NYS DOH and ATSDR response to comments on: Health consultation, evaluation of environmental data collected in 2000 : Abby Street/Hickory Woods Subdivision, city of Buffalo, Erie County, New York, April 30, 2001 /

"April 8, 2004."

Forest Health Technology Enterprise Team : 1996 accomplishment report.

"November 1996."

Forest Health Technology Enterprise Team : fiscal year 1997 accomplishment report.

"November 1997."

Health hazard evaluation report HETA 89-137-2005 : Eagle Convex Glass Company, Clarksburg, West Virginia /

"January 1990."

Transit technology evaluation : a literature capsule.

"November 1981"--Cover.

Health hazard evaluation report HETA 89-307-2009 : Perdue Farms, Inc., Lewiston, North Carolina, Robersonville, North Carolina.

"February 1990."

Health hazard evaluation report HETA 90-390-2065, MHETA 86-012-2065 : R.T. Vanderbilt Company, Gouverneur, New York /

Cover title.

Childhood obesity treatment: integrating mobile health technology into a paediatric obesity service

Background: The management of childhood obesity is challenging. Aims: Thesis, i) reviews the evidence for lifestyle treatment of obesity, ii) explores cardiometabolic burden in childhood obesity, iii) explores whether changes in body composition predicts change in insulin sensitivity (IS), iv) develops and evaluates a lifestyle obesity intervention; v) develops a mobile health application for obesity treatment and vi) tests the application in a clinical trial. Methods: In Study 1, systematic reviews and meta-analyses of the 12‐month effects of lifestyle and mHealth interventions were conducted. In Study 2, the prevalence of cardiometabolic burden was estimated in a consecutive series of 267 children. In Study 3, body composition was estimated with bioelectrical impedance analysis (BIA) and dual x-ray absorptiometry (DXA) and linear regression analyses were used to estimate the extent to which each methods predicted change in IS. Study 4 describes the development of the Temple Street W82GO Healthy Lifestyle intervention for clinical obesity in children and a controlled study of treatment effect in 276 children is reported. Study 5 describes the development and testing of the Reactivate Mobile Obesity Application. Study 6 outlines the development and preliminary report from a clinical effectiveness trial of Reactivate. Results: In Study 1, meta--‐analyses BMI SDS changed by -0.16 (-0.24,‐0.07, p<0.01) and -0.03 (-0.13, 0.06, p=0.48). In study 2, cardiometabolic comorbidities were common (e.g. hypertension in 49%) and prevalence increased as obesity level increased. In Study 3, BC changes significantly predicted changes in IS. In Study 4, BMI SDS was significantly reduced in W82GO compared to controls (p<0.001). In Study 5, the Reactivate application had good usability indices and preliminary 6‐month process report data from Study 6, revealed a promising effect for Reactivate. Conclusions: W82GO and Reactivate are promising forms of treatment.

Monitoraggio e Sviluppo di un sistema di Health Technology Management in contesti poveri di risorse: il caso dell'ospedale St. Luke Hospital, Wolisso

L’elaborato descrive il progetto di tesi volto allo studio, con implementazione pratica, del monitoraggio e sviluppo di un sistema di Health Technology Management in paesi con scarse risorse. Questo ha l’obbiettivo di minimizzare gli sprechi e le situazioni di emergenza dovute all’indisponibilità di dispositivi. Il progetto è stato sviluppato presso il St. Luke Catholic Hospital di Wolisso, in Etiopia dove la gestione dei dispositivi medici era stata avviata in una precedente missione con la creazione de: il primo Equipment Inventory, assegnati i ruoli del team, avviate le prime PPM e un Maintenance Record System. L’elaborato tratterà di una panoramica generale del sistema di HTM, degli obbiettivi e i benefici che apporta. A seguire si descriverà la gestione dei dispositivi nei relativi step, prendendo come linea guida l’Ospedale Bufalini, struttura in cui si è svolto il tirocinio in preparazione. Successivamente si contestualizzerà il luogo di svolgimento del progetto per dare maggiore consapevolezza della situazione sociosanitaria presente. Dopo di che si descriveranno le fasi di lavoro svolte sul campo. Nel follow up, si è attuata un’analisi generale dello stato della Struttura Sanitaria e di ciò che si era mantenuto nel tempo, svolgendo un controllo dell’aderenza dell’Inventory, con l’attuale situazione presente ed è stato aggiornato. Sono stati controllati i processi gestionali volti a garantire una chiara tracciabilità dei guasti e dei costi sostenuti. A seguire si tratterà il monitoraggio dei Piani di Manutenzione Preventiva, i loro svolgimenti e il relativo ampliamento in termini di dispositivi e protocolli; si accenna, al funzionamento e la manutenzione di un’ambiente nuovo nell’ospedale, quale l’Oxygen Plant. Infine, si tratterà lo sviluppo di un software gestionale contenente il planner delle manutenzioni preventive. Si conclude l’elaborato con una raccolta di tutti i risultati ottenuti e con riflessioni volte a possibili sviluppi futuri.

Análise de custo-efetividade de métodos preventivos para superfície oclusal de acordo com o risco de cárie: resultados de um ensaio clínico controlado

This study presents the results of a cost-effectiveness analysis in a controlled clinical trial on the effectiveness of a modified glass ionomer resin sealant ( Vitremer, 3M ESPE) and the application of fluoride varnish (Duraphat, Colgate) on occlusal surfaces of first permanent molars in children 6-8 years of age (N = 268), according to caries risk (high versus low). Children were examined semiannually by the same calibrated dentist for 24 months after allocation in six groups: high and low risk controls (oral health education every three months); high and low risk with varnish (oral health education every three months + varnish biannually); and high and low risk with sealant (oral health education every three months + a single application of sealant). Economic analysis showed that sealing permanent first molars of high-risk schoolchildren showed a C/E ratio of US$ 119.80 per saved occlusal surface and an incremental C/E ratio of US$ 108.36 per additional saved occlusal surface. The study concluded that sealing permanent first molars of high-risk schoolchildren was the most cost-effective intervention.

Avaliação da tonopaquimetria como exame de rastreio de glaucoma primário de ângulo aberto

Mestrado em Gestão e Avaliação de Tecnologias em Saúde

Análise de custo-efetividade de métodos preventivos para superfície oclusal de acordo com o risco de cárie: resultados de um ensaio clínico controlado

This study presents the results of a cost-effectiveness analysis in a controlled clinical trial on the effectiveness of a modified glass ionomer resin sealant ( Vitremer, 3M ESPE) and the application of fluoride varnish (Duraphat, Colgate) on occlusal surfaces of first permanent molars in children 6-8 years of age (N = 268), according to caries risk (high versus low). Children were examined semiannually by the same calibrated dentist for 24 months after allocation in six groups: high and low risk controls (oral health education every three months); high and low risk with varnish (oral health education every three months + varnish biannually); and high and low risk with sealant (oral health education every three months + a single application of sealant). Economic analysis showed that sealing permanent first molars of high-risk schoolchildren showed a C/E ratio of US$ 119.80 per saved occlusal surface and an incremental C/E ratio of US$ 108.36 per additional saved occlusal surface. The study concluded that sealing permanent first molars of high-risk schoolchildren was the most cost-effective intervention.