Idaho State University Open Curriculum project. Idaho State University, Department of Nursing; Pocatello, Idaho.
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Prioritization of professional issues by Idaho Dental Hygienists.
PURPOSE: The Idaho Dental Hygienists' Association (IDHA) and other constituents use surveys to establish the goals of the association and better represent members. This study was conducted to assess dental hygienists' opinions about professional issues related to dental hygiene practice and legislative activities in Idaho. METHODS: In 1998, a questionnaire was mailed to all active Idaho dental hygiene licensees (N = 652). The coded questionnaire contained two sections. Section I included items on demographic and employment characteristics, and Section II included items on legislative and professional issues. Respondents were asked to rank 14 professional issues by selecting the top five concerns about dental hygiene practice in Idaho. Research questions asked included: 1) Do entry-level baccalaureate degrees in dental hygiene affect the ranking of professional concerns of Idaho dental hygienists? 2) Does being a member of the American Dental Hygienists' Association (ADHA) affect Idaho dental hygienists' ranking of professional concerns? Data were analyzed using frequency distributions and nonparametric tests of association. RESULTS: A 74% (N = 431) response rate was obtained after two mailings. Three professional issues were ranked as important concerns by at least 50% of respondents. They were 1) the "national trend to reduce entry-level education for dental hygienists," 2) "dental assistants performing dental hygiene services," and 3) "legalizing self-regulation." CONCLUSIONS: It is incumbent upon constituent dental hygienists' associations to obtain and utilize information from members for strategic planning and legislative efforts. A statewide membership study clearly can provide direction. Idaho dental hygienists are concerned about maintaining quality education programs, reducing illegal practices, and regulating themselves. Also, the state association and regulatory agencies need to take an active role to assure that dentists, dental hygienists, and dental assistants are educated about state laws.
Adult↗
Total mercury levels in selected human tissues, Idaho-1973-74(1,2)
Total mercury levels were determined in human tissues taken at autopsy from six hospitals in the three basic geographical areas of Idaho. Of the 242 specimens analyzed, 76 percent contained detectable mercury. Levels were compared with respect to the age, sex, and geographic residence of autopsied individuals. Mean levels detected were 1.04 ppm in kidney tissue, 0.34 ppm in liver, and 0.08 ppm in brain. Mean mercury levels for the three geographical areas were: southeastern Idaho, 0.22 ppm; southwestern Idaho, 0.80 ppm; and northern Idaho, 0.43 ppm. The relatively high means in southwestern Idaho specimens may be related to the preponderance of natural cinnabar deposits in that portion of the State. Mercury levels were higher in women than men for all tissues in both the southwestern and northern areas, but the reverse was true in the southeast. Data were compared with findings of other investigators in an attempt to arrive at background levels of total mercury residues in human tissues.
Adolescent↗
Idaho judge rebuffs abortion funding rule.
In a 3-page ruling on July 11, Ada County District Court Judge Duff McKee chastised Idaho officials for issuing new Medicaid regulations limiting abortion coverage to the same extent as an earlier rule found unconstitutional by the court. Judge McKee opened his order by calling the new rule "a blatant and ill-concealed attempt to maintain the status quo." Invalidating the prohibition on Medicaid coverage for low-income women's abortions except when two physicians certify that continued pregnancy will result in "grave, long-lasting physical damage," Judge McKee reiterated his holding that such a measure violates the Idaho Constitution. On February 1, Judge McKee held that the state Constitution provides broader protection for the right of privacy than the federal Constitution. The court indicated that the initial Medicaid regulation conflicted with a constitutional guarantee of neutrality, which requires Idaho to be evenhanded when subsidizing the exercise of a constitutionally protected right. Plaintiffs in Roe v. Harris--represented by ACLU Reproductive Freedom Project's Louise Melling, Planned Parenthood Federation's Carole Chervin, and cooperating attorney Newal Squyres--challenged the new regulation in early July. The lawsuit was originally filed in August of 1993. An Idaho statute, which was challenged but upheld, provides Medicaid funding when two physicians certify that it is necessary to save the woman's life or health, or when a court determines the pregnancy resulted from rape or incest.
