Thesis (Ph. D.)--University of Missouri-Columbia, 2004. / Typescript. Vita. Includes bibliographical references. Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 2004. / Typescript. Vita. Includes bibliographical references. Also available on the Internet.

Zugl.: Konstanz, Universiẗat, Diss., 2008.

Zugl.: Dresden, Techn. Univ., Habil.-Schr., 2009

Thesis (M.S.)--University of Michigan, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 27-29).

Thesis (M.S.)--University of Michigan, 1999. / Includes bibliographical references (leaves 27-29).

Master of Science / Department of Horticulture, Forestry, and Recreation Resources / David A. Haukos / There is a wide variety of diseases that affect wild migratory birds. Occurrence, causes, and impacts of disease outbreaks in wild bird populations are rarely studied beyond documentation of large epizootic events. The relationships between the wildlife-livestock-human interface is rapidly blurring together. Global interests in avian diseases increased around 1990 as a result of the prevalence of zoonosis and potential threat to domestic livestock. A central disease reporting protocol does not exist in many states, which has led to a lack of available historical knowledge of disease occurrence that could be used to predict and manage future outbreaks. Due to changes of abundance and distribution of the migrant populations of Ross’s goose (Chen rossii) and Snow goose (C. caerulescens), geese are increasing their stopover duration in Kansas potentially increasing risk of disease outbreaks. We compiled historic records of wild waterfowl disease events in Kansas from 1967-2014 and related the frequency of events with indices of light geese abundance from 1970-2014. We found 32 reports spanning 16 counties consisting of the diseases avian cholera, avian botulism, aspergillosis, renal coccidiosis, west Nile, aflatoxicosis, and mycotoxicosis. Using a retrospective survey, we found there was a significant relationship between population densities of light geese in Kansas during the Mid-Winter Waterfowl Inventory and occurrence of avian cholera. Efforts to increase the understanding of relationships between disease outbreaks and host species will improve management of future disease outbreaks. Understanding factors known to facilitate wild waterfowl disease events (e.g., environmental, species, and individual), may assist in disease identification and determine a disease management course of action. This course of action is predetermined in a disease management plan. Disease management plans should be developed at the state and station level; incorporating planning, response, disease control, and surveillance and monitoring schemes to build upon the centralized disease database and to promote future disease understanding.

The management of chronic diseases is described as the “health challenge of the 21st century” by the World Health Organization. Patients’ active role in managing their illness is considered, by many, as central in addressing this challenge. This study explored and described, through scleroderma patients’ own perceptions and understanding, their commitment to illness management, including how they were involved in dealing with their illness and how they learned to do so. The role of social interactions, in particular, support groups, in this process was also investigated. Using a mixed-methods approach, 201 patients were surveyed, and 25 in-depth interviews were conducted. The quantitative results of this study indicated that 64% of patients were committed in managing their illness by being highly active in dealing with their illness. An increase in activation was associated with longer disease duration in the first decade of illness. Additionally, the patients with high social support were more active. The qualitative findings showed patients engaged with various types of work to mitigate the physical, emotional, psychological, relational, and financial impact of the illness. In doing so, patients employed four problem-solving strategies that they had learned by confronting problems in daily lives. These strategies were at the heart of their incidental and tacit learning of how to manage their illness. Only 32% of patients participated in support groups. Support group participants showed higher activation and considered these groups as providing support, learning opportunities, and venues to help other patients. This study indicates that patients’ commitment to management of their illness, far from being a static characteristic of patients, is a spectrum where patients are engaged in a process of complex negotiation with multiple needs of their illness, in tandem with their illness trajectory. Illness uncertainty, learning, and strategies to solve problems in managing the illness frame patients’ commitment and engagement. A preliminary model delineating these elements is provided.

No description available.

The prevalence of heart failure became a major and growing public health problem globally, with rising mortality numbers causing a great financial burden. In Mongolia, the hospitalization for cardiovascular diseases makes up 55% of all hospitalizations, and mortality rate of circulatory diseases was the highest nationwide, accounting for 36.7% of all deaths (S.Ariuntuya et al., 2011). However, there is still no formal research addressing the prevalence of heart failure in Mongolia. Therefore, this paper is meant to bring awareness of the problem of hidden heart failure in Mongolia, which might be contributing significantly to the cardiovascular disease mortality and health care costs. This paper describes the Mongolian health care structure and the high incidence of heart failure risk factors is identified. Moreover, this paper proposes to develop and adapt a heart failure disease management program, as well as the heart failure patient education program in Mongolia. It is important that Mongolian health care providers and health policy makers acknowledge that if a proper disease management plan is not adapted soon, the prevalence of heart failure will continue to increase along with health care costs. Mongolia needs more public health and clinical researchers addressing heart failure.