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Search Results: 1 - 10 of 20 matches for " MSPH "
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At the Cutting Edge or the Center of the Storm? Innovation in Public Health Through Health Promotion and Education in State Health Departments
Randy Schwartz, MSPH
Preventing Chronic Disease , 2005,
Abstract:
BEBERAPA PENELITIAN TENTANG PENGELOLAAN OBAT
Drs. Sarjaini Jamal MSPH.
Media of Health Research and Development , 2012,
Abstract: Penelitian tentang pengelolaan obat merupakan sebagian dari penelitian yang dilakukan oleh Puslitbang Farmasi, sesuai dengan tugasnya yaitu merumuskan pedoman penelitian, melaksanakan penelitian, mengkoordinasikan dan menelaah hasil-hasil penelitian serta menyelenggarakan penelitian dibidang farmasi. Untuk menyelenggarakan tugas tersebut Puslitbang Farmasi mempunyai fungsi mengidentifikasi, mengkoordinasikan dan melaksanakan berbagai penelitian tentang organisasi, tatalaksana, sarana, tenaga, dana dan segi ekonomi yang menyangkut obat-obatan. Tulisan ini bertujuan mengenalkan beberapa penelitian pengelolaan obat yang pernah dilakukan oleh Puslitbang Farmasi sampai dengan tahun 1989.
Suatu Ulasan Tentang Penarikan Beberapa Obat Dari Peredaran
Sarjaini Jamal, MSPH
Media of Health Research and Development , 2012,
Abstract: Penilaian kembali (reevaluasi) perlu dilakukan terhadap obat jadi yang telah terdaftar dan beredar di masyarakat,terutama terhadap obat-obat yang mempunyai resiko tinggi, komposisi dianggap tidak rasional, indikasi tidak tepat dan pemborosan karena efek terapi yang tidak bermakna. Sehubungan dengan ini,pada tahap pertama telah dikeluarkan dan diberlakukan SK Menkes No.725a/Menkes/SK/XI/1989 tentang penilaian kembali dan penarikan dari peredaran atas 285 obat jadi dan pembatasan pada 3 items obat jadi lainnya. Usaha ini dinilai sejalan dengan kebijaksanaan Dep.Kesehatan dalam upaya peningkatan "quality assurance" pelayanan kesehatan.
Associations Between Severe Obesity and Depression: Results From the National Health and Nutrition Examination Survey, 2005-2006
Arlene M. Keddie, PhD, MSPH
Preventing Chronic Disease , 2011,
Abstract: IntroductionMy objectives were to investigate the association between obesity and depression in a representative sample of American adults, investigate sex and severity of obesity as modifiers of the association between depression and body mass index, determine whether large waist circumference is associated with depression, and explore whether specific health behaviors and poor physical health are possible mediators of the association between obesity and depression, if found.MethodsThe sample consisted of 3,599 nonpregnant adults aged 20 years or older from the National Health and Nutrition Examination Survey, 2005-2006. I operationalized obesity as body mass index (BMI) and waist circumference from the anthropometric measurements of participants and current depression from Patient Health Questionnaire (PHQ-9) scores. I ran logistic regression models with depression as the dependent variable.ResultsIn unadjusted analyses, large waist circumference (≥88 cm for women and ≥102 cm for men) and class III obesity (BMI ≥40 kg/m2) were associated with higher prevalence of depression in women only. All of these associations dramatically weakened after adjusting for demographic factors, self-rated health status, and number of chronic conditions.ConclusionThese findings support an association between depression and obesity in women who are severely obese. Future studies should investigate poor physical health as a possible mediator of the association between obesity and depression in this population of women.
Choropleth Map Design for Cancer Incidence, Part 1
Thomas B. Richards, MD,Zahava Berkowitz, MSPH,Cheryll C. Thomas, MSPH,Stephanie Lee Foster, MPH
Preventing Chronic Disease , 2010,
Abstract: Choropleth maps are commonly used in cancer reports and community discussions about cancer rates. Cancer registries increasingly use geographic information system techniques. The Centers for Disease Control and Prevention’s Division of Cancer Prevention and Control convened a Map Work Group to help guide application of geographic information systems mapping techniques and to promote choropleth mapping of data from central cancer registries supported by the National Program of Cancer Registries, especially for planning and evaluation of comprehensive cancer control programs. In this 2-part series in this issue of Preventing Chronic Disease, we answer frequently asked questions about choropleth map design to display cancer incidence data. We recommend that future initiatives consider more advanced mapping, spatial analysis, and spatial statistics techniques, and include usability testing with representatives of state and local programs and other cancer prevention partners.
Choropleth Map Design for Cancer Incidence, Part 2
Thomas B. Richards, MD,Zahava Berkowitz, MSPH,Cheryll C. Thomas, MSPH,Stephanie Lee Foster, MPH
Preventing Chronic Disease , 2010,
Abstract: Choropleth maps are commonly used in cancer reports and community discussions about cancer rates. Cancer registries increasingly use geographic information system techniques. The Centers for Disease Control and Prevention’s Division of Cancer Prevention and Control convened a Map Work Group to help guide application of geographic information system mapping techniques and to promote choropleth mapping of data from central cancer registries supported by the National Program of Cancer Registries, especially for comprehensive cancer control planning and evaluation purposes. In this 2-part series, we answer frequently asked questions about choropleth map design to display cancer incidence data. We recommend that future initiatives consider more advanced mapping, spatial analysis, and spatial statistics techniques and include usability testing with representatives of state and local programs and other cancer prevention partners.
