Quantitative Microbial Risk Assessment (QMRA) models with 10,000 Monte Carlo simulations were applied to ascertain the risks of rotavirus and Ascaris infections for farmers using different irrigation water qualities and consumers of lettuce irrigated with the different water qualities after allowing post-harvest handling. A tolerable risk (TR) of infection of 7.7 x 10(-4) and 1 x 10(-2) per per...

One of the most controversial topics in the U.S. is the issue of accessibility to health services by U.S. residents. This issue is most critical to U.S. Hispanic residents living along the U.S.-Mexico border who have been identified as having low health standards and low socio-economic conditions when compared to the rest of the state and the country. The availability of lower cost health servi...

This paper considers the problems of finding measurements for the two major principles of primary health care (PHC), equity and participation. Although both are of equal importance, the authors concentrate on the assessment of participation. A methodology is put forward to define indicators for participation in health care programmes as how wide participation is on a continuum developed for eac...

Current general health belief measures that are used to assess health behaviors do not capture the full range of health beliefs present among Latinos. The purpose of this study was to develop a reliable and valid measure of Latino health beliefs, the Cultural Health Attributions Questionnaire (CHAQ). Three hundred forty participants were recruited in 2 metropolitan areas with large Latino popul...

Because medical technology is the most important controllable component of health spending growth, the success of strategies for limiting spending growth depends upon their impact on technology dissemination. Technology assessment is fundamental to any strategy for controlling the adoption of medical technologies. Cost-effectiveness analysis holds particular promise as a method for evaluating a...

Multiprofessional collaboration is key to delivering quality patient care. Many developments in health care such as supplementary prescribing or the single assessment process rely on the premise that such collaboration already exists. This article focuses on barriers to interprofessional collaboration and explores whether 'new ways of working' in health care can survive in an environment with a...

Environmetric techniques such as cluster analysis (CA), principal component analysis (PCA), factor analysis (FA) and discriminant analysis (DA) were applied for the assessment of spatial and temporal variations of a large complex water quality data set of the Songkhram River Basin, generated during 15 years (1995–2009) by monitoring of 17 parameters at 5 different sites. Hierarchical CA grouped...

introduction: health system performance assessment provides appropriate information about the status of health systems for governments and communities. therefore, in the recent decade, many countries have focused on performance assessment and reporting in order to develop methods and tools as a mean to help achieving health goals. the present study tries to design an indicator-based model (incl...

Objective Major changes in the design and delivery of clinical academic training in the United Kingdom have occurred yet there has been little exploration of the perceptions of integrated clinic academic trainees or educators. We obtained the views of a range of key stakeholders involved in clinical academic training in the East Midlands. Design A qualitative study with inductive iterative th...