Social and Behavioral Sciences Commons^™

Perflurorochemical (Pfc) Exposure In Children: Associations With Impaired Response Inhibition, Brooks B. Gump, Qian Wu, Amy K. Dumas, Kurunthachalam Kannan

Falk College Research Center

Background: Perfluorinated chemicals (PFCs) have been used widely in consumer products since the 1950s and are currently found at detectable levels in the blood of humans and animals across the globe. In stark contrast to this widespread exposure to PFCs, there is relatively little research on potential adverse health effects of exposure to these chemicals.Objectives: We performed this cross-sectional study to determine if specific blood PFC levels are associated with impaired response inhibition in children. Methods: Blood levels of 11 PFCs were measured in children (N = 83) and 6 PFCs: perfluorooctane sulfonate (PFOS), perfluorohexane sulfate (PFHxS), perfluorooctanoic acid (PFOA), …

Phssr Research Agenda, F. Douglas Scutchfield Md

Preventive Medicine and Environmental Health Presentations

No abstract provided.

Phssr Research Agenda, F. Douglas Scutchfield Md

F. Douglas Scutchfield MD

No abstract provided.

What Is A Reasonable Compromise On Health Care Reform?, Peter Dreier

Peter Dreier

No abstract provided.

The Cost Of Treating Addiction From The Client's Perspective: Results From A Multi-Modality Application Of The Client Datcap, Kathryn Mccollister, Michael French, Jeffrey Pyne, Brenda Booth, Richard Rapp, Carey Carr

Michael T. French

There is a considerable disparity between the number of individuals who need substance abuse treatment and the number who actually receive it. This is partly due to the fact that many individuals with substance use disorders do not perceive a need for formal treatment. Another contributing factor, however, is a discrepancy between the real and perceived cost of services. Although many cost evaluations of substance abuse treatment have been conducted from the treatment provider perspective, less is known about the client-specific costs of attending treatment (e.g., lost work and leisure time, transportation, out-of-pocket and in-kind payments). Concerns about financial and …

State-Level Influences On Buprenorphine Utilization: Variations In Opioid Addiction Treatment, Lisa M. Lines Mph, Robin E. Clark Phd

Lisa M. Lines

Research Objective: Buprenorphine is a medication used to treat opioid addiction. Physicians are required to have special Drug Enforcement Agency certification to prescribe buprenorphine. Although it is more accessible and potentially safer than methadone, the leading opioid addiction treatment modality, there appear to be state-to-state variations in rates of buprenorphine adoption and use. The purpose of this study was to identify state-level influences on the volume of buprenorphine prescribed, using a limited set of supply and demand measures. Study Design: We developed a database using data on buprenorphine prescribing and factors hypothesized to influence variations in prescribing obtained from the …

Gender Differences In Smoking Behaviour And Cessation, Chizimuzo T.C. Okoli, Iris Torchalla, Natalie Hemsing, Lorraine Greaves

Chizimuzo T.C. Okoli

This article reviews the literature to compare differential outcomes among men and women after smoking cessation, assess barriers they may face during cessation and provide recommendation to address gender-specific challenges in smoking cessation interventions. There is some evidence that women achieve lower abstinence rates than men after a quit attempt with nicotine replacement therapy, as well as without pharmacotherapy, and several underlying mechanisms were discussed to account for these findings. These include: (a) women have specific genetic variants that affect pharmacokinetics and pharmacodynamics of the medication, (b) hormonal influences increase nicotine metabolism and withdrawal symptoms, (c) women are more responsive …

The Migration Of People From The Caribbean To The Bahamas, John Mazzeo

John Mazzeo, Ph.D.

No abstract provided.

Gender Participation In The Management Of Tricycle Transport For Youth Empowerment And Sustainable Development In Kano State, Nigeria, Nuratu Muhammed

Confluence Journal Environmental Studies (CJES), Kogi State University, Nigeria

The research examined gender participation in the management of tricycle for youth empowerment and sustainable development in Kano state, Nigeria. Stratified random sampling technique was used to select samples of drivers(150), passengers (150) and owners/managers the female tricycle owners fell under this category and they numbered(65).All together a total of 365 samples were selected for the study. Data obtained from the primary data was analyzed using simple statistical techniques and chi square test to ascertain whether there was any significant differences in some of the variables tested. The results of the analysis revealed that the main difference was found in …