Abortion, Induced↗
Development of macroinvertebrate-based index for bioassessment of Idaho rivers.
Theoretical constructs, such as the river continuum concept, predict that the composition of benthic fauna in rivers will be different from that of headwater streams. There exists a need to modify, for use on larger rivers, the bioassessment techniques commonly used on small streams. Using aquatic macroinvertebrates and the "reference condition" approach, we developed and tested a multimetric index for use on the rivers of Idaho. Reference sites were selected to represent the best current conditions (i.e., least impacted) among Idaho rivers. The index performed well in distinguishing reference sites from sites displaying some form of anthropogenic impairment. Individual metrics used in the index included: number of EPT taxa, total number of taxa, percent dominant taxon, percent Elmidae, and percent predators. The index we developed for Idaho rivers was essentially a modification of a framework designed for small streams, suggesting that techniques, including data analysis, currently used for streams can be adapted for use on larger rivers. Adapting these methods for use in rivers is primarily a matter of (1) selecting metrics relevant to the rivers of interest; (2) expanding the field sampling to encompass the greater habitat area and, potentially, heterogeneity of rivers; and (3) selecting an appropriate form of data analysis. The approach we describe here should be applicable to geographic regions other than Idaho.
Animals↗
Concentrations of metals in mink and other mammals from Washington and Idaho.
From 1981 to 1983, concentrations of metals were determined in mink Mustela vison, muskrats Ondatra zibethica, and small mammals at one contaminated site in Idaho and at two less contaminated sites in Idaho and Washington. The highest concentrations of Pb and Cd occurred in samples from the Coeur d'Alene River system near or downstream from an extensive mining-smelting complex in northern Idaho. Maximum concentrations of Pb in the liver of a mink (22 microg g(-1)) and in pooled liver samples of both voles (Microtus spp., 5.8 microg g(-1)) and deer mice (Peromyscus maniculatus, 10.5 microg g(-1)) were higher than those inducing serious problems, including mortality, in experimental mammals on Pb-contaminated diets. Concentrations of Cd, Cu, Hg, and Zn were generally low. Declines in certain mammal populations have probably occurred in northern Idaho as a result of direct toxicity of metals and associated secondary effects on cover and food supply.
Journal Article↗
Medical waste treatment and disposal methods used by hospitals in Oregon, Washington, and Idaho.
This study investigated medical waste practices used by hospitals in Oregon, Washington, and Idaho, which includes the majority of hospitals in the U.S. Environmental Protection Agency's (EPA) Region 10. During the fall of 1993, 225 hospitals were surveyed with a response rate of 72.5%. The results reported here focus on infectious waste segregation practices, medical waste treatment and disposal practices, and the operating status of hospital incinerators in these three states. Hospitals were provided a definition of medical waste in the survey, but were queried about how they define infectious waste. The results implied that there was no consensus about which agency or organization's definition of infectious waste should be used in their waste management programs. Confusion around the definition of infectious waste may also have contributed to the finding that almost half of the hospitals are not segregating infectious waste from other medical waste. The most frequently used practice of treating and disposing of medical waste was the use of private haulers that transport medical waste to treatment facilities (61.5%). The next most frequently reported techniques were pouring into municipal sewage (46.6%), depositing in landfills (41.6%), and autoclaving (32.3%). Other methods adopted by hospitals included Electro-Thermal-Deactivation (ETD), hydropulping, microwaving, and grinding before pouring into the municipal sewer. Hospitals were asked to identify all methods they used in the treatment and disposal of medical waste. Percentages, therefore, add up to greater than 100% because the majority chose more than one method. Hospitals in Oregon and Washington used microwaving and ETD methods to treat medical waste, while those in Idaho did not. No hospitals in any of the states reported using irradiation as a treatment technique. Most hospitals in Oregon and Washington no longer operate their incinerators due to more stringent regulations regarding air pollution emissions. Hospitals in Idaho, however, were still operating incinerators in the absence of state regulations specific to these types of facilities.
