Copyright (c) 2009 University of North Texas Health Science Center All rights reserved. http://digitalcommons.hsc.unt.edu Recent documents in UNTHSC Scholarly Repository en-us Sun, 22 Nov 2009 06:06:46 PST 3600 http://digitalcommons.hsc.unt.edu/fac/7 http://digitalcommons.hsc.unt.edu/fac/7 Wed, 21 Oct 2009 09:46:04 PDT Jack Bullion http://digitalcommons.hsc.unt.edu/fac/6 http://digitalcommons.hsc.unt.edu/fac/6 Tue, 13 Oct 2009 13:03:37 PDT This poster was presented at the 2002 Medical Library Association- South Central Chapter Annual Meeting in El Paso, Texas. Daniel E. Burgard http://digitalcommons.hsc.unt.edu/pcrj/vol6/iss2/1 http://digitalcommons.hsc.unt.edu/pcrj/vol6/iss2/1 Thu, 10 Sep 2009 13:17:00 PDT Primary Care Research Institute http://digitalcommons.hsc.unt.edu/theses/34 http://digitalcommons.hsc.unt.edu/theses/34 Wed, 09 Sep 2009 13:21:23 PDT The purpose of the study is to analyze if sense of control (SOC) is associated with body mass index (BMI), having a PCP, exercise behavior and a routine health check-up. Using the NTHHS' (North Texas Healthly Heart I Study) questionnaire, numerous models were run using both linear and logistical regressions to analyze the relationship between SOC, BMI, PCP, exercise behavior, and having a routine check-up as well as if PCP modifies these relationships. SOC was associated with exercise behavior but not BMI, PCP or having a routine check-up. PCP did not modify the associations. SOC can help PCP's identify individuals who engage in exercise behavior. Ewa Oberdorfer http://digitalcommons.hsc.unt.edu/theses/33 http://digitalcommons.hsc.unt.edu/theses/33 Wed, 09 Sep 2009 13:21:22 PDT An estimated 10 million young people worldwide are living with HIV with a yearly incidence of 2 million in the 15-24 year old population. This is nearly half of all new cases that are being reported. Worldwide roughly 39.5 million people are dying of Acquired Immune Deficiency Syndrome (AIDS) or are infected with the Human Immuno-deficiency Virus (HIV). Of these 39.5 million people, 24.7 million live in Africa; a strong majority in resource scarce countries. In Tanzania alone there are 1.4 million people living with HIV making the percentage of people with HIV at 6.2%. With other prevention efforts that have been underway in the past few years, we have thus far been able to see a drop in people affected from 7.0% to what is now current at 6.2%. With an understanding that the country is capable of making stride in lowering incidence which will ultimately lower prevalence down the line, focus on the countries youth has been an avenue to explore. Though there are studies that have looked into prevention methods and even more specifically have looked into curriculum-based prevention programs, there have not been any that focus on a comprehensive approach that includes seeking governmental support and mandating a change in the curriculum to focus on HIV/AIDS education. Based on literature review of components that can influence the development, implementation and incorporation of an HIV/AIDS prevention program in Tanzania, this paper concludes that a curriculum-based HIV/AIDS prevention program is the most effective and efficient manner to reach the community and bring about the biggest change. Tunu Tenende http://digitalcommons.hsc.unt.edu/theses/32 http://digitalcommons.hsc.unt.edu/theses/32 Wed, 17 Jun 2009 07:52:21 PDT Low back pain (LBP) can interfere with an individual's ability to work, have a meaningful and active social life, and negatively affects overall quality of life. In recent years, new approaches have been considered as alternative treatments for LBP. Spinal manipulative therapy (SMT) is one of these new approaches to acute LBP treatment. Still, recent studies have found contradicting results in terms of the effectiveness of such alternative therapies. This study aimed to compare the effect of SMT in combination with standard physical therapy (SPT) versus SPT alone to treat chronic LBP. A randomized, controlled, parallel-group trial was undertaken in the Worker's Compensation System, in Puerto Rico. A total of 66 subjects were enrolled in the study. The intervention consisted of adding two consecutive SMT two days apart followed by SPT for a total period of one month. The main outcome measures were functional impairment in activities of daily living, disability and perceived level of pain intensity and frequency. Results showed that both interventions were moderately effective in managing pain and disability in patients with chronic LBP who participate in the Worker's Compensation