Electron Cyclotron Resonance Heating (ECRH) Control System

International Nuclear Information System (INIS)

Heefner, J.W.; Williams, C.W.; Lauze, R.R.; Karsner, P.G.

1985-01-01

The ECRH Control System was installed on the Tandem Mirror Experiment-Upgrade (TMX-U) in 1980. The system provides approximately 1 MW of 28 GHz microwave power to the TMX-U plasma. The subsystems of ECRH that must be controlled include high-voltage charging supplies, series pass tubes, and magnet supplies. In addition to the devices that must be controlled, many interlocks must be continuously monitored. The previous control system used relay logic and analog controls to operate the system. This approach has many drawbacks such as lack of system flexibility and maintainability. In order to address these problems, it was decided to go with a CAMAC and Modicon based system that uses a Hewlett-Packard 9836C personal computer to replace the previous analog controls. 2 figs

MHD-Stabilization of Axisymmetric Mirror Systems Using Pulsed ECRH

International Nuclear Information System (INIS)

Post, R.F.

2010-01-01

This paper, part of a continuing study of means for the stabilization of MHD interchange modes in axisymmertric mirror-based plasma confinement systems, is aimed at a preliminary look at a technique that would employ a train of plasma pressure pulses produced by ECRH to accomplish the stabilization. The purpose of using sequentially pulsed ECRH rather than continuous-wave ECRH is to facilitate the localization of the heated-electron plasma pulses in regions of the magnetic field with a strong positive field-line curvature, e. g. in the 'expander' region of the mirror magnetic field, outside the outermost mirror, or in other regions of the field with positive field-line curvature. The technique proposed, of the class known as 'dynamic stabilization,' relies on the time-averaged effect of plasma pressure pulses generated in regions of positive field-line curvature to overcome the destabilizing effect of plasma pressure in regions of negative field-line curvature within the confinement region. As will also be discussed in the paper, the plasma pulses, when produced in regions of the confining having a negative gradient, create transient electric potentials of ambipolar origin, an effect that was studied in 1964 in The PLEIDE experiment in France. These electric fields preserve the localization of the hot-electron plasma pulses for a time determined by ion inertia. It is suggested that it may be possible to use this result of pulsed ECRH not only to help to stabilize the plasma but also to help plug mirror losses in a manner similar to that employed in the Tandem Mirror.

Recent Upgrades and Extensions of the ASDEX Upgrade ECRH System

Science.gov (United States)

Wagner, Dietmar; Stober, Jörg; Leuterer, Fritz; Monaco, Francesco; Münich, Max; Schmid-Lorch, Dominik; Schütz, Harald; Zohm, Hartmut; Thumm, Manfred; Scherer, Theo; Meier, Andreas; Gantenbein, Gerd; Flamm, Jens; Kasparek, Walter; Höhnle, Hendrik; Lechte, Carsten; Litvak, Alexander G.; Denisov, Gregory G.; Chirkov, Alexey; Popov, Leonid G.; Nichiporenko, Vadim O.; Myasnikov, Vadim E.; Tai, Evgeny M.; Solyanova, Elena A.; Malygin, Sergey A.

2011-03-01

The multi-frequency Electron Cyclotron Heating (ECRH) system at the ASDEX Upgrade tokamak employs depressed collector gyrotrons, step-tunable in the range 105-140 GHz. The system is equipped with a fast steerable launcher allowing for remote steering of the ECRH RF beam during the plasma discharge. The gyrotrons and the mirrors are fully integrated in the discharge control system. The polarization can be controlled in a feed-forward mode. 3 Sniffer probes for millimeter wave stray radiation detection have been installed.

Operations space diagram for ECRH and ECCD

DEFF Research Database (Denmark)

Bindslev, H.

2004-01-01

at the design phase. At the operations phase it may also prove useful in setting up experimental scenarios by showing operational possibilities, avoiding the need for survey type ray-tracing at the initial planning stages. The diagram may also serve the purpose of communicating operational possibilities to non......A Clemmov-Mullaly-Allis (CMA) type diagram, the ECW-CMA diagram, for representing the operational possibilities of electron cyclotron heating and current drive (ECRH/ECCD) systems for fusion plasmas is presented. In this diagram, with normalized density and normalized magnetic field coordinates......, the parameter range in which it is possible to achieve a given task (e.g. O-mode current drive for stabilizing a neoclassical tearing mode) appears as a region. With also the Greenwald density limit shown, this diagram condenses the information on operational possibilities, facilitating the overview required...

High-power microwave diplexers for advanced ECRH systems

International Nuclear Information System (INIS)

Kasparek, W.; Petelin, M.; Erckmann, V.; Bruschi, A.; Noke, F.; Purps, F.; Hollmann, F.; Koshurinov, Y.; Lubyako, L.; Plaum, B.; Wubie, W.

2009-01-01

In electron cyclotron resonance heating systems, high-power multiplexers can be employed as power combiners, adjustable power dividers, fast switches to toggle the power between two launchers, as well as frequency sensitive directional couplers to combine heating and diagnostic applications on one launcher. In the paper, various diplexer designs for quasi-optical and corrugated waveguide transmission systems are discussed. Numerical calculations, low-power tests and especially high-power experiments performed at the ECRH system of W7-X are shown, which demonstrate the capability of these devices. Near term plans for applications on ASDEX Upgrade and FTU are presented. Based on the present results, options for implementation of power combiners and fast switches in the ECRH system of ITER is discussed.

ECRH and electron heat transport in tokamaks

International Nuclear Information System (INIS)

Zou, X.L.; Giruzzi, G.; Dumont, R.J.

2003-01-01

It has been observed during the ECRH experiments in tokamaks that the shape of the electron temperature profile in stationary regimes is not very sensitive to the ECRH power deposition i.e. the temperature profile remains peaked at the center even though the ECRH power deposition is off-axis. Various models have been invoked for the interpretation of this profile resilience phenomenon: the inward heat pinch, the critical temperature gradient, the Self-Organized Criticality, etc. Except the pinch effect, all of these models need a specific form of the diffusivity in the heat transport equation. In this work, our approach is to solve a simplified time-dependent heat transport equation analytically in cylindrical geometry. The features of this analytical solution are analyzed, in particular the relationship between the temperature profile resilience and the Eigenmode of the physical system with respect to the heat transport phenomenon. Finally, applications of this analytical solution for the determination of the transport coefficient and the polarization of the EC waves are presented. It has been shown that the solution of the simplified transport equation in a finite cylinder is a Fourier-Bessel series. This series represents in fact a decomposition of the heat source in Eigenmode, which are characterized by the Bessel functions of order 0. The physical interpretation of the Eigenmodes is the following: when the heat source is given by a Bessel function of order 0, the temperature profile has exactly the same form as the source at every time. At the beginning of the power injection, the effectiveness of the temperature response is the same for each Eigenmode, and the response in temperature, having the same form as the source, is local. Conversely, in the later phase of the evolution, the effectiveness of the temperature response for each Eigenmode is different: the higher the order, the lower the effectiveness. In this case the response in temperature appears as

Diffusive and convective transport modelling from analysis of ECRH-stimulated electron heat wave propagation

International Nuclear Information System (INIS)

Erckmann, V.; Gasparino, U.; Giannone, L.

1992-01-01

ECRH power modulation experiments in toroidal devices offer the chance to analyze the electron heat transport more conclusively: the electron heat wave propagation can be observed by ECE (or SX) leading to radial profiles of electron temperature modulation amplitude and time delay (phase shift). Taking also the stationary power balance into account, the local electron heat transport can be modelled by a combination of diffusive and convective transport terms. This method is applied to ECRH discharges in the W7-AS stellarator (B=2.5T, R=2m, a≤18 cm) where the ECRH power deposition is highly localized. In W7-AS, the T e modulation profiles measured by a high resolution ECE system are the basis for the local transport analysis. As experimental errors limit the separation of diffusive and convective terms in the electron heat transport for central power deposition, also ECRH power modulation experiments with off-axis deposition and inward heat wave propagation were performed (with 70 GHz o-mode as well as with 140 GHz x-mode for increased absorption). Because collisional electron-ion coupling and radiative losses are only small, low density ECRH discharges are best candidates for estimating the electron heat flux from power balance. (author) 2 refs., 3 figs

A high frequency, high power CARM proposal for the DEMO ECRH system

International Nuclear Information System (INIS)

Mirizzi, Francesco; Spassovsky, Ivan; Ceccuzzi, Silvio; Dattoli, Giuseppe; Di Palma, Emanuele; Doria, Andrea; Gallerano, Gianpiero; Lampasi, Alessandro; Maffia, Giuseppe; Ravera, GianLuca; Sabia, Elio; Tuccillo, Angelo Antonio; Zito, Pietro

2015-01-01

Highlights: • ECRH system for DEMO. • Cyclotron Auto-Resonance Maser (CARM) devices. • Relativistic electron beams. • Bragg reflectors. • High voltage pulse modulators. - Abstract: ECRH&CD systems are extensively used on tokamak plasmas due to their capability of highly tailored power deposition, allowing very localised heating and non-inductive current drive, useful for MHD and profiles control. The high electron temperatures expected in DEMO will require ECRH systems with operating frequency in the 200–300 GHz range, equipped with a reasonable number of high power (P ≥ 1 MW) CW RF sources, for allowing central RF power deposition. In this frame the ENEA Fusion Department (Frascati) is coordinating a task force aimed at the study and realisation of a suitable high power, high frequency reliable source.

A high frequency, high power CARM proposal for the DEMO ECRH system

Energy Technology Data Exchange (ETDEWEB)

Mirizzi, Francesco, E-mail: francesco.mirizzi@enea.it [Consorzio CREATE, Via Claudio 21, I-80125 Napoli (Italy); Spassovsky, Ivan [Unità Tecnica Applicazioni delle Radiazioni – ENEA, C.R. Frascati, via E. Fermi 45, I-00044 Frascati (Italy); Ceccuzzi, Silvio [Unità Tecnica Fusione – ENEA C. R. Frascati, via E. Fermi 45, 00044 Frascati, Roma (Italy); Dattoli, Giuseppe; Di Palma, Emanuele; Doria, Andrea; Gallerano, Gianpiero [Unità Tecnica Applicazioni delle Radiazioni – ENEA, C.R. Frascati, via E. Fermi 45, I-00044 Frascati (Italy); Lampasi, Alessandro; Maffia, Giuseppe; Ravera, GianLuca [Unità Tecnica Fusione – ENEA C. R. Frascati, via E. Fermi 45, 00044 Frascati, Roma (Italy); Sabia, Elio [Unità Tecnica Applicazioni delle Radiazioni – ENEA, C.R. Frascati, via E. Fermi 45, I-00044 Frascati (Italy); Tuccillo, Angelo Antonio; Zito, Pietro [Unità Tecnica Fusione – ENEA C. R. Frascati, via E. Fermi 45, 00044 Frascati, Roma (Italy)

2015-10-15

Highlights: • ECRH system for DEMO. • Cyclotron Auto-Resonance Maser (CARM) devices. • Relativistic electron beams. • Bragg reflectors. • High voltage pulse modulators. - Abstract: ECRH&CD systems are extensively used on tokamak plasmas due to their capability of highly tailored power deposition, allowing very localised heating and non-inductive current drive, useful for MHD and profiles control. The high electron temperatures expected in DEMO will require ECRH systems with operating frequency in the 200–300 GHz range, equipped with a reasonable number of high power (P ≥ 1 MW) CW RF sources, for allowing central RF power deposition. In this frame the ENEA Fusion Department (Frascati) is coordinating a task force aimed at the study and realisation of a suitable high power, high frequency reliable source.

First ECRH modulation experiments in Tore Supra

International Nuclear Information System (INIS)

Zou, X.L.; Artaud, J. F.; Bouquey, F.; Clary, J.; Darbos, C.; Giruzzi, G.; Lennholm, M.; Magne, R.; Segui, J.L.

2003-01-01

The modulation of Electron Cyclotron Resonance Heating (ECRH) is a powerful tool to investigate the crucial problem of heat transport in tokamaks. This method consists in producing perturbations in the electron temperature by means of highly localised electron heating. By studying the propagation of the heat pulse associated with such perturbations, it is possible to determine both the heat transport coefficient and, as a by-product, the ECRH power deposition. In this work, three methods have been used for electron transport analysis: i) the well-known FFT method; ii) an analytical method, consisting in the simulation of the temperature modulation by an analytical solution of the heat transport equation in cylindrical geometry; iii) the power balance method with the profile analysis. The three methods are applied to the analysis of recent experiments performed on Tore Supra, and their advantages and drawbacks are discussed. (authors)

Architecture of central control system for the 10 MW ECRH-plant at W7-X

Energy Technology Data Exchange (ETDEWEB)

Braune, H. [Max-Plank-Institut fuer Plasmaphysik, Euratom Association Teilinstitut Greifswald, Wendelsteinstrasse 1, D-17491 Greifswald (Germany)], E-mail: harald.braune@ipp.mpg.de; Brand, P. [Universitaet Stuttgart, Institut fuer Plasmaforschung Pfaffenwaldring 31, D-70569 Stuttgart (Germany); Erckmann, V.; Jonitz, L. [Max-Plank-Institut fuer Plasmaphysik, Euratom Association Teilinstitut Greifswald, Wendelsteinstrasse 1, D-17491 Greifswald (Germany); Leonhardt, W.; Mellein, D. [Forschungszentrum Karlsruhe, Association EURATOM-FZK, IHM, FZK, Hermann-von-Helmholtz-Platz 1, 76344 Eggenstein-Leopoldshafen (Germany); Michel, G. [Max-Plank-Institut fuer Plasmaphysik, Euratom Association Teilinstitut Greifswald, Wendelsteinstrasse 1, D-17491 Greifswald (Germany); Mueller, G. [Universitaet Stuttgart, Institut fuer Plasmaforschung Pfaffenwaldring 31, D-70569 Stuttgart (Germany); Purps, F. [Max-Plank-Institut fuer Plasmaphysik, Euratom Association Teilinstitut Greifswald, Wendelsteinstrasse 1, D-17491 Greifswald (Germany); Schlueter, K.-H. [Universitaet Stuttgart, Institut fuer Plasmaforschung Pfaffenwaldring 31, D-70569 Stuttgart (Germany); Winkler, M. [Max-Plank-Institut fuer Plasmaphysik, Euratom Association Teilinstitut Greifswald, Wendelsteinstrasse 1, D-17491 Greifswald (Germany)

2007-10-15

Electron Cyclotron Resonance Heating (ECRH) is the main heating method for the Wendelstein 7-X stellarator (W7-X) which is presently under construction at IPP Greifswald. The mission of W7-X is to demonstrate the inherent steady state capability of stellarators at reactor relevant plasma parameters. A modular 10 MW ECRH-plant at 140 GHz with 1 MW CW-capability power for each module is also under construction to support the scientific objectives. The commissioning of the ECRH-plant is well under way; three gyrotrons are operational. The strict modular design allows to operate each gyrotron separately and independent from all others. The ECRH-plant consists of many devices such as gyrotrons and high voltage power supplies, superconductive magnets, collector sweep coils, gyrotron cooling systems with many water circuits and last but not least the quasi-optical transmission line for microwaves with remote controlled mirrors and further water cooled circuits. All these devices are essential for a CW operation. A steady state ECRH has specific requirements on the stellarator machine itself, on the microwave sources, transmission elements and in particular on the central control system. The quasi steady state operation (up to 30 min) asks for real time microwave power adjustment during the different segments of one stellarator discharge. Therefore, the ECRH-plant must operate with a maximum reliability and availability. A capable central control system is an important condition to achieve this goal. The central control system for the 10 MW ECRH-plant at W7-X comprises three main parts. In detail these are the voltage and current regulation of each gyrotron, the interlock system to prevent the gyrotrons from damages and the remote control system based on a hierarchy set of PLCs and computers. The architecture of this central control system is presented.

Extension of high T{sub e} regime with upgraded ECRH system in the LHD

Energy Technology Data Exchange (ETDEWEB)

Takahashi, H.; Shimozuma, T.; Kubo, S.; Yoshimura, Y.; Igami, H.; Ito, S.; Kobayashi, S.; Mizuno, Y.; Okada, K.; Mutoh, T.; Nagaoka, K.; Osakabe, M.; Yamada, I.; Nakano, H.; Yokoyama, M.; Ido, T.; Shimizu, A.; Seki, R.; Ida, K.; Yoshinuma, M. [National Institute for Fusion Science, Toki, 509-5292 (Japan); and others

2014-02-12

Enhancement of the output power per gyrotron has been planned in the Large Helical Device (LHD). Three 77-GHz gyrotrons with an output power of more than 1 MW have been operated. In addition, a high power gyrotron with the frequency of 154 GHz (1 MW/5 s, 0.5 MW/CW) was newly installed in 2012 and the total injection power of ECRH reached 4.6 MW. The operational regime of ECRH plasma on the LHD has been extended due to the upgraded ECRH system such as the central electron temperature T{sub e0} = 13.5 keV with n{sub e} = 1×10{sup 19}m{sup −3}. In the LHD, an electron-internal-transport barrier (e-ITB) related to the production of high T{sub e} plasmas has been realized by strongly centre-focused ECRH. The electron thermal confinement clearly improved inside the e-ITB. The radial electric field was measured using the heavy ion beam probe. The formation of the positive E{sub r} was observed in the core region, which well agreed with the prediction of the neoclassical transport theory. The energy confinement characteristics have been investigated in the ECRH plasmas. It was found that higher plasma stored energy and lower radiation power was realized in the outward configuration. The plasma stored energy of 530 kJ with n{sub e} = 3.2×10{sup 19}m{sup −3}, which is the 1.7 times larger than the previous record in the ECRH plasma in the LHD, has been successfully achieved.

Turbulence suppression in discharges with off-axis ECRH on the T-10 tokamak device

International Nuclear Information System (INIS)

Shelukhin, D.A.; Vershkov, V.A.; Razumova, K.A.

2005-01-01

A transient steep electron temperature gradient has been observed in T-10 tokamak plasmas at ρ=0.25 immediately after off-axis electron cyclotron resonance heating (ECRH) switch-off. The turbulence characteristics were investigated in these discharges by means of correlation reflectometry. It was found that the density fluctuation amplitude was two times lower than the ohmic level in a narrow region near ρ=0.25 after ECRH switch-off. The poloidal coherence of fluctuations is also decreased in this region. The suppression of quasi-coherent oscillations has been observed in discharges during the time when the strong temperature gradient exists. Measurements of turbulent poloidal rotation showed no velocity shear after ECRH switch-off. Analysis of the linear growth rates of instabilities shows that the ion temperature gradient (ITG) mode is unstable at ρ ∼ 0.25 during the whole discharge. A possible explanation for the observed phenomena is the rational surface density decrease near q=1 due to q profile transient flattening after off-axis ECRH switch-off. (author)

Operations space diagram for ECRH and ECCD

International Nuclear Information System (INIS)

Bindslev, Henrik

2004-01-01

A Clemmov-Mullaly-Allis (CMA) type diagram, the ECW-CMA diagram, for representing the operational possibilities of electron cyclotron heating and current drive (ECRH/ECCD) systems for fusion plasmas is presented. In this diagram, with normalized density and normalized magnetic field coordinates, the parameter range in which it is possible to achieve a given task (e.g. O-mode current drive for stabilizing a neoclassical tearing mode) appears as a region. With also the Greenwald density limit shown, this diagram condenses the information on operational possibilities, facilitating the overview required at the design phase. At the operations phase it may also prove useful in setting up experimental scenarios by showing operational possibilities, avoiding the need for survey type ray-tracing at the initial planning stages. The diagram may also serve the purpose of communicating operational possibilities to non-experts. JET and ITER like plasmas are used, but the method is generic. (author)

First results from protective ECRH diagnostics for Wendelstein 7-X

Science.gov (United States)

Marsen, S.; Corre, Y.; Laqua, H. P.; Moncada, V.; Moseev, D.; Niemann, H.; Preynas, M.; Stange, T.; The W7-X Team

2017-08-01

Wendelstein 7-X (W7-X) is a steady state capable optimised stellarator. The main heating system is electron cyclotron resonance heating (ECRH) operating at 140 GHz providing up to 9 MW microwave power. The power is launched into the machine by front steerable quasi-optical launchers in X- or O-mode. While in X-mode the first pass absorption is 99%, it is only 40... 70% in O-mode. O2-mode heating is forseen for high density operation above the X2 cutoff density of 1.2\\centerdot {{10}20} m-3. A set of diagnostics has been developed to protect the machine from non absorbed ECRH power which can easily damage in vessel components. The non absorbed power hitting the inner wall is measured by waveguides embedded in the first wall (ECA diagnostic). In order to prevent the inner wall from overheating or arcing, a near-infra red sensitive video diagnostic with a dynamic range of 450...1200 °C was integrated in the ECRH launchers. Thermal calculations for the carbon tiles predict a temperature increase above the detection threshold for scenarios of plasma start-up failure or poor absorption on a time scale of 50 ms. However, the temperature increase measured by an IR camera in experiments with failed break down, i.e. no ECRH absorption for up to 50 ms, was only Δ T≈ 70{{~}\\circ} C. In discharges with ≈ 5% transmission the measured temperature increase was comparable. The stray radiation level inside the machine is measured by so called sniffer probes resembling microwave diode detectors which were designed to collect all radiation approaching the probing surface independent of incident angle and polarization. Five sniffer probes are installed at different toroidal positions. They were integrated in the ECRH interlock system. During the first operational phase of W7-X this was the only available plasma interlock system. The signal quality proofed to be high enough for a reliable termination in case of poor absorption. After a breakdown phase of 10 ms, the sniffer

Testing and commissioning the multinode ECRH realtime control system on the FTU tokamak

International Nuclear Information System (INIS)

Galperti, C.; Boncagni, L.; Alessi, E.; Sozzi, C.; Nowak, S.; Granucci, G.; Minelli, D.; Marchetto, C.

2014-01-01

Highlights: • We conceived, developed and commissioned a distributed multinode control hardware with proven real-time performances. • The adopted hardware solution is modular and reconfigurable. • The adopted software solution is able to host many experimental scenarios and is totally remotely programmable, configurable and testable. • Effective results in on-line MHD instability detection are presented. - Abstract: In tokamak machines, the ECRH heating system is crucial for plasma heating and for stability control. To be reliable, an ECRH control system should be deeply integrated into the supervision and control systems of the machine, and must be interconnected to the diagnostic instruments and the power actuators of the plant. Moreover, several ECRH experiments are under investigation by the community. So, for the sake of efficiency, it should be possible to reprogram a control system on the fly and possibly from remote locations, even during experiment campaigns. This paper presents the new ECRH control system under development at the FTU tokamak. This system consists of multiple units that acquire and process data and are linked through Ethernet and dedicated fiber-optic data links, under a Linux/MARTe framework. This paper also presents open-loop operative results, both about performances of the control system and about signal processing of the diagnostics relevant to MHD control

Testing and commissioning the multinode ECRH realtime control system on the FTU tokamak

Energy Technology Data Exchange (ETDEWEB)

Galperti, C., E-mail: galperti@ifp.cnr.it [EURATOM – ENEA – CNR Fusion Association, CNR-IFP, via R. Cozzi 53, 20125 Milan (Italy); Boncagni, L., E-mail: luca.boncagni@enea.it [EURATOM – ENEA – CNR Fusion Association, Frascati Research Center, Division of Fusion Physics, Rome, Frascati (Italy); Alessi, E.; Sozzi, C.; Nowak, S.; Granucci, G.; Minelli, D.; Marchetto, C. [EURATOM – ENEA – CNR Fusion Association, CNR-IFP, via R. Cozzi 53, 20125 Milan (Italy)

2014-03-15

Highlights: • We conceived, developed and commissioned a distributed multinode control hardware with proven real-time performances. • The adopted hardware solution is modular and reconfigurable. • The adopted software solution is able to host many experimental scenarios and is totally remotely programmable, configurable and testable. • Effective results in on-line MHD instability detection are presented. - Abstract: In tokamak machines, the ECRH heating system is crucial for plasma heating and for stability control. To be reliable, an ECRH control system should be deeply integrated into the supervision and control systems of the machine, and must be interconnected to the diagnostic instruments and the power actuators of the plant. Moreover, several ECRH experiments are under investigation by the community. So, for the sake of efficiency, it should be possible to reprogram a control system on the fly and possibly from remote locations, even during experiment campaigns. This paper presents the new ECRH control system under development at the FTU tokamak. This system consists of multiple units that acquire and process data and are linked through Ethernet and dedicated fiber-optic data links, under a Linux/MARTe framework. This paper also presents open-loop operative results, both about performances of the control system and about signal processing of the diagnostics relevant to MHD control.

Quasi-optical techniques for ECRH

International Nuclear Information System (INIS)

Andenaerde, K.; Beyer, J.; Vernon, R.

1985-01-01

The status of research at Wisconsin on quasi-optical launchers for ECRH is presented. Wengenroth's mode transducing antenna has been investigated theoretically. Agreement with experiment using TE 01 excitation is excellent, and the theory has been expanded to include TE 02 and TE 03 excitation as well. A system incorporating such and similar mode transducing antennas with a Cassegrain system will combine the output of various gyrotrons. A device to test this and similar concepts is being built and has been preliminarily tested for mode purity

Description of the heliac TJ-II and its ECRH system

International Nuclear Information System (INIS)

Perea, A.; Martin, R.; Alvarez Rivas, J.L.

1986-01-01

This paper describes the main engineering aspects of the flexible heliac TJ-II, as well as the ECRH scheme that will be used for initial operation. Previous papers have described the physics of the device

The design of an ECRH system for JET-EP

DEFF Research Database (Denmark)

Verhoeven, A.G.A.; Bongers, W.A.; Elzendoorn, B.S.Q.

2003-01-01

An electron cyclotron resonance heating (ECRH) system has been designed for JET in the framework of the JET enhanced performance project (JET-EP) under the European fusion development agreement. Due to financial constraints it has been decided not to implement this project. Nevertheless, the design...

The design of an ECRH system for JET-EP

NARCIS (Netherlands)

Verhoeven, A. G. A.; Bongers, W. A.; Elzendoorn, B. S. Q.; Graswinckel, M.; Hellingman, P.; Kooijman, W.; Kruijt, O. G.; Maagdenberg, J.; Ronden, D.; Stakenborg, J.; Sterk, A. B.; Tichler, J.; Alberti, S.; Goodman, T.; Henderson, M.; Hoekzema, J. A.; Oosterbeek, J. W.; Fernandez, A.; Likin, K.; Bruschi, A.; Cirant, S.; Novaks, S.; Piosczyk, B.; Thumm, M.; Bindslev, H.; Kaye, A.; Fleming, C.; Zohm, H.

2003-01-01

An electron cyclotron resonance heating (ECRH) system has been designed for JET in the framework of the JET enhanced performance project (JET-EP) under the European fusion development agreement. Due to financial constraints it has been decided not to implement this project. Nevertheless, the design

ECRH experiments in ASDEX Upgrade

International Nuclear Information System (INIS)

Leuterer, F.; Guenter, S.; Hobirk, J.; Kirov, K.; Ryter, F.; Wolf, R.; Zohm, H.; Gantenbein, G.

2001-01-01

In ASDEX Upgrade ECRH and ECCD with a power of up to 2 MW has been used. With counter ECCD in discharges with an internal transport barrier we achieved an electron temperature of ≅13 keV. In low density ohmic plasmas we obtained an rf driven current of ≅80% both in co- and counter directions. Neoclassical tearing modes have been completly stabilised by driving a current on the resonant q-surface. Electron heat transport has been studied in standard L- and H-mode plasmas and can be described by a dependence on a critical electron temperature gradient

Study of MOD control system in ECRH

International Nuclear Information System (INIS)

Su Yu; Liu Baohua; Ding Tonghai; Kuang Guangli

2005-01-01

High-voltage power supply (HVPS) is one of the important components in ECRH (Electron Cyclotron Resonance Heating). The MOD (modulator) control system is a key of the operation of HVPS and the whole system. The background and principium is introduced in this paper, especially the detail of the hardware and software of the control system is shown. The experiment, that shows stability, accuracy and reliability had reached the expected goal. (authors)

Impact of ECRH launcher flexibility on NTM stabilization and advanced scenarios in large toroidal configurations as JET plasmas

International Nuclear Information System (INIS)

Nowak, S.; Bruschi, A.; Ramponi, G.; Cirant, S.; Lazzaro, E.; Verhoeven, A.G.A.; Zohm, H.

2003-01-01

A beam-tracing code is used for extensive beam-tracing, ECCD and ECRH profile calculations in ideal JET-like plasmas with the main aim of specifying such crucial parameters for the ECRH launcher as the poloidal and toroidal steering ranges, the permitted error in the various launching angles and the optimal shape of the last mirrors reflecting surfaces. In order to be fusion-relevant, the calculations are performed on ideal target plasmas and equilibrium configurations scaled from real JET shots, selected by the JET-EP ECRH Physics Integration Project. The launching scheme is fully compliant with a launcher designed under the geometric constraints of JET, which consists of 6 to 8 beams arranged in pairs, with four end mirrors steerable both in the poloidal and in the toroidal directions. It is shown that with this arrangement all launching configurations requested by the physics goals of ECRH in a JET-like device are feasible. (authors)

Operation and control of high power Gyrotrons for ECRH systems in SST-1 and Aditya

Energy Technology Data Exchange (ETDEWEB)

Shukla, B.K., E-mail: shukla@ipr.res.in; Bora, D.; Jha, R.; Patel, Jatin; Patel, Harshida; Babu, Rajan; Dhorajiya, Pragnesh; Dalakoti, Shefali; Purohit, Dharmesh

2016-11-15

Highlights: • Operation and control of high power Gyrotrons. • Data acquisition and control (DAQ) for Gyrotron system. • Ignitron based crowbar protection. • VME and PXI based systems. - Abstract: The Electron Cyclotron Resonance Heating (ECRH) system is an important heating system for the reliable start-up of tokamak. The 42 GHz and 82.6 GHz ECRH systems are used in tokamaks SST-1 and Aditya to carry out ECRH related experiments. The Gyrotrons are high power microwave tubes used as a source for ECRH systems. The Gyrotron is a delicate microwave tube, which deliver megawatt level power at very high voltage ∼40–50 kV with the current requirement ∼10 A–50 A. The Gyrotrons are associated with the subsystems like: High voltage power supplies (Beam voltage and anode voltage), dedicated crowbar system, magnet, filament and ion pump power supplies, cooling, interlocks and a dedicated data acquisition & control (DAC) system. There are two levels of interlocks used for the protection of Gyrotron: fast interlocks (arcing, beam over current, dI/dt, anode voltage and anode over current etc.) operate within 10 μs and slow interlocks (cooling, filament, silence of Gyrotron, ion pump and magnet currents) operate within 100 ms. Two Gyrotrons (42 GHz/500 kW/500 ms and 82.6 GHz/200 kW/1000 s) have been commissioned on dummy load for full parameters. The 42 GHz ECRH system has been integrated with SST-1 & Aditya tokamak and various experiments have been carried out related to ECRH assisted breakdown and start-up of tokamak at fundamental and second harmonic. These Gyrotrons are operated with VME based data acquisition and control (DAC) system. The DAC system is capable to acquire 64 digital and 32 analog signals. The system is used to monitor & acquire the data and also used for slow interlocks for the protection of Gyrotron. The data acquired from the system are stored online on VME system and after the shot stored in a file in binary format. The MDSPlus, a set of

ECRH on ASDEX Upgrade - System Status, Feed-Back Control, Plasma Physics Results -

Directory of Open Access Journals (Sweden)

Flamm J.

2012-09-01

Full Text Available The ASDEX Upgrade (AUG ECRH system now delivers a total of 3.9 MW to the plasma at 140 GHz. Three new units are capable of 2-frequency operation and may heat the plasma alternatively with 2.1 MW at 105 GHz. The system is routinely used with X2, O2, and X3 schemes. For Bt = 3.2 T also an ITER-like O1-scheme can be run using 105 GHz. The new launchers are capable of fast poloidal movements necessary for real-time control of the location of power deposition. Here real-time control of NTMs is summarized, which requires a fast analysis of massive data streams (ECE and Mirnov correlation and extensive calculations (equilibria, ray-tracing. These were implemented at AUG using a modular concept of standardized real-time diagnostics. The new realtime capabilities have also been used during O2 heating to keep the first reflection of the non-absorbed beam fraction on the holographic reflector tile which ensures a well defined second pass of the beam through the central plasma. Sensors for the beam position are fast thermocouples at the edge of the reflector tile. The enhanced ECRH power was used for several physics studies related to the unique feature of pure electron heating without fueling and without momentum input. As an example the effect of the variation of the heating mix in moderately heated H-modes is demonstrated using the three available heating systems, i.e. ECRH, ICRH and NBI. Keeping the total input power constant, strong effects are seen on the rotation, but none on the pedestal parameters. Also global quantities as the stored energy are hardly modified. Still it is found that the central ion temperature drops as the ECRH fraction exceeds a certain threshold.

Particle Transport in ECRH Plasmas of the TJ-II; Transporte de Particulas en Plasmas ECRH del TJ-II

Energy Technology Data Exchange (ETDEWEB)

Vargas, V. I.; Lopez-Bruna, D.; Estrada, T.; Guasp, J.; Reynolds, J. M.; Velasco, J. L.; Herranz, J.

2007-07-01

We present a systematic study of particle transport in ECRH plasmas of TJ-II with different densities. The goal is to fi nd particle confinement time and electron diffusivity dependence with line-averaged density. The experimental information consists of electron temperature profiles, T{sub e} (Thomson Scattering TS) and electron density, n{sub e}, (TS and reflectometry) and measured puffing data in stationary discharges. The profile of the electron source, Se, was obtained by the 3D Monte-Carlo code EIRENE. The analysis of particle balance has been done by linking the results of the code EIRENE with the results of a model that reproduces ECRH plasmas in stationary conditions. In the range of densities studied (0.58 {<=}n{sub e}> (10{sup 1}9m{sup -}3) {<=}0.80) there are two regions of confinement separated by a threshold density, {approx}0.65 10{sup 1}9m{sup -}3. Below this threshold density the particle confinement time is low, and vice versa. This is reflected in the effective diffusivity, D{sub e}, which in the range of validity of this study, 0.5 <{rho}<0.9 being {rho} normalized plasma radius, decreased significantly above the threshold density. The profiles of D{sub e} are flat for {>=}0,63(10{sup 1}9m{sup -}3). (Author) 35 refs.

Recent ECRH results in ASDEX upgrade

International Nuclear Information System (INIS)

Leuterer, F.; Dux, R.; Gantenbein, G.

2003-01-01

This paper provides an overview on recent experimental results obtained in ASDEX Upgrade using electron cyclotron heating and current drive. The following topics are covered: determination of the power deposition profile, modulated power deposition, studies of the electron heat transport via power balance and heat wave analysis and a comparison with turbulent transport theory, generation of an internal transport barrier for the electron heat flux, impact of electron cyclotron resonance heating (ECRH) on particle and impurity transport, and studies related to neoclassical tearing modes and to sawteeth. (author)

Studies of the disruption prevention by ECRH at plasma current rise stage in limiter discharges

International Nuclear Information System (INIS)

Alikaev, V.V.; Borshegovskij, A.A.; Chistyakov, V.V.

1999-01-01

Studies of disruption prevention by means of ECRH in T-10 at the plasma current rise phase in limiter discharges with circular plasma cross-section were performed. Reliable disruption prevention by ECRH at HF power (P HF ) min level equal to 20% of ohmic heating power P OH was demonstrated. m/n=2/1 mode MHD-activity developed before disruption (with characteristic time ∼120 ms) can be considered as disruption precursor and can be used in a feedback system. (author)

Real time control of plasmas and ECRH systems on TCV

NARCIS (Netherlands)

Paley, J.I.; Felici, F.; Berrino, J.; Coda, S.; Cruz, N.; Duval, B.P.; Goodman, T.P.; Martin, Y.; Moret, J.-M.; Piras, F.; Rodrigues, A.P.; Santos, B.; Varandas, C.A.F.

2008-01-01

Developments in the real time control hardware on TCV paired with the flexibility of plasma shaping and ECRH actuators are opening many opportunities to perform real time experiments and develop algorithms and methods for fusion applications. The ability to control MHD instabilities is particularly

39GHz ECRH system for breakdown studies on the TCA tokamak

International Nuclear Information System (INIS)

Pochelon, A.; Goodman, T.; Whaley, D.; Tran, M.Q.; Reinhard, D.; Perrenoud, A.; Joedicke, B.; Mathews, H.G.; Kasparek, W.; Thumm, M.

1990-01-01

The design construction and first operation of a 39GHz ECRH system (300 kW, 100 ms) for low loop-voltage breakdown and startup-assist experiments on the TCA tokamak is described. (author) 5 refs., 6 figs., 1 tab

Particle Transport in ECRH Plasmas of the TJ-II

International Nuclear Information System (INIS)

Vargas, V. I.; Lopez-Bruna, D.; Estrada, T.; Guasp, J.; Reynolds, J. M.; Velasco, J. L.; Herranz, J.

2007-01-01

We present a systematic study of particle transport in ECRH plasmas of TJ-II with different densities. The goal is to fi nd particle confinement time and electron diffusivity dependence with line-averaged density. The experimental information consists of electron temperature profiles, T e (Thomson Scattering TS) and electron density, n e , (TS and reflectometry) and measured puffing data in stationary discharges. The profile of the electron source, Se, was obtained by the 3D Monte-Carlo code EIRENE. The analysis of particle balance has been done by linking the results of the code EIRENE with the results of a model that reproduces ECRH plasmas in stationary conditions. In the range of densities studied (0.58 ≤n e > (10 1 9m - 3) ≤0.80) there are two regions of confinement separated by a threshold density, e > ∼0.65 10 1 9m - 3. Below this threshold density the particle confinement time is low, and vice versa. This is reflected in the effective diffusivity, D e , which in the range of validity of this study, 0.5 e are flat for ≥0,63(10 1 9m - 3). (Author) 35 refs

Description of the Fokker-Plank code used to model ECRH of the Constance 2 plasma

International Nuclear Information System (INIS)

Mauel, M.E.

1982-01-01

The time-dependent Fokker-Plank code which is used to model the development of the electron velocity distribution during ECRH of the Constance 2 mirror-confined plasma is described in this report. The ECRH is modeled by the bounce-averaged quasilinear theory derived by Mauel. The effect of collisions are found by taking the appropriate gradients of the Rosenbluth potentials, and the electron distribution is advanced in time by using a modified alternating direction implicit (ADI) technique as explained by Killeen and Marx. The program was written in LISP to be run in the MACSYMA environment of the MACSYMA Consortium's PDP-10 computer

Experimental evidence and theory for the interaction of superthermal electrons with the MHD modes during ECRH

International Nuclear Information System (INIS)

Lazaros, Avrilios

2000-01-01

The interaction of ECRH with the m/n=2/1 tearing mode, which was observed in toroidal plasmas, is attributed to the superthermal electrons which are produced on the EC resonance by the ECRH. Superthermal electrons diffusing across the q=2 surface, exchange power with the m/n=2/1 MHD mode which is either suppressed or enhanced. When the EC resonance is outside the rational surface, the mode is always suppressed. When the EC resonance is inside the rational surface, modes with large amplitude are enhanced while modes with small amplitude are suppressed. (author)

Status of the new multi-frequency ECRH system for ASDEX Upgrade

DEFF Research Database (Denmark)

Wagner, D.; Grünwald, G.; Leuterer, F.

2008-01-01

Currently, a new multi-frequency ECRH system is under construction at the ASDEX Upgrade tokamak experiment. This system employs, for the first time in a fusion device, multi-frequency gyrotrons, step-tunable in the range 105-140 GHz. The first two gyrotrons, working at 105 and 140 GHz, were...

Experimental Electron Heat Diffusion in TJ-II ECRH Plasmas

Energy Technology Data Exchange (ETDEWEB)

Vargas, V.I.; Lopez-Bruna, D.; Herranz, J.; Castejon, F.

2006-07-01

Interpretative transport has been used to revisit the global scalings of TJ-II ECRH plasmas from a local perspective. Density, rotational transform and ERCH power scans were analysed based upon Thomson Scattering data (electron density and temperature) in steady state discharges. A simple formula to obtain the thermal conductivity, assuming pure diffusion and negligible convective heat fluxes was used in a set of 161 discharges. All the analysis was performed with the ASTRA transport shell. The density scan indicates that inside n=0,4 there is no significant change of e with density in the range studied (0.4 (1019m-3) 1.0), while in 0,5 <0,8 approximately, e decreases with density. In the rotational transform scan it is found that the values of e when a low order rational of the rotational transform is present locally seem to be smaller for the corresponding range, although it is apparent a general beneficial effect of the corresponding change in magnetic structure. Finally, in the ECRH power scan, e is found to have an overall increment in 0,2

Experimental Electron Heat Diffusion in TJ-II ECRH Plasmas

International Nuclear Information System (INIS)

Vargas, V.I.; Lopez-Bruna, D.; Herranz, J.; Castejon, F.

2006-01-01

Interpretative transport has been used to revisit the global scalings of TJ-II ECRH plasmas from a local perspective. Density, rotational transform and ERCH power scans were analysed based upon Thomson Scattering data (electron density and temperature) in steady state discharges. A simple formula to obtain the thermal conductivity, assuming pure diffusion and negligible convective heat fluxes was used in a set of 161 discharges. All the analysis was performed with the ASTRA transport shell. The density scan indicates that inside n=0,4 there is no significant change of e with density in the range studied (0.4 (1019m-3) 1.0), while in 0,5 <0,8 approximately, e decreases with density. In the rotational transform scan it is found that the values of e when a low order rational of the rotational transform is present locally seem to be smaller for the corresponding range, although it is apparent a general beneficial effect of the corresponding change in magnetic structure. Finally, in the ECRH power scan, e is found to have an overall increment in 0,2< n0,6 when QECH increases from 200 to 400 kW, although it is less significant in the density gradient region (n 0,7). (Author) 22 refs

The calculation and simulation of the ECRH HV power supply for the HL-2A tokamak

International Nuclear Information System (INIS)

Mao Xiaohui; Li Qing; Xuan Weimin; Yao Lieying

2006-01-01

In order to satisfy the requirement of ECRH, the ECRH HV power supply (ECHV-HVPS) on the base of high voltage pulse modulation has been designed. The filter inductance in the ECHV-HVPS is much smaller than the voltage regulation power supply. Modulations are adopted in the power supply, so the short time of the leading edge and lagging edge of the pulse is achieved. The main circuit of the ECHV-HVPS is showed. The equivalent resistance and the transient response of the PS are calculated and analyzed using MATLAB, and experiment results are given. (authors)

Role of ECRH in potential formation for tandem mirrors

International Nuclear Information System (INIS)

Rognlien, T.D.; Matsuda, Y.; Stewart, J.J.

1985-01-01

The axial ion plugging potential in a tandem mirror is produced by electron cyclotron resonance heating (ECRH) applied at two locations in the end mirror cell. A second harmonic (ω = 2ω/sub c/) resonance is used near the midplane to generate hot electrons which yield an electron potential barrier between center cell electrons and electrons outboard of the end cell midplane. The latter group of electrons is then heated at the fundamental resonance (ω = ω/sub c/) on the outboard side of the magnetic well which drives an ion confining potential. Fokker-Planck and Monte Carlo calculations show that such a configuration is achievable, and the scaling obeys a rather simple set of equations. Another aspect of this configuration is the experimental observation that the fundamental heating drives the overall potential of the device relative to the wall to approx. 1 kV. An analytic model predicts this behavior for very strong ECRH. Results are given a numerical study of electron confinement in a mirror cell owing to fundamental heating as the level of the rf electric field, E/sub rf/, is increased. For the second part of the paper, we show that moderate levels of uniformly distributed rf fields, called cavity fields, can result in very hot (>250 keV) tails in the electron distribution as seen in the TMX-U experiment

Experimental investigation of the ECRH stray radiation during the start-up phase in Wendelstein 7-X

Science.gov (United States)

Moseev, Dmitry; Laqua, Heinrich; Marsen, Stefan; Stange, Torsten; Braune, Harald; Erckmann, Volker; Gellert, Florian; Oosterbeek, Johann Wilhelm; Wenzel, Uwe

2017-07-01

Electron cyclotron resonance heating (ECRH) is the main heating mechanism in the Wendelstein 7-X stellarator (W7-X). W7-X is equipped with five absolutely calibrated sniffer probes that are installed in each of the five modules of the device. The sniffer probes monitor energy flux of unabsorbed ECRH radiation in the device and interlocks are fed with the sniffer probe signals. The stray radiation level in the device changes significantly during the start-up phase: plasma is a strong microwave absorber and during its formation the stray radiation level in sniffer probes reduces by more than 95%. In this paper, we discuss the influence of neutral gas pressure and gyrotron power on plasma breakdown processes.

ECRH experiments in an extended power regime on the large helical device

International Nuclear Information System (INIS)

Shimozuma, T.; Kubo, S.; Idei, H.; LHD Experimental Group

2003-01-01

The Large Helical Device (LHD) is the largest Heliotron-type device (L 2, m = 10) The magnetic field for plasma confinement is produced by a pair of helical coils and three pairs of poloidal coils. The magnetic configuration can be adjusted by these external coils. These coils are all superconducting coils and enable steady state operation. The major and the minor radii of the produced plasmas are typically 3.6 m and 0.6 m, respectively. Plasma experiments in LHD have been proceeded since 1998. A lot of diagnostic devices have been installed to make precise plasma measurement spatially and temporally. Heating power reaches 9 MW for Neutral Beam Injection (NBI), 2.7 MW for Ion Cyclotron Range of Frequency heating (ICRF) and 1.8 MW for Electron Cyclotron Resonance Heating (ECRH). Achieved plasma parameters have been improved in each experimental campaign. In the latest experimental campaign, some improvements of the ECRH system led to interesting results related to the electron physics, such as the attainment of over 10 keV electron temperature and the improvement of core confinement in low collisionality regime. This paper reports the improvement of the ECRH system in the latest campaign and some experimental results related to the local electron heating in an extended power regime. In the Section 2 we will describe the improvements of the ECRH system for experiments in higher power region. Using this system, localized ECRH with high power density was performed. Experimental results obtained will be given in Section 3. The final section will be devoted to the following conclusions. In the latest experimental campaign, seven gyrotron systems were operable. One transmission line which was evacuated in whole system was installed in addition to the six existed 88.9 mm lines in atmospheric pressure. This line allows to transmit over 500 kW power. Flexible experiments could be performed by the inward shift of a scanning range of the existed antennas and by an installation

Design and testing of data analysis tool for ECRH systems in labview

International Nuclear Information System (INIS)

Patel, Jatinkumar; Patel, H.; Purohit, D.; Rajanbabu, N.; Mistry, H.; Shukla, B.K.

2017-01-01

Electron Cyclotron Resonance Heating (ECRH) is one of the essential RF heating sub systems used for pre-ionization and current drive experiments in SST1. In SST-1, Gyrotron based two ECRH systems are installed. 42 GHz gyrotron system capable of delivering 500kW RF power for 500ms and the 82.6 GHz gyrotron capable of delivering 200kW continuously for 1000 second. VME based Data acquisition and control (DAC) system is installed with the gyrotron systems and is under operation with SST-1. This paper explains the basic features of PXI DAC and the data analysis tool designed in labview 2014 and the problems faced during design and testing of different lengths of data plot. It has various features of plotting data in different categories i.e. plotting of fast acquisition signals data to decide the sequence of gyrotron interlocks happened during the gyrotron operations, conversion of main binary file into 32 .text files and all the 32 analog signals data plot in a single plot, auto update of selected important signals plot at the end of the shot

Plasma dynamics with second and third-harmonic ECRH and access to quasi-stationary ELM-free H-mode on TCV

International Nuclear Information System (INIS)

Porte, L.; Coda, S.; Alberti, S.; Arnoux, G.; Blanchard, P.; Bortolon, A.; Fasoli, A.; Goodman, T.P.; Klimanov, Y.; Martin, Y.; Maslov, M.; Scarabosio, A.; Weisen, H.

2007-01-01

Intense electron cyclotron resonance heating (ECRH) and electron cyclotron current drive (ECCD) are employed on the Tokamak a Configuration Variable (TCV) both in second- and third-harmonic X-mode (X2 and X3). The plasma behaviour under such conditions is driven largely by the electron dynamics, motivating extensive studies of the heating and relaxation phenomena governing both the thermal and suprathermal electron populations. In particular, the dynamics of suprathermal electrons are intimately tied to the physics of X2 ECCD. ECRH is also a useful tool for manipulating the electron distribution function in both physical and velocity space. Fundamental studies of the energetic electron dynamics have been performed using periodic, low-duty-cycle bursts of ECRH, with negligible average power injection, and with electron cyclotron emission (ECE). The characteristic times of the dynamical evolution are clearly revealed. Suprathermal electrons have also been shown to affect the absorption of X3 radiation. Thermal electrons play a crucial role in high density plasmas where indirect ion heating can be achieved through ion-electron collisions. In recent experiments ∼ 1.35 MW of vertically launched X3 ECRH was coupled to a diverted ELMy H-mode plasma. In cases where ≥ 1.1 MW of ECRH power was coupled, the discharge was able to transition into a quasi-stationary ELM-free H-mode regime. These H-modes operated at β N ∼ 2, n-bar e /n G approx. 0.25 and had high energy confinement, H IPB98(y,2) up to ∼ 1.6. Despite being purely electron heated and having no net particle source these discharges maintained a density peaking factor (n e,o /(n e ) ∼ 1.6). They also exhibited spontaneous toroidal momentum production in the co-current direction. The momentum production is due to a transport process as there is no external momentum input. This process supports little or no radial gradient of the toroidal velocity

Performance of the TJ-II ECRH system with the new -80 kV 50 A high voltage power supply

International Nuclear Information System (INIS)

Fernandez, A.; de la Fuente, J.M.; Ganuza, D.; Kirpitchev, I.; Alonso, J.; Garcia, F.; Ascasibar, E.; del Rio, J.M.; Garcia, I.; Ros, A.; Alvarez, P.; Tolkachev, A.; Catalan, G.

2009-01-01

The ECRH system of the TJ-II stellarator consists of two triode - 53.2 GHz - gyrotrons, which can deliver a maximum power of 300 kW each, during 1 s. Both gyrotrons are fed by a common high voltage power supply (HVPS). During the last experimental campaigns the performance of the gyrotrons were limited by the HVPS, whose maximum output current was limited to 30 A and the ripple level of the output voltage was around 7%. In order to guarantee the reliability of the ECRH system and to improve its performance, a new HVPS has been developed and manufactured by the company JEMA and was commissioned at CIEMAT during 2007. The design is based on solid-state technology and high frequency commutation techniques. The new unit reaches -80 kV and 50 A during a maximum pulse length of 1 s. The complete design, testing and commissioning of the HVPS are presented, as well as the routine operation of the ECRH system during the TJ-II experimental campaign.

Performance of the TJ-II ECRH system with the new -80 kV 50 A high voltage power supply

Energy Technology Data Exchange (ETDEWEB)

Fernandez, A. [Laboratorio Nacional de Fusion, EURATOM-CIEMAT Association, Avda. Complutense 22, 28040 Madrid (Spain)], E-mail: angela.curto@ciemat.es; de la Fuente, J.M.; Ganuza, D. [Grupo JEMA, Paseo del Circuito 10, 20160 Lasarte-Oria (Spain); Kirpitchev, I.; Alonso, J. [Laboratorio Nacional de Fusion, EURATOM-CIEMAT Association, Avda. Complutense 22, 28040 Madrid (Spain); Garcia, F. [Grupo JEMA, Paseo del Circuito 10, 20160 Lasarte-Oria (Spain); Ascasibar, E. [Laboratorio Nacional de Fusion, EURATOM-CIEMAT Association, Avda. Complutense 22, 28040 Madrid (Spain); del Rio, J.M.; Garcia, I. [Grupo JEMA, Paseo del Circuito 10, 20160 Lasarte-Oria (Spain); Ros, A.; Alvarez, P.; Tolkachev, A.; Catalan, G. [Laboratorio Nacional de Fusion, EURATOM-CIEMAT Association, Avda. Complutense 22, 28040 Madrid (Spain)

2009-06-15

The ECRH system of the TJ-II stellarator consists of two triode - 53.2 GHz - gyrotrons, which can deliver a maximum power of 300 kW each, during 1 s. Both gyrotrons are fed by a common high voltage power supply (HVPS). During the last experimental campaigns the performance of the gyrotrons were limited by the HVPS, whose maximum output current was limited to 30 A and the ripple level of the output voltage was around 7%. In order to guarantee the reliability of the ECRH system and to improve its performance, a new HVPS has been developed and manufactured by the company JEMA and was commissioned at CIEMAT during 2007. The design is based on solid-state technology and high frequency commutation techniques. The new unit reaches -80 kV and 50 A during a maximum pulse length of 1 s. The complete design, testing and commissioning of the HVPS are presented, as well as the routine operation of the ECRH system during the TJ-II experimental campaign.

