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Selected AbstractsPerceived oral health: changes over 5 years in one Swedish age-cohortINTERNATIONAL JOURNAL OF DENTAL HYGIENE, Issue 3 2004K Ståhlnacke Objective:,The purpose of this study was to investigate if a change in the social gradients in perceived oral health occurred over a 5-year period, 1992,1997, using a cohort population from two Swedish counties.Methods:,In 1992, a cross-sectional mail questionnaire was sent to all 50-year-old persons in two counties in Sweden, Örebro and Östergötland, and altogether there were 8888 persons. In 1997, the same population was sent a new questionnaire. The cohort, comprising the same respondents from 1992 and 1997, was of 5363 persons. An index of perceived oral health was constructed out of three questionnaire variables: satisfaction with teeth, chewing ability and the number of remaining teeth. This index value was set as a dependent variable in a regression model. Reports of toothache were investigated in a separate logistic regression model.Results:,There were obvious social gradients in the perceived oral health index both in 1992 and in 1997. Marital status, foreign birth, education and occupation were all substantially related to the perceived oral health. The change in perceived oral health was analysed. Almost half of the cohort (47.4%) showed no change at all. Those with increased and those with decreased health were rather evenly distributed on both sides, with 22.0% with better health in 1997 and 30.6% with worse health. Gender and education were related to toothache experience. Conclusion: Changes have been moderate in the perceived oral health in this cohort, despite the rather drastic changes in the remuneration of dental care during this study time. However, this also means that the social differences remain, despite the official goals of increased equity. [source] Press stories as a medium for social marketing: the publisher's perspectiveINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 1 2000Roger Bennett Features editors in 50 UK newspapers and magazines completed a mail questionnaire concerning their use of charity infotorials, ie human interest press stories based on materials developedandsubmittedbycharityemployees. The research focused on publishers' reasons for carrying this type of article, editorial policy regarding materials submitted by charities, perceptions of the quality of the copy received, and the determinants of publishers' levels of satisfaction with outcomes. A clear dichotomy emerged between publishing firms that viewed infotorials mainly as a means for gaining a competitive advantage over titles produced by other businesses, and those that adopted a more altruistic approach to the publication of stories with a charity-related theme. Copyright © 2000 Henry Stewart Publications [source] Role of nurses in institutional ethics policies on euthanasiaJOURNAL OF ADVANCED NURSING, Issue 1 2006Chris Gastmans PhD Aim., This paper reports the findings of a survey that investigated whether Flemish Catholic hospitals and nursing homes had developed written ethics policies on euthanasia and how the role of nurses was described in these policies. Background., International research shows undeniably that nurses are confronted with patients requesting euthanasia. Euthanasia has been legal in Belgium since 2002 and in Holland since 2001. Because of the vagueness in formal documents and policies on the role of nurses in euthanasia, there is an increasing need to establish institutional ethics policies that clearly describe the role of nurses in the euthanasia process. Methods., We used a cross-sectional descriptive mail questionnaire to survey the general directors of Catholic hospitals and nursing homes in Belgium (Flanders). Data were collected between October 2003 and February 2004. Results., Of the 298 institutions targeted for survey, 81% of hospitals, 62% of nursing homes returned completed questionnaires. Of these, 79% of the hospitals and 30% of the nursing homes had a written ethics policy on euthanasia. The ethics policies of 87% of the hospitals and 77% of the nursing homes explicitly addressed the role of nurses in the euthanasia process. In the majority of hospitals and nursing homes, the ethics policies addressed the conscientious objections of nurses to euthanasia. Most hospitals and nursing homes voluntarily communicated their ethics policies to the nurses they employed. Conclusion., The written ethics policies of most Catholic healthcare institutions give explicit attention to the role of nurses in the euthanasia process. However, the meaning and content of the role of nurses, as indicated in these ethics policies, continue to be an issue. Further research is needed to verify how these policies are actually implemented within the institutions and whether they contribute to better support for nurses and to ethical care for patients. [source] What citizens think about the police: assessing actual and wished-for frequency of police activities in one's neighbourhoodJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 3 2005Satu Salmi Abstract The aim of the study was to find out what were citizens' assessments of actual and wished-for frequencies of 12 police activities in two typical Finnish neighbourhoods. Data were collected from 3271 adults and 986 young people with a mail questionnaire. Actual and wished-for frequencies were separately analysed using Homals. Both analyses produced a dimension indicating the assessed (actual or wished-for) frequency of police work, disregarding the content of the 12 police activities. In addition, each analysis produced a dimension describing the tendency to give a ,don't-know' answer. The latter two non-substantive