Program, but that the addition of a SMT seemed to add minimal supplemental benefit to standard treatment. Future studies should consider including subjective and objective outcome measures in order to maximize information and understand the psychological, as well as, the physical effect LBP has on functional activities. It is also recommended to take into consideration diagnosed and undiagnosed depression among participants as it might have a negative effect on treatment outcomes. Finally, considering a moderate to severe level of impairment and disability at baseline might be important in order to avoid a floor effect and detect improvement with treatment. Including patients at various levels of disability and chronicity might help determine for which level of disability and/or level of pain chronicity this type of treatment is effective. Heidi L. Venegas-Rios http://digitalcommons.hsc.unt.edu/theses/31 http://digitalcommons.hsc.unt.edu/theses/31 Wed, 17 Jun 2009 07:52:20 PDT In recent decades, women have been exposed to many environmental chemicals that have the ability to mimic the behavior of estrogen and other hormones. These chemicals are known as endocrine disrupting chemicals (EDCs), and they often have the ability to increase the potential of carcinogenesis. Entities like magazines, which advertise and/or sell these products, have the opportunity to inform their buyers of potentially unsafe ingredients that exist in their products. A content analysis of eighteen magazines revealed that almost all personal care products advertised in magazines contain carcinogens and endocrine disrupting chemicals. More research must be done to fully understand the implications of these findings. Olufunmilola M. Ijagbemi http://digitalcommons.hsc.unt.edu/theses/30 http://digitalcommons.hsc.unt.edu/theses/30 Wed, 17 Jun 2009 07:52:19 PDT The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) has recently (within the past 2 years) implemented changes to the food packages, benefits transfers, nutritional education, and breastfeed support. Interviews were conducted to gather the reflections of Tarrant County WIC employees about the impact of the changes, the difficulties with changes, and possible solutions to the difficulties. Some examples of the impact from these changes are simplification of the program for clients, staff, and vendors, improved communication between nutritional counselors and clients, and increased emphasis on necessity of breastfeeding. The majority of the difficulties faced was due to resistance to change by staff and clients and can be solved through with preparation and time for acclimation. Pegah Babaei http://digitalcommons.hsc.unt.edu/theses/29 http://digitalcommons.hsc.unt.edu/theses/29 Wed, 17 Jun 2009 07:52:19 PDT Trends in cholesterol in the US based on nativity status have not been researched. The objective of this study was to determine and explain differences in cholesterol levels based on nativity. The National Health and Nutrition Examination Surveys were used to study trends (1971-2002) of cholesterol levels in US born and foreign born people. Logistic and linear regressions were conducted to adjust for complex sampling of NHANES. This study found mixed results for cholesterol levels based on nativity status that varied over time. Therefore, disparities in cardiovascular disease between foreign born and US born groups cannot be fully explained based on cholesterol levels. Further research is needed to determine what factors contribute to disparities in cardiovascular disease by nativity. Rosenda Murillo http://digitalcommons.hsc.unt.edu/theses/28 http://digitalcommons.hsc.unt.edu/theses/28 Wed, 17 Jun 2009 07:52:18 PDT Qualified school health educators are critical in educating the youth about diseases and disease prevention. The School Health Profiles, School Health Policies and Programs Study 2006, Texas Education Agency, and Texas Legislature Online were used to compare Texas with other states in terms of school health educator qualifications, continuing education, and who teaches health education in schools. Texas should model policies that states, such as Alabama, Georgia, Hawaii, Minnesota, New Jersey, Rhode Island, Utah, West Virginia, and the District of Columbia, have implemented. These states have polices in place that require health education teachers to obtain the Certified Health Education Specialist credential (CHES). The National Commission for Health Education Credentialing requires CHES to obtain health specific continuing education training. Rosa Emma Gonzalez