Evolution of the transport coefficients for the transient processes after ECRH switch-on/off in the T-10 tokamak

International Nuclear Information System (INIS)

Andreev, V.F.; Danilov, A.V.; Dnestrovskij, Yu.N.; Ossipenko, M.V.; Razumova, K.A.; Sushkov, A.V.

2005-01-01

A study of the transient processes after ECRH switch-on/off in the T-10 tokamak shows that an electron ITB appears near the q∼3/2 resonance surface in regimes with suppressed sawtooth oscillations. When the gradient of the electron temperature in the plasma centre after additional on-axis ECRH exceeds some critical value, the electron ITB is weakened and the heat flux spreads from the heating region to the plasma periphery practically instantly. This looks like a jump of the heat flux through the entire plasma region. Therefore, to describe the electron heat transport in a tokamak plasma after the ECRH switch-on/off, three different physical processes should be taken into account: a) the transient process of plasma heating inside the region bounded by the temporal electron ITB; b) the weakening of the electron ITB accompanied by the heat efflux to the plasma periphery during hundreds of microseconds; c) the consequent diffusive evolution of the electron temperature profile with the conservation of the relative electron temperature gradient ∇T/T. (author)

ECRH and ECCD scenarios for W7-X

Directory of Open Access Journals (Sweden)

Laqua H.P.

2012-09-01

Full Text Available The main ECRH scenarios for the W7-X Stellarator are described. Both X2 (low and moderate densities and O2 scenarios (high density have been studied. Since O2 scenario cannot be realized without pre-heating, transition from X2 to O2 scenarios has been discussed. Due to a lack of Ohmic transformer, only ECCD is available for compensating the bootstrap current and for controlling the edge rotational transform value. The efficiency of ECCD for all main scenarios has been estimated. All simulations have been performed by a 1D transport code coupled self-consistently with ray-tracing code.

Conditioning of TJ-II Stellarator during the ECRH Plasmas Period; Acondicionamiento del Stellarator TJ-II durante la Etapa de Plasmas ECRH

Energy Technology Data Exchange (ETDEWEB)

Tafalla, D.; Tabares, F.L.

2001-07-01

The TJ-II stellarator has been conditioned by glow discharge (GD) during the first campaigns of operation, working only with ECR heating and all metal walls. The application of a He GD during the overnight period before the operation has been required in order to obtain reproducible discharges. However, the density control of the ECRH discharges was not possible because of the He implanted on the wall during GS. An short Ar GD({<=}30 min) applied before the operation allows desorbes part of the implanted He. By applying this procedure (HeGD+ArGD), reproducible and density controlled plasmas have been achieved in H{sub 2} and He. (Author) 20 refs.

PM 2.5 and NO 2 assessment in 21 European study centres of ECRHS II: annual means and seasonal differences

Science.gov (United States)

Hazenkamp-von Arx, Marianne E.; Götschi, Thomas; Ackermann-Liebrich, Ursula; Bono, Roberto; Burney, Peter; Cyrys, Josef; Jarvis, Deborah; Lillienberg, Linnea; Luczynska, Christina; Maldonado, Jose A.; Jaén, Angeles; de Marco, Roberto; Mi, Yahong; Modig, Lars; Bayer-Oglesby, Lucy; Payo, Felix; Soon, Argo; Sunyer, Jordi; Villani, Simona; Weyler, Joost; Künzli, Nino

The follow-up of cohorts of adults from more than 20 European centres of the former ECRHS I (1989-1992) investigates long-term effects of exposure to ambient air pollution on respiratory health, in particular asthma and change of pulmonary function. Since PM 2.5 is not routinely monitored in Europe, we measured PM 2.5 concentrations in 21 participating centres to estimate 'background' exposure in these cities. Winter (November-February), summer (May-August) and annual mean (all months) values of PM 2.5 were determined from measuring periods between June 2000 and November 2001. Sampling was conducted for 7 days per month for a year. Annual and winter mean concentrations of PM 2.5 vary substantially being lowest in Iceland and highest in centres in Northern Italy. Annual mean concentrations ranged from 3.7 to 44.9 μg m -3, winter mean concentrations from 4.8 to 69.2 μg m -3, and summer mean concentrations from 3.3 to 23.1 μg m -3. Seasonal variability occurred but did not follow the same pattern across all centres. Therefore, ranking of centres varied from summer to winter. Simultaneously, NO 2 concentrations were measured using passive sampling tubes. Annual mean NO 2 concentrations range from 4.9 to 72.1 μg m -3 with similar seasonal variations across centres and constant ranking of centres between seasons. The correlation between annual NO 2 and PM 2.5 concentrations is fair (Spearman correlation coefficient rs=0.75), but when considered as monthly means the correlation is far less consistent and varies substantially between centres. The range of PM 2.5 mass concentrations obtained in ECRHS II is larger than in other current cohort studies on long-term effects of air pollution. This substantial variation in PM 2.5 exposure will improve statistical power in future multi-level health analyses and to some degree may compensate for the lack of information on within-city variability. Seasonal means may be used to indicate potential differences in the toxicity

Associations of ECP (eosinophil cationic protein-gene polymorphisms to allergy, asthma, smoke habits and lung function in two Estonian and Swedish sub cohorts of the ECRHS II study

Directory of Open Access Journals (Sweden)

Janson Christer

2010-06-01

Full Text Available Abstract Background The Eosinophil Cationic Protein (ECP is a potent multifunctional protein. Three common polymorphisms are present in the ECP gene, which determine the function and production of the protein. The aim was to study the relationship of these ECP gene polymorphisms to signs and symptoms of allergy and asthma in a community based cohort (The European Community Respiratory Health Survey (ECRHS. Methods Swedish and Estonian subjects (n = 757 were selected from the larger cohort of the ECRHS II study cohort. The prevalence of the gene polymorphisms ECP434(G>C (rs2073342, ECP562(G>C (rs2233860 and ECP c.-38(A>C (rs2233859 were analysed by DNA sequencing and/or real-time PCR and related to questionnaire-based information of allergy, asthma, smoking habits and to lung functions. Results Genotype prevalence showed both ethnic and gender differences. Close associations were found between the ECP434(G>C and ECP562(G>C genotypes and smoking habits, lung function and expression of allergic symptoms. Non-allergic asthma was associated with an increased prevalence of the ECP434GG genotype. The ECP c.-38(A>C genotypes were independently associated to the subject being atopic. Conclusion Our results show associations of symptoms of allergy and asthma to ECP-genotypes, but also to smoking habits. ECP may be involved in impairment of lung functions in disease. Gender, ethnicity and smoking habits are major confounders in the evaluations of genetic associations to allergy and asthma.

FOM-Rijnhuizen contributions to IAEA technical committee meeting on ECE and ECRH, seventh joint workshop on ECE and ECRH (EC-7), Hefei, P.R. China, 8-11 May 1989

International Nuclear Information System (INIS)

1989-09-01

This report contains five contributions all being in INIS-scope, entitled respectivel: Measurements on Waveguide Components for ECRH on RTP; Electron Cyclotron Resonance heating on RTP; Electron Cyclotron Heating of High Density JET H-Mode Discharges; Electron Cyclotron Current Drive and m=2 Mode Stabilization in NET; A Double-heterodyne ECE Radiometer for the measurement of Small Temperature Fluctuations on RTP. (author). 37 refs.; 30 figs.; 5 tabs

Local effects of ECRH on argon transport at ASDEX upgrade

International Nuclear Information System (INIS)

Sertoli, Marco

2010-01-01

Future deuterium-tritium magnetically confined fusion power plants will most probably rely an high-Z Plasma Facing Components (PFCs) such as tungsten. This choice is determined by the necessity of low erosion of the first wall materials (to guarantee a long lifetime of the wall components) and by the need to avoid the too high tritium wall retention of typical carbon based PFCs. The experience gathered at the ASDEX Upgrade (AUG) tokamak has demonstrated the possibility of reliable and high performance plasma operation with a full tungsten-coated first wall. The observed accumulation of tungsten which can lead to excessive radiation losses is mitigated with the use of Electron Cyclotron Resonance Heating (ECRH). Although this impurity control method is routinely performed at AUG, the underlying physics principles are still not clear. This thesis aims an providing further knowledge an the effects of ECRH an the transport of impurities inside the core plasma. The transport of argon has been therefore investigated in-depth in purely ECR heated L-mode (low-confinement) discharges. Studies an impurity transport in centrally ECR heated nitrogen-seeded H-mode (high-confinement) discharges have also been performed. To this scope, a new crystal X-ray spectrometer of the Johann type has been installed an AUG for argon concentration and ion temperature measurements. New methods for the experimental determination of the total argon density through the integrated use of this diagnostic and of the Soft X-Ray (SXR) diode arrays have been developed. This gives the possibility of evaluating the full profiles of the argon transport coefficients from the linear flux-gradient dependency of local argon density. In comparison to classical χ 2 -minimization methods, the approach proposed here delivers transport coefficients intrinsically independent of the modelling of periodic relaxation mechanisms such as those Lied to sawtooth MHD (Magneto-Hydro-Dynamic) activity. Moreover, the good

Experiments on electron temperature profile resilience in FTU tokamak with continuous and modulated ECRH

International Nuclear Information System (INIS)

Cirant, S.

2002-01-01

Experiments performed on FTU tokamak, aiming at validation of physics-based transport models of the electron temperature profile resilience, are presented. ECRH is used to probe transport features, both in steady-state and in response to perturbations, while ECCD and LHCD are used for current density profile shaping. Observed confinement behaviour shows agreement with a critical temperature gradient length modelling. Central, low gradient plasma is characterized by low stiffness and low electron thermal diffusivity. Strong stiffness and high conduction are found in the confinement region. Resilience is experimentally characterized by an index of the resistance of the profile to adapt its shape to localized ECRH, while the diffusivity and its low-high transition are measured both by power balance and heat pulse propagation analysis. A particular attention is given to the investigation of the transition layer between low-high diffusivity and low-high stiffness regions. A dependence of LTc on magnetic shear, similar to what found in Tore Supra, and consistent with ETG based anomalous transport, is found. (author)

Progress of the ECRH Upper Launcher design for ITER

International Nuclear Information System (INIS)

Strauss, D.; Aiello, G.; Bruschi, A.; Chavan, R.; Farina, D.; Figini, L.; Gagliardi, M.; Garcia, V.; Goodman, T.P.; Grossetti, G.; Heemskerk, C.; Henderson, M.A.; Kasparek, W.; Krause, A.; Landis, J.-D.; Meier, A.; Moro, A.; Platania, P.; Plaum, B.; Poli, E.

2014-01-01

The design of the ITER ECRH system provides 20 MW millimeter wave power for central plasma heating and MHD stabilization. The system consists of an array of 24 gyrotrons with power supplies coupled to a set of transmission lines guiding the beams to the four upper and the equatorial launcher. The front steering upper launcher design described herein has passed successfully the preliminary design review, and it is presently in the final design stage. The launcher consists of a millimeter wave system and steering mechanism with neutron shielding integrated into an upper port plug with the plasma facing blanket shield module (in-vessel) and a set of ex-vessel waveguides connecting the launcher to the transmission lines. Part of the transmission lines are the ultra-low loss CVD torus diamond windows and a shutter valve, a miter bend section and the feedthroughs integrated in the plug closure plate. These components are connected by corrugated waveguides and form together the first confinement system (FCS). In-vessel, the millimeter-wave system includes a quasi-optical beam propagation system including four mirror sets and a front steering mirror. The millimeter wave system is integrated into a specifically optimized upper port plug providing structural stability to withstand plasma disruption forces and the high heat load from the plasma side with a dedicated blanket shield module. A recent update in the ITER interface definition has resulted in the recession of the upper port plug first wall panels, which is now integrated into the design. Apart from the millimeter wave system the upper port plug houses also a set of shield blocks which provide neutron shielding. An overview of the actual ITER ECRH Upper Launcher is given together with some highlights of the design

Investigation of the possibility of exceeding the Greenwald density limit during ECRH in T-10

International Nuclear Information System (INIS)

Alikaev, V.V.; Borshchegovskii, A.A.; Volkov, V.V.; Dremin, M.M.; Esipchuk, Yu.V.; Kakurin, A.M.; Kirneva, N.A.; Kislov, A.Ya.; Kislov, D.A.; Klimanov, I.V.; Kochin, V.A.; Krupin, V.A.; Krylov, S.V.; Myalton, T.B.; Novikov, A.Yu.; Notkin, G.E.; Pavlov, Yu.D.; Piterskii, V.V.; Poznyak, V.I.; Roi, I.N.

2000-01-01

In T-10 experiments, attempts were made to significantly exceed the Greenwald limit n-bar Gr during high-power (P ab = 750 kW) electron-cyclotron resonance heating (ECRH) and gas puffing. Formally, the density limit (n-bar e ) lim exceeding the Greenwald limit ((n-bar) e ) lim /n-bar Gr = 1.8) was achieved for q L = 8.2. However, as q L decreased, the ratio (n-bar e ) lim /n-bar Gr also decreased, approaching unity at q L ≅ 3. It was suggested that the 'current radius' (i.e., the radius of the magnetic surface enclosing the bulk of the plasma current I p ), rather than the limiter radius, was the parameter governing the value of (n-bar e ) lim . In the ECRH experiments, no substantial degradation of plasma confinement was observed up to n-bar e ∼ 0.9(n-bar e ) lim regardless of the ratio (n(bar sign) e ) lim /n-bar Gr . In different scenarios of the density growth up to (n-bar e ) lim , two types of disruptions related to the density limit were observed

Negative-feedback control system of the high voltage power supply for ECRH

International Nuclear Information System (INIS)

Ding Tonghai; Liu Baohua; Jiang Shufang

2001-01-01

A kind of high accuracy negative high voltage power supply (HVPS) was introduced. The serial feedback was regulated according to the character of the high power tetrode and a new kind of integrator with preset value, which solved the key technological problem of the HVPS that the ECRH system required a voltage of -80 kV, a pulse width of 10 - 100 ms and a precision of 99.7%. The result using a PSPICE code simulation has shown that the method is practical

Conditioning of TJ-II Stellarator during the ECRH Plasmas Period

International Nuclear Information System (INIS)

Tafalla, D.; Tabares, F. L.

2001-01-01

The TJ-II stellarator has been conditioned by glow discharge (GD) during the first campaigns of operation, working only with ECR heating and all metal walls. The application of a He GD during the overnight period before the operation has been required in order to obtain reproducible discharges. However, the density control of the ECRH discharges was not possible because of the He implanted on the wall during GS. An short Ar GD(≤30 min) applied before the operation allows desorbes part of the implanted He. By applying this procedure (HeGD+ArGD), reproducible and density controlled plasmas have been achieved in H 2 and He. (Author) 20 refs

Occupational allergic diseases in kitchen and health care workers: an underestimated health issue.

Science.gov (United States)

Bilge, Ugur; Unluoglu, Ilhami; Son, Nazan; Keskin, Ahmet; Korkut, Yasemin; Unalacak, Murat

2013-01-01

This study evaluated the frequencies of allergic symptoms and rate of upper respiratory infections during the past year in the general population, kitchen workers (KW) and health care workers (HCW). The European Community Respiratory Health Survey (ECRHS) was used to inquire retrospectively about asthma and asthma-like symptoms and the number of treatments required for previous upper respiratory tract infections (URTI: acute pharyngitis, acute sinusitis, etc.) during the past year for health care workers, kitchen workers, and members of the general population. Adjusted odds ratios by gender, age, and smoking status were calculated. 579 subjects (186 from the general population, 205 KW, and 188 HCW; 263 females, 316 males) participated in the study. Noninfectious (allergic) rhinitis was significantly higher in the HCW and KW groups than in the general population (P issue. Health care providers should become familiar with workplace environments and environmental causes of occupational rhinitis and asthma.

Parametric dependencies of the experimental tungsten transport coefficients in ICRH and ECRH assisted ASDEX Upgrade H-modes

Science.gov (United States)

Sertoli, M.; Angioni, C.; Odstrcil, T.; ASDEX Upgrade Team; Eurofusion MST1 Team

2017-11-01

The profiles of the W transport coefficients have been experimentally calculated for a large database of identical ASDEX Upgrade H-mode discharges where only the radio-frequency (RF) power characteristics have been varied [Angioni et al., Nucl. Fusion 57, 056015 (2017)]. Central ion cyclotron resonance heating (ICRH) in the minority heating scheme has been compared with central and off-axis electron cyclotron resonance heating (ECRH), using both localized and broad heat deposition profiles. The transport coefficients have been calculated applying the gradient-flux relation to the evolution of the intrinsic W density in-between sawtooth cycles as measured using the soft X-ray diagnostic. For both ICRH and ECRH, the major player in reducing the central W density peaking is found to be the reduction of inward pinch and, in the case of ECRH, the rise of an outward convection. The impurity convection increases, from negative to positive, almost linearly with RF-power, while no appreciable changes are observed in the diffusion coefficient, which remains roughly at neoclassical levels independent of RF power or background plasma conditions. The ratio vW/DW is consistent with the equilibrium ∇ n W / n W prior to the sawtooth crash, corroborating the separate estimates of diffusion and convection. These experimental findings are slightly different from previous results obtained analysing the evolution of impurity injections over many sawtooth cycles. Modelling performed using the drift-kinetic code NEO and the gyro-kinetic code GKW (assuming axisymmetry) overestimates the diffusion coefficient and underestimates the experimental positive convection. This is a further indication that magneto-hydrodynamic/neoclassical models accounting for 3D effects may be needed to characterize impurity transport in sawtoothing tokamak plasmas.

PXIe based data acquisition and control system for ECRH systems on SST-1 and Aditya tokamak

Energy Technology Data Exchange (ETDEWEB)

Patel, Jatinkumar J., E-mail: jatin@ipr.res.in [Institute for Plasma Research, Bhat, Gandhinagar (India); Shukla, B.K.; Rajanbabu, N.; Patel, H.; Dhorajiya, P.; Purohit, D. [Institute for Plasma Research, Bhat, Gandhinagar (India); Mankadiya, K. [Optimized Solutions Pvt. Ltd (India)

2016-11-15

Highlights: • Data Aquisition and control system (DAQ). • PXIe hardware–(PXI–PCI bus extension for Instrumention Express). • RHVPS–Regulated High Voltage Power supply. • SST1–Steady state superconducting tokamak. - Abstract: In Steady State Superconducting (SST-1) tokamak, various RF heating sub-systems are used for plasma heating experiments. In SST-1, Two Electron Cyclotron Resonance Heating (ECRH) systems have been installed for pre-ionization, heating and current drive experiments. The 42 GHz gyrotron based ECRH system is installed and in operation with SST-1 plasma experiments. The 82.6 GHz gyrotron delivers 200 kW CW power (1000 s) while the 42 GHz gyrotron delivers 500 kW power for 500 ms duration. Each gyrotron system consists of various auxiliary power supplies, the crowbar unit and the water cooling system. The PXIe (PCI bus extension for Instrumentation Express)bus based DAC (Data Acquisition and Control) system has been designed, developed and under implementation for safe and reliable operation of the gyrotron. The Control and Monitoring Software applications have been developed using NI LabView 2014 software with real time support on windows platform.

PXIe based data acquisition and control system for ECRH systems on SST-1 and Aditya tokamak

International Nuclear Information System (INIS)

Patel, Jatinkumar J.; Shukla, B.K.; Rajanbabu, N.; Patel, H.; Dhorajiya, P.; Purohit, D.; Mankadiya, K.

2016-01-01

Highlights: • Data Aquisition and control system (DAQ). • PXIe hardware–(PXI–PCI bus extension for Instrumention Express). • RHVPS–Regulated High Voltage Power supply. • SST1–Steady state superconducting tokamak. - Abstract: In Steady State Superconducting (SST-1) tokamak, various RF heating sub-systems are used for plasma heating experiments. In SST-1, Two Electron Cyclotron Resonance Heating (ECRH) systems have been installed for pre-ionization, heating and current drive experiments. The 42 GHz gyrotron based ECRH system is installed and in operation with SST-1 plasma experiments. The 82.6 GHz gyrotron delivers 200 kW CW power (1000 s) while the 42 GHz gyrotron delivers 500 kW power for 500 ms duration. Each gyrotron system consists of various auxiliary power supplies, the crowbar unit and the water cooling system. The PXIe (PCI bus extension for Instrumentation Express)bus based DAC (Data Acquisition and Control) system has been designed, developed and under implementation for safe and reliable operation of the gyrotron. The Control and Monitoring Software applications have been developed using NI LabView 2014 software with real time support on windows platform.

Progress of high power and long pulse ECRH system in EAST

International Nuclear Information System (INIS)

Wang, Xiaojie; Liu, Fukun; Shan, Jiafang; Xu, Handong; DajunWu; Li, Bo; Wei, Wei; Zhang, Jian; Huang, Yiyun; Tang, Yunying; Xu, Weiye; Hu, Huaichuan; Wang, Jian; Xu, Li; Zhang, Liyuan; Feng, Jianqiang

2015-01-01

Highlights: • The design and the status of the 140 GHz/4 MW/1000 s ECRH system on EAST tokamak is described in detail. • Two of the four gyrotrons are tested in factory. • The transmission line and the equatorial launcher for the first 2 MW system are ready for installation. • Series tests have been carried out for the most critical elements for the real-time launcher. • The auxiliary system includes the water cooling system, the HVPS system, the vacuum system have been installed and tested. - Abstract: In accordance with the long pulse objectives of the Experimental Advanced Superconducting Tokamak (EAST), an electron cyclotron resonance heating (ECRH) system with the feature of 4 MW power for a pulse length up to 1000 s at 140 GHz, using second harmonic of the extraordinary mode (X2) is presently under construction at the institute of plasma physics, Chinese academy of sciences (ASIPP). The missions of the system are to provide central heating, current drive, plasma profile tailoring and control of magneto-hydrodynamic (MHD) instabilities. The continuous wave (CW) power is transmitted from the gyrotrons to EAST via low-loss evacuated waveguide transmission lines. Considering the diverse applications of the EC system, the front steering launcher is designed to inject four individually steered beams across nearly the entire plasma cross section. The beam's launch angles can be continuously varied with the optimized scanning range of over 30° in poloidal direction and ±25° in toroidal, as well as the polarization will be adjusted during the discharge by the orientations of a pair of polarizers in the transmission line to maintain the highest absorption for different operational scenarios. The commissioning of the first 2 MW system will be commenced in the end of 2014.

Management and treatment perceptions among young adults with asthma in Melbourne: the Australian experience from the European Community Respiratory Health Survey.

Science.gov (United States)

Reid, D; Abramson, M; Raven, J; Walters, H E

2000-09-01

As part of the European Community Respiratory Health Survey (ECRHS) in 1992-1993 we assessed management practices and treatment perceptions among young asthmatic adults in Melbourne, Australia. We conducted a postal questionnaire survey of 4500 randomly selected adults (aged 20-44 years), drawn from three electoral districts, of whom 3200 (71%) subjects responded. A randomly selected sample of 1642 respondents, 'enriched' by a further 433 symptomatic subjects, was invited to complete a second phase respiratory questionnaire. The questionnaire was completed by 757 subjects who underwent laboratory testing. A further 119 subjects who were unable to attend the laboratory completed an identical questionnaire by telephone interview (42% response rate). In the second phase, 16% of subjects reported 'current asthma' (group I) as defined by physician confirmation and a recent attack (within 1 year), 10% had confirmed asthma but reported no recent attack (group II) and 74% did not have asthma (group III). Inhaled corticosteroid use was significantly higher in group I than in group II subjects (45% vs 24%, Ptime. Despite national education campaigns, the majority of young asthmatic adults in Melbourne did not adhere to prescribed treatment, but continued to rely upon beta2-agonists alone with neglect of regular inhaled corticosteroid which has probably contributed to Australia's continued high asthma morbidity and mortality rates.

An ITER-relevant evacuated waveguide transmission system for the JET-EP ECRH project

International Nuclear Information System (INIS)

Henderson, M.A.; Alberti, S.; Bird, J.

2003-01-01

An over-moded evacuated waveguide line was chosen for use in the transmission system for the proposed JET-enhanced performance project (JET-EP) electron cyclotron resonance heating (ECRH) system. A comparison between the quasi-optical, atmospheric waveguide and evacuated waveguide systems was performed for the project with a strong emphasis placed on the technical and financial aspects. The evacuated waveguide line was chosen as the optimal system in light of the above criteria. The system includes six lines of 63.5mm wave guide for transmitting 6.0 MW(10 s) at 113.3 GHz from the gyrotrons to the launching antenna. The designed lines are on average 72m in length and consist of nine mitre bends, for an estimated transmission efficiency of ∼90%. Each line is designed to include an evacuated switch leading to a calorimetric load, two dc breaks, two gate valves, one pump out tee, a power monitor mitre bend and a double-disc CVD window near the torus. The location of waveguide support is positioned to minimize the power converted to higher-order modes from waveguide sagging and misalignment. The two gate valves and CVD window are designed to be used as tritium barriers at the torus and between the J1T and J1D buildings. The last leg of the waveguide leading to the torus has to be designed to accommodate the torus movement during disruptions and thermal cycles. All lines are also designed to be compatible with the ITER ECRH system operating at 170 GHz. (author)

Conceitos de asma e instrumentos de levantamentos epidemiológicos de prevalência

Directory of Open Access Journals (Sweden)

M.M. Vasconcelos

2004-07-01

Full Text Available RESUMO: A asma, doença multifactorial, de alta prevalência, com recorrência frequente, acomete indivíduos independentemente de idade, sexo e área geográfica. Por não haver consenso quanto à sua definição, diversos questionários foram desenvolvidos para padronização dos critérios epidemiológicos de suspeição ou diagnóstico, entre eles o da Comunidade Europeia de Saúde Respiratória (European Community Respiratory Health Survey - ECRHS, ferramenta importante para o estudo da prevalência em adultos com idade entre 20 e 44 anos, conferindo melhoria da qualidade metodológica dos levantamentos epidemiológicos, tornando-os comparáveis em tempo e local. Os objectivos deste artigo são comentar a evolução do conceito de asma e suas repercussões sobre os levantamentos epidemiológicos, historiar os instrumentos utilizados nesses levantamentos, relevando a importância do ECRHS, e apresentar dados epidemiológicos de asma em 351 trabalhadores de hospital-escola, na cidade de Recife – Pernambuco - Brasil.REV PORT PNEUMOL 2004; X (4: 319-329 ABSTRACT: Introduction: Asthma, as a multifatorial disease, with high prevalence and frequent recurrence, attack people, independently of age, sex and geographical area. Because of lack of consensus about the definition of asthma, many questionnaires have been developed to standardize epidemiological criteria of suspicion and diagnosis. Among them, the European Community Respiratory Health Survey (ECRHS is an important tool for prevalence studies on adults aged from 20 to 44 years old, that represented a methodological improvement of epidemiological surveys, turning them comparable about time and place. The objectives of this article are to comment the evolution of asthma concepts and its repercussion on epidemiological surveys, as well as to chronicle the tools used on these surveys, emphasizing the importance of ECRHS and

Heavy ion beam probe investigations of plasma potential in ECRH and NBI in the TJ-II stellarator

International Nuclear Information System (INIS)

Melnikov, A.V.; Eliseev, L.; Perfilov, S.V.; Chmyga, A.A.; Dreval, N.; Khrebtov, S.M.; Komarov, A.D.; Kozachok, A.S.; Krupnik, L.; Alonso, A.; Pablos, J.L. de; Cappa, A.; Fernandez, A.; Fuentes, C.; Hidalgo, C.; Liniers, M.; Pedrosa, M.A.

2005-01-01

Direct measurements of electric potential and its fluctuations are of a primary importance in magnetic confinement systems. The Heavy Ion Beam Probe (HIBP) diagnostic is used in TJ-2 stellarator to study directly plasma electric potential profiles with spatial (up to 1cm) and temporal (up to 10 ∝s) resolution. The singly charged heavy ions Cs + with energies up to 125 keV are used to probe the plasma column from the edge to the core. Both ECRH and NBI heated plasmas (P ECRH = 200 - 400kW, P NBI = 400kW, E NBI = 28 kV) were studied. The significant improvement in the HIBP beam control system and the acquisition electronics leads us to increase the possibilities of the diagnostic. The most crucial one is the extension of the signal dynamic range, which allows us to have the reliable profiles from the plasma center to the plasma edge both in the high and low field side regions. Low density ECRH (n = 0.5-1.1.10 13 cm -3 ) plasmas in TJ-2 are characterised by core positive plasma potential of order of 500 - 1000 V and positive electric fields up to 50 V/cm. Edge radial electric fields remain positive at low densities and became negative at the threshold density that depends of plasma configuration. NBI plasmas are characterized by negative electric potential in the full plasma column and negative radial electric fields (in the range of 10 - 40 V/cm). The density rise during the NBI phase is accompanied by the decay of core plasma potential. When density is getting the level of n ∼ 2.0.10 13 cm -3 , the potential stops its evolution and remains constant. The evolution of plasma potential near density limit is under investigation. These observations, reported in different magnetic configurations, show the clear link between plasma potential and plasma density. (author)

Anomalous phenomena in ECRH experiments at toroidal devices and low-threshold parametric decay instabilities

Directory of Open Access Journals (Sweden)

Saveliev A.N.

2012-09-01

Full Text Available In the paper the possibility of total 3D trapping of electron Bernstein (EB waves in the tokamak equatorial plane in the vicinity of the local density maximum produced by electron pump-out-effect is demonstrated. Thresholds and growth rates of the associated absolute (temporally growing parametric decay instability (PDI leading to anomalous absorption is predicted in the range of less than 100 kW. Its possible role in explanation of ion acceleration observed in ECRH experiments as well as in redistribution of the deposited power is discussed.

Extension of the ECRH operational space with O2 and X3 heating schemes to control tungsten accumulation in ASDEX Upgrade

Science.gov (United States)

Höhnle, H.; Stober, J.; Herrmann, A.; Kasparek, W.; Leuterer, F.; Monaco, F.; Neu, R.; Schmid-Lorch, D.; Schütz, H.; Schweinzer, J.; Stroth, U.; Wagner, D.; Vorbrugg, S.; Wolfrum, E.; ASDEX Upgrade Team

2011-08-01

ASDEX Upgrade has been operated with tungsten-coated plasma-facing components for several years. H-mode operation with good confinement has been demonstrated. Nevertheless, purely neutral beam injection-heated H-modes with reduced gas puff, moderate heating power or/and increased triangularity tend to accumulate tungsten, followed by a radiative collapse. Under these conditions, central electron heating with electron cyclotron resonance heating (ECRH), usually in X2 polarization, changes the impurity transport in the plasma centre, reducing the central tungsten concentration and, in many cases, stabilizing the plasma. In order to extend the applicability of central ECRH to a wider range of magnetic field and plasma current additional ECRH schemes with reduced single-pass absorption have been implemented: X3 heating allows us to reduce the magnetic field by 30%, such that the first H-modes with an ITER-like value of the safety factor of q95 = 3 could be run in the tungsten-coated device. O2 heating increases the cutoff density by a factor of 2 allowing higher currents and triangularities to be addressed. For both schemes, scenarios have been developed to cope with the associated reduced absorption. In the case of central X3 heating, the X2 resonance lies close to the pedestal top at the high-field side of the plasma, serving as a beam dump. For O2, holographic mirrors have been developed which guarantee a second pass through the plasma centre. The beam position on these reflectors is controlled by fast thermocouples. Stray-radiation protection has been implemented using sniffer probes.

Extension of the ECRH operational space with O2 and X3 heating schemes to control tungsten accumulation in ASDEX Upgrade

International Nuclear Information System (INIS)

Hoehnle, H.; Kasparek, W.; Stroth, U.; Stober, J.; Herrmann, A.; Leuterer, F.; Monaco, F.; Neu, R.; Schmid-Lorch, D.; Schuetz, H.; Schweinzer, J.; Wagner, D.; Vorbrugg, S.; Wolfrum, E.

2011-01-01

ASDEX Upgrade has been operated with tungsten-coated plasma-facing components for several years. H-mode operation with good confinement has been demonstrated. Nevertheless, purely neutral beam injection-heated H-modes with reduced gas puff, moderate heating power or/and increased triangularity tend to accumulate tungsten, followed by a radiative collapse. Under these conditions, central electron heating with electron cyclotron resonance heating (ECRH), usually in X2 polarization, changes the impurity transport in the plasma centre, reducing the central tungsten concentration and, in many cases, stabilizing the plasma. In order to extend the applicability of central ECRH to a wider range of magnetic field and plasma current additional ECRH schemes with reduced single-pass absorption have been implemented: X3 heating allows us to reduce the magnetic field by 30%, such that the first H-modes with an ITER-like value of the safety factor of q 95 = 3 could be run in the tungsten-coated device. O2 heating increases the cutoff density by a factor of 2 allowing higher currents and triangularities to be addressed. For both schemes, scenarios have been developed to cope with the associated reduced absorption. In the case of central X3 heating, the X2 resonance lies close to the pedestal top at the high-field side of the plasma, serving as a beam dump. For O2, holographic mirrors have been developed which guarantee a second pass through the plasma centre. The beam position on these reflectors is controlled by fast thermocouples. Stray-radiation protection has been implemented using sniffer probes.

A new treatment of the heat transport equation with a transport barrier and applications to ECRH experiments in Tore Supra

Energy Technology Data Exchange (ETDEWEB)

Zou, X.L.; Giruzzi, A.G.; Bouquey, F.; Clary, J.; Darbos, C.; Lennholm, M.; Magne, R.; Segui, J.L. [CEA Cadarache, Dept. de Recherches sur la Fusion Controlee, 13 - Saint-Paul-lez-Durance (France); Clemencon, A. [MIT, Electrochemical Energy Laboratory, Cambridge, MA (United States); Guivarch, C. [Ecole Nationale des Ponts et Chaussees, 77 - Marne-la-Vallee (France)

2004-07-01

An exact analytical solution of the electron heat diffusion equation in a cylinder has been found with a step-like diffusion coefficient, plus a monomial increase in the radial direction and a constant damping term. This model is sufficiently general to describe heat diffusion in the presence of a critical gradient threshold or a transport barrier, superimposed to the usual trend of increasing heat diffusivity from the plasma core to the edge. This type of representation allows us to see some well-known properties of heat transport phenomena in a different light. For instance, it has been shown that the contributions of the Eigenmodes to the time dependent solution grow at speeds that depend on the Eigenmode order i.e. at the beginning of the heating phase all the Eigenmodes are equally involved, whereas at the end only the lower order ones are left. This implies, e.g., that high frequency modulation experiments provide a characterization of transport phenomena that is intrinsically different with respect to power balance analysis of a stationary phase. It is particularly useful to analyse power switch on/off events and whenever high frequency modulations are not technically feasible. Low-frequency (1-2 Hz) ECRH modulation experiments have been performed on Tore Supra. A large jump (a factor of 8) in the heat diffusivity has been clearly identified at the ECRH power deposition layer. The amplitude and phase of several harmonics of the Fourier transform of the modulated temperature, as well as the time evolution of the modulated temperature have been reproduced by the analytical solution. The jump is found to be much weaker at lower ECRH power (one gyrotron)

Influence of high energy electrons on ECRH in LHD

Directory of Open Access Journals (Sweden)

Ogasawara S.

2012-09-01

Full Text Available The central bulk electron temperature of more than 20 keV is achieved in LHD as a result of increasing the injection power and the lowering the electron density near 2 × 1018 m−3. Such collision-less regime is important from the aspect of the neoclassical transport and also the potential structure formation. The presences of appreciable amount of high energy electrons are indicated from hard X-ray PHA, and the discrepancy between the stored energy and kinetic energy estimated from Thomson scattering. ECE spectrum are also sensitive to the presence of high energy electrons and discussed by solving the radiation transfer equation. The ECRH power absorption to the bulk and the high energy electrons are dramatically affected by the acceleration and the confinement of high energy electrons. The heating mechanisms and the acceleration process of high energy electrons are discussed by comparing the experimental results and the ray tracing calculation under assumed various density and mean energy of high energy electrons.

Charging system of ECRH high-voltage power supply and its control system

International Nuclear Information System (INIS)

Hu Guofu; Ding Tonghai; Liu Baohua; Jiang Shufang

2003-01-01

High-voltage power supply (HVPS) of Electron Cyclotron Resonance Heating (ECRH) for HT-7 and HT-7U is presently being constructed. The high voltage (100 kV) energy of HVPS is stored in the capacitor banks, and they can power one or two gyrotrons. All the operation of the charging system will be done by the control system, where the field signals are interfaced to programmable logic controller (PLC). The use of PLC not only simplifies the control system, but also enhances the reliability. The software written by using configuration software installed in the master computer allows for remote and multiple operator control, and the status and data information is also remotely available

Effect of ECRH and resonant magnetic fields on formation of magnetic islands in the T-10 tokamak plasma

Science.gov (United States)

Shestakov, E. A.; Savrukhin, P. V.

2017-10-01

Experiments in the T-10 tokamak demonstrated possibility of controlling the plasma current during disruption instability using the electron cyclotron resonance heating (ECRH) and the controlled operation of the ohmic current-holding system. Quasistable plasma discharge with repeating sawtooth oscillations can be restored after energy quench using auxiliary ECRH power when PEC / POH > 2-5. The external magnetic field generation system consisted of eight saddle coils that were arranged symmetrically relative to the equatorial plane of the torus outside of the vacuum vessel of the T-10 tokamak to study the possible resonant magnetic field effects on the rotation frequency of magnetic islands. The saddle coils power supply system is based on four thyristor converters with a total power of 300 kW. The power supply control system is based on Siemens S7 controllers. As shown by preliminary experiments, the interaction efficiency of external magnetic fields with plasma depends on the plasma magnetic configuration. Optimal conditions for slowing the rotation of magnetic islands were determined. Additionally, the direction of the error magnetic field in the T-10 tokamak was determined, and the threshold value of the external magnetic field was determined.

Adaptive control strategy for ECRH negative high-voltage power supply based on CMAC neural network

International Nuclear Information System (INIS)

Luo Xiaoping; Du Pengying; Du Shaowu

2011-01-01

In order to solve the problem that the negative high-voltage power supply in an electron cyclotron resonance heating (ECRH) system can not satisfy the requirements because of the nonlinearity and sensitivity, the direct inverse model control strategy was proposed by using cerebellar model articulation controller(CMAC) for better control, and experiments were carried out to study the system performances with CMAC tracing dynamic signals. The results show that this strategy is strong in self-learning and self-adaptation and easy to be realized. (authors)

Feedback control of tearing modes through ECRH with launcher mirror steering and power modulation using a line-of-sight ECE diagnostic

NARCIS (Netherlands)

Hennen, B.A.; Westerhof, E.; Nuij, P.W.J.M.; Ayten, B.; Baar, de M.R.; Bongers, W.A.; Bürger, A.; Lazzari, De D.; Oosterbeek, J.W.; Thoen, D.J.; Steinbuch, M.

2010-01-01

A demonstration of real-time feedback control for autonomous tracking and stabilization of m/n = 2/1 tearing modes in a tokamak using Electron Cyclotron Resonance Heating and Current Drive (ECRH/ECCD) is reported. The prototype system on TEXTOR combines in the same sight-line an Electron Cyclotron

Parametric assessments on hydrogenic species transport in CVD-diamond vacuum windows used in ITER ECRH

Energy Technology Data Exchange (ETDEWEB)

Moreno, C.; Sedano, L.A.; Fernandez, A. [EURATOM-CIEMAT Association, Madrid (Spain)

2007-07-01

Insulators used as H and CD and Diagnostic vacuum windows (VW) in ITER may become modified by surface intake and bulk transport of hydrogenic species. VW, operating under severe radiation levels, have a primary safety role as tritium confinement barriers. Ionizing radiation enhances the (H') uptake and release at surfaces and diffusion rates in the bulk. Radiation damage modifies the material's bulk trapped inventories by increasing steady state trapping centre concentrations. An experimental programme is ongoing at CIEMAT, to quantify radiation effects on H transport characteristics and also the possible impact on the VW. The reference material for ECRH VW is CVD diamond. As a parallel activity, parametric transport assessments are being made in order to obtain a wide evaluation of permeation fluxes, ranges, and soluted/trapped inventories in CVD diamond. Transport models have been developed based on extended capabilities of finite differences integrator tool TMAP7. Special attention is paid to radiation parameters defining inputs acting on transport magnitudes. These inputs have been analysed by using ionizing/damage radiation transport tools such as MCNPX/SRIM. VW operational scenarios are discussed with special attention being paid to the ITER design assumptions for the values of H-species source terms (neutrals and implanted) in the ECRH system. The available material transport database with and without radiation is discussed and taken as reference for this parametric exercise. Permeation fluxes through base materials are shown to be below DRG limits established for ITER. (orig.)

The O-X-B mode conversion scheme for ECRH of a high-density Tokamak plasma

DEFF Research Database (Denmark)

Hansen, F. R.; Lynov, Jens-Peter; Michelsen, Poul

1985-01-01

A method to apply electron cyclotron resonance heating (ECRH) to a Tokamak plasma with central density higher than the critical density for cut-off of the ordinary mode (O-mode) has been investigated. This method involves two mode conversions, from an O-mode via an extraordinary mode (X......-mode) into an electron Bernstein mode (B-mode). Radial profiles for the power deposition and the wave-drive current due to the B-waves are calculated for realistic antenna radiation patterns with parameters corresponding to the Danish DANTE Tokamak and to Princeton's PLT....

Studies of the disruption prevention by ECRH at plasma current rise stage in limiter discharges/Possibility of an internal transport barrier producing under dominating electron transport in the T-10 tokamak

International Nuclear Information System (INIS)

Alikaev, V.V.; Borshegovskij, A.A.; Chistyakov, V.V.

2001-01-01

'Studies of the Disruption Prevention by ECRH at Plasma Current Rise Stage in Limiter Discharges' - Studies of disruption prevention by means of ECRH in T-10 at the plasma current rise phase in limiter discharges with circular plasma cross-section were performed. Reliable disruption prevention by ECRH at HF power (P HF ) min level equal to 20% of ohmic heating power P OH was demonstrated. m/n=2/1 mode MHD-activity developed before disruption (with characteristic time ∼ 120 ms) can be considered as disruption precursor and can be used in a feedback system. 'Possibility of an Internal Transport Barrier Producing under Dominating Electron Transport in the T-10 Tokamak' - The reversed shear experiments were carried out on T-10 at the HF power up to 1MW. The reversed shear in the core was produced by on-axis ECCD in direction opposite to the plasma current. There are no obvious signs of Internal Transport Barriers formation under condition when high-k turbulence determines the electron transport. (author)

Summary of ECRH experimental session (S3)

International Nuclear Information System (INIS)

Riviere, A.C.

1980-01-01

ECRH has been successful in heating several tokamaks but not more than 200 kW has been used in any experiment so far. The absorption efficiency is in qualitative agreement with theory but it is not accurately known and, in most cases, the polarisation of the heating wave is not well defined, either due to the effect of wall scattering or due to the character of the wave that is launched. Experiments in FT-1 show an improvement in absorption efficiency when the X-mode is launched from the high field rather than low field side thus avoiding the evanescent layer. In ISX-B the measured absorption (60% +- 15%) during heating is consistent with that expected theoretically (75%) for the assumed mixture of O and X-mode. More or less complete absorption is observed in the large hot plasma in T-10 at the second harmonic, again as expected. In these experiments there is no evidence for generation of new impurities or run-away electrons during heating. However a 15% decrease in electron density is observed in ISX-B. The reason for this is not clear but may be due either to a direct effect of the heating wave on particle transport or to a change in the flux of neutrals at the boundary of the plasma. (author)

The 3 MW ECRH/ECCD transmission and launching system on TORE SUPRA

International Nuclear Information System (INIS)

Lennholm, M.; Agarici, G.; Berger-By, G.; Bosia, P.; Bouquey, F.; Clary, J.; Darbos, C.; Giruzzi, G.; Jung, M.; Magne, R.; Roux, D.; Petit, T.; Segui, J.L.; Zou, X.L.

2003-01-01

The ECRH experiment on TORE SUPRA is designed to inject up to 3 MW of power at 118 GHz using an antenna consisting of six fixed spherical mirrors and three mobile steering mirrors. The position of the mobile mirrors can be varied in real time using two stepper motors for each mobile mirror. In addition to controlling the injection angle, the position of the mobile mirrors also affects the polarisation of the injected wave. Accurate formulae to compute, in real time, the stepper motor positions required to obtain the desired beam injection angles have been derived. Formulae to determine the effect on the wave polarisation, of the actual mobile mirror positions have also been determined. These formulae have been verified by precise laser measurements and by comparison of power deposition calculations and experimental results. (authors)

Geographical variations in the prevalence of atopic sensitization in six study sites across Canada

DEFF Research Database (Denmark)

Chan-Yeung, M; Anthonisen, N R; Becklake, M R

2010-01-01

Geographical variations in atopic sensitization in Canada have not been described previously. This study used the standardized protocol of the European Community Respiratory Health Survey-1 (ECRHS-1) to investigate the distribution and predictors of atopic sensitization in six sites across Canada...

Experiments on hot-electron ECRH in the Tandem Mirror Experiment-Upgrade

International Nuclear Information System (INIS)

Stallard, B.W.

1983-01-01

Experiments have begun on the Tandem Mirror Experiment Upgrade (TMX-U) using electron-cyclotron resonant heating (ECRH) to generate the hot electron populations required for thermal barrier operation (Energy E/sub eh/ approx. 50 keV, density n/sub eh/ 12 , and hot-to-cold fraction n/sub eh/n approx. 0.9). For this operation, rf power produced by 28-GHz gyrotrons is injected with extraordinary mode polarization at both fundamental and second harmonic locations. Our initial experiments, which concentrated on startup of the hot electrons, were carried out at low density ( 12 cm - 3 ) where Fokker-Planck calculations predict high heating efficiency when the electron temperature (T/sub e/) is low. Under these conditions, we produced substantial hot electron populations (diamagnetic energy > 400 J, E/sub eh/ in the range of 15 to 50 keV, and n/sub eh//n > 0.5)

Electron velocity-space diffusion in a micro-unstable ECRH [electron cyclotron resonance heated] mirror plasma

International Nuclear Information System (INIS)

Hokin, S.A.

1987-09-01

An experimental study of the velocity-space diffusion of electrons in an electron cyclotron resonance heated (ECRH) mirror plasma, in the presence of micro-unstable whistler rf emission, is presented. It is found that the dominant loss mechanism for hot electrons is endloss produced by rf diffusion into the mirror loss cone. In a standard case with 4.5 kW of ECRH power, this loss limits the stored energy to 120 J with an energy confinement time of 40 ms. The energy confinement time associated with collisional scattering is 350 ms in this case. Whistler microinstability rf produces up to 25% of the rf-induced loss. The hot electron temperature is not limited by loss of adiabaticity, but by rf-induced loss of high energy electrons, and decreases with increasing rf power in strong diffusion regimes. Collisional loss is in agreement with standard scattering theory. No super-adiabatic effects are clearly seen. Experiments in which the vacuum chamber walls are lined with microwave absorber reveal that single pass absorption is limited to less than 60%, whereas experiments with reflecting walls exhibit up to 90% absorption. Stronger diffusion is seen in the latter, with a hot electron heating rate which is twice that of the absorber experiments. This increase in diffusion can be produced by two distinct aspects of wall-reflected rf: the broader spatial rf profile, which enlarges the resonant region in velocity space, or a reduction in super-adiabatic effects due to randomization of the electron gyrophase. Since no other aspects of super-adiabaticity are observed, the first mechanism appears more likely. 39 refs., 54 figs

Fusion plasma theory Task II: ECRH and transport modeling in tandem mirrors and divertor physics. Final report, January 1-December 31, 1985

International Nuclear Information System (INIS)

Emmert, G.A.

1985-07-01

The research reported here focuses on: (1) the coupling of an ECRH ray tracing and absorption code to a tandem mirror transport code in order to self-consistently model the temporal and spatial evolution of the plasma, and (2) the further development of semi-analytical models for plasma flow in divertors and pumped limiters. 5 refs., 1 fig

Extrapolation of the Dutch 1 MW tunable free electron maser to a 5 MW ECRH source

International Nuclear Information System (INIS)

Caplan, M.; Nelson, S.; Kamin, G.; Antonsen, T. Levush, B.; Urbanus, W.; Tulupov, A.

1995-01-01

A Free Electron Maser (FEM) is now under construction at the FOM Institute (Rijnhuizen) Netherlands with the goal of producing 1 MW long pulse to CW microwave output in the range 130 GHz to 250 GHz with wall plug efficiencies of 50% (Verhoeven, et al EC-9 Conference). An extrapolated version of this device is proposed which by scaling up the beam current, would produce microwave power levels of up to 5 MW CW in order to reduce the cost per watt and increase the power per module, thus providing the fusion community with a practical ECRH source

Lesotho - Health Facility Survey

Data.gov (United States)

Millennium Challenge Corporation — The main objective of the 2011 Health Facility Survey (HFS) was to establish a baseline for informing the Health Project performance indicators on health facilities,...

National Health Interview Survey

Data.gov (United States)

U.S. Department of Health & Human Services — The National Health Interview Survey (NHIS) is the principal source of information on the health of the civilian noninstitutionalized population of the United States...

Progress on the ITER ECRH upper launcher steering mirror identification and control

International Nuclear Information System (INIS)

Collazos, Andres; Bertizzolo, Robert; Chavan, Rene; Dolizy, Frederic; Felici, Federico; Henderson, Mark A.; Landis, Jean-Daniel; Sanchez, Francisco

2009-01-01

The main objective of the ITER ECRH upper launcher (UL) is to control magnetohydrodynamic activity, in particular neoclassical tearing modes (NTMs), by driving several MW of EC current near the q = 1, 3/2, 2 flux surfaces, where NTMs are expected to occur. The steering of the EC power is done by the steering mechanism assembly (SMA) that comprises a reflecting mirror and a frictionless and backlash free pneumo-mechanical system actuated with pressurised helium gas. The control requirements for this component in terms of steering accuracy and speed are reviewed. With respect to these requirements, the performance of the first SMA prototype is assessed in a mock up of the UL pneumatic configuration. The expected design characteristics of the SMA have been verified and an overall satisfactory performance has been assessed. Furthermore, the main challenges for the future work, such as the pressure and angular position control, have been identified.

Nonlinear and self-consistent treatment of ECRH

Energy Technology Data Exchange (ETDEWEB)

Tsironis, C.; Vlahos, L.

2005-07-01

A self-consistent formulation for the nonlinear interaction of electromagnetic waves with relativistic magnetized electrons is applied for the description of the ECRH. In general, electron-cyclotron absorption is the result of resonances between the cyclotron harmonics and the Doppler-shifted waver frequency. The resonant interaction results to an intense wave-particle energy exchange and an electron acceleration, and for that reason it is widely applied in fusion experiments for plasma heating and current drive. The linear theory, for the wave absorption, as well as the quasilinear theory for the electron distribution function, are the most frequently-used tools for the study of wave-particle interactions. However, in many cases the validity of these theories is violated, namely cases where nonlinear effects, like, e. g. particle trapping in the wave field, are dominant in the particle phase-space. Our model consists of electrons streaming and gyrating in a tokamak plasma slab, which is finite in the directions perpendicular to the main magnetic field. The particles interact with an electromagnetic electron-cyclotron wave of the ordinary (O-) or the extraordinary (X-) mode. A set of nonlinear and relativistic equations is derived, which take into account the effects of the charged particle motions on the wave. These consist of the equations of motion for the plasma electrons in the slab, as well as the wave equation in terms of the vector potential. The effect of the electron motions on the temporal evolution of the wave is reflected in the current density source term. (Author)

Nonlinear and self-consistent treatment of ECRH

International Nuclear Information System (INIS)

Tsironis, C.; Vlahos, L.

