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1
Thompson, Paige D. "Differences between primary worksite health promotion program provider and program decision-maker in the measurement of success of worksite health promotion programs." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115424.
Full textAbstract:
This study has presented findings on the correlations of the attitudes of the health promotion program provider and the program decision-maker in measuring the success of their worksite health promotion programs. The purpose of this study was to answer the following three questions: 1) Do company decision-makers and primary program providers agree upon which evaluation methods are currently being used in their worksite health promotion program? 2) Do the company decision-makers and primary program providers rank the top five evaluation criteria in the same order of importance? and 3) In rank order, what are the top five preferred evaluation criteria of the program provider? Results indicate a strong correlation of agreement for questions 1 and 2 (0.937 and 0.951 respectively). The data suggests that primary health promotion program providers and company decision-makers share strong agreement on which evaluation criteria should measure program success. Justification of worksite health promotion requires that the program provider be accountable for the criteria on which the decision-maker bases the programs' success.Fisher Institute for Wellness
2
Bajaj, Honey. "Design of mobile health tools for assessment of health and nutritional status in children." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/113507.
Full textAbstract:
Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, System Design and Management Program, 2017.Cataloged from PDF version of thesis.
Includes bibliographical references (page 71).
Introduction and Motivation: In India, more than 700,000 accredited social health activists (ASHAs) are women selected and trained to work between members of their communities and the public health system. In spite of much advancement in screening tools and best practices in the healthcare system to date, service for members of the bottom of the pyramid remains largely unchanged. ASHA workers need user friendly tools and job aids that would enable them to -- Conduct health-care screenings and consultations -- Educating communities on basic health-care practices -- Confidence to advise medical referrals for patients. Most of the existing solutions designed and deployed in the field ignore issues like context of rural/urban settings (language, living conditions), digital illiteracy, and portability. Proposed Solution: Mobile Kit for Assessment of Child Health and Nutrition In order to address the problem described above, the Mobile Technology Group, headed by Dr. Fletcher, is developing a smart phone based kit that will assist with the basic tasks that an ASHA health worker is required to perform. These measurements include: -- Baby's weight -- Baby's height -- Baby's thermal regulation (which is an indicator of health) -- Baby's cardiovascular health (heart rate, pulse oximetry) - Middle Upper Arm Circumference (MUAC), which is an indicator of the nutritional status. The electronics and computer software for these tools is being implemented by another graduate student, Xavier Soriano. However, I am responsible for the product design, interaction design, and evaluation of the technology. Primary Research Objectives: 1. To help design the non-invasive mobile based tools for assessing and health and nutritional status of children under 5 years to be used by community health workers in urban poor settlements of India 2. To test, evaluate and assess the ease of use of these tools by community health workers
by Honey Bajaj.
S.M. in Engineering and Management
3
Sequeira, Christopher J. "An assessment of the health implications of aviation emissions regulations." Thesis, Massachusetts Institute of Technology, 2008. http://hdl.handle.net/1721.1/43084.
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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Aeronautics and Astronautics; and, (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2008.Includes bibliographical references (p. 121-129).
An exploration of the health implications of aviation emissions regulations is made by assessing the results of a study of aviation's effects on United States air quality mandated by the Energy Policy Act of 2005. The Energy Policy Act study results estimated that aviation is responsible for 160 yearly incidences (with a 90% confidence interval of 64 to 270 incidences) of premature mortality of adults age 30 and over ($882 million in year 2001 dollars, with a 91% CI of $196 to $1830 million) due to exposure to particulate matter below 2.5 /im in size (PM2.5) in the continental U.S. as reported by the Environmental Benefits Mapping and Analysis Program (BenMAP). Strong regional differences were noted; for instance, 18% of the total health incidences and costs occurred in Los Angeles County. Aviation was estimated to decrease ozone concentrations, causing small premature mortality disbenefits (health effects avoided due to the presence of aviation) of approximately 2 yearly premature mortality incidences ($9 million). Primary particulate matter values in the Energy Policy Act study's emissions inventory had been generated using a conservatively biased version of the First Order Approximation method version 3.0 (FOA3), known as FOA3a, and the emissions of sulfur oxides (SOx) had been incorrectly computed (underestimated by approximately 15%). To quantify the effects of these differences on health impacts, a comparison was made with a second inventory generated by CSSI, Inc. using FOA3. Based on the comparison, it is estimated that aviation was responsible for 140 to 160 yearly incidences of premature mortality from exposure to PM. 46% to 69% of the incidences were estimated to be due to changes in concentrations of ammonium sulfate secondary PM from SOx, while ammonium nitrate secondary PM was estimated to be responsible for 18% to 20%.
(cont.) Concentrations of volatile primary PM from organic compounds and nonvolatile primary PM were responsible for 6% - 18% and 5% - 14% of the impact, respectively, while volatile primary PM from sulfates was responsible for 0% to 4%. Confidence intervals were not computed, and only the effects of changes in PM concentrations were assessed. Based on the results, it is determined that changing regulations governing nitrogen oxide (NOx) emissions and fuel sulfur content may be effective strategies to mitigate incidences of premature mortality due to aviation. An assessment was made of the effects of changing fuel sulfur concentration from 600 parts per million (ppm), as is typical of current jet fuel, to 15 ppm across the continental U.S. It is estimated that this change would reduce yearly premature mortality incidences due to aviation-related ambient PM exposure by 38%. Confidence intervals were not computed. The cumulative additional costs to refineries to produce 15-ppm fuel could be approximately $260 million, suggesting that the benefits may be comparable to the costs. However, such a strategy could have climate warming impacts since aviation sulfur emissions have a cooling influence on climate. It is also estimated that an immediate deployment of ultra-low sulfur fuel only for takeoffs from Los Angeles County could reduce aviation-related nationwide yearly incidences of mortality by 10%, with Los Angeles County health impacts bring reduced by a factor of 2. The additional costs to refineries may be approximately $12 million, suggesting that such a policy may be cost-beneficial. Finally, a brief exploration is done of a NOx stringency assessment by the International Civil Aviation Organization's Forecasting and Economic Analysis Support Group (FESG), which predicted that an industry-wide investment of $30,000 - $40,000 would be required for every tonne of NOx eliminated if the ICAO NOx standard were to be increased by 10% in the year 2008.
(cont.) FESG found this to be the most cost-effective NO, reduction strategy. A direct comparison with the Energy Policy Act and RSM results is difficult, yet an assessment finds that NO, has health costs of only $2,000 per tonne in both sets of results.
by Christopher J. Sequeira.
S.M.
4
Webber, Kerry, and n/a. "The research and development of a health assessment program for secondary school students." University of Canberra. Education, 1986. http://erl.canberra.edu.au./public/adt-AUC20061110.113600.
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The Field Study reports on the research and development of a
Health Assessment Program (HAP) for secondary school
students over a period of three years in the ACT.
The 'original' HAP is described, and its early
implementation methods discussed. Changes are proposed and
trialled, and further refinements made, then trialled
again. Through this process a new HAP is developed. The
'Research and Development Cycle' (Borg and Gall 1983)
provides the theoretical framework for the planning of the
field study. (See 1.4).
The 'new' HAP exhibits the characteristics of an 'education'
program. The physical components have been developed to
enable them to be administered by the teachers who are
responsible for the organisation of the HAP in their school,
and health professionals are only used for those components
which require confidential counselling. This is in contrast
to the 'original' HAP which was organised and conducted by
health professionals.
The process by which the changes took place has determined
the quality of the new HAP. The developments have been
based on the views of the teachers who used the HAP, the
students who were tested, and the health professionals who
participated. The literature has also been used to provide
the direction for, and nature of, the changes. This process
has ensured a program which is highly suitable for use in
the school environment.
It is not envisaged that the HAP has reached its final stage
of development. Each school who uses the program is
encouraged to modify and adapt it to suit the needs of their
own teachers and students.
5
Cripps, Emily Jane. "USING ASSESSMENT INSTRUMENTS TO PREDICT RECIDIVISM FOLLOWING A LIFESTYLE CHANGE PROGRAM." OpenSIUC, 2019. https://opensiuc.lib.siu.edu/theses/2493.
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The vast number of individuals under correctional supervision in the United States has been an area of concern for decades. The correctional population as a whole is made up of approximately six million individuals, with approximately four million serving community sentences. It is essential to provide adequate services and resources to those serving community sentences due to the large number serving such sentences. To add to the concern is the immense number of offenders with mental illness under correctional supervision. Often, offenders with mental illness receive psychiatric services, but treatment programs that address the cause of criminal activity are neglected. The goal of this study is to examine scores from two assessment instruments measuring criminal thinking and the therapeutic alliance to determine their predictability for future criminal activity using a sample of thirty-five probationers with mental illness. Probationers completed both the Psychological Inventory of Criminal Thinking Styles and the Working Alliance Inventory in order to determine the extent of criminal cognitions and measure the relationship between therapist and patient and agreement towards the goals and tasks of therapy, respectively. Results indicate that probationers who score less favorably on each of the scales were more likely to obtain a new charge following completion of the program. Further, less Agreement on the Tasks of Therapy was a significant predictor for future criminal activity. This study adds to the correctional mental health treatment literature, and illuminates areas which can be improved and provides recommendations for future research.
6
Munene, Grace N. "An Assessment of a Hospice and Palliative Care Partnership Program." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699969/.
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This project attempts to describe how a hospice and palliative care partnership program works. Through the assessment of one such program, the researcher sought to find out the essential components of the partnership including how the two partner organizations interact and work together. Data was collected using various methods: document review of organization documents such as newsletters, annual or quarterly reports, brochures and other available literature e.g. materials on organizations’ website and on social media; in-depth interviews with stakeholders of both organizations that included staff and board members; observation of staff working; and participant observation during organization events. The findings of the research shows that in order for organizations to have an effective partnership program in place, both partners need to have strong leadership in place, possess a willingness to learn from each other, maintain regular communication, and visit each other regularly. With this in place, several outcomes of the program are likely such as: increasing advocacy for hospice and palliative care, increasing visibility of the organizations both nationally and internationally, and provides an opportunity for organizations to network with other organizations in their locality in order to achieve partnership objectives. The study further reveals that global collaborations in the field of hospice and palliative care began with the advent of the international hospice movement. The assessment of this hospice partnership demonstrates how organizations can establish working relationships and the results likely to come out of such an initiative.
