National Nutrition Research Roadmap 2016–2021
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Health Services Research: What Is
Health Service Research: What is it? Michael Weiner, M.D., M.P.H. Associate Professor of Medicine Indiana University School of Medicine Division of General Internal Medicine & Geriatrics Indiana University Center for Health Services and Outcomes Research VA HSR&D Center for Health Information and Communication Regenstrief Institute, Inc. Indianapolis, Indiana, U.S.A. mailto:[email protected] Presentation for ASHFoundation Implementation Science Summit 20 March 2014 Disclosure • Michael Weiner • Associate Professor of Medicine, Indiana University School of Medicine, Indianapolis • Speaker Disclosures • No relevant financial relationships • No relevant non-financial relationships • The views expressed herein are those of the author and do not necessarily represent the views of the Department of Veterans Affairs. Goals for Today • Define health services research (HSR) • Learn about key concepts and methods used in HSR • Consider HSR’s relevance to implementation science Definition What is a health service? • “All services dealing with the diagnosis and treatment of disease, or the promotion, maintenance, and restoration of health.” • Includes personal and non-personal health services. • “Service provision refers to the way inputs such as money, staff, equipment, and drugs are combined to allow the delivery of health interventions.” • Factors needed to improve access, coverage, and quality of services • Availability of services • Organization and management of services • Incentives influencing providers and users http://www.who.int/topics/health_services/en/ Definition of health services research • Organizational structures and • Access to care processes • Quality • Health technologies •Costs • Social factors • Health • Financing systems • Personal behaviors • Domains: individuals, families, organizations, institutions, communities, and populations Lohr KN, Steinwachs DM. Health Serv Res. 2002 Feb;37(1):7-9. -
Master of Public Health/Master of Science in Nutrition Dual Degree Proposal (Plan B, Non-Thesis Requiring) Document of December
Master of Public Health/Master of Science in Nutrition Dual Degree Proposal (Plan B, non-thesis requiring) Document of December 8, 2014; Revised February 2, 2015 This is a dual degree program that is offered jointly by the Departments of Epidemiology and Biostatistics, and Nutrition. The core Master Degree courses include a mixture of those from nutrition, biochemistry and public health. 1. Background and Justification The World Health Organization, (WHO), identifies diet and nutrition as a lifestyle factor critical for maintenance of health and well-being, as well as a factor influencing risk of chronic disease. Cardiovascular disease, diabetes, cancer and obesity are examples of chronic diseases significantly related to diet and nutrition. Obesity is one of the most common conditions and is growing to epidemic proportions. The two most common associated co-morbidities of obesity, type 2 diabetes and hypertension, are highly prevalent health risks and are among the principal causes of death in the general population. Additionally, in third world countries, malnutrition is a very common cause of infection or death, especially in young children. Accordingly, knowledge of the basic elements of good nutrition and the biochemical pathways associated with the metabolism of protein, fat and carbohydrate offers important contributions to mitigate these health problems. The proposed dual degree program will provide the student with a core understanding of the mechanics of metabolism combined with advanced courses in public health and nutrition. This combined approach will yield a highly qualified and competitive public health practitioner trained to develop evidence based policy, programs, strategies and advocacy to address these health risks and problems. -
Department of Health Services, Policy and Practice
Department of Health Services, Policy and Practice Health Services Research Doctoral Program Handbook 2019-2020 Academic Year Health Services Research Doctoral Program Handbook Dear Students, Welcome to the Department of Health Services, Policy and Practice PhD program in Health Services Research at Brown University’s School of Public Health. This handbook provides information about the policies and procedures to guide the completion of your doctoral degree. Information about University Doctoral and Graduate student policies can be found in the Graduate School Handbook. Inside this handbook, you will find information about degree requirements, financial support and mentoring. We hope that this is a useful resource to you during your time in the program. Yours Sincerely, Amal Trivedi, MD, MPH Graduate Program Director 2 Health Services Research Doctoral Program Handbook PROGRAM DESCRIPTION ............................................................................................................... 4 ADMISSION REQUIREMENTS ........................................................................................................ 5 BASIC DEGREE REQUIREMENTS ................................................................................................. 5 OTHER REQUIREMENTS TO GRADUATE .................................................................................. 6 Journal Club and Faculty Forum ............................................................................................................................. 6 Seminars .................................................................................................................................................................... -
