Dayanand Naik

Dental Hygiene Faculty Publications

Purpose. This study was conducted to determine if tactile sensitivity varies in dental hygiene students who use the ultrasonic scaler, as compared to those who scale with hand-activated instruments.

Methods. A two-group, randomized subjects, pretest-posttest design was carried out mid-semester for five weeks on 40 first-year dental hygiene students who met the inclusion criteria of this study and who agreed to participate. A convenience sample of 40 consenting, first-year dental hygiene students were randomly assigned to one of two groups (experimental or control). After establishing a baseline tactile sensitivity score with the Vibratory Sensory Analyzer (VSA), experimental group subjects used …

Identifying Inaccuracies On Emergency Medicine Residency Applications., Eric D Katz, Lee Shockley, Lawrence Kass, David Howes, Janis P Tupesis, Christopher Weaver, Osman R Sayan, Victoria Hogan, Jason Begue, Diamond Vrocher, Jackie Frazer, Timothy Evans, Gene Hern, Ralph Riviello, Antonio Rivera, Keith Kinoshita, Edward Ferguson

Department of Emergency Medicine Faculty Papers

BACKGROUND: Previous trials have showed a 10-30% rate of inaccuracies on applications to individual residency programs. No studies have attempted to corroborate this on a national level. Attempts by residency programs to diminish the frequency of inaccuracies on applications have not been reported. We seek to clarify the national incidence of inaccuracies on applications to emergency medicine residency programs. METHODS: This is a multi-center, single-blinded, randomized, cohort study of all applicants from LCME accredited schools to involved EM residency programs. Applications were randomly selected to investigate claims of AOA election, advanced degrees and publications. Errors were reported to applicants' deans …

Sclerotherapy Plus Octreotide Versus Sclerotherapy Alone In The Management Of Gastro-Oesophageal Variceal Hemorrhage, Hasnain A. Shah, Khalid Mumtaz, Wasim Jafri, Shahab Abid, Saeed Hamid, Ashfaq Ahmad, Zaigham Abbas

Section of Gastroenterology

Background: There are different ways for controlling oesophageal variceal bleed which include pharmacological and endoscopic methods. In this study we compare efficacy of octreotide (50 g/hr for 48 hours) combined with sclerotherapy versus sclerotherapy alone in patients with acute bleeding from gastro-oesophageal varices (GOV).Methods: It was a randomized clinical controlled trial conducted at Aga Khan University Hospital, Karachi, from January 1997 to December 1998. We evaluated the role of octreotide (50 g/hr for 48 hours) combined with sclerotherapy versus sclerotherapy alone in a total of 105 adult cirrhotic patients who had acute bleeding from GOV. Patients were assigned to receive …

Implantable Cardioverter–Defibrillators: Reply, Alan H. Kadish

Office of the President Publications and Research

The author replies to comments on a previously published article discussing implantable cardioverter-defibrillators.

Interleukin-17/Interleukin-17 Receptor-Mediated Signaling Is Important For Generation Of An Optimal Polymorphonuclear Response Against Toxoplasma Gondii Infection, Michelle N. Kelly, Jay K. Kolls, Kyle Happel, Joseph D. Schwartzman

Dartmouth Scholarship

We investigated the role of interleukin-17 (IL-17)/IL-17 receptor (IL-17R)-mediated signaling in the protective immunity against Toxoplasma gondii. IL-17R−/− mice developed a normal adaptive immunity against the parasite. However, increased mortality in the knockout animals can be attributed to a defect in the migration of polymorphonuclear leukocytes to infected sites during early infection.

Healing During Physician-Patient Consultation, Waris Qidwai, Ss Ali, S Ayub, S Ayub

Department of Family Medicine

OBJECTIVE: To determine the patient perceptions regarding healing during a physician-patient consultation.
DESIGN: A questionnaire-based survey.
PLACE AND DURATION OF STUDY: Family Practice Center of the Aga Khan University Hospital, Karachi, Pakistan, in June 2004.
PATIENTS AND METHODS: A questionnaire was designed that included the demographic profile of patients comprising age, gender, education and occupation as well as questions in line with the study objective. It was administered to 111 patients, visiting outpatient department of the hospital. Participants were explained the study objective, a written consent was taken and full confidentiality was assured.
RESULTS: The mean age of …

Patient Expectations From An Emergency Medical Service, Waris Qidwai, Ss Ali, M Baqi, S Ayub

Department of Family Medicine

BACKGROUND: Patient expectation survey at the Emergency Medical Services can improve patient satisfaction. A need was established to conduct such a survey in order to recommend its use as a quality improvement tool.
METHODS: The study was conducted on patients visiting the Emergency Medical Services, Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and expectations of patients. The ethical requirements for conducting the study were met.
RESULTS: A hundred patients were surveyed. The majority was relatively young, married men and women, well educated and better socio-economically placed. The majority of the …

2005 Supplement Vol. 2, American Dental Association

ADA Transactions

This item is part of the Supplements subtitle of The ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and the Transactions. Generally, The ADA Transactions are published in multiple volumes throughout the year. The Supplements function like an appendix and are, in more recent editions, numbered separately with page numbers determined by HOD reference committee assignation. Items are described variously as "Supplement #", "Volume #", etc. throughout the series but have been labeled here as Vol. # for …

2005 Transactions, American Dental Association

ADA Transactions

This item is part of the Transactions of the ADA, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT). It is from the Transactions section, one of three subtitles that make up the full publication. Generally, the ADA Transactions are published in multiple volumes throughout the year. Pages from the Annual Reports and the Transactions are numbered consecutively (e.g. Annual Reports volume ends pg. 500 and Transactions volume starts at pg. 501). NOTE: All three subtitles are collectively known as the Transactions of the ADA or, alternatively, the ADA Transactions. Transactions refers …

2005 Annual Reports And Resolutions, American Dental Association

ADA Transactions

This item is part of the Annual Reports and Resolutions subtitle of the ADA Transactions, a serial publication of the annual activities of the ADA House of Delegates (HOD)/Board of Trustees (BOT) made up of three separate subtitles: Annual Reports and Resolutions, Supplements, and Transactions. Generally, the ADA Transactions are published in multiple volumes throughout the year. Older versions include reports from all departments as subsections, while more recent versions include only those of councils, commissions, and committees.

Social Anxiety And Alcoholism, Carrie Randall

Presentations

No abstract provided.

‘‘Antedisciplinary’’ Science, Sean R. Eddy

Open Access Publications

No abstract provided.

Ultrasonic Songs Of Male Mice, Timothy E. Holy, Zhongsheng Guo

Open Access Publications

No abstract provided.