7
Melia, Steven. "A Need Assessment for a Four-Phase Cardiac Rehabilitation Program in Bowling Green, Kentucky." TopSCHOLAR®, 1985. https://digitalcommons.wku.edu/theses/2625.
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The purpose of this study was to assess the need for a four-phase cardiac rehabilitation program in Bowling Green, Kentucky, that would serve the South Central part of Kentucky, most specifically, the Barren River Area Development District (BRADD). This assessment was based on three questionnaires mailed to cardiac patients, area cardiologists and area hospital administrators.
Each population (patients, cardiologists and administrators) received separate questionnaires. The patient questionnaires consisted of three separate mailings: initial mailing, first follow-up, second follow-up. An interval of ten days separated each mailing. Follow-up phone calls to the cardiologists and the hospital administrators were employed for assurance of the questionnaires being completed and returned. Each mailing increased the response rate resulting in a 63.3 percent response rate. The three concerns investigated were
Were cardiac patients satisfied with the patient education rehabilitation services they received while both an inpatient and outpatient?
Did area cardiologists believe that a four-phase cardiac rehabilitation program was warranted in Bowling Green?
Did area hospital administrators believe that a four-phase cardiac rehabilitation program was warranted in Bowling Green, Kentucky?
An additional concern was whether or not the cardiac patients would have been interested in participating in an inpatient and/or outpatient program, had one been available.
The results of the assessment indicated that a four-phase cardiac rehabilitation program was needed and that it would be supported by cardiac patients, cardiologists and hospital administrators.
8
Santos, Abraham. "A dementia education and assessment program for Latinos residing in Orange County, California| A grant proposal." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1585647.
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Since age has been identified as a leading risk factor for the development of Alzheimer's disease and related dementias (ADRD) and as the U.S. population ages, ADRD has become a community concern. Latinos face greater risk due to systemic psychosocial stressors such as limited community-based supportive services, lack of trained bilingual health care professionals, and low quality of treatment and preventative care. The purpose of this project was to develop a dementia program targeting the underserved Latino community of Orange County, California, identify potential funding sources, and develop a grant proposal on behalf of the Orange County Vital Brain Aging Program at Hoag Memorial Hospital Presbyterian. The proposed program will increase awareness on ADRD while decreasing barriers in health care utilization through community-based education and psychosocial and cognitive assessments. The actual submission and/or funding of this grant were not requirements for the successful completion of this project.
9
Halar, Julia. "Assessment Strategies in Higher Education: A Case Study of Conestoga College’s Fitness and Health Promotion Program." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36634.
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The Fitness and Health Promotion (FHP) program is a relatively new program in the faculty of Health and Life Sciences and Community Services at Conestoga College in Ontario. The FHP program is designed to train and prepare individuals as qualified fitness and health consultants working in the fitness and lifestyle industry. Graduating students have the skills to complete standardized exams for accreditation. Although assessment is an essential component in higher education, the educators who are required to do it may not always understand it well. This single case study investigated the development and use of assessment tools and strategies in this higher education context through interviews with thirteen participants from three different stakeholder groups. In addition, this case study describes the perceptions around assessment of these stakeholders: educators, administrator and students. Professional development and training should be implemented for all stakeholder groups to resolve misunderstandings around assessment tools and strategies and to optimize feedback activities.
10
Salcedo, Maria Victoria Trinidad. "Needs Assessment for a Nurse Practitioner-Led Transitional Care Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1450.
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The rising cost of health care and changes in healthcare delivery have prompted a need to improve continuity from the hospital to home. This scholarly project was initiated to assess the impact on patient outcomes related to initiation of a nurse practitioner-led transitional care program (TCP). Using the Diffusion of Innovations and Health Belief Models, the purpose of this study was to identify the impact of a TCP on improving the health of patients with congestive heart failure (CHF), diabetes mellitus Type II (DM II), and chronic obstructive pulmonary disorder (COPD). The impact of the TCP was evaluated by a review of patient satisfaction results, reduction in patient readmission rate, and emergency room consults. Two years of data from a community-based health care program were collated from a sample of 819 individuals with chronic disease between 65- and 85-years-old who had a 30-day hospital readmission after a nurse practitioner home visit and a 30- day readmission for an exacerbation of their CHF, DM II, or COPD. The secondary data were analyzed, using SPSS, to determine changes in rates of readmission. Descriptive statistics were used to represent and compare changes in rates. After implementation of the nurse practitioner home visit program, the 30-day readmission demonstrated an 81.07% reduction and the 30-day readmission for exacerbation of COPD, CHF, and DM II was reduced by 36.77%. The project findings contribute to social change by identifying how a reduction in the frequency of hospitalizations could contribute to decreased health care expenses and improved health outcomes. Home care and chronic health care organizations, as well as advanced-practice nurses working in home care settings, may use the results of the study to establish effective community interventions that reduce health care costs.
11
Li, Matthew Ph D. Massachusetts Institute of Technology. "Methods and devices for noninvasive physiologic fluid volume assessment." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/104612.
Full textAbstract:
Thesis: Ph. D. in Medical Engineering and Medical Physics, Harvard-MIT Program in Health Sciences and Technology, 2016."June 2016." Cataloged from PDF version of thesis.
Includes bibliographical references (pages 131-154).
Fluid volume status is a physiologic parameter that currently lacks a reliable diagnostic tool. Volume control becomes an issue during sickness and/or stress (physical and mental) in a wide range of populations. Unfortunately, current diagnostics suffer from being imprecise, invasive, and/or easily confounded and cannot unambiguously and practically inform volume status. There exists a need for a tool that can inform individuals and clinicians of fluid status in a noninvasive, rapid, and reliable manner. Drawing on the molecular sensitivity of IH nuclear magnetic resonance (NMR), we explored the ability of NMR methods to quantitate physiologic fluid volume changes. We first proved that NMR methods could detect volume changes in an animal model of dehydration. Correlation between NMR value changes in specific tissues and clinical tools used to assess dehydration validate NMR as a viable tool. We then proceeded to design and fabricate practical NMR sensors that could be easily integrated into the clinic. New methods of magnetic instrument design optimized for both field strength and spatial resolution were developed resulting in compact device prototypes with signal fidelity rivaling those of impractical commercial systems. Finally, we explored the ability of these devices to detect intravascular fluid changes during hemodialysis. Our methods and devices were able to detect intravascular blood property changes associated with blood dilution, in addition to overall fluid volume changes due to hemodialysis therapy. These results, methods, and devices provide the foundation and framework for the integration of NMR-based personalized fluid volume assessment into standard clinical practice.
by Matthew Li.
Ph. D. in Medical Engineering and Medical Physics
12
Christie, Angelica Ellman. "Implications of a Health Careers Exploration Program for Minority Student Matriculation." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4357.
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Organizations that deliver programs to promote the entry of students from marginalized populations into the U.S. health workforce often struggle to demonstrate the effective achievement of outcomes, and face diminishing fiscal resources. This study was an empirical examination of the extent and manner that a statewide, precollege, health careers exploration program fostered the matriculation of underrepresented minority students into health degree education programs. Schneider and Stevenson's aligned ambitions framework provided the theoretical foundation. The research questions for this study examined the relationship between program participation and the successful health degree matriculation of racial minority students based on the extent of participation, the type of participation, and the extent and type of participation controlling for gender, profession, and region using a quantitative trend analysis of archived program data and longitudinal, preexisting matriculation data. Completion of the analysis used sequential logistic regression. The selection criteria for study included high school students who participated in the program between 2006 to 2010 and who subsequently enrolled in college (N = 246). No statistically significant relationships between program participation and matriculation into health care education programs were found resulting in the recommendation to reassess and revise data collection and analysis processes for future official program evaluation. The resulting white paper recommends that Area Health Education Consortium (AHEC) career exploration program designers create continuous and effective review and evaluation processes to ultimately enable the positive social impact of a more representative number of students from marginalized populations into the U.S. health workforce.
13
McKinney, Courtney E. "Assessment of Dietary Behaviors of College Students Participating in the Health Promotion Program BUCS: Live Well." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etd/1105.
Full textAbstract:
Rates of adult obesity in the United States continue to rise, especially among the college-age population who typically practice poor dietary choices, contributing to weight gain. College-age students experience a transitional phase called ‘emerging adulthood’ where they learn autonomy in many areas that influence long-term health status. The purpose of the online health promotion program BUCS: Live Well was to promote self-efficacy in ability to incorporate positive dietary changes, assess incidences of positive dietary habits after completing the program, and determine if weight status, residence, and health perceptions influence dietary behaviors. BUCS: Live Well was successful in assessing current dietary intake, facilitating positive dietary changes, and improving self-efficacy about incorporating positive dietary changes, although it did not promote weight loss. Online health promotion programs for college students are effective in initiating lifestyle modification and need to be available in hopes of reducing the obesity rate in this population.
14
Castro-Guillen, Evelyn. "Academic Predictors of the Child and Adolescent Functioning Assessment Scale in a School-Based Mental Health Program." Case Western Reserve University School of Graduate Studies / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=case1459416051.
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Fitzpatrick, Veronica E. "Evaluability assessment of adolescent pregnancy prevention and sexual health program, Be Proud! Be Responsible! in New York State." Thesis, State University of New York at Albany, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3719591.