dimensions were interpreted as indicating that the general level of knowledge of police activities was not high among the citizens. When comparing the frequency assessments of ongoing police activities and the wishes concerning these activities, it was found that citizens wished the police to increase all cited activities, particularly foot patrolling, helping and supporting victims and giving crime prevention advice. Citizens appeared to be responsive to the activities related to community policing and preventive police work. All four dimensions were related with background characteristics of respondents (age, gender, city and living conditions), but these relations were not strong. Copyright © 2005 John Wiley & Sons, Ltd. [source] Oral Cancer Knowledge and Opinions Among Maryland Nurse PractitionersJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2001Piya Siriphant DDS Abstract Objectives: As part of a Maryland statewide oral cancer needs assessment, a census of adult and family practice nurse practitioners was conducted to determine their knowledge of oral cancer risk factors, diagnostic procedures and related opinions. Methods: Information was obtained through a pretested, 40-item, self-administered mail questionnaire of 389 nurse practitioners. A second complete mailing was sent three weeks after the initial mailing; two postal card reminders were mailed at 10 and 17 days after the second mailing, which yielded a response rate of 56 percent. Results: Most nurse practitioners identified the use of tobacco, alcohol, and prior oral cancer lesions as real risk factors. But only 35 percent identified exposure to the sun as a risk for lip cancer. Respondents were not overly knowledgeable about the early signs of oral cancer, most common forms, or sites for oral cancer. Only 19 percent believed their knowledge of oral cancer was current. Nurse practitioners who reported having a continuing education course on oral cancer within the past two to five years were 3.1 times more likely to have a high score on knowledge of risk factors and 2.9 times more likely to have a high score on knowledge of both risk factors and of diagnostic procedures than were those who had never had a continuing education course. Conclusions: The reported knowledge of oral cancer, in conjunction with opinions about level of knowledge and training, point to a need for systematic educational updates in oral cancer prevention and early detection. [source] Comparing three attitude-behavior theories for predicting science teachers' intentionsJOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 9 2002Michaela Zint Social psychologists' attitude-behavior theories can contribute to understanding science teachers' behaviors. Such understanding can, in turn, be used to improve professional development. This article describes leading attitude-behavior theories and summarizes results from past tests of these theories. A study predicting science teachers' intention to incorporate environmental risk education based on these theories is also reported. Data for that study were collected through a mail questionnaire (n,=,1336, radjusted,=,80%) and analyzed using confirmatory factor and multiple regression analysis. All determinants of intention to act in the Theory of Reasoned Action and Theory of Planned Behavior and some determinants in the Theory of Trying predicted science teachers' environmental risk education intentions. Given the consistency of results across studies, the Theory of Planned Behavior augmented with past behavior is concluded to provide the best attitude-behavior model for predicting science teachers' intention to act. Thus, science teachers' attitude toward the behavior, perceived behavioral control, and subjective norm need to be enhanced to modify their behavior. Based on the Theory of Trying, improving their attitude toward the process and toward success, and expectations of success may also result in changes. Future research should focus on identifying determinants that can further enhance the ability of these theories to predict and explain science teachers' behaviors. © 2002 Wiley Periodicals, Inc. J Res Sci Teach 39: 819,844, 2002 [source] Evaluation of the Centers for Disease Control and Prevention's Concussion Initiative for High School Coaches: "Heads Up: Concussion in High School Sports"JOURNAL OF SCHOOL HEALTH, Issue 3 2010Kelly Sarmiento MPH BACKGROUND: To reduce the number of sports-related concussions, the Centers for Disease Control and Prevention (CDC), with the support of partners and experts in the field, has developed a tool kit for high school coaches with practical, easy-to-use concussion-related information. This study explores the success of the tool kit in changing knowledge, attitudes, and practices related to the prevention and management of concussions. METHODS: A mail questionnaire was administered to all eligible high school coaches who received the tool kit. Follow-up focus groups were conducted for additional information. Both quantitative data from the surveys and qualitative data from the focus groups were analyzed to support the objectives of the study. RESULTS: Respondents self-reported favorable changes in knowledge, attitudes, and practices toward the prevention and management of concussions. Qualitative responses augmented the quantitative data. CONCLUSION: Barriers to concussion prevention and management are complex; however, these results highlight the role that coaches can play in school settings in establishing a safe environment for their athletes. [source] Farm work exposure of older male farmers in Saskatchewan,AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 7 2010Donald C. Voaklander PhD Abstract Background The average age of farmers in North America is increasing