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Govender, Thashlin. "The health and sanitation status of specific low-cost housing communities as contrasted with those occupying backyard dwellings in the city of Cape Town, South Africa." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17992.
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Thesis (PhD)--Stellenbosch University, 2011.<br>ENGLISH ABSTRACT: South Africa embarked on an ambitious program to rehouse the informally housed poor. These initiatives were formerly called the RDP and later the BNG programmes. This was aimed at improving the living conditions of the urban poor and consequently their health and poverty status. These low-cost houses were quickly augmented by backyard shacks in almost all settlements. The present study is an epidemiological assessment of the health and sanitation status of inhabitants of specific low cost housing communities in the City of Cape Town as contrasted with those occupying ‘backyard dwellings’ on the same premises. The study was undertaken in four low-cost housing communities identified within the City. A health and housing evaluation, together with dwelling inspections were carried out in 336 randomly selected dwellings accommodating 1080 inhabitants from Tafelsig, Masipumelela, Driftsands and Greenfields. In addition, the microbiological pollution of surface run-off water encountered in these settlements was assessed by means of Escherichia coli levels (as found by ColilertTM Defined Substrate Technology) as an indication of environmental health hazards.
The study population was classified as ‘young’ - 43% of the study population was aged 20 years or younger. Almost a third of households were headed by a single-parent female. In all four communities combined, 47.3% of households received one or other form of social grant. At the time of inspection 58% of the toilets on the premises were non-operational, while all the houses showed major structural damage - 99% of homeowners reported not being able to afford repairs to their homes. In 32% of dwellings one or more cases of diarrhoea were reported during the two weeks preceding the survey. Five percent of the participants willingly disclosed that they were HIV positive, while 11% reported being TB positive (one of them Multiple Drug Resistant TB). None of the HIV positive or TB positive persons was on any treatment. The E. coli levels of the water on the premises or sidewalks varied from 750 to 1 580 000 000 organisms per 100 ml of water - thus confirming gross faecal pollution of the environment.
Improvements in health intended by the re-housing process did not materialise for the recipients of low-cost housing in this study. The health vulnerability of individuals in these communities has considerable implications for the health services. Sanitation failures, infectious disease pressure and environmental pollution in these communities represent a serious public health risk. The densification caused by backyard shacks also has municipal service implications and needs to be better managed. Policies on low-cost housing for the poor need realignment to cope with the realities of backyard densification so that state-funded housing schemes can deliver the improved health that was envisaged at its inception. This is in fact a national problem affecting almost all of the state funded housing communities in South Africa. Public health and urban planning need to bridge the divide between these two disciplines in order to improve the health inequalities facing the urban poor.<br>AFRIKAANSE OPSOMMING: Suid-Afrika is besig met 'n ambisieuse program om diegene wat in informele behuising woon te hervestig. Hierdie inisiatiewe is voorheen die HOP en tans die “BNG” programme genoem. Hierdie hervestigingsprogramme is gemik daarop om die lewensomstandighede van die stedelike armes en dus hulle gesondheid- en armoedestatus te verbeter. Hierdie laekoste huise is algou in byna alle nedersettings aangevul deur krotwonings in die agterplase. Die huidige studie is 'n epidemiologiese beoordeling van die gesondheid en sanitasiestatus van inwoners van spesifieke laekoste behuisingsgemeenskappe in die Stad Kaapstad in vergelyking met diegene wat krotwonings op dieselfde erwe bewoon. Die studie is onderneem in vier laekoste-behuising gemeenskappe geselekteer in die stadsgebied. 'n Gesondheid- en behuisingevaluasie tesame met 'n inspeksie van elke woning is uitgevoer in 336 ewekansig geselekteerde wonings wat 1080 inwoners gehuisves het. Die woonbuurte was Tafelsig, Masipumelela, Driftsands en Greenfields. Mikrobiologiese besoedelingsvlakke van oppervlak-afloopwater in hierdie gemeenskappe is bepaal deur middel van die bepaling van Escherichia coli vlakke (met behulp van ColilertTM Gedefinieerde Substraat Tegnologie) as aanduiding van gesondheidsgevare in die omgewing.
Die studiepopulasie is as ‘jonk’ geklassifiseer - 43% was 20 jaar of jonger. Amper een-derde van die huishoudings het 'n enkelouer-vrou aan die hoof gehad. In al vier gemeenskappe gesamentlik het 47.3% van die huishoudings die een of ander vorm van maatskaplike toelae ontvang. Tydens inspeksie is 58% van die toilette op die erwe as "nie-funksioneel" bevind, terwyl al die huise substansiële strukturele skade getoon het - 99% van die huiseienaars het gerapporteer dat hulle nie herstelwerk aan hulle huise kan bekostig nie. In 32% van die wonings is daar een of meer gevalle van diarree gedurende die voorafgaande twee weke voor die opname gerapporteer. Vyf persent van die deelnemers het vrywillig gerapporteer dat hulle HIV positief was terwyl 11% gerapporteer het dat hulle TB positief was (een was Veelvuldige Middelweerstandige TB). Nie een van die HIV positiewe of TB positiewe persone was op enige behandeling nie. Die E. coli vlakke van die water op die erwe of sypaadjies het gewissel vanaf 750 to 1 580 000 000 organismes per 100 ml water - wat erge fekale besoedeling van die omgewing bevestig het.
Die verbetering in gesondheid wat deur die hervestigingsproses voorsien is, het nie gematerialiseer vir die ontvangers van die laekoste-behuising in hierdie studie nie. Die kwesbaarheid van die gesondheid van die individue in hierdie gemeenskappe hou groot implikasies vir gesondheidsdienste in. Sanitasiefalings, infektiewe siektedruk en omgewingsbesoedeling hou groot openbare gesondheidsrisiko in. Die verdigting wat deur agterplaaskrotte meegebring word asook die gevolge vir munisipale dienste benodig beter bestuur. Beleide oor laekoste-behuising vir armes kort herbeplanning om die realiteite wat saamgaan met verdigting deur agterplaaskrotte te kan hanteer sodat die verwagte verbetering in gesondheid kan materialiseer. Hierdie is inderwaarheid 'n nasionale probleem wat omtrent alle staatsbefondste laekoste-behuising gemeenskappe in Suid-Afrika affekteer. Openbare gesondheid en stadsbeplanning behoort die skeiding tussen hierdie twee dissiplines te oorbrug om sodoende die ongelyke gesondheidstatus van die stedelike armes aan te spreek.
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Lui, Wai-ming Priscilla, and 雷慧明. "Effect of exercise on fall prevention of community-dwelling elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50222867.
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Objective: To evaluate the effectiveness of exercises on fall prevention among community-dwelling elderly.
Design: Systematic review of randomized controlled trials.
Method: The literature search of articles was conducted through the electronic databases of PubMed, Medline and EMBASE and manual search, and was confined to articles in English language with full text and publications from 2002 to 2012. Randomized controlled trials with exercise as the only intervention which aimed at reducing falls in older people aged 60 or above in community i.e. community-dwelling elderly were included. The primary outcomes were number of fallers, fall rate, time to the first and subsequent falls.
Data Extraction: A total of 145 articles were retrieved through the electronic data bases (137 articles) and manual search (8 articles) of which 10 were selected after applying the inclusion criteria. According to the checklist developed by National Institute for Health and Clinical Excellence (NICE) for randomized controlled trials, the overall methodological quality of the 10 studies was rated as good as they had fulfilled 79%-93% of the assessment criteria in the NICE checklist.
Results: The studies involved a sample size of 3,138 at the median age of 69 to 83. All the subjects were ambulatory and able to mobilize independently. The duration of exercise interventions ranged from 1.5 months to 12 months at a total of 11-156 hours. Eight studies showed that exercises were effective in fall prevention whereas two studies found no evidence of such effectiveness. The effect of exercises on fall prevention was multifactorial including the duration, frequency and continuity of the exercise programs, the health status of the target population and the individuals’ adherence to the exercise programs. Shorter exercise programs and make-up class arrangement resulted in higher adherence rate. Tailor-made (based on the functional capabilities of the subjects) and progressive (gradual increase of the intensity and challenge of the exercises during the intervention period) nature of the exercise programs also enhanced their effectiveness on the elderly. For the studies in which exercise did not have any positive effect on fall prevention, the subjects were generally older (median age at 81) and frailer (with 3-7 frail attributes).