Full textAbstract:
Proper implementation of pregnancy prevention programs is essential to sexual health program success and intended health outcomes for participants (Demby et. al, 2014). Large scale implementation of state-wide and local programs can vary. Multiple studies have shown that proper implementation of such programs is an essential requirement to their success (LaChausse, Clark, & Chapple, 2014; Demby et. al, 2014; Fixsen et. al, 2009). Generally, there are three types of organizations that receive funds for pregnancy prevention program implementation: schools, large city community organizations, and smaller community-based organizations (Demby et. al, 2014; Fixsen et. al, 2009). Be Proud! Be Responsible! is an evidence-based comprehensive sexual health curriculum that is implemented in all three settings.
The current study is an evaluability assessment of Be Proud! Be Responsible!, one of the evidence-based programs implemented as part of the New York State Department of Health’s Comprehensive Adolescent Pregnancy Prevention initiative. Evaluability assessments, also known as ‘exploratory evaluations’, are administered with the intention of providing enough useful information to maximize the program’s subsequent evaluations, policies, or practices (Leviton et. al, 2010). This evaluability assessment utilized a mixed-methods approach in the form of interviews, fieldnotes from observation, document review, and secondary data analysis during Fall 2014 and Spring 2015, using Be Proud! Be Responsible! data from 2012-2013.
This study drew upon multiple sources to seek convergence and corroboration through the use of different data sources and methods (Bowen, 2009). By using this mixed-method approach to analysis it was determined that process evaluation is feasible and assessable while outcome evaluation can be carried out in the future with slight modification to the current measurement tools – the pre- and post- test, attendance records, and the fidelity checklist. It was also determined that there was a significant change in pre- and post- test responses for Be Proud! Be Responsible! participants in 2013, showing that evidence-based sexual health programs can be successful when properly implemented in specific settings.
16
Laske, Kate. "Correlation of assessment measures in a rehabilitation program for individuals with traumatic brain injury." Miami University / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=miami1082685973.
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Baumann, Karen. "Needs Assessment for a Lifestyle Intervention Weight Loss Program for Hospital Employees." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3658.
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The rate of obesity is increasing in the United States. In Florida, almost 60% of the population will be obese by 2030. This increase is expected to contribute to millions of cases of preventable chronic diseases costing the state an estimated $34 billion dollars. Employer-sponsored health programs can positively influence employees' lifestyle choices and support weight loss programs to reduce health-related costs to the employee and the employer. Guided by the transtheoretical model, the purpose of the project was to conduct an employee assessment to determine the need for, interest in, and readiness for a lifestyle intervention weight loss program. One-hundred sixteen employees from a participant pool of 1,500 employees of a community hospital completed an online survey by providing information on age, weight, gender, body mass index, and exercise patterns. They also answered the 36-item University of Rhode Island Change Assessment Scale to determine readiness for participating in the workplace-based Group Lifestyle Balance program. Data were summarized using descriptive statistics; 52% of respondents were between 26 and 55 years of age and 44% of respondents were obese. Scores on the Change Assessment Scale revealed that 46.4% (n = 54) of the respondents were thinking about making a lifestyle change within the next 6 months. The findings indicated that many hospital employees were in the contemplation stage of readiness for change and they were receptive to additional information about the weight loss program. The needs assessment was the first step toward establishing community-level social change, starting with hospital employees, to decrease obesity and improve population health.
18
Colvey, Misty. "An assessment of preferred learning styles of undergraduate health, physical education, and sport sciences professional program students." Thesis, Arkansas State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1555343.
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Purpose: The purpose of this study was to evaluate relationships among learning styles, overall GPA, and major in undergraduate students enrolled in professional programs in the department of Health, Physical Education, and Sport Sciences. Methods: This study compared the learning styles of the students to their overall GPA, using the Computerized Assessment Program- Styles of Learning (CAPSOL©) Form B and self-reported GPA. Results: Participants consisted of 231 Health, Physical Education, and Sport Sciences undergraduate students. Correlation was found between preferred learning styles and actual overall GPA, major and actual overall GPA, and self-reported GPA and actual overall GPA. Conclusion: Health, Physical Education, and Sport Sciences undergraduate students resulted in preferred learning styles of individual, sequential, and bodily kinesthetic.
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Hanni, Krista Deanne. "Assessment of baseline health, juvenile survival, and a rehabilitation program for southern sea otters (Enhydra lutris nereis) /." For electronic version search Digital dissertations database. Restricted to UC campuses. Access is free to UC campus dissertations, 2003. http://uclibs.org/PID/11984.
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Unglert, Carolin Isabella. "Novel endoscopes for microscopic assessment of airway clearance using micro-optical coherence tomography." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/97830.
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Thesis: S.M., Harvard-MIT Program in Health Sciences and Technology, 2015.Cataloged from PDF version of thesis.
Includes bibliographical references (pages 73-77).
The health of the human respiratory system depends critically on airway clearance via motile hair-like structures (cilia), which transport and eliminate unwanted particles trapped within mucus. Impairment of mucociliary clearance (MCC) can lead to life-threatening airway narrowing and lung infections, and is a major cause of morbidity and mortality in patients with cystic fibrosis, primary ciliary dyskinesia and chronic obstructive lung disease. However, no tool for microscopic in-vivo visualization of ciliary function is currently available, limiting studies of disease pathogenesis, refined diagnosis and phenotyping, and the development of novel therapeutics. In this thesis, a novel, 1-pm resolution, optical interferometric imaging technique termed Micro-OCT was incorporated into miniaturized common-path endoscopes and mucociliary transport was visualized in vivo for the first time. The first-generation Micro-OCT probe had a rigid design with outer diameter of 4 mm and a two-prism configuration providing beam splitting and sample beam shaping into an annular profile. Image quality of the probe allowed visualization of the periodic pattern of ciliary beating, measurement of airway surface liquid depth (ASL) and visualization of mucociliary transport. Unaltered ciliary function was demonstrated in a living, spontaneously breathing swine model. Newer generation common-path endoscope designs were demonstrated that improve, among other limitations, the stability of the reference reflector position and provide greater potential for miniaturization. The presented work opens unprecedented avenues for studying MCC and the effect of novel therapeutics within the complexity of a living organism. Further, it lays the groundwork for the development of a human probe with the potential to revolutionize diagnosis, phenotyping, and therapy management for all patients with respiratory disease involving the mucociliary escalator.
by Carolin Isabella Unglert.
S.M.
21
Mason, Erica Ellis. "Magnetic particle imaging for intraoperative breast cancer margin assessment and functional brain imaging." Thesis, Massachusetts Institute of Technology, 2020. https://hdl.handle.net/1721.1/128037.
Full textAbstract:
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.Thesis: Ph. D., Harvard-MIT Program in Health Sciences and Technology, 2020
Cataloged from student-submitted PDF version of thesis.
Includes bibliographical references (pages 171-185).
Magnetic Particle Imaging (MPI) is an emerging tracer-based imaging modality that uniquely images the nonlinear magnetization of superparamagnetic iron oxide nanoparticles (SPIOs). MPI boasts high sensitivity, zero background signal, positive contrast, fast temporal resolution, and quantitative detection. The field of MPI is currently preclinical, and this work aims to scale MPI to human sizes by developing and validating it for two clinical applications: tumor detection and imaging for intraoperative margin assessment during breast-conserving surgery (BCS), and functional neuroimaging. For margin assessment in BCS, a hand-held Magnetic Particle detector and a small-bore MPI imager are assessed for intraoperative use along with an injected SPIO agent. The goal is to detect positive margins during surgery and thus reduce the need for future reexcision. Both hardware systems are validated using clinically relevant phantoms. For functional Magnetic Particle Imaging (fMPI) of the brain, a continuous time-series MPI imager is developed and validated for imaging of cerebral blood volume (CBV) changes during functional activation. The goal is improved sensitivity beyond the capabilities of current functional imaging modalities. We present initial results of in vivo rodent fMPI in a small-bore imager, and the design of a human head-sized system, with implementation underway. Through the collective development of these MPI hardware systems and validation of their potential for these two clinical applications, this work aims to catalyze the expansion of MPI into the clinical setting.
by Erica Ellis Mason.
Ph. D.
Ph.D. Harvard-MIT Program in Health Sciences and Technology
22
Stolk, Yvonne. "Development and evaluation of a training program in cross-cultural psychiatric assessment for crisis assessment and treatment teams (CATTS) /." Connect to thesis, 2005. http://eprints.unimelb.edu.au/archive/00002761.
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Haber, Meirav. "Program Evaluation of a Pilot Project Using the Family Art Assessment to Support Clinical Treatment." Digital Commons at Loyola Marymount University and Loyola Law School, 2012. https://digitalcommons.lmu.edu/etd/101.
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This study explores the use of Helen Landgarten’s family art assessment in helping to inform therapists’ work with families. The study endeavors to evaluate a pilot project in which director of the Helen B. Landgarten Art Therapy Clinic, Dr. Paige Asawa, MFT, ATR-BC, implemented the Landgarten family art assessment at a local clinic with five families and involved family track clinicians through observation and discussion to inform their clinical treatment of families. Through program evaluation using a survey and an art-based research procedure, the study investigates family track clinicians’ experiences, recommendations, and opinions of the family art assessment. Ten family track clinicians participated in program evaluation in this study. A quantitative and qualitative analysis of participants’ survey answers and art responses served to solidify whether these clinicians found the family art assessment project beneficial to their clinical work with families. A synthesis of the literature, survey analysis, and art analysis reveals the value of having art therapists conduct family art assessments as an informative consultation for clinicians assessing and treating families. Study results may contribute to more formal inclusion of the family art assessment in assessment procedures at this local clinic. These results hold valuable implications for redefining the role of the art therapist as assessment expert, using art therapy to promote collaboration among mental health professionals, and ultimately improving the quality of clinical family care.
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Cuyno, Leah Marquez. "An Economic Evaluation of the Health and Environmental Benefits of the Integrated Pest Management Program (IPM CRSP) in the Philippines." Diss., Virginia Tech, 1999. http://hdl.handle.net/10919/27941.