2005-01-01

A self-consistent formulation for the nonlinear interaction of electromagnetic waves with relativistic magnetized electrons is applied for the description of the ECRH. In general, electron-cyclotron absorption is the result of resonances between the cyclotron harmonics and the Doppler-shifted waver frequency. The resonant interaction results to an intense wave-particle energy exchange and an electron acceleration, and for that reason it is widely applied in fusion experiments for plasma heating and current drive. The linear theory, for the wave absorption, as well as the quasilinear theory for the electron distribution function, are the most frequently-used tools for the study of wave-particle interactions. However, in many cases the validity of these theories is violated, namely cases where nonlinear effects, like, e. g. particle trapping in the wave field, are dominant in the particle phase-space. Our model consists of electrons streaming and gyrating in a tokamak plasma slab, which is finite in the directions perpendicular to the main magnetic field. The particles interact with an electromagnetic electron-cyclotron wave of the ordinary (O-) or the extraordinary (X-) mode. A set of nonlinear and relativistic equations is derived, which take into account the effects of the charged particle motions on the wave. These consist of the equations of motion for the plasma electrons in the slab, as well as the wave equation in terms of the vector potential. The effect of the electron motions on the temporal evolution of the wave is reflected in the current density source term. (Author)

From profile to sawtooth control: developing feedback control using ECRH/ECCD systems on the TCV tokamak

International Nuclear Information System (INIS)

Paley, J I; Felici, F; Coda, S; Goodman, T P

2009-01-01

Real time control of heating systems is essential to maximize plasma performance and avoid or neutralize instabilities under changing plasma conditions. Several feedback control algorithms have been developed on the Tokamak a Configuration Variable (TCV) tokamak that use the electron cyclotron (ECRH/ECCD) system to control a wide range of plasma properties, including the plasma current, shape, profiles as well as the sawtooth instability. Controllers have been developed to obtain sawteeth of a pre-determined period, to maximize the sawtooth period using an extremum seeking control algorithm and finally to provide simultaneous control of the plasma emission profile peak and width using multiple independent EC actuators.

National health interview surveys in Europe: an overview.

Science.gov (United States)

Hupkens, C L; van den Berg, J; van der Zee, J

1999-05-01

In order to study the value of national health interview surveys for national and international research and policy activities, this paper examines the existence and content of recent and future health interview surveys in the 15 member states of the European Union (EU), Norway, Iceland and Switzerland. National health interview surveys are performed in most countries, but not in Greece (only regional surveys), Luxembourg, Ireland and Iceland (only multi-purpose surveys). The health interview surveys in the other 14 countries provide regular data on the main health topics. Of the 14 health topics that are examined in this inventory seven are measured in all countries. Questions on health status (e.g. self-assessed health, long-term physical disability, and height and weight) and medical consumption (e.g. consultations with the general practitioner, GP) are often included. Lifestyle topics are less often included, except smoking habits, information about which is sought in all countries. Topics like diet and drugs/narcotics are more often included in special surveys than in general health interview surveys. Despite differences in the content, frequency and methodology of national health interview surveys in different countries, these surveys are a valuable source of information on the health of Europeans.

The 2013 Canadian Forces Mental Health Survey

Science.gov (United States)

Bennett, Rachel E.; Boulos, David; Garber, Bryan G.; Jetly, Rakesh; Sareen, Jitender

2016-01-01

Objective: The 2013 Canadian Forces Mental Health Survey (CFMHS) collected detailed information on mental health problems, their impacts, occupational and nonoccupational determinants of mental health, and the use of mental health services from a random sample of 8200 serving personnel. The objective of this article is to provide a firm scientific foundation for understanding and interpreting the CFMHS findings. Methods: This narrative review first provides a snapshot of the Canadian Armed Forces (CAF), focusing on 2 key determinants of mental health: the deployment of more than 40,000 personnel in support of the mission in Afghanistan and the extensive renewal of the CAF mental health system. The findings of recent population-based CAF mental health research are reviewed, with a focus on findings from the very similar mental health survey done in 2002. Finally, key aspects of the methods of the 2013 CFMHS are presented. Results: The findings of 20 peer-reviewed publications using the 2002 mental health survey data are reviewed, along with those of 25 publications from other major CAF mental health research projects executed over the past decade. Conclusions: More than a decade of population-based mental health research in the CAF has provided a detailed picture of its mental health and use of mental health services. This knowledge base and the homology of the 2013 survey with the 2002 CAF survey and general population surveys in 2002 and 2012 will provide an unusual opportunity to use the CFMHS to situate mental health in the CAF in a historical and societal perspective. PMID:27270738

Startup experience with the MFTF-B ECRH 100 kV dc power supply

International Nuclear Information System (INIS)

Bishop, S.R.; Goodman, R.A.; Wilson, J.H.

1983-01-01

One of the 24 Accel dc Power Supplies (ADCPS) originally intended for the Mirror Fusion Test Facility (MFTF-B) Neutral Beam Power Supply (NBPS) System has been converted to provide negative polarity output at 90 kV with a load current of 64 A dc. The load duty cycle is a pulse of 30-seconds duration with a pulse repetition period of five minutes. A new control system has been built which will serve as a prototype for the MFTF-B ADCPS controls, and a test setup was built which will be used to test the ADCPS. The Electron Cyclotron Resonance Heating (ECRH) dc Power Supply (DCPS) has been tested under both no-load and dummy-load conditions, under remote control, without notable problems. Test results indicate that the power supply should be reliable and safe to operate, and will meet the load duty requirements

Startup experience with the MFTF-B ECRH 100 kV dc power supply

International Nuclear Information System (INIS)

Bishop, S.R.; Goodman, R.A.; Wilson, J.H.

1983-01-01

One of the 24 Accel DC Power Supplies (ADCPS) originally intended for the Mirror Fusion Test Facility (MFTF-B) Neutral Beam Power Supply (NBPS) System has been converted to provide negative polarity output at 90 kV with a load current of 64 A dc. The load duty cycle is a pulse of 30-seconds duration with a pulse repetition period of five minutes. A new control system has been built which will serve as a prototype for the MFTF-B ADCPS controls, and a test setup was built which will be used to test the ADCPS. The Electron Cyclotron Resonance Heating (ECRH) DC Power Supply (DCPS) has been tested under both no-load and dummy-load conditions, under remote control, without notable problems. Test results indicate that the power supply should be reliable and safe to operate, and will meet the load duty requirements

Occupational Allergic Diseases in Kitchen and Health Care Workers: An Underestimated Health Issue

Directory of Open Access Journals (Sweden)

Ugur Bilge

2013-01-01

Full Text Available Objective. This study evaluated the frequencies of allergic symptoms and rate of upper respiratory infections during the past year in the general population, kitchen workers (KW and health care workers (HCW. Methods. The European Community Respiratory Health Survey (ECRHS was used to inquire retrospectively about asthma and asthma-like symptoms and the number of treatments required for previous upper respiratory tract infections (URTI: acute pharyngitis, acute sinusitis, etc. during the past year for health care workers, kitchen workers, and members of the general population. Adjusted odds ratios by gender, age, and smoking status were calculated. Results. 579 subjects (186 from the general population, 205 KW, and 188 HCW; 263 females, 316 males participated in the study. Noninfectious (allergic rhinitis was significantly higher in the HCW and KW groups than in the general population (P<0.001. Cumulative asthma was significantly higher only in the HCW group (P<0.05. In addition, the HCW and KW groups had significantly higher risks of ≥2/year URTI (OR: 1.59, 95% CI: 1.07–2.38 versus OR: 1.57, 95% CI: 1.05–2.38 than the general population. Conclusion. Occupational allergic respiratory diseases are an important and growing health issue. Health care providers should become familiar with workplace environments and environmental causes of occupational rhinitis and asthma.

Magnetic Shear and Transport in ECRH Discharges of the TJ-II under Ohmic Induction

Energy Technology Data Exchange (ETDEWEB)

Lopez-Bruna, D.; Castejon, F.; Romero, J. A.; Estrada, T.; Medina, F.; Ochando, M.; Lopez-Fraguas, A.; Ascasibar, E.; Herranz, J.; Sanchez, E.; Luna, E. de la; Pastor, I.

2006-07-01

TJ-II is ha heliac type stellarator characterised by high, but almost constant, vacuum rotational transform throughout the confining volume. In ECRH plasmas, moderate induced ohmic currents (negligible heating and modification of the magnetic field nodules) are enough to disregard the bootstrap contribution, which allows us performing a fair calculation of the evolution of the rotational transform. We use the loop voltage diagnostic to estimate the plasma electrical conductivity. Then the evolution of the rotational transform and shear is related to changes in the profiles of electron and thermal diffusivities: negative shear correlates with decreasing diffusivities in the region of steepest density gradient; transport increases toward zero shear but the achieved positive values are too small to draw conclusions. The radial sweeping of lowest order rational magnetic surfaces does not determine the observed trends in transport. (Author)43 refs.

Magnetic Shear and Transport in ECRH Discharges of the TJ-II under Ohmic Induction

International Nuclear Information System (INIS)

Lopez-Bruna, D.; Castejon, F.; Romero, J. A.; Estrada, T.; Medina, F.; Ochando, M.; Lopez-Fraguas, A.; Ascasibar, E.; Herranz, J.; Sanchez, E.; Luna, E. de la; Pastor, I.

2006-01-01

TJ-II is ha heliac type stellarator characterised by high, but almost constant, vacuum rotational transform throughout the confining volume. In ECRH plasmas, moderate induced ohmic currents (negligible heating and modification of the magnetic field nodules) are enough to disregard the bootstrap contribution, which allows us performing a fair calculation of the evolution of the rotational transform. We use the loop voltage diagnostic to estimate the plasma electrical conductivity. Then the evolution of the rotational transform and shear is related to changes in the profiles of electron and thermal diffusivities: negative shear correlates with decreasing diffusivities in the region of steepest density gradient; transport increases toward zero shear but the achieved positive values are too small to draw conclusions. The radial sweeping of lowest order rational magnetic surfaces does not determine the observed trends in transport. (Author)43 refs

Primer on Health Surveys

Directory of Open Access Journals (Sweden)

David L Nordstrom

2012-06-01

Full Text Available The aim of this paper is to introduce novice researchers to surveys as a method of data collection. It starts with the definition of a survey, its major purposes and types as well as changes in the goals surveys have helped to achieve over time. Advantages and disadvantages of surveys over population censuses and medical examinations are discussed. Approaches to questionnaire construction are introduced along with properties that questionnaires are evaluated for. Modes of administration, sample size issues, and data analysis approaches are also introduced. The primer is illustrated with examples of surveys conducted in different countries with various public health purposes.

NATIONAL EMPLOYER HEALTH INSURANCE SURVEY (NEHIS)

Science.gov (United States)

The National Employer Health Insurance Survey (NEHIS) was developed to produce estimates on employer-sponsored health insurance data in the United States. The NEHIS was the first Federal survey to represent all employers in the United States by State and obtain information on all...

Advanced Optics for the Remote Steering ITER ECRH Upper Launcher

International Nuclear Information System (INIS)

Bruschi, A; Cirant, S; Moro, A; Platania, P; Sozzi, C

2005-01-01

The optics of the ECRH Upper Launcher in ITER based on the Remote Steering concept needs special attention, since any focussing element in front of the waveguide has combined effects on the range of steering angles achievable and the beam width in the plasma region. The effects are studied in detail for a setup composed by 8 beams per port (three ports), for a spherical and a hyperbolic mirror surface. Gaussian beam analysis is compared to beam pattern calculations with the optical physics code GRASP, in order to verify the validity of gaussian optics approximation. The standard description with simply astigmatic beams, not adequate in more complex systems as the proposed two-mirror set-up, requires approximations, which are compared with the generalized astigmatic beam description. The ohmic losses at the end mirrors and the related localized heating due to the very large power density cause deformations that depends on the design of the cooling circuit. The distortion of the beam shape has been evaluated in a realistic case of mirror cooling with a small-channel system. The quantification of the effect depends on the precise evaluation ohmic losses and their enhancement in the long term due to the surface deterioration

Study protocol for the Fukushima health management survey

International Nuclear Information System (INIS)

Yasumura, Seiji; Hosoya, Mitsuaki; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi; Akashi, Makoto; Kodama, Kazunori; Ozasa, Kotaro

2012-01-01

The accidents that occurred at the Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake on 11 March 2011 have resulted in long-term, ongoing anxiety among the residents of Fukushima, Japan. Soon after the disaster, Fukushima Prefecture launched the Fukushima Health Management Survey to investigate long-term low-dose radiation exposure caused by the accident. Fukushima Medical University took the lead in planning and implementing this survey. The primary purposes of this survey are to monitor the long-term health of residents, promote their future well-being, and confirm whether long-term low-dose radiation exposure has health effects. This report describes the rationale and implementation of the Fukushima Health Management Survey. This cohort study enrolled all people living in Fukushima Prefecture after the earthquake and comprises a basic survey and 4 detailed surveys. The basic survey is to estimate levels of external radiation exposure among all 2.05 million residents. It should be noted that internal radiation levels were estimated by Fukushima Prefecture using whole-body counters. The detailed surveys comprise a thyroid ultrasound examination for all Fukushima children aged 18 years or younger, a comprehensive health check for all residents from the evacuation zones, an assessment of mental health and lifestyles of all residents from the evacuation zones, and recording of all pregnancies and births among all women in the prefecture who were pregnant on 11 March. All data have been entered into a database and will be used to support the residents and analyze the health effects of radiation. The low response rate (<30%) to the basic survey complicates the estimation of health effects. There have been no cases of malignancy to date among 38 114 children who received thyroid ultrasound examinations. The importance of mental health care was revealed by the mental health and lifestyle survey and the pregnancy and birth survey. This long

ECRH scenarios with selective heating of trapped/passing electrons in the W7-X Stellarator

Directory of Open Access Journals (Sweden)

Marushchenko N.B.

2015-01-01

Full Text Available Using specific features of the magnetic equilibrium in the W7-X stellarator, the ECRH scenarios with combined X2 and X3 modes are discussed. The RF beams for operation with X2 and X3 modes need to be launched from low- and, via the remote steering launcher, high-field-side, respectivaly, in the different crosssections of the device where the maximum and minimum of the magnetic field located. The aim is to explore the possibility of selective heating of the different classes of electrons, passing and trapped, by changing direction of the beam for X3 or switching between the beams for X2 and X3 launched from the different ports. The numerical predictions for this kind of experiments in W7-X are performed by coupled transport and ray tracing codes

Health Physics Enrollments and Degrees Survey, 2006 Data

International Nuclear Information System (INIS)

Oak Ridge Institute for Science and Education

2007-01-01

This annual survey collects 2006 data on the number of health physics degrees awarded as well as the number of students enrolled in health physics academic programs. Thirty universities offer health physics degrees; all responded to the survey

The Front Steering Launcher Design for the ITER ECRH Upper Port

International Nuclear Information System (INIS)

Henderson, M A; Chavan, R; Heidinger, R; Nikkola, P; Ramponi, G; Saibene, G; Sanchez, F; Sauter, O; Serikov, A; Zohm, H

2005-01-01

The ECRH ITER upper port antenna's role is to stabilize the neoclassical tearing mode (NTM) on either the q = 2 or 3/2 rational flux surfaces, which requires a narrow current deposition profile (j CD ) over a wide range along the resonance surfaces. The width of j CD should be equivalent to the marginal island width to fully stabilise the NTM. Two antenna concepts are under consideration for the upper port launcher: front steering (FS) and remote steering (RS). The FS launcher decouples the steering and focusing aspects using a two mirror system (one focusing and one steering), achieving a wider steering range and higher current density for NTM stabilisation than required by ITER, offering a threefold increase in NTM stabilization efficiency over the RS launcher. The improved physics performance has motivated the further design study of the FS launcher aiming toward a build to print launcher. The present design is compatible with ≥2.0 MW CW operation and 8 beams per port plug. A frictionless backlashfree system is envisioned for the steering mechanism. An overview of the launcher design, the calculated physics performance and the possibility of using the upper port launcher for extended physics applications (beyond NTM stabilisation) are discussed

Examining national trends in worker health with the National Health Interview Survey.

Science.gov (United States)

Luckhaupt, Sara E; Sestito, John P

2013-12-01

To describe data from the National Health Interview Survey (NHIS), both the annual core survey and periodic occupational health supplements (OHSs), available for examining national trends in worker health. The NHIS is an annual in-person household survey with a cross-sectional multistage clustered sample design to produce nationally representative health data. The 2010 NHIS included an OHS. Prevalence rates of various health conditions and health behaviors among workers based on multiple years of NHIS core data are available. In addition, the 2010 NHIS-OHS data provide prevalence rates of selected health conditions, work organization factors, and occupational exposures among US workers by industry and occupation. The publicly available NHIS data can be used to identify areas of concern for various industries and for benchmarking data from specific worker groups against national averages.

The Public Health Workforce Interests and Needs Survey: The First National Survey of State Health Agency Employees.

Science.gov (United States)

Sellers, Katie; Leider, Jonathon P; Harper, Elizabeth; Castrucci, Brian C; Bharthapudi, Kiran; Liss-Levinson, Rivka; Jarris, Paul E; Hunter, Edward L

2015-01-01

Public health practitioners, policy makers, and researchers alike have called for more data on individual worker's perceptions about workplace environment, job satisfaction, and training needs for a quarter of a century. The Public Health Workforce Interests and Needs Survey (PH WINS) was created to answer that call. Characterize key components of the public health workforce, including demographics, workplace environment, perceptions about national trends, and perceived training needs. A nationally representative survey of central office employees at state health agencies (SHAs) was conducted in 2014. Approximately 25,000 e-mail invitations to a Web-based survey were sent out to public health staff in 37 states, based on a stratified sampling approach. Balanced repeated replication weights were used to account for the complex sampling design. A total of 10,246 permanently employed SHA central office employees participated in PH WINS (46% response rate). Perceptions about training needs; workplace environment and job satisfaction; national initiatives and trends; and demographics. Although the majority of staff said they were somewhat or very satisfied with their job (79%; 95% confidence interval [CI], 78-80), as well as their organization (65%; 95% CI, 64-66), more than 42% (95% CI, 41-43) were considering leaving their organization in the next year or retiring before 2020; 4% of those were considering leaving for another job elsewhere in governmental public health. The majority of public health staff at SHA central offices are female (72%; 95% CI, 71-73), non-Hispanic white (70%; 95% CI, 69-71), and older than 40 years (73%; 95% CI, 72-74). The greatest training needs include influencing policy development, preparing a budget, and training related to the social determinants of health. PH WINS represents the first nationally representative survey of SHA employees. It holds significant potential to help answer previously unaddressed questions in public health

Cleaning at Home and at Work in Relation to Lung Function Decline and Airway Obstruction.

Science.gov (United States)

Svanes, Øistein; Bertelsen, Randi J; Lygre, Stein H L; Carsin, Anne E; Antó, Josep M; Forsberg, Bertil; García-García, José M; Gullón, José A; Heinrich, Joachim; Holm, Mathias; Kogevinas, Manolis; Urrutia, Isabel; Leynaert, Bénédicte; Moratalla, Jesús M; Le Moual, Nicole; Lytras, Theodore; Norbäck, Dan; Nowak, Dennis; Olivieri, Mario; Pin, Isabelle; Probst-Hensch, Nicole; Schlünssen, Vivi; Sigsgaard, Torben; Skorge, Trude D; Villani, Simona; Jarvis, Debbie; Zock, Jan P; Svanes, Cecilie

2018-05-01

Cleaning tasks may imply exposure to chemical agents with potential harmful effects to the respiratory system, and increased risk of asthma and respiratory symptoms among professional cleaners and in persons cleaning at home has been reported. Long-term consequences of cleaning agents on respiratory health are, however, not well described. This study aimed to investigate long-term effects of occupational cleaning and cleaning at home on lung function decline and airway obstruction. The European Community Respiratory Health Survey (ECRHS) investigated a multicenter population-based cohort at three time points over 20 years. A total of 6,235 participants with at least one lung function measurement from 22 study centers, who in ECRHS II responded to questionnaire modules concerning cleaning activities between ECRHS I and ECRHS II, were included. The data were analyzed with mixed linear models adjusting for potential confounders. As compared with women not engaged in cleaning (ΔFEV 1  = -18.5 ml/yr), FEV 1 declined more rapidly in women responsible for cleaning at home (-22.1; P = 0.01) and occupational cleaners (-22.4; P = 0.03). The same was found for decline in FVC (ΔFVC = -8.8 ml/yr; -13.1, P = 0.02; and -15.9, P = 0.002; respectively). Both cleaning sprays and other cleaning agents were associated with accelerated FEV 1 decline (-22.0, P = 0.04; and -22.9, P = 0.004; respectively). Cleaning was not significantly associated with lung function decline in men or with FEV 1 /FVC decline or airway obstruction. Women cleaning at home or working as occupational cleaners had accelerated decline in lung function, suggesting that exposures related to cleaning activities may constitute a risk to long-term respiratory health.

Creating a Screening Measure of Health Literacy for the Health Information National Trends Survey.

Science.gov (United States)

Champlin, Sara; Mackert, Michael

2016-03-01

Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52.53 years (SD = 16.24). A health literacy screening measure was created using four items included in the HINTS survey. Scores could range from 0 (no questions affirmative/correct) to 4 (all questions answered affirmatively/correctly). Multiple regression analysis was used to determine whether demographic variables known to predict health literacy were indeed associated with the constructed health literacy screening measure. The weighted average health literacy score was 2.63 (SD = 1.00). Those who were nonwhite (p = .0005), were older (p literacy screening measure scores. This study highlights the need to assess health literacy in national surveys, but also serves as evidence that screening measures can be created within existing datasets to give researchers the ability to consider the impact of health literacy. © The Author(s) 2016.

Methodology of the National School-based Health Survey in Malaysia, 2012.

Science.gov (United States)

Yusoff, Fadhli; Saari, Riyanti; Naidu, Balkish M; Ahmad, Noor Ani; Omar, Azahadi; Aris, Tahir

2014-09-01

The National School-Based Health Survey 2012 was a nationwide school health survey of students in Standard 4 to Form 5 (10-17 years of age), who were schooling in government schools in Malaysia during the period of data collection. The survey comprised 3 subsurveys: the Global School Health Survey (GSHS), the Mental Health Survey, and the National School-Based Nutrition Survey. The aim of the survey was to provide data on the health status of adolescents in Malaysia toward strengthening the adolescent health program in the country. The design of the survey was created to fulfill the requirements of the 3 subsurveys. A 2-stage stratified sampling method was adopted in the sampling. The methods for data collection were via questionnaire and physical examination. The National School-Based Health Survey 2012 adopted an appropriate methodology for a school-based survey to ensure valid and reliable findings. © 2014 APJPH.

National Mental Health Services Survey (N-MHSS-2010)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Mental Health Services Survey (N-MHSS) is an annual survey designed to collect statistical information on the numbers and characteristics of all known...

Low prevalence of asthma in sub Saharan Africa: a cross sectional community survey in a suburban Nigerian town.

Science.gov (United States)

Obaseki, Daniel O; Awoniyi, Francis O; Awopeju, Olayemi F; Erhabor, Gregory E

2014-11-01

Asthma remains an important cause of morbidity and mortality, especially in developing countries but the prevalence in Nigeria is not well described. Using the European Community Respiratory Health Survey (ECRHS) standard screening questionnaire and asthma criteria, we recruited a representative sample of adults resident in a suburban community in Nigeria through a stratified three-stage cluster sampling technique. Out of a total of 3590 individuals contacted, 2310 responded and provided completed data (62.8% female). The prevalence of respiratory symptoms ranged from 0.4% (95% CI: 0.1-0.6) to 9.1% (95% CI: 7.6-10.6). Apart from nasal allergies, the most frequently reported symptoms were 'woken up by an attack of breathlessness at any time in the last 12 months' (2.4%, 95% CI: 1.8-3.0) and 'woken up by an attack of cough at any time in the last 12 months' (2.9%, 95% CI: 2.0-3.7). The combined proportion of respondents reporting previous asthma attack or currently taking asthma medication within the preceding 12 months (diagnosed asthma) was 1.5%, 95% CI: 1.0-2.0. The proportion with 'probable asthma' based on ECRHS criteria of any three symptoms of asthma (woken up by an attack of breathlessness or previous asthma attack or currently taking asthma medication within the preceding 12 months) was 3.1%, 95% CI: 2.0-4.3 for men and 3.3%, 95% CI: 2.4-4.2 for women. The prevalence of asthma in this suburban Nigerian population is low. Determinants of adult asthma distribution in low-income setting need further clarification. Copyright © 2014. Published by Elsevier Ltd.

Development of a Millimeter-Wave Beam Position and Profile Monitor for Transmission Efficiency Improvement in an ECRH System

Directory of Open Access Journals (Sweden)

Shimozuma T.

2015-01-01

Full Text Available In a high power Electron Cyclotron Resonance Heating (ECRH system, a long-distance and low-loss transmission system is required to realize effective heating of nuclear fusion-relevant plasmas. A millimeter-wave beam position and profile monitor, which can be used in a high-power, evacuated, and cooled transmission line, is proposed, designed, manufactured, and tested. The beam monitor consists of a reflector, Peltier-device array and a heat-sink. It was tested using simulated electric heater power or gyrotron output power. The data obtained from the monitor were well agreed with the heat source position and profile. The methods of data analysis and mode-content analysis of a propagating millimeter-wave in the corrugated wave-guide are proposed.

Teens, Health and Technology: A National Survey

Directory of Open Access Journals (Sweden)

Ellen Wartella

2016-06-01

Full Text Available In the age of digital technology, as teens seem to be constantly connected online, via social media, and through mobile applications, it is no surprise that they increasingly turn to digital media to answer their health questions. This study is the first of its kind to survey a large, nationally-representative sample of teens to investigate how they use the newest digital technologies, including mobile apps, social networking sites, electronic gaming and wearable devices, to explore health topics. The survey covered the types of health topics teens most frequently search for, which technologies they are most likely to use and how they use them, and whether they report having changed their behaviors due to digital health information. In addition, this survey explores how the digital divide continues to impact adolescents. Results of this study indicate that teens are concerned about many health issues, ranging from fitness, sexual activity, drugs, hygiene as well as mental health and stress. As teens virtually always have a digital device at their fingertips, it is clear that public health interventions and informational campaigns must be tailored to reflect the ways that teens currently navigate digital health information and the health challenges that concern them most.

The World Health Organization World Mental Health Survey Initiative.

Science.gov (United States)

Kessler, Ronald C; Haro, Josep Maria; Heeringa, Steven G; Pennell, Beth-Ellen; Ustün, T Bedirhan

2006-01-01

To present an overview of the World Health Organization World Mental Health (WMH) Survey Initiative. The discussion draws on knowledge gleaned from the authors' participation as principals in WMH. WMH has carried out community epidemiological surveys in more than two dozen countries with more than 200,000 completed interviews. Additional surveys are in progress. Clinical reappraisal studies embedded in WMH surveys have been used to develop imputation rules to adjust prevalence estimates for within- and between-country variation in accuracy. WMH interviews include detailed information about sub-threshold manifestations to address the problem of rigid categorical diagnoses not applying equally to all countries. Investigations are now underway of targeted substantive issues. Despite inevitable limitations imposed by existing diagnostic systems and variable expertise in participating countries, WMH has produced an unprecedented amount of high-quality data on the general population cross-national epidemiology of mental disorders. WMH collaborators are in thoughtful and subtle investigations of cross-national variation in validity of diagnostic assessments and a wide range of important substantive topics. Recognizing that WMH is not definitive, finally, insights from this round of surveys are being used to carry out methodological studies aimed at improving the quality of future investigations.

Efficiency of workplace surveys conducted by Finnish occupational health services.

Science.gov (United States)

Savinainen, Minna; Oksa, Panu

2011-07-01

In Finland, workplace surveys are used to identify and assess health risks and problems caused by work and make suggestions for continuous improvement of the work environment. With the aid of the workplace survey, occupational health services can be tailored to a company. The aims of this study were to determine how occupational health professionals gather data via the workplace survey and the effect survey results have on companies. A total of 259 occupational health nurses and 108 occupational health physicians responded to the questionnaire: 84.2% were women and 15.8% were men. The mean age of the respondents was 48.8 years (range, 26 to 65 years). Usually occupational health nurses and foremen and sometimes occupational health physicians and occupational safety and health representatives initiate the workplace survey. More than 90% of the surveys were followed by action proposals, and about 50% of these were implemented. The proposals implemented most often concerned personal protective equipment and less often leadership. Survey respondents should have both the opportunity and the authority to affect resources, the work environment, work arrangements, and tools. Teamwork among occupational health and safety professionals, management, and employees is vital for cost-effectively solving today's complex problems at workplaces around the globe. Copyright 2011, SLACK Incorporated.

Health Outcomes Survey - Limited Data Set

Data.gov (United States)

U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) limited data sets (LDS) are comprised of the entire national sample for a given 2-year cohort (including both respondents...

ECRH-assisted plasma start-up with toroidally inclined launch: multi-machine comparison and perspectives for ITER

International Nuclear Information System (INIS)

Stober, J.; Hobirk, J.; Lunt, T.; Jackson, G.L.; Hyatt, A.W.; Luce, T.; Ascasibar, E.; Cappa, A.; Bae, Y.-S.; Joung, M.; Bucalossi, J.; Casper, T.; Gribov, Y.; Cho, M.-H.; Jeong, J.-H.; Namkung, W.; Park, S.-I.; Granucci, G.; Hanada, K.; Ide, S.

2011-01-01

Electron cyclotron resonance heating (ECRH)-assisted plasma breakdown is foreseen with full and half magnetic field in ITER. As reported earlier, the corresponding O1- and X2-schemes have been successfully used to assist pre-ionization and breakdown in present-day devices. This contribution reports on common experiments studying the effect of toroidal inclination of the ECR beam, which is ≥20 0 in ITER. All devices could demonstrate successful breakdown assistance for this case also, although in some experiments the necessary power was almost a factor of 2 higher compared with perpendicular launch. Differences between the devices with regard to the required power and vertical field are discussed and analysed. In contrast to most of these experiments, ITER will build up loop voltage prior to the formation of the field null due to the strong shielding by the vessel. Possible consequences of this difference are discussed.

National Health and Nutrition Examination Survey (NHANES)

Data.gov (United States)

U.S. Department of Health & Human Services — 1999-2000 forward. The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of...

National health interview surveys in Europe: an overview.

NARCIS (Netherlands)

Hupkens, C.L.H.; Berg, J. van den; Zee, J. van der

1999-01-01

In order to study the value of national health interview surveys for national and international research and policy activities, this paper examines the existence and content of recent and future health interview surveys in the 15 member states of the European Union (EU), Norway, Iceland and

Multidisciplinary eHealth Survey Evaluation Methods

Science.gov (United States)

Karras, Bryant T.; Tufano, James T.

2006-01-01

This paper describes the development process of an evaluation framework for describing and comparing web survey tools. We believe that this approach will help shape the design, development, deployment, and evaluation of population-based health interventions. A conceptual framework for describing and evaluating web survey systems will enable the…

Position control of ECRH launcher mirrors by laser speckle sensor

International Nuclear Information System (INIS)

Michelsen, Poul K.; Bindslev, Henrik; Hansen, Rene Skov; Hanson, Steen G.

2003-01-01

The planned ECRH system for JET included several fixed and steerable mirrors some of which should have been fixed to the building structure and some to the JET vessel structure. A similar system may be anticipated for ITER and for other fusion devices in the future. In order to have high reproducibility of the ECRH beam direction, it is necessary to know the exact positions of the mirrors. This is not a trivial problem because of thermal expansion of the vessel structures and of the launcher itself and of its support structure, the mechanical load on mirrors and support structures, and the accessibility to the various mirrors. We suggest to use a combination of infrared diagnostic of beam spot positions and a new technique published recently, which is based on a non-contact laser speckle sensor for measuring one- and two-dimensional angular displacement. The method is based on Fourier transforming the scattered field from a single laser beam that illuminates the target. The angular distribution of the light field at the target is linearly mapped onto an array image sensor placed in the Fourier plane. Measuring the displacement of this so-called speckle pattern facilitates the determination of the mirror orientation. Transverse target movement can be measured by observing the speckle movement in the image plane of the object. No special surface treatment is required for surfaces having irregularities of the order of or larger than the wavelength of the incident light. For the JET ECRH launcher it is mainly for the last mirror pointing towards the plasma where the technique may be useful. This mirror has to be steerable in order to reflect the microwave beam in the correct direction towards the plasma. Maximum performance of the microwave heating requires that the beam hits this mirror at its centre and that the mirror is turned in the correct angle. Inaccuracies in the positioning of the pull rods for controlling the mirror turning and thermal effects makes it

Asking about Sex in General Health Surveys: Comparing the Methods and Findings of the 2010 Health Survey for England with Those of the Third National Survey of Sexual Attitudes and Lifestyles.

Directory of Open Access Journals (Sweden)

Philip Prah

Full Text Available Including questions about sexual health in the annual Health Survey for England (HSE provides opportunities for regular measurement of key public health indicators, augmenting Britain's decennial National Survey of Sexual Attitudes and Lifestyles (Natsal. However, contextual and methodological differences may limit comparability of the findings. We examine the extent of these differences between HSE 2010 and Natsal-3 and investigate their impact on parameter estimates.Complex survey analyses of data from men and women in the 2010 HSE (n = 2,782 men and 3,588 women and Natsal-3 undertaken 2010-2012 (n = 4,882 men and 6,869 women aged 16-69y and resident in England, both using probability sampling, compared their characteristics, the amount of non-response to, and estimates from, sexual health questions. Both surveys used self-completion for the sexual behaviour questions but this was via computer-assisted self-interview (CASI in Natsal-3 and a pen-and-paper questionnaire in HSE 2010.The surveys achieved similar response rates, both around 60%, and demographic profiles largely consistent with the census, although HSE participants tended to be less educated, and reported worse general health, than Natsal-3 participants. Item non-response to the sexual health questions was typically higher in HSE 2010 (range: 9-18% relative to Natsal-3 (all <5%. Prevalence estimates for sexual risk behaviours and STI-related indicators were generally slightly lower in HSE 2010 than Natsal-3.While a relatively high response to sexual health questions in HSE 2010 demonstrates the feasibility of asking such questions in a general health survey, differences with Natsal-3 do exist. These are likely due to the HSE's context as a general health survey and methodological limitations such as its current use of pen-and-paper questionnaires. Methodological developments to the HSE should be considered so that its data can be interpreted in combination with those from dedicated

A survey of the health needs of hospital staff: implications for health care managers.

Science.gov (United States)

Jinks, Annette M; Lawson, Valerie; Daniels, Ruth

2003-09-01

Developing strategies to address the health needs of the National Health Services (NHS) workforce are of concern to many health care managers. Focal to the development of such strategies are of being in receipt of baseline information about employees expressed health needs and concerns. This article addresses obtaining such baseline information and presents the findings of a health needs survey of acute hospital staff in a trust in North Wales. The total population of trust employees were surveyed (n = 2300) and a 44% (n = 1021) response rate was achieved. A number of positive findings are given. Included are that the majority of those surveyed stated that their current health status is good, are motivated to improve their health further, do not smoke and their alcohol consumption is within recommended levels. There appears, however, to be a number of areas where trust managers can help its staff improve their health. Included are trust initiatives that focus on weight control and taking more exercise. In addition, there appears to be a reported lack of knowledge and positive health behaviour amongst the male respondents surveyed that would imply the trust needs to be more effective in promoting well man type issues. Finally there appears to be a general lack of pride in working for the trust and a pervasive feeling that the trust does not care about its employees that needs to be addressed. It is concluded that the findings of this survey have implications for management practices in the trust where the survey was conducted and also wider applicability to the management of health care professionals. For example, addressing work-related psychological and physical problems of employees are of importance to all health care managers. This is especially so when considering recruitment and retention issues.

National Survey on Drug Use and Health (NSDUH-2015)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2005)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2006)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2007)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2013)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2014)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH), 2002

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2008)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2009)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2012)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2011)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

National Survey on Drug Use and Health (NSDUH-2010)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) primarily measures the prevalence and correlates...

Health sciences libraries building survey, 1999-2009.

Science.gov (United States)

Ludwig, Logan

2010-04-01

A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations. An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author's consulting experiences identified additional projects. Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years. The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for "community" building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution's information nexus and not merely as a physical location with print collections.

National Survey on Drug Use and Health (NSDUH-2002)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) measures the prevalence and correlates of drug...

National Survey on Drug Use and Health (NSDUH-2004)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) measures the prevalence and correlates of drug...

National Survey on Drug Use and Health (NSDUH-2003)

Data.gov (United States)

U.S. Department of Health & Human Services — The National Survey on Drug Use and Health (NSDUH) series (formerly titled National Household Survey on Drug Abuse) measures the prevalence and correlates of drug...

Design status of the ITER ECRH upper launcher mm-wave system

Energy Technology Data Exchange (ETDEWEB)

Landis, J.-D. [Ecole Polytechnique Federale de Lausanne (EPFL), Centre de Recherches en Physique des Plasmas (CRPP), Association Euratom-Confederation Suisse, 1015 Lausanne (Switzerland)], E-mail: jean-daniel.landis@epfl.ch; Chavan, R.; Bertizzolo, R.; Collazos, A.; Dolizy, F.; Felici, F.; Sanchez, F. [Ecole Polytechnique Federale de Lausanne (EPFL), Centre de Recherches en Physique des Plasmas (CRPP), Association Euratom-Confederation Suisse, 1015 Lausanne (Switzerland); Henderson, M. [ITER, Organization, Cadarache Centre, Saint Paul Lez Durance (France)

2009-06-15

The purpose of the ITER electron cyclotron resonance heating (ECRH) upper launcher (UL), or antennae will be to provide localised current drive by accurately directing mm-wave beams up to 2MW, out of the four allocated upper port plugs, at chosen rational magnetic flux surfaces in order to stabilise neoclassical tearing modes (NTMs). This paper will present an overview of the UL, with emphasis on the mm-wave components. The mm-wave layout includes corrugated waveguide sections and a quasi-optical path with both focusing mirrors and plane steering mirrors. One of the essential components of the UL is the Steering Mechanism Assembly (SMA), providing variable poloidal injection angles fulfilling high deposition accuracy requirements at the plasma location. The Actuator principle and rotor bearings are frictionless and backlash free, avoiding tribological difficulties such as stickslip and seizure. The underlying working principle is the use of mechanically compliant structures. Validation and proof testing of the steering principle is achieved with an uncooled first prototype demonstrator. A second prototype is currently being manufactured, comprising the functionalities needed for the ITER compatible system such as water cooling and high power mm-wave compatibility. In order to perform the fatigue tests of the actuator bellows, a test facility has been built, under ITER-like vacuum and temperature working conditions. Results of the cyclic fatigue tests are compared to the various manufacturer standards and codes, combining stress and strain controlled material fatigue properties.

Fatores associados à tosse seca, tosse produtiva e tosse noturna em adultos jovens na Nigéria Factors associated with nocturnal, productive and dry cough in the young adult population of Nigeria

Directory of Open Access Journals (Sweden)

Olufemi Olumuyiwa Desalu

2010-06-01

Full Text Available OBJETIVO: Determinar os fatores associados à tosse seca, tosse produtiva e tosse noturna entre jovens adultos na Nigéria. MÉTODOS: Foram avaliados 498 indivíduos com 20-44 anos de idade em Ilorin, Nigéria, utilizando-se o questionário European Community Respiratory Health Survey (ECRHS, administrado por entrevistadores treinados. RESULTADOS: A tosse noturna apresentou associações com asma (OR = 10,87; p 0,05. CONCLUSÕES: A prevenção precoce e o tratamento de condições associadas à tosse, assim como a modificação de fatores sociais comumente associados à tosse, são necessários a fim de reduzir a morbidade respiratória.OBJECTIVE: The aim of this study was to determine the factors associated with nocturnal, productive and dry cough among young adults in Nigeria. METHODS: We evaluated 498 subjects, 20-44 years of age, in Ilorin, Nigeria, using the European Community Respiratory Health Survey (ECRHS questionnaire, administered by trained interviewers. RESULTS: Nocturnal cough was associated with asthma (OR = 10.87; p 0.05. CONCLUSIONS: Early prevention and treatment of conditions associated with cough, as well as the modification of social factors commonly associated with cough, are needed in order to reduce respiratory morbidity.

Assessment of mental health and illness by telephone survey: experience with an Alberta mental health survey.

Science.gov (United States)

Patten, Scott B; Adair, Carol E; Williams, Jeanne Va; Brant, Rollin; Wang, Jian Li; Casebeer, Ann; Beauséjour, Pierre

2006-01-01

Mental health is an emerging priority for health surveillance. It has not been determined that the existing data sources can adequately meet surveillance needs. The objective of this project was to explore the use of telephone surveys as a means of collecting supplementary surveillance information. A computer-assisted telephone interview was administered to 5,400 subjects in Alberta. The interview included a set of brief, validated measures for evaluating mental disorder prevalence and related variables. The individual subject response rate was 78 percent, but a substantial number of refusals occurred at the initial household contact. The age and sex distribution of the study sample differed from that of the provincial population prior to weighting. Prevalence proportions did not vary substantially across administrative health regions. There is a potential role for telephone data collection in mental health surveillance, but these results highlight some associated methodological challenges. They also draw into question the importance of regional variation in mental disorder prevalence--which might otherwise have been a key advantage of telephone survey methodologies.

ATSDR Marines Health Survey

Centers for Disease Control (CDC) Podcasts

2011-08-30

This podcast gives an overview of the health survey ATSDR is conducting of more than 300,000 people who lived or worked at Camp Lejeune or Camp Pendleton in the 1970s and 1980s.  Created: 8/30/2011 by Agency for Toxic Substances and Disease Registry (ATSDR).   Date Released: 8/30/2011.

Identifiable Data Files - Health Outcomes Survey (HOS)

Data.gov (United States)

U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) identifiable data files are comprised of the entire national sample for a given 2-year cohort (including both respondents...

The incorporation of gender perspective into Spanish health surveys.

Science.gov (United States)

Rohlfs, Izabella; Borrell, Carme; Artazcoz, Lucia; Escribà-Agüir, Vicenta

2007-12-01

Most studies into social determinants of health conducted in Spain based on data from health surveys have focused on social class inequalities. This paper aims to review the progressive incorporation of gender perspective and sex differences into health surveys in Spain, and to suggest design, data collection and analytical proposals as well as to make policy proposals. Changes introduced into health surveys in Spain since 1995 to incorporate gender perspective are examined, and proposals for the future are made, which would permit the analysis of differences in health between women and men as a result of biology or because of gender inequalities. The introduction of gender perspective in health surveys requires the incorporation of questions related to family setting and reproductive work, workplace and society in general to detect gender differences and inequalities (for example, domestic work, intimate partner violence, discrimination, contract type or working hours). Health indicators reflecting differential morbidity and taking into account the different life cycle stages must also be incorporated. Analyses ought to be disaggregated by sex and interpretation of results must consider the complex theoretical frameworks explaining the differences in health between men and women based on sex differences and those related to gender. Analysis of survey data ought to consider the impact of social, political and cultural constructs of each society. Any significant modification in procedures for collection of data relevant to the study of gender will require systematic coordination between institutions generating the data and researchers who are trained in and sensitive to the topic.

Multistate Point-Prevalence Survey of Health Care–Associated Infections

Science.gov (United States)

Magill, Shelley S.; Edwards, Jonathan R.; Bamberg, Wendy; Beldavs, Zintars G.; Dumyati, Ghinwa; Kainer, Marion A.; Lynfield, Ruth; Maloney, Meghan; McAllister-Hollod, Laura; Nadle, Joelle; Ray, Susan M.; Thompson, Deborah L.; Wilson, Lucy E.; Fridkin, Scott K.

2015-01-01

BACKGROUND Currently, no single U.S. surveillance system can provide estimates of the burden of all types of health care–associated infections across acute care patient populations. We conducted a prevalence survey in 10 geographically diverse states to determine the prevalence of health care–associated infections in acute care hospitals and generate updated estimates of the national burden of such infections. METHODS We defined health care–associated infections with the use of National Healthcare Safety Network criteria. One-day surveys of randomly selected inpatients were performed in participating hospitals. Hospital personnel collected demographic and limited clinical data. Trained data collectors reviewed medical records retrospectively to identify health care–associated infections active at the time of the survey. Survey data and 2010 Nationwide Inpatient Sample data, stratified according to patient age and length of hospital stay, were used to estimate the total numbers of health care–associated infections and of inpatients with such infections in U.S. acute care hospitals in 2011. RESULTS Surveys were conducted in 183 hospitals. Of 11,282 patients, 452 had 1 or more health care–associated infections (4.0%; 95% confidence interval, 3.7 to 4.4). Of 504 such infections, the most common types were pneumonia (21.8%), surgical-site infections (21.8%), and gastrointestinal infections (17.1%). Clostridium difficile was the most commonly reported pathogen (causing 12.1% of health care–associated infections). Device-associated infections (i.e., central-catheter–associated bloodstream infection, catheter-associated urinary tract infection, and ventilator-associated pneumonia), which have traditionally been the focus of programs to prevent health care–associated infections, accounted for 25.6% of such infections. We estimated that there were 648,000 patients with 721,800 health care–associated infections in U.S. acute care hospitals in 2011

Health inequalities: survey data compared to doctor defined data.

NARCIS (Netherlands)

Westert, G.P.; Schellevis, F.G.

2003-01-01

Aim: To compare prevalence of conditions and health inequalities in one study population using two methods of data collection: health interview survey and GP registration of consultations. Methods: Data is from the Second Dutch Survey of General Practice, using a multistage sampling design with

Profiling health-care accreditation organizations: an international survey.

Science.gov (United States)

Shaw, Charles D; Braithwaite, Jeffrey; Moldovan, Max; Nicklin, Wendy; Grgic, Ileana; Fortune, Triona; Whittaker, Stuart

2013-07-01

To describe global patterns among health-care accreditation organizations (AOs) and to identify determinants of sustainability and opportunities for improvement. Web-based questionnaire survey. Organizations offering accreditation services nationally or internationally to health-care provider institutions or networks at primary, secondary or tertiary level in 2010. s) External relationships, scope and activity public information. Forty-four AOs submitted data, compared with 33 in a survey 10 years earlier. Of the 30 AOs that reported survey activity in 2000 and 2010, 16 are still active and stable or growing. New and old programmes are increasingly linked to public funding and regulation. While the number of health-care AOs continues to grow, many fail to thrive. Successful organizations tend to complement mechanisms of regulation, health-care funding or governmental commitment to quality and health-care improvement that offer a supportive environment. Principal challenges include unstable business (e.g. limited market, low uptake) and unstable politics. Many organizations make only limited information available to patients and the public about standards, procedures or results.

MENTAL HEALTH AND UNIVERSITY STUDENTS: SURVEY

OpenAIRE

Woodgate, Roberta

2014-01-01

We want to learn from university students about your experiences and perspectives on mental health and well-being in the context of being a student. Your input can help us develop evidence-based intervention programs that can help address the mental health needs of students. This survey should take 15-20 minutes to complete.

The Danish Health Examination Survey 2007-2008 (DANHES 2007-2008)

DEFF Research Database (Denmark)

Eriksen, Louise; Grønbæk, Morten; Helge, Jørn Wulff

2011-01-01

AIMS: The Danish Health Examination Survey (DANHES 2007-2008) was carried out by the National Institute of Public Health, University of Southern Denmark, in 13 Danish municipalities in 2007-2008. The focus of the survey was diet, smoking, alcohol, and physical activity. The aim of the survey......, and living conditions, and a supplementary food frequency questionnaire. The health examination contained measurements of blood pressure, resting heart rate, height, weight, fat percentage, waist and hip circumference, blood and hair samples, spirometry, bone mineral density, physical performance, muscle...

Assessment of health surveys: fitting a multidimensional graded response model.

Science.gov (United States)

Depaoli, Sarah; Tiemensma, Jitske; Felt, John M

The multidimensional graded response model, an item response theory (IRT) model, can be used to improve the assessment of surveys, even when sample sizes are restricted. Typically, health-based survey development utilizes classical statistical techniques (e.g. reliability and factor analysis). In a review of four prominent journals within the field of Health Psychology, we found that IRT-based models were used in less than 10% of the studies examining scale development or assessment. However, implementing IRT-based methods can provide more details about individual survey items, which is useful when determining the final item content of surveys. An example using a quality of life survey for Cushing's syndrome (CushingQoL) highlights the main components for implementing the multidimensional graded response model. Patients with Cushing's syndrome (n = 397) completed the CushingQoL. Results from the multidimensional graded response model supported a 2-subscale scoring process for the survey. All items were deemed as worthy contributors to the survey. The graded response model can accommodate unidimensional or multidimensional scales, be used with relatively lower sample sizes, and is implemented in free software (example code provided in online Appendix). Use of this model can help to improve the quality of health-based scales being developed within the Health Sciences.

CRPP's Evacuated Waveguide Proposal for JET-EP ECRH Transmission Line

International Nuclear Information System (INIS)

Henderson, M. A.; Alberti, S.; Goodman, T. P.; Hogge, J.-P.; Porte, L.; Tran, M. Q.

2002-01-01

The goal of this document is to provide a detailed description of the preliminary design and technical information of a proposed evacuated transmission lines for JET . EP ECRH system. Three waveguide diameters (31.75mm, 45mm and 63.5mm) were studied and compared to the base design of the 87mm waveguide/quasi.optical proposal (WG87-QO). This report concentrates on only the 45mm waveguide diameter (WG45). This size represents an optimization between the flexibility of the smaller diameter and the low loss of the larger. For simplicity only the WG45 will be compared with the WG87-QO, but the other diameters (31.75 and 63.5 mm) should be kept under consideration for a final evacuated waveguide line. The characteristics of the 63.5 mm waveguide system can be found in the report which was distributed in September. After an introduction of the history and motivation for this study a general overview of the proposal is presented. Sections 4 and 5 describe the elements to be used in the proposed line including the overall transmission losses for the line. Section 6 offers a cost comparison of the two proposaIs. The 7th section is a brief description of an alternative launcher design using the waveguide inserted into the launcher port. The 8th section describes the ca1ibration and conditioning process to be performed after the line is insta1led and how the torus displacements wi1l be handled. The 9th section describes the proposed schedule for purchasing and insta1lation of the waveguide lines. Sections II and 12 include a conclusion and summary of the proposal. (author)

[Colombia 2015 National Mental Health Survey. Study Protocol].

Science.gov (United States)

Gómez-Restrepo, Carlos; de Santacruz, Cecilia; Rodriguez, María Nelcy; Rodriguez, Viviana; Tamayo Martínez, Nathalie; Matallana, Diana; Gonzalez, Lina M

2016-12-01

The 2015 National Mental Health Survey (NMHS) is the fourth mental survey conducted in Colombia, and is part of the National System of Surveys and Population Studies for health. A narrative description is used to explain the background, references, the preparation, and characteristics of the 2015 NMHS. The 2015 NMHS and its protocol emerge from the requirements that support the national and international policies related to mental health. Together with the Ministry of Health and Social Protection, the objectives, the collection tools, the sample, and the operational plan are defined. The main objective was to obtain updated information about the mental health, mental problems and disorders, accessibility to health services, and an evaluation of health conditions. Participants were inhabitants from both urban and rural areas, over 7 years old, and in whom the comprehension of social determinants and equity were privileged. An observational cross-sectional design with national, regional and age group representativity, was used. The age groups selected were 7-11, 12-17, and over 18 years old. The regions considered were Central, Orient, Atlantic, Pacific, and Bogota. The calculated sample had a minimum of 12,080 and a maximum of 14,496 participants. A brief summary of the protocol of the 2015 NMHS is presented. The full document with all the collection tools can be consulted on the Health Ministry webpage. Copyright © 2016. Publicado por Elsevier España.

Literature survey: health effects of radiation

International Nuclear Information System (INIS)

Tveten, U.; Garder, K.

This report was originally written as a chapter of a report entitled 'Air pollution effects of electric power generation, a literature survey', written jointly by the Norwegian Institute for Air Research (NILU) and the Institutt for Atomenergi (IFA). (INIS RN242406). A survey is presented of the health effects of radiation. It has not, however, been the intention of the authors to make a complete list of all the literature relevant to this subject. The NILU/IFA report was meant as a first step towards a method of comparing the health effects of electric power generation by fission, gas and oil. Consequently information relevant to quantification of the health effects on humans has been selected. It is pointed out that quantitative information on the health effects of low radiation and dose rates, as are relevant to routine releases, does not exist for humans. The convention of linear extrapolation from higher doses and dose rates is used worldwide, but it is felt by most that the estimates are conservative. As an example of the use of the current best estimates, a calculation of normal release radiation doses is performed. (Auth.)

The effect of health, socio-economic position, and mode of data collection on non-response in health interview surveys

DEFF Research Database (Denmark)

Ekholm, Ola; Gundgaard, Jens; Rasmussen, Niels K R

2010-01-01

AIMS: To investigate the relationship between potential explanatory factors (socio-economic factors and health) and non-response in two general population health interview surveys (face-to-face and telephone), and to compare the effects of the two interview modes on non-response patterns. METHODS...... in health interview surveys, but the non-response rate is higher in lower socio-economic groups. Analyses of non-response should be performed to understand the implications of survey findings.......: Data derives from The Danish Health Interview Survey 2000 (face-to-face interview) and The Funen County Health Survey 2000/2001 (telephone interview). Data on all invited individuals were obtained from administrative registers and linked to survey data at individual level. Multiple logistic regression...