each year. Research has determined that age and health status are both related to increased risk of injury. The purpose of this research was to determine the association of health and medication factors with exposure to farm work in older male farmers. Methods As part of a cohort study to study determinants of injury on Saskatchewan farms, 5,502 farm people associated with 2,386 Saskatchewan farms were surveyed by mail questionnaire during the winter of 2007. The primary dependent variable was average hours per week of farm work. Independent variables included illnesses, age, and medication use. Results The mean number of hours worked per week by farmers aged 55 years and older was 48. There was a significant relationship between age and hours worked with each year of age accounting for about 0.85,hr less work per week. Medication use was related to a reduction in weekly work hours during the busy fall season but was not related to work exposure averaged over the whole year. In multivariable linear regression analysis, the main contributing variables to farm work exposure were: retired status (,), working off farm (,), and age (,). Conclusion The amount of hours older farmers work on the farm is considerable compared to any other occupational category. While there is a declining trend in the amount of work, a 75-year-old farmer still works, on average, about 34,hr per week. Some farmers do appear to self-limit during busy times of the year if they are taking medication. Am. J. Ind. Med. 53:706,715, 2010. © 2010 Wiley-Liss, Inc. [source] The role and function of quality assurance officers in Ontario hospitalsQUALITY ASSURANCE JOURNAL, Issue 3 2005Kent V. Rondeau Abstract This article examines the role and job function of quality assurance officers in hospitals in Ontario, Canada. Results from a mail questionnaire suggest that hospital quality assurance professionals in our sample are much more likely to be female, at mid-career, and to have advanced graduate degrees, although most lack professional certification and formal training in quality management. Although the job duties of hospital quality assurance professionals are broad and varied, many report being engaged in traditional quality assurance managerial activities including hospital accreditation efforts, risk management assessment, and patient satisfaction measurement. Coordinating quality assurance activities, performance reporting, and leading the Total Quality Management (TQM)/Continuous Quality Improvement (CQI) initiative remain central functions associated with their work efforts. Nevertheless, limited formal training in the principles and methods of quality management and improvement may be placing significant constraints on their effectiveness. Copyright © 2005 John Wiley & Sons, Ltd. [source] How New Product Introductions Affect Sales Management Strategy: The Impact of Type of "Newness" of the New ProductTHE JOURNAL OF PRODUCT INNOVATION MANAGEMENT, Issue 4 2003Kamel Micheal How do firms adjust sales management strategy for new product launch? Does sales management strategy change more radically for different types of new products such as new-to-the-world products versus product revisions? Because firms introducing a new product rely considerably on their sales force in the product launch effort, the types and degree of changes made in managing the selling effort are important issues. Past studies have demonstrated that firms make substantial adjustments in their sales management strategy when they introduce a new product. This study expands on previous investigations by examining whether sales management strategy changes are conditioned by the type of newness of the new product to the market and to the firm. Australian sales managers were asked to respond to a mail questionnaire concerning pre- and post-new product launch sales management activities. Three groups of firms were compared: (1) those with new-to-the-market and new-to-the-firm products (i.e., new-to-the-world products); (2) those with products new to the firm but not new to the market; and (3) those with products that are revisions to the firm and not new to the market. The study finds that firms do not make the most adjustments for products with the greatest degree of market newness,the new-to-the-world types of products,except in the sales management strategy categories of compensation and supervision. In the other sales management strategy categories defined for study,organization, training, quotas and goals, and sales support as well as for all categories in the aggregate,sales management strategy changes were greatest in incidence, as measured both by the percent of firms making changes and the average number of changes per firm, when the new product was new to the firm but not new to the market. These results suggest that, because different types of new products face different competitive environments, there may be greater incentive for a not-new-to-the-market new-to-the-firm product to make changes in sales strategy. Uncertainties about market size and customer location with new-to-the-world products may limit the understanding of what changes to make in the strategy categories of quotas and territories. Similarly, uncertainties about product use and customer acceptance of new-to-the-world products may limit the development of training and sales support materials by these firms. Instead, these firms may rely more on compensation and supervision to direct sales efforts for new-to-the-world products. However, observing the market experience and performance of the first-to-market product can benefit firms launching a not-new-to-market and new-to-the-firm product, allowing them to rely more on strategy changes in training, sales support materials, organizational