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The interaction between a group of people who share a common interest or issue |
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Using internet's network groups (e.g., Facebook, Twitter) to network and communicate between consumers and businesses, friends, family & neighbors |
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Willful and repeated harm, inflicted through the use of computers, cell phones, and other electronic devices. |
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A type of electronic aggression |
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Any type of harassment or bullying via e-mail, chatroom, instant messaging, a website/blogs, texting, or videos/pictures posted on websites or sent through cell phones |
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Online Health communities (OHCs) |
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online environments in which users interact with one another around a set of common interests or shared purpose related to health |
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Discussion boards, chat, virtual environments, email, IM |
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Online Health communities (OHCs) |
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Newman et al. (2011) – Know the 6 goals for using social networks and Online Health Communities |
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Emotional support Motivation Advice Impression management Building & shaping the network |
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Most commonly cited goal for interacting with others around health among P’s in their struggles to lose weight & manage diabetes |
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People w/same struggles provided positive & encouraging responses |
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Counted on for rapid response at any time of day or night |
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Significant goal in driving people’s health-related interactions online |
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Participants sought to engage with others in order to remain accountable for making progress w/health goals |
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Sharing one’s progress in sticking to a plan in a way that was visible to others |
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Inspiration via specific role models, others who had achieved their weight loss goals or had successfully managed their diabetes |
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Competing w/someone perceived as similar who would handle situations similarly (e.g., family member w/ AD |
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Virtual gifts to create reciprocal system of encouragement w/redeemable points |
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Critical components of online interactions around health |
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Act as a health-enhancing goal |
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Concerns about self-presentation often acted as a constraint on info-sharing to further other goals |
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Activities to build & shape their support networks to ensure access to the “right” people to help w/goals |
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Building & shaping the network |
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Citizens of the U.S. do not yet have a |
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constitutional right to health care |
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Canada Health Care delivered through |
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a publicly-funded health care system |
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Canada Health Care guided by the |
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Canada's Gov’t assures quality of care through |
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Obama’s Healthcare Overhaul includes more of a focus on |
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preventive medicine & practices |
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Examples of prevention in Obama’s Healthcare |
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Exercise to prevent obesity Healthy diet to prevent heart disease & diabetes |
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US Public insurance option |
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Funded by the US Federal Gov’t Initially keep rates for services between Medicare and most private insurers, but potential cost-shifting to private insurers Fear increasing socialism |
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Ability to interact effectively with people of different cultures. |
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Awareness of one's own cultural worldview |
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Attitude towards cultural differences |
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Knowledge of different cultural practices and worldviews |
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social determinants of health |
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economic and social conditions under which people live that ultimately determine their health |
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gaps in quality of health & HC across racial, ethnic, sexual orientation & SES |
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absence of persistent health differences over time, between racial and ethnic groups. |
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belief in the superiority of one's own ethnic group |
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Comprehensive assessment of mortality and morbidity due to diseases, injuries and risk factors for all regions of the world • Examples: HIV & AIDS, TB, malaria, CVD, etc. |
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Within the same country, health is tied to |
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social disadvantage • Glasgow, Scotland: Life expectancy= 54, Lenzie, Scotland= 82 (few miles away) |
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Koh (2010) – The four lenses for viewing health disparities |
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By disease By population By risk factor By geography |
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viewing health disparities by disease examples |
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Cancer Cardiovascular disease HIV/AIDS Diabetes |
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viewing health disparities by population examples |
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Race/ Ethnicity Socioeconomic position Gender Age |
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viewing health disparities by risk factor examples |
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Substance abuse (including tobacco) Diet and weight Vaccination status Screening status |
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viewing health disparities by geography examples |
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Urban versus rural Developed versus developing countries Neighborhood segregation |
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The goal of the syringe exchange program |
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to reduce (and eventually eliminate) the transmission of blood-borne pathogens, such as HIV and Hep C, among drug users |
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__ out of 10 who share needles test positive for HIV |
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Can be stationary or mobile |
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provide materials and safe environment specifically for injection drug users; typically stationary. |
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NASEN’s Three-Fold Mission |
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• Support syringe exchange programs via technical & financial assistance programs • Expand & support the network of individuals & orgs interested in syringe exchange as an effective public health intervention • Distribute information related to syringe exchange & disease prevention |
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Pros of syringe exchange programs |
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Helping users to get treatment Testing, vaccination, education Cost- effective & less burden on HC system Increase crime rate |
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Cons of syringe exchange programs |
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Increase drug use The principle of the programs Spread diseases Effects on the community |