Conclusions: This review suggests exercise may be an effective intervention for fall prevention among community-dwelling elderly. Different types of exercise including strengthening, balance, endurance and weight-bearing exercises as well as Tai Chi may prevent falls. The elderly’s age and health status must be taken into consideration when designing exercise intervention programs for the elderly. Further researches are recommended to determine the optimal type, intensity, frequency and duration of exercises in fall prevention. Observations from the studies provide insights for future researches, such as the fall prevention effect of group and home exercises, tailor-made and progressive exercise programs. In Hong Kong, no randomized controlled trial studies have been conducted to examine different intervention programs on fall prevention. To achieve generalizabilty of the studies in the review, further local researches, particularly well designed and powered randomized controlled trials have to be conducted to assess the effect of different kinds of exercise interventions on fall prevention among the community-dwelling elderly.<br>published_or_final_version<br>Public Health<br>Master<br>Master of Public Health
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Gong, Wei, and 龔蔚. "A structural equation model to unveil the effect of human behaviour to the satisfaction of sustainable refurbishment for high-rise residential buildings." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/208029.
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Improving the energy performance of existing building refurbishment has been identified as one of the key measures to reduce greenhouse gases (GHGs) emissions and combat climate change. According to Environmental Protection Department, buildings in Hong Kong take up almost 90% of urban electricity consumption. Sustainable building refurbishment not only can help decrease energy consumption but may also improve building’s overall condition, and thus prolong its life, uplift the living conditions, ensure better health and safety as well as minimize the negative effects to environment.
To respond to the energy emission reduction, many researchers focus on technical improvements through various refurbishment methods. However, there is a research gap in determining the appropriate refurbishment solutions for high-rise residential buildings in developed cities like Hong Kong. The challenge is aggravated as there are a number of owners and occupants in multi-storey residential buildings and their behaviour can be very different. Albeit more and more attentions have been attributed to human behaviours and occupant satisfaction, little has been done to examine their effects to the choices and success of sustainable refurbishment solutions. This study aims to systematically analyse the effect of human behaviour to the satisfaction of sustainable refurbishment by setting up a unified model so as to maximize the opportunity for emission reduction without sacrificing the satisfaction of owners and occupants.
Literature review was first conducted to attain the knowledge of sustainable refurbishment and human behaviour. Then, a list of potential sustainable building refurbishment method items was compiled under five criteria through literature review. In order to further examine the suitability of sustainable building refurbishment methods in Hong Kong scenario from the perspective of owners and occupants, a questionnaire survey was administered. Following that, literature review and interviews were carried out to identify a set of critical success factors (CSFs) of electing sustainable refurbishment strategies as well as key performance indicators (KPIs) of a sustainable building refurbishment scheme. Based on that, another questionnaire survey was conducted to examine the occupants’ perception to the relative importance of the identified CSFs and KPIs. Finally, a structural equation model was set up to unveil the relationships between occupants’ satisfaction and project success, and the findings were validated through expert interviews. The results shows that disruption is the most important factors affecting occupants’ decisions, followed by Management and Organization; Comfort; Cost; and Health and Safety. The technological and environmental accomplishments are proven to be the most important KPIs to the success of a sustainable building refurbishment project. The model developed can help decision-makers select on suitable sustainable building refurbishment methods to meet the social expectations of occupants while achieving the carbon emission target.<br>published_or_final_version<br>Civil Engineering<br>Master<br>Master of Philosophy
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Orr, Mary Kay Pugh. "Housing for the elderly a theoretical approach." Thesis, Georgia Institute of Technology, 1985. http://hdl.handle.net/1853/23378.
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Pretlove, Stephen Edward Charles. "Predicting relative humidity in UK dwellings." Thesis, University College London (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.555004.
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Mould growth affects a significant proportion of dwellings in the UK and Europe. The house dust mite is also known to inhabit most dwellings and is one of the key factors affecting the health of the occupants. One of the key variables affecting mould growth and house dust mite populations is relative humidity. The relative humidity in a dwelling is dependent upon both the moisture levels and the temperature. The ability to assess the impact of different interventions on the relative humidity depends upon the ability to model both the internal temperature and the internal vapour pressure. This thesis develops, tests and assesses the impact of four combined moisture and thermal models which predict micro-environmental relative humidity. Two thermal models are tested, the BREDEM-8 monthly model, and the BREDEM-12 seasonal model. To each of these, two moisture models have been integrated including Loudon's steady-state moisture model and Jones' admittance moisture model. The BREDEM-8 Loudon model has been shown to be the most accurate model for predicting the airspace relative humidity in 36 dwellings during the heating season. The BREDEM-8 Loudon model has then undergone further development and testing and the applications of the model are investigated. A variable infiltration calculation has been implemented and tested within the BREDEM-8 Loudon model and the results show no improvement in the model prediction accuracy. Surface relative humidity calculations have also been incorporated for all dwelling surfaces, including cold bridges, and the significance of predicting surface conditions has been evaluated. The impact of fuel poverty is tested using simple versions of the BREDEM-8 Loudon model which have been adapted to account for situations where the expenditure available for fuel is limited and where the heating system is inadequately sized. Finally, a Mould Index has been developed which indicates the risk of mould growing on the coldest surfaces in a dwelling and various interventions in dwelling design and use are tested against this index and against the Affordable Warmth Index which defines the affordability of a particular dwelling. The results demonstrate a number of significant limitations in the current British Standard for condensation in buildings, BS 5250: 1989. It has been shown that the geographical and seasonal variations in internal relative humidity are significant, and that the highest relative humidity is unlikely to coincide with the coldest period of the year. It has also been shown that the modelling of surface conditions is critical in the assessment of mould growth in dwellings. Sensitivity studies carried out on the BREDEM-8 Loudon model have shown the most significant variables affecting the relative humidity predictions are the demand temperature, the heating pattern, the number of occupants, the ventilation rate and the level of insulation. The adequate sizing of the heating system and the ability of the occupants to afford to heat the dwelling to a comfortable temperature have been shown to be essential. It has also been shown that a change in the dwelling design or use may improve the affordability but may also lead to an increased risk from mould growth.
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Turner, Carolyn S. "Perceived thermal comfort and energy conservation strategies in residential heating." Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/49947.
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The perception of thermal comfort is an important factor influencing the acceptability of residential heating strategies. The perceived thermal comfort may affect a person's inclination to try a strategy or to use it on a long-term basis. In the study, perceived thermal comfort was assessed in relation to room temperature, humidity, clothing worn, preferred room temperatures, personal control over the temperatures, and energy consumption. The relationships among these variables were examined for five families participating in a live-in study comparing five residential heating strategies. The strategies tested included closing off bedroom vents/doors, setting the thermostat at 65°F, and the use of a solar greenhouse and a woodstove as supplemental heat sources. The families lived in a retrofitted solar test house for a period of four to six weeks. The house was equipped with a computer which monitored 37 channels of information at ten-second intervals and recorded the data hourly. The data collected included temperatures in every room, inside and outside humidity, wind velocity, and other variables that interplay in comfort levels and energy use. The ten adult respondents completed daily and weekly questionnaires containing Likert-type scales of thermal comfort and checklists of clothing worn. The results suggest the following conclusions: 1) the use of a residential setting to measure thermal comfort under varying environmental conditions can be successfully accomplished, 2) psychological variables such as personal control should be considered and tested by persons involved in standards development for the thermal environment, 3) the ability and experience of the persons to use a strategy can affect the achieved energy saving benefits of the strategy, 4) personal preference in the amount of personal effort a person is willing or able to give will impact on the decision on whether to use certain strategies, 5) heating strategies that can produce a direct source of heat or at least some warmer areas were rated higher by the project participants, and 6) weather can play an important role in the effectiveness of the solar greenhouse as a heating source.<br>Ph. D.<br>incomplete_metadata
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Li, Jun, and 李駿. "A decision tool for selecting low-carbon refurbishment solutions for multi-storey residential buildings in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/208002.
