Public Health Commons^™

Accident Denominators Relative To Age Groups In Heavy Industries Of The Port Hedland Region Of Western Australia, John R. Bottrell

Theses: Doctorates and Masters

The aim of this research is to investigate characteristics of accident denominators across age groups in mining and associated process industries in the Port Hedland region of Western Australia. Emphasis has been focussed on comparing young, inexperienced groups with older, more experienced groups. A literature review revealed some key contributors to accidents among younger workers, in particular, those who had only recently entered the workforce. The review also revealed contributors impacting accidents regarding other age groups over a wide range of industry types. From these findings an accident construct model and questionnaire were designed to identify contributing and mitigating denominators …

Utilization Of Health And Medical Services: Factors Influencing Health Care Seeking Behaviour And Unmet Health Needs In Rural Areas Of Kenya, Trish Prosser

Theses: Doctorates and Masters

There are many factors that influence health and health care seeking. Although many of these factors are similar across populations, exactly how they interact and influence the actions of people is often unique to a population in the context of the environment they live in. The current study, a population-based cross sectional survey, identifies three specific geographically diverse populations in rural areas of Kenya, to gain information regarding overall influences on health care seeking, and also information specific to each geographical area to directly target the health needs of the individual population living there. Participants of the survey were interviewed …

Through The Quarantine Looking Glass: Drug-Resistant Tuberculosis And Public Health Governance, Law, And Ethics, David P. Fidler, Lawrence O. Gostin, Howard Markel

Articles by Maurer Faculty

No abstract provided.

Extensively Drug-Resistant Tuberculosis: An Isolation Order, Public Health Powers, And A Global Crisis, David P. Fidler, Howard Markel, Lawrence O. Gostin

Articles by Maurer Faculty

No abstract provided.

Governing Catastrophes: Security, Health And Humanitarian Assistance, David P. Fidler

Articles by Maurer Faculty

Recent catastrophes, and predictions of an increasing potential for more, have stimulated thinking about the best policy responses to these threats. This article explores how security concepts influence catastrophe governance. The article considers how globalization affects thinking about catastrophes and describes ways in which catastrophes have been conceptualized as governance challenges, such as the human rights approach to the provision of health and humanitarian assistance. The article explains how health and humanitarian assistance experienced ‘‘securitization’’ in the post-cold war period, a development that challenges rights-based strategies and creates complex and controversial implications for the prevention, protection and response functions of …

Reflections On The Revolution In Health And Foreign Policy, David P. Fidler

Articles by Maurer Faculty

No abstract provided.

Xdr Tuberculosis, The New International Health Regulations, And Human Rights, David P. Fidler, Philippe Calain

Articles by Maurer Faculty

No abstract provided.

Disparities In Health And Well-Being Among Latinos In Washington Heights/Inwood, 2000–2005, Ana Motta-Moss

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report analyzes how well the residents of Washington Heights/Inwood (WH/IN) have fared on selected health indicators set forth by the NYC Department of Health and Mental Hygene between 2000 and 2005.

Methods: Data on Latinos and other racial/ethnic groups were obtained from the U.S. Census Bureau American Community Survey, reorganized for public use by the Minnesota Population Center, University of Minnesota, IPUMSusa. Cases in the dataset were weighted and analyzed to produce population estimates.

Results: Immigrant families in particular face a multitude of health concerns, as well as specific barriers to accessing health care services. The socioeconomic and …

Recruiting New Members, Irvin Sam Schonfeld

Publications and Research

The Annual Convention of the Association for Psychological Science took place in New York City from May 25 to May 28, 2006. We attended the convention and had a number of goals that we wanted to accomplish: assume a position on the graduate student board, present at a poster session, attend various conference events, and recruit conferees for the Society for Occupational Health Psychology. It is the last goal about which we are writing. We hope that this article will help our SOHP colleagues recruit, at some future time, new members for our organization.

Brief Note From The Editor, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Factors Associated With Atypical Moles In New Hampshire, Usa, L Titus-Ernstoff, J Ding, A. E. Perry, S. K. Spencer, B. F. Cole, M. S. Ernstoff

Dartmouth Scholarship

Only a few studies, conducted in Sweden, assessed factors associated with the presence of atypical moles in the general population. We conducted a population-based, case-control study in New Hampshire, USA, to identify factors associated with atypical moles. In our study, atypical moles affected 14% of the study population. The adjusted odds ratio (OR) was 0.34 (95% confidence interval (CI)=0.14-0.80) for those with the highest adulthood recreational sun exposure, relative to the lowest. The OR for any freckles, compared to none, was 2.24 (95% CI=1.18-4.25). We found a linear relationship between the number of benign moles and the presence of atypical …

Comparative Predictive Value Of Three Prognostic Markers--S-Phase Fraction, Pcna And Mitotic Count On Axillary Lymph Node Metastasis In Carcinoma Breast, Shahid Pervez, Muhammad Nadeem Khan, Muhammad Israr Nasir

Department of Pathology and Laboratory Medicine

Background: Axillary lymph node metastasis is the single most important prognostic factor in carcinoma of the breast. Therefore, prognostic markers that may reliably predict probability of lymph node (LN) metastases are of great value. This study was conducted to compare the predictive value of two novel prognostic / proliferative markers i.e. S-phase fraction (SPF) and proliferating cell nuclear antigen (PCNA) in parallel with mitotic index.

