Utilizing a National Performance Standards Local Public Health Assessment Instrument in a Community Assessment Process

2005 ◽  
Vol 11 (5) ◽  
pp. 428-432 ◽  
Author(s):  
C. Suzette McClellan
2005 ◽  
Vol 11 (5) ◽  
pp. 418-421 ◽  
Author(s):  
Rosemary Bakes-Martin ◽  
Liza C. Corso ◽  
Laura B. Landrum ◽  
V. Scott Fisher ◽  
Paul K. Halverson

2010 ◽  
Vol 4 (4) ◽  
pp. 285-290 ◽  
Author(s):  
Christopher Nelson ◽  
Ed Chan ◽  
Anita Chandra ◽  
Paul Sorensen ◽  
Henry H. Willis ◽  
...  

ABSTRACTObjective: The paucity of evidence and wide variation among communities creates challenges for developing congressionally mandated national performance standards for public health preparedness. Using countermeasure dispensing as an example, we present an approach for developing standards that balances national uniformity and local flexibility, consistent with the quality of evidence available.Methods: We used multiple methods, including a survey of community practices, mathematical modeling, and expert panel discussion.Results: The article presents recommended dispensing standards, along with a general framework that can be used to analyze tradeoffs involved in developing other preparedness standards.Conclusions: Standards can be developed using existing evidence, but would be helped immensely by a stronger evidence base.(Disaster Med Public Health Preparedness. 2010;4:285-290)


Author(s):  
Gustavo Alonso Muñoz Magna ◽  
Sandro Lemos Machado ◽  
Miriam De Fátima Carvalho ◽  
Milton José Porsani

Analisou-se a capacidade preditiva de dois modelos de avaliação do risco pela exposição ao chumbo (Pb) em crianças de 0 a 7 anos residentes em uma área comprovadamente contaminada por metais. Os modelos utilizados foram o Integrated Exposure Uptake Biokinetic (IEUBK) e o modelo Public Health Assessment Process. Dois cenários de exposição foram simulados, o primeiro considerado padrão e o segundo individualizado. Foram utilizados antecedentes de uma base de dados gerada mediante estudos anteriores realizados na área contendo valores individuais de concentração de Pb no solo superficial, poeira domiciliar e alimentos vegetais cultivados em quintais e consumidos pela população local. Para verificar as estimativas de ambos os modelos, valores de Pb no sangue (Pb-S) obtidos de forma experimental em crianças residentes na área de estudo foram utilizados. Ambos os modelos, após calibração, se aproximaram ao valor médio de Pb-S obtido experimentalmente (4,25 μg.dL-1 ATSDR; 4,17 μg.dL-1 IEUBK e 4,56 μg.dL-1 experimental). Não foram detectadas diferenças estatisticamente significativas, entre os modelos (p=0,393), quando avaliados os valores médios estimados de Pb-S no cenário sem consumo vegetais. Foi possível observar uma associação linear moderada entre os valores individuais de Pb-S previstos pelo modelo da ATSDR e os calculados pelo modelo IEUBK (r=0,60). Ambos os modelos se apresentaram adequados, quando ajustados, para avaliar o risco pela exposição ao Pb em crianças, contudo, o modelo IEUBK apresentou uma maior praticidade relacionada à economia de recursos e tempo para predizer o risco pela exposição ao Pb.


2021 ◽  
Vol 5 (1) ◽  
pp. e000881
Author(s):  
Hilde Mjell Donkor ◽  
Helene Toxe ◽  
Jørgen Hurum ◽  
Robert Bjerknes ◽  
Geir Egil Eide ◽  
...  