Health Indicators for Older Sexual Minorities: National Health Interview Survey, 2013-2014.

Science.gov (United States)

Dragon, Christina N; Laffan, Alison M; Erdem, Erkan; Cahill, Sean R; Kenefick, Daniel; Ye, Jiahui; Haffer, Samuel C

2017-12-01

Advances in lesbian, gay, and bisexual (sexual minority [SM]) acceptance and equality have been made in the past decade. However, certain SM subgroups continue to be disadvantaged due to lack of data and, thus, lack of knowledge about these populations. Data for older sexual minorities are especially lacking and will be increasingly important as more sexual minorities enter older age. This research explores results from a nationally representative health survey to elucidate some health indicators for older sexual minorities. Data from the 2013 and 2014 National Health Interview Surveys (NHIS) were pooled for increased sample size, and established research methods were followed as recommended by prior NHIS sexual orientation studies. We conducted descriptive analyses on the differences between SM and heterosexual groups, aged 65 years and older, for 12 health indicators. Four out of the 12 health indicators were significantly different for sexual minorities, and three out of those four indicated positive health outcomes or behaviors when compared with heterosexuals. Sexual minorities were more than three times as likely to receive HIV testing as heterosexual peers. Sexual minorities were more likely to receive an influenza vaccination, and much more likely to report excellent or very good health, than their heterosexual peers. Sexual minorities were more than twice as likely to report binge drinking, which is consistent with prior research for adult sexual minorities. This analysis is the first to examine national data on health indicators for sexual minorities, aged 65 years and older, using NHIS data. As more surveys begin to collect SMdata and more years of data are collected by NHIS, a clearer picture of the health of older adult sexual minorities should emerge.

Secondary Data Analysis of National Surveys in Japan Toward Improving Population Health

Science.gov (United States)

Ikeda, Nayu

2016-01-01

Secondary data analysis of national health surveys of the general population is a standard methodology for health metrics and evaluation; it is used to monitor trends in population health over time and benchmark the performance of health systems. In Japan, the government has established electronic databases of individual records from national surveys of the population’s health. However, the number of publications based on these datasets is small considering the scale and coverage of the surveys. There appear to be two major obstacles to the secondary use of Japanese national health survey data: strict data access control under the Statistics Act and an inadequate interdisciplinary research environment for resolving methodological difficulties encountered when dealing with secondary data. The usefulness of secondary analysis of survey data is evident with examples from the author’s previous studies based on vital records and the National Health and Nutrition Surveys, which showed that (i) tobacco smoking and high blood pressure are the major risk factors for adult mortality from non-communicable diseases in Japan; (ii) the decrease in mean blood pressure in Japan from the late 1980s to the early 2000s was partly attributable to the increased use of antihypertensive medication and reduced dietary salt intake; and (iii) progress in treatment coverage and control of high blood pressure is slower in Japan than in the United States and Britain. National health surveys in Japan are an invaluable asset, and findings from secondary analyses of these surveys would provide important suggestions for improving health in people around the world. PMID:26902170

The Design and Implementation of the 2016 National Survey of Children's Health.

Science.gov (United States)

Ghandour, Reem M; Jones, Jessica R; Lebrun-Harris, Lydie A; Minnaert, Jessica; Blumberg, Stephen J; Fields, Jason; Bethell, Christina; Kogan, Michael D

2018-05-09

Introduction Since 2001, the Health Resources and Services Administration's Maternal and Child Health Bureau (HRSA MCHB) has funded and directed the National Survey of Children's Health (NSCH) and the National Survey of Children with Special Health Care Needs (NS-CSHCN), unique sources of national and state-level data on child health and health care. Between 2012 and 2015, HRSA MCHB redesigned the surveys, combining content into a single survey, and shifting from a periodic interviewer-assisted telephone survey to an annual self-administered web/paper-based survey utilizing an address-based sampling frame. Methods The U.S. Census Bureau fielded the redesigned NSCH using a random sample of addresses drawn from the Census Master Address File, supplemented with a unique administrative flag to identify households most likely to include children. Data were collected June 2016-February 2017 using a multi-mode design, encouraging web-based responses while allowing for paper mail-in responses. A parent/caregiver knowledgeable about the child's health completed an age-appropriate questionnaire. Experiments on incentives, branding, and contact strategies were conducted. Results Data were released in September 2017. The final sample size was 50,212 children; the overall weighted response rate was 40.7%. Comparison of 2016 estimates to those from previous survey iterations are not appropriate due to sampling and mode changes. Discussion The NSCH remains an invaluable data source for key measures of child health and attendant health care system, family, and community factors. The redesigned survey extended the utility of this resource while seeking a balance between previous strengths and innovations now possible.

National Health and Nutrition Examination Survey (NHANES), 2009-2010

Data.gov (United States)

U.S. Department of Health & Human Services — The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in...

Cohort profile: the Boston Area Community Health (BACH) survey.

Science.gov (United States)

Piccolo, Rebecca S; Araujo, Andre B; Pearce, Neil; McKinlay, John B

2014-02-01

The Boston Area Community Health (BACH) Survey is a community-based, random sample, epidemiologic cohort of n = 5502 Boston (MA) residents. The baseline BACH Survey (2002-05) was designed to explore the mechanisms conferring increased health risks on minority populations with a particular focus on urologic signs/symptoms and type 2 diabetes. To this end, the cohort was designed to include adequate numbers of US racial/ethnic minorities (Black, Hispanic, White), both men and women, across a broad age of distribution. Follow-up surveys were conducted ∼5 (BACH II, 2008) and 7 (BACH III, 2010) years later, which allows for both within- and between-person comparisons over time. The BACH Survey's measures were designed to cover the following seven broad categories: socio-demographics, health care access/utilization, lifestyles, psychosocial factors, health status, physical measures and biochemical parameters. The breadth of measures has allowed BACH researchers to identify disparities and quantify contributions to social disparities in a number of health conditions including urologic conditions (e.g. nocturia, lower urinary tract symptoms, prostatitis), type 2 diabetes, obesity, bone mineral content and density, and physical function. BACH I data are available through the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Central Repositories (www.niddkrepository.org). Further inquiries can be made through the New England Research Institutes Inc. website (www.neriscience.com/epidemiology).

Is the Urban Child Health Advantage Declining in Malawi?: Evidence from Demographic and Health Surveys and Multiple Indicator Cluster Surveys.

Science.gov (United States)

Lungu, Edgar Arnold; Biesma, Regien; Chirwa, Maureen; Darker, Catherine

2018-06-01

In many developing countries including Malawi, health indicators are on average better in urban than in rural areas. This phenomenon has largely prompted Governments to prioritize rural areas in programs to improve access to health services. However, considerable evidence has emerged that some population groups in urban areas may be facing worse health than rural areas and that the urban advantage may be waning in some contexts. We used a descriptive study undertaking a comparative analysis of 13 child health indicators between urban and rural areas using seven data points provided by nationally representative population based surveys-the Malawi Demographic and Health Surveys and Multiple Indicator Cluster Surveys. Rate differences between urban and rural values for selected child health indicators were calculated to denote whether urban-rural differentials showed a trend of declining urban advantage in Malawi. The results show that all forms of child mortality have significantly declined between 1992 and 2015/2016 reflecting successes in child health interventions. Rural-urban comparisons, using rate differences, largely indicate a picture of the narrowing gap between urban and rural areas albeit the extent and pattern vary among child health indicators. Of the 13 child health indicators, eight (neonatal mortality, infant mortality, under-five mortality rates, stunting rate, proportion of children treated for diarrhea and fever, proportion of children sleeping under insecticide-treated nets, and children fully immunized at 12 months) show clear patterns of a declining urban advantage particularly up to 2014. However, U-5MR shows reversal to a significant urban advantage in 2015/2016, and slight increases in urban advantage are noted for infant mortality rate, underweight, full childhood immunization, and stunting rate in 2015/2016. Our findings suggest the need to rethink the policy viewpoint of a disadvantaged rural and much better-off urban in child health

Brief 75 Health Physics Enrollments and Degrees Survey, 2014 Data

Energy Technology Data Exchange (ETDEWEB)

None, None

2015-03-05

The 2014 survey includes degrees granted between September 1, 2013 and August 31, 2014. Enrollment information refers to the fall term 2014. Twenty-two academic programs were included in the survey universe, with all 22 programs providing data. Since 2009, data for two health physics programs located in engineering departments are also included in the nuclear engineering survey. The enrollments and degrees data includes students majoring in health physics or in an option program equivalent to a major.

A comparison of prevalence estimates for selected health indicators and chronic diseases or conditions from the Behavioral Risk Factor Surveillance System, the National Health Interview Survey, and the National Health and Nutrition Examination Survey, 2007-2008.

Science.gov (United States)

Li, Chaoyang; Balluz, Lina S; Ford, Earl S; Okoro, Catherine A; Zhao, Guixiang; Pierannunzi, Carol

2012-06-01

To compare the prevalence estimates of selected health indicators and chronic diseases or conditions among three national health surveys in the United States. Data from adults aged 18 years or older who participated in the Behavioral Risk Factor Surveillance System (BRFSS) in 2007 and 2008 (n=807,524), the National Health Interview Survey (NHIS) in 2007 and 2008 (n=44,262), and the National Health and Nutrition Examination Survey (NHANES) during 2007 and 2008 (n=5871) were analyzed. The prevalence estimates of current smoking, obesity, hypertension, and no health insurance were similar across the three surveys, with absolute differences ranging from 0.7% to 3.9% (relative differences: 2.3% to 20.2%). The prevalence estimate of poor or fair health from BRFSS was similar to that from NHANES, but higher than that from NHIS. The prevalence estimates of diabetes, coronary heart disease, and stroke were similar across the three surveys, with absolute differences ranging from 0.0% to 0.8% (relative differences: 0.2% to 17.1%). While the BRFSS continues to provide invaluable health information at state and local level, it is reassuring to observe consistency in the prevalence estimates of key health indicators of similar caliber between BRFSS and other national surveys. Published by Elsevier Inc.

Workplace Violence in Mental Health: A Victorian Mental Health Workforce Survey.

Science.gov (United States)

Tonso, Michael A; Prematunga, Roshani Kanchana; Norris, Stephen J; Williams, Lloyd; Sands, Natisha; Elsom, Stephen J

2016-10-01

The international literature suggests workplace violence in mental health settings is a significant issue, yet little is known about the frequency, nature, severity and health consequences of staff exposure to violence in Australian mental health services. To address this gap, we examined these aspects of workplace violence as reported by mental health services employees in Victoria, Australia. The project used a cross-sectional, exploratory descriptive design. A random sample of 1600 Health and Community Services Union members were invited to complete a survey investigating exposure to violence in the workplace, and related psychological health outcomes. Participants comprised employees from multiple disciplines including nursing, social work, occupational therapy, psychology and administration staff. A total of 411 members responded to the survey (26% response rate). Of the total sample, 83% reported exposure to at least one form of violence in the previous 12 months. The most frequently reported form of violence was verbal abuse (80%) followed by physical violence (34%) and then bullying/mobbing (30%). Almost one in three victims of violence (33%) rated themselves as being in psychological distress, 54% of whom reported being in severe psychological distress. The more forms of violence to which victims were exposed, the greater the frequency of reports of psychological distress. Workplace violence is prevalent in mental health facilities in Victoria. The nature, severity and health impact of this violence represents a serious safety concern for mental health employees. Strategies must be considered and implemented by healthcare management and policy makers to reduce and prevent violence. © 2016 Australian College of Mental Health Nurses Inc.

Building oral health research infrastructure: the first national oral health survey of Rwanda.

Science.gov (United States)

Morgan, John P; Isyagi, Moses; Ntaganira, Joseph; Gatarayiha, Agnes; Pagni, Sarah E; Roomian, Tamar C; Finkelman, Matthew; Steffensen, Jane E M; Barrow, Jane R; Mumena, Chrispinus H; Hackley, Donna M

2018-01-01

Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. To implement the first National Oral Health Survey of Rwanda to assess the oral disease burden and inform oral health promotion strategies. In this cross-sectional study, sample size and site selection were based on the World Health Organization (WHO) Oral Health Surveys Pathfinder stratified cluster methodologies. Randomly selected 15 sites included 2 in the capital city, 2 other urban centers and 11 rural locations representing all provinces and rural/urban population distribution. A minimum of 125 individuals from each of 5 age groups were included at each site. A Computer Assisted Personal Instrument (CAPI) was developed to administer the study instrument. Nearly two-thirds (64.9%) of the 2097 participants had caries experience and 54.3% had untreated caries. Among adults 20 years of age and older, 32.4% had substantial oral debris and 60.0% had calculus. A majority (70.6%) had never visited an oral health provider. Quality-of-life challenges due to oral diseases/conditions including pain, difficulty chewing, self-consciousness, and difficulty participating in usual activities was reported at 63.9%, 42.2% 36.2%, 35.4% respectively. The first National Oral Health Survey of Rwanda was a collaboration of the Ministry of Health of Rwanda, the University of Rwanda Schools of Dentistry and Public Health, the Rwanda Dental Surgeons and Dental (Therapists) Associations, and Tufts University and Harvard University Schools of Dental Medicine. The international effort contributed to building oral health research capacity and resulted in a national oral health database of oral disease burden. This information is essential for developing oral disease prevention and management

Gardening is beneficial for adult mental health: Scottish Health Survey, 2012-2013.

Science.gov (United States)

Shiue, Ivy

2016-07-01

Gardening has been reported as being beneficial for mental well-being for vulnerable populations since 2000. However, little is known concerning its role in the general population. Therefore, the aim of the present study was to investigate the relationship of gardening and mental health in adults in a countrywide and population-based setting. Data was retrieved from and analysed in the Scottish Health Survey, 2012-2013. Information on demographics, lifestyle factors, gardening engagement, and adult mental health by General Health Questionnaire was obtained by household interview. Statistical analyses including chi-square test, t-test and survey-weighted logistic and multi-nominal regression modelling were performed. Of 9709 Scottish adults aged 16-99, 5 531 (57.0%) people did not do any gardening or building work in the last four weeks. A total of 888 (9.2%) people reported poor self-rated health. Gardening was associated with adult mental health in people both with or without heart conditions including ability to concentrate, feeling playing a useful part in things, feeling capable of making decisions, thinking of self as worthless, feeling reasonably happy, etc. General adults with or without heart conditions could benefit from engaging with gardening or building work. Future public health programmes promoting such activity should be encouraged in order to optimise adult mental health.

Time integrated x-ray measurments of the very energetic electron end loss profile in TMX-U

International Nuclear Information System (INIS)

Osher, J.E.; Fabyan, J.

1984-01-01

The time-integrated 2-D profile of the thick-target bremsstrahlung produced by energetic end loss electrons has been measured during ECRH operation of TMX-U. Sheets of x-ray film and/or arrays of thermoluminescent dosimeters were placed on the outside of the end tank end wall to measure the relative spatial x-ray profile, with locally added filters of Pb to determine the effective mean x-ray energy. The purpose of this simple survey diagnostic was to allow deduction of the gross features of the ECRH region. The electron source functions needed to fit the x-ray data were modeled for various anchor cell radial distributions mapped along magnetic field lines to the elliptical plasma potential control plates or the Al end walls. The data are generally consistent with (1) major ECR heating in the central 25-cm-diam core, (2) a mean ECRH electron loss energy of 420 keV, and (3) an ECRH coupling efficiency to these hot electrons of greater than or equal to 10%

Prevalence of asthma symptoms based on the european community respiratory health survey questionnaire and FENO in university students: gender differences in symptoms and FENO

Directory of Open Access Journals (Sweden)

Ishizuka Tamotsu

2011-09-01

Full Text Available Abstract Background The fractional concentration of nitric oxide in exhaled air (FENO is used as a biomarker of eosinophilic airway inflammation. FENO is increased in patients with asthma. The relationship between subjective asthma symptoms and airway inflammation is an important issue. We expected that the subjective asthma symptoms in women might be different from those in men. Therefore, we investigated the gender differences of asthma symptoms and FENO in a survey of asthma prevalence in university students. Methods The information about asthma symptoms was obtained from answers to the European Community Respiratory Health Survey (ECRHS questionnaire, and FENO was measured by an offline method in 640 students who were informed of this study and consented to participate. Results The prevalence of asthma symptoms on the basis of data obtained from 584 students (266 men and 318 women, ranging in age from 18 to 24 years, was analyzed. Wheeze, chest tightness, an attack of shortness of breath, or an attack of cough within the last year was observed in 13.2% of 584 students. When 38.0 ppb was used as the cut-off value of FENO to make the diagnosis of asthma, the sensitivity was 86.8% and the specificity was 74.0%. FENO was ≥ 38.0 ppb in 32.7% of students. FENO was higher in men than in women. The prevalence of asthma symptoms estimated by considering FENO was 7.2%; the prevalence was greater in men (9.4% than women (5.3%. A FENO ≥ 38.0 ppb was common in students who reported wheeze, but not in students, especially women, who reported cough attacks. Conclusions The prevalence of asthma symptoms in university students age 18 to 24 years in Japan was estimated to be 7.2% on the basis of FENO levels as well as subjective symptoms. Gender differences were observed in both FENO levels and asthma symptoms reflecting the presence of eosinophilic airway inflammation. Trial registration number UMIN000003244

A Global Oral Health Survey of professional opinion using the International Classification of Functioning, Disability and Health.

Science.gov (United States)

Dougall, Alison; Molina, Gustavo F; Eschevins, Caroline; Faulks, Denise

2015-06-01

The concept of oral health is frequently reduced to the absence of disease, despite existing conceptual models exploring the wider determinants of oral health and quality of life. The International Classification of Functioning, Disability and Health (ICF) (WHO) is designed to qualify functional, social and environmental aspects of health. This survey aimed to reach a consensual description of adult oral health, derived from the ICF using international professional opinion. The Global Oral Health Survey involved a two-round, online survey concerning factors related to oral health including functioning, participation and social environment. Four hundred eighty-six oral health professionals from 74 countries registered online. Professionals were pooled into 18 groups of six WHO world regions and three professional groups. In a randomised stratification process, eight professionals from each pool (n=144) completed the survey. The first round consisted of eight open-ended questions. Open expression replies were analysed for meaningful concepts and linked using established rules to the ICF. In Round 2, items were rated for their relevance to oral health (88% response rate). Eighty-nine ICF items and 30 other factors were considered relevant by at least 80% of participants. International professionals reached consensus on a holistic description of oral health, which could be qualified and quantified using the ICF. These results represent the first step towards developing an ICF Core Set in Oral Health, which would provide a practical tool for reporting outcome measures in clinical practice, for research and epidemiology, and for the improvement of interdisciplinary communication regarding oral health. Professional consensus reached in this survey is the foundation stone for developing an ICF Core Set in Oral Health, allowing the holistic aspects of oral health to be qualified and quantified. This tool is necessary to widen our approach to clinical decision making

Design of a remote steering antenna for ECRH heating in the stellarator Wendelstein 7-X

Energy Technology Data Exchange (ETDEWEB)

Plaum, B., E-mail: plaum@igvp.uni-stuttgart.de [Institut für Grenzflächenverfahrenstechnik und Plasmatechnologie (IGVP), Univ. Stuttgart, Pfaffenwaldring 31, D-70569 Stuttgart (Germany); Lechte, C.; Kasparek, W.; Gaiser, S.; Zeitler, A. [Institut für Grenzflächenverfahrenstechnik und Plasmatechnologie (IGVP), Univ. Stuttgart, Pfaffenwaldring 31, D-70569 Stuttgart (Germany); Erckmann, V. [Max-Planck-Institut für Plasmaphysik, EURATOM-IPP, D-17491 Greifswald (Germany); Weißgerber, M. [Max-Planck-Institut für Plasmaphysik, EURATOM-IPP, D-85748 Garching (Germany); Bechtold, A. [NTG Neue Technologie GmbH & Co KG, D-63571 Gelnhausen (Germany); Busch, M.; Szcepaniak, B. [Galvano-T electroplating-electroforming GmbH, D-51570 Windeck-Rosbach (Germany)

2015-10-15

Highlights: • We report about the design activities for the remote steering antennas for the stellarator W7-X. • The integration into the W7-X system and the manufacturing procedure are described. • Simulations and loss measurements for the waveguide walls were done and are in good agreement. • A method for extending the steering range is presented. • A mechanical deformation analysis showed that the deformation is not critical for the beam quality. - Abstract: For the ECRH heating system of the stellarator Wendelstein 7-X, two remote steering antennas are developed and manufactured. The principle of remote steering antennas is based on the imaging characteristics of corrugated rectangular waveguides, which is well understood and can accurately be simulated. Several details, however, require deeper investigation. The antenna needs a miter-bend and a 24 mm gap. The positions of these elements need to be chosen carefully to reduce losses and stray radiation. The antennas are manufactured from copper by electroforming. This allows to integrate all components, including the corrugated inner walls and the cooling channels, in one vacuum-tight piece. This paper reviews the design process of the remote steering antennas for W7-X as well as technological issues and experimental results from test pieces.

Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey.

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Santric-Milicevic, Milena; Jankovic, Janko; Trajkovic, Goran; Terzic-Supic, Zorica; Babic, Uros; Petrovic, Marija

2016-01-01

The global burden of mental disorders is rising. In Serbia, anxiety is the leading cause of disability-adjusted life years. Serbia has no mental health survey at the population level. The information on prevalence of mental disorders and related socioeconomic inequalities are valuable for mental care improvement. To explore the prevalence of mental health disorders and socioeconomic inequalities in mental health of adult Serbian population, and to explore whether age years and employment status interact with mental health in urban and rural settlements. Cross-sectional study. This study is an additional analysis of Serbian Health Survey 2006 that was carried out with standardized household questionnaires at the representative sample of 7673 randomly selected households - 15563 adults. The response rate was 93%. A multivariate logistic regression modeling highlighted the predictors of the 5 item Mental Health Inventory (MHI-5), and of chronic anxiety or depression within eight independent variables (age, gender, type of settlement, marital status and self-perceived health, education, employment status and Wealth Index). The significance level in descriptive statistics, chi square analysis and bivariate and multivariate logistic regressions was set at pinequalities contributed by differences in age, education, employment, marriage and the wealth status of the adult population.

National Health Interview Survey (NHIS) - National Cardiovascular Disease Surveillance Data

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U.S. Department of Health & Human Services — 2001 forward. The National Health Interview Survey (NHIS) has monitored the health of the nation since 1957. NHIS data on a broad range of health topics are...

[Health services access survey for Colombian households].

Science.gov (United States)

Arrivillaga, Marcela; Aristizabal, Juan Carlos; Pérez, Mauricio; Estrada, Victoria Eugenia

The aim of this study was to design and validate a health services access survey for households in Colombia to provide a methodological tool that allows the country to accumulate evidence of real-life access conditions experienced by the Colombian population. A validation study with experts and a pilot study were performed. It was conducted in the municipality of Jamundi, located in the department of Valle del Cauca, Colombia. Probabilistic, multistage and stratified cluster sampling was carried out. The final sample was 215 households. The survey was composed of 63 questions divided into five modules: socio-demographic profile of the head of the household or adult informant, household socioeconomic profile, access to preventive services, access to curative and rehabilitative services and household out of pocket expenditure. In descriptive terms, the promotion of preventive services only reached 44%; the use of these services was always highest among children younger than one year old and up to the age of ten. The perceived need for emergency medical care and hospitalisation was between 82% and 85%, but 36% perceived the quality of care to be low or very low. Delays were experienced in medical visits with GPs and specialists. The designed survey is valid, relevant and representative of access to health services in Colombia. Empirically, the pilot showed institutional weaknesses in a municipality of the country, indicating that health coverage does not in practice mean real and effective access to health services. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Global review of health care surveys using lot quality assurance sampling (LQAS), 1984-2004.

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Robertson, Susan E; Valadez, Joseph J

2006-09-01

We conducted a global review on the use of lot quality assurance sampling (LQAS) to assess health care services, health behaviors, and disease burden. Publications and reports on LQAS surveys were sought from Medline and five other electronic databases; the World Health Organization; the World Bank; governments, nongovernmental organizations, and individual scientists. We identified a total of 805 LQAS surveys conducted by different management groups during January 1984 through December 2004. There was a striking increase in the annual number of LQAS surveys conducted in 2000-2004 (128/year) compared with 1984-1999 (10/year). Surveys were conducted in 55 countries, and in 12 of these countries there were 10 or more LQAS surveys. Geographically, 317 surveys (39.4%) were conducted in Africa, 197 (28.5%) in the Americas, 115 (14.3%) in the Eastern Mediterranean, 114 (14.2%) in South-East Asia, 48 (6.0%) in Europe, and 14 (1.8%) in the Western Pacific. Health care parameters varied, and some surveys assessed more than one parameter. There were 320 surveys about risk factors for HIV/AIDS/sexually transmitted infections; 266 surveys on immunization coverage, 240 surveys post-disasters, 224 surveys on women's health, 142 surveys on growth and nutrition, 136 surveys on diarrheal disease control, and 88 surveys on quality management. LQAS surveys to assess disease burden included 23 neonatal tetanus mortality surveys and 12 surveys on other diseases. LQAS is a practical field method which increasingly is being applied in assessment of preventive and curative health services, and may offer new research opportunities to social scientists. When LQAS data are collected recurrently at multiple time points, they can be used to measure the spatial variation in behavior change. Such data provide insight into understanding relationships between various investments in social, human, and physical capital, and into the effectiveness of different public health strategies in achieving

Measuring the Health of an Invisible Population: Lessons from the Colorado Transgender Health Survey.

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Christian, Robin; Mellies, Amy Anderson; Bui, Alison Grace; Lee, Rita; Kattari, Leo; Gray, Courtney

2018-05-15

Transgender people, those whose gender identity does not match their sex assigned at birth, face barriers to receiving health care. These include discrimination, prohibitive cost, and difficulty finding transgender-inclusive providers. As transgender identities are not typically recognized in public health research, the ability to compare the health of the transgender population to the overall population is limited. The Colorado Transgender Health Survey sought to explore current disparities and their effects on the health of transgender people in Colorado. The Colorado Transgender Health Survey, based on the Behavioral Risk Factor Surveillance System (BRFSS), was developed by the Colorado Department of Public Health and Environment, transgender advocates, and transgender community members. Outreach was targeted to transgender-inclusive events and organizations. Responses to the 2014 Colorado Transgender Health Survey were compared side by side to Colorado 2014 BRFSS data. Results from 406 transgender or gender-nonconforming adults who live in Colorado were included in the analysis. Forty percent of respondents report delaying medical care due to cost, inadequate insurance, and/or fear of discrimination. Respondents report significant mental health concerns, with 43% reporting depression, 36% reporting suicidal thoughts, and 10% attempting suicide in the past year. Respondents with a transgender-inclusive provider were more likely to receive wellness exams (76 versus 48%), less likely to delay care due to discrimination (24 versus 42%), less depressed (38 versus 54%), and less likely to attempt suicide (7 versus 15%) than those without. The transgender community in Colorado faces significant disparities, especially around mental health. However, a transgender-inclusive provider is associated with improved mental and physical health and health behaviors. Further population-level research and provider education on transgender health should to be incorporated into

Health equity in the New Zealand health care system: a national survey.

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Sheridan, Nicolette F; Kenealy, Timothy W; Connolly, Martin J; Mahony, Faith; Barber, P Alan; Boyd, Mary Anne; Carswell, Peter; Clinton, Janet; Devlin, Gerard; Doughty, Robert; Dyall, Lorna; Kerse, Ngaire; Kolbe, John; Lawrenson, Ross; Moffitt, Allan

2011-10-20

In all countries people experience different social circumstances that result in avoidable differences in health. In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes. Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity. Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards. Variation in provision by geography, condition or ethnicity can be interpreted as inequitable. A national survey of district health boards (DHBs) was undertaken on macro approaches to chronic condition management with detail on cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure, stroke and diabetes. Additional data from expert informant interviews on program reach and the cultural needs of Māori and Pacific peoples was sought. Survey data were analyzed on dimensions of health equity relevant to strategic planning and program delivery. Results are presented as descriptive statistics and free text. Interviews were transcribed and NVivo 8 software supported a general inductive approach to identify common themes. Survey responses were received from the majority of DHBs (15/21), some PHOs (21/84) and 31 expert informants. Measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so for other ethnic groups or by geography. Populations

National nutrition surveys in Asian countries: surveillance and monitoring efforts to improve global health.

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Song, SuJin; Song, Won O

2014-01-01

Asian regions have been suffering from growing double burden of nutritional health problems, such as undernutrition and chronic diseases. National nutrition survey plays an essential role in helping to improve both national and global health and reduce health disparities. The aim of this review was to compile and present the information on current national nutrition surveys conducted in Asian countries and suggest relevant issues in implementation of national nutrition surveys. Fifteen countries in Asia have conducted national nutrition surveys to collect data on nutrition and health status of the population. The information on national nutrition survey of each country was obtained from government documents, international organizations, survey website of governmental agencies, and publications, including journal articles, books, reports, and brochures. The national nutrition survey of each country has different variables and procedures. Variables of the surveys include sociodemographic and lifestyle variables; foods and beverages intake, dietary habits, and food security of individual or household; and health indicators, such as anthropometric and biochemical variables. The surveys have focused on collecting data about nutritional health status in children aged under five years and women of reproductive ages, nutrition intake adequacy and prevalence of obesity and chronic diseases for all individuals. To measure nutrition and health status of Asian populations accurately, improvement of current dietary assessment methods with various diet evaluation tools is necessary. The information organized in this review is important for researchers, policy makers, public health program developers, educators, and consumers in improving national and global health.

A survey of community child health audit.

Science.gov (United States)

Spencer, N J; Penlington, E

1993-03-01

Community child health medical audit is established in most districts surveyed. A minority have integrated audit with hospital paediatric units. Very few districts use an external auditor. Subject audit is preferred to individual performance audit and school health services were the most common services subjected to medical audit. The need for integrated audit and audit forms suitable for use in the community services is discussed.

Public health financial management needs: report of a national survey.

Science.gov (United States)

Costich, Julia F; Honoré, Peggy A; Scutchfield, F Douglas

2009-01-01

The work reported here builds on the identification of public health financial management practice competencies by a national expert panel. The next logical step was to provide a validity check for the competencies and identify priority areas for educational programming. We developed a survey for local public health finance officers based on the public health finance competencies and field tested it with a convenience sample of officials. We asked respondents to indicate the importance of each competency area and the need for training to improve performance; we also requested information regarding respondent education, jurisdiction size, and additional comments. Our local agency survey sample drew on the respondent list from the National Association of County and City Health Officials 2005 local health department survey, stratified by agency size and limited to jurisdiction populations of 25,000 to 1,000,000. Identifying appropriate respondents was a major challenge. The survey was fielded electronically, yielding 112 responses from 30 states. The areas identified as most important and needing most additional training were knowledge of budget activities, financial data interpretation and communication, and ability to assess and correct the organization's financial status. The majority of respondents had some postbaccalaureate education. Many provided additional comments and recommendations. Health department finance officers demonstrated a high level of general agreement regarding the importance of finance competencies in public health and the need for training. The findings point to a critical need for additional training opportunities that are accessible, cost-effective, and targeted to individual needs.

Measuring inequalities in health from survey data using self-assessed social class.

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Bacak, Valerio

2018-03-01

Asking participants to assess their social class may be an efficient approach to examining inequalities in heath from survey data. The present study investigated this possibility empirically by testing whether subjective class identification is related to overall health. I used pooled cross-sectional data from the 2012 and the 2014 General Social Survey, a nationally representative survey carried out among adults in the United States. The association between health and class was estimated separately by gender, race and age. The association follows a gradient pattern where health deteriorates with lower class position even after controlling for indicators typically used in research that examines class differences in health-educational attainment, family income and occupational prestige. The results largely hold when the data are stratified by gender, race and age. These findings demonstrate the empirical value of subjective class identification for assessing social inequalities in health from survey data.

Ultra high vacuum compatible microwave beam launcher for ECRH in SST - 1

International Nuclear Information System (INIS)

Shukla, B.K.; Sathyanarayana, K.; Biswas, P.; Pragnesh, D.; Bora, D.

2005-01-01

Microwave beam launcher for Electron Cyclotron Resonance Heating (ECRH) system is used to focus the microwave beam at plasma center of SST -1. The beam launcher consists of an ultra high vacuum (UHV) compatible mirror box with two mirrors mounted in it. One mirror is focusing mirror while other one is a plane mirror. The total volume of the launcher is ∼ 60000 cc and the total surface area exposed to UHV is around ∼ 1.0x10 4 cm 2 . The mirrors are cooled with water for high power and long pulse operation. UHV compatible SS hoses provide flexible cooling connection to the mirrors. Flexible cooling connection helps in adjustment and steering of the mirrors. SS hoses are welded at both the ends and this is necessary to avoid any flange connection inside ultra high vacuum. The system has been tested for UHV compatibility. The leak rate is checked with helium leak detector and found better than l x 10 -9 mbar.lt/s. The system has been baked to 150 deg C for ∼14 hours and the ultimate vacuum achieved with turbomolecular pump (TMP) is ∼ 5x10 -9 mbar. The mirror assembly is tested for leak in pressurized condition using a sniffer probe. The mirrors of the launcher along with the welded bellow are pressurized with helium gas up to a water equivalent pressure of ∼3kg/cm 2 . No increase in the background (∼-10 -6 mbar.lt/s) of the sniffer probes has been observed during the test. The plane mirror is connected with two UHV linear motion feedthroughs with suitable hinges and smooth movement is checked in vacuum. (author)

Survey of community pharmacy residents' perceptions of transgender health management.

Science.gov (United States)

Leach, Caitlin; Layson-Wolf, Cherokee

2016-01-01

1) To measure the general perceptions and attitudes of community pharmacy residents toward transgender patients and health; 2) to identify gaps in didactic education regarding transgender health care among residents; and 3) to evaluate residents' level of support for pharmacists receiving education in transgender health care. This study was a cross-sectional survey delivered online. Community residency directors were e-mailed a cover letter and a 34-question online survey. The directors were asked to forward the survey to their residents for completion within 4 weeks. Responses were anonymous with no identifiers collected on the survey. Survey responses used a combination of open-response, multiple-choice, and Likert-scale questions aimed at gathering respondents' demographic information, perceptions of managing transgender patients and the need for receiving additional education in transgender health care. Overall, the results of the survey indicated that community pharmacy residents support integrating transgender health management into pharmacy education and recognize that the overwhelming barriers to care for these patients include discrimination and lack of provider knowledge. Significant findings include: 82.7% of community residents think that community pharmacists play an important role in providing care for transgender patients; 98.2% think that they have a responsibility to treat transgender patients; and 71.4% were not educated about transgender patient issues in pharmacy school. Only 36.2% of community residents felt confident in their ability to treat transgender patients. Community pharmacy residents list discrimination and lack of provider knowledge as the major barriers to care for transgender patients. Residents do not feel confident in their ability to treat and manage transgender patients. The majority of residents were not educated about transgender patient issues while in pharmacy school and think that community pharmacists need more education

Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2009. Data from the National Health Interview Survey. Vital and Health Statistics. Series 10, Number 249. DHHS Publication No. (PHS) 2011-1577

Science.gov (United States)

Pleis, J. R.; Ward, B. W.; Lucas, J. W.

2010-01-01

Objectives: This report presents health statistics from the 2009 National Health Interview Survey (NHIS) for the civilian noninstitutionalized adult population, classified by sex, age, race and ethnicity, education, family income, poverty status, health insurance coverage, marital status, and place and region of residence. Estimates are presented…

75 FR 20999 - Proposed Collection; Comment Request; Survey of Health Care Professionals' Awareness and...

Science.gov (United States)

2010-04-22

... Request; Survey of Health Care Professionals' Awareness and Perceptions of the National Cancer Institute's... approval. Proposed Collection: Title: The Survey of Health Care Professionals' Awareness and Perceptions of... respondents response (minutes/hour) hours Health care professionals who complete the 330 1 5/60 27.5 survey (0...

National health and nutrition examination survey: plan and operations, 1999-2010.

Science.gov (United States)

Zipf, George; Chiappa, Michele; Porter, Kathryn S; Ostchega, Yechiam; Lewis, Brenda G; Dostal, Jennifer

2013-08-01

Background-Starting in 1999, the National Health and Nutrition Examination Survey (NHANES) became a continuous, ongoing annual survey of the noninstitutionalized civilian resident population of the United States. A continuous survey allowed content to change to meet emerging needs. Objective-This report describes how NHANES for 1999-2010 was designed and implemented. NHANES is a national survey designed to provide national estimates on various health-related topics. Methods-The survey used in-person face-to-face interviews and physical examinations for data collection. Approximately 5,000 people per year participated in NHANES. The 5,000 people surveyed each year are representative of the entire U.S. population. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Comparing two survey methods of measuring health-related indicators: Lot Quality Assurance Sampling and Demographic Health Surveys.

Science.gov (United States)

Anoke, Sarah C; Mwai, Paul; Jeffery, Caroline; Valadez, Joseph J; Pagano, Marcello

2015-12-01

Two common methods used to measure indicators for health programme monitoring and evaluation are the demographic and health surveys (DHS) and lot quality assurance sampling (LQAS); each one has different strengths. We report on both methods when utilised in comparable situations. We compared 24 indicators in south-west Uganda, where data for prevalence estimations were collected independently for the two methods in 2011 (LQAS: n = 8876; DHS: n = 1200). Data were stratified (e.g. gender and age) resulting in 37 comparisons. We used a two-sample two-sided Z-test of proportions to compare both methods. The average difference between LQAS and DHS for 37 estimates was 0.062 (SD = 0.093; median = 0.039). The average difference among the 21 failures to reject equality of proportions was 0.010 (SD = 0.041; median = 0.009); among the 16 rejections, it was 0.130 (SD = 0.010, median = 0.118). Seven of the 16 rejections exhibited absolute differences of 0.10 and 0.20 (mean = 0.261, SD = 0.083). There is 75.7% agreement across the two surveys. Both methods yield regional results, but only LQAS provides information at less granular levels (e.g. the district level) where managerial action is taken. The cost advantage and localisation make LQAS feasible to conduct more frequently, and provides the possibility for real-time health outcomes monitoring. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

Health equity in the New Zealand health care system: a national survey

Directory of Open Access Journals (Sweden)

Doughty Robert

2011-10-01

Full Text Available Abstract Introduction In all countries people experience different social circumstances that result in avoidable differences in health. In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes. Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity. Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards. Variation in provision by geography, condition or ethnicity can be interpreted as inequitable. Methods A national survey of district health boards (DHBs was undertaken on macro approaches to chronic condition management with detail on cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure, stroke and diabetes. Additional data from expert informant interviews on program reach and the cultural needs of Māori and Pacific peoples was sought. Survey data were analyzed on dimensions of health equity relevant to strategic planning and program delivery. Results are presented as descriptive statistics and free text. Interviews were transcribed and NVivo 8 software supported a general inductive approach to identify common themes. Results Survey responses were received from the majority of DHBs (15/21, some PHOs (21/84 and 31 expert informants. Measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so

An Employee Total Health Management–Based Survey of Iowa Employers

Science.gov (United States)

Merchant, James A.; Lind, David P.; Kelly, Kevin M.; Hall, Jennifer L.

2015-01-01

Objective To implement an Employee Total Health Management (ETHM) model-based questionnaire and provide estimates of model program elements among a statewide sample of Iowa employers. Methods Survey a stratified random sample of Iowa employers, characterize and estimate employer participation in ETHM program elements Results Iowa employers are implementing under 30% of all 12 components of ETHM, with the exception of occupational safety and health (46.6%) and worker compensation insurance coverage (89.2%), but intend modest expansion of all components in the coming year. Conclusions The Employee Total Health Management questionnaire-based survey provides estimates of progress Iowa employers are making toward implementing components of total worker health programs. PMID:24284757

Identifying research priorities for public health research to address health inequalities: use of Delphi-like survey methods.

Science.gov (United States)

Turner, S; Ollerhead, E; Cook, A

2017-10-09

In the funding of health research and public health research it is vital that research questions posed are important and that funded research meets a research need or a gap in evidence. Many methods are used in the identification of research priorities, however, these can be resource intensive, costly and logistically challenging. Identifying such research priorities can be particularly challenging for complex public health problems as there is a need to consult a number of experts across disciplines and with a range of expertise. This study investigated the use of Delphi-like survey methods in identifying important research priorities relating to health inequalities and framing tractable research questions for topic areas identified. The study was conducted in two phases, both using Delphi-like survey methods. Firstly, public health professionals with an interest in health inequalities were asked to identify research priorities. Secondly academic researchers were asked to frame tractable research questions relating to the priorities identified. These research priorities identified using Delphi-like survey methods were subsequently compared to those identified using different methods. A total of 52 public health professionals and 21 academics across the United Kingdom agreed to take part. The response rates were high, from public health professionals across three survey rounds (69%, 50% and 40%) and from academics across one round (52%), indicating that participants were receptive to the method and motivated to respond. The themes identified as encompassing the most important research priorities were mental health, healthy environment and health behaviours. Within these themes, the topic areas that emerged most strongly included community interventions for prevention of mental health problems and the food and alcohol environment. Some responses received from academic researchers were (as requested) in the form of tractable research questions, whereas others

Barriers to global health development: An international quantitative survey.

Directory of Open Access Journals (Sweden)

Bahr Weiss

Full Text Available Global health's goal of reducing low-and-middle-income country versus high-income country health disparities faces complex challenges. Although there have been discussions of barriers, there has not been a broad-based, quantitative survey of such barriers.432 global health professionals were invited via email to participate in an online survey, with 268 (62% participating. The survey assessed participants' (A demographic and global health background, (B perceptions regarding 66 barriers' seriousness, (C detailed ratings of barriers designated most serious, (D potential solutions.Thirty-four (of 66 barriers were seen as moderately or more serious, highlighting the widespread, significant challenges global health development faces. Perceived barrier seriousness differed significantly across domains: Resource Limitations mean = 2.47 (0-4 Likert scale, Priority Selection mean = 2.20, Corruption, Lack of Competence mean = 1.87, Social and Cultural Barriers mean = 1.68. Some system-level predictors showed significant but relatively limited relations. For instance, for Global Health Domain, HIV and Mental Health had higher levels of perceived Social and Cultural Barriers than other GH Domains. Individual-level global health experience predictors had small but significant effects, with seriousness of (a Corruption, Lack of Competence, and (b Priority Selection barriers positively correlated with respondents' level of LMIC-oriented (e.g., weeks/year spent in LMIC but Academic Global Health Achievement (e.g., number of global health publications negatively correlated with overall barrier seriousness.That comparatively few system-level predictors (e.g., Organization Type were significant suggests these barriers may be relatively fundamental at the system-level. Individual-level and system-level effects do have policy implications; e.g., Priority Selection barriers were among the most serious, yet effects on seriousness of how LMIC-oriented a professional

Sexual orientation and health among U.S. adults: national health interview survey, 2013.

Science.gov (United States)

Ward, Brian W; Dahlhamer, James M; Galinsky, Adena M; Joestl, Sarah S

2014-07-15

To provide national estimates for indicators of health-related behaviors, health status, health care service utilization, and health care access by sexual orientation using data from the 2013 National Health Interview Survey (NHIS). NHIS is an annual multipurpose health survey conducted continuously throughout the year. Analyses were based on data collected in 2013 from 34,557 adults aged 18 and over. Sampling weights were used to produce national estimates that are representative of the civilian noninstitutionalized U.S. adult population. Differences in health-related behaviors, health status, health care service utilization, and health care access by sexual orientation were examined for adults aged 18-64, and separately for men and women. Based on the 2013 NHIS data, 96.6% of adults identified as straight, 1.6% identified as gay or lesbian, and 0.7% identified as bisexual. The remaining 1.1% of adults identified as ''something else,'' stated ''I don't know the answer,'' or refused to provide an answer. Significant differences were found in health-related behaviors, health status, health care service utilization, and health care access among U.S. adults aged 18-64 who identified as straight, gay or lesbian, or bisexual. NHIS sexual orientation data can be used to track progress toward meeting the Healthy People 2020 goals and objectives related to the health of lesbian, gay, and bisexual persons. In addition, the data can be used to examine a wide range of health disparities among adults identifying as straight, gay or lesbian, or bisexual. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Estimating health expectancies from two cross-sectional surveys: The intercensal method

Directory of Open Access Journals (Sweden)

Michel Guillot

2009-10-01

Full Text Available Health expectancies are key indicators for monitoring the health of populations, as well as for informing debates about compression or expansion of morbidity. However, current methodologies for estimating them are not entirely satisfactory. They are either of limited applicability because of high data requirements (the multistate method or based on questionable assumptions (the Sullivan method. This paper proposes a new method, called the "intercensal" method, which relies on the multistate framework but uses widely available data. The method uses age-specific proportions "healthy" at two successive, independent cross-sectional health surveys, and, together with information on general mortality, solves for the set of transition probabilities that produces the observed sequence of proportions healthy. The system is solved by making realistic parametric assumptions about the age patterns of transition probabilities. Using data from the Health and Retirement Survey (HRS and from the National Health Interview Survey (NHIS, the method is tested against both the multistate method and the Sullivan method. We conclude that the intercensal approach is a promising framework for the indirect estimation of health expectancies.

Design and operation of the national home health aide survey: 2007-2008.

Science.gov (United States)

Bercovitz, Anita; Moss, Abigail J; Sengupta, Manisha; Harris-Kojetin, Lauren D; Squillace, Marie R; Emily, Rosenoff; Branden, Laura

2010-03-01

This report provides an overview of the National Home Health Aide Survey (NHHAS), the first national probability survey of home health aides. NHHAS was designed to provide national estimates of home health aides who provided assistance in activities of daily living (ADLs) and were directly employed by agencies that provide home health and/or hospice care. This report discusses the need for and objectives of the survey, the design process, the survey methods, and data availability. METHODS NHHAS, a multistage probability sample survey, was conducted as a supplement to the 2007 National Home and Hospice Care Survey (NHHCS). Agencies providing home health and/or hospice care were sampled, and then aides employed by these agencies were sampled and interviewed by telephone. Survey topics included recruitment, training, job history, family life, client relations, work-related injuries, and demographics. NHHAS was virtually identical to the 2004 National Nursing Assistant Survey of certified nursing assistants employed in sampled nursing homes with minor changes to account for differences in workplace environment and responsibilities. RESULTS From September 2007 to April 2008, interviews were completed with 3,416 aides. A public-use data file that contains the interview responses, sampling weights, and design variables is available. The NHHAS overall response rate weighted by the inverse of the probability of selection was 41 percent. This rate is the product of the weighted first-stage agency response rate of 57 percent (i.e., weighted response rate of 59 percent for agency participation in NHHCS times the weighted response rate of 97 percent for agencies participating in NHHCS that also participated in NHHAS) and the weighted second-stage aide response rate of 72 percent to NHHAS.

Racialized identity and health in Canada: results from a nationally representative survey.

Science.gov (United States)

Veenstra, Gerry

2009-08-01

This article uses survey data to investigate health effects of racialization in Canada. The operative sample was comprised of 91,123 Canadians aged 25 and older who completed the 2003 Canadian Community Health Survey. A "racial and cultural background" survey question contributed a variable that differentiated respondents who identified with Aboriginal, Black, Chinese, Filipino, Latin American, South Asian, White, or jointly Aboriginal and White racial/cultural backgrounds. Indicators of diabetes, hypertension and self-rated health were used to assess health. The healthy immigrant effect suppressed some disparity in risk for diabetes by racial/cultural identification. In logistic regression models also containing gender, age, and immigrant status, no racial/cultural identifications corresponded with significantly better health outcomes than those reported by survey respondents identifying as White. Subsequent models indicated that residential locale did little to explain the associations between racial/cultural background and health and that socioeconomic status was only implicated in relatively poor health outcomes for respondents identifying as Aboriginal or Aboriginal/White. Sizable and statistically significant relative risks for poor health for respondents identifying as Aboriginal, Aboriginal/White, Black, Chinese, or South Asian remained unexplained by the models, suggesting that other explanations for health disparities by racialized identity in Canada - perhaps pertaining to experiences with institutional racism and/or the wear and tear of experiences of racism and discrimination in everyday life - also deserve empirical investigation in this context.

Teens, Health and Technology: A National Survey

OpenAIRE

Ellen Wartella; Vicky Rideout; Heather Montague; Leanne Beaudoin-Ryan; Alexis Lauricella

2016-01-01

In the age of digital technology, as teens seem to be constantly connected online, via social media, and through mobile applications, it is no surprise that they increasingly turn to digital media to answer their health questions. This study is the first of its kind to survey a large, nationally-representative sample of teens to investigate how they use the newest digital technologies, including mobile apps, social networking sites, electronic gaming and wearable devices, to explore health...

An employee total health management-based survey of Iowa employers.

Science.gov (United States)

Merchant, James A; Lind, David P; Kelly, Kevin M; Hall, Jennifer L

2013-12-01

To implement an Employee Total Health Management (ETHM) model-based questionnaire and provide estimates of model program elements among a statewide sample of Iowa employers. Survey a stratified random sample of Iowa employers, and characterize and estimate employer participation in ETHM program elements. Iowa employers are implementing less than 30% of all 12 components of ETHM, with the exception of occupational safety and health (46.6%) and workers' compensation insurance coverage (89.2%), but intend modest expansion of all components in the coming year. The ETHM questionnaire-based survey provides estimates of progress Iowa employers are making toward implementing components of Total Worker Health programs.

Marketing ethics, functions, and content: a health education/marketing survey.

Science.gov (United States)

Cooper, P D; King, K K

1985-01-01

Survey data were used to evaluate the role of marketing in the nonprofit arena of health promotion. Questionnaires utilizing a Likert type scale were sent to 106 marketers and 247 health educators soliciting their opinions about health care marketing. Both groups agreed that marketing was appropriate for both profit and non-profit organizations, but were not in total agreement on specific aspects of the marketing process. Marketers were adamant that marketing is not confined to promotional, advertising and communication functions, while health educators were neutral. Marketers were strong in their disagreement that marketing is selling; health educators were still neutral but in slight disagreement. Marketers did not believe that marketing uses gimmickry heavily, while health educators agreed that it does use gimmickry. A significant finding from the survey is that the major ethical issue for health educators is their view that marketing manipulates society. Both community and school health educators agreed that using marketing techniques is a step forward manipulation of a society, while the group of marketers disagreed.

Promoting Staff Health: A Survey of the Health and Wellbeing Division

LENUS (Irish Health Repository)

Evans, David S.

2016-01-01

n order to gain a measure of the health and wellbeing of staff in the Health and Wellbeing Division a survey was undertaken in late 2015 with results contained in this report. It highlights the areas that we are doing well in and identifies a number of areas where improvements are needed. The results and suggestions given provide a benchmark as to the current health and wellbeing status of those in our Division and pave the way for a set of recommendations which will be delivered through the action plan currently being developed. As a starting point and in recognition of the fact that many of our staff are based in other cross divisional worksites, the Staff Health and Wellbeing Funding Initiative 2016 was introduced.

[Diffusion of clinical governance among the Italian Local Health Units (LHUs). Analysis of the Health Surveys, the Firm Acts and the Health Plans].

Science.gov (United States)

de Belvis, A G; Biasco, A; Pelone, F; Romaniello, A; De Micco, F; Volpe, M; Ricciardi, W

2009-01-01

The objective of our research is to report on the diffusion of Clinical Governance, as introduced with the National Health Plan 2006-2008, by analysing the planning instruments set up by each Region (Regional Health Plans and Emergency Plans in regions with budget deficit), the organizational frameworks (Atti Aziendali, firm acts), and the surveys on performance and quality of healthcare among the Italian Local Health Units (Health Surveys). Our research was realized on September-December 2007 and consisted of the collection of all retrieved documents available on the web and on the online public access catalog (OPAC SBN) of the National Library Service. Futhermore, each document has been classified and analysed according to Chambers' Clinical Governance definition. A descriptive statistical and inferential analysis by applying the Chi-2 Test was performed to test the correlation between the diffusion of such a classified documents and the geographical partition of each LHU. Our results show a scarce diffusion of Firm acts (43%) and Health Surveys (24.9% of the total). Any remind to Clinical Governance instruments and methods inside each document resulted even poorer among both the organizational and performance surveys and the regional health planning frameworks, respectively.

