Evaluation of a wellness program at a large private sector petrochemical company in Texas

The study purpose was to analyze the effects Integrated Health Solutions (IHS), an employee wellness program that has been implemented for one year on the corporate campus of a major private sector petrochemical company in Houston, TX, has on employee health. ^ Chronic diseases are the leading causes of morbidity and mortality in the United States and are the most preventable of all health problems. The costs of chronic diseases in the working-age adult population include not only health problems and a decrease in quality of life, but also an increase the cost of health care and costs to businesses and employers, both directly and indirectly. These emerging costs to employers as well as the fact that adults now spend the majority of waking hours at the office have increased the interest in worksite health promotion programs that address many of the behavioral factors that lead to chronic conditions. Therefore, implementing and evaluating programs that are aimed at promoting health and decreasing the prevalence of chronic diseases at worksites is very important. ^ Data came from existing data that were collected by IHS staff during employee biometric screenings at the company in 2010 and 2011. Data from employees who participated in screenings in both 2010 and 2011 were grouped into a cohort by IHS staff. ^ One-tailed t-tests were conducted to determine if there were significant improvements in the biometric measures of body fat percentage, BMI, waist circumference, systolic and diastolic blood pressures, total, HDL, and LDL cholesterol levels, triglycerides, blood glucose levels, and cardiac risk ratios. Sensitivity analysis was conducted to determine if there were differences in program outcomes when stratified by age, gender, job type, and time between screenings. ^ Mean differences for the variables from 2010 to 2011 were small and not always in the desired direction for health improvement indicators. Through conducting t-tests, it was found that there were significant improvements in HDL, cardiac risk ratio, and glucose levels. There were significant increases in cholesterol, LDL, and diastolic blood pressures. For the IHS program, it appears that gender, job type, and time between screenings were possible modifiers of program effectiveness. When program outcome measures were stratified by these factors, results suggest that corporate employees had better outcomes than field employees, males had better outcomes overall than females, and more positive program effects were seen for employees with less time between their two screenings. ^ Recommendations for the program based on the results include ensuring validity of instruments and initial and periodic training of measurement procedures and equipment handling, using normative data or benchmarks to decrease chances for biased estimates of program effectiveness, measuring behaviors as well as biometric and physiologic statuses and changes, and collecting level of engagement data.^

Predicting smokeless tobacco cessation in a blue -collar population

The use of smokeless tobacco products is undergoing an alarming resurgence in the United States. Several national surveys have reported a higher prevalence of use among those employed in blue-collar occupations. National objectives now target this group for health promotion programs which reduce the health risks associated with tobacco use.^ Drawn from a larger data set measuring health behaviors, this cross-sectional study tested the applicability of two related theories, the Theory of Reasoned Action (TRA) and the Theory of Planned Behavior (TPB), to smokeless tobacco (SLT) cessation in a blue-collar population of gas pipeline workers. In order to understand the determinants of SLT cessation, measures were obtained of demographic and normative characteristics of the population and specific constructs. Attitude toward the act of quitting (AACT) and subjective norm (SN) are constructs common to both models, perceived behavioral control (PBC) is unique to the TPB, and the number of past quit attempts is not contained in either model. In addition, a self-reported measure was taken of SLT use at two-month follow-up.^ The study population was comprised of all male SLT users who were field employees in a large gas pipeline company with gas compressor stations extending from Texas to the Canadian border. At baseline, 199 employees responded to the SLT portion of the survey, 118 completed some portion of the two-month follow-up, and 101 could be matched across time.^ As hypothesized, significant correlations were found between constructs antecedent to AACT and SN, although crossover effects occurred. Significant differences were found between SLT cessation intenders and non-intenders with regard to their personal and normative beliefs about quitting as well as their outcome expectancies and motivation to comply with others' beliefs. These differences occurred in the expected direction, with the mean intender score consistently higher than that of the non-intender.^ Contrary to hypothesis, AACT predicted intention to quit but SN did not. However, confirmatory of the TPB, PBC, operationalized as self-efficacy, independently contributed to the prediction of intention. Statistically significant relationships were not found between intention, perceived behavioral control, their interactive effects, and use behavior at two-month follow-up. The introduction of number of quit attempts into the logistic regression model resulted in insignificant findings for independent and interactive effects.^ The findings from this study are discussed in relation to their implications for program development and practice, especially within the worksite. In order to confirm and extend the findings of this investigation, recommendations for future research are also discussed. ^

