Medicine and Health Sciences Commons^™

Uses Of Youth Risk Behavior Survey And School Health Profiles Data: Applications For Improving Adolescent And School Health, Kathryn Foti, Alexandra Balaji, Shari Shanklin

United States Public Health Resources

BACKGROUND: To monitor priority health risk behaviors and school health policies and practices, respectively, the Centers for Disease Control and Prevention (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) and the School Health Profiles (Profiles). CDC is often asked about the use and application of these survey data to improve adolescent and school health. The purpose of this article is to describe the importance and potential impact of Youth Risk Behavior Survey (YRBS) and Profiles data based on examples from participating sites.

METHODS: The authors spoke with representatives from 25 state and 8 local agencies funded by …

Computerized Provider Order Entry Implementation: Provider And Hospital Leadership Impacts On Success, Elizabeth J. Walker

Theses and Graduate Projects

Healthcare organizations are consistently exhausting efforts to improve their patient safety standards and outcomes, especially those that are regulated by federal and state agencies. Many healthcare organizations have chosen to implement an Electronic Health Record (EHR) to facilitate better decision-making and faster tumaround for providers, thus improving patient safety. The EHR allows providers to manage patient care with the help of decision support functions, and with greater accessibility to the patient's information. One of the components of an EHR is the application of Computerized Provider Order Entry (CPOE). Although the benefits to both providers and patients have shown to be …

Predicting Adolescent Risk-Taking And Goal-Oriented Behaviors: An Ecological Perspective, Joshua Jon Tynan

Wayne State University Dissertations

An important aspect of human development is adolescence. It has been well documented that adolescence is a time during which individuals partake in the greatest amount of risk-taking behaviors. These behaviors often include having unsafe sex, drug and alcohol use, smoking and recklessness. On the other hand, goal oriented behaviors are also developing, although these have been less well studied. The current study explored several key contexts that adolescents are concurrently exposed to, including parenting behaviors, peer relationships, religion, and media. The outcomes of interest were risk-taking behaviors and goal-oriented behaviors. Ultimately the purpose of this study was to compile, …

Incidence Of Post Dural Puncture Headache Following Caesarean Section Under Spinal Anaesthesia At The Aga Khan University Hospital, Nairobi, Edna Gisore, Vitalis Mung’Ayi, Sharif T.

Anaesthesiology, East Africa

Background: Post dural puncture headache can be a debilitating complication of subarachnoid anaesthesia for a new mother. Successful management of post dural puncture headache requires adherence to clear policies and protocols with close follow up of patients by an experienced obstetric anaesthetist.

Objectives: To examine the cumulative incidence and severity of post dural puncture headache in obstetric patients who consented for spinal anaesthesia for Caesarean section.

Design: Prospective cohort study.

Subjects: All women who underwent Caesarean sections under spinal anaesthesia and fulfilled the inclusion criteria.

Setting: Aga Khan University Hospital, a teaching and referral hospital in Nairobi, Kenya.

Results: …

Intussusceptions In Adults: Clinical Features And Operative Procedures, Ziaur Rehman, Abdul Rehman Alvi, Salma Khan

Section of General Surgery

Objective: To determine the clinical presentation and treatment outcomes of adult patients with intussusceptions.
Study Design: Case series.
Place and Duration of Study: The Aga Khan University Hospital, Karachi, from January 1988 to December 2008.
Methodology: Medical records of patients with diagnosis of intussusceptions in adults (above 15 years of age) from January 1988 to December 2008 were retrieved through ICD 9 coding system. Patients with complete records were included in the study and those with incomplete medical record or under 30 days follow-up were excluded. Data was analyzed on SPSS version 16. The treatment outcomes were hospital stay, 30 …

Hepatic Vein And Inferior Vena Caval Thrombus Extending Into The Right Atrium: A Rare Complication Of Amoebic Liver Abscess, Ziaur Rehman, Abdul Rehman Alvi, Shahida Bibi

Section of General Surgery

Amoebic liver abscess is an endemic in developing countries but few cases of associated vascular complications have been reported. The authors report a very rare vascular complication of hepatic veins and inferior vena caval (IVC) thrombosis extending into the right atrium in a young male with large amoebic liver abscess. Optimal result was achieved with early diagnosis on CT scan, percutaneous drainage of abscess, intravenous metronidazole, peri-operative anticoagulation, sternotomy and thrombectomy.