Are patient surveys valuable as a service-improvement tool in health services? An overview

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Patwardhan A

2012-05-01

Full Text Available Anjali Patwardhan,1 Charles H Spencer21Nationwide Children’s Hospital Columbus, 2Ohio State University, Columbus, OH, USAAbstract: Improving the quality of care in international health services was made a high priority in 1977. The World Health Assembly passed a resolution to greatly improve “Health for all” by the year 2000. Since 1977, the use of patient surveys for quality improvement has become a common practice in the health-care industry. The use of surveys reflects the concept that patient satisfaction is closely linked with that of organizational performance, which is in turn closely linked with organizational culture. This article is a review of the role of patient surveys as a quality-improvement tool in health care. The article explores the characteristics, types, merits, and pitfalls of various patient surveys, as well as the impact of their wide-ranging application in dissimilar scenarios to identify gaps in service provision. It is demonstrated that the conducting of patient surveys and using the results to improve the quality of care are two different processes. The value of patient surveys depends on the interplay between these two processes and several other factors that can influence the final outcome. The article also discusses the business aspect of the patient surveys in detail. Finally, the authors make future recommendations on how the patient survey tool can be best used to improve the quality of care in the health-care sector.Keywords: patient surveys, quality improvement, service gaps 

Lot quality assurance sampling techniques in health surveys in developing countries: advantages and current constraints.

Science.gov (United States)

Lanata, C F; Black, R E

1991-01-01

Traditional survey methods, which are generally costly and time-consuming, usually provide information at the regional or national level only. The utilization of lot quality assurance sampling (LQAS) methodology, developed in industry for quality control, makes it possible to use small sample sizes when conducting surveys in small geographical or population-based areas (lots). This article describes the practical use of LQAS for conducting health surveys to monitor health programmes in developing countries. Following a brief description of the method, the article explains how to build a sample frame and conduct the sampling to apply LQAS under field conditions. A detailed description of the procedure for selecting a sampling unit to monitor the health programme and a sample size is given. The sampling schemes utilizing LQAS applicable to health surveys, such as simple- and double-sampling schemes, are discussed. The interpretation of the survey results and the planning of subsequent rounds of LQAS surveys are also discussed. When describing the applicability of LQAS in health surveys in developing countries, the article considers current limitations for its use by health planners in charge of health programmes, and suggests ways to overcome these limitations through future research. It is hoped that with increasing attention being given to industrial sampling plans in general, and LQAS in particular, their utilization to monitor health programmes will provide health planners in developing countries with powerful techniques to help them achieve their health programme targets.

Measuring population health: costs of alternative survey approaches in the Nouna Health and Demographic Surveillance System in rural Burkina Faso

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Henrike Lietz

2015-08-01

Full Text Available Background: There are more than 40 Health and Demographic Surveillance System (HDSS sites in 19 different countries. The running costs of HDSS sites are high. The financing of HDSS activities is of major importance, and adding external health surveys to the HDSS is challenging. To investigate the ways of improving data quality and collection efficiency in the Nouna HDSS in Burkina Faso, the stand-alone data collection activities of the HDSS and the Household Morbidity Survey (HMS were integrated, and the paper-based questionnaires were consolidated into a single tablet-based questionnaire, the Comprehensive Disease Assessment (CDA. Objective: The aims of this study are to estimate and compare the implementation costs of the two different survey approaches for measuring population health. Design: All financial costs of stand-alone (HDSS and HMS and integrated (CDA surveys were estimated from the perspective of the implementing agency. Fixed and variable costs of survey implementation and key cost drivers were identified. The costs per household visit were calculated for both survey approaches. Results: While fixed costs of survey implementation were similar for the two survey approaches, there were considerable variations in variable costs, resulting in an estimated annual cost saving of about US$45,000 under the integrated survey approach. This was primarily because the costs of data management for the tablet-based CDA survey were considerably lower than for the paper-based stand-alone surveys. The cost per household visit from the integrated survey approach was US$21 compared with US$25 from the stand-alone surveys for collecting the same amount of information from 10,000 HDSS households. Conclusions: The CDA tablet-based survey method appears to be feasible and efficient for collecting health and demographic data in the Nouna HDSS in rural Burkina Faso. The possibility of using the tablet-based data collection platform to improve the quality

Consumers' Patient Portal Preferences and Health Literacy: A Survey Using Crowdsourcing.

Science.gov (United States)

Zide, Mary; Caswell, Kaitlyn; Peterson, Ellen; Aberle, Denise R; Bui, Alex At; Arnold, Corey W

2016-06-08

eHealth apps have the potential to meet the information needs of patient populations and improve health literacy rates. However, little work has been done to document perceived usability of portals and health literacy of specific topics. Our aim was to establish a baseline of lung cancer health literacy and perceived portal usability. A survey based on previously validated instruments was used to assess a baseline of patient portal usability and health literacy within the domain of lung cancer. The survey was distributed via Amazon's Mechanical Turk to 500 participants. Our results show differences in preferences and literacy by demographic cohorts, with a trend of chronically ill patients having a more positive reception of patient portals and a higher health literacy rate of lung cancer knowledge (Pportals and higher level of health literacy within the domain of lung cancer.

Generating Health Estimates by Zip Code: A Semiparametric Small Area Estimation Approach Using the California Health Interview Survey.

Science.gov (United States)

Wang, Yueyan; Ponce, Ninez A; Wang, Pan; Opsomer, Jean D; Yu, Hongjian

2015-12-01

We propose a method to meet challenges in generating health estimates for granular geographic areas in which the survey sample size is extremely small. Our generalized linear mixed model predicts health outcomes using both individual-level and neighborhood-level predictors. The model's feature of nonparametric smoothing function on neighborhood-level variables better captures the association between neighborhood environment and the outcome. Using 2011 to 2012 data from the California Health Interview Survey, we demonstrate an empirical application of this method to estimate the fraction of residents without health insurance for Zip Code Tabulation Areas (ZCTAs). Our method generated stable estimates of uninsurance for 1519 of 1765 ZCTAs (86%) in California. For some areas with great socioeconomic diversity across adjacent neighborhoods, such as Los Angeles County, the modeled uninsured estimates revealed much heterogeneity among geographically adjacent ZCTAs. The proposed method can increase the value of health surveys by providing modeled estimates for health data at a granular geographic level. It can account for variations in health outcomes at the neighborhood level as a result of both socioeconomic characteristics and geographic locations.

Australian academic primary health-care careers: a scoping survey.

Science.gov (United States)

Barton, Christopher; Reeve, Joanne; Adams, Ann; McIntyre, Ellen

2016-01-01

This study was undertaken to provide a snapshot of the academic primary health-care workforce in Australia and to provide some insight into research capacity in academic primary health care following changes to funding for this sector. A convenience sample of individuals self-identifying as working within academic primary health care (n=405) completed an anonymous online survey. Respondents were identified from several academic primary health-care mailing lists. The survey explored workforce demographics, clarity of career pathways, career trajectories and enablers/barriers to 'getting in' and 'getting on'. A mix of early career (41%), mid-career (25%) and senior academics (35%) responded. Early career academics tended to be female and younger than mid-career and senior academics, who tended to be male and working in 'balanced' (teaching and research) roles and listing medicine as their disciplinary background. Almost three-quarters (74%) indicated career pathways were either 'completely' or 'somewhat unclear', irrespective of gender and disciplinary backgrounds. Just over half (51%) had a permanent position. Males were more likely to have permanent positions, as were those with a medical background. Less than half (43%) reported having a mentor, and of the 57% without a mentor, more than two-thirds (69%) would like one. These results suggest a lack of clarity in career paths, uncertainty in employment and a large number of temporary (contract) or casual positions represent barriers to sustainable careers in academic primary health care, especially for women who are from non-medicine backgrounds. Professional development or a mentoring program for primary health-care academics was desired and may address some of the issues identified by survey respondents.

Canadians' perceptions of food, diet, and health--a national survey.

Directory of Open Access Journals (Sweden)

Alyssa Schermel

Full Text Available Poor nutrition is harmful to one's health as it can lead to overweight and obesity and a number of chronic diseases. Understanding consumer perceptions toward diet and nutrition is critical to advancing nutrition-related population health interventions to address such issues. The purpose of this paper was to examine Canadians' perceived health and diet status, compared to their actual health status, and general concern about their own diet and beliefs about health. Also analyzed were some of the perceived barriers to eating "healthy" foods, with a focus on the availability of "healthy" processed foods.Two surveys were administered online to a group of Canadian panelists from all ten provinces during May 2010 to January 2011. Thirty thousand were invited; 6,665 completed the baseline survey and 5,494 completed the second survey. Panelists were selected to be nationally representative of the Canadian adult population by age, sex, province and education level, according to 2006 census data.Approximately one third of Canadians perceived their health or diet to be very good while very few Canadians perceived their health or diet to be very poor. While the majority of Canadians believed food and nutrition to be very important for improving one's health, fewer Canadians were concerned about their own diets. The majority of Canadians reported difficulty finding "healthy" processed foods (low in salt and sugar and with sufficient vitamins and minerals. Many also reported difficulty finding healthy foods that are affordable.Although consumers believe that nutrition is one of the most important factors for maintaining health, there are still a number of attitudinal and perceived environmental barriers to healthy eating.

Veterans Health Administration Survey of Healthcare Experiences of Patients (SHEP)

Data.gov (United States)

U.S. Department of Health & Human Services — A list of VHA hospitals with inpatient experience of care survey data. The VA SHEP uses the same questions as the Hospital Consumer Assessment of Health Providers...

Social media, knowledge translation, and action on the social determinants of health and health equity: A survey of public health practices.

Science.gov (United States)

Ndumbe-Eyoh, Sume; Mazzucco, Agnes

2016-11-01

The growth of social media presents opportunities for public health to increase its influence and impact on the social determinants of health and health equity. The National Collaborating Centre for Determinants of Health at St. Francis Xavier University conducted a survey during the first half of 2016 to assess how public health used social media for knowledge translation, relationship building, and specific public health roles to advance health equity. Respondents reported that social media had an important role in public health. Uptake of social media, while relatively high for personal use, was less present in professional settings and varied for different platforms. Over 20 per cent of those surveyed used Twitter or Facebook at least weekly for knowledge exchange. A lesser number used social media for specific health equity action. Opportunities to enhance the use of social media in public health persist. Capacity building and organizational policies that support social media use may help achieve this.

Exploring ethnic inequalities in health: Evidence from the Health Survey for England, 1998-2011

OpenAIRE

Darlington, F; Norman, P; Ballas, D; Exeter, DJ

2015-01-01

Issues of social justice and social and spatial inequalities in health have long been researched, yet there is a relative paucity of research on ethnic inequalities in health. Given the increasing ethnic diversity of England's population and the persistence of unjust differences in health this research is timely. We used annual data from the Health Survey for England between 1998 and 2011, combined into a time-series dataset, to examine the influence of socioeconomic and spatial factors on et...

Reliability of a patient survey assessing cost-related changes in health care use among high deductible health plan enrollees

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Galbraith Alison A

2011-05-01

Full Text Available Abstract Background Recent increases in patient cost-sharing for health care have lent increasing importance to monitoring cost-related changes in health care use. Despite the widespread use of survey questions to measure changes in health care use and related behaviors, scant data exists on the reliability of such questions. Methods We administered a cross-sectional survey to a stratified random sample of families in a New England health plan's high deductible health plan (HDHP with ≥ $500 in annualized out-of-pocket expenditures. Enrollees were asked about their knowledge of their plan, information seeking, behavior change associated with having a deductible, experience of delay in care due in part to cost, and hypothetical delay in care due in part to cost. Initial respondents were mailed a follow-up survey within two weeks of each family returning the original survey. We computed several agreement statistics to measure the test-retest reliability for select questions. We also conducted continuity adjusted chi-square, and McNemar tests in both the original and follow-up samples to measure the degree to which our results could be reproduced. Analyses were stratified by self-reported income. Results The test-retest reliability was moderate for the majority of questions (0.41 - 0.60 and the level of test-retest reliability did not differ substantially across each of the broader domains of questions. The observed proportions of respondents with delayed or foregone pediatric, adult, or any family care were similar when comparing the original and follow-up surveys. In the original survey, respondents in the lower-income group were more likely to delay or forego pediatric care, adult care, or any family care. All of the tests comparing income groups in the follow-up survey produced the same result as in the original survey. Conclusions In this population of HDHP beneficiaries, we found that survey questions concerning plan knowledge, information

Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU).

Science.gov (United States)

Sørensen, Kristine; Pelikan, Jürgen M; Röthlin, Florian; Ganahl, Kristin; Slonska, Zofia; Doyle, Gerardine; Fullam, James; Kondilis, Barbara; Agrafiotis, Demosthenes; Uiters, Ellen; Falcon, Maria; Mensing, Monika; Tchamov, Kancho; van den Broucke, Stephan; Brand, Helmut

2015-12-01

Health literacy concerns the capacities of people to meet the complex demands of health in modern society. In spite of the growing attention for the concept among European health policymakers, researchers and practitioners, information about the status of health literacy in Europe remains scarce. This article presents selected findings from the first European comparative survey on health literacy in populations. The European health literacy survey (HLS-EU) was conducted in eight countries: Austria, Bulgaria, Germany, Greece, Ireland, the Netherlands, Poland and Spain (n = 1000 per country, n = 8000 total sample). Data collection was based on Eurobarometer standards and the implementation of the HLS-EU-Q (questionnaire) in computer-assisted or paper-assisted personal interviews. The HLS-EU-Q constructed four levels of health literacy: insufficient, problematic, sufficient and excellent. At least 1 in 10 (12%) respondents showed insufficient health literacy and almost 1 in 2 (47%) had limited (insufficient or problematic) health literacy. However, the distribution of levels differed substantially across countries (29-62%). Subgroups within the population, defined by financial deprivation, low social status, low education or old age, had higher proportions of people with limited health literacy, suggesting the presence of a social gradient which was also confirmed by raw bivariate correlations and a multivariate linear regression model. Limited health literacy represents an important challenge for health policies and practices across Europe, but to a different degree for different countries. The social gradient in health literacy must be taken into account when developing public health strategies to improve health equity in Europe. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association.

Transmission lines and launching systems for ECRH on the garching stellarators W VIIa and W VII-AS

International Nuclear Information System (INIS)

Thumm, M.; Janzen, G.; Mueller, G.; Schueller, P.G.; Wilhelm, R.; Erckmann, V.

1983-01-01

The transmission lines and launching systems for non ohmic plasma production and heating by ECR-waves at 28 GHz (200 kW, 40 ms) and 70 GHz (200 kW, 100 ms) in the Garching Wendelstein Stellarator W VIIa and at 70 GHz (800 kW, cw) in the future Advanced Stellarator W VII-AS are described. The ECRH systems meet the requirements for neutral gas breakdown (R-wave), heating of a cold plasma (X-mode) and heating of a warm plasma (0-mode) in a combined way. Periodically modulated wall mode converters (sinusoidal m=0 radius modulation, a 0 =31.75 mm at 28 GHz, a 0 =13.9 mm at 70 GHz) convert the circular electric TE/sub on/ gyrotron output mode mixture (mainly TE 02 mode) into a pure TE 01 wave which is used for the long distance transmission in smooth overmoded waveguides (I.D. = 63.5 mm). At the converter inputs the phases between the TE/sub on/ modes are matched by phase shifters. The measured conversion efficiency for characteristic mode mixtures (TE 02 /TE 01 /TE 03 ) at 28 GHz is about 98 %. For the geometrical and electrical matching of different waveguide diameters waveguide tapers with approximate Tschebycheff mode-conversion responses are used

Conceptualizing childhood health problems using survey data: a comparison of key indicators

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Miller Anton R

2007-12-01

Full Text Available Abstract Background Many definitions are being used to conceptualize child health problems. With survey data, commonly used indicators for identifying children with health problems have included chronic condition checklists, measures of activity limitations, elevated service use, and health utility thresholds. This study compares these different indicators in terms of the prevalence rates elicited, and in terms of how the subgroups identified differ. Methods Secondary data analyses used data from the National Longitudinal Survey of Children and Youth, which surveyed a nationally representative sample of Canadian children (n = 13,790. Descriptive analyses compared healthy children to those with health problems, as classified by any of the key indicators. Additional analyses examined differences between subgroups of children captured by a single indicator and those described as having health problems by multiple indicators. Results This study demonstrates that children captured by any of the indicators had poorer health than healthy children, despite the fact that over half the sample (52.2% was characterized as having a health problem by at least one indicator. Rates of child ill health differed by indicator; 5.6% had an activity limitation, 9.2% exhibited a severe health difficulty, 31.7% reported a chronic condition, and 36.6% had elevated service use. Further, the four key indicators captured different types of children. Indicator groupings differed on child and socio-demographic factors. Compared to children identified by more than one indicator, those identified only by the severe health difficulty indicator displayed more cognitive problems (p Conclusion We provide information useful to researchers when selecting indicators from survey data to identify children with health problems. Researchers and policy makers need to be aware of the impact of such definitions on prevalence rates as well as on the composition of children classified as

A Pilot Survey of Clergy Regarding Mental Health Care for Children

Directory of Open Access Journals (Sweden)

Leigh Blalock

2012-01-01

Full Text Available Collaborations between healthcare and faith-based organizations have emerged in the drive to improve access to care. Little research has examined clergy views on collaborations in the provision of mental healthcare, particularly to children. The current paper reports survey responses of 25 clergy from diverse religious traditions concerning mental health care in children. Subjects queried include clergy referral habits, specific knowledge of childhood conditions such as depression and anxiety, past experiences with behavioral health workers, and resources available through their home institutions. Overall, surveyed clergy support collaborations to improve childhood mental health. However, they vary considerably in their confidence with recognizing mental illness in children and perceive significant barriers to collaborating with mental health providers.

Measurement of sedentary behaviour in population health surveys: a review and recommendations

Directory of Open Access Journals (Sweden)

Stephanie A. Prince

2017-12-01

Full Text Available Background The purpose of this review was to determine the most valid and reliable questions for targeting key modes of sedentary behaviour (SB in a broad range of national and international health surveillance surveys. This was done by reviewing the SB modules currently used in population health surveys, as well as examining SB questionnaires that have performed well in psychometric testing. Methods Health surveillance surveys were identified via scoping review and contact with experts in the field. Previous systematic reviews provided psychometric information on pediatric questionnaires. A comprehensive search of four bibliographic databases was used to identify studies reporting psychometric information for adult questionnaires. Only surveys/studies published/used in English or French were included. Results The review identified a total of 16 pediatric and 18 adult national/international surveys assessing SB, few of which have undergone psychometric testing. Fourteen pediatric and 35 adult questionnaires with psychometric information were included. While reliability was generally good to excellent for questions targeting key modes of SB, validity was poor to moderate, and reported much less frequently. The most valid and reliable questions targeting specific modes of SB were combined to create a single questionnaire targeting key modes of SB. Discussion Our results highlight the importance of including SB questions in survey modules that are adaptable, able to assess various modes of SB, and that exhibit adequate reliability and validity. Future research could investigate the psychometric properties of the module we have proposed in this paper, as well as other questionnaires currently used in national and international population health surveys.

Sexual orientation and mental and physical health status: findings from a Dutch population survey.

NARCIS (Netherlands)

Sandfort, T.G.M.; Bakker, F.; Schellevis, F.G.; Vanwesenbeeck, I.

2006-01-01

OBJECTIVES: We sought to determine whether sexual orientation is related to mental and physical health and health behaviors in the general population. METHODS: Data was derived from a health interview survey that was part of the second Dutch National Survey of General Practice, carried out in 2001

Leadership survey. An evaluation of health care executives' challenges.

Science.gov (United States)

Thrall, T H; Hoppszallern, S

2001-01-01

Locating and keeping employees represents one of the greatest challenges facing health care leaders today. This is a key finding of the third Leadership Survey of executives in physician practices, managed care organizations and hospitals. The survey is sponsored by the Medical Group Management Association and Hospitals & Health Networks magazine. Other significant results: Practices put the most emphasis on teamwork, training and staff development as methods to combat labor shortages; practice executives count adequacy of reimbursements and physician productivity as top leadership challenges, along with the availability of qualified workers; practices choose print advertising and the addition of new products and services as the best ways for them to build market share.

Mental health literacy in rural Queensland: results of a community survey.

Science.gov (United States)

Bartlett, Helen; Travers, Catherine; Cartwright, Colleen; Smith, Norman

2006-09-01

The aim of this study was to assess the awareness of, and attitudes to, mental health issues in rural dwelling Queensland residents. A secondary objective was to provide baseline data of mental health literacy prior to the implementation of Australian Integrated Mental Health Initiative--a health promotion strategy aimed at improving the health outcomes of people with chronic or recurring mental disorders. In 2004 a random sample of 2% (2132) of the estimated adult population in each of eight towns in rural Queensland was sent a postal survey and invited to participate in the project. A series of questions were asked based on a vignette describing a person suffering major depression. In addition, questions assessed respondents' awareness and perceptions of community mental health agencies. Approximately one-third (36%) of those surveyed completed and returned the questionnaire. While a higher proportion of respondents (81%) correctly identified and labelled the problem in the vignette as depression than previously reported in Australian community surveys, the majority of respondents (66%) underestimated the prevalence of mental health problems in the community. Furthermore, a substantial number of respondents (37%) were unaware of agencies in their community to assist people with mental health issues while a majority of respondents (57.6%) considered that the services offered by those agencies were poor. While mental health literacy in rural Queensland appears to be comparable to other Australian regions, several gaps in knowledge were identified. This is in spite of recent widespread coverage of depression in the media and thus, there is a continuing need for mental health education in rural Queensland.

Development and Evaluation the Satisfaction of Using an Oral Health Survey Mobile Application.

Science.gov (United States)

Detsomboonrat, Palinee; Pisarnturakit, Pagaporn Pantuwadee

2018-06-05

Surveying oral health at the community level should be done at regular intervals. Dental health personnel must assess the oral health status and needs of the community through the collection and interpretation of reliable health information. Thus, the aims of this study were (1) to develop a mobile application for oral health surveys, (2) to analyze the oral status of school children in Bangkok using the newly developed application, and (3) to evaluate user satisfaction with using the Oral Health Survey Mobile Application (OHSMA). The OHSMA Android app was created to facilitate the collection and transfer of oral health status data. The survey data on the oral health status of Grades 1-6 Thai schoolchildren were collected and analyzed using the OHSMA. A 5-point Likert scale questionnaire was used to evaluate the satisfaction of 125 dental students when using this new application compared with using paper forms. The prevalence of dental caries in 441 schoolchildren was 79.7%. The total mean decayed, missing, and filled for primary teeth (dmft) and decayed, missing, and filled for permanent teeth (DMFT) were 4.09 (d + D = 3.29, m + M = 0.15, and f + F = 0.65). Users indicated high satisfaction scores for three OHSMA features: font, color, and proper size. The results showed that paper forms were easier for inputting and recording the data compared with the OHSMA. However, the OHSMA was significantly easier for searching data and reporting data compared with paper forms (OHSMA 3.80, paper forms 3.35; p application has the potential to collect valuable oral health survey data.

Factors affecting study efficiency and item non-response in health surveys in developing countries: the Jamaica national healthy lifestyle survey

Directory of Open Access Journals (Sweden)

Bennett Franklyn

2007-02-01

Full Text Available Abstract Background Health surveys provide important information on the burden and secular trends of risk factors and disease. Several factors including survey and item non-response can affect data quality. There are few reports on efficiency, validity and the impact of item non-response, from developing countries. This report examines factors associated with item non-response and study efficiency in a national health survey in a developing Caribbean island. Methods A national sample of participants aged 15–74 years was selected in a multi-stage sampling design accounting for 4 health regions and 14 parishes using enumeration districts as primary sampling units. Means and proportions of the variables of interest were compared between various categories. Non-response was defined as failure to provide an analyzable response. Linear and logistic regression models accounting for sample design and post-stratification weighting were used to identify independent correlates of recruitment efficiency and item non-response. Results We recruited 2012 15–74 year-olds (66.2% females at a response rate of 87.6% with significant variation between regions (80.9% to 97.6%; p Conclusion Informative health surveys are possible in developing countries. While survey response rates may be satisfactory, item non-response was high in respect of income and sexual practice. In contrast to developed countries, non-response to questions on income is higher and has different correlates. These findings can inform future surveys.

Self-rated health assessed by web versus mail modes in a mixed mode survey: the digital divide effect and the genuine survey mode effect.

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Shim, Jae-Mahn; Shin, Eunjung; Johnson, Timothy P

2013-09-01

To investigate differences in self-rated health (SRH) between web and mail questionnaires in a mixed mode survey and to provide a model that explains those differences. A total of 15,200 mail respondents and 17,829 web respondents from the 2008 US National Health Survey conducted by the Gallup Panel. Respondents were recruited using random digit dialing and assigned to one of the two survey modes (web or mail). Respondents with household Internet connection and frequent Internet usage were invited to complete the survey through the web mode. Respondents who had no Internet connection or who used the Internet infrequently were invited to the mail mode. Thus, respondents with better Internet access used the web mode. Respondents completed a questionnaire that asked about SRH status, objective health conditions, health behaviors, and other socioeconomic variables. Statistical associations were analyzed with ordered Logit and negative binomial models. Web respondents reported better SRH than mail respondents. This difference is in part reflective of variability in objective health status between these two groups, and in part attributable to the effects of survey mode. These results maintained with age controlled. The alignment between survey mode selection, Internet access, and health disparities, as well as genuine survey mode characteristics, leads to web-mail differences in SRH. Unless the digital divide and its influences on survey mode selection are resolved and differential genuine mode effects are fully comprehended, we recommend that both modes be simultaneously used on a complementary basis.

Microwave measurement test results of circular waveguide components for electron cyclotron resonant heating (ECRH) of the Tandem Mirror Experiment-Upgrade (TMX-U)

International Nuclear Information System (INIS)

Williams, C.W.; Rubert, R.R.; Coffield, F.E.; Felker, B.; Stallard, B.W.; Taska, J.

1983-01-01

Development of high-power components for electron cyclotron resonant heating (ECRH) applications requires extensive testing. In this paper we describe the high-power testing of various circular waveguide components designed for application on the Tandem Mirror Experiment-Upgrade (TMX-U). These include a 2.5-in. vacuum valve, polarizing reflectors, directional couplers, mode converters, and flexible waveguides. All of these components were tested to 200 kW power level with 40-ms pulses. Cold tests were used to determine field distribution. The techniques used in these tests are illustrated. The new high-power test facility at Lawrence Livermore National Laboratory (LLNL) is described and test procedures are discussed. We discuss the following test results: efficiency at high power of mode converters, comparison of high power vs low power for waveguide components, and full power tests of the waveguide system. We also explain the reasons behind selection of these systems for use on TMX-U

Health Information National Trends Survey in American Sign Language (HINTS-ASL): Protocol for the Cultural Adaptation and Linguistic Validation of a National Survey.

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Kushalnagar, Poorna; Harris, Raychelle; Paludneviciene, Raylene; Hoglind, TraciAnn

2017-09-13

The Health Information National Trends Survey (HINTS) collects nationally representative data about the American's public use of health-related information. This survey is available in English and Spanish, but not in American Sign Language (ASL). Thus, the exclusion of ASL users from these national health information survey studies has led to a significant gap in knowledge of Internet usage for health information access in this underserved and understudied population. The objectives of this study are (1) to culturally adapt and linguistically translate the HINTS items to ASL (HINTS-ASL); and (2) to gather information about deaf people's health information seeking behaviors across technology-mediated platforms. We modified the standard procedures developed at the US National Center for Health Statistics Cognitive Survey Laboratory to culturally adapt and translate HINTS items to ASL. Cognitive interviews were conducted to assess clarity and delivery of these HINTS-ASL items. Final ASL video items were uploaded to a protected online survey website. The HINTS-ASL online survey has been administered to over 1350 deaf adults (ages 18 to 90 and up) who use ASL. Data collection is ongoing and includes deaf adult signers across the United States. Some items from HINTS item bank required cultural adaptation for use with deaf people who use accessible services or technology. A separate item bank for deaf-related experiences was created, reflecting deaf-specific technology such as sharing health-related ASL videos through social network sites and using video remote interpreting services in health settings. After data collection is complete, we will conduct a series of analyses on deaf people's health information seeking behaviors across technology-mediated platforms. HINTS-ASL is an accessible health information national trends survey, which includes a culturally appropriate set of items that are relevant to the experiences of deaf people who use ASL. The final HINTS

Resource allocation in public health practice: a national survey of local public health officials.

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Baum, Nancy M; DesRoches, Catherine; Campbell, Eric G; Goold, Susan Dorr

2011-01-01

The purpose of this study was to gain an empirical understanding of the types of allocation decisions local health officials (LHOs) make and the factors that influence those allocation decisions. We conducted a national survey of LHOs in the United States in 2008 to 2009. The sample was stratified by the size of the population served by the department. We merged our data with data from the 2008 National Association of County and City Health Officials Profile survey. Descriptive statistics were generated using weighted data. Our final sample size was 608 respondents, with an average of 10 years experience. The LHOs reported little shifting of resources among population groups but greater capacity to redirect staffing time. Less than half of LHOs reported using economic analyses or conducting needs assessments when setting priorities. Having sole provider status in a community strongly influenced LHOs' allocation decisions. In addition, the effectiveness of activities, previous budget allocations, and input from boards of health were influential factors in allocation decisions. Public expectations were moderately to very influential, but direct public input had a low impact on allocation decisions. Survey findings provide a clearer understanding of how LHOs fulfill their obligations as stewards of public health resources and ensure effective activities and access to needed services. It may be useful to assess the value of more structured allocation methods (eg, decision frameworks) in the allocation process. Expanding opportunities for public engagement in priority setting may also be valuable for difficult allocation decisions.

The characteristics of non-respondents and respondents of a mental health survey among evacuees in a disaster: The Fukushima Health Management Survey.

Science.gov (United States)

Horikoshi, Naoko; Iwasa, Hajime; Yasumura, Seiji; Maeda, Masaharu

2017-12-19

The Fukushima Medical University conducted a mental health care program for evacuees after the Fukushima Daiichi nuclear power plant accident. However, the mental health status of non-respondents has not been considered for surveys using questionnaires. Therefore, the aim of this study was to clarify the characteristics of non-respondents and respondents. The target population of the survey (FY2011-2013) is people living in the nationally designated evacuation zone of Fukushima prefecture. Among these, the participants were 967 people (20 years or older). We examined factors that affected the difference between the groups of participants (i.e., non-respondents and respondents) using multivariate logistic regression analysis. Employment was higher in non-respondents (p=0.022) and they were also more socially isolated (p=0.047) when compared to respondents; non-respondents had a higher proportional risk of psychological distress compared to respondents (pemployment status (OR=1.99, 95% confidence interval [CI]:1.12-3.51) and psychological distress (OR=2.17, 95% CI:1.01-4.66). We found that non-respondents had a significantly higher proportion of psychological distress compared to the respondents. Although the non-respondents were the high-risk group, it is not possible to grasp the complexity of the situation by simply using questionnaire surveys. Therefore, in the future it is necessary to direct our efforts towards the mental health of non-respondents and respondents alike.

Racial and ethnic disparities in children's oral health: the National Survey of Children's Health.

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Dietrich, Thomas; Culler, Corinna; Garcia, Raul I; Henshaw, Michelle M

2008-11-01

The authors evaluated racial/ethnic differences and their socioeconomic determinants in the oral health status of U.S. children, as reported by parents. The authors used interview data from the 2003 National Survey of Children's Health, a large representative survey of U.S. children. They calculated weighted, nationally representative prevalence estimates for non-Hispanic whites, non-Hispanic blacks and Hispanics, and they used logistic regression to explore the association between parents' reports of fair or poor oral health and various socioeconomic determinants of oral health. The results showed significant racial/ethnic differences in parental reports of fair or poor oral health, with prevalences of 6.5 percent for non-Hispanic whites, 12.0 percent for non-Hispanic blacks and 23.4 percent for Hispanics. Although adjustments for family socioeconomic status (poverty level and education) partially explained these racial/ethnic disparities, Hispanics still were twice as likely as non-Hispanic whites to report their children's oral health as fair or poor, independent of socioeconomic status. The authors did find differences in preventive-care attitudes among groups. However, in multivariate models, such differences did not explain the disparities. Significant racial/ethnic disparities exist in parental reports of their children's oral health, with Hispanics being the most disadvantaged group. Disparities appear to exist independent of preventive-care attitudes and socioeconomic status.

Mode Equivalence of Health Indicators Between Data Collection Modes and Mixed-Mode Survey Designs in Population-Based Health Interview Surveys for Children and Adolescents: Methodological Study

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Hoffmann, Robert; Houben, Robin; Krause, Laura; Kamtsiuris, Panagiotis; Gößwald, Antje

2018-01-01

Background The implementation of an Internet option in an existing public health interview survey using a mixed-mode design is attractive because of lower costs and faster data availability. Additionally, mixed-mode surveys can increase response rates and improve sample composition. However, mixed-mode designs can increase the risk of measurement error (mode effects). Objective This study aimed to determine whether the prevalence rates or mean values of self- and parent-reported health indicators for children and adolescents aged 0-17 years differ between self-administered paper-based questionnaires (SAQ-paper) and self-administered Web-based questionnaires (SAQ-Web), as well as between a single-mode control group and different mixed-mode groups. Methods Data were collected for a methodological pilot of the third wave of the "German Health Interview and Examination Survey for Children and Adolescents". Questionnaires were completed by parents or adolescents. A population-based sample of 11,140 children and adolescents aged 0-17 years was randomly allocated to 4 survey designs—a single-mode control group with paper-and-pencil questionnaires only (n=970 parents, n=343 adolescents)—and 3 mixed-mode designs, all of which offered Web-based questionnaire options. In the concurrent mixed-mode design, both questionnaires were offered at the same time (n=946 parents, n=290 adolescents); in the sequential mixed-mode design, the SAQ-Web was sent first, followed by the paper questionnaire along with a reminder (n=854 parents, n=269 adolescents); and in the preselect mixed-mode design, both options were offered and the respondents were asked to request the desired type of questionnaire (n=698 parents, n=292 adolescents). In total, 3468 questionnaires of parents of children aged 0-17 years (SAQ-Web: n=708; SAQ-paper: n=2760) and 1194 questionnaires of adolescents aged 11-17 years (SAQ-Web: n=299; SAQ-paper: n=895) were analyzed. Sociodemographic characteristics and a broad

Using Text Message Surveys to Evaluate a Mobile Sexual Health Question-and-Answer Service.

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Willoughby, Jessica Fitts; L'Engle, Kelly Ladin; Jackson, Kennon; Brickman, Jared

2018-01-01

Text message programs for sexual health are becoming increasingly popular as practitioners aim to meet youth on media they use frequently. Two-way mobile health (mHealth) interventions allow for feedback solicitation from participants. This study explores the use of a text message survey to assess demographics and program feedback from users of an adolescent sexual health text message question-and-answer service. Development and feasibility of the short-message service survey are discussed. The text message survey achieved a 43.9% response rate, which is comparable to response rates of surveys conducted via other methods. When compared to respondents who used the service and completed an online in-school questionnaire, text survey respondents were more likely to be female and older. They also reported higher service satisfaction. Results have implications for text message service providers and researchers. This article examines a community application of a new intervention strategy and research methodology.

Explaining health care expenditure variation: large-sample evidence using linked survey and health administrative data.

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Ellis, Randall P; Fiebig, Denzil G; Johar, Meliyanni; Jones, Glenn; Savage, Elizabeth

2013-09-01

Explaining individual, regional, and provider variation in health care spending is of enormous value to policymakers but is often hampered by the lack of individual level detail in universal public health systems because budgeted spending is often not attributable to specific individuals. Even rarer is self-reported survey information that helps explain this variation in large samples. In this paper, we link a cross-sectional survey of 267 188 Australians age 45 and over to a panel dataset of annual healthcare costs calculated from several years of hospital, medical and pharmaceutical records. We use this data to distinguish between cost variations due to health shocks and those that are intrinsic (fixed) to an individual over three years. We find that high fixed expenditures are positively associated with age, especially older males, poor health, obesity, smoking, cancer, stroke and heart conditions. Being foreign born, speaking a foreign language at home and low income are more strongly associated with higher time-varying expenditures, suggesting greater exposure to adverse health shocks. Copyright © 2013 John Wiley & Sons, Ltd.

Health survey of radiation workers. Results of questionnaire

International Nuclear Information System (INIS)

Morikawa, Kaoru; Aoyama, Takashi; Kawagoe, Yasumitsu; Sunayashiki, Tadashi; Tanaka, Kiyoshi; Nishitani, Motohiro; Yoshinaga, Nobuharu

1998-01-01

The Japanese Society of Radiological Technology asked radiation workers about the radiation doses and the state of their health as well as family. The reports by the Health and Welfare Ministry were referenced to compare radiation workers with others. The questionnaire was sent to about 4,000 members, and returned from 2,479. The survey showed that 684 persons (27.6%) felt health anxiety, 455 persons (18.4%) had medical check for recent one year, and 1,645 persons (66.4%) had anamnesis. Radiation doses for one year and cumulated doses varied according to engaging duration. (K.H.)

The Study of Sawtooth Oscillation during ECRH of HL-2A-like Plasma using 1.5D BALDUR Code

International Nuclear Information System (INIS)

Promping, J.; Onjun, T.; Poolyarat, N.; Picha, R.

2009-07-01

Full text: One of the current issues in tokamak plasma is sawtooth oscillation, because each sawtooth crash results in a significant reduction of central temperature and density. Consequently, the nuclear fusion power will drop. This has a significant impact on the performance of future nuclear fusion power plants. In this work, behaviors of sawtooth oscillations during an electron-cyclotron resonant heating (ECRH) in HL-2A tokamak experiment are studied. The simulation of plasma in HL-2A tokamak is carried out using the 1.5 D BALDUR integrated predictive modeling code, where the plasma core can be described by the combination of anomalous and neoclassical transport. This simulation used the Mixed Bohm/Gyro-Bohm (Mixed B/gB) model for the anomalous transport and the the NCLASS module for the neoclassical transport. For the anomamouse transport, we use Multimode (MMM95) model, while for the neoclassical transport, we use the NCLASS module for the neoclassical transport. In each simulation, a sawtooth crash is predicted by either Rogers-Zakharov sawtooth triggering model, Park-Monticello sawtooth triggering model, or Porcelli sawtooth triggering model. The effect of sawtooth crash is described by a modified Kadomtsev magnetic reconnection model

Bolivia 1998: results from the Demographic and Health Survey.

Science.gov (United States)

2000-09-01

This document presents the results of the Bolivia Demographic and Health Survey (DHS), or Encuesta Nacional de Demografia y Salud 1998, conducted by the Instituto Nacional de Estadistica, La Paz, Bolivia, within the framework of the DHS Program of Macro International. Data were collected from 12,109 households and complete interviews were conducted with 11,187 women aged 15-49. A male survey was also conducted, which collected data from 3780 men aged 15-64. The information collected include the following: 1) general characteristics of the population, 2) fertility, 3) fertility preferences, 4) current contraceptive use, 5) contraception, 6) marital and contraceptive status, 7) postpartum variables, 8) infant mortality, 9) health: disease prevention and treatment, and 10) nutritional status: anthropometric measures.

Regional South Australia Health (RESONATE) survey: study protocol

Science.gov (United States)

Jones, Martin; Gillam, Marianne; May, Esther

2018-01-01

Introduction Access to quality healthcare services is considered a moral right. However, for people living in regional locations, timely access to the services that they need may not always be possible because of structural and attitudinal barriers. This suggests that people living in regional areas may have unmet healthcare needs. The aim of this research will be to examine the healthcare needs, expectations and experiences of regional South Australians. Methods and analysis The Regional South Australia Health (RESONATE) survey is a cross-sectional study of adult health consumers living in any private or non-private dwelling, in any regional, rural, remote or very remote area of South Australia and with an understanding of written English. Data will be collected using a 45-item, multidimensional, self-administered instrument, designed to measure healthcare need, barriers to healthcare access and health service utilisation, attitudes, experiences and satisfaction. The instrument has demonstrated acceptable psychometric properties, including good content validity and internal reliability, good test–retest reliability and a high level of acceptability. The survey will be administered online and in hard-copy, with at least 1832 survey participants to be recruited over a 12-month period, using a comprehensive, multimodal recruitment campaign. Ethics and dissemination The study has been reviewed and approved by the Human Research Ethics Committee of the University of South Australia. The results will be actively disseminated through peer-reviewed journals, conference presentations, social media, broadcast media, print media, the internet and various community/stakeholder engagement activities. PMID:29654014

Results of the Community Health Applied Research Network (CHARN) National Research Capacity Survey of Community Health Centers.

Science.gov (United States)

Song, Hui; Li, Vivian; Gillespie, Suzanne; Laws, Reesa; Massimino, Stefan; Nelson, Christine; Singal, Robbie; Wagaw, Fikirte; Jester, Michelle; Weir, Rosy Chang

2015-01-01

The mission of the Community Health Applied Research Network (CHARN) is to build capacity to carry out Patient-Centered Outcomes Research at community health centers (CHCs), with the ultimate goal to improve health care for vulnerable populations. The CHARN Needs Assessment Staff Survey investigates CHCs' involvement in research, as well as their need for research training and resources. Results will be used to guide future training. The survey was developed and implemented in partnership with CHARN CHCs. Data were collected across CHARN CHCs. Data analysis and reports were conducted by the CHARN data coordinating center (DCC). Survey results highlighted gaps in staff research training, and these gaps varied by staff role. There is considerable variation in research involvement, partnerships, and focus both within and across CHCs. Development of training programs to increase research capacity should be tailored to address the specific needs and roles of staff involved in research.

National Survey on Drug Use and Health: 4-Year R-DAS (NSDUH-2002-2005)

Data.gov (United States)

U.S. Department of Health & Human Services — This file includes data from the 2002 through 2013 National Survey on Drug Use and Health (NSDUH) survey. The only variables included in the data file are ones that...

National Survey on Drug Use and Health: 8-Year R-DAS (NSDUH-2002-2009)

Data.gov (United States)

U.S. Department of Health & Human Services — This file includes data from the 2002 through 2009 National Survey on Drug Use and Health (NSDUH) survey. The only variables included in the 8-year 2002-2009 data...

National Survey on Drug Use and Health: 2-Year R-DAS (NSDUH-2002-2003)

Data.gov (United States)

U.S. Department of Health & Human Services — This file includes data from the 2002 through 2011 National Survey on Drug Use and Health (NSDUH) survey. The only variables included in the data file are ones that...

Internet information-seeking in mental health: population survey.

Science.gov (United States)

Powell, John; Clarke, Aileen

2006-09-01

A major use of the of the internet is for health information-seeking. There has been little research into its use in relation to mental health. To investigate the prevalence of internet use for mental health information-seeking and its relative importance as a mental health information source. General population survey. Questions covered internet use, past psychiatric history and the 12-item General Health Questionnaire. Eighteen per cent of all internet users had used the internet for information related to mental health. The prevalence was higher among those with a past history of mental health problems and those with current psychological distress. Only 12% of respondents selected the internet as one of the three most accurate sources of information, compared with 24% who responded that it was one of the three sources they would use. The internet has a significant role in mental health information-seeking. The internet is used more than it is trusted.

A continuing education preference survey of public health graduates.

Science.gov (United States)

Berman, S J; Perkocha, V A; Novotny, T E

1995-01-01

Continuing education (CE) is a vital component in strengthening the public health work force, and its importance has been emphasized by the Institute of Medicine and the Council for Education in Public Health. A CE preference survey was undertaken of alumni of the University of California, Berkeley, School of Public Health (UCB-SPH). Questionnaires were mailed to a one-third random sample of 1,500 graduates from 1981-1992 who currently reside in U.S. Department of Health and Human Services (HHS) Region IX. A response rate of 57% was achieved. Results of the survey show that CE activities are highly desired among respondents. Overall, 58% of respondents prefer a half-day to one-day seminar format during regular business hours, as opposed to night classes. They prefer a traditional didactic classroom presentation that is within one hour's automobile travel. The optimal setting for CE courses would be at the University of California, Berkeley, or in-house at their institution. Subject areas of interest noted by respondents are health policy development, communication in public health, community involvement, and research. Schools of public health may respond to the CE needs of their alumni through a variety of channels, including the mainstreaming of CE as part of a school's teaching responsibility, special seminars or institutes, extension courses through the larger university system, distance-based learning, and through a separately funded for-profit CE activity.

[A Survey about the Radiation Effects and A Health Survey of Fukushima Inhabitants after the Fukushima Daiichi Nuclear Power Plant Accident].

Science.gov (United States)

Okazaki, Ryuji; Ohga, Kazuhiro; Yoko-O, Makoto; Kohzaki, Masaoki

According to questionnaire surveys in 2011 and 2013 about the health effects of radiation after the Fukushima Daiichi Nuclear Power Plant Accident, the guardians of child patients were more anxious than doctors and medical students. Also, according to the thyroid examinations in a Fukushima health survey, 190 cases of thyroid cancer were reported, and anxiety about radiation effects remained. This study is based on a survey about the guardians of child patients anxiety about radiation effects six years after the nuclear power plant accident, and includes a questionnaire survey about radiation effects and thyroid examinations in a Fukushima health survey. Anonymous question sheets with 20 questions were sent to pediatric medical facilities in Fukushima, and the parents of children who consulted the pediatric and medical staff answered the questionnaire. Thirty percent of the guardians of child patients had never been educated about radiation and 67% had never been educated about the effects of radiation on humans. The guardians of child patients were more anxious than the medical staff about thyroid cancer, health effects on children and genetic effects. Our results indicate that the guardians of child patients think that the increase in the incidence of thyroid cancer is due to radiation effects after the nuclear power plant accident and they desire continued thyroid examinations.

Transfer of information from personal health records: a survey of veterans using My HealtheVet.

Science.gov (United States)

Turvey, Carolyn L; Zulman, Donna M; Nazi, Kim M; Wakefield, Bonnie J; Woods, Susan S; Hogan, Timothy P; Weaver, Frances M; McInnes, Keith

2012-03-01

Personal health records provide patients with ownership of their health information and allow them to share information with multiple healthcare providers. However, the usefulness of these records relies on patients understanding and using their records appropriately. My HealtheVet is a Web-based patient portal containing a personal health record administered by the Veterans Health Administration. The goal of this study was to explore veterans' interest and use of My HealtheVet to transfer and share information as well as to identify opportunities to increase veteran use of the My HealtheVet functions. Two waves of data were collected in 2010 through an American Customer Satisfaction Index Web-based survey. A random sample of veterans using My HealtheVet was invited to participate in the survey conducted on the My HealtheVet portal through a Web-based pop-up browser window. Wave One results (n=25,898) found that 41% of veterans reported printing information, 21% reported saving information electronically, and only 4% ever sent information from My HealtheVet to another person. In Wave Two (n=18,471), 30% reported self-entering medication information, with 18% sharing this information with their Veterans Affairs (VA) provider and 9.6% sharing with their non-VA provider. Although veterans are transferring important medical information from their personal health records, increased education and awareness are needed to increase use. Personal health records have the potential to improve continuity of care. However, more research is needed on both the barriers to adoption as well as the actual impact on patient health outcomes and well-being.

The effect of mode and context on survey results: Analysis of data from the Health Survey for England 2006 and the Boost Survey for London

Directory of Open Access Journals (Sweden)

Roth Marilyn A

2010-09-01

Full Text Available Abstract Background Health-related data at local level could be provided by supplementing national health surveys with local boosts. Self-completion surveys are less costly than interviews, enabling larger samples to be achieved for a given cost. However, even when the same questions are asked with the same wording, responses to survey questions may vary by mode of data collection. These measurement differences need to be investigated further. Methods The Health Survey for England in London ('Core' and a London Boost survey ('Boost' used identical sampling strategies but different modes of data collection. Some data were collected by face-to-face interview in the Core and by self-completion in the Boost; other data were collected by self-completion questionnaire in both, but the context differed. Results were compared by mode of data collection using two approaches. The first examined differences in results that remained after adjusting the samples for differences in response. The second compared results after using propensity score matching to reduce any differences in sample composition. Results There were no significant differences between the two samples for prevalence of some variables including long-term illness, limiting long-term illness, current rates of smoking, whether participants drank alcohol, and how often they usually drank. However, there were a number of differences, some quite large, between some key measures including: general health, GHQ12 score, portions of fruit and vegetables consumed, levels of physical activity, and, to a lesser extent, smoking consumption, the number of alcohol units reported consumed on the heaviest day of drinking in the last week and perceived social support (among women only. Conclusion Survey mode and context can both affect the responses given. The effect is largest for complex question modules but was also seen for identical self-completion questions. Some data collected by interview and self

Prayer for Health and Primary Care: Results From the 2002 National Health Interview Survey

Science.gov (United States)

Wilkinson, Joanne E.; Saper, Robert B.; Rosen, Amy K.; Welles, Seth L.; Culpepper, Larry

2009-01-01

Background and Objectives Prayer for health (PFH) is common; in 2002, 35% of US adults prayed for their health. We examined the relationship of PFH and primary care visits, with a special focus on African American women, using data from the 2002 National Health Interview Survey (NHIS). Methods We used chi-square analyses to compare the demographic (age group, gender, race, region, marital status, educational level, ethnicity) and health-related covariates (alcohol use, smoking status, and selected medical conditions) between individuals who did and did not pray for their health in the past year. Univariate associations between PFH and visit to primary care provider (PCP), with Mantel-Haenszel adjustment for confounding, were determined. Multivariate regression was used to determine independent factors associated with PFH and PCP visit, with SUDAAN to adjust for the clustered survey design. Results Subjects who prayed were more likely to be female, older than 58, Black, Southern, separated, divorced or widowed, and nondrinkers. Subjects who prayed were also more likely to have seen a PCP within the past year. Black women who prayed were also more likely to see a PCP. Conclusions These findings suggest that people who pray for their health do so in addition to, not instead of, seeking primary care. This finding is maintained but with a smaller effect size, in Black women. PMID:18830839

Health impact assessment – A survey on quantifying tools

Energy Technology Data Exchange (ETDEWEB)

Fehr, Rainer, E-mail: rainer.fehr@uni-bielefeld.de [Fakultaet fuer Gesundheitswissenschaften, Universitaet Bielefeld, Universitaetsstr. 25, 33615 Bielefeld (Germany); Mekel, Odile C.L., E-mail: odile.mekel@lzg.nrw.de [Gesundheitsdaten und analysen, Versorgungsstrukturen, Landeszentrum Gesundheit Nordrhein-Westfalen (LZG.NRW), Westerfeldstr. 35-37, 33611 Bielefeld (Germany); Fintan Hurley, J., E-mail: fintan.hurley@iom-world.org [Institute of Occupational Medicine (IOM), Research Avenue North, Riccarton, Edinburgh EH14 4AP, Scotland (United Kingdom); Mackenbach, Johan P., E-mail: j.mackenbach@erasmusmc.nl [Department of Public Health, Erasmus MC, P.O. Box 2040, 3000 CA Rotterdam (Netherlands)

2016-02-15

Integrating human health into prospective impact assessments is known to be challenging. This is true for both approaches: dedicated health impact assessments (HIA) as well as inclusion of health into more general impact assessments. Acknowledging the full range of participatory, qualitative, and quantitative approaches, this study focuses on the latter, especially on computational tools for quantitative health modelling. We conducted a survey among tool developers concerning the status quo of development and availability of such tools; experiences made with model usage in real-life situations; and priorities for further development. Responding toolmaker groups described 17 such tools, most of them being maintained and reported as ready for use and covering a wide range of topics, including risk & protective factors, exposures, policies, and health outcomes. In recent years, existing models have been improved and were applied in new ways, and completely new models emerged. There was high agreement among respondents on the need to further develop methods for assessment of inequalities and uncertainty. The contribution of quantitative modeling to health foresight would benefit from building joint strategies of further tool development, improving the visibility of quantitative tools and methods, and engaging continuously with actual and potential users. - Highlights: • A survey investigated computational tools for health impact quantification. • Formal evaluation of such tools has been rare. • Handling inequalities and uncertainties are priority areas for further development. • Health foresight would benefit from tool developers and users forming a community. • Joint development strategies across computational tools are needed.

Health impact assessment – A survey on quantifying tools

International Nuclear Information System (INIS)

Fehr, Rainer; Mekel, Odile C.L.; Fintan Hurley, J.; Mackenbach, Johan P.

2016-01-01

Integrating human health into prospective impact assessments is known to be challenging. This is true for both approaches: dedicated health impact assessments (HIA) as well as inclusion of health into more general impact assessments. Acknowledging the full range of participatory, qualitative, and quantitative approaches, this study focuses on the latter, especially on computational tools for quantitative health modelling. We conducted a survey among tool developers concerning the status quo of development and availability of such tools; experiences made with model usage in real-life situations; and priorities for further development. Responding toolmaker groups described 17 such tools, most of them being maintained and reported as ready for use and covering a wide range of topics, including risk & protective factors, exposures, policies, and health outcomes. In recent years, existing models have been improved and were applied in new ways, and completely new models emerged. There was high agreement among respondents on the need to further develop methods for assessment of inequalities and uncertainty. The contribution of quantitative modeling to health foresight would benefit from building joint strategies of further tool development, improving the visibility of quantitative tools and methods, and engaging continuously with actual and potential users. - Highlights: • A survey investigated computational tools for health impact quantification. • Formal evaluation of such tools has been rare. • Handling inequalities and uncertainties are priority areas for further development. • Health foresight would benefit from tool developers and users forming a community. • Joint development strategies across computational tools are needed.

