• Title/Summary/Keyword: health science

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Cost Effectiveness of Interventions to Promote Screening for Colorectal Cancer: A Randomized Trial

  • Misra, Swati;Lairson, David R.;Chan, Wenyaw;Chang, Yu-Chia;Bartholomew, L. Kay;Greisinger, Anthony;Mcqueen, Amy;Vernon, Sally W.
    • Journal of Preventive Medicine and Public Health
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    • v.44 no.3
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    • pp.101-110
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    • 2011
  • Objectives: Screening for colorectal cancer is considered cost effective, but is underutilized in the U.S. Information on the efficiency of "tailored interventions" to promote colorectal cancer screening in primary care settings is limited. The paper reports the results of a cost effectiveness analysis that compared a survey-only control group to a Centers for Disease Control (CDC) web-based intervention (screen for life) and to a tailored interactive computer-based intervention. Methods: A randomized controlled trial of people 50 and over, was conducted to test the interventions. The sample was 1224 partcipants 50-70 years of age, recruited from Kelsey-Seybold Clinic, a large multi-specialty clinic in Houston, Texas. Screening status was obtained by medical chart review after a 12-month follow-up period. An "intention to treat" analysis and micro costing from the patient and provider perspectives were used to estimate the costs and effects. Analysis of statistical uncertainty was conducted using nonparametric bootstrapping. Results: The estimated cost of implementing the web-based intervention was $40 per person and the cost of the tailored intervention was $45 per person. The additional cost per person screened for the web-based intervention compared to no intervention was $2602 and the tailored intervention was no more effective than the web-based strategy. Conclusions: The tailored intervention was less cost-effective than the web-based intervention for colorectal cancer screening promotion. The web-based intervention was less cost-effective than previous studies of in-reach colorectal cancer screening promotion. Researchers need to continue developing and evaluating the effectiveness and costeffectiveness of interventions to increase colorectal cancer screening.

A study of Recognition of Indoor Air Quality of Indoor Environment at School (학교 실내 환경의 실내공기질 인식에 관한 연구)

  • Hong, Eun-Ju;Kim, Jung-Duck;Jeon, Young-Taek;Lee, Che-Won;Moon, Jeong-Suk;Son, Bu-Soon
    • Journal of environmental and Sanitary engineering
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    • v.22 no.3
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    • pp.51-64
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    • 2007
  • This research, selected for 40 classrooms(20 old, 20 new) in chungnam area from June 22 to July 19 and from November 21 to December 30, 2003, in order to study of Recognition of Indoor Air Quality of Indoor Environment at School. we used Questionnaire for 193 health teachers, 41 teachers, and 1,359 students. The results of study are as follows. 1. To the question 'Currently Were you damage caused by classroom air?', showed that worry class teachers more than students with 43.9% of class teachers, 35.9% of health teachers and 23.5% of students. 2. To the question 'What would be an efficient way to manage classroom sanitation?', 50% of class teachers, 40.5% of health teachers and 47.4% of students wanted 'installation of air purifier.' 3. To the question 'How are you getting information about indoor air pollution?', showed that all of 3 groups get information through on TV. 4. According to survey, Health teachers who act as health supervisors appeared to have more prior knowledge air quality than class teachers and students. The results of this research show insufficient understanding of health risks from indoor air pollution, and shows possible health problems to students from school indoor air pollution. Therefore, these results suggested that a logical and systematic education program for students about the importance of indoor air quality should be carried out.

Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia (저개발국 모자보건 수준 향상을 위한 국제보건사업 전략 : 에티오피아 티그라이주 사례를 중심으로)

  • Bang, Kyung-Sook;Lee, Insook;Park, Young-Sook;Chae, Sun-Mi;Kang, Hyunju;Yu, Juyoun;Park, Ji-Sun;Oh, Sang-Jun
    • Perspectives in Nursing Science
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    • v.11 no.1
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    • pp.1-9
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    • 2014
  • Purpose: The purpose of this study was to demonstrate a two-year global health project to improve maternal and child health (MCH) in Ethiopia. Methods: This is a descriptive case study. The target area is Kilte Awlaelo Woreda in Tigray Regional State, Ethiopia. A baseline survey was conducted to identify the needs of community residents and health care professionals. A MCH program was developed according to a project design matrix that included: infrastructure renovation of health centers; continuing education for midwives, nurses, and health extension workers (HEWs); and improvement of residents' MCH awareness. Project evaluation will examine the structure, process, and outcomes of the program. Results: The baseline survey showed low rates of family planning (31%) and antenatal and postnatal care use (36.1% and 69%, respectively). The institutional birth rate was 13.5%. Midwives and nurses received 2~4 educational programs about family planning and perinatal care. HEWs were also given practical education. Water and electrical infrastructure of all five health centers in the Kilte Awlaelo Woreda were renovated. Additionally, medical supplies and equipment were provided. Community health education on perinatal care, family planning, and personal hygiene was presented. Conclusion: This study highlights the role of nursing in global health and provides basic information on the development and outcomes of the global health project.

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Comparison of health behavior motivation, perceived health status, knowledge improvement, and life satisfaction before and after education in health leaders (건강지도자의 건강행위 동기요소, 지각된 건강상태, 지식향상도, 삶의 만족도에 대한 교육전·후 변화)

  • Kim, Keumsook;Kim, Younghee;Lee, Jeongin
    • Journal of Industrial Convergence
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    • v.20 no.6
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    • pp.47-54
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    • 2022
  • The purpose of this study was to identify the effects of the health leader education on health behavior motivation, perceived health status, knowledge improvement, and life satisfaction among the living in rural area. The subjects consisted of 50 health leaders who participated in the health leader education program. Pre-and post-education tests were collected after education. The data were analyzed using the SPSS 22.0 program with frequency, means, ANOVA, Paired t-test. The data significant changes in motivation, perceived health status, knowledge improvement. The data not significant changes in life satisfaction. Based on this study, a continuous health leader education program through a community health center is needed for rural community people.

Kawasaki disease in infants

  • Yeom, Jung Sook;Woo, Hyang Ok;Park, Ji Sook;Park, Eun Sil;Seo, Ji-Hyun;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.56 no.9
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    • pp.377-382
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    • 2013
  • Kawasaki disease (KD) is an acute febrile illness that is the predominant cause of pediatric acquired heart disease in infants and young children. Because the diagnosis of KD depends on clinical manifestations, incomplete cases are difficult to diagnose, especially in infants younger than 1 year. Incomplete clinical manifestations in infants are related with the development of KD-associated coronary artery abnormalities. Because the diagnosis of infantile KD is difficult and complications are numerous, early suspicion and evaluation are necessary.