Epizootiologic Survey Of Mycobacterium Bovis In Wildlife And Farm Environments In Northern Michigan, Gary W. Witmer, Amanda E. Fine, James Gionfriddo, Michael Pipas, Kirk Shively, Kim Piccolo, Patrick Burke

Michigan Bovine Tuberculosis Bibliography and Database

Bovine tuberculosis (bovine TB), caused by Mycobacterium bovis, has reemerged in northern Michigan, USA, with detections in white-tailed deer (Odocoileus virginianus) in 1994 and in cattle in 1998. Since then, significant efforts have been directed toward reducing deer densities in the area in the hopes of reducing the bovine TB prevalence rate in deer and eliminating spillover of the disease into cattle. Despite the success of the efforts to reduce deer densities, additional cattle herds have become infected. Other mammals can be infected with M. bovis, and some carnivores and omnivores had been found to be infected …

Prevalence Of Hepatitis B And C Viral Infections In Pakistan: Findings Of A National Survey Appealing For Effective Prevention And Control Measures, H Qureshi, K M. Bile, Rashid Jooma, S E. Alam, H U R. Afridi

Section of Neurosurgery

A prevalence survey on hepatitis B and C infections was carried out to obtain national estimates and assess epidemiological dynamics and underlying risk factors. Overall prevalence of hepatitis B surface antigen (HBsAg) and anti-hepatitis C virus (HCV) of 2.5% and 4.8%, respectively, reflected a combined infection rate of 7.6% in the general population, consistent with an ongoing high burden of chronic liver disease (CLD). There was significant association of these viral infections with a range of risk factors led by reuse of syringes. These findings validate currently implemented strategies by the national programme for the control of hepatitis viral infections, …

Pakistan Human Resources For Health Assessment, 2009, A Hafeez, Z Khan, K M. Bile, Rashid Jooma, M Sheikh

Section of Neurosurgery

Pakistan faces a human resources for health (HRH) crisis. A cross-sectional survey was conducted to overview frontline health workers. A total of 750 health facilities were surveyed across Pakistan. The median estimate of public sector health care workers in the district health system in Pakistan is 417 288, including 46 153 estimate of public sector health care workers in the district health system in Pakistan is 417 288, including 46 153 doctors and 41 032 nurses. Another estimated 20 000 doctors work in public sector tertiary care hospitals across the country. A total of 3549 health care workers were interviewed …

Starch-Entrapped Microspheres Show A Beneficial Fermentation Profile And Decrease In Potentially Harmful Bacteria During In Vitro Fermentation In Faecal Microbiota Obtained From Patients With Inflammatory Bowel Disease, Devin J. Rose, Koen Venema, Ali Keshavarzian, Bruce R. Hamaker

Devin Rose Publications

The purpose of this research was to test the hypothesis that starch-entrapped microspheres would produce favourable fermentation profiles and microbial shifts during in vitro fermentation with the faecal microbiota from patients with inflammatory bowel disease (IBD). In vitro fermentation was carried out using a validated, dynamic, computer-controlled model of the human colon (Toegepast Natuurwetenschappelijk Onderzoek gastrointestinal model-2) after inoculation with pooled faeces from healthy individuals, patients with inactive IBD (Crohn’s disease (CD)) or patients with active IBD (ulcerative colitis (UC)). Starch-entrapped microspheres fermented more slowly and produced more butyrate than fructooligosaccharides (FOS) when fermented with the faecal microbiota from patients …

Enhancement Of Critical Thinking In Curriculum Design And Delivery: A Randomized Controlled Trial For Educators, Raisa Gul, Shanaz Cassum, Azra Ahmad, Shehla Khan, Tanveer Saeed, Yasmin Parpio

School of Nursing & Midwifery

Critical thinking is an important outcome criterion of higher education in any discipline including nursing. If nursing programs envisaged preparing graduates who are equipped with critical thinking, then the educators who plan and deliver the programs must exhibit higher level thinking in their teaching practices. This paper presents finding of the 1^st phase of a National level research study that aims to assess, develop and enhance educators’ critical thinking capacity.

Considerations For Test Selection: How Do Validity And Reliability Impact Diagnostic, Jennifer C. Friberg

Faculty Publications – Communication Sciences and Disorders

Nine preschool and school-age language assessment tools found to have acceptable levels of identification accuracy were evaluated to determine their overall levels of psychometric validity for use in diagnosing the presence/absence of language impairment. Eleven specific criteria based on those initially devised by McCauley and Swisher (1984) were applied to each of the selected tests in order to determine each test’s overall level of psychometric validity. Results indicated that each of the selected assessment tools met at least eight of the 11 criteria used to evaluate each assessment tool. Five tests met 10 out of 11 criteria. Findings are discussed …

Failure Of Physicians To Prescribe Pharmacotherapies For Addiction: Regulatory Restrictions And Physician Resistance, Ellen M. Weber

Journal of Health Care Law and Policy

No abstract provided.