Perceptions of institutional support of community -based participatory research within prevention research centers

The Institute of Medicine (IOM) report on the future of health care states that the focus on health needs to shift to the management and prevention of chronic illnesses and that academic health centers (AHCs) should play an active role in this process through community partnerships (IOM, 2002). Grant funding from the National Institutes of Health and the creation of the Centers for Disease Control and Prevention (CDC) Prevention Research Centers (PRC) across the county represent a transition toward more proactively seeking out community partnerships to better design and disseminate health promotion programs (Green, 2001). ^ The focus of the PRCs is to conduct rigorous, community-based, prevention research, to seek outcomes applicable to public health programs and policies. The PRCs work is to create and foster partnerships among public health and community organizations, to address health promotion and disease prevention issues (CDC, 2003). ^ The W.K. Kellogg Foundation defines CBPR as "a collaborative approach to research that equitably involves all partners in the research process and recognizes the unique strengths that each brings. CBPR begins with a research topic of importance to the community with the aim of combining knowledge and action for social change to improve community health." ^ In 1995, CDC asked the IOM to review the PRC program to examine the extent to which the program is providing the public health community with strategies to address public health problems in disease prevention and health promotion (IOM, 1997). No comprehensive evaluation n of the individual PRCs had ever been done (IOM, 1997). ^ The CDC was interested in understanding how it could better support the PRC program through improved management and oversight to influence the program's success. The CDC only represents one of the entities that influence the success of a PRC. Another key entity to consider is the support of and influence of the Schools of Public Health in which the PRCs reside. Using evaluation criteria similar to those that were developed by the IOM, this study examined how aspects of structural capacity of the Schools of Public Health in which the PRCs reside are perceived to influence PRC community-based research activities. ^

Uma análise sobre a produção, produtividade e colaboração na Ciência da Informação no Brasil entre os anos 2007 a 2009

This research comprises some considerations about production, productivity and scientific collaboration related to Information Science in geopolitical regions of Brazil, aiming at identifying their macro-level flow and trends. Reports were generated through identification of Information Science postgraduate programs and professors and collaborators who work on them - those reports were synthesized according to programs and regions, from the year of 2007 to 2009. We can conclude that the Southeast and Northeast regions are responsible for the higher production, productivity and collaboration indicators; we can also infer that the expansion of the relationship among different regions may offer the researchers opportunities to establish new partnerships, and to develop researches on emerging subjects in this scientific area

Uma análise sobre a produção, produtividade e colaboração na Ciência da Informação no Brasil entre os anos 2007 a 2009

This research comprises some considerations about production, productivity and scientific collaboration related to Information Science in geopolitical regions of Brazil, aiming at identifying their macro-level flow and trends. Reports were generated through identification of Information Science postgraduate programs and professors and collaborators who work on them - those reports were synthesized according to programs and regions, from the year of 2007 to 2009. We can conclude that the Southeast and Northeast regions are responsible for the higher production, productivity and collaboration indicators; we can also infer that the expansion of the relationship among different regions may offer the researchers opportunities to establish new partnerships, and to develop researches on emerging subjects in this scientific area

Uma análise sobre a produção, produtividade e colaboração na Ciência da Informação no Brasil entre os anos 2007 a 2009

This research comprises some considerations about production, productivity and scientific collaboration related to Information Science in geopolitical regions of Brazil, aiming at identifying their macro-level flow and trends. Reports were generated through identification of Information Science postgraduate programs and professors and collaborators who work on them - those reports were synthesized according to programs and regions, from the year of 2007 to 2009. We can conclude that the Southeast and Northeast regions are responsible for the higher production, productivity and collaboration indicators; we can also infer that the expansion of the relationship among different regions may offer the researchers opportunities to establish new partnerships, and to develop researches on emerging subjects in this scientific area