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Concern about externalities associated with pesticide use in developing countries has motivated the development of integrated pest management (IPM) programs in these areas. In the Philippines, the IPM Collaborative Research Support Program (IPM CRSP) was established to specifically address the widespread misuse of pesticides in the rice-vegetable systems of Nueva Ecija, one of the major rice and onion producing regions in the country. IPM CRSP initiatives include research on the optimal use of pesticides, complementary weed control strategies, and alternative cultural and biological controls. If successful, the program should generate benefits that can be measured in economic terms. These benefits include improvements in water quality, food safety, pesticide applicator safety, and long run sustainability of pest management systems.
This study was designed to measure the health and environmental benefits of the IPM CRSP in the Philippines. A survey questionnaire was administered to 176 onion farmers in five villages in Nueva Ecija to identify farm and farmer characteristics, pesticide usage, pest management practices, perceptions about pesticide hazards, awareness of IPM strategies, and willingness to adopt specific technologies being developed under the IPM CRSP. In addition, a contingent valuation survey was used to elicit farmers' willingness-to-pay to avoid risks posed by pesticides to different environmental categories.
A comprehensive economic measure of the benefits of IPM CRSP was derived by 1) assessing the hazards associated with pesticide usage, 2) providing an ex ante measure of program impacts on pesticide usage, 3) predicting IPM adoption rates, and 4) estimating society's willingness-to-pay to avoid the health and environmental risks from pesticides under Philippine conditions. A measure of the amount of risks avoided as a result of IPM CRSP adoption was combined with farmers' willingness to pay bids for risk avoidance to derive a monetary value of the program benefits. The estimated economic benefits of the IPM CRSP to farmer residents in 5 villages in Nueva Ecija amount to 230,912.00 pesos for one onion season.Ph. D.
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McCullough, Alison N. "An Evaluation of the Pre-Release Planning Program of the Georgia Department of Corrections and a Qualitative Assessment of Reentry Experiences of Program Participants." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/iph_theses/189.
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Higher rates of HIV are seen within correctional systems across the United States. Georgia has one of the largest correctional populations in the country and HIV rates among prisoners are elevated when compared to the state as a whole. The purpose of this project was to evaluate the Pre-Release Planning Program of the Georgia Department of Corrections and to identify reentry needs unique to persons living with HIV. This evaluation was informed by the post-release experiences of participants who described their own reentry journeys through semi-structured qualitative interviews. A convenience sample of 45 program participants was recruited to complete a qualitative interview following their release in 2009-2010. All 45 persons recruited consented to be contacted for an interview. A research interviewer successfully located 25 members of the original sample and they all agreed to participate. In addition a structure and process evaluation of the program was conducted. Recommendations for improvement were developed from the program evaluation and qualitative analysis of participants’ reentry experiences. For former program participants three central needs were identified: housing, health and income. Stigma and risk behaviors negatively impacted stability of housing, health and income. Strengths of the program included linkage to a Ryan White Clinic, provision of prison medical records, referrals to general social service agencies and its acceptability. The structural and individual challenges faced by persons living with HIV leaving the prison system demand comprehensive integrated services to assure access to HIV care and avoid recidivism. Minimally, housing, health and income must be addressed.
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Johnson, Debbi R. "Emotional Intelligence and Public Health Education: A Prescriptive Needs Assessment." Thesis, NSUWorks, 2013. https://nsuworks.nova.edu/fse_etd/14.
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Emotional Intelligence is an ability that is crucial to the field of public health due to the fact that it encompasses the practitioner’s ability to communicate professionally, show empathy, obtain patient compliance and promote sustainable lifestyle changes in communities. This study seeks to evaluate a public health program in order to determine what emotional intelligence training currently exists, and what the attitudes of stakeholders are regarding emotional intelligence and its importance to the field of public health. This is done through interviews with the faculty, administrators and students, as well as a questionnaire that asks students to assess their own abilities in the area of emotional intelligence. The information gathered makes it possible to formulate recommendations to further incorporate emotional intelligence-building activities into the program.
Results of the study show a direct correlation between public health and emotional intelligence competencies, which makes it an ideal program in which to integrate further training. Additionally, results indicate a gap between student’s self perception regarding their emotional intelligence abilities, and the perception their faculty and administration of student’s abilities. Finally, a significant lack of student engagement due to dissatisfaction with acceptance requirements appears to contribute to the perception of low emotional intelligence on the part of the students.
Recommendations for future development of emotional intelligence in the program include the incorporation of training into the existing Orientation week, the addition of case studies into the courses most naturally related to emotional intelligence-building, the provision of training seminars for faculty, the inclusion of an advanced seminar for students on a voluntary basis, and the evaluation of the program using both a self-report emotional intelligence questionnaire and the Mayer, Salovey and Caruso Emotional Intelligence Test (MSCEIT) at the beginning and end of each term in order to track program effectiveness in the long term.
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Junges, Fernanda. "Avaliação do programa farmácia popular do Brasil : aspectos referentes a estrutura e a processos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2009. http://hdl.handle.net/10183/17702.
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O Programa Farmácia Popular do Brasil, criado em 2004 pelo Governo Federal tem como objetivo ampliação do acesso da população aos medicamentos. Objetivos: avaliar a Rede Própria do Programa Farmácia Popular do Brasil no que diz respeito a aspectos como estrutura física, perfil dos profissionais farmacêuticos das unidades assim como seu conhecimento relacionado à Atenção Farmacêutica e ao Programa, avaliar o treinamento oferecido as unidades desenvolvendo para isso um modelo lógico e indicadores de estrutura e processo. Métodos: Trata-se de uma análise de intervenção, possuindo delineamento transversal. Foram analisados 60 relatórios técnicos de visitas realizadas a unidades do Programa de diferentes municípios brasileiros e foram realizadas 99 entrevistas telefônicas com os farmacêuticos das unidades. A amostra foi selecionada por conveniência, observando-se a necessidade de conter unidades dos diferentes estados brasileiros. Resultados: Os resultados demonstraram grande expansão do número de unidades assim como dos atendimentos realizados. Nenhuma unidade atendeu a todos os requisitos avaliados na estrutura física. Somente 30% das unidades analisadas apresentam o quadro de recursos humanos completo, porém todas unidades avaliadas apresentam pelo menos um farmacêutico e 90% delas apresentam 2 farmacêuticos. 64% dos entrevistados diz atender ao público de uma a 4 horas por dia e todos dizem prestar orientações aos usuários. 55% avaliou como ótima sua satisfação em trabalhar no programa e 39% como excelente. Somente 3% soube conceituar atenção farmacêutica, e somente 5% dizem realizar Atenção Farmacêutica. Somente 3 entrevistados acertaram todas as questões relacionadas ao Programa Farmácia Popular. Conclusões: observa-se a necessidade de um melhor monitoramento das unidades e definição de mecanismos mais efetivos de controle, avaliação assim como o descredenciamento dos parceiros que não cumpram as diretrizes do programa. A Atenção Farmacêutica ainda não é uma realidade do Programa embora o mesmo possua um ambiente propício para esta prática, necessitando-se realizar cursos de capacitação dos farmacêuticos.The Program called "Farmácia Popular do Brasil" created in 2004 by the Federal Government aims to at expanding the population's access to medicines. Objectives: The study analyzes theoriginal model of the Program with respect to such aspects as physical structure, the occupational profile of the pharmaceutical units as well as their knowledge related to pharmaceutical care and the program, assess the training offered the units developed for this one logical model and indicators of structure and process. Results: The results showed great expansion in the number of units and the care provided. No unit responded to all requirements evaluated in the physical structure. Only 30% of the units have reviewed the framework of comprehensive human resources, but all units have evaluated at least one pharmacist and 90% of them have 2 pharmacists. 64% of respondents said the public an answer to 4 hours per day and all they provide guidance to users. 55% rated their satisfaction as good to work in the program and 39% as excellent. Only 3% knew pharmaceutical care concept, and only 5% say achieving pharmaceutical care. Only 3 respondents hit all issues related to the Program. Conclusion: there is a need for improved tracking of units and definition of more effective mechanisms of control, evaluation and the cancel the accreditation partners that do not meet the guidelines of the program. The pharmaceutical care is still not a reality of the program although it has an environment conducive to this practice, needing to take courses of training of pharmacists.
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Serrano, Arce Karen Tamara. "An Assessment of Elementary School Children’s Diet and Physical Activity Levels." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6143.
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With prevalence rates of obesity among children and adolescents steadily rising, childhood obesity and overweight has become a public health concern. Publically funded elementary schools are in a unique position to provide children with opportunities regarding the promotion of physical activity and healthy nutritional behaviors. Purpose: The purpose of this study was to conduct exploratory research to investigate the dietary habits of elementary school students enrolled in four Hillsborough County Out-of-School Time (HOST) care programs. Methods: The study utilized a quantitative, non-experimental study design. The instruments that were used in this research included a new questionnaire that was titled “All about You Yesterday”. This paper questionnaire was a combination of questions from the Physical Questionnaire for Older Children, Youth Risk Behavior Survey, and Day in The Life Of Questionnaire. The questionnaire gathered information about what the students had eaten the day before. It also allowed for collection of students’ gender, age, and grade level, physical activity levels, and the amount of time they spent being sedentary. Dietary data collected from the questionnaire was inputted into the ASA-24-Kids program for calculating Healthy Eating Index scores. Scores were examined to categorize the children’s diets as: poor, needs improvement, and good. This data was plotted into SAS to determine if there were patterns. The relationships between dietary and demographic factors were analyzed. A logistic regression model was used to test the association between dietary scores and amount of physical activity. Results: A total of 91 students participated in this study. The average score was categorized as needs improvement, as were the majority of the students’ diets. The findings showed a pattern that diets improved from third to fourth grade and declined in fifth grade. More males had diets that were categorized as needs improvement rather than poor, and site C had the most students with diet in the needs improvement category. However, none of the covariates were significant. The models used to test the association between the HEI scores and the amount of physical activity produced large p- values (> 0.05), which indicates weak evidence against the null hypothesis that states that there is no association. The same was true for the association between sedentary levels and the HEI categories. Conclusions: The study showed that, regardless of having the opportunity to eat nutritious meals, a great number of after-school children had diets that were categorized as poor. Findings also showed that there was no association between diet and the amount of physical activity that the after-school children participated in; nor did the diets have an association with the sedentary levels reported. Recommendations: In an effort to improve the diets of elementary school children, schools should encourage their students to try fruits and vegetables that are being offered through taste tests. If the meals that are offered during the taste tests are enjoyed then they should be offered as part of the school’s lunch or snack. After school programs should also offer these taste tests and include short nutritional lessons into their programs where children are also given the opportunity to cook and eat healthy snacks.