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The pressure to reduce greenhouse gas (GHG) emissions has become increasingly obvious due to the need to alleviate the impact of climate change. As the second largest GHG emitter in the world, the building sector should play an active role in reducing GHG emissions. Particular attention should be directed to existing buildings not only because of the amount of emissions caused by inefficient buildings but also due to the existence of a variety of sustainable refurbishment solutions for different levels and stages of building refurbishment. The emission reduction performance of different sustainable refurbishment options may vary enormously as a result of different building design conditions. With the majority of residential properties being high-rise buildings, the most suitable sustainable refurbishment options for a sub-tropical city like Hong Kong are yet to be fully investigated. The opportunity to reduce emission may not be high without a tool to help the owners, occupants and consultants to assess the emission of different refurbishment solutions for multi-storey residential building.
The aim of this research has been to develop a systematic decision tool to identify suitable sustainable refurbishment solutions for multi-story residential buildings in subtropical regions like Hong Kong and to calculate the CO2emission reductions of these solutions. The research began with a comprehensive literature review of the existing sustainable refurbishment approaches. The results of this literature review formed the basis for a preliminary screening according to local climate and buildings features. Interviews with experts and questionnaire surveys with residents were carried out in order to confirm the applicability of the proposed approaches. Then, based on a case study, this research established a set of methods, through literature review and energy simulation, to calculate the CO2 emission reductions achievable by sustainable refurbishment. With the setup of criteria for identifying applicable refurbishment solutions, method of calculation of CO2 emission reductions and parameter input/output and user interface design, a decision tool was developed for sustainable refurbishment. Finally, a series of interviews was conducted to validate the major research outcomes.
In this study, a residential building is divided into two zones, the common area and those occupied by owners/tenants. This study further identifies possible sustainable refurbishment solutions for each area, which can provide stakeholders with a variety of options for launching sustainable refurbishment projects. Moreover, a theoretical framework for emission assessment, consisting of system boundary and calculation methods, is also proposed in this study, which can provide better calculation of emission reductions as a result of various sustainable refurbishment solutions. The most significant outcome of this project is a decision tool which can generate a set of sustainable refurbishment solutions and calculate CO2 emission reductions according to the architectural features input by users. With the function of identifying the approaches for reducing CO2emission, owners and occupants of existing residential buildings can minimize the CO2emissions of their properties through refurbishing some of the building components in a sustainable manner.<br>published_or_final_version<br>Civil Engineering<br>Master<br>Master of Philosophy
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Dewus, Michael A. "Determination of household radon air and water concentrations for selected homes in east-central Indiana, utilizing activated charcoal canister and liquid scintillation techniques." Virtual Press, 1988. http://liblink.bsu.edu/uhtbin/catkey/544007.
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This is a study of radon concentration levels in the air and water of homes in East-Central Indiana. The results of a survey of 69 homes in which both an air and water sample were analyzed for radon concentrations will be described; all homes in the survey derived their water sample from a well at the home site. Activated charcoal canisters were exposed in homes for two to three days; radon concentration levels in the air samples were then determined following the EPA procedures described by Gray and Windham (1). Radon concentrations in water were determined by the liquid scintillation method according to protocol utilizing the techniques described by Pritchard and Gesell (2). A questionnaire was completed by each participant which provided information such as home construction type, material, and location. Radon concentration results and questionnaire data were entered into a database; database searches were then conducted in order to establish conclusions associated with the study.(1) D.J. Gray and S.T. Windham, EERF Standard Operating Procedures for RN-222 Measurement Using Charcoal Canisters, EPA 520/5-87-005, (June 1987)(2) H.M. Pritchard and T.F. Gesell, Health Physics 33, 577, (1977).<br>Department of Physics and Astronomy
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Killip, Ian Richmond. "Radon levels in dwellings in chalk terrain : development and analysis of distributional and causal models." Thesis, University of Brighton, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246824.
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This thesis investigates the range, distribution and causes of high radon levels in dwellings in the Brighton area of Southeast England. Indoor radon levels were measured in more than 1000 homes. The results show that high radon levels can arise in an area previously considered to offer low radon potential from local geological sources. Climate and building-related factors were found to affect significantly the radon levels in dwellings. Multiple regression was used to determine the influence of the various factors on indoor radon levels and an empirical model developed to predict indoor radon levels. The radon hazard, independent of building-related effects, was determined for each surveyed location by adjusting the radon measurement to that expected on the ground floor of a 'model' dwelling. This standardised set of radon levels was entered into a geographical information system (GIS) and related to surface geology. The geometric mean radon level for each lithological unit was plotted to produce a radon hazard map for the area. The highest radon levels were found to be associated with the youngest Chalk Formations, particularly where they meet overlying Tertiary deposits, and with Clay-with-Flints Quaternary deposits in the area. The results were also converted to the radon activity equivalent to that expected from the NRPB's standard dual-detector dwelling survey method and analysed by lognormal modelling to estimate the proportion of dwellings likely to exceed the UK Action Level of 200 Bq/m3 for each lithological unit. The likely percentages of dwellings affected by radon thus obtained were mapped to lithological boundaries to produce a radon potential map. The radon hazard map and the empirical radon model facilitate the prediction of radon levels in dwellings of comparable construction and above similar geology and should further the understanding of the behaviour of radon gas in buildings to allow indoor radon concentrations to be controlled. The radon potential map is directly comparable with those produced by NRPB and BGS and can be used to assist in environmental planning and development control.
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Marshall, Frank Allison. "The stability of shape grammar applied to a bungalow built for change." Thesis, Georgia Institute of Technology, 1990. http://hdl.handle.net/1853/21654.
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Cheung, Kar-yee Regina, and 張嘉懿. "An exploratory study on the housing needs of single elderly living in old urban slum." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978319.
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Heintz, Emelie. "Health economic aspects of diabetic retinopathy." Doctoral thesis, Linköpings universitet, Utvärdering och hälsoekonomi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-76283.
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To ensure that the resources of the health care sector are used effectively, new technologies need to be evaluated before implementation to examine if they generate health outcomes at an acceptable cost. This information can be collected by performing health economic evaluations in which the costs and health outcomes of different technologies are compared. To estimate the effect on health care budgets, there is also a need for information about the prevalence of the specific disease. Health outcomes in health economic evaluations are often measured in quality-adjusted life years (QALYs), which are calculated by multiplying the remaining life years after an intervention by a weight representing the health-related quality of life (HRQoL) during those years. This thesis aims to provide deeper knowledge of the health economic aspects of diabetic retinopathy (DR), an eye complication that affects patients with diabetes and may in the worst case lead to blindness. The focus is on three empirical and two methodological health economic research questions. The empirical research areas cover prevalence, costs, and HRQoL related to patients with DR. The methodological research questions explore the performance of different methods for estimation of QALY weights. This is of interest since it has been argued that the most common methods for estimating QALY weights may not capture all relevant vision-related aspects of quality of life. The analyses comprehend the validity of different methods for estimating QALY weights among patients with DR and if the results of one of the specific methods for estimating QALY weights, the time trade-off (TTO) exercise, are affected by patients’ subjective life expectancy (SLE). The empirical results demonstrate that DR is seen in approximately 40% and 30% of patients with type I and type II diabetes respectively, indicating that the prevalence of DR has decreased in both of these patient groups. Healthcare costs vary considerably between different severity levels of the disease, being estimated at €26, €257, €216, and €433 per patient per year for background retinopathy, proliferative diabetic retinopathy (PDR), diabetic macular oedema (DMO), and PDR combined with DMO respectively. Blindness due to DR is associated with an increased use of transportation services, caregiving services, and assistive technologies as well as productivity losses. This suggests that preventing the progression of DR may lower healthcare costs. Patients with vision impairment due to DR have lowered HRQoL in various dimensions, but the diagnosis of DR in itself has only a limited effect on HRQoL. The results on the methodological research questions show that different methods for estimating QALY weights seem to give different results. In comparison to EQ-5D, the Health Utilities Index Mark 3 (HUI-3) is the most sensitive method for detecting differences in QALY weights due to DR, and if decisions are to be made based on values from the general public, it can be recommended for use in cost-utility analyses of interventions directed at DR. Neither of the direct methods, TTO and the visual analogue scale, seems to be sensitive to differences in visual function, and more research is needed concerning the role of vision in people’s responses to the TTO exercises. In TTO exercises with time frames based on actuarial life expectancy, the patients’ SLE has an effect on their willingness to trade off years for full health. Thus, applying time frames deviating from patients’ SLE may result in biased QALY weights. Such bias may appear stronger within patient populations than within the general public. In conclusion, this thesis offers estimates for prevalence, costs, and QALY weights that can be used in economic evaluations of interventions directed at DR and as benchmarks for future DR research in order to follow up consequences of changes in diabetes care. In addition, it demonstrates that the choice of method for estimating QALY weights may have an impact on whether an intervention is considered cost-effective.