Association of Regional Variation in Primary Care Physicians’ Colorectal Cancer Screening Recommendations with Individual Use of Colorectal Cancer Screening
Jennifer S. Haas, MD, MSPH,Garrett Fitzmaurice, ScD,Phyllis Brawarsky, MPH,Su-Ying Liang, PhD
Preventing Chronic Disease , 2007,
Abstract: IntroductionStudies show that the recommendations of a primary care physician for colorectal cancer screening may be one important influence on an individual’s use of screening. However, another possible influence, the effect of regional differences in physicians’ beliefs and recommendations on screening use, has not been assessed.MethodsWe linked data from the National Health Interview Survey on the use of colorectal cancer screening by respondents aged 50 years or older, by hospital-referral region, with data from the Survey of Colorectal Cancer Screening Practices on the colorectal cancer screening recommendations of primary care physicians, by region. Our principal independent variables were the proportion of physicians in a region who recommended screening at age 50 and continuing screening at the recommended frequency.Results On average, 53.3% of physicians in a region correctly recommended initiating colorectal cancer screening, and 64.8% advised screening at the recommended frequency. Of adults who lived in regions where less than 30% of physicians correctly recommended initiating screening, 47.3% had been screened, in contrast to 54.8% in areas where 70% or more of physicians made correct recommendations. Seventy-one percent of respondents living in regions where less than 30% of physicians advised screening at the recommended frequency were current on screening, in contrast to 79.9% of respondents living in regions where 70% or more of physicians made this recommendation. These differences were statistically significant after adjustment for individual characteristics.ConclusionStrategies to improve colorectal cancer screening recommendations of primary care physicians may improve the use of screening for millions of Americans.
Direct and Indirect Costs of Asthma in School-age Children
Li Yan Wang, MBA, MA,Yuna Zhong, MD, MSPH,Lani Wheeler, MD
Preventing Chronic Disease , 2005,
Abstract: Introduction Asthma is one of the most common chronic diseases of childhood and is the most common cause of school absenteeism due to chronic conditions. The objective of this study is to estimate direct and indirect costs of asthma in school-age children. Methods Using data from the 1996 Medical Expenditure Panel Survey, we estimated direct medical costs and school absence days among school-age children who had treatment for asthma during 1996. We estimated indirect costs as costs of lost productivity arising from parents loss of time from work and lifetime earnings lost due to premature death of children from asthma. All costs were calculated in 2003 dollars. Results In 1996, an estimated 2.52 million children aged five to 17 years received treatment for asthma. Direct medical expenditure was $1009.8 million ($401 per child with asthma), including payments for prescribed medicine, hospital inpatient stay, hospital outpatient care, emergency room visits, and office-based visits. Children with treated asthma had a total of 14.5 million school absence days; asthma accounts for 6.3 million school absence days (2.48 days per child with asthma). Parents loss of productivity from asthma-related school absence days was $719.1 million ($285 per child with asthma). A total of 211 school-age children died of asthma during 1996, accounting for $264.7 million lifetime earnings lost ($105 per child with asthma). Total economic impact of asthma in school-age children was $1993.6 million ($791 per child with asthma). Conclusion The economic impact of asthma on school-age children, families, and society is immense, and more public health efforts to better control asthma in children are needed.
NHLBI Step-by-Step Approach to Adapting Cardiovascular Training and Education Curricula for Diverse Audiences
Madeleine F. Wallace, PhD, MS,Robinson Fulwood, PhD, MSPH,Matilde Alvarado, MS, RN
Preventing Chronic Disease , 2008,
Abstract: Racial and ethnic minority communities need to be involved in developing health information to ensure its cultural appropriateness, improve its acceptability, and stimulate adoption of healthy behaviors. The National Heart, Lung, and Blood Institute at the National Institutes of Health adapted a heart-health curriculum for Latinos into culturally appropriate curricula for American Indians/Alaska Natives, African Americans, and Filipinos. Lessons learned from this process can assist public health practitioners interested in adapting science-based heart-health information into practical health education messages that meet the cultural and contextual needs of diverse groups.
Prevalence of Physical Activity in the United States: Behavioral Risk Factor Surveillance System, 2001
Caroline A. Macera, PhD,Sandra A. Ham, MS,Michelle M. Yore, MSPH,Deborah A. Jones, PhD
Preventing Chronic Disease , 2005,
Abstract: Introduction The health benefits of regular cardiovascular exercise are well-known. Such exercise, however, has traditionally been defined as vigorous physical activity, such as jogging, swimming, or aerobic dance. Exercise of moderate intensity also promotes health, and many U.S. adults may be experiencing the health benefits of exercise through lifestyle activities of moderate intensity, such as yard work, housework, or walking for transportation. Until recently, public health surveillance systems have not included assessments of this type of physical activity, focusing on exercise of vigorous intensity. We used an enhanced surveillance tool to describe the prevalence and amount of both moderate-intensity and vigorous-intensity physical activity among U.S. adults. Methods We analyzed data from the 2001 Behavioral Risk Factor Surveillance System, a state-based, random-digit dialed telephone survey administered to U.S. adults aged 18 years and older (n = 82,834 men and 120,286 women). Physical activity behavior was assessed using questions designed to quantify the frequency of participation in moderate- or vigorous-intensity physical activities performed during leisure time or for household chores and transportation. Results Overall, 45% of adults (48% of men and 43% of women) were active at recommended levels during nonworking hours (at least 30 minutes five or more days per week in moderate-intensity activities, equivalent to brisk walking, or at least 20 minutes three or more days per week in vigorous activities, equivalent to running, heavy yard work, or aerobic dance). Less than 16% of adults (15% of men and 17% of women) reported no moderate or vigorous activity in a usual week. Conclusion Integrating surveillance of lifestyle activities into national systems is possible, and doing so may provide a more accurate representation of the prevalence of recommended levels of physical activity. These results, however, suggest that the majority of U.S. adults are not active at levels associated with the promotion and maintenance of health.
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