Methods: Data of consecutive cases of infiltrating ductal carcinoma (IDC) breast diagnosed from July 2003 to July 2004 at the section of the Histopathology, The Aga Khan University Hospital, Karachi, were reviewed. A total of …

Effects Of Family Factors On The Development Of Alcohol-Related Problems Among Males From Pre-Adolescence To Adulthood

Florida Public Health Review

Alcohol use is a leading risk factor in suicides, homicides and unintentional injuries (including motor vehicle crashes and drownings) among adolescents, and is associated with adolescent health risk behaviors such as cigarette smoking, illicit drug use, and risky sexual behavior. The purpose of this study was to determine if family factors would predict alcohol-related problems as the study cohort transitioned into young adulthood, and to determine if early alcohol use remained a significant influence on the development of alcohol-related problems in young adulthood. Results of the analyses indicate that three of the family factors measured in mid-adolescence were statistically significant …

Assessment Of Client Satisfaction In Six Urban Wic Clinics, Catherine Christie, Judy E. Perkin

Florida Public Health Review

Customer service is a measure of support and courtesy provided to individuals who patronize an organization, and is a factor vital to the success of any business. Programs that strive to meet critical needs of at risk populations, such as the Special Supplementation Nutrition Program for Women, Infants, and Children (WIC), may also benefit from assessment of client satisfaction. The purpose of the study was to examine factors related to customer satisfaction in Duval County Florida WIC clinics and identify potential barriers to participation through a two-year project initiated by the health department and the state university. The study examined …

Smallpox Vaccination Outcomes And Adverse Event Surveillance Of 18 Counties In North Central Florida

Florida Public Health Review

Based on the directive from President George W. Bush to prepare the nation better for a possible smallpox attack, Florida enacted Operation Vaccinate Florida- Stage I (OVF I). Between February 10, 2003, and March 31, 2003, Florida vaccinated 4,434 individuals against smallpox. During this period a smallpox vaccine surveillance study was conducted in 18 counties in North Central Florida. The study was conducted via journal log, which participants completed daily by recording all symptoms, vaccination site stage development, and demographic information. The study included 350 vaccinees from Alachua, Baker, Bradford, Clay, Columbia, Dixie, Duval, Hamilton, Gilchrist, Lafayette, Levy, Flagler, Marion, …

Bird Flu Update

Florida Public Health Review

No abstract provided.

Conducting Surveys Among Immigrants: Methodology And Implementation Of A Health Needs Assessment In The Haitian Community Of Miami, Florida

Florida Public Health Review

Lack of reliable data about foreign-born groups creates gaps in demographic measurement methodology leading to a cycle of misinformed policy development. Haitian immigrants represent one of the largest foreign-born groups in Florida. Only limited information is available on the health care issues that they face. This paper describes the methodological design and strategies employed for the implementation of a study whose primary purpose was to identify and evaluate basic health care needs and barriers to health care access for the Haitian immigrant population of Miami, Florida. Information was collected during face-to-face interviews on demographic characteristic and health needs and access …

Be Headsmart® Seniors! -- The Effectiveness Of A Psychoeducational Fall And Consequential Injury Prevention Program

Florida Public Health Review

This study tested the utility of the Be HeadSmart® Seniors! fall prevention intervention, HeadSmartz, a Cranium Challenge, in the promotion of safety improvement behavior change. It employed a quasi-experimental two-group design. Of the 106 individuals included in this study, 64 received the intervention and 42 only received the safety brochure. The Cranium Challenge is an interactive, visual, and auditory program based upon the popular board game CraniumTM. This game stimulated various parts of the participant’s brain verbally, through trivia questions and word games, visually, or by humming, whistling, or playing charades. The presentation included trivia questions created in a PowerPoint …

Faktor-Faktor Yang Mempengaruhi Kematian Pasien Penyakit Jantung Koroner Di Pusat Jantung Nasional Harapan Kita Tahun 2004, Fatmah A. Gobel, Renti Mahkota