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Rickayzen, Benjamin David. "Some actuarial aspects of health insurance." Thesis, City University London, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.446443.
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Akyurek, Cagla. "The realm of dreams and reality." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/864945.
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We all have desires- dreams and goals that beg to be realized at some future date. When such desires are so strong that their creation becomes a quest, they take on a hazy quality that place them between the realm of dream and reality.Where does THE REALITY stop?Where does THE DREAM begin?The realm between dreams and reality Is very difficult to grasp.I have created a word that for me, expresses the realm of dreams and reality: This in between state will be called a 'DREALM'.This creative project Is a study of my 'DREALM'. It may or may not come true.Or,Is there really something called Real? Are they all just IMAGES?IMAGES,that We createorthat WE spend all our lives to create.<br>Department of Architecture
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Hallak, Mahmoud Essam. "Privacy in homes of Shaamy Muslim immigrants : a study of privacy patterns in single-family detached homes and townhouses of middle-class immigrants in Montreal." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33262.
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After W.W.II several waves of mostly highly educated, middle-class, traditional Muslim families from Shaam arrived in Canada. The major problem that faced them, as a result of cultural differences with their new milieu, was the unresponsiveness of their living environment in Montreal to their distinguished religious and cultural needs---most notably those involving the idea of privacy . The purpose of this study is to examine privacy patterns in homes of the Shaamy community in Montreal, by analyzing the physical characteristics of their single-family detached homes and townhouses, usage patterns of domestic space, and inhabitants' social behavior. The research goes further to explore privacy-induced patterns of change in the physical environment of the home, space functions, and domestic behavior, which aim to improve privacy conditions in community homes.<br>In particular, this research provides a description and analysis of the indigenous lifestyle and the socio-religious and cultural privacy concepts of this community. The research then scrutinizes the correlation between these elements and the physical characteristics of Montreal's housing patterns, and privacy concepts which are embodied in their designs. Both internal home layouts and functions, and outdoor settings are analyzed in relation to community privacy conceptions. This investigation process intends to diagnose major privacy deficiencies in the design of their homes and to highlight domestic privacy mechanisms and utilization modes of the home environment. Finally, criteria are established for improving the design of community detached homes and townhouses, with minimal change to their physical structure and patterns.
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Reineholm, Cathrine. "Psychosocial Work Conditions and Aspects of Health." Doctoral thesis, Linköpings universitet, HELIX Vinn Excellence Centre, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-95578.
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Today’s working life has led to new requirements and conditions at the workplace, and additional factors may be of importance for employees’ health. Most earlier research has taken place in stable organizations, and has not taken changes in organizations into account. The way in which psychosocial work conditions affect employees’ health and well-being has been the topic of several studies but mental ill health is still one of the most common causes of sick leave in Sweden. Little attention is given to the importance of the workplace and organizational context for employees’ health. The overall aim of this thesis is to investigate how different aspects of health are associated with psychosocial work conditions in today’s working life. This thesis comprises two empirical studies. The first study is a longitudinal study, based on questionnaire data from 1010 employees at the Swedish Labour Market Administration. The second study is designed as a prospective cohort study, based on questionnaire data from 8430 employees in ten organizations, participating in the LOHP project. Linear and logistic regressions were performed to investigate associations between psychosocial work conditions and different aspects of health. Multilevel analysis was performed in one paper. The main findings in Paper I are that traditional job stress models are better for predicting ill health than good health. Different psychosocial work conditions may however, be useful for measuring different aspects of health, depending on whether the purpose is to prevent ill health or to promote health. In Paper II, psychosocial work conditions and symptoms of burnout were found to differ between different hierarchical levels, and different psychosocial work conditions were associated with symptoms of burnout at different hieratical levels. Paper III showed that psychosocial work conditions predict voluntary job mobility, and this may be due to two forces for job mobility: job dissatisfaction and career development. In Paper IV, a strong association between high work ability and better performance was found. Clear goals and expectations may result in improved psychosocial work conditions and work ability, which in turn affects employees’ performance. This thesis has provided knowledge regarding different aspects of health and psychosocial work conditions. Conditions at the organizational and workplace level set the prerequisites for if and how employees use their resources and their ability to act. Access to resources and the capacity to use them may vary depending on the employees’ hierarchal position. Occupational health research needs to focus on differences in psychosocial work conditions at different hierarchical levels. Organizations with clear goals and expectations may create more favourable conditions at work, supporting employees’ room for manoeuver, social capital and their ability to cope with working life, hence promoting health. Health promotion has a holistic approach and considers the work environment, the individual and the interplay between them. However, most health interventions at workplaces are directed to employees’ health behaviour rather than improvements in organizational and work conditions. To develop a good work environment it is necessary to identify conditions at work that promote different aspects of health. These conditions need to be tackled at the organizational, workplace and individual level, as good health is shaped by the interplay between the employee and the conditions for work.
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Hreinsson, Julius, and Yonathan Woldearegay. "Internationalization of health care services : Networking aspects." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-243306.
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Principles of business management are increasingly being used to analyze health care systems. Conceptualizing health care as business networks offers the possibility to apply the ARA model of Actors, Resources and Activities to understand the functioning of the system. We have used this model to study the phenomenon of networking in cross-border care using Uppsala University Hospital as a research case. The aim of the study was to understand actor’s perceptions of networking activities and how these related with international sales of health care services. We collected primary data through five interviews with managers involved in internationalization and a survey study with 26 managers at the hospital. Secondary data on patient flows and research activity was collected from hospital and university records. The main actors identified in the health care networks are doctors with professional identity being an important facilitating factor. Patient´s role as active participators in the system is increasing while researchers, innovators and key opinion leaders are also important. Networking activities consist of knowledge transfer via lecturing, meetings and external consulting activities. Resources in the form of supporting clinics, research centers and administrative services correlate positively with the level of internationalization. The study identifies networking activities as important for internationalization and cross-border sales of health care services. We conclude that the ARA model is a valuable instrument for analyzing cross border activities and internationalization of health care.
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Robertson, Kevin. "Health-related psychological aspects of playing squash." Thesis, Liverpool John Moores University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.282785.
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Leo, Jared. "Capturing temporal aspects of bio-health ontologies." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/capturing-temporal-aspects-of-biohealth-ontologies(a2f5868e-94e3-4d4b-bd1e-311358ebf7e0).html.
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Extending Descriptions Logics (DLs) with a temporal dimension to aid in the ability to model meaningful temporal information is an active and popular research area that has gathered a lot of attention over recent years. DLs underpin the Web Ontology Language (OWL) which offers a way to describe ontologies for the semantic web. Representing temporal information in ontologies plays an important role, specifically for those ontologies where time information is inherently embedded in the information they describe. This is very common for ontologies in the bio-health domain, for example ontologies that describe the development of anatomies of biological entities, stage based development, evolution of diseases and so on. As expressive as DLs are, given that they are fragments of First Order Logic, they are static in nature and are limited in what they can express from a temporal view point, hence the surge in temporal extensions to DLs over recent years. In this thesis we investigate the use of temporal extensions of DLs as suitable representations for the temporal information required for bio-health ontologies. We first set out to find out exactly what types of temporal information need to be modelled, before going on to evaluate current temporal extensions and representations to determine their suitability. We then go on to introduce several new temporal extensions to DLs and evaluate their suitability.