adjustments such as redeployments, and quotas. [source] Dietary and health supplement use among older Australians: results from a national surveyAUSTRALASIAN JOURNAL ON AGEING, Issue 4 2003Sonya Brownie Objectives: To measure the extent of dietary and health supplement use among older Australians and to contrast older supplement users from older non-supplement users. Method: Survey participants (n= 1,263) provided information related to demographic, health and lifestyle features. The target population were Australians aged 65 years and over, randomly chosen from the Australian Electoral Commission. Data was obtained using a 12-page self-administered, mail questionnaire. Results: Forty-three percent (n=548) of the sample reported using at least one dietary and health supplement, 52% of females and 35% of males. Supplement use was significantly related to several demographic and lifestyle features including: gender, educational level, smoking status and number of visits to complementary health therapists. Conclusions: Clearly, supplements were chosen more for their perceived ability to attenuate or modify ailments, rather than their role in correcting nutritional deficiencies. Older Australians appear intent on taking health matters in their own hands. Approximately one third of them rarely inform their doctor about the supplements they use, which raises concerns about the safety and appropriateness of this action. [source] Promotional message strategies for disability charities' employment servicesINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 1 2001Roger Bennett One hundred and eight managers responsible for employee recruitment completed mail questionnaires designed to assess their affective, cognitive and conative reactions to two promotional messages for a disability charity's employment (job-finding) service. The first message contained a mainly altruistic appeal; the second emphasised the financial and other practical benefits of employing a disabled person. Overall the sample reacted more favourably to the latter communication. Heads of department and general managers found the altruistic message to be significantly less appealing than did personnel or human resources managers. Responses were significantly influenced by a recruiting manager's personal experiences of disabled individuals; by the state of the labour market; and by perceptions (possibly unfounded) that non-disabled employees within a firm would feel uncomfortable if they were made to work alongside a disabled person. Copyright © 2001 Henry Stewart Publications [source] Do-Not-Resuscitate Policy on Acute Geriatric Wards in Flanders, BelgiumJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2005Cindy De Gendt MSc Objectives: To describe the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium, and to compare it with the international situation. Design: Structured mail questionnaires. Setting: All 94 acute geriatric wards in hospitals in Flanders in 2002 (the year Belgium voted a law on euthanasia). Participants: Head geriatricians. Measurements: A questionnaire was mailed about the existence, development, and implementation of the DNR policy (guidelines and order forms), with a request to return copies of existing DNR guidelines and DNR order forms. Results: The response was 76.6%, with hospital characteristics not significantly different for responders and nonresponders. Development of DNR policy began in 1985, with a step-up in 1997 and 2001. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. Geriatric wards in private hospitals implemented their policy later (P=.01) and more often had order forms (P=.04) than those in public hospitals. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process. Conclusion: Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions. [source] Overview and Summary: School Health Policies and Programs Study 2006JOURNAL OF SCHOOL HEALTH, Issue 8 2007Laura Kann PhD ABSTRACT Background:, The School Health Policies and Programs Study (SHPPS) 2006 is the largest, most comprehensive assessment of school health programs in the United States ever conducted. Methods:, The Centers for Disease Control and Prevention conducts SHPPS every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail questionnaires were completed by state education agency personnel in all 50 states plus the District of Columbia and among a nationally representative sample of districts (n = 538). Computer-assisted personal interviews were conducted with personnel in a nationally representative sample of elementary, middle, and high schools (n = 1103) and with a nationally representative sample of teachers of classes covering required health instruction in elementary schools and required health education courses in middle and high schools (n = 912) and teachers of required physical education classes and courses (n = 1194). Results:, SHPPS 2006 describes key school health policies and programs across all 8 school health program components: health education, physical education and activity, health services, mental health and social services, nutrition services, healthy and safe school environment, faculty and staff health promotion, and family and community involvement. SHPPS 2006 also provides data to monitor 6 Healthy People 2010 objectives. Conclusions:, SHPPS 2006 is a new and important resource for school and public health practitioners, scientists, advocates, policymakers, and all those who care about the health and safety of youth and their ability to succeed academically and socially. [source] Faculty and Staff Health Promotion: Results From the School Health Policies and Programs Study 2006JOURNAL OF SCHOOL HEALTH, Issue 8 2007Danice K. Eaton PhD ABSTRACT Background:, US schools employ an estimated 6.7 million