Public Health Commons^™

Site Visit To Philadelphia — Providing Community-Based Primary Care: Nursing Centers, Chcs, And Other Initiatives, Karen Matherlee

National Health Policy Forum

This site visit provided federal congressional and agency health staff opportunities to visit facilities and engage in discussions on essential community health services. Focused on community-based primary care in a managed care environment, it featured delivery and financing concerns relating to nursing centers, community health centers, public-mission hospitals, and homeless services. In examining the impact of managed care in a rapidly changing health marketplace, it explored the implementation of the Medicaid HealthChoices program in the city as well as access to and delivery of care to persons with neither public nor private insurance. It also looked at the role of …

Réduction Du Bruit Occasionné Par Les Opérations D'Ébarbage De Pièces D'Aluminium Coulées, Frédéric Laville, Marc Thomas, Yves Beauchamp

Rapports de recherche scientifique

No abstract provided.

Surveillance Biologique De L'Exposition Des Pompiers Au Benzo(A)Pyrène Et Aux Amines Aromatiques À La Suite D'Un Incendie Dans Un Dépotoir De Pneus, Claude Viau, Claude Tremblay

Rapports de recherche scientifique

No abstract provided.

A Longitudinal Study Of Hospitalization Rates For Patients With Chronic Disease: Results From The Medical Outcomes Study., Eugene C. Nelson, Colleen A. Mchorney, Willard G. Manning, W H. Rogers

Dartmouth Scholarship

To prospectively compare inpatient and outpatient utilization rates between prepaid (PPD) and fee-for-service (FFS) insurance coverage for patients with chronic disease. Data from the Medical Outcomes Study, a longitudinal observational study of chronic disease patients conducted in Boston, Chicago, and Los Angeles.A four-year prospective study of resource utilization among 1,681 patients under treatment for hypertension, diabetes, myocardial infarction, or congestive heart failure in the practices of 367 clinicians.

In The Affirmative, Vol.5, No.2 (Mid-February /Mid-March 1998), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

Site Visit To Northern California — Risk, Accountability, And Staying Power In Next-Generation Managed Care, Lisa Sprague, Sandra Foote

National Health Policy Forum

This three-day site visit looked at private health insurance and delivery of care in a market notable for high managed care penetration, relatively low premium costs, and sophisticated provider groups. Federal congressional and regulatory staff heard from health insurance purchasers (both public and private), health plans, hospital systems, and physician groups about the changing relationships and accountabilities in this market and the ways various organizations were positioning themselves to survive the turmoil and emerge the stronger for it. Participants also heard from two county health programs about how competition and realignment in the private market were impacting safety-net services for …

Health Care Quality: From Data To Accountability, Mary Darby

National Health Policy Forum

This paper discussed the evolution of quality measurement and reporting activities as well as efforts to develop accountability for delivering high-quality care. It examined (a) initiatives in the professional arena, such as accreditation and performance measurement by independent accrediting bodies; (b) activities of market proponents, who have preferred to concentrate on making data available to purchasers and consumers that would enable them to choose high- quality plans and providers; and (c) attempts by the public sector to secure quality through regulation and oversight. An exploration of the successes, limitations, overlaps, and gaps in quality assurance initiatives, the paper was published …

Évaluation De Composés Chlorés Dans L'Air De Milieux De Travail, Nicole Goyer, Rodrigue Gravel

Rapports de recherche scientifique

No abstract provided.

La Sécurité Dans L'Utilisation Des Tracteurs Agricoles Au Québec : Principaux Risques Et Tendances Actuelles Dans La Conception, François Charron, François Gauthier

Rapports de recherche scientifique

No abstract provided.

Proactive Technique For Workplace Chemical Exposure, James A. Duru

Theses

The rapid increase in the number and quantities of chemicals released into the environment has been accompanied by a lack of adequate pre-released testing for advance health outcomes. Chemicals which serve as feed stock to millions of industries all around the world to produce and process food, cosmetics, equipment, and energy to propel industries, automobiles, home heating and electricity have serious adverse health consequences. They are hazardous. These substances can explode, ignite, react and corrode. Adapting the definition of the international program on chemical safety, a "hazard" is a source of danger. This thesis proposes some proactive prevention techniques useful …

An Environmental History Of Fairfield/Wagner Point, Philip Diamond

Legal History Publications

This paper traces the history of the Fairfield/Wagner Point peninsula from the beginning of the European settlement to the present, observing the ambitions and dreams of developers and industrial entrepeneurs, the significant contribution the area made to our nation's wartime production in World War II, the rise and fall of the tight-knit workers' communities, the struggles of outside activists and community leaders to better the living conditions of these neighborhoods, and the environmental devastation of the area followed by the attempt to redevelop the area with “green" industry. A 'central strand in this complex and contradictory story will be the …

Farming & Hearing Loss: A Photonovel, M. Susan Jones, The Kentucky Partnership For Farm Family Health And Safety

Nursing Faculty Publications

No abstract provided.

