Domestic Health Assessment for Syrian Refugees in Rutland, VT

The Vermont Dept. of Health/Agency of Human Services “Refugee Domestic Health Assessment Form” was reviewed, edited, and reformatted to improve provider work-flow, ensure accuracy, and ease the process of data collection. This form was redesigned specifically to be used by providers in Rutland, VT when assessing the health of newly-arrived Syrian refugees.https://scholarworks.uvm.edu/fmclerk/1267/thumbnail.jp

Preliminary Public Health Assessment: Petrochem Recycling Corporation/Ekotek Salt Lake City, Salt Lake County, Utah

The Petrochem/EkoTek site was operated by several owners as a refinery from 1953 until 1978 and as a hazardous waste storage treatment facility and a petroleum recycling facility from 1978 through 1988. Removal of essentially all petroleum products and hazardous wastes in tanks and drums was accomplished from 1988 - 1991. The process that will lead to the complete clean-up of the facility is ongoing. The site was added to the National Priorities List (NPL) in October 1992. Exposure of humans to contaminants in soil and air is thought to have occurred near Petrochem. The source(s) of those contaminants in off-site areas is undetermined. Contaminants found in ambient air cannot be fully evaluated for health implications because of the lack of monitoring during plant operations. Contaminants in the soil are arsenic, barium, cadmium, chromium, lead, manganese, mercury, chlordane, dieldrin, polychlorinated biphenyls (PCBs), bis(2-ethylhexyl)phthalate, di-n-butyl phthalate, pentachlorophenol, and heptachlor epoxide. Children who ingest regularly large amounts (five· grams or more a day) of soil contaminated with the highest levels of arsenic and cadmium have some risk for adverse health effects. The arsenic levels are typical for the Salt Lake City area. The maximum levels of barium could also cause health effects in children according to animal studies. The maximum concentrations of other soil contaminants were not a health concern. There are four ways that humans may have been exposed: surface water, groundwater, soil gas, and waste materials. Surface-water runoff probably transported unknown concentrations of site contaminants to businesses west of the site. Residences and businesses within 1 mile of the site use municipal water for drinking water. Exposure of site and remedial workers to site waste materials may have occurred in the past. The Petrochem/EkoTek site represents an indeterminate public health hazard because the environmental data reviewed are inadequate for fully assessing the possible impact of this site on public health. The Agency for Toxic Substances and Disease Registry (ATSDR) recommends that the U.S. Environmental Protection Agency (EPA), in cooperation with the Utah Department of Environmental Quality (UDEQ), better characterize (i.e., what, where, how much, and the source[s] of) off-site groundwater and soil contamination. A TSDR recommends the following public health actions: testing for biological indicators of exposure, a health statistics review, a community health investigation, and community health and health professions education

The Competencies, Roles and Scope of Practice of Advanced Psychiatric Nursing in Indonesia

The graduate advanced psychiatric nursing (psychiatric nursing specialist) from master degree in Indonesia are about 70 nurses, 67 nurses were graduated from University of Indonesia. They are working at mental health services and educational setting around Indonesia and yet seem not ready to perform some specific advanced competencies in clinical area. The mastery on mental health assessment, neurochemical perspectives, medical management and psychotherapy have not yet performed by the psychiatric nurse specialist in the clinical area or community.To have those competencies and its performances, therefore the curriculum in a psychiatric nursing graduate program must include advanced courses in physiopsychology, psychopathology, advanced psychopharmacology, neurobehavioral science, advanced mental health assessment, and advanced treatment interventions such as psychotherapy and prescription and management of psychotropic medications as their core and major courses in the curriculum. Those courses should be performed in their clinical practice courses or other related learning experiences. When those qualifications are met, then they are competent to be called advanced psychiatric nurse.As advanced practice registered nurses, the advanced psychiatric nurses should be able to demonstrate their direct expertise and roles in advanced mental health assessment, diagnostic evaluation, psychopharmacology management, psychotherapy with individuals, group and families, case management, millieu management, liason and counselling from prevention, promotion until psychiatric rehabilitation. Meanwhile the skill such as psycho-education, teaching, unit management, research and staff development can be added as their indirect roles

Developing Children's Oral Health Assessment Toolkits Using Machine Learning Algorithm.

ObjectivesEvaluating children's oral health status and treatment needs is challenging. We aim to build oral health assessment toolkits to predict Children's Oral Health Status Index (COHSI) score and referral for treatment needs (RFTN) of oral health. Parent and Child toolkits consist of short-form survey items (12 for children and 8 for parents) with and without children's demographic information (7 questions) to predict the child's oral health status and need for treatment.MethodsData were collected from 12 dental practices in Los Angeles County from 2015 to 2016. We predicted COHSI score and RFTN using random Bootstrap samples with manually introduced Gaussian noise together with machine learning algorithms, such as Extreme Gradient Boosting and Naive Bayesian algorithms (using R). The toolkits predicted the probability of treatment needs and the COHSI score with percentile (ranking). The performance of the toolkits was evaluated internally and externally by residual mean square error (RMSE), correlation, sensitivity and specificity.ResultsThe toolkits were developed based on survey responses from 545 families with children aged 2 to 17 y. The sensitivity and specificity for predicting RFTN were 93% and 49% respectively with the external data. The correlation(s) between predicted and clinically determined COHSI was 0.88 (and 0.91 for its percentile). The RMSEs of the COHSI toolkit were 4.2 for COHSI (and 1.3 for its percentile).ConclusionsSurvey responses from children and their parents/guardians are predictive for clinical outcomes. The toolkits can be used by oral health programs at baseline among school populations. The toolkits can also be used to quantify differences between pre- and post-dental care program implementation. The toolkits' predicted oral health scores can be used to stratify samples in oral health research.Knowledge transfer statementThis study creates the oral health toolkits that combine self- and proxy- reported short forms with children's demographic characteristics to predict children's oral health and treatment needs using Machine Learning algorithms. The toolkits can be used by oral health programs at baseline among school populations to quantify differences between pre and post dental care program implementation. The toolkits can also be used to stratify samples according to the treatment needs and oral health status

Organizational health assessment: a Romania firm case study

Other than measuring units of output or profit to evaluate organization performance, this research develops a new assessment concept, organizational health. The survey of Work Environment Scale as the foundation data for the System-wide Interpretation of Health and Quality was used in this case study on a Romania firm. Structural measurement on organization effectiveness, leadership, and term work efficiency was conducted and further explained by three dimensional graphs with a weighted least squares method. The system-wide assessment shows multiple causalities among the endogenous variables.Organizational Assessment, Leadership, Organizational Health

A method for soil health assessment in the conversion to organic farming

This paper was presented at the UK Organic Research 2002 Conference of the Colloquium of Organic Researchers (COR). The regulation for the assessment of the conversion to organic farming establishes the use of soil/produce pollution and the type of agricultural practices as indicators of performance. However, these indicators don’t reflect the complexity of the soil ecosystem and soil health. Therefore, complementary indicators were sought (soil biostructure and field capacity), and a specific three-steps method for the assessment and monitoring of soil health during the conversion process was developed