Sistema web de gestión de seminarios

El Trabajo de Fin de Grado (TFG) aquí descrito es el resultado de la necesidad de crear un sistema de gestión de seminarios que utilizarán los planes de postgrado de la Escuela Técnica Superior de Ingenieros Informáticos de la Universidad Politécnica de Madrid. Su objetivo es facilitar, tanto al alumnado como al personal de dicha institución, la creación de seminarios ofertados para el alumnado de los distintos planes de postgrado, además de permitir la inscripción de éstos de un modo cómodo e intuitivo. La aplicación de gestión de seminarios deberá permitir que los coordinadores de un plan de postgrado puedan crear seminarios de tal manera que puedan quedar publicados para el alumnado. Para ello, será necesario que sean recogidos todos los datos necesarios del seminario, así como el plan de postgrado organizador y los planes de postgrado para los que serán ofertados. La aplicación además deberá permitir la creación de seminarios sin ser publicados al alumno provisionalmente, la edición de los seminarios ya existentes así como la creación de un seminario nuevo importando los datos de otro ya realizado. Por otra parte, se deberá incorporar en las páginas web de planes de postgrado el listado de los seminarios ofertados para el curso actual, de tal manera que se permita a los alumnos inscribirse a éstos. Por último, el personal de administración del plan de postgrado organizador de un seminario deberá tener acceso a la lista de alumnos inscritos a los seminarios, para el caso de enviar información urgente o ver los alumnos inscritos. El módulo de gestión de seminarios deberá obtener los datos de los planes de postgrado actuales gracias a un módulo de gestión de postgrados, donde se deberá permitir crear, editar y dar de baja planes de postgrado, así como gestionar el personal del postgrado que podrá realizar acciones sobre los seminarios organizados por éste. Los módulos de gestión de seminarios y de gestión de postgrados estarán integrados en un módulo de administración.---ABSTRACT---The Final Project Degree (TFG) described here is the result of the need to create a management system that will use seminars postgraduate plans at the Higher Technical School of Computer Engineering at the Universidad Politécnica de Madrid. It aims to facilitate both the students and staff of the institution, creating seminars offered to the students of the various postgraduate plans, besides allowing the registration of these in a convenient and intuitive way. The management application will allow the coordinators of a postgraduate plan to create seminars so that they can be published for students. To do this, you will need to collect all the necessary details about the seminar, as well as the postgraduate plan owner and postgraduate plans for which it will be offered. The application must also enable the creation of seminars without being published provisionally to students, the editing of existing seminars and the creation of a new seminar importing data from another already done. Moreover, it should be incorporated into web pages of postgraduate plans seminars listing offered for the current course, so that students are allowed to enrol in these. Finally, the staff of the plan organizer should have access to the list of students enrolled at seminars, in the case of sending urgent information or to see students enrolled. The management module must obtain data from current postgraduate plans through a postgraduate management module, which should be allowed to create, edit and terminate postgraduate plans, and manage staff that can perform actions on seminars organized by it. Management modules of seminars and postgraduate programs will be integrated into a management pack.

Mujeres, salud y profesiones sanitarias: revisión historiográfica y estudio de casos en la sanidad española contemporánea

La reconstrucción histórica de las prácticas de salud de las mujeres, tomando el caso español como campo de pruebas y modelo de análisis, constituye una de las líneas directrices de éste trabajo. Sobre la base de una importante cantidad de estudios empíricos, ajenos y propios, centrados muy en especial en el área de la enfermería, se puede delinear una imagen de conjunto sobre el trabajo sanitario de las mujeres, en el espacio geográfico y temporal objeto de nuestro estudio y contestar así a una serie de cuestiones en las que lo experto, la experiencia, la autoridad y los procesos de legitimación profesional están omnipresentes. La segunda de las vertientes abordadas es la de las mujeres como pacientes y usuarias de prácticas de salud. Las llamadas “patologías de mujeres” como la clorosis o la neurastenia y el significado histórico del protagonismo de las mujeres en las campañas y programas de educación sanitaria son otros tantos ejemplos que permiten desvelar discursos cargados de elementos ideológicos tradicionales pese a su aparente barniz de modernidad. Como principales conclusiones, hay que destacar la importancia que alcanzaron los discursos androcéntricos en temas concernientes a salud y mujer de forma global, o los más específicos como el del culto a la fecundidad para justificar unas tareas sociales diferentes y complementarias a las del hombre, además de señalar la conveniencia de explorar nuevos caminos a recorrer, tanto desde el punto de vista temático como en lo relativo a los recursos heurísticos.