Pharmacists' Rating Of Relevance Of Available Information In Deciding The Validity Of Opioid Medication Prescriptions, Leonardo Roberto Torres

Electronic Theses and Dissertations

Pharmacists are tasked with making decisions regarding the validity of prescriptions. Some have proposed factors that should be considered when evaluating a prescription's validity. Yet, there is little known about the decision process that pharmacists employ at the time of dispensing and what information pharmacists deem relevant in that decision-making process. Using an online survey instrument, a sample of community pharmacists were divided into three groups and presented with a prescription scenario. They were asked to rate the relevance of information, which is proposed to be appropriate and inappropriate, available at the time of dispensing. They were asked to consider …

Prevention With Positives: How Do We Reach Them In The Community?, Avina Sarna, Jerry Okal, Stanley Luchters, Nzioki King'ola, Scott Geibel

HIV and AIDS

In the past, HIV prevention efforts have focused primarily on developing risk-reduction interventions for those presumed to be HIV-negative and therefore at risk of becoming infected with HIV. In recognition of the need for prevention among people living with HIV (PLHIV), programs have been initiated in Africa, but primarily in clinical settings for those who are on antiretroviral therapy (ART). There is little knowledge about how to reach those PLHIV not on ART, and therefore not in regular contact with the health system or with effective prevention messages. This diagnostic study aimed to address the gap in information on how …

Protecting Hope: Situation Analysis Of Vulnerable Children In Uganda 2009, Sam Kalibala, Lynne Elson

HIV and AIDS

The Government of Uganda has focused attention on the problem of orphaned and other vulnerable children through a number of policies, regulations, and initiatives. In 2004, the Ministry of Gender Labor and Social Development developed the National OVC Policy, aimed at improving the quality of life for poor and vulnerable children, such as children who have been orphaned, children who are living on the streets, children who are at risk of abuse, and children exposed to situations of armed conflict. However, despite the many efforts to improve the circumstances of vulnerable children in Uganda, policymakers, donors, and program managers still …

Rapids Evaluation Final Report 2005-2009 Key Findings, Louis Apicella, Katie D. Schenk, Hena Khan

HIV and AIDS

RAPIDS (Reaching HIV/AIDS Affected People with Integrated Development and Support) is an intervention funded by the United States Agency for International Development (USAID), and is designed to mitigate the impact of HIV/AIDS in Zambia. The overall goal of RAPIDS is to improve the quality of life of Zambians affected by HIV and AIDS by expanding successful community-based models of home-based care and support to orphans and vulnerable children and people who are chronically ill, as well as through interventions targeting youth with livelihood opportunities and life-skills training, focusing on initiatives supporting abstinence and being faithful.

Pepfar Special Initiative On Sexual And Gender-Based Violence: Baseline Report, Lynne Elson, Jill Keesbury

HIV and AIDS

The PEPFAR Special Initiative on Sexual and Gender-Based Violence aims to strengthen services for survivors of sexual violence (SV) though the implementation of a comprehensive model of care in participating PEPFAR partner facilities. This baseline report examines project sites in Uganda and Rwanda and suggests strengthening health services involving training, community and provider awareness and attitudes.

Looking Back, Moving Forward: Reducing Hiv-Related Stigma, Horizons Studies 2000 To 2007, Julie Pulerwitz, Annie P. Michaelis, Ellen Weiss, Lisanne Brown, Vaishali Sharma Mahendra

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

Looking Back, Moving Forward: Access To Antiretroviral Therapy For Hiv Infected Adults And Children In Developing Countries: Horizons Studies, 2002 To 2008, Avina Sarna, Scott E. Kellerman

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

Looking Back, Moving Forward: Promoting Gender Equity To Fight Hiv, Horizons Studies 1999 To 2007, Julie Pulerwitz, Annie P. Michaelis, Ellen Weiss

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

Looking Back, Moving Forward: Implementing Pmtct Programs In Resource-Constrained Settings, Horizons Studies 1999 To 2007, Carolyn Baek, Naomi Rutenberg

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

Looking Back, Moving Forward: Improving The Lives Of Orphans And Other Children Affected By Aids, Horizons Studies 1998 To 2007, Katie D. Schenk, Annie P. Michaelis, Tobey C. Nelson, Lisanne Brown, Ellen Weiss

HIV and AIDS

In 1997, the Population Council initiated the Horizons Program—a decade-long USAID-funded collaboration with the International Center for Research on Women, the International HIV/AIDS Alliance, PATH, Tulane University, Family Health International, and Johns Hopkins University—designing, implementing, evaluating, and expanding innovative strategies for HIV prevention and care. Horizons developed and tested ways to optimize HIV prevention, care, and treatment programs; worked to reduce stigma and improve gender-biased behaviors; and greatly expanded knowledge about the best ways to support, protect, and treat children affected by HIV and AIDS. In all its projects, Horizons strengthened the capacity of local institutions by providing support and …

The Global Pediatrician: Is There Such A Person, Or Can There Be?, Robert Armstrong