Idaho↗
Iodine-129 in rabbit thyroids near a nuclear fuel reprocessing plant in Idaho.
Thyroids were collected from rabbits on and near the Idaho National Engineering Laboratory (INEL) Site in southeastern Idaho and analyzed for 129I and stable iodine, 127I. The 129I/127I atom ratios in rabbits collected on the INEL site were larger than ratios in rabbits from a control area. Maximum 129I/127I atom ratios (9.1 x 10(-4)) occurred near the Idaho Chemical Processing Plant (ICPP). Based on rabbit thyroid concentrations, the 129I appeared to be deposited primarily in the direction of the predominant winds from the ICPP, northeast and southwest. Dose rates from the 129I to thyroids of INEL rabbits varied from 0.1 to 260 muGy/y (0.01 to 26 mrad/y). Iodine-129 atmospheric releases from the ICPP appeared to have increased the 129I/127I atom ratios on and near the INEL site.
Air Pollutants, Radioactive↗
"Immunization mobile" brings protection to children in southeastern Idaho.
The problem that needs to be addressed is the 58 percent immunity level among 2-year-olds in southeastern Idaho, a level created by the indifference or fear of parents. Southeastern Idaho has the highest birth rate of any region in the State, and this situation has created a large group of children susceptible to vaccine-preventable diseases. The mobile unit, which consists of a specially equipped motor home, allows easy access to immunizations for groups of children and their parents. A search of the computerized record system installed in the mobile unit can provide data on past immunizations for each registered child. The target audience for the mobile unit's visits is church groups because of the particular cultural demographics of this region. In 1987, the District Seven Health Department, a State- and county-funded agency, expects to increase the number of doses of vaccine given by 3,000 over the 19,953 given in 1986. The "Shots for Tots" program is unique in the State of Idaho. Its expansion may be anticipated as the unit becomes better known in the region. The alternative to using aggressive, innovative techniques to motivate people to become immunized is disease.
Child, Preschool↗
Outbreak of trichinellosis associated with eating cougar jerky--Idaho, 1995.
On March 3, 1995, the Idaho Department of Health and Welfare received a report from the North Central District Health Department (NCDHD) of trichinellosis in a man residing in Idaho County, Idaho (1994 population: 14,938). This report summarizes the epidemiologic and laboratory investigations of this index case and the related outbreak by NCDHD, the U.S. Department of Agriculture (USDA), and CDC.
Adult↗
Future Land Use and Concerns About the Idaho National Engineering and Environmental Laboratory: A Survey of Urban Dwellers.
/ We examined environmental concerns and future land-use preferences of 487 people attending the Boise River Festival in Boise, Idaho, USA, about the Idaho National Engineering and Environmental Laboratory (INEEL), owned by the US Department of Energy (DOE). We were particularly interested in the perceptions of urban dwellers living at some distance from the facility, since attitudes and perceptions are usually examined for people living near such facilities. More than 50% of the people were most worried about contamination and about waste storage and transport, another 23% were concerned about human health and accidents and spills, and the rest listed other concerns such as jobs and the economy or education. When given a list of possible concerns, accidents and spills, storage of current nuclear materials, and storage of additional nuclear materials were rated the highest. Thus both open-ended and structured questions identified nuclear storage and accidents and spills as the most important concerns, even for people living far from a DOE site. The highest rated future land uses were: National Environmental Research Park, recreation (including hiking, camping, fishing and hunting), and returning the land to the Shoshone-Bannock tribes; the lowest rated future land uses were homes and increased nuclear waste storage. These relative rankings are similar to those obtained for other Idahoans living closer to the site and for people living near the Savannah River Site, another DOE facility in South Carolina. The concern expressed about accidents and spills and waste storage translated into a desire not to see additional waste brought to INEEL and a low rating for using INEEL for building homes.KEY WORDS: Future land use; Perceptions; Recreation; Hazardous waste; Department of Energy; Idaho National Engineering and Environmental Laboratory.http://link.springer-ny.com/link/service/journals/00267/bibs/24n4p532.html</HEA
Journal Article↗
Risk concerns, land use, stewardship, and the Idaho National Engineering and Environmental Laboratory: attitudes of the Shoshone-Bannock and other American Indians.