Vitamin and Mineral Requirements in Human Nutrition
P000i-00xx 3/12/05 8:54 PM Page i Vitamin and mineral requirements in human nutrition Second edition VITPR 3/12/05 16:50 Page ii WHO Library Cataloguing-in-Publication Data Joint FAO/WHO Expert Consultation on Human Vitamin and Mineral Requirements (1998 : Bangkok, Thailand). Vitamin and mineral requirements in human nutrition : report of a joint FAO/WHO expert consultation, Bangkok, Thailand, 21–30 September 1998. 1.Vitamins — standards 2.Micronutrients — standards 3.Trace elements — standards 4.Deficiency diseases — diet therapy 5.Nutritional requirements I.Title. ISBN 92 4 154612 3 (LC/NLM Classification: QU 145) © World Health Organization and Food and Agriculture Organization of the United Nations 2004 All rights reserved. Publications of the World Health Organization can be obtained from Market- ing and Dissemination, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permis- sion to reproduce or translate WHO publications — whether for sale or for noncommercial distri- bution — should be addressed to Publications, at the above address (fax: +41 22 791 4806; e-mail: [email protected]), or to Chief, Publishing and Multimedia Service, Information Division, Food and Agriculture Organization of the United Nations, 00100 Rome, Italy. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization and the Food and Agriculture Organization of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. -
Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar Alia Ghareeb Walden University
Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2015 Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar Alia Ghareeb Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Health and Medical Administration Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral dissertation by Alia Ghareeb has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Suzanne Richins, Committee Chairperson, Health Services Faculty Dr. Sandra Bever, Committee Member, Health Services Faculty Dr. James Rohrer, University Reviewer, Health Services Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2016 Abstract Examining the Impact of Accreditation on a Primary Healthcare Organization in Qatar by Alia Fouad Ghareeb MHCM, California State University of Los Angeles, 2006 BS, Lebanese University Faculty of Science, 2002 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy College of Health Sciences Walden University February 2016 Abstract Although a modest body of literature exists on accreditation, little research was conducted on the impact of accreditation on primary healthcare organizations in the Middle East. This study assessed the changes resulting from the integration of Accreditation Canada International’s accreditation program in a primary healthcare organization in the State of Qatar. -
The Effects of Vegetarian and Vegan Diet During Pregnancy on the Health of Mothers and Offspring
nutrients Review The Effects of Vegetarian and Vegan Diet during Pregnancy on the Health of Mothers and Offspring Giorgia Sebastiani 1,* , Ana Herranz Barbero 1, Cristina Borrás-Novell 1, Miguel Alsina Casanova 1, Victoria Aldecoa-Bilbao 1 , Vicente Andreu-Fernández 2, Mireia Pascual Tutusaus 1, Silvia Ferrero Martínez 3, María Dolores Gómez Roig 3 and Oscar García-Algar 1 1 Neonatology Unit, Hospital Clinic-Maternitat, ICGON, BCNatal, 08028 Barcelona, Spain; [email protected] (A.H.B.); [email protected] (C.B.-N.); [email protected] (M.A.C.); [email protected] (V.A.-B.); [email protected] (M.P.T.); [email protected] (O.G.-A.) 2 Grup de Recerca Infancia i Entorn (GRIE), Institut d’investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08028 Barcelona, Spain; [email protected] 3 BCNatal | Barcelona Center for Maternal Fetal and Neonatal Medicine Hospital Sant Joan de Déu, 08028 Barcelona, Spain; [email protected] (S.F.M.); [email protected] (M.D.G.R.) * Correspondence: [email protected]; Tel.: +34-610602714 Received: 30 January 2019; Accepted: 1 March 2019; Published: 6 March 2019 Abstract: Vegetarian and vegan diets have increased worldwide in the last decades, according to the knowledge that they might prevent coronary heart disease, cancer, and type 2 diabetes. Althought plant-based diets are at risk of nutritional deficiencies such as proteins, iron, vitamin D, calcium, iodine, omega-3, and vitamin B12, the available evidence shows that well planned vegetarian and vegan diets may be considered safe during pregnancy and lactation, but they require a strong awareness for a balanced intake of key nutrients. -