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Bamford, Margaret. "Aspects of health among an employed population." Thesis, Aston University, 1993. http://publications.aston.ac.uk/10867/.
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This survey collected information on aspects of health amongst an employed population, employees in 14 different organisations in the West Midlands Regional Health Authority; and was a stratified sample of senior managers, middle managers and operatives. Nine hundred and sixty questionnaires were distributed asking for both quantitative and qualitative information on 58 questions covering health, work, family, leisure activities and life-style. A response rate of 48% (459 returned questionnaires) came from 290 men (63%), 165 women (36%) and four people (1%) who did not answer the gender question. The initial findings from this study are unique in that there has not been a specific review of the health of people at work. In answer to the main research questions, 92% felt they were healthy. Compared to others of a similar age, 34% felt their health was `above average', 58% `average', and 7&37 `below average'. Thirty two percent of respondents had visited their GP in the past 1-2 months; the highest reason given was disorders of the respiratory system, 20%. People's perceptions on the effects of work on their health were: good effect, 13% fair effect, 20% no effect, 27% poor effect, 27% and bad effect, 7%. The effects of leisure activities on health were thought to be more positive: good effect, 46% fair effect, 20% no effect, 21% poor effect, 3% and bad effect, 2%. The perceptions of effects of life-style on health were considered to be: good effect, 32% fair effect, 32% no effect, 20% poor effect, 9% and bad effect, 1%. In this survey, leisure and life-style were seen by employees to have more beneficial effects on health than work. Future implications include a review of occupational health as a major policy development area within primary care. There is a need to influence the education and training of health care practitioners in order to affect their ability to practise effectively in this new and challenging area of work.
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Fox, Elizabeth Joan. "A phenomenological investigation of environmental gestalts: an intuitive reading in Harlan County, KY." Thesis, Virginia Polytechnic Institute and State University, 1989. http://hdl.handle.net/10919/53213.
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This thesis outlines and undertakes a phenomenological investigation of dwelling in Harlan County, Kentucky, which is located in the central Appalachian coal region. After comparing the phenomenological method of inquiry to other methods of landscape evaluation, this method proved to be a useful tool for understanding dwelling, a concept that is difficult to define or pinpoint through the other methods. Experiencing the front yards of homes in this county was deemed an appropriate vehicle for undertaking this study.
Empirical findings, derived from the phenomenological method of inquiry, were used to elucidate the emergence of patterns concerning dwelling. A conserver pattern emerged from the patterns observed. This conclusion is used to support the recommendation that phenomenological investigations be used in the classroom to aid students in the process of the reading the landscape for clues to more appropriate design decisions for dwelling.<br>Master of Landscape Architecture
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Franks, Susan F. (Susan Faye). "Negative Psychological States: Predictors for Immunological Health." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc332521/.
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Relationships of negative psychological conditions with general status of cell-mediated and humoral immune systems were investigated. A unique approach was utilized in that indexes representing multiple aspects of each branch of the immune system were employed to better indicate general immunological status. Differences in emotion-immune interactions between males and females were demonstrated. Results indicated a positive relationship between Trait Anger and Cell-Mediated Immunological Index. Particular criticisms of previous psychoneuroimmunological research were met by addressing sex differences and differences in various conditions of anger and depression, as well as through assessment of cumulative effects of negative emotions on immune system status. Directions for future research in eddressing similar issues are suggested. In general, results provide support for validity of mindbody interactionism and imply the need for revision of standard medical and psychological treatment.
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Schützhold, Svenja [Verfasser]. "Aspects of oral health in the German Oral Health Studies / Svenja Schützhold." Greifswald : Universitätsbibliothek Greifswald, 2016. http://d-nb.info/1082577367/34.
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Shirazi, Farshad 1963. "Metabolic aspects of neonatal rat cardiomyocyte hypertrophy." Diss., The University of Arizona, 1997. http://hdl.handle.net/10150/282447.
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The consensus view is that cardiac hypertrophy is an adaptive response to increased work caused by a variety of stimuli. While hypertrophy can be defined as an increase in cell mass without an increase in cell number, not all increases are equivalent in type and amount of protein accumulated. Our goal in this study was to identify the common steps in the process of cardiac hypertrophy. Our working hypothesis was that in all forms of cardiac hypertrophy glucose utilization increases and that the percentage of energy derived from fatty-acid oxidation decreases. The first part of this study entailed the development and characterization of a neonatal rat heart cell model. The model had to provide uniform culture conditions for rapid development of hypertrophy by agents acting at different sites in the cardiomyocytes. The second part of this study was composed of an assessment of hypertrophy caused by four pharmacologically distinct agents: norepinephrine, angiotensin-II, endothelin-I and tetradecylglycidic acid. In this part we compared the quantity of protein accumulation and quality of hypertrophy cause by each agent. This task was accomplished by examining the effect of each agent on selected mRNA messages and alteration in DNA content of cardiomyocytes. Here we also examined the effect of protein kinase-C, endothelin-I and angiotensin-II inhibitors on hypertrophy caused by each agent. In the final part of this study, metabolic alteration in hypertrophy caused by each agent was assessed for a potential common pathway to hypertrophy. As part of this analysis, we examined changes in glucose and palmitate oxidation, glucose uptake and role of pentose pathway in hypertrophy resulting from treatment of cardiomyocyte by each agent.
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Urassa, David Paradiso. "Quality Aspects of Maternal Health Care in Tanzania." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distrubutör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4221.
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Slattery, M. "Demographic aspects of resource allocation to Health Services." Thesis, University of Southampton, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.374235.
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Mani, Kevin. "Abdominal aortic aneurysm epidemiological and health economic aspects /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-110810.
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Allin, Sara. "Examining aspects of equality in Canada's health system." Thesis, London School of Economics and Political Science (University of London), 2009. http://etheses.lse.ac.uk/2326/.
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Canada's health system is based on the firmly-held belief that the receipt of care should be based on need and not ability to pay. This thesis examines three aspects of this equity goal: provincial variations in equity in the receipt of care; the role of private prescription drug insurance in explaining inequity in the use of physician services; and the equity implications of subjective unmet need. Canada's provinces are responsible for planning and funding most publicly insured health services, hence there is variation in health system characteristics across the country. In the context of such variation, the first empirical analysis examines equity in the use of health services across the provinces. The analysis reveals some evidence of inequity in the likelihood of a GP visit, and the likelihood and number of specialist and dentist visits; some variations can also be found across the provinces. The second empirical analysis investigates the role of complementary insurance for prescription drugs in explaining inequity in the use of publicly-funded physician services. Due to the complementary relationship between prescription drugs and physician services, and the unequal distribution of private insurance coverage across income groups, inequity in physician utilisation partly can be explained by the interaction with insurance. The third empirical analysis assesses the equity implications of subjective unmet need. It finds that there are different utilisation patterns among the different types of unmet need, which raises methodological and conceptual challenges. The concluding chapter positions the three empirical studies within the broader policy context, offers an in-depth discussion of their methodological and policy implications, and proposes areas for future research.
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Chamberlin, Christine M. "Workaholism, health, and self-acceptance." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1213153.