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …

Prefrontal Cortex Deactivation In Macaques Alters Activity In The Superior Colliculus And Impairs Voluntary Control Of Saccades, Michael J. Koval, Stephen G. Lombar, Stefan Everling

Brain and Mind Institute Researchers' Publications

The cognitive control of action requires both the suppression of automatic responses to sudden stimuli and the generation of behavior specified by abstract instructions. Though patient, functional imaging and neurophysiological studies have implicated the dorsolateral prefrontal cortex (dlPFC) in these abilities, the mechanism by which the dlPFC exerts this control remains unknown. Here we examined the functional interaction of the dlPFC with the saccade circuitry by deactivating area 46 of the dlPFC and measuring its effects on the activity of single superior colliculus neurons in monkeys performing a cognitive saccade task. Deactivation of the dlPFC reduced preparatory activity and increased …

U.S. Cultural Involvement And Its Association With Co-Occurring Substance Abuse And Sexual Risk Behaviors Among Youth In The Dominican Republic, Elián P. Cabrera-Nguyen, Juan B. Peña

Elián P. Cabrera-Nguyen

We examined the relationship of US cultural involvement with substance abuse and sexual risk behavior profiles from our nationally representative sample of public high school students in the Dominican Republic. Using a novel methodological approach to control for selection bias, we examined explanations for the so-called Latino or Hispanic immigrant paradox. A latent class regression analysis with manifest and latent covariates found that US cultural involvement indicators were independent and robust predictors of increased risk of co-ocurring substance abuse and sexual risk behaviors. Implications for prevention efforts targeting risk behaviors among Latino/a adolescents in the US and abroad are considered.

Progress Delayed: State Of Tobacco Control Policymaking In Oklahoma From 2005-2011, Michael Givel, Ami Stearns, Andrew Spivak

Michael S. Givel

EXECUTIVE SUMMARY • Oklahoma’s 1987 Smoking In Public Places Act required the inclusion of smoking sections in restaurants and pre-empted more stringent local anti-tobacco laws with state regulations. • With the 2001 arrival of an aggressive new Commissioner of Health, Dr. Leslie Beitsch, the tide turned with new legislation (Senate Joint Resolution 21 in 2003) that prohibited smoking inside public places and restaurants were allowed to build separately-ventilated “smoking rooms.” • In 2004, State Question 713 increased the cigarette tax by 80 cents per package. • Dr. Beitsch resigned in 2003 and since that time, efforts toward clean air have …

The Evolution Of College Health: A Story Of Education For Justice, Raymond Quirolgico

Raymond Quirolgico

Health has gained prominence in the public consciousness as a matter of security and equity. Therefore the need for the health promotion profession to orient itself in terms of social justice and not simply biomedical diagnostics is critical. This session will weave together a personal narrative of transitional journeys with original research about ACHA’s organizational evolution and cross-disciplinary theories and institutionally relevant practices to highlight the challenge of public health in this modern leadership context.

5m3 Interview On "Estratégias Para A Televisão Digital Terrestre", Nicola Matteucci

Nicola Matteucci

O 5M3 lançou três questões autor, no sentido de actualizar o artigo e obter uma visão a posteriori sobre o seu conteúdo. O resultado é o Anexo a este 5M3, no qual mantivemos os comentários no seu detalhe e na língua em que o autor as escreveu. O 5M3 quis saber se o processo de transição para a TDT tem sido demasiado tecnocrático: e o lado dos consumidores? Matteucci concorda. O debate terá sido muito pautado por um enfoque na questão da “convergência tecnológica” em prejuízo de uma maior atenção ao lado da procura. O 5M3 lançou também uma questão …

Chd Knowledge And Risk Factors Among Filipino-Americans Connected To Primary Care Services, Alona Dalusung-Angosta

Nursing Faculty Presentations

Problem:

Despite growing numbers of FAs in the U.S. and high CHD prevalence, only limited studies are available in the the literature.

Contributing factors?