Kesmas

Menurut estimasi WHO, sekitar 50% dari 12 juta penduduk dunia meninggal akibat penyakit jantung dan pembuluh darah. Faktor prognosis pasien PJK dapat diubah dan dikendalikan, dan memungkinkan untuk mencegah kematian akibat PJK. Penelitian ini bertujuan mengetahui faktor prognosis yang berhubungan dengan terjadinya kematian pasien PJK di PJN Harapan Kita Tahun 2004, menggunakan data sekunder (data rekam medik pasien). Variabel-variabel yang diteliti meliputi variabel independen (jaminan pembayaran, asal daerah/kawasan, penyakit penyerta hipertensi, diabetes melitus, dislipidemia dan riwayat PJK sebelumnya) dan variabel kovariat (umur, jenis kelamin, pendidikan dan pekerjaan). Desain epidemiologi yang digunakan adalah analitik kasus kontrol dengan jumlah kasus 130, kontrol …

Faktor Kesehatan Reproduksi Ibu Hamil Dan Hubungannya Dengan Kejadian Bayi Berat Lahir Rendah Di Kota Sukabumi Tahun 2005-2006, Etna Saraswati

Kesmas

Di Indonesia, bayi berat badan rendah (BBLR) merupakan salah satu faktor utama yang berpengaruh terhadap kematian perinatal dan neonatal. Di Propinsi Jawa Barat dilaporkan 6,4% bayi lahir dengan berat badan kurang dari 2,5 Kg. Tujuan penelitian adalah mengetahui berbagai faktor kesehatan reproduksi yang berhubungan dengan kejadian. Penelitian yang menggunakan disain kasus kontrol ini dengan menggunakan formulir kohort ibu hamil di Dinas Kesehatan Kota Sukabumi. Kasus adalah bayi dengan BBLR yang lahir pada tahun 2005 sampai Juni 2006, sedangkan kontrol adalah bayi bukan BBLR yang lahir pada periode yang sama. Pengambilan variabel independen dilakukan melalui wawancara dengan ibu bayi pada kunjungan …

Praktik Budaya Dalam Kehamilan, Persalinan Dan Nifas Pada Suku Dayak Sanggau, Tahun 2006, Edy Suprabowo

Kesmas

Menurut WHO, kematian ibu masih menjadi masalah kesehatan masyarakat utama di berbagai negara di dunia dengan angka kematian rata-rata 400 per 100.000 kelahiran hidup. Angka kematian ibu di Kalimantan Barat adalah 442/100.000 kelahiran hidup berada di atas angka rata-rata dunia tersebut Tujuan umum penelitian ini untuk mengidentifikasi dan menganalisa praktek budaya masyarakat Suku Dayak Sanggau yang berpengaruh terhadap kehamilan, kelahiran, dan nifas. Penelitian ini merupakan penelitian kualitatif, pengambilan data dilakukan dengan metoda wawancara mendalam, diskusi kelompok terarah, dan observasi. Analisis yang digunakan adalah analisi tema. Penelitian diadakan di wilayah kerja Puskesmas Sanggau pada bulan Mei 2006 dengan informan ibu hamil, …

Penggunaan Obat Yang Tidak Rasional Pada Balita Dengan Diare Di Kalangan Bidan, Di Kabupaten Sumedang Tahun 2006, Uyu Wahyudin, Besral Besral

Kesmas

Pengobatan diare pada balita di Puskesmas Kabupaten Sumedang dilaksanakan di Poli KIA yang sehari-harinya ditangani oleh bidan. Tujuan penelitian ini adalah untuk mengetahui tingkat kepatuhan bidan dan faktor-faktor yang berhubungan dengan kepatuhan bidan dalam penggunaan obat secara rasional pada balita diare akut non spesifik. Desain penelitian yang digunakan adalah cross-sectional dengan jumlah sampel 109 bidan yang berasal dari 18 puskesmas yang dipilih secara random. Pengukuran kepatuhan dilakukan dengan pengamatan terhadap resep yang ditulis oleh bidan untuk balita penderita diare akut non spesifik. Hasil penelitian memperlihatkan tingkat kepatuhan bidan adalah 69,7%. Hasil analisis regresi logistik ganda memperlihatkan bahwa faktor yang berhubungan …

A Likelihood Based Method For Real Time Estimation Of The Serial Interval And Reproductive Number Of An Epidemic, Laura Forsberg White, Marcello Pagano

Harvard University Biostatistics Working Paper Series

No abstract provided.

American Journal Of Medical Quality

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Acpe And Jefferson Medical College Team Up On New Book

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Department Publications And Presentations

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Seeking: Program Director, Master Of Science In Public Health

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jefferson Scale Of Physician Empathy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

New Senior Scholars

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Health Policy Forum: Spring 2007

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.