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December 2015

Volume 1 Issue 2

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Research Article

Implementation Cost of A Community-Based Colorectal Cancer Screening Enhancement Program: Against Colorectal Cancer in our Neighborhoods (ACCION)

Junghyun Kim*, David R. Lairson*, Theresa Byrd, Rebekah Salaiz, Navkiran K Shokar

ACCION is a community based program for educating the under/uninsured Hispanic population to increase colorectal cancer screening in El Paso County, Texas. This paper determines the total, average and component program implementation costs for three alternative intervention strategies and group vs. individual delivery among 5,826 participants.High risk participants were directed to a  colonoscopy intervention and others were directed to a fecal immunochemical test (FIT) intervention. Participants were randomized to Video, Promotora, or Video + Promotora screening- promotion delivery modes. Implementation costs were prospectively measured by group and individual educational sessions. Costs were then simulated for alternative size target populations.

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Research Article

Prevalence, Lipid Abnormalities Combinations and Risk Factors Associated with Low HDL-C Levels in Maracaibo City, Venezuela

Valmore Bermúdez*, Juan Salazar, Joselyn Roja, María Sofía Martínez, Luis Bello, Roberto Añez, Robys González, Carmen Chávez, Vanessa Apruzzese, Wheeler Torres, José Carlos Mejía, Edgar Miquilena, Maricarmen Chacín, Clímaco Cano Ponce, Manuel Velasco, José López-Miranda

The purpose of this study was to analyze the epidemiologic behavior of HDL-C and the factors associated with Low HDL-C within the Maracaibo city Metabolic Syndrome Prevalence Study (MMSPS). A total of 2,230 individuals from both sexes were enrolled in the MMSPS. Low levels of HDL-C were defined according to ATP-III criteria. Qualitative variables were expressed as absolute and relative frequencies, using chi2 test for association assessment. A logistic regression model was built to evaluate the main risk factors associated with Low levels of HDL-C. Low Level HDL-C (isolated and combined) was 57.8% (n=1,288), 751 women and 537 men.

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Review Article

Brain Plasticity and the Enhancement of Brain Functioning

Robert Perna*

Neuroscience methods and knowledge base are evolving quickly and there is a growing understanding of brain plasticity. There is now growing empirical evidence for specific and disparate mechanisms of plasticity. There appears great promise for future brain rehabilitation treatments, however, other than stimulation and forced use paradigms there is limited understanding of how to drive plasticity mechanisms.

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Research Article

Determining the Attitudes of University Students Towards Ageism; Manisa, Turkey

Saliha Ozpinar*, Safak Taner

With increases in life expectancy and decreases in birth rates, the world’s population has been ageing rapidly over the last 50 years. While in 1950, 8% of the world’s population were aged 60 and over, in 2009 5% were aged 65 and over. It is predicted that in 2050, 22% of the world’s population will be aged 60 and over, while 16% will be aged 65 and over. In Turkey too, the proportion of older people in the total population is increasing slightly every year. According to the results of the 2000 census, 7% of the total population were elderly, while this proportion is expected to be 11.4% in 2015.

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Research Article

Depression and Associated Factors among Type Two Diabetes Mellitus Patients in Palestine: a Cross‐Sectional Study, 2013

Zaher Nazzal*, Assef Hamdan, Zaid Thaher, Issa Alawneh, Iyad Abu Baker, Amira Hindi

Diabetes Mellitus and depression are two common public health problems affecting people all over the world. As being diagnosed with Diabetes Mellitus is a major life stress per se, the prevalence of depression among diabetics is high. Depression is believed to influence the treatment outcomes and prognosis of Diabetes Mellitus as well as the quality of life among diabetics. The aim of our study is to determine the prevalence of depression and to assess the factors associated with it among patients with Type Two Diabetes Mellitus.

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Research Article

Influenza Vaccine Uptake among Palestinian Hospitals’ Health Care Workers: Barriers and Motivators

Zaher Nazzal*, Laila Dmaidi, Yousef Hamshari

Influenza is a major health problem affecting all people, mainly elderly, children, and people with co-morbidities. It greatly contributes to global mortality and morbidity and has important economic consequences. Each year, seasonal flu affects 5-10% of the world’s population, causing 3-5 million severe infections and resulting in 250 000-500 000 deaths. Nosocomial transmission of influenza is an important cause of patient morbidity and mortality, and healthcare workers (HCWs) are the most significant reservoirs.

 

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Research Article

Community Anti-HIV/AIDS Stigma Strategies in Navakholo, Kenya

Mukhwana Eugine Sundays, Ayuku D O*, Baliddawa J*, Omar Egesa*

AIDS related stigma and discrimination is a common problem in rural communities in Kenya and affects HIV prevention strategies and the care of persons living with HIV and AIDS. This study sought to establish the approaches and strategies used to reduce HIV and AIDS related stigma in the community of Navakholo in Western Kenya. This was a descriptive qualitative study that employed an evaluation study design approach. The sample units were purposively selected to meet established criteria. Interview guides were used to collect data. Six Focus Group Discussions were held and several Key informants interviewed. Data obtained was scrutinized for emerging themes using content analysis. The study established that although uncoordinated, there are efforts being made to mitigate HIV/AIDS related stigma in Navakholo.

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Research Article

Evaluation of an Educational Intervention based on Health Belief Model in Promoting New Born Screening Behavior of Mothers for Early Detection of Children with Congenital Hypothyroidism

Bimba Wickramarachchi, Manjula Hettiarachchi, Chandrani Liyanage, Bilesha Perera*

Congenital hypothyroidism causes permanant damage and lifelong complications such as mental retardation and development delays in children if not detected and treated early. This study is aimed at determining the effect of a health education program based on the Health Belief Model (HBM) on mother’s participation in newborn screening (NBS) for congenital hypothyroidism (CH) program.

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Research Article

Moderate to Severe Premenstrual Syndrome and Contributing Factors among University Students in Palestine

Zaher Nazzal*, Nidaa Hasan, Mulham Al-Sukhon

Premenstrual syndrome (PMS) is a cyclic occurring disorder that affects young and middle-aged women mainly. It characterized by group of physical, cognitive, emotional and behavioural symptoms that interfere with daily living activities. PMS is common worldwide, but there is no published research about it in Palestine. The aim of this study is to assess the prevalence of premenstrual syndrome and the degree of its severity among the medical students at An-Najah National University, Palestine

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