Improving Patient Satisfaction With A Major Healthcare Organization, Mary Carolyn Tornero

Theses Digitization Project

No abstract provided.

Indicators Of Leadership Characteristics Of Health Care Administrators: Executive Tenure, Behavioral Attributes, And Self-Professed Values, Kenneth Dale Kassinger

Theses Digitization Project

No abstract provided.

Photonovels: Tools For Community Learning, The Kentucky Partnership For Farm Family Health And Safety

Nursing Faculty Publications

No abstract provided.

Ua60/5/1 Scrapbook, Junior American Dental Hygienist's Association

Student Organizations

Scrapbook documenting 1998 of the Junior American Dental Hygienist's Association at WKU. People included in the scrapbook are: Robyn Alsup, Ellen Bailey, Courtney Buchanan, Leslie Carter, Matthew Clemons, Julie Forgie, Yvette Glazer, Wendy Grant, Melissa Haynes, Jennifer Lewis, Robyn Ledbetter, Gina Lehman, Karen Maddox, Lana McDonald, Kristi Myers, Janet Offutt, Mary Payne, Kimberly Peacher, Vanessa Petty, Rhonda Raymer, Victoria Riley, Jaime Sandidge, Amy Shartzer and Anita White.

A Prolonged Outbreak Of Shigella Sonnei Infections In Traditionally Observant Jewish Communities In North America Caused By A Molecularly Distinct Bacterial Subtype, Jeremy Sobel, Daniel N. Cameron, Johanne Ismail, Nancy Strockbine, Michael Williams, Pamela S. Diaz, Barbara Westley, Marilyn Rittmann, Joseph Dicristina, Halina Ragazzoni, Robert V. Tauxe, Eric D. Mintz

United States Public Health Resources

During 1994–1996, Shigella sonnei outbreaks occurred in 8 North American traditionally observant Jewish communities. These communities remain relatively separate from neighboring populations while maintaining close contact by travel with coreligionists in other cities. Epidemiologic investigations suggested community-to-community transmission via travel. Outbreak-related and control isolates of S. sonnei from each city were subtyped by pulsed-field gel electrophoresis (PFGE) to confirm an epidemiologic linkage between outbreaks. Forty-three (94%) of 46 outbreak-related isolates had closely related PFGE patterns, constituting a single subtype; 33 (94%) of 35 control isolates demonstrated unrelated PFGE patterns. Several patterns differing by ≤3 bands were identified within the …

Announced To Trounced: A Journalist's Comments On The Demise Of The Tobacco Settlement, Adam S. Levy

Journal of Health Care Law and Policy

No abstract provided.

Tobacco Litigation's Third-Wave: Has Justice Gone Up In Smoke?, David A. Hyman

Journal of Health Care Law and Policy

No abstract provided.

Community-Based Aids Prevention And Care In Africa: Results Of Four Action-Research Interventions In East And Southern Africa, Ann Leonard, Esther Muia

HIV and AIDS

The Community Counseling Aides (CCA) project operating with support from the National AIDS Control Programme (NACP) in Uganda, is a government initiative being carried out in collaboration with local communities. As the Ministry of Health seeks to develop local capacity to support and operate these efforts at the community level, it has identified the need to improve the skills of local project staff so that they may begin to assume the responsibility for monitoring and evaluating their own program performance. This is part of an overall strategy on the part of the Ugandan Government to decentralize control and allocation of …

Uncertainty And Variability Analysis In The Estimation Of Human Exposure To Mercury From Seafood Consumption Using Two-Dimensional Monte Carlo Simulations, J. Keith Bangerter

MUSC Theses and Dissertations

Fish and shellfish are a beneficial food source due to their high protein content, low saturated fat content, and low cholesterol content; they possess beneficial omega-3 fatty acids and antioxidants such as vitamin E and selenium. Recent studies identified a decreased risk of sudden cardiac death in seafood consumers. Per capita seafood consumption increased 27% from 1975 to 1990, with nearly 95% of the U.S. population consuming some kind of fish or shellfish product each year. But seafood consumption may pose health risks which need to be weighed against benefits. One of potential risks is the toxicity of methylmercury. Mercury …

Introduction: The Price Of A Soul: At What Cost Can The Tobacco Issue Be Resolved?, Maureen O'Doherty

Journal of Health Care Law and Policy

No abstract provided.