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The present study was designed to address the issue of the potential harm of workaholism. It specifically examined the relationships between workaholism, self-acceptance, psychological well-being, and physical symptoms. Furthermore, participants completed a form to rate their perceptions of their parents work behaviors, and thus relationships between perceived parental workaholism, physical symptoms, psychological well-being, and self-acceptance, were also explored.Three hundred forty seven students from a Midwestern university completed a survey measuring the above constructs. Of these 347 surveys, 279 were utilized for analysis. It was hypothesized that students' workaholism would correlate negatively with the students' psychological well-being and self-acceptance, and positively with physical health complaints. It was expected that student workaholics would report less psychological well-being, more physical complaints, and less self-acceptance than nonworkaholic students. Furthermore it was hypothesized that there would be no relationship between perceived parental workaholism and students' workaholism. While it was hypothesized that students who perceive their parents as workaholic would report less psychological well-being and self-acceptance than students with perceived nonworkaholic parents, it was not expected that they would report more physical health complaints.Results supported the majority of the hypotheses. A negative relationship was found between students' workaholism and the students' psychological well-being and self-acceptance, while a positive relationship was found between students' workaholism and physical health complaints. Students in the medium to high risk workaholic group were found to have significantly more physical health complaints, and lower self-acceptance and psychological well-being than students scoring in the low risk workaholic group. Furthermore, students with perceptions of parental workaholism falling within the medium to high risk range, had significantly lower levels of psychological well-being and self-acceptance than parents falling within the low risk range. No differences were expected in these two groups in terms of physical health complaints, however students' with perceptions of parental workaholism in the medium to high risk range had significantly more physical symptoms than students' with lower perceptions of parental workaholism. Furthermore, while no correlation was expected between perceived parental workaholism and student workaholism, a significant positive correlation was found.<br>Department of Counseling Psychology and Guidance Services
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Hu, Qiming, and 胡啟明. "Application of nudge theory for changing diet and physical activity : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206943.
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Background: Unhealthy lifestyle are important contributors to chronic illness in Hong Kong and worldwide. Lifestyle modification, particularly improving healthy diet and physical activity, can prevent the development of various chronic illnesses, improve disease conditions, reduce the risk of complications and enhance the quality of life. Many behavioural models have been applied to achieve lifestyle modification, but the major limitation was that they mainly treated human behaviours as individual behaviours that were subsequent to rational thinking. Nudge theory, an advanced behavioral concept, proposed to change individual’s motivation, incentives and decision making through non-direct suggestion and non-forced reinforcement. However, the application of Nudge theory has been challenged on the lack of evidence to prove its effectiveness, and its controversial framework for ethical analysis.
Objectives: This review was to synthesize the empirical findings about the effectiveness of using nudge theory for lifestyle modification including healthy diet and physical activity.
Methodology: Interventional and experimental studies that were conducted based on Nudge theory to change diet or physical activity was identified from the published literature. The studies were divided into two large groups according to outcome measured: healthy diet and physical activity, and they were systematically synthesized. The “nudges” used in these studies were categorized as six types of “nudges” summarized by “nudge unit” as “MINDSPACE” for further discussion. The type of “nudges” that were used in the studies and their effectiveness on changing diet and physical activity was abstracted.
Results: Totally, nine articles that met the inclusion criteria were included. Five nudges were identified from the included studies, including Priming (P), Default (D), Salience & Affect (SA), Incentives (I) and Messenger & Norms (MN). It is found that the strategies and methods applied on the same nudge may have different effectiveness. Seven studies applied Priming (P) as nudge to motivate change in diet, which used two major strategies: “availability” and “accessibility”. The evidence was strong that altering the availability of food presence could be effective to change food selection. The results of studies using accessibility were heterogeneous and contradictive with each other. Another three studies used different nudges including Default, Salience & Affect and Incentive. The effectiveness of Default (D) as nudge seemed to be blurry, and the sustainability remained questionable. The ethical consideration is always the primary pillar for applying nudging theory. As long as the applications are stick to necessary ethical concerns, the nudging model can be beneficial through mild “manipulation” rather than harmful.
Conclusion: It has potential opportunity to carry out “libertarian paternalism” in Hong Kong. However, it is still a long way to take application of nudging model into regulation, legislation and daily practice. The evidences for each type of nudge were not consistent and enough. Besides, the monitoring and evaluation are not available yet. Future research can be focused on transferring these applications into real practice with an effective monitoring and evaluation system.<br>published_or_final_version<br>Public Health<br>Master<br>Master of Public Health
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Wood, Susan. "Mental health literacy and mental health in at-risk populations." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88088/.
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This thesis explores mental health literacy (MHL) and mental health difficulties in at-risk populations. Young people, particularly males, are vulnerable to the onset of mental health difficulties, failing to access support and increased risk of suicide. Supporting people with mental health difficulties and improving prognosis is an important area of public health concern. Chapter one is a systematic review of gender differences in MHL of young people (ages 12-25 years). 14 studies were identified and critically assessed. The nature of gender differences in MHL of young people is complex but most consistently reported in depression. Females tended to have higher levels of MHL than males. The implications for public health interventions and future research are discussed. Methodological components of MHL research, such as the use of case vignettes are also considered. Chapter two is a qualitative research study of male professional footballers’ lived experiences of mental health difficulties and help-seeking using interpretative phenomenological analysis. One superordinate theme emerged from the data; Survival. This is discussed through six subordinate themes and alongside existing literature pertaining to identity, transition, personality and emotional development. The clinical implications of the findings are discussed, as well as suggestions for future research. Chapter three is a reflective paper considering the use of Cognitive Analytic Therapy as a tool for reflexivity in qualitative research. The opportunities and limitations of this approach are considered, alongside reflections on the research process.
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Wynchank, Sinclair. "Aspects of paediatric gastro oesophageal scintigraphy." Doctoral thesis, University of Cape Town, 1988. http://hdl.handle.net/11427/27191.
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This work is concerned with the application of scintigraphy in studies of foregut motility in paediatric patients; notably oesophageal transit during swallowing, gastro oesophageal reflux (GOR) and stomach emptying as measured by the gastric contents 30 and 120 minutes after deglutition of liquid. Relevant anatomy, physiology, pathophysiology and non-radioisotopic methods of gastro oesophageal examination are outlined. The extremely important question of dose deposited by ionising radiation in paediatric patients is also considered. Because currently available estimations of absorbed dose after swallowing non- absorbable radionuclides are unsatisfactory and often contradictory, a new model was derived. It is based on more physiological principles than previous models, with a continuously varying exponential passage between four compartments in the gastrointestinal tract. From a review of previous work and our experience, a standard method of examination was developed. There is emphasis on normal physiological manoeuvres. The broad extent of useful information available in the study stems from the positions in which the patient is investigated, the quantity of labelled fluid swallowed, its physiological nature and observations of oesophageal transit, GOR, gastric emptying and pulmonary aspiration after two hours. The wide range of paediatric problems amenable to investigation by this means is described, including those of a life-threatening nature. Also, the importance of using this examination to determine the likelihood of successful surgical intervention in the gastro oesophageal region is explained. By using the observations made during swallows in neonates, the closure of the lower oesophageal sphincter (LOS) was observed during a short series of rapid deglutitions. This extends previous knowledge of the function of the neonatal LOS. These findings were very clearly demonstrated by the condensed image technique. A comparison between the abilities of radiology and scintigraphy to detect GOR in paediatric patients, with and without oesophagitis, gives unequivocal results in favour of scintigraphy. Two independent clear correlations between oesophageal transit time and the severity of GOR and age are demonstrated by variance and correlation analysis. The mean duration of GOR, maximum height of a GOR, gastric contents 30 and 120 min after deglutition, the effect of the nature of liquid swallowed and age are also examined and their relations are described. The application of the method to assess drug response is illustrated by the paediatric use of cisapride, an experimental drug which increases acetylcholinesterase release. The deductions from this work include values of the radiation dose deposited in paediatric patients of various ages, after swallowing non- absorbed Tc-99m compounds. Other contributions are a scintigraphic means to allow recognition of the importance of oesophageal dysmotility in paediatrics, especially in the absence of GOR and its relevance to the efficacy of surgery in cases of apparent GOR. Also, this gastro oesophageal scintigraphic study provided information on the paediatric use of cisapride, the relevance of GOR to repeated respiratory problems and the recognition of a new paediatric syndrome analogous to the diffuse oesophageal spasm syndrome of adulthood. It has been demonstrated that a routine, uncomplicated, paediatric scintigraphic examination, useful for investigating a wide range of problems in both a first and third world setting is possible for a nuclear medicine practitioner with normally available radiopharmaceuticals, equipment and radiographical expertise.
