Military service members are a subpopulation of the postsecondary student body. Many service members report symptoms of depression and posttraumatic stress disorder (PTSD). Yet, practical and stigma-related barriers prevent these service members from seeking treatment, often when treatment services are available as part of post-enlistment benefits. Using a variety of surveys, the present thesis assessed the demographics, self-reported symptoms of PTSD and depression, perceptions of treatment, and treatment utilization among military-affiliated students on a postsecondary campus. Correlational analyses revealed that severity of PTSD and depression symptoms were positively correlated with overall treatment utilization. However, practical and stigma-related barriers were not significantly associated with treatment utilization. Multiple regression analyses revealed that stigma-related and practical barriers did not moderate the relationship between symptoms of PTSD or depressive symptoms and treatment utilization. Post-hoc analyses showed a positive correlation between reported practical barriers and on-campus treatment utilization, and also revealed that on-campus treatment utilization was positively correlated with overall treatment utilization and positively correlated with utilization of community-based health services. The impact of these findings is discussed.

Business organizations invest significant resources implementing enterprise resource planning (ERP) systems, yet some organizations utilize less than 75% of the ERP system capabilities. The purpose of this single-site case study was to explore ERP utilization strategies implemented by 4 managers in the information technology (IT) department from 1 organization that uses an ERP system in the Midwest region of the United States. The conceptual framework that grounded this study was the user participation theory. Data were collected through participant interviews and analyzed using traditional text analysis. Member checking was used to strengthen the credibility and trustworthiness of the interpretation of the participants' responses. The emergent themes from the study were user participation, user involvement, user attitude, user system satisfaction, and user preparation. The most prominent utilization strategies identified by the participants related to the user participation theme. The implications for positive social change include the potential optimization of benefits from the ERP system that could allow the organization's leaders to direct their resources to causes that can improve the health and welfare of the geographic population in the operational region.

Health care reimbursement is changing, and hospitals are finding it difficult to receive payment due to insurers' denial of services already rendered to patients. A denial can be considered an underpayment by the insurer to the hospital. Using a Six Sigma approach, a large hospital system in the southeast United States found that individual hospitals were not focused strictly on denials, but other tasks as well. Hospital administrators conducted a literature review and found that centralizing denials management team has improved reimbursement outcomes elsewhere. Therefore, the hospital system implemented a centralized denials unit to focus on overturning insurer denials while the patient was still hospitalized. The purpose of the project was to develop an evaluation plan to determine whether the pilot centralized denials management unit could overturn an additional 5% or more of the concurrent denials compared with the current individual hospital-based denials management approach. The quantitative evaluation plan will guide review of data collected from one organization to determine payer trends on the types of denials received and reasons for the denials. Understanding the pattern of denials is expected to uncover opportunities for denials coordinators in the dedicated centralized management unit to challenge payers based on contract language or medical necessity. If the centralized denials management unit is shown to reduce denials, it will be considered for expansion corporate wide. The social change expected through a successful denials management unit program is that the hospitals in the system will recover payment for services rendered and will be able to continue to provide quality care in the communities they serve.

Breast cancer is one of the leading causes of death and disability globally. Although mammogram has been identified as a significant breast screening tool in the United States, researchers have indicated that African-born women in the United States are diagnosed with advanced stages of breast cancer because of underutilization of mammogram from diverse reasons. The purpose of this quantitative study was to determine the association of demographic factors, breast cancer knowledge, health beliefs, and the utilization of mammogram among Nigerian women, 40 years and older in the United States (N=200). The study was guided by the health belief model and questionnaire was the data collection instrument used. Logistic regression analysis revealed that demographic variables, specifically age and length of residency in the United States have statistically significant effect on the odds of utilization of mammogram among the Nigerian women in the U.S. at p < 0.05. Also, according to the study results, breast cancer knowledge has a statistically significant effect on the utilization of mammogram at p <0.05. Additionally, health beliefs regarding breast cancer have significant effect on utilization of mammogram among Nigerian women 40 years and older in the U.S at p <0.05. The study findings will help in developing breast health programs for immigrant women, especially Nigerians in the U.S. to make informed decisions about timely utilization of mammographic services. Furthermore, the outcome of this study could enhance research, enlighten the health providers, and policymakers to develop culture sensitive preventive breast health programs that are appropriate to diverse women populations in the United States.

OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities. METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission. RESULTS: Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p< 0.001). Subjects residing in a facility located in an urban area (p< 0.002) or in two regions of Iowa (p=0.035, p=0.019, respectively) also had increased odds of receiving a dental procedure. CONCLUSION: Our results show that approximately 50% of the subjects never received a dental procedure in the 5-year study period. The strongest predictor of receipt of dental procedures in the 2 years after entry was the receipt of dental procedures in the 3 years before entry. It is important for Medicaid-enrolled senior adults to establish a dental home while community-dwelling.

Migrant farm workers experience many hardships during their time in the U.S. One major problem faced by migrant farm workers is the lack of access to and utilization of health care services. Migrant farm workers usually do not qualify for services in the U.S., and often do not have any services available to them when in Mexico. This study examined the utilization and satisfaction of health services received by migrant farm workers. A total of seven Latino migrant farm workers were interviewed. Analysis indicated each worker had utilized the health program available to them in Iowa and were satisfied with the service they received. The majority of workers reported that not having health insurance impeded the likelihood of their seeking medical services in Mexico. They were satisfied with any services they received during their time in Iowa. The findings stress the importance of providing additional prevention health services to migrant farm workers to increase access, utilization, and satisfaction with health services.

Origin and purpose of research Dichloro-diphenyl-trichloroethane or DDT as it is more commonly known, was first used extensively by the armed forces in the Pacific Area during World War II. This insecticide is not only a very toxic contact and stomach poison, but also is quite residual on most types of surfaces. Because of these qualities, it was selected to control the malaria mosquito and thus aided in the conquest of many disease-ridden islands of the Pacific. When DDT became available to the general public after the war, it was found not only to be effective against mosquitoes but also many other types of insects. Among these insects are the alfalfa weevil (Hypera postica hon.) and lygus bugs (Lygus elisus Van D., Lygus hesperus Knight) that had previously impaired the production of alfalfa in Utah and other areas. Although treatment of alfalfa fields is usually confined to alfalfa for seed production, DDT-dusted alfalfa straw and DDT dusted alfalfa hay are fed to farm livestock. In ruminant animals, microorganisms play an important role in the synthesis of protein from nitrogenous non-protein compounds and also aid in the break-down of many complex plant materials so that they may be more fully utilized by these animals. The purpose of this study was to determine the effect of DDT upon the role played by the microflora and fauna of the rumen in the synthesis, digestion and utilization of certain nutrients by dairy calves. Scope Digestion and balance studies were conducted with Holstein bull calves fed different levels of DDT and protein equivalent in the ration. The experiment was designed so that each calf would receive one level of DDT throughout the experiment, and would receive a low protein basal diet plus three additional levels of protein equivalent. These additional protein levels were made up by adding a nitrogenous non-protein compound, urea, to the basal diet to give an increased level of protein equivalent in the diet. The nitrogen, calcium, and phosphorus balance and the digestibility of dry matter, protein, and ether extract were determined.

No description available.

This thesis is concerned with the multi-sited construction of meanings associated with the use of Extended Cycle Oral Contraception (ECOC), a practice that results in the extended or continual suppression of menstruation. In particular it centres on the public debates surrounding the United States of America Food and Drug Administration approval of the first ECOC called Seasonale in 2003. Rather than framing ECOC as simply a forward trajectory of biomedical technologies, or as a medical 'take-over' of another aspect of women's bodies, it examines the ways in which the significances of ECOC are negotiated through discursive practices within and across fields. This thesis is primarily concerned with reviewing the sociological concept of 'medicalisation' in such a context. / Thesis (Ph.D.)--School of Social Sciences, 2007.

Includes bibliographical references (leaves 122-138). / xvii, 138 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Investigates the use of microbial inoculants to prevent the onset of acidosis in acutely grain fed animals; and, the most effective combination of virginiamycin and lactic acid utilising bacteria (selenomonas ruminantium subsp. lactilytica and Megasphaera elsdenii) in controlling lactic acid accumulations in vitro. / Thesis (Ph.D.)--University of Adelaide, Dept. of Animal Science, 1995