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Abreu, Silvio Carlos Coelho de. "Avaliação da implantação do Programa de Saúde Bucal da Estratégia Saúde da Familia, na zona leste do município de São Paulo,2008." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/23/23148/tde-13042009-105723/.
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A Estratégia Saúde da Família, caracterizada inicialmente como Projeto QUALIS no município de São Paulo, iniciou as suas atividades em 1996 na zona leste da cidade, através da Casa de Saúde Santa Marcelina. O Programa de Saúde Bucal da estratégia Saúde da Família Santa Marcelina está atuando no território desde 1998, tendo como principal ponto de reivindicações dos gestores a ampliação do número de equipes para garantir a ampliação do acesso à população. Atualmente, a preocupação está focada nos resultados das ações do programa na saúde bucal da população assistida. Porém, avaliar os resultados das ações de saúde de um programa sem conhecer as bases e o contexto em que foi implantado, torna-se uma tarefa muito complicada. O objetivo geral do estudo é avaliar a implantação do Programa de Saúde Bucal da Estratégia Saúde da Família da Casa de Saúde Santa Marcelina/Organização Social Santa Marcelina, na zona leste do município de São Paulo e os objetivos específicos são: verificar o conhecimento dos profissionais do programa sobre as leis, normas e diretrizes estabelecidas para a saúde bucal na Atenção Básica; verificar a adequação dos processos de trabalho às leis, normas e diretrizes propostas pelo Ministério da Saúde e Secretaria Municipal de Saúde; e, verificar se a estrutura estabelecida, nos consultórios odontológicos das unidades de saúde, permite a operacionalização do trabalho de acordo com as leis, normas e diretrizes. Metodologia: Estudo descritivo/analítico através de pesquisa documental e do arcabouço legal que estabelece as bases para a Saúde Bucal na Atenção Básica e de dados primários coletados em instrumento apropriado, aplicado para o levantamento de informações sobre o conhecimento dos profissionais em relação às normas, diretrizes e a legislação específica, e, em relação ao desenvolvimento dos processos de trabalho. O universo de estudo é composto por 14 UBS que desenvolvem a estratégia Saúde da Família na região, assim como todas as ESB habilitadas no Ministério da Saúde pela instituição. A avaliação dos dados foi feita considerando as variáveis em três Eixos de Análises, que correspondem aos objetivos específicos da proposta. Assim foram criados os eixos: 1 Conhecimento dos profissionais; 2 Adequação dos processos de trabalho; e, 3 Estrutura. A hipótese a ser verificada foi, que o Programa de Saúde Bucal está implantado satisfatoriamente considerando os eixos de avaliação propostos. Resultados: o eixo Conhecimento dos profissionais teve um percentual de implantação de 87,7%, o eixo Adequação dos processos de trabalho teve um percentual de implantação de 82,0% e o eixo Estrutura teve um percentual de implantação de 80,5%. Conclusão: O Programa de Saúde Bucal da estratégia Saúde da Família está Satisfatoriamente Implantado (83,4%) na zona leste do município de São Paulo, considerando o conhecimento dos profissionais envolvidos sobre as leis, normas e diretrizes para a Saúde Bucal na Atenção Básica, a adequação do processo de trabalho às leis, normas e diretrizes, e a estrutura oferecida nos consultórios odontológicos para o desenvolvimento das ações.The Family Healthcare Strategy, characterized initially as Project QUALIS in the municipality of São Paulo, started its activities in 1996 in the eastern area of the city, through the Casa de Saúde Santa Marcelina. The Program of oral healthcare of the Family Health strategy Santa Marcelina is acting in the territory since 1998, the main point of claims of managers the enlargement of the number of teams to ensure the expansion of access to the population. Currently, the concern is focused on the results of the actions of the program in oral health of the population assisted. However, to assess the results of health actions of a program without knowing the bases and the context in which was implemented, becomes a difficult task. The general objective of the study is to assess the implementation of the Program of oral healthcare of the Family Health Strategy of Casa de Saúde Santa Marcelina/Social Organization Santa Marcelina, in the eastern region of the municipality of S Paulo and specific objectives are: to verify the knowledge of professionals of the program about the laws, rules and guidelines established for oral healthcare in primary health; to verify the adequacy of work processes to the laws, rules and guidelines proposed by the Ministry of Health and Municipal Department of Health; and, to verify whether the structure established in dental clinics of public health units allows the structuring of the work in accordance with the laws, rules and guidelines. Methodology: descriptive study/analytical through documental research and the legal framework which lays the foundations for the Oral Health Care in Primary Health and primary data collected in appropriate instrument, applied for setting up information on the knowledge of professionals in relation to standards, guidelines and specific legislation, and, in relation to the development of work processes. The universe of study is composed by 14 public health primary care units which develop the family health strategy in the region as well as all oral health teams empowered in the Health Ministry by the institution. Data evaluation was performed considering the variables in three axles of analyzes, which correspond to specific objectives of the proposal. So were created the axles: 1-Knowledge of professionals; 2- Adequacy of work processes; and, 3- Structure. The hypothesis to be verified was that the Program of Oral healthcare is implemented satisfactorily whereas the axles of evaluation proposed. Results: the axis of knowledge of professionals had a percentage of implementing of 87.7%, the axis Adequacy of the processes of work had a percentage of implementing of 82.0% and the axis Structure had a percentage of implementing of 80.5%. Conclusion: Concerning knowledge of involved professionals about laws, rules and guidelines for the Oral Health in basic care, the adequacy of work processes to the laws, rules and guidelines and structure offered in public dental clinics for clinical procedures it is legitimate that the Program of oral healthcare of the Family Health strategy is satisfactorily implemented (83.4%) in the eastern region of the city of São Paulo.
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ALLARD, LEE RICHARD. "EXPOSURE TO LOW-LEVEL IONIZING RADIATION AND RISK OF LEUKEMIA AND NON-HODGKIN'S LYMPHOMA IN PARTICIPANTS OF THE FERNALD MEDICAL MONITORING PROGRAM." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1141071821.
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Swanson, Heather M. "EVALUATION OF A DIVISION I MID-MAJOR UNIVERSITY’S STUDENT-ATHLETE MENTAL HEALTH PROGRAM." Scholarly Commons, 2021. https://scholarlycommons.pacific.edu/uop_etds/3732.
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The following executive summary provides high level findings of a student-athlete mental health program (SAMHP) at a National Collegiate Athletic Association Division I mid-major university. Various elements of the SAMHP were evaluated to create a well-rounded understanding of the program to determine sustainability, goals, and stakeholder expectations. Findings from this study provided insight on stakeholder needs, program successes, and implications for program improvements.
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Goldbaum, Arnaldo. "O processo de avaliação do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) para saúde bucal no âmbito do Sistema Único de Saúde (SUS)." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/23/23148/tde-11072014-200725/.
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O Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), criado pela Portaria nº 1.654 GM/MS de 19 de julho de 2011, visa promover a ampliação do acesso e a melhoria da qualidade da atenção básica, garantindo um padrão de qualidade comparável a nível nacional, regional e local. Lançado em 2011, o programa contemplou, em seu primeiro ciclo, a adesão de Equipes de Saúde da Família e de Atenção Básica parametrizadas, incluindo equipes de Saúde Bucal. O segundo ciclo se iniciou em 2013 com a novidade da ampliação da adesão das Equipes de Saúde da Família, equipes parametrizada e Equipe de Saúde Bucal, sem limite para a adesão das equipes do município. Outra novidade é a inclusão dos Núcleos de Apoio a Saúde da Família, e Centros de Especialidades Odontológicas. A dissertação teve como objetivo avaliar o potencial de contribuição do processo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica para o fortalecimento e consolidação da Política Nacional de Saúde Bucal, no âmbito do Sistema Único de Saúde. Para tanto foi realizada a discussão com base na literatura descritiva, com análise e interpretação de artigos, periódicos, livros, textos institucionais, além de leis e portarias. O estudo permitiu revisar a história das políticas públicas de saúde no Brasil, evidenciando as dificuldades de implementação da saúde bucal antes da criação da Política Nacional de Saúde Bucal, criada no governo do partido do trabalhadores. Por outro lado a participação das equipes de saúde bucal no PMAQ, e mais recentemente a participação dos Centros de Especialidades Odontológicas, parece fortalecer a Saúde Bucal, uma vez que este é o maior processo de avaliação que o Sistema Único de Saúde está sendo submetido.The National Programme for Improving Access and Quality of Primary Care , created by Ordinance No. 1654 GM / MS July 19, 2011, aims to promote increased access and improved quality of basic care, ensuring a standard of quality comparable to national, regional and local level. Launched in 2011, the program included in its first cycle , the accession of Family Health and parameterized Primary Care Teams, including oral health teams . The second cycle began in 2013 with the novelty of the expansion of membership of Family Health Teams , parameterized teams, and Dental Health Team , with no limit for membership of the county teams . Another novelty is the inclusion of Family Health Support Centers and Dental Specialty Centers. The dissertation aims to evaluate the potential contribution of the National Program for Improving Access and Quality of Primary Care for the strengthening and consolidation of the National Oral Health Policy within Sistema Único de Saúde (SUS), the national health system. Methodology included discussion based on descriptive literature, analysis and interpretation of articles , journals , books , institutional texts , in addition to laws and ordinances . The study allowed us to review the history of public health policies in Brazil , highlighting the difficulties in implementation of oral health before the creation of the National Oral Health Policy, created by government of Partido dos Trabalhadores. On the other hand the involvement of oral health teams in the National Program for Improving Access and Quality of Primary Care and more recently the participation of Dental Specialty Centers seems to strengthen the National Oral Health Policy, since this is the largest evaluation process that the Health System is being submitted
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Rocker, Charlotte (Charlotte Amanda Lucy). "Assessment of the appropriateness and market opportunity of a point-of-care diagnostic solution for hepatitis C in the United States." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/72942.