The ethics of in vivo calibrations in oral health surveys.

Science.gov (United States)

Andrade, Flávia Reis de; Narvai, Paulo Capel; Montagner, Miguel Ângelo

2016-01-01

To analyze the ethics of in vivo calibration, using the discourse of the administrators of the National Oral Health Survey (SBBrasil 2010) as a starting point. This is a qualitative research involving semi-structured individual interviews with 12 members of the Steering Group and Technical Advisory Committee of the Ministry of Health, and two coordinators, one State and the other Municipal. The discourse of the collective subject technique was used for data analysis. When asked about the experiences of SBBrasil 2010, which included ethical aspects, respondents identified the forms of standardization and training of teams who collected field data. For them, there is little scientific evidence to ethically support the way the training stage, including calibration, is carried out in oral health epidemiological surveys, as a certain unease can be predicted in participants of these studies. The ethics of a research also derives from its methodological rigor; the training process; and calibration in particular, is a fundamental technical and ethical requirement in surveys such as the SBBrasil 2010. The unease of the volunteers in face of test repetition does not ethically invalidate the in vivo calibration, but mechanisms to minimize it must be developed.

The Trojan Lifetime Champions Health Survey: Development, Validity, and Reliability

Science.gov (United States)

Sorenson, Shawn C.; Romano, Russell; Scholefield, Robin M.; Schroeder, E. Todd; Azen, Stanley P.; Salem, George J.

2015-01-01

Context Self-report questionnaires are an important method of evaluating lifespan health, exercise, and health-related quality of life (HRQL) outcomes among elite, competitive athletes. Few instruments, however, have undergone formal characterization of their psychometric properties within this population. Objective To evaluate the validity and reliability of a novel health and exercise questionnaire, the Trojan Lifetime Champions (TLC) Health Survey. Design Descriptive laboratory study. Setting A large National Collegiate Athletic Association Division I university. Patients or Other Participants A total of 63 university alumni (age range, 24 to 84 years), including former varsity collegiate athletes and a control group of nonathletes. Intervention(s) Participants completed the TLC Health Survey twice at a mean interval of 23 days with randomization to the paper or electronic version of the instrument. Main Outcome Measure(s) Content validity, feasibility of administration, test-retest reliability, parallel-form reliability between paper and electronic forms, and estimates of systematic and typical error versus differences of clinical interest were assessed across a broad range of health, exercise, and HRQL measures. Results Correlation coefficients, including intraclass correlation coefficients (ICCs) for continuous variables and κ agreement statistics for ordinal variables, for test-retest reliability averaged 0.86, 0.90, 0.80, and 0.74 for HRQL, lifetime health, recent health, and exercise variables, respectively. Correlation coefficients, again ICCs and κ, for parallel-form reliability (ie, equivalence) between paper and electronic versions averaged 0.90, 0.85, 0.85, and 0.81 for HRQL, lifetime health, recent health, and exercise variables, respectively. Typical measurement error was less than the a priori thresholds of clinical interest, and we found minimal evidence of systematic test-retest error. We found strong evidence of content validity, convergent

Online Learning for Mobile Technology Applications in Health Surveys

International Development Research Centre (IDRC) Digital Library (Canada)

Online Learning for Mobile Technology Applications in Health Surveys. In light of ... to develop a globally accessible asynchronous Internet-based training packaged backed by a real-time coaching service. Project ID. 105932. Project status.

Measuring the health of the Indian elderly: evidence from National Sample Survey data

Directory of Open Access Journals (Sweden)

Mahal Ajay

2010-11-01

Full Text Available Abstract Background Comparable health measures across different sets of populations are essential for describing the distribution of health outcomes and assessing the impact of interventions on these outcomes. Self-reported health (SRH is a commonly used indicator of health in household surveys and has been shown to be predictive of future mortality. However, the susceptibility of SRH to influence by individuals' expectations complicates its interpretation and undermines its usefulness. Methods This paper applies the empirical methodology of Lindeboom and van Doorslaer (2004 to investigate elderly health in India using data from the 52nd round of the National Sample Survey conducted in 1995-96 that includes both an SRH variable as well as a range of objective indicators of disability and ill health. The empirical testing was conducted on stratified homogeneous groups, based on four factors: gender, education, rural-urban residence, and region. Results We find that region generally has a significant impact on how women perceive their health. Reporting heterogeneity can arise not only from cut-point shifts, but also from differences in health effects by objective health measures. In contrast, we find little evidence of reporting heterogeneity due to differences in gender or educational status within regions. Rural-urban residence does matter in some cases. The findings are robust with different specifications of objective health indicators. Conclusions Our exercise supports the thesis that the region of residence is associated with different cut-points and reporting behavior on health surveys. We believe this is the first paper that applies the Lindeboom-van Doorslaer methodology to data on the elderly in a developing country, showing the feasibility of applying this methodology to data from many existing cross-sectional health surveys.

The 2003 Australian Breast Health Survey: survey design and preliminary results

Directory of Open Access Journals (Sweden)

Favelle Simone

2008-01-01

Full Text Available Abstract Background The Breast Health Surveys, conducted by the National Breast Cancer Centre (NBCC in 1996 and 2003, are designed to gain insight into the knowledge, attitudes and behaviours of a nationally representative sample of Australian women on issues relevant to breast cancer. In this article, we focus on major aspects of the design and present results on respondents' knowledge about mammographic screening. Methods The 2003 BHS surveyed English-speaking Australian women aged 30–69 without a history of breast cancer using computer-assisted telephone interviewing. Questions covered the following themes: knowledge and perceptions about incidence, mortality and risk; knowledge and behaviour regarding early detection, symptoms and diagnosis; mammographic screening; treatment; and accessibility and availability of information and services. Respondents were selected using a complex sample design involving stratification. Sample weights against Australian population benchmarks were used in all statistical analyses. Means and proportions for the entire population and by age group and area of residence were calculated. Statistical tests were conducted using a level of significance of 0.01. Results Of the 3,144 respondents who consented to being interviewed, 138 (4.4% had a previous diagnosis of breast cancer and were excluded leaving 3,006 completed interviews eligible for analysis. A majority of respondents (61.1% reported ever having had a mammogram and 29.1% identified mammography as being the best way of finding breast cancer. A majority of women (85.9% had heard of the BreastScreen Australia (BSA program, the national mammographic screening program providing free biennial screening mammograms, with 94.5% believing that BSA attendance was available regardless of the presence or absence of symptoms. There have been substantial gains in women's knowledge about mammographic screening over the seven years between the two surveys. Conclusion The

The 2003 Australian Breast Health Survey: survey design and preliminary results.

Science.gov (United States)

Villanueva, Elmer V; Jones, Sandra; Nehill, Caroline; Favelle, Simone; Steel, David; Iverson, Donald; Zorbas, Helen

2008-01-14

The Breast Health Surveys, conducted by the National Breast Cancer Centre (NBCC) in 1996 and 2003, are designed to gain insight into the knowledge, attitudes and behaviours of a nationally representative sample of Australian women on issues relevant to breast cancer. In this article, we focus on major aspects of the design and present results on respondents' knowledge about mammographic screening. The 2003 BHS surveyed English-speaking Australian women aged 30-69 without a history of breast cancer using computer-assisted telephone interviewing. Questions covered the following themes: knowledge and perceptions about incidence, mortality and risk; knowledge and behaviour regarding early detection, symptoms and diagnosis; mammographic screening; treatment; and accessibility and availability of information and services. Respondents were selected using a complex sample design involving stratification. Sample weights against Australian population benchmarks were used in all statistical analyses. Means and proportions for the entire population and by age group and area of residence were calculated. Statistical tests were conducted using a level of significance of 0.01. Of the 3,144 respondents who consented to being interviewed, 138 (4.4%) had a previous diagnosis of breast cancer and were excluded leaving 3,006 completed interviews eligible for analysis. A majority of respondents (61.1%) reported ever having had a mammogram and 29.1% identified mammography as being the best way of finding breast cancer. A majority of women (85.9%) had heard of the BreastScreen Australia (BSA) program, the national mammographic screening program providing free biennial screening mammograms, with 94.5% believing that BSA attendance was available regardless of the presence or absence of symptoms. There have been substantial gains in women's knowledge about mammographic screening over the seven years between the two surveys. The NBCC Breast Health Surveys provide a valuable picture of the

The 2015 National Canadian Homeless Youth Survey: Mental Health and Addiction Findings.

Science.gov (United States)

Kidd, Sean A; Gaetz, Stephen; O'Grady, Bill

2017-07-01

This study was designed to provide a representative description of the mental health of youth accessing homelessness services in Canada. It is the most extensive survey in this area to date and is intended to inform the development of mental health and addiction service and policy for this marginalized population. This study reports mental health-related data from the 2015 "Leaving Home" national youth homelessness survey, which was administered through 57 agencies serving homeless youth in 42 communities across the country. This self-reported, point-in-time survey assessed a broad range of demographic information, pre-homelessness and homelessness variables, and mental health indicators. Survey data were obtained from 1103 youth accessing Canadian homelessness services in the Nunavut territory and all Canadian provinces except for Prince Edward Island. Forty-two per cent of participants reported 1 or more suicide attempts, 85.4% fell in a high range of psychological distress, and key indicators of risk included an earlier age of the first episode of homelessness, female gender, and identifying as a sexual and/or gender minority (lesbian, gay, bisexual, transgender, queer, and 2 spirit [LGBTQ2S]). This study provides clear and compelling evidence of a need for mental health support for these youth, particularly LGBTQ2S youth and female youth. The mental health concerns observed here, however, must be considered in the light of the tremendous adversity in all social determinants faced by these youth, with population-level interventions best leveraged in prevention and rapid response.

Catastrophic household expenditure on health in Nepal: a cross-sectional survey.

Science.gov (United States)

Saito, Eiko; Gilmour, Stuart; Rahman, Md Mizanur; Gautam, Ghan Shyam; Shrestha, Pradeep Krishna; Shibuya, Kenji

2014-10-01

To determine the incidence of - and illnesses commonly associated with - catastrophic household expenditure on health in Nepal. We did a cross-sectional population-based survey in five municipalities of Kathmandu Valley between November 2011 and January 2012. For each household surveyed, out-of-pocket spending on health in the previous 30 days that exceeded 10% of the household's total expenditure over the same period was considered to be catastrophic. We estimated the incidence and intensity of catastrophic health expenditure. We identified the illnesses most commonly associated with such expenditure using a Poisson regression model and assessed the distribution of expenditure by economic quintile of households using the concentration index. Overall, 284 of the 1997 households studied in Kathmandu, i.e. 13.8% after adjustment by sampling weight, reported catastrophic health expenditure in the 30 days before the survey. After adjusting for confounders, this expenditure was found to be associated with injuries, particularly those resulting from road traffic accidents. Catastrophic expenditure by households in the poorest quintile were associated with at least one episode of diabetes, asthma or heart disease. In an urban area of Nepal, catastrophic household expenditure on health was mostly associated with injuries and noncommunicable diseases such as diabetes and asthma. Throughout Nepal, interventions for the control and management of noncommunicable diseases and the prevention of road traffic accidents should be promoted. A phased introduction of health insurance should also reduce the incidence of catastrophic household expenditure.

A survey tool for measuring evidence-based decision making capacity in public health agencies

Directory of Open Access Journals (Sweden)

Jacobs Julie A

2012-03-01

Full Text Available Abstract Background While increasing attention is placed on using evidence-based decision making (EBDM to improve public health, there is little research assessing the current EBDM capacity of the public health workforce. Public health agencies serve a wide range of populations with varying levels of resources. Our survey tool allows an individual agency to collect data that reflects its unique workforce. Methods Health department leaders and academic researchers collaboratively developed and conducted cross-sectional surveys in Kansas and Mississippi (USA to assess EBDM capacity. Surveys were delivered to state- and local-level practitioners and community partners working in chronic disease control and prevention. The core component of the surveys was adopted from a previously tested instrument and measured gaps (importance versus availability in competencies for EBDM in chronic disease. Other survey questions addressed expectations and incentives for using EBDM, self-efficacy in three EBDM skills, and estimates of EBDM within the agency. Results In both states, participants identified communication with policymakers, use of economic evaluation, and translation of research to practice as top competency gaps. Self-efficacy in developing evidence-based chronic disease control programs was lower than in finding or using data. Public health practitioners estimated that approximately two-thirds of programs in their agency were evidence-based. Mississippi participants indicated that health department leaders' expectations for the use of EBDM was approximately twice that of co-workers' expectations and that the use of EBDM could be increased with training and leadership prioritization. Conclusions The assessment of EBDM capacity in Kansas and Mississippi built upon previous nationwide findings to identify top gaps in core competencies for EBDM in chronic disease and to estimate a percentage of programs in U.S. health departments that are evidence

Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey (HES) and the Health and Nutrition Examination Survey (HANES).

Science.gov (United States)

Karasek, R A; Theorell, T; Schwartz, J E; Schnall, P L; Pieper, C F; Michela, J L

1988-08-01

Associations between psychosocial job characteristics and past myocardial infarction (MI) prevalence for employed males were tested with the Health Examination Survey (HES) 1960-61, N = 2,409, and the Health and Nutrition Examination Survey (HANES) 1971-75, N = 2,424. A new estimation method is used which imputes to census occupation codes, job characteristic information from national surveys of job characteristics (US Department of Labor, Quality of Employment Surveys). Controlling for age, we find that employed males with jobs which are simultaneously low in decision latitude and high in psychological work load (a multiplicative product term isolating 20 per cent of the population) have a higher prevalence of myocardial infarction in both data bases. In a logistic regression analysis, using job measures adjusted for demographic factors and controlling for age, race, education, systolic blood pressure, serum cholesterol, smoking (HANES only), and physical exertion, we find a low decision latitude/high psychological demand multiplicative product term associated with MI in both data bases. Additional multiple logistic regressions show that low decision latitude is associated with increased prevalence of MI in both the HES and the HANES. Psychological workload and physical exertion are significant only in the HANES.

Duration of daily TV/screen watching with cardiovascular, respiratory, mental and psychiatric health: Scottish Health Survey, 2012-2013.

Science.gov (United States)

Shiue, Ivy

2015-01-01

The link of duration of TV and/or screen watching and chronic health conditions by subtypes is unclear. Therefore, the relationship between TV and/or screen watching hours and cardiovascular, respiratory, mental and psychiatric health and well-being (happiness) was assessed in an independent population-based survey to identify correlations of various hours with health conditions. Data was retrieved from the Scottish Health Survey, 2012-2013. Information on demographics, lifestyle factors, self-reported health conditions and TV and/or screen watching duration in both Scottish adults and children was collected by annual household interviews. Chi-square test and survey weighted logistic and multi-nominal modelling were performed. 5527 (57.0%) Scottish adults aged 16-99 watched TV and/or screen daily for 3 + h on average. There was a trend toward more hypertension, angina, stroke, diabetes, chronic obstructive pulmonary disease and poor self-rated health and mental health. Reporting watching TV and/or screen for 4 + h, for 5 + h and for 8 + h was associated with higher rates of heart attack, heart murmur or other heart troubles and abnormal heart rhythms, respectively. 414 (20.7%) Scottish children aged 4-12 watched TV and/or screen for 3h or more. They tended to have poor self-rated health and life difficulties perceived as emotional and behavioural problems. There were associations between various hours of TV and/or screen watching (3+h) and poor health observed both in Scottish adults and children. Future educational and public health programmes minimising TV and/or screen watching in order to protect cardiovascular, respiratory, mental and psychiatric health might be considered. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

The global burden of mental disorders : An update from the WHO World Mental Health (WMH) Surveys

NARCIS (Netherlands)

Kessler, Ronald C.; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Chatterji, Somnath; Lee, Sing; Ormel, Johan; Uestuen, T. Bedirhan; Wang, Philip S.

2009-01-01

Aims - The paper reviews recent findings from the WHO World Mental Health (WMH) surveys oil the global burden of mental disorders. Methods - The WMH surveys are representative community surveys in 28 countries throughout the world aimed at providing information to mental health policy makers about

Environmental Survey preliminary report, Laboratory for Energy-Related Health Research, Davis, California

International Nuclear Information System (INIS)

1988-03-01

This report presents the preliminary findings from the first phase of the Survey of the United States Department of Energy (DOE) Laboratory for Energy-Related Health Research (LEHR) at the University of California, Davis (UC Davis), conducted November 16 through 20, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with the LEHR. The Survey covers all environmental media and all areas of environmental regulation, and is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations at the LEHR and interviews with site personnel. The Survey team developed a Sampling and Analysis Plan to assist in further assessing certain of the environmental problems identified during its on-site activities. The Sampling and Analysis Plan will be executed by a DOE National Laboratory or a support contractor. When completed, the results will be incorporated into the Environmental Survey Interim Report for the LEHR at UC Davis. The Interim Report will reflect the final determinations of the LEHR Survey. 75 refs., 26 figs., 23 tabs

Future of Health: Findings from a survey of stakeholders on the future of health and healthcare in England.

Science.gov (United States)

Corbett, Jennie; d'Angelo, Camilla; Gangitano, Lorenzo; Freeman, Jon

2018-04-01

This article presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research (NIHR) to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years' time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs, and how it might differ from today, in order to inform strategic discussions about the future priorities of the NIHR and the health and social care research communities more broadly. The survey provided a rich and varied dataset based on responses from 300 stakeholders in total. A wide range of fields were represented, including public health, social care, primary care, cancer, genomics, mental health, geriatrics, child health, patient advocacy and health policy. The respondent group also included a number of professional and private stakeholder categories, such as clinicians, policy experts, academics and patient and public representatives. The study findings validate a number of prominent health research priorities currently visible in England, such as antimicrobial resistance, the burden of dementia and age-related multi-morbidity, digital health and genomics. Interest in these areas and other themes, such as mental health, health inequalities and transforming health service models, cut across multiple disciplinary boundaries. However, it is clear that there are a variety of views among stakeholders on the relative importance of these areas of focus, and the best approach to manage their emergence in the coming decades. The full dataset of survey responses, for which permission to share was given, is a useful resource for those seeking to engage with a particular issue in more depth. The dataset can be found on NIHR's website at: http://nihr.ac.uk/news-and-events/documents/quotes.xls.

A survey of the governance capacity of national public health associations to enhance population health.

Science.gov (United States)

Chauvin, James; Shukla, Mahesh; Rice, James; Rispel, Laetitia

2016-03-11

National public health associations (PHAs) are key partners with governments and communities to improve, protect and promote the public's health. Governance and organizational capacity are among the key determinants of a PHA's effectiveness as an advocate for appropriate public health policies and practice. During 2014, the World Federation of Public Health Associations (WFPHA) conducted an on-line survey of its 82 PHA members, to identify the state of organizational governance of national public health associations, as well as the factors that influence optimal organizational governance. The survey consisted of 13 questions and focused on the main elements of organizational governance: cultivating accountability; engaging stakeholders; setting shared direction; stewarding resources; and, continuous governance enhancement. Four questions included a qualitative open-ended response for additional comments. The survey data were analyzed using Microsoft Excel. The qualitative data was analyzed using thematic content analysis Responses were received from 62 PHAs, constituting a 75.6 % response rate. The two most important factors that support governance effectiveness were a high degree of integrity and ethical behavior of the PHA's leaders (77 %) and the competence of people serving on the PHA's governing body (76 %). The lack of financial resources was considered as the most important factor that negatively affected organizational governance effectiveness (73 %). The lack of mentoring for future PHA leaders; ineffective or incompetent leadership; lack of understanding about good governance practices; and lack of accurate information for strategic planning were identified as factors influencing PHA governance effectiveness. Critical elements for PHA sustainability included diversity, gender-responsiveness and inclusive governance practices, and strategies to build the future generation of public health leaders. National PHA have a responsibility to put into place

National Survey on Drug Use and Health: 10-Year Substate R-DAS (NSDUH-2002-2011)

Data.gov (United States)

U.S. Department of Health & Human Services — This file includes data from the 2002 through 2011 National Survey on Drug Use and Health (NSDUH) survey. The only variables included in the data file are ones that...

Using a patient survey for marketing a professional health care practice.

Science.gov (United States)

Solomon, R J

1990-06-01

Small, private, professional health care practices are at a disadvantage when conducting market survey research because they cannot afford to employ or purchase the expensive specialized marketing skills of their larger competitors. The author describes a method that small private practices can use to conduct patient marketing surveys. Survey findings are reported and examples are provided of how the results influenced subsequent marketing decisions. Suggestions are offered to help ensure the success of similar studies in other practices.

Health care reform in Russia: a survey of head doctors and insurance administrators.

Science.gov (United States)

Twigg, Judyth L

2002-12-01

In keeping with the introduction of market-oriented reforms since the collapse of the Soviet Union, Russia's health care system has undergone a series of sweeping changes since 1992. These reforms, intended to overhaul socialized methods of health care financing and delivery and to replace them with a structure of competitive incentives to improve efficiency and quality of care, have met with mixed levels of implementation and results. This article probes some of the sources of support for and resistance to change in Russia's system of health care financing and delivery. It does so through a national survey of two key groups of participants in that system: head doctors in Russian clinics and hospitals, and the heads of the regional-level quasi-governmental medical insurance Funds. The survey results demonstrate that, on the whole, both head doctors and health insurance Fund directors claim to support the recent health care system reforms, although the latter's support is consistently statistically significantly stronger than that of the former. In addition, the insurance Fund directors' responses to the survey questions tend consistently to fall in the shape of a standard bell curve around the average responses, with a small number of respondents more in agreement with the survey statements than average, and a similarly small number of respondents less so. By contrast, the head doctors, along a wide variety of reform measures, split into two camps: one that strongly favors the marketization of health care, and one that would prefer a return to Soviet-style socialized medicine. The survey results show remarkable national consistency, with no variance according to the respondents' geographic location, regional population levels or other demographic or health characteristics, age of respondents, or size of health facility represented. These findings demonstrate the emergence of well-defined bureaucratic and political constituencies, their composition mixed depending

Practicalities of health survey fieldwork research in a resource ...

African Journals Online (AJOL)

Cite as: Abimanyi-Ochom J. Practicalities of health survey field work research in a resource limited setting: challenges and ... vided only ART while TASO provided social support in ..... first aid box in case of any minor accident but was limited.

World Health Organization approaches for surveys of health behaviour among schoolchildren and for health-promoting schools.

Science.gov (United States)

Honkala, Sisko

2014-01-01

Adolescents make up about one-sixth of the world's population. Most of the healthy and detrimental habits are adopted during childhood and adolescence. In the mid 1980s, a cross-national Health Behaviour in School-Aged Children (HBSC) survey was created to increase information about the well-being, health behaviours and social context of young people by using standard school-based questionnaires adopted by the World Health Organization (WHO) European office. The European Network of Health-Promoting Schools (HPS) was commenced in 1992, followed by the establishment of the WHO Global School Health Initiative in 1995. The initiative aims to improve the health of students, school personnel, families and other members of the community through schools by mobilizing and strengthening health promotion and educational activities at local, national, regional and global levels. The HBSC and HPS programmes have been accepted as activity areas for the WHO Collaborating Centre for Primary Oral Health Care in Kuwait. This article describes the HBSC and the HPS programmes and discusses the importance of establishing these programmes in Kuwait. © 2013 S. Karger AG, Basel.

Measuring teamwork in health care settings: a review of survey instruments.

Science.gov (United States)

Valentine, Melissa A; Nembhard, Ingrid M; Edmondson, Amy C

2015-04-01

Teamwork in health care settings is widely recognized as an important factor in providing high-quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship between teamwork and patient outcomes remain empirical questions in need of rigorous study. To identify and review survey instruments used to assess dimensions of teamwork so as to facilitate high-quality research on this topic. We conducted a systematic review of articles published before September 2012 to identify survey instruments used to measure teamwork and to assess their conceptual content, psychometric validity, and relationships to outcomes of interest. We searched the ISI Web of Knowledge database, and identified relevant articles using the search terms team, teamwork, or collaboration in combination with survey, scale, measure, or questionnaire. We found 39 surveys that measured teamwork. Surveys assessed different dimensions of teamwork. The most commonly assessed dimensions were communication, coordination, and respect. Of the 39 surveys, 10 met all of the criteria for psychometric validity, and 14 showed significant relationships to nonself-report outcomes. Evidence of psychometric validity is lacking for many teamwork survey instruments. However, several psychometrically valid instruments are available. Researchers aiming to advance research on teamwork in health care should consider using or adapting one of these instruments before creating a new one. Because instruments vary considerably in the behavioral processes and emergent states of teamwork that they capture, researchers must carefully evaluate the conceptual consistency between instrument, research question, and context.

Correlation between asthma and climate in the European Community Respiratory Health Survey.

Science.gov (United States)

Verlato, Giuseppe; Calabrese, Rolando; De Marco, Roberto

2002-01-01

The European Community Respiratory Health Survey, performed during 1991-1993, found a remarkable geographical variability in the prevalence of asthma and asthma-like symptoms in individuals aged 20-44 yr. The highest values occurred in the English-speaking centers. In the present investigation, the ecological relationship between climate and symptom prevalence was evaluated in the 48 centers of the European Community Respiratory Health Survey. Meteorological variables were derived from the Global Historical Climatology Network and were averaged over an 11-yr period (i.e., 1980-1990). Respiratory symptom prevalence was directly related to temperature in the coldest month and was related inversely to the temperature in the hottest month. Warm winters and cool summers are features of oceanic climate found in most English-speaking centers of the European Community Respiratory Health Survey (i.e., England, New Zealand, and Oregon). In conclusion, climate can account for significant geographic variability in respiratory symptom prevalence.

Exposure to Neighborhood Green Space and Mental Health: Evidence from the Survey of the Health of Wisconsin

Directory of Open Access Journals (Sweden)

Kirsten M. M. Beyer

2014-03-01

Full Text Available Green space is now widely viewed as a health-promoting characteristic of residential environments, and has been linked to mental health benefits such as recovery from mental fatigue and reduced stress, particularly through experimental work in environmental psychology. Few population level studies have examined the relationships between green space and mental health. Further, few studies have considered the role of green space in non-urban settings. This study contributes a population-level perspective from the United States to examine the relationship between environmental green space and mental health outcomes in a study area that includes a spectrum of urban to rural environments. Multivariate survey regression analyses examine the association between green space and mental health using the unique, population-based Survey of the Health of Wisconsin database. Analyses were adjusted for length of residence in the neighborhood to reduce the impact of neighborhood selection bias. Higher levels of neighborhood green space were associated with significantly lower levels of symptomology for depression, anxiety and stress, after controlling for a wide range of confounding factors. Results suggest that “greening” could be a potential population mental health improvement strategy in the United States.

Smart Health - Potential and Pathways: A Survey

Science.gov (United States)

Arulananthan, C.; Hanifa, Sabibullah Mohamed

2017-08-01

Healthcare is an imperative key field of research, where individuals or groups can be engaged in the self-tracking of any kind of biological, physical, behavioral, or environmental information. In a massive health care data, the valuable information is hidden. The quantity of the available unstructured data has been expanding on an exponential scale. The newly developing Disruptive Technologies can handle many challenges that face data analysis and ability to extract valuable information via data analytics. Connected Wellness in Healthcare would retrieve patient’s physiological, pathological and behavioral parameters through sensors to perform inner workings of human body analysis. Disruptive technologies can take us from a reactive illness-driven to a proactive wellness-driven system in health care. It is need to be strive and create a smart health system towards wellness-driven instead of being illness-driven, today’s biggest problem in health care. Wellness-driven-analytics application help to promote healthiest living environment called “Smart Health”, deliver empower based quality of living. The contributions of this survey reveals and opens (touches uncovered areas) the possible doors in the line of research on smart health and its computing technologies.

Multinational Population-Based Health Surveys Linked to Outcome Data: An Untapped Resource

Directory of Open Access Journals (Sweden)

Stacey Fisher

2017-04-01

This study provides initial support for the methodological feasibility of pooling linked population health surveys however, challenges introduced by dissimilarities will require the use of innovative methodologies, and discussions regarding how to manage jurisdictional data restrictions and privacy issues are needed. Pooled population health data has the potential to improve national and international health surveillance and public health.

Characteristics of non-response in the Danish Health Interview Surveys, 1987-1994

DEFF Research Database (Denmark)

Kjøller, Mette; Thoning, Henrik

2005-01-01

BACKGROUND: The types and quantity of non-response in surveys influence the extent to which the results may be generalized. This study analysed trends in non-response in the Danish Health Interview Surveys from 1987 to 1994 and used the National Patient Registry to assess whether non-response bia......BACKGROUND: The types and quantity of non-response in surveys influence the extent to which the results may be generalized. This study analysed trends in non-response in the Danish Health Interview Surveys from 1987 to 1994 and used the National Patient Registry to assess whether non...... respondents before data collection but similar during and after data collection. The rate was higher during the whole period among ill or disabled non-respondents. Among people who could not be contacted during the data collection period a higher admission rate was only found immediately before and during...

Mode Equivalence of Health Indicators Between Data Collection Modes and Mixed-Mode Survey Designs in Population-Based Health Interview Surveys for Children and Adolescents: Methodological Study.

Science.gov (United States)

Mauz, Elvira; Hoffmann, Robert; Houben, Robin; Krause, Laura; Kamtsiuris, Panagiotis; Gößwald, Antje

2018-03-05

The implementation of an Internet option in an existing public health interview survey using a mixed-mode design is attractive because of lower costs and faster data availability. Additionally, mixed-mode surveys can increase response rates and improve sample composition. However, mixed-mode designs can increase the risk of measurement error (mode effects). This study aimed to determine whether the prevalence rates or mean values of self- and parent-reported health indicators for children and adolescents aged 0-17 years differ between self-administered paper-based questionnaires (SAQ-paper) and self-administered Web-based questionnaires (SAQ-Web), as well as between a single-mode control group and different mixed-mode groups. Data were collected for a methodological pilot of the third wave of the "German Health Interview and Examination Survey for Children and Adolescents". Questionnaires were completed by parents or adolescents. A population-based sample of 11,140 children and adolescents aged 0-17 years was randomly allocated to 4 survey designs-a single-mode control group with paper-and-pencil questionnaires only (n=970 parents, n=343 adolescents)-and 3 mixed-mode designs, all of which offered Web-based questionnaire options. In the concurrent mixed-mode design, both questionnaires were offered at the same time (n=946 parents, n=290 adolescents); in the sequential mixed-mode design, the SAQ-Web was sent first, followed by the paper questionnaire along with a reminder (n=854 parents, n=269 adolescents); and in the preselect mixed-mode design, both options were offered and the respondents were asked to request the desired type of questionnaire (n=698 parents, n=292 adolescents). In total, 3468 questionnaires of parents of children aged 0-17 years (SAQ-Web: n=708; SAQ-paper: n=2760) and 1194 questionnaires of adolescents aged 11-17 years (SAQ-Web: n=299; SAQ-paper: n=895) were analyzed. Sociodemographic characteristics and a broad range of health indicators for

The Tianjin Mental Health Survey (TJMHS) : study rationale, design and methods

NARCIS (Netherlands)

Yin, Huifang; Phillips, Michael R; Wardenaar, Klaas J; Xu, Guangming; Ormel, Johan; Tian, Hongjun; Schoevers, Robert A

Mental health in China is of growing concern to both policy-makers and researchers. The Tianjin Mental Health Survey (TJMHS) was conducted between July 2011 and March 2012 to assess the prevalence and risk factors of mental disorders in the context of recent economic growth and other

Older women's health priorities and perceptions of care delivery: results of the WOW health survey.

Science.gov (United States)

Tannenbaum, Cara; Mayo, Nancy; Ducharme, Francine

2005-07-19

As women get older, their health priorities change. We surveyed a sample of older Canadian women to investigate what health priorities are of concern to them, their perceptions about the care delivered to address these priorities and the extent to which priorities and perceptions of care differ across age groups and provinces. The WOW (What Older women Want) cross-sectional health survey was mailed in October 2003 to 5000 community-dwelling women aged 55-95 years from 10 Canadian provinces. Women were asked questions on 26 health priorities according to the World Health Organization's International Classification of Functioning, Disability and Health, and their perceptions of whether these priorities were being addressed by health care providers through screening or counselling. Differences in priorities and perceptions of care delivery were examined across age groups and provinces. The response rate was 52%. The mean age of the respondents was 71 (standard deviation 7) years. The health priorities identified most frequently by the respondents were preventing memory loss (88% of the respondents), learning about the side effects of medications (88%) and correcting vision impairment (86%). Items least frequently selected were counselling about community programs (28%), counselling about exercise (33%) and pneumonia vaccination (33%). Up to 97% of the women recalled being adequately screened for heart disease and stroke risk factors, but as little as 11% reported receiving counselling regarding concerns about memory loss or end-of-life issues. Women who stated that specific priorities were of great concern or importance to them were more than twice as likely as those who stated that they were not of great concern or importance to perceive that these priorities were being addressed: osteoporosis (odds ratio [OR] 2.6, 95% confidence interval [CI] 2.1- 3.2), end-of-life care (OR 2.6, 95% CI 2.0-3.4), anxiety reduction (OR 2.2, 95% CI 1.8-2.6), fall prevention (OR 2.1, 95

Status of tandem-mirror confinement

International Nuclear Information System (INIS)

Baldwin, D.E.

1983-01-01

Recent end-stopping experiments in TMX-Upgrade show strong plugging of the central cell by lower-density plugs, requiring both electron-cyclotron heating (ECRH) and 47 0 neutral-beam injection, consistent with the thermal-barrier concept. These experiments have low density (n 12 cm -3 ) due to inefficient ECRH power coupling. Hot-ion and hot-electron buildup are consistent with Fokker-Planck calculations. No ion-cyclotron activity is observed in the plugs; occasional electron-cyclotron activity is observed. With plugging, axial lifetimes (tau/sub parallel/ > 40 ms) are larger than radial (tau/sub perpendicular/ = 5 to 10 ms) due to observed non-ambipolar ion transport. Recent tandem-mirror theoretical activities are also surveyed

American Thoracic Society member survey on climate change and health.

Science.gov (United States)

Sarfaty, Mona; Bloodhart, Brittany; Ewart, Gary; Thurston, George D; Balmes, John R; Guidotti, Tee L; Maibach, Edward W

2015-02-01

The American Thoracic Society (ATS), in collaboration with George Mason University, surveyed a random sample of ATS members to assess their perceptions of, clinical experiences with, and preferred policy responses to climate change. An e-mail containing an invitation from the ATS President and a link to an online survey was sent to 5,500 randomly selected U.S. members; up to four reminder e-mails were sent to nonrespondents. Responses were received from members in 49 states and the District of Columbia (n = 915); the response rate was 17%. Geographic distribution of respondents mirrored that of the sample. Survey estimates' confidence intervals were ±3.5% or smaller. Results indicate that a large majority of ATS members have concluded that climate change is happening (89%), that it is driven by human activity (68%), and that it is relevant to patient care ("a great deal"/"a moderate amount") (65%). A majority of respondents indicated they were already observing health impacts of climate change among their patients, most commonly as increases in chronic disease severity from air pollution (77%), allergic symptoms from exposure to plants or mold (58%), and severe weather injuries (57%). A larger majority anticipated seeing these climate-related health impacts in the next 2 decades. Respondents indicated that physicians and physician organizations should play an active role in educating patients, the public, and policy makers on the human health effects of climate change. Overall, ATS members are observing that human health is already adversely affected by climate change and support responses to address this situation.

The China Health and Nutrition Survey, 1989-2011.

Science.gov (United States)

Zhang, B; Zhai, F Y; Du, S F; Popkin, B M

2014-01-01

The China Health and Nutrition Survey (CHNS) began in 1989 with the goal of creating a multilevel method of data collection from individuals and households and their communities to understand how the wide-ranging social and economic changes in China affect a wide array of nutrition and health-related outcomes. Initiated with a partial sample in 1989, the full survey runs from 1991 to 2011, and this issue documents the CHNS history. The CHNS cohort includes new household formation and replacement communities and households; all household members are studied. Furthermore, in-depth community data are collected. The sample began with eight provinces and added a ninth, Heilongjiang, in 1997 and three autonomous cities, Beijing, Shanghai, and Chongqing, in 2011. The in-depth community contextual measures have allowed us to create a unique measure of urbanicity that captures major dimensions of modernization across all 288 communities currently in the CHNS sample. The standardized, validated urbanicity measure captures the changes in 12 dimensions: population density; economic activity; traditional markets; modern markets; transportation infrastructure; sanitation; communications; housing; education; diversity; health infrastructure; and social services. Each is based on numerous measures applicable to each dimension. They are used jointly and separately in hundreds of studies. © 2014 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

Posttraumatic stress disorder in the World Mental Health Surveys.

Science.gov (United States)

Koenen, K C; Ratanatharathorn, A; Ng, L; McLaughlin, K A; Bromet, E J; Stein, D J; Karam, E G; Meron Ruscio, A; Benjet, C; Scott, K; Atwoli, L; Petukhova, M; Lim, C C W; Aguilar-Gaxiola, S; Al-Hamzawi, A; Alonso, J; Bunting, B; Ciutan, M; de Girolamo, G; Degenhardt, L; Gureje, O; Haro, J M; Huang, Y; Kawakami, N; Lee, S; Navarro-Mateu, F; Pennell, B-E; Piazza, M; Sampson, N; Ten Have, M; Torres, Y; Viana, M C; Williams, D; Xavier, M; Kessler, R C

2017-10-01

Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD.

Methodological design of the National Health and Nutrition Survey 2016

OpenAIRE

Martín Romero-Martínez; Teresa Shamah-Levy; Lucia Cuevas-Nasu; Ignacio Méndez Gómez-Humarán; Elsa Berenice Gaona-Pineda; Luz María Gómez-Acosta; Juan Ángel Rivera-Dommarco; Mauricio Hernández-Ávila

2017-01-01

Objective. Describe the design methodology of the halfway health and nutrition national survey (Ensanut-MC) 2016. Materials and methods. The Ensanut-MC is a national probabilistic survey whose objective population are the in­habitants of private households in Mexico. The sample size was determined to make inferences on the urban and rural areas in four regions. Describes main design elements: target population, topics of study, sampling procedure, measurement procedure and logistics organizat...

Consumers' health perceptions of three types of milk: a survey in Australia

NARCIS (Netherlands)

Bus, A.E.M.; Worsley, A.

2003-01-01

A survey was conducted among 345 randomly selected shoppers in Melbourne, Australia, to identify their perceptions of the healthiness of whole milk, reduced fat milk and soy milk and to investigate demographic influences on health perceptions and types of milk consumption. The survey revealed major

Assessing health impacts in complex eco-epidemiological settings in the humid tropics: Modular baseline health surveys

Energy Technology Data Exchange (ETDEWEB)

Winkler, Mirko S., E-mail: mirko.winkler@unibas.ch [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel (Switzerland); University of Basel, P.O. Box, CH-4003 Basel (Switzerland); Divall, Mark J., E-mail: mdivall@shapeconsulting.org [SHAPE Consulting Ltd., Pretoria 0062 (South Africa); Krieger, Gary R., E-mail: gkrieger@newfields.com [NewFields, LLC, Denver, CO 80202 (United States); Schmidlin, Sandro, E-mail: sandro.schmidlin@gmail.com [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel (Switzerland); University of Basel, P.O. Box, CH-4003 Basel (Switzerland); Magassouba, Mohamed L., E-mail: laminemagass@yahoo.fr [Clinique Ambroise Pare, P.O. Box, 1042 Conakry (Guinea); Knoblauch, Astrid M., E-mail: astrid.knoblauch@me.com [SHAPE Consulting Ltd., Pretoria 0062 (South Africa); Singer, Burton H., E-mail: bhsinger@epi.ufl.edu [Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610 (United States); Utzinger, Juerg, E-mail: juerg.utzinger@unibas.ch [Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, P.O. Box, CH-4002 Basel (Switzerland); University of Basel, P.O. Box, CH-4003 Basel (Switzerland)

2012-02-15

The quantitative assessment of health impacts has been identified as a crucial feature for realising the full potential of health impact assessment (HIA). In settings where demographic and health data are notoriously scarce, but there is a broad range of ascertainable ecological, environmental, epidemiological and socioeconomic information, a diverse toolkit of data collection strategies becomes relevant for the mainly small-area impacts of interest. We present a modular, cross-sectional baseline health survey study design, which has been developed for HIA of industrial development projects in the humid tropics. The modular nature of our toolkit allows our methodology to be readily adapted to the prevailing eco-epidemiological characteristics of a given project setting. Central to our design is a broad set of key performance indicators, covering a multiplicity of health outcomes and determinants at different levels and scales. We present experience and key findings from our modular baseline health survey methodology employed in 14 selected sentinel sites within an iron ore mining project in the Republic of Guinea. We argue that our methodology is a generic example of rapid evidence assembly in difficult-to-reach localities, where improvement of the predictive validity of the assessment and establishment of a benchmark for longitudinal monitoring of project impacts and mitigation efforts is needed.

Assessing health impacts in complex eco-epidemiological settings in the humid tropics: Modular baseline health surveys

International Nuclear Information System (INIS)

Winkler, Mirko S.; Divall, Mark J.; Krieger, Gary R.; Schmidlin, Sandro; Magassouba, Mohamed L.; Knoblauch, Astrid M.; Singer, Burton H.; Utzinger, Jürg

2012-01-01

The quantitative assessment of health impacts has been identified as a crucial feature for realising the full potential of health impact assessment (HIA). In settings where demographic and health data are notoriously scarce, but there is a broad range of ascertainable ecological, environmental, epidemiological and socioeconomic information, a diverse toolkit of data collection strategies becomes relevant for the mainly small-area impacts of interest. We present a modular, cross-sectional baseline health survey study design, which has been developed for HIA of industrial development projects in the humid tropics. The modular nature of our toolkit allows our methodology to be readily adapted to the prevailing eco-epidemiological characteristics of a given project setting. Central to our design is a broad set of key performance indicators, covering a multiplicity of health outcomes and determinants at different levels and scales. We present experience and key findings from our modular baseline health survey methodology employed in 14 selected sentinel sites within an iron ore mining project in the Republic of Guinea. We argue that our methodology is a generic example of rapid evidence assembly in difficult-to-reach localities, where improvement of the predictive validity of the assessment and establishment of a benchmark for longitudinal monitoring of project impacts and mitigation efforts is needed.

The Danish National Health Survey 2010. Study design and respondent characteristics

DEFF Research Database (Denmark)

Christensen, Anne Illemann; Ekholm, Ola; Glümer, Charlotte

2012-01-01

In 2010 the five Danish regions and the National Institute of Public Health at the University of Southern Denmark conducted a national representative health survey among the adult population in Denmark. This paper describes the study design and the sample and study population as well as the conte...

Uses of Youth Risk Behavior Survey and School Health Profiles Data: Applications for Improving Adolescent and School Health

Science.gov (United States)

Foti, Kathryn; Balaji, Alexandra; Shanklin, Shari

2011-01-01

Background: To monitor priority health risk behaviors and school health policies and practices, respectively, the Centers for Disease Control and Prevention (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) and the School Health Profiles (Profiles). CDC is often asked about the use and application of these survey data to improve…

Art of disaster preparedness in European union: a survey on the health systems.

Science.gov (United States)

Djalali, Ahmadreza; Della Corte, Francesco; Foletti, Marco; Ragazzoni, Luca; Ripoll Gallardo, Alba; Lupescu, Olivera; Arculeo, Chris; von Arnim, Götz; Friedl, Tom; Ashkenazi, Michael; Fischer, Philipp; Hreckovski, Boris; Khorram-Manesh, Amir; Komadina, Radko; Lechner, Konstanze; Patru, Cristina; Burkle, Frederick M; Ingrassia, Pier Luigi

2014-12-17

Naturally occurring and man-made disasters have been increasing in the world, including Europe, over the past several decades. Health systems are a key part of any community disaster management system. The success of preparedness and prevention depends on the success of activities such as disaster planning, organization and training. The aim of this study is to evaluate health system preparedness for disasters in the 27 European Union member countries. A cross-sectional analysis study was completed between June-September 2012. The checklist used for this survey was a modified from the World Health Organization toolkit for assessing health-system capacity for crisis management. Three specialists from each of the 27 European Union countries were included in the survey. Responses to each survey question were scored and the range of preparedness level was defined as 0-100%, categorized in three levels as follows: Acceptable; Transitional; or Insufficient. Response rate was 79.1%. The average level of disaster management preparedness in the health systems of 27 European Union member states was 68% (Acceptable). The highest level of preparedness was seen in the United Kingdom, Luxemburg, and Lithuania. Considering the elements of disaster management system, the highest level of preparedness score was at health information elements (86%), and the lowest level was for hospitals, and educational elements (54%). This survey study suggests that preparedness level of European Union countries in 2012 is at an acceptable level but could be improved. Elements such as hospitals and education and training suffer from insufficient levels of preparedness. The European Union health systems need a collective strategic plan, as well as enough resources, to establish a comprehensive and standardized disaster management strategy plan. A competency based training curriculum for managers and first responders is basic to accomplishing this goal. Disaster medicine; Disaster preparedness

MATERNAL AND INFANT HEALTH SECTION OF THE DEMOGRAPHIC AND HEALTH SURVEY REPORT OF GHANA

Directory of Open Access Journals (Sweden)

Samuel adu Gyamfi

2017-02-01

Full Text Available This article is basically a commentary on some sections on infant and maternal healthcare of the 2008 demographic and health survey of Ghana. The attention of both policy makers and academics are drawn to the need to ensure the expansion of the maternal and infant healthcare in Ghana. In same commentary, attention of readers have been drawn to the proclivity of the free maternal health policy to positively shape maternal and infant care in Ghana

Improving public health surveillance using a dual-frame survey of landline and cell phone numbers.

Science.gov (United States)

Hu, S Sean; Balluz, Lina; Battaglia, Michael P; Frankel, Martin R

2011-03-15

To meet challenges arising from increasing rates of noncoverage in US landline-based telephone samples due to cell-phone-only households, the Behavioral Risk Factor Surveillance System (BRFSS) expanded a traditional landline-based random digit dialing survey to a dual-frame survey of landline and cell phone numbers. In 2008, a survey of adults with cell phones only was conducted in parallel with an ongoing landline-based health survey in 18 states. The authors used the optimal approach to allocate samples into landline and cell-phone-only strata and used a new approach to weighting state-level landline and cell phone samples. They developed logistic models for each of 16 health indicators to examine whether exclusion of adults with cell phones only affected estimates after adjustment for demographic characteristics. The extents of the potential biases in landline telephone surveys that exclude cell phones were estimated. Biases resulting from exclusion of adults with cell phones only from the landline-based survey were found for 9 out of the 16 health indicators. Because landline noncoverage rates for adults with cell phones only continue to increase, these biases are likely to increase. Use of a dual-frame survey of landline and cell phone numbers assisted the BRFSS efforts in obtaining valid, reliable, and representative data. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2011.

The burden of multiple sclerosis: A community health survey

Directory of Open Access Journals (Sweden)

Turpin Karen VL

2008-01-01

Full Text Available Abstract Background Health-related quality of life (HRQL in persons with multiple sclerosis (MS who reside within the community relative to the general population is largely unknown. Data from the Canadian Community Health Survey Cycle 1.1 (CCHS 1.1 were used to compare HRQL of persons with MS and the general population. Methods A representative sample of adults (18 years or older from the cross sectional population health survey, CCHS 1.1, was examined to compare scores on the Health Utilities Index Mark 3 (HUI3, a generic preference-based HRQL measure, of respondents with (n = 302 and without (n = 109,741 MS. Selected sociodemographic covariates were adjusted for in ANCOVA models. Normalized sampling weights and bootstrap variance estimates were used in the analysis. Results The mean difference in overall HUI3 scores between respondents with and without MS was 0.25 (95% CI: 0.20, 0.31; eight times greater than the clinically important difference. The largest differences in scores were seen with the ambulation (0.26; 95% CI: 0.20, 0.32 and pain attributes (0.14; 95% CI: 0.09, 0.19. Clinically important differences with dexterity and cognition were also observed. Conclusion While the proportion of the Canadian population with MS is relatively small in comparison to other diseases, the magnitude of the burden is severe relative to the general population.

Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey

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Milena Santric Milicevic

2016-02-01

Full Text Available Background: The global burden of mental disorders is rising. In Serbia, anxiety is the leading cause of disability-adjusted life years. Serbia has no mental health survey at the population level. The information on prevalence of mental disorders and related socioeconomic inequalities are valuable for mental care improvement. Aims: То explore the prevalence of mental health disorders and socioeconomic inequalities in mental health of adult Serbian population, and to explore whether age years and employment status interact with mental health in urban and rural settlements. Study Design: Cross-sectional study. Methods: This study is an additional analysis of Serbian Health Survey 2006 that was carried out with standardized household questionnaires at the representative sample of 7673 randomly selected households – 15563 adults. The response rate was 93%. A multivariate logistic regression modeling highlighted the predictors of the 5 item Mental Health Inventory (MHI-5, and of chronic anxiety or depression within eight independent variables (age, gender, type of settlement, marital status and self-perceived health, education, employment status and Wealth Index. The significance level in descriptive statistics, chi square analysis and bivariate and multivariate logistic regressions was set at p<0.05. Results: Chronic anxiety or depression was seen in 4.9% of the respondents, and poor MHI-5 in 47% of respondents. Low education (Odds Ratios 1.32; 95% confidence intervals=1.16-1.51, unemployment (1.36; 1.18-1.56, single status (1.34; 1.23-1.45, and Wealth Index middle class (1.20; 1.08-1.32 or poor (1.33; 1.21-1.47 were significantly related with poor MHI-5. Unemployed persons in urban settlements had higher odds for poormMHI-5 than unemployed in rural areas (0.73; 0.59-0.89. Single (1.50; 1.26-1.78, unemployed (1.39; 1.07-1.80 and inactive respondents (1.42; 1.10-1.83 had a higher odds of chronic anxiety or depression than married individuals, or

Sex Education, First Sex and Sexual Health Outcomes in Adulthood: Findings from a Nationally Representative Sexual Health Survey

Science.gov (United States)

Bourke, Ashling; Boduszek, Daniel; Kelleher, Caroline; McBride, Orla; Morgan, Karen

2014-01-01

This study investigated the relationship between school sex education and sexual health behaviours at first sex and later in adulthood, using nationally representative data. Respondents were adults from the 2010 Irish Contraception and Crisis Pregnancy Survey, a cross-sectional survey designed to assess knowledge, attitudes and behaviours relating…

Explaining discrepancies in reproductive health indicators from population-based surveys and exit surveys: a case from Rwanda.

Science.gov (United States)

Meekers, D; Ogada, E A

2001-06-01

Reproductive health programmes often need exit surveys and population-based surveys for monitoring and evaluation. This study investigates why such studies produce discrepant estimates of condom use, sexual behaviour and condom brand knowledge, and discusses the implications for future use of exit surveys for programme monitoring. Logistic regression is used to explain differences between a household survey of 1295 persons and an exit survey among a random sample of 2550 consumers at retail outlets in RWANDA: Discrepancies in ever use of condoms and risky sexual behaviours are due to differences in socioeconomic status of the two samples. After controls, exit surveys at most outlet types have the same results as the household survey. Only exit surveys at bars, nightclubs and hotels yield significantly different estimates. However, the above-average knowledge of Prudence Plus condoms in the exit interviews is not attributable to socioeconomic or demographic variables, most likely because respondents have seen the product at the outlets. Information about condom use and sexual behaviour obtained from exit surveys appears as accurate as that obtained through household surveys. Nevertheless, exit surveys must be used cautiously. Because exit surveys may include wealthier and better-educated respondents, they are not representative of the general population. The composition of exit survey samples should be validated through existing household surveys. Comparisons across survey types are generally unadvisable, unless they control for sample differences. When generalizing to the population at large is not needed (e.g. for studies aimed at identifying the characteristics and behaviour of users of particular products or services), exit surveys can provide an appropriate alternative to household surveys.