Paediatrics and Child Health, East Africa

As pediatricians, our concern for the health of children and youth starts with our individual encounters with patients and their families and extends to the community in which they live and the broader systems of society that influence their health. This concept of a pediatrician is captured in one of the “bibles” of our profession and in the words of Richard Behrman when he defines pediatrics as being “concerned with the health of infants, children, and adolescents, their growth and development, and their opportunity to achieve full potential as adults.”¹ Health, growth and development, and opportunity as adults encompass …

Predictors Of Emotional Problems And Physical Aggression Among Children Of Hong Kong Chinese, Mainland Chinese And Filipino Immigrants To Canada, Morton Beiser, Hayley Hamilton, Joanna Anneke Rummens, Jacqueline Oxman-Martinez, Linda Ogilvie, Chuck Humphrey, Robert Armstrong

Paediatrics and Child Health, East Africa

Background and study aims: Data from the New Canadian Children and Youth Study (NCCYS), a national study of immigrant children and youth in Canada, are used to examine the mental health salience of putatively universal determinants, as well as of immigration-specific factors. Universal factors (UF) include age, gender, family and neighbourhood characteristics. Migration-specific (MS) factors include ethnic background, acculturative stress, prejudice, and the impact of region of resettlement within Canada.

Methods: In a sample of children from Hong Kong, the Philippines and Mainland China, the study examined the determinants of emotional problems (EP), and physical aggression (PA). A two-step regression …

Comparison Of Affective Analgesia And Conditioned Place Preference Following Cholinergic Activation Of, Elena Schifirnet

Wayne State University Dissertations

Activation of the dopaminergic mesolimbic reward circuitry that originates in the ventral tegmental area (VTA) is postulated to preferentially suppress affective reactions to noxious stimuli (affective analgesia, AA). VTA dopamine neurons are activated via cholinergic inputs, and we have observed that microinjections of the acetylcholine agonist carbachol suppressed vocalizations of rats that occur following administration of brief (1 sec) tail-shocks (vocalization afterdischarges = VAD). VADs are a validated rodent model of pain affect. In addition, the capacity of carbachol to support reinforcement appears to be regionally dependent within VTA. Ikemoto and Wise (2002) reported that carbachol was self-administered in the …

Physical Activity Levels In Obese And Non-Obese Women And Their Relationship With Body Mass Index, Perceived Self-Efficacy, Perceived Benefits And Barriers Of Exercise, And Commitment To A Plan Of Action, Rose Lange

Wayne State University Dissertations

The purpose of this descriptive correlational study was to examine relationships among selected variables and concepts within the Health Promotion Model (perceived benefits, perceived barriers to exercise, self-efficacy, commitment to plan of action) in non-obese and obese women with a focus on the behavioral outcome of physical activity (leisure & lifestyle). A group of 137 women, aged 18-50 participated in this study. BMI was found to be positively correlated to an individual's perceived barriers to action. Findings did not support the hypothesis that as BMI increases perceived benefits, self-efficacy, commitment to a plan of action and physical activity levels would …

Cardinal Athletics Winter 2010, Otterbein University

Cardinal Athletics Newsletter

No abstract provided.

Comparative Evaluation Of Clinical Samples From Naturally Infected Dogs For Early Detection Of Canine Distemper Virus, Muhammad Zubair Shabbir, Masood Rabbani, Arfan Ahmad, Ali̇ Ahmed, Khushi Muhammad, Ikram Anwar

Turkish Journal of Veterinary & Animal Sciences

Early detection of canine distemper (CD) is critical for appropriate and timely treatment. The present study included 45 suspected cases with respiratory signs for a comparative evaluation of clinical samples in the early detection of canine distemper virus (CDV). Thirty-four dogs exhibited digestive system involvement, but none showed any neurological symptoms. Clinical progression of CD, based on age, sex, vaccination status, disease, and clinical findings, was observed. Reverse transcriptase polymerase chain reaction (RT-PCR) was used to detect viral nucleoprotein RNA in plasma, conjunctival and nasal swabs. Only 10 dogs were positive for CDV infection. Among the 45 dogs, CDV RNA …

Exercise-Associated Hyponatremia During Winter Sports, Kristin J. Stuempfle

Health Sciences Faculty Publications

Exercise-associated hyponatremia (EAH) is hyponatremia that occurs greater than or equal to twenty four hours after prolonged physical activity. It is a potentially serious complication of marathons, triathlons, and ultradistance events, and can occur in hot and cold environments Clear evidence indicates that EAH is a dilutional hyponatremia caused by excessive fluid consumption and the inappropriate release of arginine vasopressin. Cerebral and pulmonary edema can cause serious signs and symptoms, including altered mental status, respiratory distress, seizures, coma, and death. Rapid diagnosis and urgent treatment with hypertonic saline is necessary to prevent severe complications or death. Prevention is based on …