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Thesis (S.M.)--Harvard-MIT Program in Health Sciences and Technology, 2012.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 60-64).
Hepatitis C (HCV) is the most common bloodborne infection in the United States. Although the incidence of HCV is declining, the burden of the disease is rising, driven by the increasing rates of end-stage liver disease and other consequences of advanced HCV infection. According to a 2009 report, the number of patients with advanced liver disease will quadruple over the next 20 years; in that time, total medical costs for patients with HCV infection are expected nearly to triple, from $30 billion to more than $85 billion. Given the limitations of current treatments and diagnostic technologies, HCV often goes undiagnosed and/or untreated. With new therapies in the pipeline that offer the promise of increased efficacy and improved side effect profiles, there likely will be a demand for improved diagnostics to more quickly and accurately identify patients in need of treatment. Daktari Diagnostics, Inc., based in Cambridge, Massachusetts, is developing a point-of-care, microfluidic diagnostic system that could be used both to diagnose HCV patients and to monitor treatment response. This thesis hypothesizes that Daktari's HCV diagnostic system can generate revenue in the United States, given the dynamics of the market. To explore this hypothesis, a background on the current diagnostic and treatment standards in HCV is presented, followed by an analysis of diagnostics and treatments currently in development. The thesis then defines the current paradigm of HCV testing and treatment and explores one potential future paradigm. Finally, a model of the HCV diagnostic market from 2012- 2019 is generated. This model demonstrates that, under conservative assumptions, the Daktari diagnostic system could generate a minimum of $25MM in revenue in the United States over its first five years on the market, from 2015-2019.
by Charlotte Rocker.
S.M.
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Jelso, Janay. "Development and Formative Implementation of a Nutrition Assessment and Peer Education Program Based on Dietary Analysis at a California State University." DigitalCommons@CalPoly, 2009. https://digitalcommons.calpoly.edu/theses/165.
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A healthy diet has been established as a key component contributing to an individual’s quality of life. Statistics show that the diet of Americans needs improvement (Guenther et al., 2007) indicating possible lack knowledge of what healthy eating behaviors are. There is an abundance of nutrition misinformation available to the consumer (American Dietetic Association, 2002a). Dietary interventions that provide credible education based on readiness to change behaviors and goal setting have been successful in increasing awareness of what healthy eating behaviors are and changing existing behaviors over time (Ammerman et al., 2002; Evans & Sawyer-Morse, 2002; Gambera et al., 1995; Hebert et al., 1999; Oenema & Brug, 2003; Proper, et al., 2003).
In an effort to provide a college community with credible nutrition education based on dietary analysis and stage of change, a nutrition assessment and consultation program was developed and implemented at a college campus during the fall 2003 quarter. It was integrated into the existing fitness testing and prescription program, polyFIT. Seven students, referred to as fitness consultants, majoring in Nutrition or Kinesiology were recruited and trained to distribute appropriate education based on individual clients’ dietary analysis, a stage of change assessment and personal goals. Intervention materials were constructed using a variety of resources focusing on areas of nutrition. Thirty clients participated during the fall 2003 quarter; all were freshman and sophomores enrolled in a Healthy Living course. Separate survey questionnaires were designed for the consultants and the clients to gather their perceptions of the program components. PolyFIT continued to offer the program, modifying it over time, for at least 4 years after the initial implementation.
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David, Mervin. "Development of a Personalized Education Program Based on an Assessment of Knowledge of Coronary Heart Disease and Risk Factors in a Filipino-American Community in New York City." Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1429643120.
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Vital, Heather Stacey Tomkinson. "Opportunities and challenges in oncology targeted drug development : an assessment of the use of prevalence and companion diagnostic performance thresholds to guide clinical trial strategies." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/78156.
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Thesis (S.M. in Health Sciences and Technology)--Harvard-MIT Program in Health Sciences and Technology, 2012.Cataloged from PDF version of thesis.
Includes bibliographical references (p. 67-70).
Targeted, especially stratified or biomarker-guided, therapies offer significant advantages over traditional oncology therapies in certain settings. Selecting patients most likely to respond to a drug increases the therapeutic efficacy while reducing toxicities and may accelerate regulatory approval since smaller clinical trials are needed to demonstrate benefit. Several drugs, including vemurafenib and crizotinib have demonstrated these benefits along with commercial success. However, significant risk exists for the drug developer since approval may be threatened if they fail to meet unclear and differing yet parallel requirements for both the drug and the required companion diagnostic. Tumor biology is also increasingly complex since recent studies suggest that there are limited numbers of individual driver mutations, complicated interactions throughout signaling pathways as well as extensive tumor heterogeneity, all of which will challenge the effectiveness of targeted therapies. Clinical trial strategy decisions can greatly impact the success of a targeted therapy due to these challenges. While therapeutic efficacy is considered important, biomarker prevalence and companion diagnostic performance have been shown to be as important, yet more informative at the time decisions are made. I hypothesized that common prevalence and companion diagnostic performance thresholds are being used to guide biomarker-guided clinical trial strategy decisions for targeted oncology therapies. Seventeen interviews with preclinical, clinical or translational leads were conducted across a focused set of ten "pathway-modifying" cancer drug programs (CDK4/6, MDM2 and P13KP inhibitors) that reflect the biological complexity of future targeted therapies. These interviews provided empirical data as to how biomarkers are being incorporated into current clinical trial decisions. All respondents were planning to use a companion diagnostic for their program, however, the use of biomarkers varied significantly. For those programs with ongoing clinical trials in phase I and II, 54% (n=7/13) were pursuing a biomarker-guided strategy while 46% (n=6/13) were using an initial all-comers strategy. This fairly equal split separated when compared by phase where trials in phase I and 1/11, 60% (n=6/10) were using an all-comers strategy but for those trials in phase II (n=3), all were using biomarker-guided strategies. A key finding of the interviews was that 66.7% (n=4/6) were planning biomarker enrichment as part of expansion plans. Disproving my hypothesis, however, common thresholds for neither biomarker prevalence nor companion diagnostic performance were being used to guide these decisions. Biomarker prevalences of 50-100% were stated as potentially appropriate for an all-comers strategy. Companion diagnostic performance thresholds were even less influential as only a few respondents provided a general range of desired sensitivity and specificity. This study found that actions of drug developers are not necessarily following the emerging recommendations for targeted therapies due to the significant challenges of biomarker and companion diagnostic development.
by Heather Stacey Tomkinson Vital.
S.M.in Health Sciences and Technology
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Gonzales, Roxana Isabel Cardozo. ""O tratamento supervisionado no domicílio para o controle da tuberculose no município de Ribeirão Preto, SP-Brasil: avaliação do desempenho"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-30062005-120142/.
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Trata-se de um estudo exploratório cujo objetivo foi avaliar o desempenho dos serviços de saúde que executam o DOTS/TS Domiciliar no Programa de Controle da Tuberculose (PCT) em Unidades de Saúde do Município de Ribeirão Preto. Utilizou-se como referencial metodológico os enfoques básicos para avaliação da qualidade da atenção médica Estrutura-Processo-Resultado proposto por Donabedian (1980) e modificado por Tanaka e Melo (2001) e Starfield (2002). Elaborou-se os seguintes indicadores: Cobertura, Aproveitamento dos recursos, Agilidade do desempenho, Monitoração da administração da medicação e Tempo gasto por visita domiciliar. Os dados foram coletados em 4 PCT por meio da Técnica de Observação Sistemática das visitas domiciliares, realizadas pelo profissional de saúde responsável pela supervisão do tratamento do paciente durante o mês de julho de 2003. Foram acompanhados todos os pacientes que no período em estudo receberam DOTS/TS no domicílio e aqueles que foram incluídos na supervisão durante a coleta de dados. A avaliação do desempenho foi realizada na relação de indicadores e complementada em função da análise por indicador a partir da média e do intervalo de confiança. Os indicadores estudados mostraram que o planejamento de recursos, a organização do trabalho pela equipe de saúde, a definição de funções e a sistematização das ações no processo de tratamento do doente de tuberculose podem influenciar no melhor desempenho do serviço de saúde em termos de cobertura, aproveitamento dos recursos, agilidade, monitoração da administração da medicação e tempo gasto por visita domiciliar. Assim, perante as restrições de recursos humanos e materiais no setor saúde, existe a necessidade de reconsiderar outras formas de supervisão e/ou integração das atividades de tratamento e controle da doença a outras estratégias de intervenção que resultem no uso racional dos recursos, melhor cuidado de saúde e sucesso do tratamento.This exploratory study aimed to evaluate the performance of health services that execute Domiciliary DOTS/TS in the Tuberculosis Control Program (TCP) at Health Units in Ribeirão Preto. The methodological reference framework was based on the basic focuses for medical care quality evaluation Structure-Process-Outcome proposed by Donabedian (1988) and modified by Tanaka and Melo (2001) and Starfield (2002). The following indicators were elaborated: Coverage, Use of recourses, Performance agility, Medication administration monitoring and Time spent per home visit. Data were collected in 4 TCP by means of the Systematic Observation Technique of home visits, realized by the health professional who was responsible for supervising the patients treatment in July 2003. All patients were accompanied who were receiving domiciliary DOTS/TS during the study period, as well as those included in the supervision during data collection. The performance evaluation was accomplished in the indicator list and complemented in function of the analysis per indicator, based on mean values and confidence intervals. The studied indicators demonstrated that the planning of resources, the health teams organization of its work, the definition of function and the systemization of actions in tuberculosis patients treatment can influence in the sense of achieving a better performance by the health service in terms of coverage, use of resources, agility, medication administration monitoring and time spent per home visit. Thus, in view of health sector restrictions in terms of human and material resources, there is a need to reconsider other forms of supervising and/or integrating treatment and control activities with other intervention strategies that can result in the rational use of resources, a better healthcare and a successful treatment.