workers and are thus an ideal setting for employee wellness programs. This article describes the characteristics of school employee wellness programs in the United States, including state-, district-, and school-level policies and programs. Methods:, The Centers for Disease Control and Prevention conducts the School Health Policies and Programs Study every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail questionnaires were completed by state education agency personnel in 49 states plus the District of Columbia and among a nationally representative sample of school districts (n = 445). Computer-assisted personal interviews were conducted with personnel in a nationally representative sample of elementary, middle, and high schools (n = 873). Results:, During the 2 years preceding the study, 67.3% of states provided assistance to districts or schools on how to develop or implement faculty and staff health promotion activities or services. Although nearly all schools offered at least 1 health promotion service or activity, few schools offered coordinated activities and services within a comprehensive employee wellness program. During the 12 months preceding the study, none of the health screenings were offered by more than one third of schools; only a few of the health promotion activities and services were offered by more than one third of schools; about one third of schools offered physical activity programs, employee assistance programs, and subsidies or discounts for off-site health promotion activities; and only 1 in 10 schools provided health-risk appraisals for faculty and staff. Conclusions:, More schools should implement comprehensive employee wellness programs to improve faculty and staff health behaviors and health status. [source] Family and Community Involvement in Schools: Results From the School Health Policies and Programs Study 2006JOURNAL OF SCHOOL HEALTH, Issue 8 2007Shannon Michael MPH ABSTRACT Background:, Family and community involvement in schools is linked strongly to improvements in the academic achievement of students, better school attendance, and improved school programs and quality. Methods:, The Centers for Disease Control and Prevention conducts the School Health Policies and Programs Study every 6 years. In 2006, computer-assisted telephone interviews or self-administered mail questionnaires were completed by state education agency personnel in all 50 states plus the District of Columbia and among a nationally representative sample of school districts (n = 461). Computer-assisted personal interviews were conducted with personnel in a nationally representative sample of elementary, middle, and high schools (n = 1029) and with a nationally representative sample of teachers of required health education classes and courses (n = 912) and required physical education classes and courses (n = 1194). Results:, Although family and community involvement in states, districts, and schools was limited, many states, districts, and schools collaborated with community groups and agencies to promote and support school health programs. More than half of districts and schools communicated information to families on school health program components. Teachers in 55.5% of required health education classes and courses and 30.8% of required physical education classes and courses gave students homework or projects that involved family members. Conclusions:, Although family and community involvement occurred at all levels, many schools are not doing some of the fundamental things schools could do to increase family involvement. Improvements in family and community involvement can support school health programs in states, districts, schools, and classrooms nationwide. [source] The Use of Acellular Dermis in the Prevention of Frey's SyndromeTHE LARYNGOSCOPE, Issue 11 2001Satish Govindaraj MD Abstract Educational Objective At the conclusion of this presentation, the participant should be able to discuss the indications and advantages of using acellular dermis in the prevention of post-parotidectomy gustatory sweating (Frey's Syndrome). Introduction Gustatory sweating is a common postoperative problem and a challenge to treat. The purpose of this study was to evaluate the role of acellular dermis in preventing post-parotidectomy gustatory sweating. Methods Sixty-four patients were randomly assigned to two groups. Group I consisted of 32 patients who underwent a superficial lobe parotidectomy. Group II consisted of 32 patients who underwent a superficial lobe parotidectomy and underwent intraoperative placement of acellular dermis within the parotid bed, between the skin flap and the remaining parotid tissue. The implanted volume of acellular dermis was determined by the amount required to aesthetically restore lateral facial contour. All 64 patients were evaluated for gustatory sweating by identical phone and mail questionnaires. Thirty randomly chosen patients (group I = 15, group II = 15) were evaluated using a modified Minor's Starch-Iodine Test (MSIT). In all 30 patients, the MSIT was administered to both sides of the face. Results The responses to questionnaires (N = 64) demonstrated the subjective presence of gustatory sweating in 3 of 32 patients (9.3%) in group I, whereas group II demonstrated a subjective incidence in 1 of 32 patients (3.1%). The objective incidence determined by those who underwent the MSIT (n = 30) revealed a 40% (6) and 0% incidence of Frey's Syndrome in groups I and II, respectively. The complication rate in group I was 9% (3 seromas) and in group II it was 25% (7 seromas and 1 wound infection). Conclusions Acellular dermis appears to be an effective method for preventing post-parotidectomy gustatory sweating, despite its higher complication rate. [source] |