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Biomedical subjects

N K Iammarino

Publications and source records attributed to N K Iammarino.

14 recordsLinked to original sources

Cholesterol screening using the school as a worksite.

This article illustrates the appropriateness of the school as a worksite for health promotion programs and demonstrates how cholesterol screening is an effective tool to introduce such a program into a school system. Of 1,639 employees, 1,217 elected to have their cholesterol measured (74% response rate). Forty-five percent had elevated cholesterol according to the NIH Consensus Panel. Of these, 12% were in the "high" category (greater than or equal to 240 mg/dl) while 33% had levels that placed them in the "borderline high" risk category (200-239 mg/dl). Cholesterol screening can be incorporated easily into most school systems due to the presence of nursing staff and health educators. Systematic planning is essential for success and must include a counseling and educational intervention coupled with an active referral and follow-up program. This type of screening should be part of a multicomponent health promotion program.

Adolescent↗

Testicular cancer: the role of the primary care physician in prevention and early detection.

Early detection and screening techniques along with the concept of personal responsibility for one's own health are prominent themes in medical education. Testicular cancer, its natural history, and the current approach to prevention, early detection, and diagnosis are discussed with special emphasis on the role of the primary care physician. Current community and school efforts are described along with the availability of patient education resources. Since the incidence of testicular cancer has doubled in the last 20 years, we must give more attention to educating the public by encouraging primary physicians to incorporate instruction on self-examination of the testicles into regular physical exams.

Adolescent↗

Ethical issues in research and publication.

Ethical considerations inherent in the process of research and publication represent one issue of particular concern to professionals. Members of a profession usually are guided by a code of ethics that specifies standards for practice. However, rarely do professional preparation programs sufficiently prepare students to deal with the concerns associated with research and professional publication. The authors address three specific areas of concern for health educators: the student-professor relationship, joint authorship, and ethics in publishing. Potential problems are discussed, and implications for the profession are cited.

Authorship↗

Cancer prevention in the schools.

About 145,000 people with cancer will die this year who might have been saved by earlier diagnosis and treatment. Many of these deaths could be prevented through smoking cessation programs, reduction of occupational health hazards, and school and community health education programs. To gain insight into the problem, a literature review was conducted to examine the major curricula and instructional materials developed during the past decade. Due to the magnitude of information available concerning the etiology and prevention of cancer, the review was limited to literature with specific relevance to children and adolescents. The review provides information concerning the background of cancer prevention; knowledge and attitudes of adolescents concerning cancer; cancer curricula, programs, and educational materials for adolescents; and a justification for cancer education in schools. Conclusions are drawn, and recommendations for action are offered.

Adolescent↗

The state of school heart health education: a review of the literature.

The evidence and presence of modifiable risk factors associated with heart disease has heightened interest among health educators in developing prevention oriented programs. In an attempt to assist in planning future curriculum efforts and research in this area a literature review was conducted. It is presented and organized within the following three major categories: 1. incidence of cardiovascular risk factors (in the school age population); 2. need for health education (the status of adolescent health and problems of motivation); and 3. evaluations of current heart projects (knowledge, attitudes and behavioral outcomes). A few classic articles were included: the primary literature reviewed was that of the past 10 years. The following conclusions were drawn: 1. there is a need to be concerned about the cardiovascular health of young people; 2. the need for educational programs about proven methods of prevention is well documented; 3. studies have found that adolescents do not have sufficient knowledge upon which to make healthful decisions related to preventing cardiovascular disease; 4. research has demonstrated that well designed programs can be effective in increasing health knowledge and promoting positive attitudes; 5. some programs have encouraged behavioral change; 6. most programs have proven too expensive to become integral components of the curricula; and 7. further educational research must be conducted so that health education might by the end of this decade play a significant role in the reduction of the morbidity and mortality inflicted by cardiovascular disease.

Adolescent↗

The School Health Curriculum Project: a study of frequency of participation to impact.

In response to the increase in teenage cigarette smoking in the United States, the federal government funded an innovative school health education curriculum titled the School Health Curriculum Project. The purpose of this study was (1) to determine the cigarette smoking attitudes and behaviour of eighth-grade students who participated in the Project, and (2) to identify whether or not significant differences existed among students who participated in one or more R units of the Project. Three grade units of the Project were examined: the fifth grade lung unit, sixth grade heart unit, and seventh grade brain unit. The independent variable was the type and number of Project units received. The teenage self-test, supplemented with a number of behavioural items, was used to measure cigarette smoking attitudes and behaviours and served as the dependent variable. The analysis of variance indicated that significant mean differences did not exist between the combination of one or more units of the Project and smoking attitudes. Although those students who participated in all three units had higher mean scores on 4 of the 8 attitude scales, none were significant at the designated alpha level (.05). Based upon the findings one can see that changes in cigarette smoking attitudes and behaviour were not proportionate to intensity and frequency of the intervention. However, this does not indicate the Project was ineffective. It may be that one unit is enough to create an impact on cigarette smoking attitudes and behaviour and that successive units will help maintain that behaviour. Since the Project covers numerous health topics, future investigations of the relationship between the Project and health behaviour need to be analyzed.

Adolescent↗