A survey of the governance capacity of national public health associations to enhance population health

Directory of Open Access Journals (Sweden)

James Chauvin

2016-03-01

Full Text Available Abstract Background National public health associations (PHAs are key partners with governments and communities to improve, protect and promote the public’s health. Governance and organizational capacity are among the key determinants of a PHA’s effectiveness as an advocate for appropriate public health policies and practice. Methods During 2014, the World Federation of Public Health Associations (WFPHA conducted an on-line survey of its 82 PHA members, to identify the state of organizational governance of national public health associations, as well as the factors that influence optimal organizational governance. The survey consisted of 13 questions and focused on the main elements of organizational governance: cultivating accountability; engaging stakeholders; setting shared direction; stewarding resources; and, continuous governance enhancement. Four questions included a qualitative open-ended response for additional comments. The survey data were analyzed using Microsoft Excel. The qualitative data was analyzed using thematic content analysis Results Responses were received from 62 PHAs, constituting a 75.6 % response rate. The two most important factors that support governance effectiveness were a high degree of integrity and ethical behavior of the PHA’s leaders (77 % and the competence of people serving on the PHA’s governing body (76 %. The lack of financial resources was considered as the most important factor that negatively affected organizational governance effectiveness (73 %. The lack of mentoring for future PHA leaders; ineffective or incompetent leadership; lack of understanding about good governance practices; and lack of accurate information for strategic planning were identified as factors influencing PHA governance effectiveness. Critical elements for PHA sustainability included diversity, gender-responsiveness and inclusive governance practices, and strategies to build the future generation of public health

Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area

OpenAIRE

de Carvalho, Wladithe Organ; Galvao Cesar, Chester Luiz; Carandina, Luana [UNESP; de Azevedo Barros, Marilisa Berti; Goi Porto Alves, Maria Cecilia; Goldbaum, Moises

2008-01-01

Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in ...

Roles and challenges of the health information management educator: a national HIM faculty survey.

Science.gov (United States)

Houser, Shannon H; Tesch, Linde; Hart-Hester, Susan; Dixon-Lee, Claire

2009-01-01

Health information technology initiatives created the framework for a national health information infrastructure that concomitantly fostered a need to build intellectual capacity within our current and future health information management (HIM) work force. Results from the 2008 HIM Educator Survey are discussed. Developed for voluntary electronic participation, the survey comprised a series of questions about educators' professional interests and responsibilities. Summary data from the 402 respondents are provided and highlight areas such as academic rank, teaching status, salary range, levels of interest in various issues, and use of virtual learning tools. Data from this survey provide insights into the concerns and challenges many HIM educators face in today's training institutions and suggest implications for future directions in work force training and professional development within the HIM field.

Profiling the mobile-only population in Australia: insights from the Australian National Health Survey.

Science.gov (United States)

Baffour, Bernard; Haynes, Michele; Dinsdale, Shane; Western, Mark; Pennay, Darren

2016-10-01

The Australian population that relies on mobile phones exclusively has increased from 5% in 2005 to 29% in 2014. Failing to include this mobile-only population leads to a potential bias in estimates from landline-based telephone surveys. This paper considers the impacts on selected health prevalence estimates with and without the mobile-only population. Using data from the Australian Health Survey - which, for the first time, included a question on telephone status - we examined demographic, geographic and health differences between the landline-accessible and mobile-only population. These groups were also compared to the full population, controlling for the sampling design and differential non-response patterns in the observed sample through weighting and benchmarking. The landline-accessible population differs from the mobile-only population for selected health measures resulting in biased prevalence estimates for smoking, alcohol risk and private health insurance coverage in the full population. The differences remain even after adjusting for age and gender. Using landline telephones only for conducting population health surveys will have an impact on prevalence rate estimates of health risk factors due to the differing profiles of the mobile-only population from the landline-accessible population. © 2016 Public Health Association of Australia.

[Storytelling in Health Journalism: Online Survey of Health Journalists on Definition and Use].

Science.gov (United States)

Heimes, S

2016-12-01

Background: Although health information is of great interest and plays an important role in almost all media, there are very few studies on the actual work of health journalists. Methods: A quantitative online survey with qualitative elements on the definition and use of storytelling in health journalism was carried out among members of various professional journalists' associations (n=86). Results: The results suggest that health journalists understand storytelling especially as a term used when an article has a dramatic construction, and the story is about real people. As reasons for using storytelling, health journalists primarily name the understandable and clear presentation of medical issues. They see better chances for identification and establishing a relationship to the readers' lives. Of particular importance seems to be that narrative elements do not distort the facts and protect the privacy rights of persons mentioned in case reports. © Georg Thieme Verlag KG Stuttgart · New York.

Geochemical surveys in the United States in relation to health

Energy Technology Data Exchange (ETDEWEB)

Tourtelot, H A

1979-12-11

Geochemical surveys in relation to health may be classified as having one, two or three dimensions. One-dimensional surveys examine relations between concentrations of elements such as Pb in soils and other media and burdens of the same elements in humans, at a given time. The spatial distributions of element concentrations are not investigated. The primary objective of two-dimensional surveys is to map the distributions of element concentrations, commonly according to stratified random sampling designs based on either conceptual landscape units or artificial sampling strata, but systematic sampling intervals have also been used. Political units have defined sample areas that coincide with the units used to accumulate epidemiological data. Element concentrations affected by point sources have also been mapped. Background values, location of natural or technological anomalies and the geographic scale of variation for several elements often are determined. Three-dimensional surveys result when two-dimensional surveys are repeated to detect environmental changes.

Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR

Directory of Open Access Journals (Sweden)

Bochaton Audrey

2007-06-01

Full Text Available Abstract Background Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. Methods We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. Application We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. Conclusion This paper describes the conceptual reasoning behind

Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR).

Science.gov (United States)

Vallée, Julie; Souris, Marc; Fournet, Florence; Bochaton, Audrey; Mobillion, Virginie; Peyronnie, Karine; Salem, Gérard

2007-06-01

Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. This paper describes the conceptual reasoning behind the construction of the survey sample and shows that it can be

[Gender systems and/in the Spanish National Health Interview Survey].

Science.gov (United States)

Ruiz Cantero, María Teresa; Papí Gálvez, Natalia; Carbrera Ruiz, Virginia; Ruiz Martínez, Ana; Alvarez-Dardet Díaz, Carlos

2006-01-01

To analyze the Spanish National Health Interview Survey (NHIS) from a gender perspective, with special emphasis on gender division of labor. We analyzed the 2003 Spanish NHIS from the perspective of the levels of gender observation, with gender understood as: a) the basis of social norms (responsibilities by sex, health risks, and problems related to masculine/feminine roles); b) the organizer of the social structure: gender division of labor, work overload, vertical/horizontal segregation, time spent in activities according to social times, access to resources), and c) a component of individual identity (conflicts due to multiple roles, body image dissatisfaction, self-esteem, self-perceived recognition of the work performed, assimilation of the sexual gender role, sex differences in health conditions). The Spanish NHIS is centered on the main provider, referred to in masculine grammatical form. Gender division of domestic labor is identified only by a general question. When using the concept of main activity for productive or reproductive work, the survey requires respondents to evaluate them and select only one, thus losing information and hampering analysis of the impact of an overload of work on health. Information on time used for reproductive work and leisure is not solicited. Assaults (intentional) and accidents (non-intentional) are combined in the same question, thus preventing research on gender-related violence. The Spanish NHIS includes the variable of sex, but its more descriptive than analytic focus limits gender analysis. The survey allows specific circumstances of employment-related inequalities between sexes to be measured, but does not completely allow other indicators of gender inequalities, such as the situation of housewives or work overload, to be measured.

Iranian mental health survey: design and field proced.

Directory of Open Access Journals (Sweden)

Afarin Rahimi-Movaghar

2014-06-01

Full Text Available Iranian Mental Health Survey (IranMHS was conducted to assess the twelve-month prevalence and severity of psychiatric disorders in the Iranian adult population and to determine the pattern of health care utilization and cost of services. IranMHS is a cross-sectional national household survey with face-to-face interviews as the main data collection method. The study was carried out between January and June 2011. A three-stage probability sampling was applied for the selection of a representative sample from the non-institutionalized population aged 15 to 64. The primary instrument utilized for assessing the prevalence of mental disorders was the Persian version of Composite International Diagnosis Interview, version 2.1. The instruments for assessing the service and cost of mental illness were developed by the research team. The response rate was 86.2%, and a total of 7886 individuals participated in the study. Sampling weights were the joint product of inverse probability of unit selection, non-response weights and post-stratification weights. This paper presents an overview of the study design, fieldwork organization and procedures, weightings and analysis. The strengths and limitations of the study are also discussed.

Planning for health care transitions: results from the 2005-2006 National Survey of Children With Special Health Care Needs.

Science.gov (United States)

Lotstein, Debra S; Ghandour, Reem; Cash, Amanda; McGuire, Elizabeth; Strickland, Bonnie; Newacheck, Paul

2009-01-01

Many youth with special health care needs have difficulties transferring to adult medical care. To address this, the Maternal and Child Health Bureau has made receipt of transition services a core performance outcome for community-based systems of care for youth with special health care needs. In this article we describe the results for the transition core outcome from the 2005-2006 National Survey of Children With Special Health Care Needs. We also describe changes in the measurement strategy for this outcome since the first National Survey of Children With Special Health Care Needs in 2001. In the nationally representative, cross-sectional 2005-2006 National Survey of Children With Special Health Care Needs, parent or guardian respondents of 18198 youth with special health care needs (aged 12-17) were asked if they have had discussions with their child's health care providers about (1) future adult providers, (2) future adult health care needs, (3) changes in health insurance, and (4) encouraging their child to take responsibility for his or her care. All 4 components had to be met for the youth to meet the overall transition core outcome. Those who had not had transition discussions reported if such discussions would have been helpful. Overall, 41% of youth with special health care needs met the core performance outcome for transition. Forty-two percent had discussed shifting care to an adult provider, 62% discussed their child's adult health care needs, and 34% discussed upcoming changes in health insurance. Most (78%) respondents said that providers usually or always encourage their child to take responsibility for his or her health. Non-Hispanic black or Hispanic race/ethnicity, lower income level, not speaking English, and not having a medical home reduced the odds of meeting the transition core outcome. Current performance on the transition core outcome leaves much room for improvement. Many parents feel that having transition-related discussions with their

Primer on Health Surveys

OpenAIRE

David L Nordstrom; David L Nordstrom

2012-01-01

The aim of this paper is to introduce novice researchers to surveys as a method of data collection. It starts with the definition of a survey, its major purposes and types as well as changes in the goals surveys have helped to achieve over time. Advantages and disadvantages of surveys over population censuses and medical examinations are discussed. Approaches to questionnaire construction are introduced along with properties that questionnaires are evaluated for. Modes of administration, sam...

The FAA Health Awareness Program: Results of the 1998 Customer Service Assessment Survey

National Research Council Canada - National Science Library

Hilton, Thomas

2000-01-01

This report presents the results of an agency-wide survey of employee health and wellness to determine workforce involvement in and satisfaction with the Federal Aviation Administration's Health Awareness Program (HAP...

The Medicare Health Outcomes Survey program: Overview, context, and near-term prospects

Directory of Open Access Journals (Sweden)

Miller Nancy A

2004-07-01

Full Text Available Abstract In 1996, the Centers for Medicare & Medicaid Services (CMS initiated the development of the Medicare Health Outcomes Survey (HOS. It is the first national survey to measure the quality of life and functional health status of Medicare beneficiaries enrolled in managed care. The program seeks to gather valid and reliable health status data in Medicare managed care for use in quality improvement activities, public reporting, plan accountability and improving health outcomes based on competition. The context that led to the development of the HOS was formed by the convergence of the following factors: 1 a recognized need to monitor the performance of managed care plans, 2 technical expertise and advancement in the areas of quality measurement and health outcomes assessment, 3 the existence of a tested functional health status assessment tool (SF-36®1, which was valid for an elderly population, 4 CMS leadership, and 5 political interest in quality improvement. Since 1998, there have been six baseline surveys and four follow up surveys. CMS, working with its partners, performs the following tasks as part of the HOS program: 1 Supports the technical/scientific development of the HOS measure, 2 Certifies survey vendors, 3 Collects Health Plan Employer Data and Information Set(HEDIS®2 HOS data, 4 Cleans, scores, and disseminates annual rounds of HOS data, public use files and reports to CMS, Quality Improvement Organizations (QIOs, Medicare+Choice Organizations (M+COs, and other stakeholders, 5 Trains M+COs and QIOs in the use of functional status measures and best practices for improving care, 6 Provides technical assistance to CMS, QIOs, M+COs and other data users, and 7 Conducts analyses using HOS data to support CMS and HHS priorities. CMS has recently sponsored an evaluation of the HOS program, which will provide the information necessary to enhance the future administration of the program. Information collected to date reveals that the

Health literacy and barriers to health information seeking: A nationwide survey in South Korea.

Science.gov (United States)

Jeong, Seok Hee; Kim, Hyun Kyung

2016-11-01

To identify the level of health literacy and barriers to information seeking and to explore the predictors of health literacy. A cross-sectional descriptive design was used. A total of 1000 Korean adults were recruited through proportional quota sampling. Health literacy, barriers to health information seeking, sociodemographics, and health-related characteristics were surveyed. Descriptive statistics and binary logistic regression were performed for data analysis. About 61% of participants were classified as inadequately health literate. "No health fairs/activities near home" was the most frequently reported barrier. Older age, lower education, living in the capital city, barriers regarding how to get information and access to expensive books and magazines were predictors of inadequate health literacy. Strategies for improving health literacy and reducing barriers to health information seeking should be designed. Education on how to access health-related information with easily accessible sources either free or inexpensive could be a way to help adults with limited health literacy. Health care professionals should assess clients' health literacy levels, particularly amongst those who are older or have less education. They should provide clients with information on how to access credible and readily available sources of health-related information, considering their health literacy level. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

National health financing policy in Eritrea: a survey of preliminary considerations

Directory of Open Access Journals (Sweden)

Kirigia Joses

2012-08-01

Full Text Available Abstract Background The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a survey conducted among senior staff of selected Eritrean ministries and agencies to elicit views on some of the elements likely to be part of a national health financing policy. Methods This is a descriptive study. A questionnaire was prepared and sent to 19 senior staff (Directors in the Ministry of Health, Labour Department, Civil Service Administration, Eritrean Confederation of Workers, National Insurance Corporation of Eritrea and Ministry of Local Government. The respondents were selected by the Ministry of Health as key informants. Results The key findings were as follows: the response rate was 84.2% (16/19; 37.5% (6/16 and 18.8% said that the vision of Eritrean National Health Financing Policy (NHFP should include the phrases ‘equitable and accessible quality health services’ and ‘improve efficiency or reduce waste’ respectively; over 68% indicated that NHFP should include securing adequate funding, ensuring efficiency, ensuring equitable financial access, protection from financial catastrophe, and ensuring provider payment mechanisms create positive incentives to service providers; over 80% mentioned community participation, efficiency, transparency, country ownership, equity in access, and evidence-based decision making as core values of NHFP; over 62.5% confirmed that NHFP components should consist of stewardship (oversight, revenue collection, revenue pooling and risk management, resource allocation and purchasing of health services, health economics research, and development of

National health financing policy in Eritrea: a survey of preliminary considerations.

Science.gov (United States)

Kirigia, Joses Muthuri; Zere, Eyob; Akazili, James

2012-08-28

The 58th World Health Assembly and 56th WHO Regional Committee for Africa adopted resolutions urging Member States to ensure that health financing systems included a method for prepayment to foster financial risk sharing among the population and avoid catastrophic health-care expenditure. The Regional Committee asked countries to strengthen or develop comprehensive health financing policies. This paper presents the findings of a survey conducted among senior staff of selected Eritrean ministries and agencies to elicit views on some of the elements likely to be part of a national health financing policy. This is a descriptive study. A questionnaire was prepared and sent to 19 senior staff (Directors) in the Ministry of Health, Labour Department, Civil Service Administration, Eritrean Confederation of Workers, National Insurance Corporation of Eritrea and Ministry of Local Government. The respondents were selected by the Ministry of Health as key informants. The key findings were as follows: the response rate was 84.2% (16/19); 37.5% (6/16) and 18.8% said that the vision of Eritrean National Health Financing Policy (NHFP) should include the phrases 'equitable and accessible quality health services' and 'improve efficiency or reduce waste' respectively; over 68% indicated that NHFP should include securing adequate funding, ensuring efficiency, ensuring equitable financial access, protection from financial catastrophe, and ensuring provider payment mechanisms create positive incentives to service providers; over 80% mentioned community participation, efficiency, transparency, country ownership, equity in access, and evidence-based decision making as core values of NHFP; over 62.5% confirmed that NHFP components should consist of stewardship (oversight), revenue collection, revenue pooling and risk management, resource allocation and purchasing of health services, health economics research, and development of human resources for health; over 68.8% indicated cost

Interdependencies of Health, Education & Poverty in Egypt, Morocco and Turkey Using Demographic and Health Survey

OpenAIRE

Driouchi, Ahmed; Baijou, Ahmad

2009-01-01

The interdependencies of health, education and poverty that are common knowledge to individuals are also present at the aggregate levels of countries and internationally. The assessment of these interdependencies is the central task of this research but based on the Demographic Health Surveys (DHS) of Egypt, Morocco and Turkey. The results attained through dependency tests and probit models, confirm the existence of major interdependencies at the levels of households. These findings support t...

Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island.

Science.gov (United States)

Wylie, Matthew C; Baier, Rosa R; Gardner, Rebekah L

2014-10-01

Although electronic health record use improves healthcare delivery, adoption into clinical practice is incomplete. We sought to identify the extent of adoption in Rhode Island and the characteristics of physicians and electronic health records associated with positive experience. We performed a cross-sectional study of data collected by the Rhode Island Department of Health for the Health Information Technology Survey 2009 to 2013. Survey questions included provider and practice demographics, health record information, and Likert-type scaled questions regarding how electronic health record use affected clinical practice. The survey response rate ranged from 50% to 65%, with 62% in 2013. Increasing numbers of physicians in Rhode Island use an electronic health record. In 2013, 81% of physicians used one, and adoption varied by clinical subspecialty. Most providers think that electronic health record use improves billing and quality improvement but has not improved job satisfaction. Physicians with longer and more sophisticated electronic health record use report positive effects of introduction on all aspects of practice examined (P electronic health record introduction (P electronic health record vendors most frequently used in Rhode Island, 5 were associated with improved job satisfaction. We report the largest statewide study of electronic health record adoption to date. We found increasing physician use in Rhode Island, and the extent of adoption varies by subspecialty. Although older physicians are less likely to be positive about electronic health record adoption, longer and more sophisticated use are associated with more positive opinions, suggesting acceptance will grow over time. Copyright © 2014 Elsevier Inc. All rights reserved.

National Survey of Yoga Practitioners: Mental and Physical Health Benefits

Science.gov (United States)

Ross, Alyson; Friedmann, Erika; Bevans, Margaret; Thomas, Sue

2013-01-01

Summary Objectives to describe yoga practice and health characteristics of individuals who practice yoga, and to explore their beliefs regarding the effects of their yoga practice on their health. Design a cross-sectional design with anonymous online surveys Setting 4307 randomly selected individuals from 15 US Iyengar yoga studios (n = 18,160), representing 41 states; 1087 individuals responded, with 1045 (24.3%) surveys completed. Outcome Measures Freiberg Mindfulness Inventory, Mental Health Continuum (subjective well-being), Multi-factor Screener (diet), PROMIS sleep disturbance, fatigue, and social support, International Physical Activity Questionnaire. Results Age: 19 to 87 years (M = 51.7 ± 11.7), 84.2% female, 89.2% white, 87.4% well educated (≥ bachelor’s degree). Mean years of yoga practice = 11.4 (± 7.5). BMI = 12.1–49.4 (M = 23.1 ± 3.9). Levels of obesity (4.9%), smoking (2%), and fruit and vegetable consumption (M = 6.1 ± 1.1) were favorable compared to national norms. 60% reported at least one chronic/serious health condition, yet most reported very good (46.3%) or excellent (38.8%) general health. Despite high levels of depression (24.8 %), nearly all were moderately mentally healthy (55.2%) or flourishing (43.8%). Participants agreed yoga improved: energy (84.5%), happiness (86.5%), social relationships (67%), sleep (68.5%), and weight (57.3%), and beliefs did not differ substantially according to race or gender. The more they practiced yoga, whether in years or in amount of class or home practice, the higher their odds of believing yoga improved their health. Conclusions Individuals who practice yoga are not free of health concerns, but most believe their health improved because of yoga. Yoga might be beneficial for a number of populations including elderly women and those with chronic health conditions. PMID:23876562

[Methodological design of the National Health and Nutrition Survey 2016].

Science.gov (United States)

Romero-Martínez, Martín; Shamah-Levy, Teresa; Cuevas-Nasu, Lucía; Gómez-Humarán, Ignacio Méndez; Gaona-Pineda, Elsa Berenice; Gómez-Acosta, Luz María; Rivera-Dommarco, Juan Ángel; Hernández-Ávila, Mauricio

2017-01-01

Describe the design methodology of the halfway health and nutrition national survey (Ensanut-MC) 2016. The Ensanut-MC is a national probabilistic survey whose objective population are the inhabitants of private households in Mexico. The sample size was determined to make inferences on the urban and rural areas in four regions. Describes main design elements: target population, topics of study, sampling procedure, measurement procedure and logistics organization. A final sample of 9 479 completed household interviews, and a sample of 16 591 individual interviews. The response rate for households was 77.9%, and the response rate for individuals was 91.9%. The Ensanut-MC probabilistic design allows valid statistical inferences about interest parameters for Mexico´s public health and nutrition, specifically on overweight, obesity and diabetes mellitus. Updated information also supports the monitoring, updating and formulation of new policies and priority programs.

Inequalities in mental health in the working population of Spain: a National Health Survey-based study.

Science.gov (United States)

Arias-de la Torre, Jorge; Artazcoz, Lucía; Molina, Antonio José; Fernández-Villa, Tania; Martín, Vicente

2016-01-01

In the working population, poor mental health is a significant problem whose prevalence rates and associated factors could differ by gender, especially in a period of socioeconomic changes. The aims of this study were: a) to determine the prevalence of poor mental health in the working population of Spain in 2011; b) to identify the association of this prevalence with socioeconomic and work-related variables for men and women separately; c) to determine if the patterns differ by gender. A cross-sectional study was conducted with data from the National Health Survey of Spain (2011). Of the 21,007 participants in the survey, we selected 7396 whose employment status was described as "working" The General Health Questionnaire (GHQ-12) was used as a screening tool to detect poor mental health. Prevalences were calculated and bivariate and multivariate logistic regression models were fitted to verify the association between variables. The prevalence of poor mental health was higher among women (19.9%) than men (13.9%), the overall prevalence being 16.8%. The variables associated with a higher prevalence were type of contract and work-related variables in men, and age and socioeconomic variables in women. This study shows that, in the working population of Spain, the prevalence of poor mental health and its related factors differ by gender. Poor mental health is mainly related to socioeconomic variables in women but is mostly associated with work-related variables in men. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

Medicinal Cannabis: A Survey Among Health Care Providers in Washington State

Science.gov (United States)

Carlini, Beatriz H; Garrett, Sharon B; Carter, Gregory T

2017-02-01

Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians' knowledge and practices in Washington State. An anonymous online survey assessed providers' MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers' professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.

Knowledge of medical students on National Health Care System: A French multicentric survey.

Science.gov (United States)

Feral-Pierssens, A-L; Jannot, A-S

2017-09-01

Education on national health care policy and costs is part of our medical curriculum explaining how our health care system works. Our aim was to measure French medical students' knowledge about national health care funding, costs and access and explore association with their educational and personal background. We developed a web-based survey exploring knowledge on national health care funding, access and costs through 19 items and measured success score as the number of correct answers. We also collected students' characteristics and public health training. The survey was sent to undergraduate medical students and residents from five medical universities between July and November 2015. A total of 1195 students from 5 medical universities responded to the survey. Most students underestimated the total amount of annual medical expenses, hospitalization costs and the proportion of the general population not benefiting from a complementary insurance. The knowledge score was not associated with medical education level. Three students' characteristics were significantly associated with a better knowledge score: male gender, older age, and underprivileged status. Medical students have important gaps in knowledge regarding national health care funding, coverage and costs. This knowledge was not associated with medical education level but with some of the students' personal characteristics. All these results are of great concern and should lead us to discussion and reflection about medical and public health training. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

National Surveys of Population Health: Big Data Analytics for Mobile Health Monitors.

Science.gov (United States)

Schatz, Bruce R

2015-12-01

At the core of the healthcare crisis is fundamental lack of actionable data. Such data could stratify individuals within populations to predict which persons have which outcomes. If baselines existed for all variations of all conditions, then managing health could be improved by matching the measuring of individuals to their cohort in the population. The scale required for complete baselines involves effective National Surveys of Population Health (NSPH). Traditionally, these have been focused upon acute medicine, measuring people to contain the spread of epidemics. In recent decades, the focus has moved to chronic conditions as well, which require smaller measures over longer times. NSPH have long utilized quality of life questionnaires. Mobile Health Monitors, where computing technologies eliminate manual administration, provide richer data sets for health measurement. Older technologies of telephone interviews will be replaced by newer technologies of smartphone sensors to provide deeper individual measures at more frequent timings across larger-sized populations. Such continuous data can provide personal health records, supporting treatment guidelines specialized for population cohorts. Evidence-based medicine will become feasible by leveraging hundreds of millions of persons carrying mobile devices interacting with Internet-scale services for Big Data Analytics.

Are consumer surveys valuable as a service improvement tool in health services? A critical appraisal.

Science.gov (United States)

Patwardhan, Anjali; Patwardhan, Prakash

2009-01-01

In the recent climate of consumerism and consumer focused care, health and social care needs to be more responsive than ever before. Consumer needs and preferences can be elicited with accepted validity and reliability only by strict methodological control, customerisation of the questionnaire and skilled interpretation. To construct, conduct, interpret and implement improved service provision, requires a trained work force and infrastructure. This article aims to appraise various aspects of consumer surveys and to assess their value as effective service improvement tools. The customer is the sole reason organisations exist. Consumer surveys are used worldwide as service and quality of care improvement tools by all types of service providers including health service providers. The article critically appraises the value of consumer surveys as service improvement tools in health services tool and its future applications. No one type of survey is the best or ideal. The key is the selection of the correct survey methodology, unique and customised for the particular type/aspect of care being evaluated. The method used should reflect the importance of the information required. Methodological rigor is essential for the effectiveness of consumer surveys as service improvement tools. Unfortunately so far there is no universal consensus on superiority of one particular methodology over another or any benefit of one specific methodology in a given situation. More training and some dedicated resource allocation is required to develop consumer surveys. More research is needed to develop specific survey methodology and evaluation techniques for improved validity and reliability of the surveys as service improvement tools. Measurement of consumer preferences/priorities, evaluation of services and key performance scores, is not easy. Consumer surveys seem impressive tools as they provide the customer a voice for change or modification. However, from a scientific point

The Emerging Role of Social Work in Primary Health Care: A Survey of Social Workers in Ontario Family Health Teams.

Science.gov (United States)

Ashcroft, Rachelle; McMillan, Colleen; Ambrose-Miller, Wayne; McKee, Ryan; Brown, Judith Belle

2018-05-01

Primary health care systems are increasingly integrating interprofessional team-based approaches to care delivery. As members of these interprofessional primary health care teams, it is important for social workers to explore our experiences of integration into these newly emerging teams to help strengthen patient care. Despite the expansion of social work within primary health care settings, few studies have examined the integration of social work's role into this expanding area of the health care system. A survey was conducted with Canadian social work practitioners who were employed within Family Health Teams (FHTs), an interprofessional model of primary health care in Ontario emerging from a period of health care reform. One hundred and twenty-eight (N = 128) respondents completed the online survey. Key barriers to social work integration in FHTs included difficulties associated with a medical model environment, confusion about social work role, and organizational barriers. Facilitators for integration of social work in FHTs included adequate education and competencies, collaborative engagement, and organizational structures.

Mental Health Status of Double Minority Adolescents: Findings from National Cross-Sectional Health Surveys.

Science.gov (United States)

Chiang, Szu-Ying; Fleming, Theresa; Lucassen, Mathijs; Fenaughty, John; Clark, Terryann; Denny, Simon

2017-06-01

Little population-based work has been published about the mental health of adolescents with both sexual/gender (SG) and ethnic minority (i.e. double minority) status. This study aimed to provide an overview on their mental health. Analysis of data from a total of 17,607 high school students from New Zealand's 2007 and 2012 cross-sectional nationally representative Adolescent Health Surveys, including a total of 1306 (7.4%) SG minority participants, of whom 581 (3.3%) were also an ethnic minority. SG minority status, minority ethnicity, and female sex were associated with higher mental distress and poorer well-being. Generally speaking, double minority students reported poorer mental health than SG majority students of the same ethnicity, but reported better mental health than SG minority New Zealand European students. Explanations and future directions for research were suggested to further explore how double minority students negotiate mental health in the context of their communities/cultures in New Zealand.

Survey mode matters: adults' self-reported statistical confidence, ability to obtain health information, and perceptions of patient-health-care provider communication.

Science.gov (United States)

Wallace, Lorraine S; Chisolm, Deena J; Abdel-Rasoul, Mahmoud; DeVoe, Jennifer E

2013-08-01

This study examined adults' self-reported understanding and formatting preferences of medical statistics, confidence in self-care and ability to obtain health advice or information, and perceptions of patient-health-care provider communication measured through dual survey modes (random digital dial and mail). Even while controlling for sociodemographic characteristics, significant differences in regard to adults' responses to survey variables emerged as a function of survey mode. While the analyses do not allow us to pinpoint the underlying causes of the differences observed, they do suggest that mode of administration should be carefully adjusted for and considered.

Findings from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey.

Science.gov (United States)

Fronstin, Paul

2011-12-01

SEVENTH ANNUAL SURVEY: This Issue Brief presents findings from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey. This study is based on an online survey of 4,703 privately insured adults ages 21-64 to provide nationally representative data regarding the growth of consumer-driven health plans (CDHPs) and high-deductible health plans (HDHPs), and the impact of these plans and consumer engagement more generally on the behavior and attitudes of adults with private health insurance coverage. Findings from this survey are compared with EBRI's findings from earlier surveys. ENROLLMENT CONTINUES TO GROW: The survey finds continued growth in consumer-driven health plans: In 2011, 7 percent of the population was enrolled in a CDHP, up from 5 percent in 2010. Enrollment in HDHPs increased from 14 percent in 2010 to 16 percent in 2011. The 7 percent of the population with a CDHP represents 8.4 million adults ages 21-64 with private insurance, while the 16 percent with a HDHP represents 19.3 million people. Among the 19.3 million individuals with an HDHP, 38 percent (or 7.3 million) reported that they were eligible for a health savings ccount (HSA) but did not have such an account. Overall, 15.8 million adults ages 21-64 with private insurance, representing 13.1 percent of that market, were either in a CDHP or were in an HDHP that was eligible for an HSA but had not opened the account. When their children are counted, about 21 million individuals with private insurance, representing about 12 percent of the market, were either in a CDHP or an HSA-eligible plan. MORE COST-CONSCIOUS BEHAVIOR: Individuals in CDHPs were more likely than those with traditional coverage to exhibit a number of cost-conscious behaviors. They were more likely to say that they had checked whether their plan would cover care; asked for a generic drug instead of a brand name; talked to their doctor about treatment options and costs; talked to their doctor about prescription drug options and costs

Comparison of Health Examination Survey Methods in Brazil, Chile, Colombia, Mexico, England, Scotland, and the United States.

Science.gov (United States)

Mindell, Jennifer S; Moody, Alison; Vecino-Ortiz, Andres I; Alfaro, Tania; Frenz, Patricia; Scholes, Shaun; Gonzalez, Silvia A; Margozzini, Paula; de Oliveira, Cesar; Sanchez Romero, Luz Maria; Alvarado, Andres; Cabrera, Sebastián; Sarmiento, Olga L; Triana, Camilo A; Barquera, Simón

2017-09-15

Comparability of population surveys across countries is key to appraising trends in population health. Achieving this requires deep understanding of the methods used in these surveys to examine the extent to which the measurements are comparable. In this study, we obtained detailed protocols of 8 nationally representative surveys from 2007-2013 from Brazil, Chile, Colombia, Mexico, the United Kingdom (England and Scotland), and the United States-countries that that differ in economic and inequity indicators. Data were collected on sampling frame, sample selection procedures, recruitment, data collection methods, content of interview and examination modules, and measurement protocols. We also assessed their adherence to the World Health Organization's "STEPwise Approach to Surveillance" framework for population health surveys. The surveys, which included half a million participants, were highly comparable on sampling methodology, survey questions, and anthropometric measurements. Heterogeneity was found for physical activity questionnaires and biological samples collection. The common age range included by the surveys was adults aged 18-64 years. The methods used in these surveys were similar enough to enable comparative analyses of the data across the 7 countries. This comparability is crucial in assessing and comparing national and subgroup population health, and to assisting the transfer of research and policy knowledge across countries. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Eczema Is Associated with Childhood Speech Disorder: A Retrospective Analysis from the National Survey of Children's Health and the National Health Interview Survey.

Science.gov (United States)

Strom, Mark A; Silverberg, Jonathan I

2016-01-01

To determine if eczema is associated with an increased risk of a speech disorder. We analyzed data on 354,416 children and adolescents from 19 US population-based cohorts: the 2003-2004 and 2007-2008 National Survey of Children's Health and 1997-2013 National Health Interview Survey, each prospective, questionnaire-based cohorts. In multivariate survey logistic regression models adjusting for sociodemographics and comorbid allergic disease, eczema was significantly associated with higher odds of speech disorder in 12 of 19 cohorts (P speech disorder in children with eczema was 4.7% (95% CI 4.5%-5.0%) compared with 2.2% (95% CI 2.2%-2.3%) in children without eczema. In pooled multivariate analysis, eczema was associated with increased odds of speech disorder (aOR [95% CI] 1.81 [1.57-2.05], P speech disorder. History of eczema was associated with moderate (2.35 [1.34-4.10], P = .003) and severe (2.28 [1.11-4.72], P = .03) speech disorder. Finally, significant interactions were found, such that children with both eczema and attention deficit disorder with or without hyperactivity or sleep disturbance had vastly increased risk of speech disorders than either by itself. Pediatric eczema may be associated with increased risk of speech disorder. Further, prospective studies are needed to characterize the exact nature of this association. Copyright © 2016 Elsevier Inc. All rights reserved.

Same-sex and different-sex parent households and child health outcomes : Findings from the national survey of children's health

NARCIS (Netherlands)

Bos, H.M.W.; Knox, J.R.; van Rijn-van Gelderen, L.; Gartrell, N.K.

Objective: Using the 2011–2012 National Survey of Children's Health data set, we compared spouse/partner relationships and parent-child relationships (family relationships), parenting stress, and children's general health, emotional difficulties, coping behavior, and learning behavior (child

Simulations of peeling-ballooning modes with electron cyclotron resonance heating

International Nuclear Information System (INIS)

Huang, J.; Tang, C. J.; Chen, S. Y.

2016-01-01

The effects of the deposited power and deposited position of Electron Cyclotron Resonance Heating (ECRH) on Peeling-Ballooning (P-B) modes are simulated using BOUT++ code in this paper. The simulation results show that as the deposited position moves from the top to the bottom of the pedestal, the edge localized mode (ELM) size decreases first and then increases, finally decreases again. For ECRH with different deposited power, the effects on P-B modes are similar if they have the same peak value of the power deposition profile. These results show that the effects of ECRH on P-B modes are primarily determined by the change in pressure profile caused by ECRH. As long as ECRH can lead to large enough change in pressure profile, ECRH can efficiently affect the dynamics of P-B modes.

Simulations of peeling-ballooning modes with electron cyclotron resonance heating

Energy Technology Data Exchange (ETDEWEB)

Huang, J.; Tang, C. J. [College of Physical Science and Technology, Sichuan University, Chengdu 610065 (China); Key Laboratory of High Energy Density Physics and Technology of Ministry of Education, Sichuan University, Chengdu 610064 (China); Chen, S. Y., E-mail: sychen531@163.com [College of Physical Science and Technology, Sichuan University, Chengdu 610065 (China); Key Laboratory of High Energy Density Physics and Technology of Ministry of Education, Sichuan University, Chengdu 610064 (China); Southwestern Institute of Physics, Chengdu 610041 (China)

2016-05-15

The effects of the deposited power and deposited position of Electron Cyclotron Resonance Heating (ECRH) on Peeling-Ballooning (P-B) modes are simulated using BOUT++ code in this paper. The simulation results show that as the deposited position moves from the top to the bottom of the pedestal, the edge localized mode (ELM) size decreases first and then increases, finally decreases again. For ECRH with different deposited power, the effects on P-B modes are similar if they have the same peak value of the power deposition profile. These results show that the effects of ECRH on P-B modes are primarily determined by the change in pressure profile caused by ECRH. As long as ECRH can lead to large enough change in pressure profile, ECRH can efficiently affect the dynamics of P-B modes.

National Health and Nutrition Examination Survey: national youth fitness survey plan, operations, and analysis, 2012.

Science.gov (United States)

Borrud, Lori; Chiappa, Michele M; Burt, Vicki L; Gahche, Jaime; Zipf, George; Johnson, Clifford L; Dohrmann, Sylvia M

2014-04-01

In October 2008, the federal government issued its first-ever Physical Activity Guidelines for Americans to provide science-based guidance on the types and amounts of physical activity that provide substantial health benefits for Americans (1). Guidelines for children and adolescents recommend 60 minutes or more of aerobic, muscle-strengthening, or bone-strengthening physical activity daily (1). While the number of children in the United States who meet the recommendations in the Physical Activity Guidelines is unknown, the percentage that is physically active in the United States may be declining. No recent national data exist on the fitness levels of children and adolescents. The National Health and Nutrition Examination Survey's (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 and collected data on physical activity and fitness levels for U.S. children and adolescents aged 3-15 years. The objective of NNYFS was to provide national-level estimates of the physical activity and fitness levels of children, based on interview and physical examination data. Results from the survey are intended to contribute to the development of policies and programs to improve youth fitness nationally. The data also may be used in the development of national reference standards for measures of fitness and physical activity. Methods The NNYFS survey design used the design for NHANES, which is a multistage probability sample of the civilian noninstitutionalized resident population of the United States. NNYFS consisted of a household interview and a physical activity and fitness examination in a mobile examination center. A total of 1,640 children and adolescents aged 3-15 were interviewed, and 1,576 were examined. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

A national survey on health department capacity for community engagement in emergency preparedness.

Science.gov (United States)

Schoch-Spana, Monica; Selck, Frederic W; Goldberg, Lisa A

2015-01-01

Limited systematic knowledge exists about how public health practitioners and policy makers can best strengthen community engagement in public health emergency preparedness ("CE-PHEP"), a top priority for US national health security. To investigate local health department (LHD) adoption of federally recommended participatory approaches to PHEP and to identify LHD organizational characteristics associated with more intense CE-PHEP. National survey in 2012 of LHDs using a self-administered Web-based questionnaire regarding LHD practices and resources for CE-PHEP ("The Community Engagement for Public Health Emergency Preparedness Survey"). Differences in survey responses were examined, and a multivariate analysis was used to test whether LHD organizational characteristics were associated with differences in CE-PHEP intensity. A randomized sample of 754 LHDs drawn from the 2565 LHDs that had been invited to participate in the 2010 National Profile of LHDs. Sample selection was stratified by the size of population served and geographic location. Emergency preparedness coordinators reporting on their respective LHDs. CE-PHEP intensity as measured with a scoring system that rated specific CE-PHEP practices by LHD according to the relative degrees of public participation and community capacity they represented. Survey response rate was 61%. The most common reported CE-PHEP activity was disseminating personal preparedness materials (90%); the least common was convening public forums on PHEP planning (22%). LHD characteristics most strongly associated with more intense CE-PHEP were having a formal CE-PHEP policy, allocating funds for CE-PHEP, having strong support from community-based organizations, and employing a coordinator with prior CE experience. Promising ways to engage community partners more fully in the PHEP enterprise are institutionalizing CE-PHEP objectives, employing sufficient and skilled staff, leveraging current community-based organization support, and

[Health and indigenous peoples in Brazil: reflections based on the First National Survey of Indigenous People's Health and Nutrition].

Science.gov (United States)

Carlos, E A Coimbra

2014-04-01

The current configuration of indigenous peoples' health in Brazil results from a complex historical trajectory, responsible for major delays for this population segment in the countrywide social advances seen in recent decades, particularly in the fields of health, education, housing, and sanitation. The main focus of this contribution is to review synthetically a selection of the main results of the First National Survey of Indigenous People's Health and Nutrition, conducted in the period 2008-2009, which visited 113 villages across the Brazil and interviewed 6,692 women and 6,128 children. Among the results, emphasis is given to the observed poor sanitation conditions in villages, high prevalence of chronic malnutrition, anemia, diarrhea, and acute respiratory infections in children, and the emergence of non-communicable chronic diseases in women. The scenario depicted by this survey requires urgent critical review of indigenous health policy in order to better meet the health needs of Brazil's indigenous population.

Marketing health educators to employers: survey findings, interpretations, and considerations for the profession.

Science.gov (United States)

Gambescia, Stephen F; Cottrell, Randall R; Capwell, Ellen; Auld, M Elaine; Mullen Conley, Kathleen; Lysoby, Linda; Goldsmith, Malcolm; Smith, Becky

2009-10-01

In July 2007, a market research report was produced by Hezel Associates on behalf of five sponsoring health education profession member organizations and the National Commission for Health Education Credentialing. The purpose of the survey was to learn about current or potential employers' knowledge, attitudes, and behaviors toward health educators and the health education profession and their future hiring practices. This article presents the background leading up to the production of this report, the major findings of the survey of employers, recommendations from the market research group regarding core messages, and implications for the profession having discovered for the first time information about employers' understanding of professionally prepared health educators. The article discusses the umbrella and key messages that may be incorporated into a marketing plan and other recommendations by the firm that should assist health educators in marketing the profession. Furthermore, this article presents reactions by leaders in this field to these messages and recommendations and concludes with next steps in this project and a call for the overall need to market the profession of health education.

An urban survey of paediatric environmental health concerns: Perceptions of parents, guardians and health care professionals

Science.gov (United States)

Buka, Irena; Rogers, W Todd; Osornio-Vargas, Alvaro R; Hoffman, Harold; Pearce, Marni; Li, Yuen Yee

2006-01-01

OBJECTIVES To conduct a survey in Edmonton, Alberta, to gather information regarding concerns about the influence of environmental factors on children’s health and to use the information to set an agenda for the resources of the Paediatric Environmental Health Specialty Unit at Misericordia Hospital (Edmonton, Alberta). METHODS Two questionnaires with 28 closed-ended questions were developed to examine parents’, guardians’ and health care professionals’ concerns. They comprised items about six environmental factors (air, water and food quality; household supplies; radiation; and waste disposal). Health care professionals were also asked four questions about their knowledge of and their needs in Paediatric Environmental Health. Parents and guardians attending the public health centres and nurses working therein received questionnaires. Physicians were surveyed by e-mail. RESULTS After verification, the questionnaire data from 400 parents or guardians and 152 health care professionals were used for analyses. Results from contingency table, Hotelling’s T2 and effect size analyses revealed similarities in the levels of concern in both groups, and the results were combined. The greatest concern of both groups was with environmental tobacco smoke, followed by pesticides in water. Concerns about six additional environmental elements were also expressed. The health care professionals showed a high level of concern about the need for resources, specific training and public education regarding paediatric environmental health. CONCLUSION A significant level of concern was consistently found between the two groups studied, regardless of professional training. The highest level of concern was with a well-documented topic (ie, environmental tobacco smoke). Less concern associated with decreased documentation calls for increasing the knowledge of society, including health care professionals, to address the adverse effects of environmental factors on children. PMID

Work health and safety in cotton ginning industry: a survey of practices in australia

International Nuclear Information System (INIS)

Soomro, N.

2015-01-01

This survey focuses on the WH and S (Work Health and Safety) practices in Australia and relates them with those in Pakistan. It also highlights the planned areas of work required on WH and S in cotton ginning industry of Pakistan. This article is one a series of research studies that will inform a broader approach development. The aim of the survey was to design a standardized health and safety Act for cotton ginning industry of Pakistan and to help ginners meet their due industry obligations under the model WH and S Act. The first component of the research study survey was to review the relevant Australian work and safety model as this provides a framework to protect the health, safety and welfare of all employees at work and of other people who might be affected by the job. The second aspect of the research study survey concerned site visits to cotton gins with the support of Australian Centre for Agricultural Health and Safety, Moree, NSW. During these visits the existing ginning process in terms of WH and S were reviewed. Informal interviews were also conducted with Gin Managers and Ginning Experts regarding WH and S in the Australian cotton ginning industry. (author)

Oral Health and Risk of Arthritis in the Scottish Population: Results from the Scottish Health Survey.

Science.gov (United States)

Abbood, Hadeel Mohammed; Cherukara, George; Pathan, Ejaz; Macfarlane, Tatiana V

2017-01-01

To investigate the link between self-reported oral health and arthritis in the Scottish population using data from the Scottish Health Survey. Data were available from 2008 to 2013 on self-reported arthritis, oral health conditions and oral hygiene habits from the Scottish Health Survey. Arthritis was defined in this survey by self-reported long standing illness, those who reported having arthritis, rheumatism and/or fibrositis. Oral conditions were defined by self-reported bleeding gums, toothache, biting difficulties and/or edentulousness. Oral hygiene habits were defined by self-reported brushing teeth and/or using dental floss on daily basis. Logistic regression was used for statistical analysis adjusted for age, gender, qualification, smoking and body mass index. Prevalence of self-reported arthritis was 9.3% (95% confidence interval [CI] = 9.03 to 9.57). Those who reported having bleeding gums (adjusted odds ratio [OR] = 1.63; 95% CI = 1.35 to 1.96), toothache (OR = 1.32; 95% CI = 1.16 to 1.5), biting difficulties (OR = 1.95; 95% CI = 1.62 to 2.34), and being edentulous (OR = 1.22; 95% CI = 1.08 to 1.37) had an increased risk of arthritis. Brushing teeth (OR = 1.25; 95% CI = 0.74 to 2.12), and using dental floss (OR = 1.11; 95% CI = 0.89 to 1.39) were not associated with arthritis. Self-reported oral conditions were associated with increased risk of self-reported arthritis. Oral hygiene habits were not associated with self-reported arthritis. Further investigation is required to assess the causal association between oral hygiene, oral disease and arthritis.

Violence Prevention after Columbine: A Survey of High School Mental Health Professionals

Science.gov (United States)

Crepeau-Hobson, M. Franci; Filaccio, Marylynne; Gottfried, Linda

2005-01-01

The authors examined changes in mental health services and violence prevention strategies in public high schools since the shootings at Columbine High School. Surveys were mailed to school mental health professionals at public high schools in Colorado. Respondents included school counselors, school psychologists, school social workers, principals,…

2016 Survey of State-Level Health Resources for Men and Boys: Identification of an Inadvertent and Remediable Service and Health Disparity.

Science.gov (United States)

Fadich, Ana; Llamas, Ramon P; Giorgianni, Salvatore; Stephenson, Colin; Nwaiwu, Chimezie

2018-03-01

This survey evaluated resources available to men and boys at the state level including state public health departments (SPHDs), other state agencies, and governor's offices. Most of the resources and programs are found in the SPHDs and these administer state-initiated and federally funded health programs to provide services and protection to a broad range of populations; however, many men's health advocates believe that SPHDs have failed to create equivalent services for men and boys, inadvertently creating a health disparity. Men's Health Network conducts a survey of state resources, including those found in SPHDs, every 2 years to identify resources available for men and women, determine the extent of any disparity, and establish a relationship with SPHD officials. Data were obtained from all 50 states and Washington, D.C. An analysis of the 2016 survey data indicates that there are few resources allocated and a lack of readily available information on health and preventive care created specifically for men and boys. The data observed that most health information intended for men and boys was scarce among states or oftentimes included on websites that primarily focused on women's health. A potential result of this is a loss of engagement with appropriate health-care providers due to a lack of information. This study continues to validate the disparity between health outcomes for women and men. It continues to highlight the need for better resource allocation, outreach, and health programs specifically tailored to men and boys in order to improve overall community well-being.

Validity of Self-reported Healthcare Utilization Data in the Community Health Survey in Korea

Science.gov (United States)

Rim, Hwayoung; Lee, Kunsei; Chang, Sounghoon; Hovell, Melbourne F; Kim, Young-Taek; Kim, Yuna; Kang, Gilwon; Tak, Yangju; Im, Jeehye

2011-01-01

To evaluate the sensitivity and specificity of Community Health Survey (CHS), we analyzed data from 11,217 participants aged ≥ 19 yr, in 13 cities and counties in 2008. Three healthcare utilization indices (admission, outpatient visits, dental visits) as comparative variables and the insurance benefit claim data of the Health Insurance Review & Assessment Service as the gold-standard were used. The sensitivities of admission, outpatient visits, and dental visits in CHS were 54.8%, 52.1%, and 61.0%, respectively. The specificities were 96.4%, 85.6%, and 82.7%, respectively. This is the first study to evaluate the validity of nationwide health statistics resulting from questionnaire surveys and shows that CHS needs a lot of efforts to reflect the true health status, health behavior, and healthcare utilization of the population. PMID:22065895

Working with childhood sexual abuse: a survey of mental health professionals.

Science.gov (United States)

Day, Andrew; Thurlow, Katie; Woolliscroft, Jessica

2003-02-01

This study aimed to establish the views of a group of mental health professionals from various disciplines working in mental health service in a British hospital about the needs of clients who had experienced childhood sexual abuse. Staff members were asked to complete an anonymous survey which asked questions relating to knowledge of sexual abuse and its effects, and the needs of clients and staff in working with this client group. A total of 54 people responded to the survey, 42 were female, 11 male. Most (72%) reported having over 10 years experience working in mental health, working in both in-patient and out-patient settings. While respondents were reasonably knowledgeable about childhood sexual abuse, they were not very comfortable, competent or supported in their work with this client group. There were no differences in responses according to the age or gender of respondents, but less experienced staff were more likely to feel supported. Those that had received training and/or supervision felt significantly more capable in working with this client group. The study offers some support for the development of specialist training, consultancy and supervision programs for mental health staff in the area of child sexual abuse.

Health survey on cancers about the Tricastin nuclear site

International Nuclear Information System (INIS)

2010-01-01

This survey aims at describing the health status of the population around the Tricastin site, and more particularly at determining whether there is a difference between death or cancer occurrence frequencies observed around this site with respect to reference frequencies. It does not aim at assessing the health impact of the site industrial installations. Cancer mortality data, cancer diagnosis data, demographic data, child cancer data, data related to hospital stays in relationship with cancer, long duration hospital stay data, and mortality data are used. Several indicators are defined and used: standardised mortality ratio, standardised hospitalisation ratio. Data are also analysed in terms of location, and socio-demographic categories. It appears that there is no specific health situation for the considered area, except for pancreas cancer for women

Parental compliance - an emerging problem in Liverpool community child health surveys 1991-2006

Directory of Open Access Journals (Sweden)

Koshy Gibby

2012-04-01

Full Text Available Abstract Background Compliance is a critical issue for parental questionnaires in school based epidemiological surveys and high compliance is difficult to achieve. The objective of this study was to determine trends and factors associated with parental questionnaire compliance during respiratory health surveys of school children in Merseyside between 1991 and 2006. Methods Four cross-sectional respiratory health surveys employing a core questionnaire and methodology were conducted in 1991, 1993, 1998 and 2006 among 5-11 year old children in the same 10 schools in Bootle and 5 schools in Wallasey, Merseyside. Parental compliance fell sequentially in consecutive surveys. This analysis aimed to determine the association of questionnaire compliance with variation in response rates to specific questions across surveys, and the demographic profiles for parents of children attending participant schools. Results Parental questionnaire compliance was 92% (1872/2035 in 1991, 87.4% (3746/4288 in 1993, 78.1% (1964/2514 in 1998 and 30.3% (1074/3540 in 2006. The trend to lower compliance in later surveys was consistent across all surveyed schools. Townsend score estimations of socio-economic status did not differ between schools with high or low questionnaire compliance and were comparable across the four surveys with only small differences between responders and non-responders to specific core questions. Respiratory symptom questions were mostly well answered with fewer than 15% of non-responders across all surveys. There were significant differences between mean child age, maternal and paternal smoking prevalence, and maternal employment between the four surveys (all p Conclusion Methodological differences or changes in socio-economic status of respondents between surveys were unlikely to explain compliance differences. Changes in maternal employment patterns may have been contributory. This analysis demonstrates a major shift in community parental

Changes in retiree health benefits: results of a national survey.