• Lack of knowledge
• Sociodemographic (SD)/Socioeconomic (SE) variables

Update - June 2011, Loma Linda University Center For Christian Bioethics

Update

In this issue:

[ Clinical Bioethics and Religion: Robert Orr's Medical Ethics and the Faith Factor ]
-- Forging a Path for Christian Ethics (Review)
-- A Passionate, Faith-Inspired Physician - Ethicist (Review)
-- Excepts from Robert Orr's Medical Ethics and the Faith Factor

-- 2012 Jack W. Provonsha lecture opens the Alumni Postgraduate Convention
-- Editorial

[ Claritás - Clarity in Ethics Essay Contest - White Coats: Purple Pens ]
-- First-place 2010 essay winner, Gregory A, Lammert, School of Medicine, Loma Linda University

-- Dental Ethics at Loma Linda University
-- Non-violent Revolution: Blessed Are the Peacemakers
-- …

A Tale Of Two Cities? The Heterogeneous Impact Of Medicaid Managed Care In Kentucky, James Marton, Aaron Yelowitz, Jeffery C. Talbert

University of Kentucky Center for Poverty Research Discussion Paper Series

Does managed care produce lower health care utilization and costs through better aligned financial incentives and alternative delivery methods (the “pure” HMO effect) or by attracting more healthy enrollees (enrollee selection)? The purpose of this paper is to shed new light on this fundamental question using a quasi-experimental approach that exploits the timing and county specific implementation of Medicaid managed care plans in two distinct sub-sets of Kentucky counties in the late 1990s. We find large differences in the relative success of each region in reducing utilization that are likely driven by important differences in plan design. Asthmatic children enrolled …

The Lli Chronicle Volume 2 Number 5, Nova Southeastern University

Lifelong Learning Institute Newsletters

No abstract provided.

The Association Of Religious Coping On Reports Of Low Back Pain And Inflammatory Markers, Jacqueline D. Bougie

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic pain is the most common cause of disability in the United States with depression, anxiety, and stress often occurring co-morbidly. The purpose of the study was to explore how religion may modulate the frequency of back pain, influence inflammatory markers, influence the use of medications, and impact functional ability.

Participants were from the Biological Manifestations of Religion Study (BioMRS; N= 508) and the Psychological Manifestations of Religion Study (PsyMRS; N = 10,988). All participants completed a 20-page questionnaire and BioMRS participants provided blood, salivary, and urine samples, performance tests, and learning tests all collected within 1 week of …

The Effect Of Uncompensated Medical Care On Safety-Net Hospitals In The United States, Daniel J. Dimenstein

Honors Theses

Uncompensated hospital care presents a significant problem in the United States health care system, and it is most prevalent in non-profit, “safety-net” hospitals, which make up the 10% of hospitals that provide the most uncompensated care. The incidence of uncompensated medical care stems from the inherent relationship between poverty and health in that poorer people (who tend to experience a lower health status) receive care from hospitals and are unable to pay for it, which results in these hospitals providing this care for a fraction of the charge or even free of charge. This study looks at the specific impact …

Do Medical Technology And Healthcare Spending Affect Health Outcomes?, Chandni V. Vaid

Honors Theses

Healthcare expenditures have been on the rise for many countries, especially for the developed countries. As of 2009, Japan, Australia and Canada are spending around 8 to 10% of their total GDP on healthcare, while the United States is currently up to 16%. One of the major factors contributing to increased expenditures on healthcare is the emergence of medical technology. Using data from the Organization for Economic Co-operation and Development (OECD), I empirically investigate the effects of medical technologies and healthcare expenditure on health outcomes for a group of 17 countries. Medical technology is measured by the number of MRI …

Regional Variation In The Length Of Hospital Stay And Insurance Coverage: A State-Wide Variation In Length Of Stay And Insurance Types, Samuel S. Yoon

Honors Theses

With the continuously growing healthcare expenditure, it is important to examine the causes of this phenomenon. Length of hospital stay is one possible cause. Using the panel data from 2001 – 2008 Healthcare Cost and Utilization Project, Statehealthfacts.org, Center for Disease Control and Prevention Behavioral Risk Factor Surveillance System, Almanac of Hospital Financial & Operating Indicators 2007, and Current Population Survey March Supplements, this paper utilizes regression analysis to investigate geographic variation on the length of stay, focusing on the relationship between the different insurance types and the length of stay. As a variety of insurance types offers different reimbursement …

Relationship Of Vitamin D Levels To Blood Pressure In A Biethnic Cohort, Rosario O. Sakamoto

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Serum hydroxyvitamin D [25(OH)D] has been well-accepted as not an ordinary vitamin but a pro-hormone that has many benefits beyond its well-known effects on bone. Cardiovascular risk factors such as hypertension remain a huge health burden and Blacks have been recognized to have higher prevalence of hypertension compared to non-Hispanic Whites. Despite increasing evidence of the benefits of vitamin D on blood pressure control, there is much more to be learned about the relationship of serum 25(OH)D to blood pressure among different ethnicities.