A Review on Impacts of Genetically Modified Food on Human Health
The Open Nutraceuticals Journal, 2011, 4, 3-11 3 Open Access A Review on Impacts of Genetically Modified Food on Human Health Charu Verma1, Surabhi Nanda2, R.K. Singh3, R.B. Singh4 and Sanjay Mishra1,2,* 1Department of Biotechnology & Microbiology, Institute of Foreign Trade & Management, Lodhipur Rajput, Delhi Road, Moradabad 244001, U.P., India 2Department of Biotechnology, College of Engineering & Technology, IFTM Campus, Lodhipur Rajput, Delhi Road, Moradabad 244001, U.P., India 3Kumaon Engineering College, Dwarhut, Uttarakhand Technical University, Dehradun, Uttarakhand, India 4Halberg Hospital & Research Center, Civil Lines, Moradabad 244 001, U.P., India Abstract: Biotechnology offers a variety of potential benefits and risks. It has enhanced food production by making plants less vulnerable to drought, frost, insects, and viruses and by enabling plants to compete more effectively against weeds for soil nutrients. In a few cases, it has also improved the quality and nutrition of foods by altering their composition. However, the use of biotechnology has also raised concerns about its potential risks to the environment and people. For example, some people fear that common plant pests could develop resistance to the introduced pesticides in GM crops that were supposed to combat them. Genetic engineering provides a means to introduce genes into plants via mechanisms that are different in some respects from classical breeding. A number of commercialized, genetically engineered (GE) varieties, most notably canola, cotton, maize and soybean, were created using this technology, and at present the traits introduced are herbicide and/or pest tolerance. Gene technology enables the increase of production in plants, as well as the rise of resistance to pests, viruses, frost, etc. -
Americans with Diet-Related Chronic Diseases Report Higher Diet Quality Than Those Without These Diseases1–3
Supplemental Material can be found at: http://jn.nutrition.org/content/suppl/2011/07/20/jn.111.14003 8.DC1.html The Journal of Nutrition Nutritional Epidemiology Americans with Diet-Related Chronic Diseases Report Higher Diet Quality Than Those without These Diseases1–3 Xiaoli Chen,4 Lawrence J. Cheskin,5 Leiyu Shi,6 and Youfa Wang4* 4Center for Human Nutrition, Department of International Health, 5Department of Health, Behavior and Society; and 6Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 Abstract Downloaded from Large health disparities exist in the U.S. across ethnic and socioeconomic status groups. Using nationally representative data, we tested whether American patients with diet-related chronic diseases had higher diet quality than nonpatients. We also tested whether nutrition knowledge and beliefs (NKB) and food label (FL) use were associated with the observed differences. The 1994–1996 Continuing Survey of Food Intake by Individuals, and the Diet and Health Knowledge Survey were examined for 4356 U.S. adults. Dietary intakes were assessed using 2 nonconsecutive 24-h recalls and diet quality jn.nutrition.org was assessed by using the USDA 2005 Healthy Eating Index (HEI). Patients’ mean HEI was higher than that of nonpatients (mean 6 SE: 53.6 6 0.5 vs. 51.8 6 0.4; P , 0.001). Among patients, blacks were 92% more likely to report low diet quality (HEI , 20th percentile) than whites. The positive association between chronic diseases and HEI was observed only for patients with good NKB [OR = 1.80 (95% CI = 1.34, 2.43)]. -
Programs Supporting the Use of Comparative Effectiveness Research and Patient-Centered Outcomes Research by State Policymakers Iv
Pr o g r a m s su pp o r t i n g th e us e of Co m P a r a t i v e ef f e C t i v e n e s s re s e a r C h an d Pa t i e n t - Ce n t e r e d ou t C o m e s re s e a r C h By st a t e Po l i C y m a k e r s Barbara Wirth and Felicia Heider u g u s t A 2014 h i s p r o j e c T w a s s u p p o r T e d T h r o u g h a a T i e n T e n T e r e d u T c o m e s e s e a r c h n s T i T u T e T u g e n e ap s h i n g T o-c n n g a g e mo e n T w a r d r i (pcori) e w e a II Pr o g r a m s su pp o r t i n g th e us e of Co m P a r a t i v e ef f e C t i v e n e s s re s e a r C h an d Pa t i e n t - Ce n t e r e d ou t C o m e s re s e a r C h By st a t e Po l i C y m a k e r s Copyright © 2014 National Academy for State Health Policy. -
2. Genetically Modified Food Crops and Their Contribution to Human