Enfermedad de Crohn: experiencias de vivir con una cronicidad

Objetivo. Explorar las experiencias de personas con enfermedad de Crohn (EC), aquellos acontecimientos que modificaron sus vidas, el impacto y las estrategias utilizadas para sobrellevar la enfermedad. Material y métodos. Estudio cualitativo. Se realizaron 10 entrevistas a profundidad a afectados de la provincia de Alicante (España). La recolección de datos, procesamiento y análisis de los mismos se realizó a través de algunos elementos que recoge la fenomenología. Resultados. Las experiencias de los afectados se pueden clasificar en cuatro grandes temas: reconocimiento de enfermar, consecuencias percibidas por los afectados por EC de la propia enfermedad, gestión de la enfermedad y búsqueda de apoyo. Conclusiones. El conocimiento de la experiencia de vida de las personas afectadas por EC parece una herramienta indispensable para conseguir una gestión eficaz del proceso de cronicidad al momento de planificar programas sanitarios específicos de tratamiento.

Planos e programas de saúde em Portugal: questões metodológicas e macroanálise dos programas nacionais

No desenvolvimento do processo de elaboração do Plano Nacional de Saúde 2004-2005 foi necessário criar um esquema classificativo dos diversos documentos de planeamento cuja metodologia permitisse, por um lado, a reorganização dos trabalhos existentes e, por outro, a orientação de trabalhos futuros. Neste sentido, esta análise passa em revista as questões de nomenclatura associadas a estes documentos e propõe um esquema de desenho e avaliação dos programas de saúde, cuja metodologia serviu de base à macro-análise dos programas nacionais existentes. As recomendações elaboradas na sequência desta macroanálise salientam, entre outros aspectos, a necessidade de definir a priori a metodologia de avaliação e os mecanismos adequados de cativação de recursos e/ou apuramento dos custos associados por produto, como forma de maximizar a utilização dos recursos escassos.

The Course of Life : psychoanalytic contributions toward understanding personality development /

Includes bibliographies and index

What it's all about : a training guide for a youth-operated hotline /

Mode of access: Internet.

Factors associated with pregnant women's participation in a mHealth intervention in Timor-Leste

Thesis (Master's)--University of Washington, 2016-06

A cost-effectiveness analysis of two rehabilitation support services for women with breast cancer

The purpose of this research was to estimate the cost-effectiveness of two rehabilitation interventions for breast cancer survivors, each compared to a population-based, non-intervention group (n = 208). The two services included an early home-based physiotherapy intervention (DAART, n = 36) and a group-based exercise and psychosocial intervention (STRETCH, n = 31). A societal perspective was taken and costs were included as those incurred by the health care system, the survivors and community. Health outcomes included: (a) 'rehabilitated cases' based on changes in health-related quality of life between 6 and 12 months post-diagnosis, using the Functional Assessment of Cancer Therapy - Breast Cancer plus Arm Morbidity (FACT-B+4) questionnaire, and (b) quality-adjusted life years (QALYs) using utility scores from the Subjective Health Estimation (SHE) scale. Data were collected using self-reported questionnaires, medical records and program budgets. A Monte-Carlo modelling approach was used to test for uncertainty in cost and outcome estimates. The proportion of rehabilitated cases was similar across the three groups. From a societal perspective compared with the non-intervention group, the DAART intervention appeared to be the most efficient option with an incremental cost of $1344 per QALY gained, whereas the incremental cost per QALY gained from the STRETCH program was $14,478. Both DAART and STRETCH are low-cost, low-technological health promoting programs representing excellent public health investments.