Purpose: The goal of this study was to determine whether vitamin D serum 25(OH)D levels were …

Chronic Disease Self-Management Programs: Relevance For Persons With Dementia, Nina M. Silverstein, Alison S. Gottlieb

Gerontology Institute Publications

The context for this study is the work of the Healthy Brain Initiative. The CDC has established a cooperative agreement with the Alzheimer’s Association to develop and implement a multifaceted approach to look at cognitive health as a public health issue. Late in 2010, the Association commissioned a review of the major chronic disease prevention programs from a systems approach to begin to understand the source of findings that Medicare beneficiaries with Alzheimer’s and related disorders are much higher cost than those simply with a single chronic disease and no AD. This led to the conclusion that Chronic Disease Self‐Management …

Predicting Mammography Screening And Breast Self-Examination Among Hispanic And Non-Hispanic White Women In Orange County, California, Sanam Kazemi

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Breast cancer is the second leading cause of cancer deaths among Hispanic/Latina women who are one of the fastest growing ethnic groups in the United States. Although Hispanic women have a lower incidence of breast cancer when compared to non-Hispanic White women, they are more likely to develop breast cancer at an advanced stage. In California, Hispanic women have the lowest rate of insurance coverage compared to other ethnic groups.

Method. The study was a cross-sectional observational study among Hispanic/Latino and non-Hispanic White women, ages 30-64 years. I examined intention to obtain a mammogram or breast self-exam …

Marital Experience And Spirituality Among Physician Couples, Elisabeth Vonegen Esmiol

Loma Linda University Electronic Theses, Dissertations & Projects

This study will examine how marital experience and spirituality interact in the lives of physician couples. Physicians’ increasing openness to spiritual issues inherent in treating the ill and suffering (King, 2000; Thorsen, Harris & Oman, 2001), the growing number of women entering the medical profession and becoming physician and dual physician couples (Levinson & Lurie, 2004; Brotherton & Etzel, 2008), and physicians’ work-related stress (Transue, 2004; Wicks, 2006) and the resulting pressures and time constraints on medical marriages (Sotile & Sotile, 2000) make studying this population particularly relevant. Interviews with twenty two married, professional couples, in which at least one …

Use Of Geocoding And Us Census Data To Assess Determinants Of Outcome In Trauma Patients, Krista M. Goodman Md, John J. Hong Md, Sherrine Eid Mph, Leslie Baga Bsn, Ccrc, Michael M. Badellino Md, Mph, Facs, Michael D. Pasquale Md, Facs

Department of Surgery

No abstract provided.

Progress Delayed: State Of Tobacco Control Policymaking In Oklahoma From 2005-2011, Michael S. Givel, Ami E. Stearns, Andrew L. Spivak

Michael S. Givel

• Oklahoma’s 1987 Smoking In Public Places Act required the inclusion of smoking sections in restaurants and pre-empted more stringent local anti-tobacco laws with state regulations. • With the 2001 arrival of an aggressive new Commissioner of Health, Dr. Leslie Beitsch, the tide turned with new legislation (Senate Joint Resolution 21 in 2003) that prohibited smoking inside public places and required restaurants to build separately-ventilated “smoking rooms.” • In 2004, State Question 713 increased the cigarette tax by 55 cents per package. • Dr. Beitsch resigned in 2003 and since that time, efforts toward clean air have stalled. Although restaurants …

Science Boot Camp For Librarians: Cpd On A Shoestring, Maxine G. Schmidt, Rebecca Reznik-Zellen

Maxine G Schmidt

Science Boot Camp for Librarians was envisioned as a casual but intensive immersion event into selected scientific subjects that employ networked computing capabilities for research and collaboration. The goal of the event is to provide librarians with networking opportunities, but more importantly, to give them some of the context and ocabulary of a discipline to enable them to better engage faculty and research scientists with regard to escience. A half-day is devoted to each of three topics chosen for that year’s camp. A local faculty member provides an overview of the research area, and a second describes a single project …