Science.gov (United States)

de Lissovoy, G; Kasper, J D; Di Carlo, S; Gabel, J

1990-01-01

Employers are increasingly concerned by the cost of health benefits provided to retired workers. One reason is that the Financial Accounting Standards Board (FASB), the organization that establishes "generally accepted accounting principles," has proposed altering the way firms report expenditures for retiree medical coverage on financial statements. We recently completed a national survey of business firms offering retiree health benefits to address three issues: 1) What is the current structure of retiree health benefit plans? 2) What changes are firms planning to implement in the structure of their retiree health benefits? 3) To what extent are these changes due to the FASB proposal? The FASB reporting proposal is only one factor underlying these changes. More important is the real financial pressure on firms due to the accelerating cost of retiree health care.

Change in health status and access to care in young adults with special health care needs: results from the 2007 national survey of adult transition and health.

Science.gov (United States)

Okumura, Megumi J; Hersh, Aimee O; Hilton, Joan F; Lotstein, Debra S

2013-04-01

Despite over 500,000 adolescents with special health care needs transitioning to adulthood each year, limited information is available on their health status or their access to care after transition. To describe the change in health status and access to care of a nationally sampled, longitudinal cohort of young adults with special health care needs (ASHCN). We analyzed follow-up data collected in the 2007 Survey of Adult Transition and Health on young adults who were 14-17 years of age when their parents participated in the 2001 National Survey of Children with Special Health Care Needs. We describe changes in access to care and health status over time, and used logistic regression to identify characteristics that were associated with declining health status in this cohort. 1,865 participants, aged 19-23 years, completed the Survey of Adult Transition and Health. Between 2001 and 2007, there was a 3.6 fold increase in the proportion experiencing delayed or forgone care; 10% reported a decline in health status. There was a 7.7-fold increase in the proportion reporting no insurance. In regression analysis, factors associated with declining health status between 2001 and 2007 included underlying disease severity and delayed or forgone care in young adulthood. We found significant deterioration in insurance coverage, usual source of care and receiving timely health care as ASHCN aged into adulthood, and that this was associated with decline in health status. Our findings suggest that further population-based analyses of health outcomes are needed to plan for interventions to assist this vulnerable population. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Retirement and mental health: analysis of the Australian national survey of mental health and well-being.

Science.gov (United States)

Butterworth, Peter; Gill, Sarah C; Rodgers, Bryan; Anstey, Kaarin J; Villamil, Elena; Melzer, David

2006-03-01

Nation-wide research on mental health problems amongst men and women during the transition from employment to retirement is limited. This study sought to explore the relationship between retirement and mental health across older adulthood, whilst considering age and known risk factors for mental disorders. Data were from the 1997 National Survey of Mental Health and Well-being, a cross-sectional survey of 10,641 Australian adults. The prevalence of depression and anxiety disorders was analysed in the sub-sample of men (n = 1928) and women (n = 2261) aged 45-74 years. Mental health was assessed using the Composite International Diagnostic Instrument. Additional measures were used to assess respondents' physical health, demographic and personal characteristics. The prevalence of common mental disorders diminished across increasing age groups of men and women. Women aged 55-59, 65-69, and 70-74 had significantly lower rates of mental disorders than those aged 45-49. In contrast, only men aged 65-69 and 70-74 demonstrated significantly lower prevalence compared with men aged 45-49. Amongst younger men, retirees were significantly more likely to have a common mental disorder relative to men still in the labour force; however, this was not the case for retired men of, or nearing, the traditional retirement age of 65. Men and women with poor physical health were also more likely to have a diagnosable mental disorder. The findings of this study indicate that, for men, the relationship between retirement and mental health varies with age. The poorer mental health of men who retire early is not explained by usual risk factors. Given current policy changes in many countries to curtail early retirement, these findings highlight the need to consider mental health, and its influencing factors, when encouraging continued employment amongst older adults.

5D simulation study of suprathermal electron transport in non-axisymmetric plasmas

International Nuclear Information System (INIS)

Murakami, S.; Idei, H.; Kubo, S.; Nakajima, N.; Okamoto, M.; Gasparino, U.; Maassberg, H.; Rome, M.; Marushchenko, N.

1999-01-01

ECRH-driven transport of suprathermal electrons is studied in non-axisymmetric plasmas using a new Monte Carlo simulation technique in 5D phase space. Two different phases of the ECRH-driven transport of suprathermal electrons can be seen; one is a rapid convective phase due to the direct radial motion of trapped electrons and the other is a slower phase due to the collisional transport. The important role of the radial transport of suprathermal electrons in the broadening of the ECRH deposition profile is clarified in W7-AS. The ECRH driven flux is also evaluated and put in relation with the 'electron root' feature recently observed in W7-AS. It is found that, at low collisionalities, the ECRH driven flux due to the suprathermal electrons can play a dominant role in the condition of ambipolarity and, thus, the observed 'electron root' feature in W7-AS is thought to be driven by the radial (convective) flux of ECRH generated suprathermal electrons. The possible scenario of this 'ECRH-driven electron root' is considered in the LHD plasma. (author)

5D simulation study of suprathermal electron transport in non-axisymmetric plasmas

International Nuclear Information System (INIS)

Murakami, S.; Idei, H.; Kubo, S.; Nakajima, N.; Okamoto, M.; Gasparino, U.; Maassberg, H.; Rome, M.; Marushchenko, N.

2001-01-01

ECRH-driven transport of is studied in using a new Monte Carlo simulation technique in 5D phase space. Two different phases of the ECRH-driven transport of suprathermal electrons can be seen; one is a rapid convective phase due to the direct radial motion of trapped electrons and the other is a slower phase due to the collisional transport. The important role of the radial transport of suprathermal electrons in the broadening of the ECRH deposition profile is clarified in W7-AS. The ECRH driven flux is also evaluated and put in relation with the ''electron root'' feature recently observed in W7-AS. It is found that, at low collisionalities, the ECRH driven flux due to the suprathermal electrons can play a dominant role in the condition of ambipolarity and, thus, the observed ''electron root'' feature in W7-AS is thought to be driven by the radial (convective) flux of ECRH generated suprathermal electrons. The possible scenario of this ''ECRH-driven electron root'' is considered in the LHD plasma. (author)

Exercise, diet, health behaviors, and risk factors among persons with epilepsy based on the California Health Interview Survey, 2005.

Science.gov (United States)

Elliott, John O; Lu, Bo; Moore, J Layne; McAuley, James W; Long, Lucretia

2008-08-01

Based on the 2005 California Health Interview Survey, persons with a history of epilepsy report lower educational attainment, lower annual income, and poorer health status, similar to other state-based epidemiological surveys. Previous studies have found persons with epilepsy exercise less and smoke more than the nonepilepsy population. The medical literature has also shown that antiepileptic drugs may cause nutritional deficiencies. Persons with a history of epilepsy in the 2005 CHIS report they walk more for transportation, drink more soda, and eat less salad than the nonepilepsy population. Exercise and dietary behaviors at recommended levels have been found to reduce mortality from many comorbid conditions such as cardiovascular disease, stroke, depression, anxiety, and osteoporosis for which persons with epilepsy are at increased risk. Health professionals in the epilepsy field should step up their efforts to engage patients in health promotion, especially in the areas of exercise, diet, and smoking cessation.

Tracking Psychosocial Health in Adults with Epilepsy—Estimates from the 2010 National Health Interview Survey

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Kobau, R; Cui, W; Kadima, N; Zack, MM; Sajatovic, M; Kaiboriboon, K; Jobst, B

2015-01-01

Objective This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey. Methods Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with and those without epilepsy: 1) the Kessler-6 scale of Serious Psychological Distress; 2) cognitive limitation; the extent of impairments associated with psychological problems; and work limitation; 3) Social participation; and 4) the Patient Reported Outcome Measurement Information System Global Health scale. Results Compared with adults without epilepsy, adults with epilepsy, especially those with active epilepsy, reported significantly worse psychological health, more cognitive impairment, difficulty in participating in some social activities, and reduced health-related quality of life (HRQOL). Conclusions These disparities in psychosocial health in U.S. adults with epilepsy serve as baseline national estimates of their HRQOL, consistent with Healthy People 2020 national objectives on HRQOL. PMID:25305435

International survey of occupational health nurses' roles in multidisciplinary teamwork in occupational health services.

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Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie

2014-07-01

Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. Copyright 2014, SLACK Incorporated.

Recruiting migrants for health research through social network sites: an online survey among chinese migrants in australia.

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Hu, Jie; Wong, Kam Cheong; Wang, Zhiqiang

2015-04-27

Traditionally, postal surveys or face to face interviews are the main approaches for health researchers to obtain essential research data. However, with the prevalence of information technology and Internet, Web-based surveys are gaining popularity in health research. This study aims to report the process and outcomes of recruiting Chinese migrants through social network sites in Australia and to examine the sample characteristics of online recruitment by comparing the sample which was recruited by an online survey to a sample of Australian Chinese migrants collected by a postal survey. Descriptive analyses were performed to describe and compare the process and outcomes of online recruitment with postal survey questionnaires. Chi square tests and t tests were performed to assess the differences between the two samples for categorical and continuous variables respectively. In total, 473 Chinese migrants completed the online health survey from July to October 2013. Out of 426 participants recruited through the three Chinese social network sites in Australia, over 86.6% (369/426) were recruited within six weeks. Participants of the Web-based survey were younger, with a higher education level or had resided in Australia for less time compared to those recruited via a postal survey. However, there was no significant difference in gender, marital status, and professional occupation. The recruitment of Chinese migrants through social network sites in our online survey was feasible. Compared to a postal survey of Chinese migrants, the online survey attracted different group of Chinese migrants who may have diverse health needs and concerns. Our findings provided insightful information for researchers who are considering employing a Web-based approach to recruit migrants and ethnic minority participants.

Advantages and limitations of web-based surveys: evidence from a child mental health survey.

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Heiervang, Einar; Goodman, Robert

2011-01-01

Web-based surveys may have advantages related to the speed and cost of data collection as well as data quality. However, they may be biased by low and selective participation. We predicted that such biases would distort point-estimates such as average symptom level or prevalence but not patterns of associations with putative risk-factors. A structured psychiatric interview was administered to parents in two successive surveys of child mental health. In 2003, parents were interviewed face-to-face, whereas in 2006 they completed the interview online. In both surveys, interviews were preceded by paper questionnaires covering child and family characteristics. The rate of parents logging onto the web site was comparable to the response rate for face-to-face interviews, but the rate of full response (completing all sections of the interview) was much lower for web-based interviews. Full response was less frequent for non-traditional families, immigrant parents, and less educated parents. Participation bias affected point estimates of psychopathology but had little effect on associations with putative risk factors. The time and cost of full web-based interviews was only a quarter of that for face-to-face interviews. Web-based surveys may be performed faster and at lower cost than more traditional approaches with personal interviews. Selective participation seems a particular threat to point estimates of psychopathology, while patterns of associations are more robust.

A comparison of Omaha worksite health promotion activities to the 1992 national survey with a special perspective on program intervention.

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Eickhoff-Shemek, J M; Ryan, K F

1995-01-01

The purpose of this study was to compare the results from a survey of Omaha worksite health promotion activities with the results of a 1992 national survey. Comparisons were made on: (1) the kinds of health promotion activities offered, (2) progress toward the Healthy People 2000 worksite objectives, (3) types of program intervention offered, and (4) administrative factors. A one-time, written, mail-out/mail-back survey design was used. The study took place in Omaha, Nebraska. All area public and private worksites with 250 or more employees were sent surveys. Individuals who were preselected and identified as the best qualified within the company completed the survey instrument. Of the 176 worksites surveyed, 86 completed the survey (49%). Descriptive statistics (percentages) were used to compare the two surveys on kinds of programs offered, progress toward Healthy People 2000 related to worksite health promotion, the types of program intervention offered, and administrative factors. Generally, a greater percentage of respondent worksites from the national survey are offering more health promotion activities and have made more progress toward the Healthy People 2000 worksite objectives than the Omaha worksites. Results from both surveys showed that low levels of intervention are more prevalent than high levels of intervention, and that health promotion activities in most worksites are coordinated by human resources departments and not by someone professionally prepared in health education. Traditionally, major goals of worksite health promotion programs have focused on important organizational outcomes such as improved productivity/morale, reduction in absenteeism, and health care cost-containment. It is important to recognize, however, that low levels of intervention have less impact than more intensive programs on these desired outcomes. Future goals for local and national worksite health promotion programs may need to encourage implementation of more intensive

Feeling angry about current health status: using a population survey to determine the association with demographic, health and social factors

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Tiffany K. Gill

2016-07-01

Full Text Available Abstract Background Feeling angry about their health status may influence disease progression in individuals, creating a greater burden on the health care system. Identifying associations between different variables and feeling angry about health status may assist health professionals to improve health outcomes. This study used path analysis to explore findings from a population-based survey, informed by qualitative descriptions obtained from focus groups, to determine the prevalence of health-related anger within the community and variables associated with reporting health-related anger. Methods A population-based Computer Assisted Telephone Interview (CATI survey of 3003 randomly selected adults Australia-wide was conducted to examine the prevalence of health-related anger. A wide range of other covariates were included in the survey. Multivariable logistic regression and path analysis were undertaken to identify the relationships between different variables associated with feeling angry about the health status of people, to explore the direction of these associations and as a consequence of the results, consider implications for health service use and delivery. Results Overall, 18.5 % of the population reported feeling angry about their health “some of the time”, “most of the time” or “all of the time”. People who felt angry about their health were more likely to have a severe health condition, at least one chronic condition, high psychological distress, fair to poor health status, and needed to adjust their daily lives because of a health condition. Having a tertiary level education was protective. Receiving some form of social support, usually from a support group, and not always doing as advised by a doctor, were also associated with a higher likelihood of being angry about their health. Conclusions People living with significant health problems are more likely to feel angry about their health. The path between illness and

Methodological design of the National Health and Nutrition Survey 2016

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Martín Romero-Martínez

2017-05-01

Full Text Available Objective. Describe the design methodology of the halfway health and nutrition national survey (Ensanut-MC 2016. Materials and methods. The Ensanut-MC is a national probabilistic survey whose objective population are the in­habitants of private households in Mexico. The sample size was determined to make inferences on the urban and rural areas in four regions. Describes main design elements: target population, topics of study, sampling procedure, measurement procedure and logistics organization. Results. A final sample of 9 479 completed household interviews, and a sample of 16 591 individual interviews. The response rate for households was 77.9%, and the response rate for individuals was 91.9%. Conclusions. The Ensanut-MC probabilistic design allows valid statistical inferences about interest parameters for Mexico´s public health and nutrition, specifically on over­weight, obesity and diabetes mellitus. Updated information also supports the monitoring, updating and formulation of new policies and priority programs.

Predictors of Intent to Leave the Job Among Home Health Workers: Analysis of the National Home Health Aide Survey.

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Stone, Robyn; Wilhelm, Jess; Bishop, Christine E; Bryant, Natasha S; Hermer, Linda; Squillace, Marie R

2017-10-01

To identify agency policies and workplace characteristics that are associated with intent to leave the job among home health workers employed by certified agencies. Data are from the 2007 National Home and Hospice Care Survey/National Home Health Aide Survey, a nationally representative, linked data set of home health and hospice agencies and their workers. Logistic regression with survey weights was conducted to identify agency and workplace factors associated with intent to leave the job, controlling for worker, agency, and labor market characteristics. Job satisfaction, consistent patient assignment, and provision of health insurance were associated with lower intent to leave the job. By contrast, being assigned insufficient work hours and on-the-job injuries were associated with greater intent to leave the job after controlling for fixed worker, agency, and labor market characteristics. African American workers and workers with a higher household income also expressed greater intent to leave the job. This is the first analysis to use a weighted, nationally representative sample of home health workers linked with agency-level data. The findings suggest that intention to leave the job may be reduced through policies that prevent injuries, improve consistency of client assignment, improve experiences among African American workers, and offer sufficient hours to workers who want them. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Health App Use Among US Mobile Phone Owners: A National Survey.

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Krebs, Paul; Duncan, Dustin T

2015-11-04

Mobile phone health apps may now seem to be ubiquitous, yet much remains unknown with regard to their usage. Information is limited with regard to important metrics, including the percentage of the population that uses health apps, reasons for adoption/nonadoption, and reasons for noncontinuance of use. The purpose of this study was to examine health app use among mobile phone owners in the United States. We conducted a cross-sectional survey of 1604 mobile phone users throughout the United States. The 36-item survey assessed sociodemographic characteristics, history of and reasons for health app use/nonuse, perceived effectiveness of health apps, reasons for stopping use, and general health status. A little over half (934/1604, 58.23%) of mobile phone users had downloaded a health-related mobile app. Fitness and nutrition were the most common categories of health apps used, with most respondents using them at least daily. Common reasons for not having downloaded apps were lack of interest, cost, and concern about apps collecting their data. Individuals more likely to use health apps tended to be younger, have higher incomes, be more educated, be Latino/Hispanic, and have a body mass index (BMI) in the obese range (all Psafety was quite high, and most felt that the apps had improved their health. About half of the respondents (427/934, 45.7%) had stopped using some health apps, primarily due to high data entry burden, loss of interest, and hidden costs. These findings suggest that while many individuals use health apps, a substantial proportion of the population does not, and that even among those who use health apps, many stop using them. These data suggest that app developers need to better address consumer concerns, such as cost and high data entry burden, and that clinical trials are necessary to test the efficacy of health apps to broaden their appeal and adoption.

Health Information Brokers in the General Population: An Analysis of the Health Information National Trends Survey 2013-2014.

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Cutrona, Sarah L; Mazor, Kathleen M; Agunwamba, Amenah A; Valluri, Sruthi; Wilson, Patrick M; Sadasivam, Rajani S; Finney Rutten, Lila J

2016-06-03

Health information exchanged between friends or family members can influence decision making, both for routine health questions and for serious health issues. A health information broker is a person to whom friends and family turn for advice or information on health-related topics. Characteristics and online behaviors of health information brokers have not previously been studied in a national population. The objective of this study was to examine sociodemographic characteristics, health information seeking behaviors, and other online behaviors among health information brokers. Data from the Health Information National Trends Survey (2013-2014; n=3142) were used to compare brokers with nonbrokers. Modified Poisson regression was used to examine the relationship between broker status and sociodemographics and online information seeking. Over half (54.8%) of the respondents were consulted by family or friends for advice or information on health topics (ie, they acted as health information brokers). Brokers represented 54.1% of respondents earning brokers (PR 1.34, 95% CI 1.23-1.47) as were those with education past high school (PR 1.42, CI 1.22-1.65). People aged ≥75 were less likely to be brokers as compared to respondents aged 35-49 (PR 0.81, CI 0.67-0.99). Brokers used the Internet more frequently for a variety of online behaviors such as seeking health information, creating and sharing online content, and downloading health information onto a mobile device; and also reported greater confidence in obtaining health information online. More than 50% of adults who responded to this national survey, including those with low income and those born abroad, were providing health information or advice to friends and family. These individuals may prove to be effective targets for initiatives supporting patient engagement and disease management, and may also be well-positioned within their respective social networks to propagate health messages.

Community Health Workers in the United States: Challenges in Identifying, Surveying, and Supporting the Workforce.

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Sabo, Samantha; Allen, Caitlin G; Sutkowi, Katherine; Wennerstrom, Ashley

2017-12-01

Community health workers (CHWs) are members of a growing profession in the United States. Studying this dynamic labor force is challenging, in part because its members have more than 100 different job titles. The demand for timely, accurate information about CHWs is increasing as the profession gains recognition for its ability to improve health outcomes and reduce costs. Although numerous surveys of CHWs have been conducted, the field lacks well-delineated methods for gaining access to this hard-to-identify workforce. We outline methods for surveying CHWs and promising approaches to engage the workforce and other stakeholders in conducting local, state, and national studies. We also highlight successful strategies to overcome challenges in CHW surveys and future directions for surveying the field.

Factors influencing workplace violence risk among correctional health workers: insights from an Australian survey.

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Cashmore, Aaron W; Indig, Devon; Hampton, Stephen E; Hegney, Desley G; Jalaludin, Bin B

2016-11-01

Little is known about the environmental and organisational determinants of workplace violence in correctional health settings. This paper describes the views of health professionals working in these settings on the factors influencing workplace violence risk. All employees of a large correctional health service in New South Wales, Australia, were invited to complete an online survey. The survey included an open-ended question seeking the views of participants about the factors influencing workplace violence in correctional health settings. Responses to this question were analysed using qualitative thematic analysis. Participants identified several factors that they felt reduced the risk of violence in their workplace, including: appropriate workplace health and safety policies and procedures; professionalism among health staff; the presence of prison guards and the quality of security provided; and physical barriers within clinics. Conversely, participants perceived workplace violence risk to be increased by: low health staff-to-patient and correctional officer-to-patient ratios; high workloads; insufficient or underperforming security staff; and poor management of violence, especially horizontal violence. The views of these participants should inform efforts to prevent workplace violence among correctional health professionals.

Income-related inequality in health insurance coverage: analysis of China Health and Nutrition Survey of 2006 and 2009

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Liu, Jinan; Shi, Lizheng; Meng, Qingyue; Khan, M Mahmud

2012-01-01

Abstract Introduction China introduced the urban resident basic medical insurance (URBMI) in 2007 to cover children and urban unemployed adults, in addition to the new cooperative medical scheme (NCMS) for rural residents in 2003 and the basic health insurance scheme (BHIS) for urban employees in 1998. This study examined whether the overall income-related inequality in health insurance coverage improved during 2006 and 2009 in China. Methods The China Health and Nutrition Survey (CHNS) data ...

Contraception services for incarcerated women: a national survey of correctional health providers.

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Sufrin, Carolyn B; Creinin, Mitchell D; Chang, Judy C

2009-12-01

Incarcerated women have had limited access to health care prior to their arrest. Although their incarceration presents an opportunity to provide them with health care, their reproductive health needs have been overlooked. We performed a cross-sectional study of a nationally representative sample of 950 correctional health providers who are members of the Academy of Correctional Health Providers. A total of 405 surveys (43%) were returned, and 286 (30%) were eligible for analysis. Most ineligible surveys were from clinicians at male-only facilities. Of eligible respondents, 70% reported some degree of contraception counseling for women at their facilities. Only 11% provided routine counseling prior to release. Seventy percent said that their institution had no formal policy on contraception. Thirty-eight percent of clinicians provided birth control methods at their facilities. Although the most frequently counseled and prescribed method was oral contraceptive pills, only 50% of providers rated their oral contraceptive counseling ability as good or very good. Contraception counseling was associated with working at a juvenile facility, and with screening for sexually transmitted infections. Contraception does not appear to be integrated into the routine delivery of clinical services to incarcerated women. Because the correctional health care system can provide important clinical and public health interventions to traditionally marginalized populations, services for incarcerated women should include access to contraception.

Measuring physical and mental health using the SF-12: implications for community surveys of mental health.

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Windsor, Timothy D; Rodgers, Bryan; Butterworth, Peter; Anstey, Kaarin J; Jorm, Anthony F

2006-09-01

The effects of using different approaches to scoring the SF-12 summary scales of physical and mental health were examined with a view to informing the design and interpretation of community-based survey research. Data from a population-based study of 7485 participants in three cohorts aged 20-24, 40-44 and 60-64 years were used to examine relationships among measures of physical and mental health calculated from the same items using the SF-12 and RAND-12 approaches to scoring, and other measures of chronic physical conditions and psychological distress. A measure of physical health constructed using the RAND-12 scoring showed a monotonic negative association with psychological distress as measured by the Goldberg depression and anxiety scales. However, a non-monotonic association was evident in the relationship between SF-12 physical health scores and distress, with very high SF-12 physical health scores corresponding with high levels of distress. These relationships highlight difficulties in interpretation that can arise when using the SF-12 summary scales in some analytical contexts. It is recommended that community surveys that measure physical and mental functioning using the SF-12 items generate summary scores using the RAND-12 protocol in addition to the SF-12 approach. In general, researchers should be wary of using factor scores based on orthogonal rotation, which assumes that measures are uncorrelated, to represent constructs that have an actual association.

Engaging Community Leaders in the Development of a Cardiovascular Health Behavior Survey Using Focus Group–Based Cognitive Interviewing

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Gwenyth R Wallen

2017-04-01

Full Text Available Establishing the validity of health behavior surveys used in community-based participatory research (CBPR in diverse populations is often overlooked. A novel, group-based cognitive interviewing method was used to obtain qualitative data for tailoring a survey instrument designed to identify barriers to improved cardiovascular health in at-risk populations in Washington, DC. A focus group–based cognitive interview was conducted to assess item comprehension, recall, and interpretation and to establish the initial content validity of the survey. Thematic analysis of verbatim transcripts yielded 5 main themes for which participants (n = 8 suggested survey modifications, including survey item improvements, suggestions for additional items, community-specific issues, changes in the skip logic of the survey items, and the identification of typographical errors. Population-specific modifications were made, including the development of more culturally appropriate questions relevant to the community. Group-based cognitive interviewing provided an efficient and effective method for piloting a cardiovascular health survey instrument using CBPR.

The vocational education setting for health promotion: a survey of students' health risk behaviours and preferences for help.

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Bonevski, Billie; Guillaumier, Ashleigh; Paul, Christine; Walsh, Raoul

2013-12-01

Adolescence and young adulthood is a time of risky health behaviour initiation and experimentation. Smoking, risky drinking, poor nutrition and physical activity, and a lack of sun protection behaviour, often become established in early adulthood. Levels of health risk behaviours occurring amongst tertiary education and training students and their preferences for types of on-campus health promotion programs were examined. A cross-sectional pen-and-paper classroom survey was conducted at one Sydney-based TAFE New South Wales Institute campus in May 2010. The survey assessed demographics, smoking, alcohol use, sun protection, nutrition, physical activity and health promotion program preferences. Two hundred and twenty-four students participated (97% consent); the majority were aged 16-24 years (59%) and female (51%). Current smoking (35%), risky drinking (49%) and inadequate physical activity (88%) rates were high. Adequate vegetable intake (3.6%) and sun protection behaviours (5.4%) were low and 33% of students were overweight or obese. Popular health promotion programs included food and activity subsidies, practical skills classes and social outings. Participation in health risk behaviours among this sample was high. The setting of tertiary education and workplace training represents an opportunity for early intervention into risky health behaviours among young people. SO WHAT?: This study is the first to provide information on the prevalence of health risk behaviours and preferences for types of health promoting programs among students of an Australian community college. The results show that young adults regularly participate in multiple health risk behaviours, such as smoking, drinking, poor nutrition, physical activity and lack of sun protection.

A nationwide population-based cross-sectional survey of health-related quality of life in patients with myeloproliferative neoplasms in Denmark (MPNhealthSurvey: survey design and characteristics of respondents and nonrespondents

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Brochmann N

2017-03-01

Full Text Available Nana Brochmann,1 Esben Meulengracht Flachs,2 Anne Illemann Christensen,3 Christen Lykkegaard Andersen,1 Knud Juel,3 Hans Carl Hasselbalch,1 Ann-Dorthe Zwisler4 1Department of Hematology, Zealand University Hospital, University of Copenhagen, Roskilde, 2Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, 3National Institute of Public Health, University of Southern Denmark, Copenhagen, 4Danish Knowledge Centre for Rehabilitation and Palliative Care, University of Southern Denmark and Odense University Hospital, Odense, Denmark Objective: The Department of Hematology, Zealand University Hospital, Denmark, and the National Institute of Public Health, University of Southern Denmark, created the first nationwide, population-based, and the most comprehensive cross-sectional health-related quality of life (HRQoL survey of patients with myeloproliferative neoplasms (MPNs. In Denmark, all MPN patients are treated in public hospitals and treatments received are free of charge for these patients. Therefore, MPN patients receive the best available treatment to the extent of its suitability for them and if they wish to receive the treatment. The aims of this article are to describe the survey design and the characteristics of respondents and nonrespondents. Material and methods: Individuals with MPN diagnoses registered in the Danish National Patient Register (NPR were invited to participate. The registers of the Danish Civil Registration System and Statistics Denmark provided information regarding demographics. The survey contained 120 questions: validated patient-reported outcome (PRO questionnaires and additional questions addressing lifestyle. Results: A total of 4,704 individuals were registered with MPN diagnoses in the NPR of whom 4,236 were eligible for participation and 2,613 (62% responded. Overall, the respondents covered the broad spectrum of MPN patients, but patients 70–79 years old, living with

Are health centers in Thailand ready for health information technology? : a national survey.

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Kijsanayotin, Boonchai; Speedie, Stuart

2006-01-01

The Thailand universal health care coverage scheme was instituted in 2001 and The Thailand Ministry of Public Health (MOPH) is restructuring its information systems to support this reform. The MOPH anticipates developing computerized health information systems which can provide information for administration tasks and can improve both healthcare delivery and public health services. To achieve these target goals, knowledge about users and organizations is vital. The knowledge of how health center workers currently use information technology (IT), their knowledge of IT, and acceptance of IT are not only beneficial to policy makers but also to system designers and implementers. The primary objective of this study is to learn how health centers in Thailand use IT, the level of basic IT knowledge among their workers, and their acceptance of health IT. We surveyed a random cross sectional sample of 1,607 health centers representing the total of 9,806 in Thailand in 2005. With an 82% response rate, the preliminary results indicate that information technology usage is pervasive in health centers. The respondents showed a moderately high degree of health information technology acceptance with a modest level of basic IT knowledge. There were no differences in degrees of acceptance among the four geographic regions. The mean score of "intention to use IT" was 5.6 on a scale of 7 and the average basic IT knowledge score was 13 out of 20. These results suggests the possibility of project success if the national health center information system projects are developed and implemented.

Predicting health plan member retention from satisfaction surveys: the moderating role of intention and complaint voicing.

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Huppertz, John W

2008-01-01

Many health plans have tried to increase member retention by improving their scores on customer satisfaction surveys. However, prior research has demonstrated weak relationships between member satisfaction and retention, suggesting that other variables are needed to understand how satisfaction impacts member retention. In a longitudinal study 4,806 health plan members who completed satisfaction surveys were re-assessed three years later; we compared measures of satisfaction, intention, and complaining behavior from voluntary disenrollees and retained members. The relationship between satisfaction and retention was moderated by members' intentions to disenroll. The findings suggest that health plans can enhance the predictive validity of their satisfaction surveys by including measures of both satisfaction and intentions.

Socioeconomic inequality in domains of health: results from the World Health Surveys

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Hosseinpoor Ahmad

2012-03-01

Full Text Available Abstract Background In all countries people of lower socioeconomic status evaluate their health more poorly. Yet in reporting overall health, individuals consider multiple domains that comprise their perceived health state. Considered alone, overall measures of self-reported health mask differences in the domains of health. The aim of this study is to compare and assess socioeconomic inequalities in each of the individual health domains and in a separate measure of overall health. Methods Data on 247,037 adults aged 18 or older were analyzed from 57 countries, drawn from all national income groups, participating in the World Health Survey 2002-2004. The analysis was repeated for lower- and higher-income countries. Prevalence estimates of poor self-rated health (SRH were calculated for each domain and for overall health according to wealth quintiles and education levels. Relative socioeconomic inequalities in SRH were measured for each of the eight health domains and for overall health, according to wealth quintiles and education levels, using the relative index of inequality (RII. A RII value greater than one indicated greater prevalence of self-reported poor health among populations of lower socioeconomic status, called pro-rich inequality. Results There was a descending gradient in the prevalence of poor health, moving from the poorest wealth quintile to the richest, and moving from the lowest to the highest educated groups. Inequalities which favor groups who are advantaged either with respect to wealth or education, were consistently statistically significant in each of the individual domains of health, and in health overall. However the size of these inequalities differed between health domains. The prevalence of reporting poor health was higher in the lower-income country group. Relative socioeconomic inequalities in the health domains and overall health were higher in the higher-income country group than the lower-income country group

Health and human rights: a statistical measurement framework using household survey data in Uganda.

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Wesonga, Ronald; Owino, Abraham; Ssekiboobo, Agnes; Atuhaire, Leonard; Jehopio, Peter

2015-05-03

Health is intertwined with human rights as is clearly reflected in the right to life. Promotion of health practices in the context of human rights can be accomplished if there is a better understanding of the level of human rights observance. In this paper, we evaluate and present an appraisal for a possibility of applying household survey to study the determinants of health and human rights and also derive the probability that human rights are observed; an important ingredient into the national planning framework. Data from the Uganda National Governance Baseline Survey were used. A conceptual framework for predictors of a hybrid dependent variable was developed and both bivariate and multivariate statistical techniques employed. Multivariate post estimation computations were derived after evaluations of the significance of coefficients of health and human rights predictors. Findings, show that household characteristics of respondents considered in this study were statistically significant (p human rights observance. For example, a unit increase of respondents' schooling levels results in an increase of about 34% level of positively assessing human rights observance. Additionally, the study establishes, through the three models presented, that household assessment of health and human rights observance was 20% which also represents how much of the entire continuum of human rights is demanded. Findings propose important evidence for monitoring and evaluation of health in the context human rights using household survey data. They provide a benchmark for health and human rights assessments with a focus on international and national development plans to achieve socio-economic transformation and health in society.

The effects of electron cyclotron heating and current drive on toroidal Alfvén eigenmodes in tokamak plasmas

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Sharapov, S. E.; Garcia-Munoz, M.; Van Zeeland, M. A.; Bobkov, B.; Classen, I. G. J.; Ferreira, J.; Figueiredo, A.; Fitzgerald, M.; Galdon-Quiroga, J.; Gallart, D.; Geiger, B.; Gonzalez-Martin, J.; Johnson, T.; Lauber, P.; Mantsinen, M.; Nabais, F.; Nikolaeva, V.; Rodriguez-Ramos, M.; Sanchis-Sanchez, L.; Schneider, P. A.; Snicker, A.; Vallejos, P.; the AUG Team; the EUROfusion MST1 Team

2018-01-01

Dedicated studies performed for toroidal Alfvén eigenmodes (TAEs) in ASDEX-Upgrade (AUG) discharges with monotonic q-profiles have shown that electron cyclotron resonance heating (ECRH) can make TAEs more unstable. In these AUG discharges, energetic ions driving TAEs were obtained by ion cyclotron resonance heating (ICRH). It was found that off-axis ECRH facilitated TAE instability, with TAEs appearing and disappearing on timescales of a few milliseconds when the ECRH power was switched on and off. On-axis ECRH had a much weaker effect on TAEs, and in AUG discharges performed with co- and counter-current electron cyclotron current drive (ECCD), the effects of ECCD were found to be similar to those of ECRH. Fast ion distributions produced by ICRH were computed with the PION and SELFO codes. A significant increase in T e caused by ECRH applied off-axis is found to increase the fast ion slowing-down time and fast ion pressure causing a significant increase in the TAE drive by ICRH-accelerated ions. TAE stability calculations show that the rise in T e causes also an increase in TAE radiative damping and thermal ion Landau damping, but to a lesser extent than the fast ion drive. As a result of the competition between larger drive and damping effects caused by ECRH, TAEs become more unstable. It is concluded, that although ECRH effects on AE stability in present-day experiments may be quite significant, they are determined by the changes in the plasma profiles and are not particularly ECRH specific.

National Pregnancy and Health Survey: Drug Use Among Women Delivering Live Births (NPHS-1992)

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U.S. Department of Health & Human Services — The primary objective of the National Pregnancy and Health Survey (NPHS) was to produce national annual estimates of the percentages and numbers of mothers of live...

District nurses' involvement in mental health: an exploratory survey.

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Lee, Soo; Knight, Denise

2006-04-01

This article reports on a survey of district nurses' involvement in mental health interventions in one county. Seventy-nine questionnaires were sent and 46 were returned. Descriptive analysis was carried out using statistical software. The DNs reported encountering a wide range of mental health issues and interventions in practice: dementia, anxiety and depression featured highly. Over half (55%) of the respondents reported involvement in bereavement counselling, and 28% and 23% of respondents reported encountering anxiety management, and problem solving and alcohol advice respectively. A large proportion, however, reported no involvement in mental health interventions. Among the psychiatric professionals, district nurses tended to have most frequent contacts with social workers. GPs were the most likely person to whom DNs made referrals, followed by community psychiatric nurses. Despite the apparent awareness of the values of psychosocial interventions, DNs were equally influenced by the medical model of treatment. In order to realize the potential contribution of district nurses in mental health interventions, there is a need for primary care teams to foster a closer working relationship with mental health specialist services.

Mental disorder comorbidity in Te Rau Hinengaro: the New Zealand Mental Health Survey.

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Scott, Kate M; McGee, Magnus A; Oakley Browne, Mark A; Wells, J Elisabeth

2006-10-01

To show the extent and patterning of 12 month mental disorder comorbidity in the New Zealand population, and its association with case severity, suicidality and health service utilization. A nationwide face-to-face household survey was carried out in October 2003 to December 2004 with 12,992 participants aged 16 years and over, achieving a response rate of 73.3%. The measurement of mental disorder was with the World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (CIDI 3.0). Comorbidity was analysed with hierarchy, consistent with a clinical approach to disorder count. Comorbidity occurred among 37% of 12 month cases. Anxiety and mood disorders were most frequently comorbid. Strong bivariate associations occurred between alcohol and drug use disorders and, to a lesser extent, between substance use disorders and some anxiety and mood disorders. Comorbidity was associated with case severity, with suicidal behaviour (especially suicide attempts) and with health sector use (especially mental health service use). The widespread nature of mental disorder comorbidity has implications for the configuration of mental health services and for clinical practice.

Marriage characteristics and reproductive health of adolescents in Turkey: findings from Demographic and Health Surveys 1998 and 2008.

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Tezcan, Sabahat; Adali, Tuğba

2012-01-01

Adolescent marriage is an important issue given its social and medical consequences. This study focuses on the recent trends in adolescent marriage and reproductive health in Turkey to provide insights for action. Data from the Demographic and Health Surveys of 1998 and 2008 were used. Adolescent marriage and reproductive health indicators were assessed for urban-rural residences, demographic regions and educational levels. Logistic regression was used to predict marriage and birth in adolescence. Despite the decrease in the proportion of married adolescents from 1998 to 2008, the findings suggest no improvement in some marriage characteristics. In both surveys, over 60% of ever-married adolescents had been pregnant at least once. There is an increase in contraceptive use and antenatal care. Our findings showed that in Turkey, women living in rural areas, from poor households, with more traditional parental families, with less education, and who are not working are more likely to get married in their adolescent ages.

Multidimensional profiles of health status: an application of the grade of membership model to the world health survey.

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Alessandra Andreotti

Full Text Available BACKGROUND: The World Health Organization (WHO conducted the World Health Survey (WHS between 2002 and 2004 in 70 countries to provide cross-population comparable data on health, health-related outcomes and risk factors. The aim of this study was to apply Grade of Membership (GoM modelling as a means to condense extensive health information from the WHS into a set of easily understandable health profiles and to assign the degree to which an individual belongs to each profile. PRINCIPAL FINDINGS: This paper described the application of the GoM models to summarize population health status using World Health Survey data. Grade of Membership analysis is a flexible, non-parametric, multivariate method, used to calculate health profiles from WHS self-reported health state and health conditions. The WHS dataset was divided into four country economic categories based on the World Bank economic groupings (high, upper-middle, lower-middle and low income economies for separate GoM analysis. Three main health profiles were produced for each of the four areas: I. Robust; II. Intermediate; III. Frail; moreover population health, wealth and inequalities are defined for countries in each economic area as a means to put the health results into perspective. CONCLUSIONS: These analyses have provided a robust method to better understand health profiles and the components which can help to identify healthy and non-healthy individuals. The obtained profiles have described concrete levels of health and have clearly delineated characteristics of healthy and non-healthy respondents. The GoM results provided both a useable way of summarising complex individual health information and a selection of intermediate determinants which can be targeted for interventions to improve health. As populations' age, and with limited budgets for additional costs for health care and social services, applying the GoM methods may assist with identifying higher risk profiles for decision

Health information outreach: a survey of U.S. academic libraries, highlighting a midwestern university's experience.

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Duhon, Lucy; Jameson, Jodi

2013-06-01

As a result of their involvement in a campus health fair, the authors of this paper became interested in the extent to which other academic libraries were engaged in health information outreach (HIO). The authors present the results of a nationwide survey they conducted in 2010 and share a specific example of HIO at their own institution. The authors conducted an online survey of approximately 1700 U.S. general academic and academic health science libraries with the objective to create a broad picture of HIO activity and its context within patron information-seeking behavior. The survey yielded a 21% response rate. Nearly 55% of all respondents indicated that their libraries did not participate in HIO, while 37% indicated that they did. Other responses yielded information on patron usage patterns concerning health information, specific types of HIO that libraries are involved in, and barriers to library involvement in HIO. As libraries' traditional roles and information delivery methods evolve, librarians must do more to provide services that are relevant and accessible to users. Even as virtual services become more commonplace, librarians involved in HIO should consider also increasing their visibility by collaborating with others on campus. © 2013 The authors. Health Information and Libraries Journal © 2013 Health Libraries Group.

[Survey on individual occupational health protection behaviors of welding workers using theory of reasoned action].

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Xing, Ming-luan; Zhou, Xu-dong; Yuan, Wei-ming; Chen, Qing; Zhang, Mei-bian; Zou, Hua; Zhao, Hai-ying

2012-03-01

To apply theory of reasoned action at survey on welding workers occupational health protection behaviors and explore related influencing factors. nine companies were randomly selected from areas with many welding works in Zhejiang Province. All welding workers were surveyed using a questionnaire based on theory of reasoned action. 10.06%, 26.80% and 37.50% of the respondents never or seldom used eyeshade, mask and earplug, respectively. After controlling the socio-demographic factors, welding workers' behavioral belief was correlated with the behaviors of eyeshade-mask and earplug use (χ(2) = 31.88, 18.77 and 37.77, P reasoned action is suitable for welding worker occupational health related behaviors. It is useful to improve occupational health education, to effectively select health education objective and to tailor health education contents.

Measuring coverage in MNCH: tracking progress in health for women and children using DHS and MICS household surveys.

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Attila Hancioglu

Full Text Available Household surveys are the primary data source of coverage indicators for children and women for most developing countries. Most of this information is generated by two global household survey programmes-the USAID-supported Demographic and Health Surveys (DHS and the UNICEF-supported Multiple Indicator Cluster Surveys (MICS. In this review, we provide an overview of these two programmes, which cover a wide range of child and maternal health topics and provide estimates of many Millennium Development Goal indicators, as well as estimates of the indicators for the Countdown to 2015 initiative and the Commission on Information and Accountability for Women's and Children's Health. MICS and DHS collaborate closely and work through interagency processes to ensure that survey tools are harmonized and comparable as far as possible, but we highlight differences between DHS and MICS in the population covered and the reference periods used to measure coverage. These differences need to be considered when comparing estimates of reproductive, maternal, newborn, and child health indicators across countries and over time and we discuss the implications of these differences for coverage measurement. Finally, we discuss the need for survey planners and consumers of survey results to understand the strengths, limitations, and constraints of coverage measurements generated through household surveys, and address some technical issues surrounding sampling and quality control. We conclude that, although much effort has been made to improve coverage measurement in household surveys, continuing efforts are needed, including further research to improve and refine survey methods and analytical techniques.

Does health promotion need a Code of Ethics? Results from an IUHPE mixed method survey.

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Bull, Torill; Riggs, Elisha; Nchogu, Sussy N

2012-09-01

Health promotion is an ethically challenging field involving constant reflection of values across multiple cultures of what is regarded as good and bad health promotion practice. While many disciplines are guided by a Code of Ethics (CoE) no such guide is available to health promoters. The International Union for Health Promotion and Education (IUHPE) has been nominated as a suitable candidate for developing such a code. It is within this context that the IUHPE Student and Early Career Network (ISECN), through its Ethics Working Group, has taken up the challenge of preparing the foundations for a CoE for health promotion. An online survey comprising open and closed-answer questions was used to gather the opinions of IUHPE members regarding the need for a CoE for health promotion. The quantitative data were calculated with descriptive analyses. A thematic analysis approach was used to analyze and interpret the qualitative data. IUHPE members (n = 236) from all global regions responded to the survey. The majority (52%) of the respondents had 11 years' experience or more in the field of health promotion. Ethical dilemmas were commonly encountered. The need for a CoE for health promotion was expressed by 83% of respondents. Respondents also offered their views of possibilities, ideas and challenges regarding the development of a CoE for health promotion. Considering that health promoters encounter ethical dilemmas frequently in their practice, this study reinforces the need to develop a CoE for the field. The recommendations from the survey provide a good basis for future work to develop such a code.

Fukushima health management survey. What can we do for the health of our children?

International Nuclear Information System (INIS)

Ohtsuru, Akira; Yasumura, Seiji; Suzuki, Shinichi

2013-01-01

Various emergent medical measures taken soon after the Tohoku earthquake/tsunami disaster and Fukushima Daiichi Nuclear Power Plant Accident (Mar. 2011), and the consequent, long term Survey in the title for residents of Fukushima prefecture are described. In addition to the early estimation of the effective external exposure dose, the survey involves the programs of thyroid examination for children, of health examination for expectant and nursing mothers, and for residents in evacuation area with mental and life-style medicare. The thyroid examination of 0-18 years old, 360 thousands children at the Accident is to be conducted by ultrasonography once 2 years until their age of 20 y and once 5 years thereafter. Preceding examinations in 2011 and 2012 are conceived helpful to detect the early change, if any, of the tissue in the Survey afterward. At Mar. 2013, the preceding test is finished for 170 thousands children, in 40% and 0.5% of whom, cyst(s) and nodule(s), respectively, are found. Results are rapidly reported to the examinee with concerned information. For maternity, questionnaire had been done to 15,954 expectant and nursing mothers in 2011, and 9,266 answers were obtained, 1,393 of whom are judged to be necessary for help of health consultation. Mental situation stands on questionnaire in 2011 and is evaluated by post traumatic stress disorder-checklist stressor specific version (PCL) in adult, by Kessler 6 in >15 years old residents and by Strength and Difficulties Questionnaire (SDQ) in children of 4-15 y age. Children with > SDQ cutoff-value are found to amount to 21.5% in contrast to Japanese control 9.5%, suggesting that they feel mental stress and load. Life-style medicare for 210 thousands residents in the evacuation area is continued: 75 thousands have received the health examination: and abnormal cases possibly related with life-style change are recognized increased. Medicare and support are to be continued further in future. (T.T.)

[Response rates in three opinion surveys performed through online questionnaires in the health setting].

Science.gov (United States)

Aerny Perreten, Nicole; Domínguez-Berjón, Ma Felicitas; Astray Mochales, Jenaro; Esteban-Vasallo, María D; Blanco Ancos, Luis Miguel; Lópaz Pérez, Ma Ángeles

2012-01-01

The main advantages of online questionnaires are the speed of data collection and cost savings, but response rates are usually low. This study analyzed response rates and associated factors among health professionals in three opinion surveys in the autonomous region of Madrid. The participants, length of the questionnaire and topic differed among the three surveys. The surveys were conducted by using paid Internet software. The institutional e-mail addresses of distinct groups of health professionals were used. Response rates were highest in hospitals (up to 63%) and administrative services and were lowest in primary care (less than 33%). The differences in response rates were analyzed in primary care professionals according to age, sex and professional category and only the association with age was statistically significant. None of the surveys achieved a response rate of 60%. Differences were observed according to workplace, patterns of Internet usage, and interest in the subject. Copyright © 2011 SESPAS. Published by Elsevier Espana. All rights reserved.

Relations among obesity, family socioeconomic status, oral health behaviors, and dental caries in adolescents: the 2010-2012 Korea National Health and nutrition examination survey.

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Kim, Jin Ah; Choi, Hayon Michelle; Seo, Yunhee; Kang, Dae Ryong

2018-06-22

The purpose of this study was to examine the relationships among obesity, family socioeconomic status, oral health behaviors, and dental caries and to identify possible differences in factors related with dental caries according to gender among a representative sample of Korean adolescents. Data were obtained from the Korean National Health and Nutrition Examination Survey, which was conducted between 2010 and 2012. This nationally representative cross-sectional survey included approximately 10,000 individuals, including adolescents, each year as a survey sample, and collected information on socioeconomic status, health-related behaviors, quality of life, healthcare utilization, anthropometric measures, biochemical and clinical profiles for non-communicable diseases, and dietary intake via three component surveys (health interview, health examination, and nutrition survey). The health interview and health examination were conducted by trained staff members. A total of 1646 adolescents of ages 13 to 18 years old were included in this study; there were 879 males and 767 females. Data were analyzed by t-test, X 2 -test, and univariate and multivariate logistic regression analyses using SAS 9.4 and 'R' statistical software for Windows to account for the complex sampling design. In males, significant associations between family income and dental caries on permanent teeth were noted after adjusting for confounding variables; the odds ratios and 95% confidence intervals thereof were 0.43(0.24-0.76), 0.41(0.24-0.70), and 0.28(0.16-0.49) for low-middle, middle-high, and high family income, respectively. Smoking experience showed a significant association with dental caries on permanent teeth in females. Oral health behaviors, such as tooth brushing frequency, were associated with dental caries in only male adolescents. There was no association between obesity and dental caries on permanent teeth in either male or female adolescents. The present study demonstrated that

Determinants of health insurance ownership among women in Kenya: evidence from the 2008–09 Kenya demographic and health survey

Science.gov (United States)

2014-01-01

Background The Government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into a universal health coverage program. The objective of this study was to examine the determinants associated with health insurance ownership among women in Kenya. Methods Data came from the 2008–09 Kenya Demographic and Health Survey, a nationally representative survey. The sample comprised 8,435 women aged 15–49 years. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristics of the sample and to identify factors associated with health insurance ownership. Results Being employed in the formal sector, being married, exposure to the mass media, having secondary education or higher, residing in households in the middle or rich wealth index categories and residing in a female-headed household were associated with having health insurance. However, region of residence was associated with a lower likelihood of having insurance coverage. Women residing in Central (OR = 0.4; p insured compared to their counterparts in Nairobi province. Conclusions As the Kenyan government transforms the NHIF into a universal health program, it is important to implement a program that will increase equity and access to health care services among the poor and vulnerable groups. PMID:24678655

Frequency of Yoga Practice Predicts Health: Results of a National Survey of Yoga Practitioners

Directory of Open Access Journals (Sweden)

Alyson Ross

2012-01-01

Full Text Available Background. Yoga shows promise as a therapeutic intervention, but relationships between yoga practice and health are underexplored. Purpose. To examine the relationship between yoga practice and health (subjective well-being, diet, BMI, smoking, alcohol/caffeine consumption, sleep, fatigue, social support, mindfulness, and physical activity. Methods. Cross-sectional, anonymous internet surveys distributed to 4307 randomly selected from 18,160 individuals at 15 US Iyengar yoga studios; 1045 (24.3% surveys completed. Results. Mean age 51.7 (± 11.7 years; 84.2% female. Frequency of home practice favorably predicted (P < .001: mindfulness, subjective well-being, BMI, fruit and vegetable consumption, vegetarian status, sleep, and fatigue. Each component of yoga practice (different categories of physical poses, breath work, meditation, philosophy study predicted at least 1 health outcome (P < .05. Conclusions. Home practice of yoga predicted health better than years of practice or class frequency. Different physical poses and yoga techniques may have unique health benefits.

Factors associated with health-related quality of life in Koreans aged over 50 Years: the fourth and fifth Korea National Health and Nutrition Examination Survey.

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Kwon, Kyoung Min; Lee, Jung Soo; Jeon, Na Eun; Kim, Yeo Hyung

2017-12-16

To evaluate and analyse the factors associated with health-related quality of life (HR-QoL) in the Korean population aged 50 years and older. We used data obtained from the fourth and fifth Korea National Health and Nutrition Examination Survey (KNHANES IV-V) 2007-2012, a national, cross-sectional health examination and survey, for which representative data on the health, nutritional status, and physical activities of the Korean general population are collected by the Korea Centres for Disease Control and Prevention (KCDC). The sampling protocol for the KNHANES was designed to involve a complex, stratified, multistage probability cluster survey of a representative sample of the noninstitutionalized civilian population in South Korea using a cross-sectional design. The association between HR-QoL and socio-economic factors and medical comorbidities in adults aged 50 years and older was investigated using data from the KNHANES IV-V from 2007 to 2012 (n = 17,937). The EuroQol 5-Dimension Questionnaire (EQ-5D) was used to evaluate HR-QoL, and the factors associated with HR-QoL were analysed after adjusting for socio-economic and demographic factors, anthropometric measurements and clinical comorbidities. Health status declined with ageing, and low socio-economic status had negative associations with health status. Gender had no association with health status. Among chronic medical conditions, arthritis and depression had significant associations with health status in older people when stratified by age and gender (P < 0.05). These findings suggest that older people may value the ability to perform daily activities, which may mean that it is necessary to pay more attention to the factors associated with musculoskeletal pain and emotional distress, as well as socio-economic status or chronic diseases. The Korea National Health and Nutrition Examination Survey (KNHNES) is not a clinical trial registry, but the national health survey conducted by the Government of the