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Warren, Ann Marie. "Partner abuse: Health consequences to women." Thesis, University of North Texas, 2003. https://digital.library.unt.edu/ark:/67531/metadc5534/.
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Intimate partner violence is endemic in the United States. According to the American Medical Association (1992), one-fifth to one-third of women will sustain violence from a partner or ex-partner in their lifetime. The relevant literature was organized by ICD-9-CM categories. This study examined the health consequences of partner abuse in a sample of community women using a sample consisting of 564 women in three ethnic groups. Because prior research has failed to account for variations by type of abuse on health consequences, this study assessed psychological abuse, violence and sexual aggression by women's partners. To determine whether or not different types of abuse had an effect on women's health, hierarchical regression analyses were conducted. The regression equations were calculated for women within each ethnic group to facilitate identification of similarities and differences and to control for ethnic differences in risk for specific diseases. The results were consistent with past research on health consequences of abuse and extended the prior literature by showing that psychological abuse had a pervasive effect on health conditions, distress and use of health care resources. Additionally, ethnic differences emerged. As expected, ethnicity appeared to function as a moderator. Clinical implications and recommendations are made for future research, suggesting the development of a new assessment tool for partner abuse screening.
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Munro, Catherine A. M. "Developing a dialogue on health : user involvement in health and health services." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/291/.
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In common with other areas of public services, recent years have seen a shift in the National Health Service (NHS), with increased power and authority transferring from professionals towards the users of services. As a result, user involvement has come to form a central element of government policy on public services, and health in particular, with a series of specific policy commitments to give users a stronger voice and to involve them in the health service having been published by both the Westminster and Scottish parliaments. These seek to increase users’ involvement in making decisions about their own care and treatment, in examining and improving the quality of services and in policy and planning activity. In doing so, this policy aspires to respond to the changing culture of personal and societal expectations of health and the health service; to build democratic participation in the difficult targeting and rationing decisions faced by health agencies and, thus, to help renew public trust and strengthen confidence in the NHS. These are ambitious aims with far-reaching implications as they represent a transformation in the interaction between users, health professionals and health policy makers. This thesis examined how this policy has been understood and implemented in the NHS by exploring the scope, relevance and quality of the user involvement processes available in three health service settings. In order to develop a better understanding of the issues in user involvement it explored the nature of user participation; the character of user representation and the barriers and facilitators to user involvement in maternity, gynaecological oncology and mental health services. The study examined the response to this policy within these three settings; the functioning of existing user involvement mechanisms and their capacity to involve users in determining their individual health care and in shaping health services and policy to their definition of need. From this examination it defined the key features of a model process for user involvement within the professional service culture and organisational ethos of the NHS. The study then drew conclusions on the capacity of these current user involvement processes to deliver on the policy directive to develop both individual treatment and health services in ways that are responsive and accountable to users. Finally, the thesis identified those areas that require further research before proposing the lessons for the further development of this significant and potentially influential policy directive.
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Mingotti, Nicola. "Passive environmental design for health." Thesis, University of Cambridge, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.709015.
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Yang, Lin. "Physical activity in adults : investigating the contribution of active travel." Thesis, University of Cambridge, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.610782.
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Dominguez, Socorro Escandon. "Temporal aspects of Mexican American intergenerational caregiving." Diss., The University of Arizona, 2004. http://hdl.handle.net/10150/280544.
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Problem and background. Caregiving for elderly family members can be viewed as a part of and extension of supportive behaviors between individuals. Consequently, there are cultural undertones to caregiving and what is supportive in one culture may not be in another. Mexican American caregiving has not been well studied; however, Mexican Americans are reported to be more likely to use family as resource for solving problems than non-Hispanic whites. Purpose. Guided by caregiving framework developed by Bowers (1987), Wilson (1989) and Nolan et al. (1995, 1996, & 1997) this study employed grounded theory to formulate a conceptual model of intergenerational caregiving among Mexican American families focusing on characteristics of the temporal axis which defines caregiving in terms of (1) family structure or generational attitudes (historical time); (2) what and how shared understandings with elders and among family members influence who assumes the caregiver role and when (kin time); (3) how entry into the caregiving role affects the entire family (intergenerational development time); and (4) how entry into the caregiving role affects the caregivers' peer relationships (peer time). This study also builds theory about how acculturation influences family care giving. Design, methods. This exploratory study was guided by grounded theory methodology where interviews were taped and analyzed using grounded theory's constant comparative method of analysis. Sample. The sample consisted of Mexican American caregivers (n = 10) of various generations over the age of 21 who provided at lest one intermittent service (without pay at least once a month) to an elder, related through consanguinal or acquired kinship ties. Results. Grounded theory of Role Acceptance comprised of four phases: (1) Introduction: Early Caregiving Experiences; (2) Role Reconciliation; (3) Role Imprint; and (4) Providing/Projecting Care. Significance. This study provides a Mexican American intergenerational caregiving model that can be utilized to study varied generations of Mexican American caregivers. It also provides a framework for comparison with other groups of caregivers. Results of this study also inform health professionals about ways in which Mexican American caregivers view caregiving. This information has potential to increase cultural competence in delivery of health care to elders and their families.
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Brjánsson, Guðjón S. "Managerial aspects on governance of healthcare in Iceland." Thesis, Nordic School of Public Health NHV, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3640.
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Purpose: This study aimsto analyze managerial aspects of governance within Icelandic healthcare institutions, particularly regarding job descriptions and policy-making plans. Method: We used a qualitative research method and content analysis to examinedata collected from semi-structured interviews Ten participants (5 malesand 5 females) who worked as senior managers, middle-management executives in the healthcare service, and Ministry of Welfare officials. The participants reflected a breadth of experience and education across the spectrum of age, length of service, and work experience in both hospitals and primary care. Results: Data analysis revealed three main categories including policy-making plans in healthcare, which identified a considerable gap between managers and executives on one side and the Ministry of Welfareon the other, especially regarding strategy. Incidental control and effect of politicians on healthcare operation. Second, inrelation to the Ministry of Welfareand healthcare institutions we observed unstructured, onerous, and remote communications and organization that focused too little on professional issues. The Ministry of Welfare tended to interfere with managers’ responsibilities and scope of work. Third, we observeds trengths and weaknesses in management. Strengths includedad ministrators’ enthusiasm, ideas of empowerment, short lines of communications, and often straightfor ward interactions, compared withweaknesses in the workprocesses within healthcare institutions and toward the Ministryo f Welfare, and also in job descriptions and vague definitions of the institutions’role. Conclusion: The indications reported here suggestun clear policy-making plansfor healthcare institutions. Although managers and executives maintained that visions for the futureare vague, the Ministry of Welfare stated that the strategy was clear. The study identified a need of strengthening and restructuring the way of communications, as well as clarifying managers’ role toward the Ministry of Welfare<br><p>ISBN 978-91-982282-7-4</p>
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Catena, Rodolfo. "Essays on health care operations management." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3c2035a6-b5d0-43b7-9b12-4883e5db4526.
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The aim of operations management in health care is to enhance the provision of services to patients and to decrease costs. Overall worldwide health care expenditures represent around 10.5% of the global GDP and are projected to increase at an annual rate of 5.3% from 2015 to 2017 [74]. In order to investigate how to curb health care costs, I study the English NHS, a health care system that provided universal care to around 54 million people in 2014 [243]. The NHS has launched many initiatives to improve the performance of hospital operations such as the "QIPP" program, which has the objective to save £20 billion of costs by 2015 [98]. Given this framework, this research aims to contribute to the theory that is guiding these operational changes, using data on all admissions to hospitals and focussing on the inguinal hernia, one of the most common surgical procedures [86]. In the next chapters, this research describes inguinal hernia care delivery in the English NHS, examines the impact of spillovers and complementarities on costs, and investigates the effects of length of stay reduction on risk of re-admission and risk of death. The findings of this thesis indicate that one of the possible problems in the delivery of inguinal hernia care in the NHS is the decrease in the number of elective operations performed and the increase in readmission rates. They also clarify how decisions on allocation of resources can affect hospital expenditures by showing that loss in focus can increase health care costs and by pointing out that there is little evidence to support the theory of spillovers and complementarities in the surgical context. Finally, the results of this research can be used to suggest the logic of a policy to decrease length of stay that can inform hospital decisions and can decrease hospital costs.