Trends in Food Science & Technology 14 (2003) 191–209 2. Genetically modified food classical nutrient deficiencies, although over-consump- crops and their tion is a problem for some. Also in relatively wealthy countries there is, in general, good access to affordable medical care to meet health needs and most consumers contribution to in rich countries have access to a relatively inexpensive supply of safe and healthy food. In these settings, the human nutrition possibility that biotechnology might reduce the price of food or make food more beneficial to health is a rela- tively minor concern. Rather, public debate about and food quality genetically modified foods (GMFs) appears to have focused on the potential for harm to either the environ- ment or health without a clear definition of benefit to the consumer. a The situation, of course, is quite different in poor Howarth E. Bouis *, Bruce countries where malnutrition and ill health are frequent. M. Chassyb and James Poor consumers typically spend 70% of their incomes c on food, and diets consist primarily of staple foods, O. Ochanda which lack the vitamins, minerals and, very likely, other food components necessary to sustain good health and minimise the risk of adult onset diet-related chronic diseases. In addition, low incomes typically preclude the poor from access to adequate health care. aInternational Food Policy Research Institute, 2033 K There are three broad ways that biotechnology may Street, NW, Washington DC 20006 USA (fax: +1-202- benefit consumers in developing countries. First, bio- 467-4439; e-mail: [email protected]) technology offers a powerful, new tool to improve crop bBiotechnology Center, University of Illinois at productivity, both by making conventional breeding Urbana-Champaign, 238 NSRC, 1101 West Peabody faster and more efficient and, more controversially, by Drive, Urbana, IL 61801, USA the insertion of novel genes in a crop species, by use of cDeparment of Biochemistry, College of Biological & transgenic methods. -
Health Impact Assessment As a Tool for Population Health Promotion and Public Policy
HEALTH IMPACT ASSESSMENT AS A TOOL FOR POPULATION HEALTH PROMOTION AND PUBLIC POLICY A Report Submitted to the Health Promotion Development Division of Health Canada by Project Team: C. James Frankish, Ph.D. Lawrence W. Green, Dr. P.H. Pamela A. Ratner, Ph.D., R.N. Treena Chomik, M.P.H. Craig Larsen, M.H.A. Institute of Health Promotion Research University of British Columbia May 1996 Health Impact Assessment EXECUTIVE SUMMARY The criteria for evaluation of health, social, environmental and economic policies and programs are changing. This is particularly true within the health sector where many governments are adopting an understanding of health that includes a focus on the social and environmental determinants of health. They recognize that societal structures, attitudes and behaviours influence health profoundly, that prevention is better (or at least more timely) than cure, and that prevention is a way to reduce disability and social dependence. Consequently, how social, environmental and economic policies influence health and the prevention or production of illness, disability or death needs systematic monitoring at all levels of government. With increasing official commitment to decentralization and community participation in decision making and growing consideration of the social determinants of health, some ambiguity, and perhaps controversy, remains about what impact on health this new perspective will have, what strategies will work to achieve beneficial outcomes, what criteria should be applied to judging health impact, how health impact assessment can work to produce better decisions, and what its ultimate influence on policies and program decisions may be. Most calls for evidence-based decision making offer little indication as to how the use of health impact assessments can lead to "better" health decisions. -
ADVOCATING for HEALTH SERVICES RESEARCH and AHRQ Thomas Kingsley, MD, MPH
SHARE OCTOBER 2018 V41, NO.10 HEALTH POLICY ADVOCATING FOR HEALTH SERVICES RESEARCH AND AHRQ Thomas Kingsley, MD, MPH Dr. Kingsley ([email protected]) is a senior associate consultant and instructor of medicine at Mayo Clinic. n 2000, the Institute of Medicine (IOM) released and saved 125,000 lives.3 “To Err Is Human,” a report that awoke the medi- AHRQ has also created the Consumer Assessment of Ical community and the public to a startling reality: Healthcare Providers and Systems (CAHPS) surveys, the health care too often harms. Eighteen years after this Healthcare Cost and Utilization Project (HCUP) databas- landmark report, there has been evidence of improve- es, and the Medical Expenditure Panel Survey (MEPS). ment, but one troubling reality remains—we still harm These publicly available datasets have been invaluable to too many patients. This fact is unavoidable. Medical our understanding of patients’ experiences with care and errors continue to be one of the leading causes of death the delivery and costs of care in the United States and the in the United States. A Johns Hopkins study found that effects of various health policies on care and outcomes. medical errors killed 250,000 people in 2013, making it Primary care research, often underfunded compared the third leading cause of death behind heart disease and with research focused on specialty care, has been another cancer.1 Although the study’s methods may have led to beneficiary of AHRQ. For example, EvidenceNow is a overestimates of the number of deaths caused by medical $112-million-dollar project to fund 1,500 primary care errors, the estimates are nevertheless alarming.