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Lewin, Virloy Elizabeth. "Effectiveness of Pre-Baccalaureate Health Careers Opportunity Programs (HCOP) for Disadvantaged Students in Three Southern States." [Johnson City, Tenn. : East Tennessee State University], 2002. http://etd-submit.etsu.edu/etd/theses/available/etd-0531102-181849/unrestricted/LewinV062702.pdf.
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Krause, Jennifer M., Kason O’Neil, and Brian Dauenhauer. "Plickers: A Formative Assessment Tool for K–12 and PETE Professionals: Strategies: Vol 30, No 3." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/4049.
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Classroom response systems have become popular in K–12 and higher education settings in recent years in order to gauge student learning. The physical education environment is unique in that it is difficult to manage the technology associated with these systems, and therefore, student assessment can be cumbersome. A free classroom response system is available that requires very little technology, is easy to use, and can provide feedback on student learning in an instant. This article will discuss Plickers as a real-time formative assessment tool that teachers can use to enhance assessment of student learning in physical education settings from K–12 to higher education.
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Markey, Jessica. "A Community-Engaged Research Approach to the Development of an Assessment Tool for Historical Data Collection of SAARA Client Population." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2114.
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Through collaboration between the Substance Abuse and Addiction Recovery Alliance (SAARA) and several community partners, a need was identified for a new measurement tool to gather comprehensive client histories for program evaluation and development. The purpose of this study was to (1) develop a culturally relevant and organizationally appropriate mechanism for the collection of comprehensive client histories and (2) to provide the opportunity for staff to engage in a new process of developing and implementing data collection strategies. As a result of the use of a community-based participatory approach, (1) a missed opportunity for program evaluation and development was identified, (2) a community-based research study was developed, (3) staff were invested in development of the tool, and (4) staff engaged in a capacity-building exercise in which they were provided the skills and tools needed to replicate this process independently in the future.
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Villa, Nova Fábio Antonio 1969. "Associação entre risco familiar, saúde bucal, qualidade de vida e variáveis socioeconômicas." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289165.
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Orientadores: Gláucia Maria Bovi Ambrosano, Stela Márcia PereiraDissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-23T07:47:18Z (GMT). No. of bitstreams: 1 VillaNova_FabioAntonio_M.pdf: 1137942 bytes, checksum: b3911cacda032c6221b35cc415b38046 (MD5) Previous issue date: 2013
Resumo: A saúde é modulada por fatores biológicos e sociais, por experiências anteriores e atuais. Uma unidade de saúde deve se organizar através das necessidades da população para que possa absorver a demanda pela procura dos serviços. O presente estudo teve como objetivo avaliar a relação existente entre o risco familiar, saúde bucal, qualidade de vida e variáveis sócio econômicos. Neste estudo observacional, de caráter transversal, a amostra de conveniência foi composta por 311 indivíduos com idade entre 18 e 71 anos residentes na área de abrangência de quatro USFs, localizadas no interior do estado de São Paulo, os voluntários foram avaliados clinicamente (CPO-D e necessidade de tratamento), e entrevistados por meio de três questionários sendo um sobre auto percepção de saúde bucal (OHIP-14), outro sobre qualidade de vida (WHOQOL-BREF) e um sobre avaliação sócioeconômica. Os dados foram analisados por meio de modelo multinível formado por componentes fixos representados pelas variáveis estudadas e componentes aleatórios representados pelos bairros e pelas variâncias nos diferentes níveis. Na seleção das variáveis foi utilizado referencial teórico e análise de correlação para avaliar a multicolinearidade. A qualidade dos ajustes foi avaliada pela convergência do modelo, critérios de AIC, AICC e estatística -2 vezes o logaritmo da função de verossimilhança. A média de idade dos voluntários foi de 36,7 anos (dp=13), com CPO-D médio de 12,9 (dp=7,0). A média da escala de risco de Coelho entre os voluntários foi de 2,67 com erro padrão de 0,32. Observou-se que a variação entre os voluntários foi maior do que entre os bairros, sendo que a variação entre os bairros, quanto ao risco, não foi significativa em nenhum dos modelos. Apresentaram maior escore de risco total os indivíduos de maior idade (p=0,0486), que moram em casas com mais residentes (p<0,001), com menos anos de escolaridade (p=0,0137), que não possuem automóvel (p=0,0048) e com maior escore de OHIP-14 (p=0,0130). Conclui-se que a escala de risco familiar foi associada positivamente as variáveis sócio-econômicas e que os indivíduos com maior risco familiar percebem pior autopercepção da saúde bucal, entretanto, não percebem pior qualidade de vida geral
Abstract: Health is adjusted according to social and biological factors, as well as to past and current experiences. Health Centers must be organized according to the population's needs so that they can meet the demand for services. This study aims to assess the relation amongst familial risk, oral health, quality of life and social economical variables. In this cross-sectional observational study, the convenience sample involved 311 individuals aging between 18 and 71 years old living nearby four Health Family Units in the interior of São Paulo state, the volunteers were clinically evaluated (CPO-D and treatment necessity), they were also interviewed through three questionnaires, one about oral heath self perception (OHIP-14), another about quality of life and the last one about socioeconomic assessment . The data were analyzed by a multilevel model formed by fixed components represented by the studied variables and randomized components represented by the neighborhoods and the variances in the different levels. A theoretical reference and correlative analysis were used to assess the multicolinearity in the variable selection. The adjustment quality was evaluated by the model convergence, AIC, AICC criteria and statistics - twice the logarithm of the likelihood function. The volunteers' average age was 36.7 years old (SD=13), 12.9 average CPOD (SD=7.0). Coelho's risk scale average among the volunteers was 2.67, with a standard error of 0.32. The variation among the volunteers was higher than among the neighborhoods, while the risk variation among the neighborhoods was not significant in any of the models. The older individuals (p=0.0486) who live in houses with more residents (p<0.001), less educated (p=0.0137), who do not own a vehicle (p=0.0048) and higher OHIP-14 score (p=0.0130) have shown higher total risk score. It has been concluded that the familial risk scale was positively associated with the socio economical variables and the oral health self-perception and the individuals with higher familial risk observe worse oral health self perception. However, they do not observe worse general quality of life
Mestrado
Odontologia em Saude Coletiva
Mestre em Odontologia em Saúde Coletiva
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Locklear, Brittany Renee. "Continuing Competency: An Evaluation for Retention 180 Days After the Annual Competency Assurance Program." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1306433849.
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Gibson, Heather D. "An oral hygiene education program based on an assessment of the oral health needs of children ages four to seven in Guastatoya, Guatemala." Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2707.
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Thesis (M.S.)--West Virginia University, 2002.Title from document title page. Document formatted into pages; contains ix, 92 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 45-46).
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Ribeiro, Marco Tulio Aguiar Mourao. "AvaliaÃÃo de implantaÃÃo de programa de residÃncia em medicina de famÃlia e comunidade de larga escala em capital do Nordeste." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=7505.