ObjectiveTo examine if underweight (UW), overweight (OW) or obesity (OB), or body mass index (BMI) expressed as its SD score (BMI SDS), were associated with psychological difficulties in preschool children.DesignRegional cohort study.SettingOppland County, Norway.MethodsAt the routine school entry health assessment at 5–6 years of age, parents were invited to participate by local public health nurses. The parents completed questionnaires on sociodemographic, health and lifestyle factors of the child and the family, and on the child’s neurocognitive development. They assessed psychological health with the Strengths and Difficulties Questionnaire (SDQ). Public health nurses measured weight and height on all eligible children and reported age, sex, height and weight anonymously for the children who declined to participate.ParticipantsWe obtained information on 1088 of 1895 (57%) eligible children. The proportion of UW, OW and OB was slightly higher among the children who declined.Main outcome measuresSDQ subscale and Total Difficulties Scores.ResultsThe mean SDQ scores and proportion of scores ≥the 90th percentile had a curvilinear pattern from UW through normal weight (NW), OW and OB with NW as nadir, but the pattern was only significant for the mean Emotional problems, Peer problems and Total SDQ Scales, and for the Total SDQ Score ≥the 90th percentile (TDS90). After adjusting for relevant social, developmental, health and behavioural characteristics, TDS90 was only significantly associated with UW in multiple logistic regression analyses, and only with the lowest quartile of BMI SDS in a linear spline regression analysis.ConclusionsThe study suggests that UW and low BMI, but not OW, OB or higher BMI, are independent risk factors for having psychological symptoms in preschool children.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Childa Kumala Azzahri ◽  
Dwi Widjanarko ◽  
I Made Sudana

Instrumen penilaian merupakan bagian dari suatu proses penilaian dalam pembelajaran, apa yang hendak diukur dalam pembelajaran terkait dengan ketersediaan alat ukur yang dikembangkan. Tujuan penelitian yaitu untuk menganalisis validitas, reliabilitas, dan keefektifan instrumen. Penelitian ini menggunakan metode penelitian dan pengembangan (R & D). Tahapan pada R & D yaitu 1) analisis kebutuhan; 2) rancangan produk; 3) desain dan pengembangan; 4) validasi ahli; 5) revisi produk awal; 6) uji coba terbatas; 7) revisi produk; 8) uji coba diperluas; 9) revisi dan analisis hasil uji coba. Teknik analisis data menggunakan uji validitas instrumen menggunakan korelasi product moment, uji reliabilitas instrumen menggunakan koefisien kappa dari Cohen dan uji keefektifan menggunakan analisis Uji normalized-gain. Hasil penelitian menunjukkan bahwa hasil pretest nilainya 79 dan posttest nilainya 83 pada uji coba terbatas, sedangkan pada uji coba diperluas didapatkan hasil tidak jauh berbeda dengan uji coba terbatas yaitu pretest 0,3 dan posttest 0,4. Validitas instrumen sebesar 0,878 yang menunjukkan valid, reliabilitas instrumen sebesar 0.721 yang menunjukan ketegori baik dan keefektifan instrumen terdapat skor 0.3 yang memiliki tingkat efektivitas sedang. Hal ini menunjukkan bahwa instrumen penilaian praktik rias pengantin Jogja Paes Ageng baku, valid dan efektif digunakan untuk menilai penilaian praktik sesuai dengan kompetensi mata kuliah.Assessment instrument is part of the assessment process in the learning process. What is to be measured in the learning process is related to the availability of the assessment instrument. The aim of the current research is to analyze validity, reliability, and the instrument effectiveness. This current research employed R&D method. The steps of R&D method: 1) needs analysis, 2) product design, 3) design and development, 4) expert validation, 5) preliminary product revision, 6) limited testing, 7) product revision, 8) expanded testing, 9) revision and analysis of the testing product. The data analysis technique in the current research employed product moment correlation, kappa coefficient for instrument reliability and normalized-gain test analysis for the effectiveness of instrument. The results of the pretest was 79, the posttest was 83 on limited testing, while the expanded test showed not difference of limited testing 0.3 for pretest, 0.4 for the posttest. Validity of instrument was 0.878 which indicates the instrument developed is valid, reliability of practice instrument was 0.721 which indicates in the good category and effectiveness of instruments was 0.3 that have moderate levels of effectiveness. This suggests that the assessment instrument of bridal Jogja Paes Ageng practice is standardized, valid and effective.


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