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Poget, Gaël. "Legal aspects of facilitation in civil aviation : health issues." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=81228.
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As you probably know, to board the B777-300ERi in Geneva for Anchorage via London, is not just that simple. With your ticket you bought several days before, you come to the airport, check in, pay airport's fees, go through the customs and security checks, walk in the terminal following signs, maybe you stop in the duty free shops, and finally find your gate. By this time, you are ready to board, about one hour after you enter the airport.<br>We will be essentially interested in air law that is why, the purpose of this master's thesis is to consider the legal aspect of facilitation in civil aviation. The term facilitation refers to the process that passengers, crew, luggage, cargo and mail have to go through when they cross borders to fly from a point A to a point B.<br>Recently, an aspect of facilitation took an outstanding importance: health issues. At the end of last year, the Severe Acute Respiratory Syndrome (SARS) outbreak was a real threat to international civil aviation because passengers (and crews) could have been exposed to an infected person inside the terminal or on board the plane, also, aircrafts were considered a fast vector of this disease through the world. The economic consequences for airlines and airports were very painful.<br>iBoeing 777-300 Extended Range.
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Goulding, Anneli. "Mental health aspects of paranormal and psi related experiences /." Göteborg : Dept. of Psychology, Göteborg University, 2004. http://hdl.handle.net/2077/190.
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Moore, James W. E. "Aspects of colonic sulphur metabolism in health and disease /." Title page, contents and summary only, 1996. http://web4.library.adelaide.edu.au/theses/09MD/09mdm822.pdf.
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Palmer, Keith. "Aspects of human health and occupational exposure to vibration." Thesis, University of Oxford, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.312305.
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Otter, Robert. "Aspects of environmental public health in Portsmouth, 1764-1864." Thesis, University of Portsmouth, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.387284.
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Goulding, Anneli. "Mental health aspects of paranormal and psi related experience /." Göteborg : Göteborg university, 2004. http://catalogue.bnf.fr/ark:/12148/cb402242195.
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Pari, Anees Ahmed Abdul. "Health economic aspects in the management of bipolar disorder." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:f8ea6eae-9111-4efe-87d1-52276d97e827.
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Bipolar disorder (BD) is one of the leading causes of disability worldwide and has a detrimental impact on health-related quality of life (HRQoL), and personal and social functioning. Despite this, there is insufficient knowledge of the costs, HRQoL implications relevant to BD, and the cost-effectiveness of current treatments for BD in the UK. This thesis aims to inform decisions about local and national service provision by applying a variety of health economic tools to build an economic case for BD. First, economic evaluations of BD management strategies are systematically reviewed. A cost-of-illness study is then conducted to estimate the societal burden of BD in the UK and explore the factors that drive variations in these costs. The appropriateness of applying the EQ-5D-3L outcome measure in BD is assessed, and the feasibility of mapping disease-specific measures to the EQ-5D-3L is explored. Finally, a cost-utility analysis (CUA) is conducted to bring together evidence on the costs and outcomes associated with alternative psychological interventions in BD management. This thesis makes critical contributions to multiple research domains, informing the allocation of scarce healthcare resources in this context. There is a sheer dearth of evidence on cost-effectiveness strategies for the long-term management of BD in the UK, especially the evidence for psychological therapies is limited. The annual societal costs associated with BD in the UK are estimated to be £5.14 billion, demonstrating the significant economic burden associated with this disease. The EQ-5D-3L instrument is found to be useful in measuring HRQoL in BD patients who predominantly experience depressive symptoms but is not sensitive enough to detect changes in individuals with mania. More psychometric evidence is therefore required before this instrument can be widely applied in economic evaluations of BD-related interventions. Finally, the CUA indicates that a novel structured psychoeducation intervention in individuals on remote mood monitoring in the UK is not cost-effective.
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Bergman, Julia. "Aspects of Gene Expression Profiling in Disease and Health." Doctoral thesis, Uppsala universitet, Molekylär och morfologisk patologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-312939.
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The aim of this thesis is to in various ways explore protein expression in human normal tissue and in cancer and to apply that knowledge in biomarker discovery. In Paper I the prognostic significance of RNA-binding motif protein 3 (RBM3) is explored in malignant melanoma. To further evaluate the prognostic significance of RBM3 expression was assessed in 226 incident cases of malignant melanoma from the prospective populationbased cohort study Malmö Diet and Cancer Study using tissue microarray technique (TMA). RBM3 was shown to be down regulated in metastatic melanoma and high nuclear expression in the primary tumor was an independent marker of prolonged over all survival. As a tool to facilitate clinical biomarker studies the Human Protein Atlas has created a tissue dictionary as an introduction to human histology and histopathology. In Paper II this work is introduced. A cancer diagnosis can be a complex process with difficulties of establishing tumor type in localized disease or organ of origin in generalized disease. Immunohistochemically assisted diagnosis of cancer is common practice among pathologists where its application combined with known protein expression profiles of different cancer types, can strengthen or help dismiss a suspected diagnosis. In Paper III the diagnostic performance of 27 commonly used antibodies are tested in a predominantly metastatic, multicancer cohort using TMA technique. Overall these 27 diagnostic markers showed a low sensitivity and specificity for its intended use, highlighting the need for novel, more specific markers. Breast, ovarian, endometrial and ovarian cancers affect predominantly women. Differential diagnostics between these cancer types can be challenging. In Paper IV an algorithm, based on six different IHC markers, to differentiate between these cancer types is presented. A new diagnostic marker for breast cancer, namely ZAG is also introduced. In Paper V the transcriptomic landscape of the adrenal gland is explored by combining a transcriptomic approach with a immunohistochemistry based proteomic approach. In the adrenal gland we were able to detect 253 genes with an elevated pattern of expression in the adrenal gland, as compared to 31 other normal human tissue types analyzed. This combination of a transcriptomic and immunohistochemical approach provides a foundation for a deeper understanding of the adrenal glands function and physiology.
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Tzeng, Jone-Jiun. "Immunobiological and immunotherapeutic aspects of transplantable rat gliomas /." The Ohio State University, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487683756124386.
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Fitzwater, Kendra K. "Assessment of environmental and public health hazards of electronic waste." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1380100.
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Electronic waste or `e-waste' is a rapidly growing form of solid waste worldwide. The heavy metals present in various electronic components demand attention because such metals may leach and pose significant health and environmental hazards (U.S. EPA, 2007). Knowledge of the potential of heavy metal leaching from e-waste represents an important contribution for developing U.S. standards for classifying e-waste as hazardous waste. Hazardous elements which leach from a variety of electronics wastes were assessed in laboratory batch studies. Electronic components evaluated included PC cathode ray tubes, PC motherboards, PC mice, television remote controls, and cellular phones. Each component was disassembled and digested using the Toxicity Characteristic Leaching Procedure (TCLP), EPA Method 1312, Method EA NEN 7371 (Dutch Environmental Agency), and Method DEV-S4 (Germany). The extracts were analyzed for lead, cadmium, chromium, silver, and cobalt. The TCLP consistently leached the greatest amounts of all metals; TCLP-soluble lead was extracted well beyond federal limits for several electronic devices.<br>Department of Natural Resources and Environmental Management
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Gordon, Roberta June. "Pregnant women's perception and application of health promotion messages at community health centres." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Studies have shown that pregnant women do understand and value information of their unborn child. However, those providing health promotion services often focus on medical procedures and health education messages, ignoring the cultural, socio-economic and psychological dimensions that impact on women's health. This research aimed to look at a specific component of health promotion, i.e. health promotion messages shared with pregnant women attending Stellenbosch and Klapmuts Community Health Centre Antenatal Health Promotion Programme and their perceptions of how they apply messages in their daily lives.