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A geographical region where a particular disease is prevalent |
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examples of of endemic areas and their diseases |
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Haiti (e.g., cholera) South Africa (e.g., HIV & AIDS) Latin America & Africa (e.g., Yellow Fever) |
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Affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the same time. |
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Occurs when the incidence rate of a certain disease substantially exceeds what is "expected," based on recent experience. |
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Epidemic of an infectious disease that spreads through human populations across a large region, such as a continent. |
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An infectious disease whose incidence has increased in the past 20 years and threatens to increase in the near future |
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Examples of emerging infections |
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SARS, AIDS, pandemic flu (strains) |
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Reasons for emerging infections |
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Microbial adaption (strains) Changing human susceptibility (immunocompromised) Climate & weather change (insect vectors & humid conditions) Changing human demographics & trade Economic development Breakdown of public health (Haiti—poor sanitation) War & famine |
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Multi-level & multi-stakeholder interaction between health and foreign policy |
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Goals of global health diplomacy |
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Security development Global public goods Trade Human rights Ethical/moral reasoning |
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Geographic & Information Systems (GIS) |
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Collection of science and technology tools used to manage geographic relationships and integrate information. |
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Helps us analyze spatially-referenced data and make well-informed decisions based on the association between the data and the geography. |
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Geographic & Information Systems (GIS) |
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Refers to both the software and hardware that make up the system of digital databases and layered maps. |
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Geographic & Information Systems (GIS) |
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GIS plays an important part in |
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health promotion and protection. |
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Integrate many different types of data |
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Draw maps and visualize spatial distributions Edit and alter existing data Accurately measure distances and areas Overlay maps of different areas Internet GIS for public access |
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How is GIS applicable to public health? |
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Research Tools and Planning Spatial Decision Support Systems Emergency Response Systems |
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GIS with Research Tools and Planning |
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Constructing mathematical models Service planning and optimisation Making predictions |
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GIS with Spatial Decision Support Systems |
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Infrastructure – roads, towns, services Census – population statistics Medical resource (hospitals, clinics, available beds) |
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GIS with Emergency Response Systems |
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Medicare records, 911 services Disease registers systems |
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Communication Gaps between epidemiologists & spatial professionals Require uniform data standards Privacy issues and spatial aggregation |
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The main federal agency charged with the enforcement of safety and health legislation: |
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Occupational Safety & Health Administration (OSHA) |
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Assure safe and healthful working conditions for working men and women Setting and enforcing standards Providing training, outreach, education and assistance |
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An injury that occurred without anyone intending harm; injuries that were unplanned or not intended to happen |
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Examples of Unintentional Injuries |
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Motor vehicle crashes Fires Drownings |
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Leading Causes of Death in the Home |
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1. Poisonings 2. Falls 3. Drownings 4. Burns |
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More than ______ deaths from injury each year |
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Persons at high-risk should be screened for HIV |
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CDC Recommendations for HIV and Pregnant Women |
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Included in routine panel of prenatal screening tests Repeat screening in the third trimester is recommended |
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Pros to Omitting Pretest Counseling |
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Those who test positive will receive in-depth posttest counseling
Saving time for both the patient and the health care workers
Cheaper because you can see more patients and you don’t have to hire trained counselors |
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Cons of Omitting Pretest Counseling |
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Providers may feel that they are not providing thorough care
People are uneducated about the disease and the testing and why its important
Stigma attached to HIV testing |
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False positive test happens ____ of the time- both the rapid and traditional |
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Occupations or circumstances for mandatory HIV testing |
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Health Care professionals Food service Athletes Sanitation workers Law enforcement |
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The seven indicators that a particular patient may be a victim of human trafficking |
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The patient is accompanied by another person who seems controlling; The accompanying person insists on giving health in- formation; The patient has visible signs of physical abuse The patient acts unusually fearful or submissive The patient does not speak English; The patient has recently been brought to this country from Eastern Europe, Asia, Latin America, Canada, Africa, or India; and/or The patient lacks a passport, immigration, or identification documentation. |
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Examines how major pharmaceutical companies determine which health problems are publicized and researched. |
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Big Pharma: How the World's Biggest Drug Companies Control Illness (2006) by Jacky Law |
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Encompasses the largest players in the pharmaceutical industry |
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Largest industries in the pharmaceutical industry |
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Bristol-Myers Squibb, GlaxoSmithKline, Merck, Monsanto, Pfizer, etc. |
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Marketing of pharmaceutical products that is directed toward patients and not healthcare professionals |
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Direct-to-Consumer Advertising (DTC) |
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Responsible for Direct-to-Consumer Advertising |
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Primary ethical issue with Direct-to-Consumer Advertising |
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Influence the prescribing of prescription meds based on consumer demands; however, they may not be medically necessary. |
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Modern slavery still exists in society under the name of |
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