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A EstratÃgia SaÃde da FamÃlia (ESF) vem sendo implementada hà quinze anos em vÃrias cidades do paÃs com repercussÃes na melhoria da qualidade da atenÃÃo à saÃde da populaÃÃo. No entanto constata-se um descompasso entre as necessidades existentes para o mÃdico que atua na AtenÃÃo BÃsica à SaÃde (ABS) e da sua formaÃÃo mais adequada. A expansÃo da oferta das vagas em Programas de ResidÃncia de Medicina de FamÃlia e Comunidade (PRMFC/F) nÃo acompanhou o ritmo da expansÃo da cobertura populacional da ESF. Observa-se uma iniquidade, na distribuiÃÃo dos programas no paÃs, com uma concentraÃÃo destes no sudeste e sul. Esta tendÃncia à paradoxal à distribuiÃÃo da cobertura populacional das equipes da ESF e reflete a ausÃncia de uma polÃtica de direcionamento de recursos pela necessidade de profissionais dentro do territÃrio nacional. A Secretaria Municipal de SaÃde de Fortaleza/CE em 2006 implantou o PRMFC/F que hoje conta com 76 Residentes. Apesar de seu pouco tempo de existÃncia, este programa apresenta algumas peculiaridades: trata-se do primeiro de larga escala, implantado em grande capital do paÃs, de forma concomitante com a expansÃo da rede de serviÃos da ESF e com taxa de ocupaÃÃo maior que a mÃdia nacional. Este processo recente de implantaÃÃo do PRMFC/F em Fortaleza/CE à o foco deste estudo. ApÃs extensa revisÃo bibliogrÃfica observa-se uma lacuna no conhecimento reforÃando a relevÃncia deste estudo. Como objetivo geral propÃe-se avaliar o processo de implantaÃÃo de um PRMFC/F de larga escala em municÃpio de grande porte populacional. Considerando os objetivos desta investigaÃÃo serà realizado um Estudo de Caso, de carÃter exploratÃrio, com nÃveis analÃticos imbricados e combinaÃÃo de AvaliaÃÃo Normativa e Pesquisa Avaliativa sobre componentes e aspectos da implantaÃÃo do PRMFC/F em Unidades de SaÃde da FamÃlia de Fortaleza/CE. Constatou-se que houve um investimento da gestÃo municipal para expandir e fortalecer a ABS no municÃpio, e este cenÃrio foi favorÃvel à implantaÃÃo do programa. Observou-se que para a maioria dos indicadores de estrutura, processo e resultado o PRMFC/F foi implantado e de acordo com os padrÃes normativos. Foram observadas poucas diferenÃas quanto ao grau de implantaÃÃo do PRMFC/F entre as seis Secretarias Executivas Regionais de Fortaleza. Este estudo possibilitou a formulaÃÃo de algumas hipÃteses e sugestÃo para estudos posteriores sobre temÃtica tÃo relevante para o contexto atual da Medicina de FamÃlia e Comunidade e AtenÃÃo PrimÃria à SaÃde no Brasil e no mundo.The FamilyÂs Health Strategy (ESF) has been implemented for fifteen years in various cities around the country with repercussions in the qualityÂs attention improvement to populationÂs health. Notwithstanding thereÂs a mismatch between the existing necessities to the phisician who work at the ―AtenÃÃo BÃsica à SaÃde, or ABS ( Basic Attention to Health), and its more adequate formation. The expansion of jobs on offer at the Family and CommunityÂs Medicine Residence Program (PRMFC/F) did not follow the expansion pace seen at the ESFÂs populational covering. An iniquity can be observed in the programÂs distribution around the country, with a concentration of them more specifically in the countryÂs south and southeast. This trend is paradoxical to the distribution of ESFÂs teams populational coverage and reflects the absence of a resource direction politics for the need of professionals inside national territory. The Fortaleza Health Department implanted the PRMFC/F, which nowadays has 76 members in its staff. Despite its short period of existence, this program presents some peculiarities: itÂs the first one on a large scale implanted in a capital city, concomitantly with the expansion of ESFÂs network of services, and with a occupation tax higher than the national average. This recent PRMFC/F implantation process in Fortaleza, Cearà is the theme of this study. After an extensive bibliographical review, a lacuna can be observed at the knowledge reinforcing the relevance of this study. As a main objective, it proposes to evaluate the implantation process of a PRMFC/F on a large scale at a city of large populational presence. Considering the objectives of this investigation, a Case Study will be accomplished, in exploratory character, with imbricated analytical levels, and a combination of Normative Evaluation and Evaluative Research over PRMFC/F implantation components and aspects at Family Health Units in the city of Fortaleza, CearÃ. It was found that there was an investment by the cityÂs government to expand and improve ABS ( Basic Attention to Health) in the city, and that this scenario was favorable to the implantation of the program. It was observed that for the majority of structure, process and result indexes, the PRMFC/F was implanted, and according to normative patterns. Few differences have been observed as to PRMFC/FÂs implantation level among the six FortalezaÂs Regional Executive Departments. This study has enabled the formulation of some hypothesis and suggestions for future studies on such a relevant theme to Family and Community Medicine, and Primary Attention to HealthÂs (Primary Care) current context in Brazil and all over the world.
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Fedie, Judy. "Outcome assessment of nutrition screening for children with special health care needs as a best practice recommendation in the Wisconsin Birth-to-3 Program." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007fediej.pdf.
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Johnson, C. Frances. "An assessment of a training program designed to teach staff nurses in an acute care facility to transfer nursing process theory to practice." PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/417.
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A training program was developed to help registered nurses in an acute care facility to learn nursing process theory and to transfer that theory to nursing practice. A total sample of 102 newly-hired nurses who had participated in this training program were pre- and post- tested on class content; they also filled out a questionnaire which provided demographic and attitudinal data related to the use of nursing process as a model for nursing care. An audit sample of 82 nurses, who were a part of the total sample, were audited one month after the training program to collect data on documentation in patients' charts of the understanding and utilization of nursing process; 246 audits were completed. Concomitantly, an audit was performed to determine total nursing staff compliance with requirements that the nursing process be used and documented in patients' charts. Performance behaviors, i.e., pre- and post-test scores, common test scores, self-perceived understanding scores, and percent complete on audit were collected and analyzed. Additionally, data on age, experience, and type of nursing education were collected and analyzed. Results indicated that the nurses who attended this training program evidenced an understanding of nursing process theory and documented their implementation of the process into nursing practice. Despite differences in age, experience, and educational programs which appeared to be statistically significant, the performances of nurses who had attended this training program showed no significant differences in practice.
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Lord, Tanya. "Early Detection and Treatment of Acute Clinical Decline in Hospitalized Patients: An Observational Study of ICU Transfers and an Assessment of the Effectiveness of a Rapid Response Program: A Dissertation." eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsbs_diss/561.
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The Institute for Healthcare Improvement (IHI) has promoted implementing a RRS to provide safer care for hospitalized patients. Additionally, the Joint Commission made implementing a RRS a 2008 National Patient Safety Goal. Although mandated, the evidence to support the effectiveness of a RRS to reduce cardiac arrests on hospital medical or surgical floors and un-anticipated ICU transfers remains inconclusive, partly because of weak study designs and partly due to a failure of published studies to report all critical aspects of their intervention. This study attempted to evaluate the effectiveness and the implementation of a RRS on the two campuses of the UMass Memorial Medical Center (UMMMC).
The first study presented was an attempt to identify the preventability and timeliness of floor to ICU transfers. This was done using 3 chief residents who reviewed 100 randomly selected medical records. Using Cohen’s kappa to assess the inter-rater reliability it was determined that 13% of the cases could have possibly been preventable with earlier intervention.
The second study was an evaluation of the effectiveness of the Rapid Response System. Outcomes were cardiac arrests, code calls and floor to ICU admissions. There were two study periods 24 months before the intervention and 24 months after. A Spline regression model was used to compare the two time periods. Though there was a consistent downward trend over all 4 years there were no statistically significant changes in the cardiac arrests and ICU transfers when comparing the before and after periods. There was a significant reduction in code calls to the floors on the University campus.
The third study was a modified process evaluation of the Rapid Response intervention that will assess fidelity of RRS implementation, the proportion of the intended patient population that is reached by the RRS, the overall number of RRS calls implemented (dose delivered) and the perceptions of the hospital staff affected by the RRS with respect to acceptability and satisfaction with the RRS and barriers to utilization. The process evaluation showed that that the Rapid Response System was for the most part being used as it was designed, though the nurses were not using the specific triggers as a deciding factor in making the call. Staff satisfaction with the intervention was very high.
Overall these studies demonstrated the difficulty in clearly defining outcomes and data collection in a large hospital system. Additionally the importance of different study designs and analysis methods are discussed.
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Sansom, Karen. "Indicators of Academic Success in a Medical Record Technology Program & Their Relationship to Attainment of a Passing Score on the Accreditation Examination." TopSCHOLAR®, 1989. https://digitalcommons.wku.edu/theses/2810.
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During the selection and retention process in a medical record technology program, it is advantageous to identify those students who will fulfill the program's course requirements, as well as subsequently pass the accreditation examination. Graduates of such a program at Wbstern Kentucky University were studied to identify these demoaraphic and academic indicators. Using a stepwise multiple regression analysis, the variables of high school grade point average (GPA), college GPA, and composite ACT score were found to be significantly related to medical record GPA. Using the maximum Rsquare improvement technique, the variables of high school GPA, college GPA, age entering the program, English ACT score and number of credits at graduation were found to be significantly related to overall college GPA at graduation. Multiple regression analysis indicated that high school GPA and composite ACT score were found to be the best predictors of overall performance on the accreditation exam, though the relationship was not significant. Using the discriminant analysis technique, several variables were found to be significant in determining which students will pass the exam and which students will fail. Based on information age when entering the program, and number of medical record core courses repeated contributed significantly to the model. The model was applied to the actual data with a pass/fail accuracy rate of 82% for all students and a rate of 84% for those students passing the exam. Based on additional information after graduation, the variables of medical record GPA, composite ACT score, age when entering the program, and number of credits received at graduation contributed significantly to the model. The model was applied to the actual data with a pass:fail accuracy rate of 78% for all students and a rate of 89% for those students failing the exam.
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Owens, Lisa. "The Effects of the Handwriting Without Tears Program on the Handwriting of Students in Inclusion Classrooms." VCU Scholars Compass, 2004. http://scholarscompass.vcu.edu/etd/1121.
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Many handwriting programs are currently used in schools, but little research has been conducted on their effectiveness. A quasi-experimental non-equivalent comparison group pretest posttest design examined effects of the Handwriting Without Tears program with special and general education students enrolled in inclusion classrooms. Two experimental classes received instruction with the HWT method while two comparison classes received instruction using traditional methods. Handwriting performance was measured using the Minnesota Handwriting Assessment. One-way analysis of covariance tested the differences between rates of handwriting improvement for experimental and comparison groups while controlling for pretest scores. Students in the experimental classes showed no statistically significant improvement in overall handwriting skill compared to the classes receiving traditional handwriting instruction. However, the HWT program was found to be effective in improving the areas of size (p = .008) and spacing (p = .014) within a 10-week period, regardless of educational status or gender.
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Fielden, Jennifer E. "An Evaluation of the Quality Assurance Plan at East Tennessee State University’s Dental Hygiene Program." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etd/2298.
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Quality assurance in healthcare is fundamental in ensuring the achievement of desired outcomes for patients. In 2011 a quality assurance plan was created at the East Tennessee State University (ETSU) dental hygiene program in order to meet accreditation standards. The purpose of this study was to evaluate this plan in order to determine its effectiveness in improving the quality of patient care indicators. One hundred fifty patient charts were selected and audited. Deficiencies were counted in the categories of assessment, treatment, documentation, referral, caries management, perio management, patient education, and follow-up. Research findings were varied; however, external variables with the potential to affect the study’s results were identified. Furthermore, statistical process control procedures indicated that the quality assurance program was effective or had the potential to be effective. Although further research is warranted, this study could be used to improve quality assurance practices at the ETSU dental hygiene program.