Tobacco Wars And The New Minority, Donald W. Garner

Journal of Health Care Law and Policy

No abstract provided.

The Manipulation Of Public Opinion By The Tobacco Industry: Past, Present, And Future, Erin Myers

Journal of Health Care Law and Policy

No abstract provided.

Medicaid Recipients Denied Coverage For Smoking Cessation Pharmacotherapy, Kelly N. Reeves

Journal of Health Care Law and Policy

No abstract provided.

Surveillance For Waterborne-Disease Outbreaks -- United States, 1995-1996, Deborah A. Levy, Michelle S. Bens, Gunther F. Craun, Rebecca L. Calderon, Barbara L. Herwaldt

Journal Articles: Epidemiology

PROBLEM/CONDITION: Since 1971, CDC and the U.S. Environmental Protection Agency have maintained a collaborative surveillance system for collecting and periodically reporting data that relate to occurrences and causes of waterborne-disease outbreaks (WBDOs).

REPORTING PERIOD COVERED: This summary includes data for January 1995 through December 1996 and previously unreported outbreaks in 1994.

DESCRIPTION OF THE SYSTEM: The surveillance system includes data about outbreaks associated with drinking water and recreational water. State, territorial, and local public health departments are primarily responsible for detecting and investigating WBDOs and for voluntarily reporting them to CDC on a standard form.

RESULTS: For the period 1995-1996, …

Experiencing Physical Violence During Pregnancy: Prevalence And Correlates, Vilma E. Cokkinides, Ann L. Coker

CRVAW Faculty Journal Articles

Violence during pregnancy directly impacts the mental and physical health of pregnant women. We assessed the prevalence and correlates of physical violence around the time of pregnancy in a representative sample of 6,718 women in South Carolina. Physical violence, defined as "being physically hurt by husband or partner" or "being involved in a physical fight" was reported by 10.9% of recently pregnant women. These were correlates of violence: experiencing increased numbers of stressful life events, being unmarried, having increased parity, being on Medicaid, and having an unwanted pregnancy. Screening to identify violence in pregnancy in health care settings is vital …

Violence Against Women In Sierra Leone: Frequency And Correlates Of Intimate Partner Violence And Forced Sexual Intercourse, Ann L. Coker, Donna L. Richter

CRVAW Faculty Journal Articles

Violence against women is a significant public health problem which impacts women, men, and children. Little is known about the frequency or correlates of violence against women in Africa. In this cross-sectional study, we found that 66.7% of 144 women surveyed in a study of AIDS knowledge, attitude, and behaviours, report being beaten by an intimate male partner and 50.7% report having ever been forced to have sexual intercourse; 76.6% of women report either forced sex or intimate partner violence. Circumcised women were most likely to report intimate partner violence and forced sexual intercourse. To improve the health of women …

Chain Saw Hazard Alert, Kentucky Injury Prevention And Research Center

Kentucky Haz Alerts--Tractors/Logging

A review of 74 cases of chain saw injuries to Kentucky farmers revealed that most occurred while the farmers were clearing fence lines. Most of the injuries occurred in the spring, from March through April, and in the fall, from October through November. As for time of day, most happened in the morning, from 8:30 to 10, and in the early afternoon, from 12 to 3.

Described below are two representative incidents, followed by recommendations for prevention of similar injuries.

Oral Performances As Ritual: Animating The Invisible In Mormon Women's Miscarriage Stories, Kristin Leifson Ballif

Theses and Dissertations

This thesis is comprised of ten Mormon women's miscarriage stories and it is their stories that are used as the text for my analysis. The purpose of the study is to provide a space for these women to share their experiences and to reveal their cultural values and beliefs. Because the women are all Mormon, there are some distinctive cultural and religious values that are shared within their stories and it is these aspects that are analyzed and discussed within the text.

Women need to be able to share their miscarriage stories so as to alleviate feelings of isolation and …