This paper examines the attitudes and perceptions of 277 American Indians about hunting and fishing, risk, and future land use of the Idaho National Engineering and Environmental Laboratory (INEEL) in southeastern Idaho. Nearly half of our sample were Shoshone-Bannock tribal members living on the nearby Fort Hall Reservation, and half were American Indians from elsewhere in the western United States. We also interviewed an additional 44 White people. We examine the hypothesis that there are differences in environmental concerns and attitudes toward future land use at IN-EEL as a function of tribal affiliation (ethnicity), educational level, gender, and age. Such perceptions are important because of the existence of tribal treaties that govern the legal and cultural rights of the Shoshone-Bannock. Returning INEEL to the Shoshone-Bannock Tribes, hunting, fishing, camping, hiking, and a National Environmental Research Park ranked as the highest preferred future land uses, whereas continuing nuclear materials reprocessing and increasing the storage of nuclear wastes ranked as the lowest. There were tribal differences in land use preferences, with those of the Fort Hall Indians being more similar to those of the local Whites than to other American Indians. All groups ranked storage of nuclear material, storage of additional nuclear material, and spills and accidents as the most serious of a list of concerns provided about the site. Fort Hall Indians answered an open-ended question with concerns for population levels and migration routes of game animals and other wildlife, more than hunting and human health. The Shoshone-Bannock from Fort Hall showed an environmental sensitivity for the well-being of wildlife and the health of the ecosystem and were interested in long-term stewardship, in addition to 29 concern for human health.
Adult↗
Lead toxicosis in tundra swans near a mining and smelting complex in northern Idaho.
Die-offs of waterfowl have occurred in the Coeur d'Alene River system in northern Idaho since at least the early 1900's. We investigated causes of mortality and lead and cadmium contamination of 46 tundra swans (Cygnus columbianus) from 1987 to 1989; an additional 22 swans found dead in 1990 were not examined. We necropsied 43 of the 46 birds found from 1987 to 1989; 38 of these were from the Coeur d'Alene River system, which has been contaminated with mining and smelting wastes for a century, and the other 5 were from a nearby, relatively uncontaminated area. Of the 36 livers of swans from the contaminated area that were analyzed, 32 contained lethal levels of lead (6 to 40 micrograms/g, wet weight) and all birds exhibited several symptoms of lead poisoning, notably enlarged gall bladders containing viscous, dark-green bile. Only 13% of the lead-poisoned birds (10% when data were included from other studies of swans in the area) contained shot, compared to 95% of lead-poisoning swans in studies outside northern Idaho. Lead concentrations in blood samples from 16 apparently healthy swans (0.5 to 2.3 micrograms/g, and 4 lead-poisoned birds found moribund (1.3 to 9.6 micrograms/g) indicating that tundra swans accumulated high levels of lead from ingestion of sediment that contained up to 8,700 micrograms/g of lead and plants that contained up to 400 micrograms/g. The swans spend only a few weeks in the area staging during the spring migration. The five tundra swans from the uncontaminated area had low levels of lead and essentially no symptoms of lead poisoning.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Factors affecting retirement migration to Idaho: an adaptation of the amenity retirement migration model.
The purpose of this study was to determine factors affecting retirement migration of older persons, using Haas and Serow's (1993) model as the framework. Data were based on 462 persons aged 50 and older who had migrated to Idaho and surrendered their out-of-state drivers' licenses during 1992 and 1993. Most moved from another state in the west and were motivated to move to Idaho by such factors as outdoor recreation and quality and pace of life. They had visited their new community at least five times before moving and developed social ties quickly upon arriving. Businesses and community planners can more effectively anticipate changes necessary to accommodate older migrants to their community.
Aged↗
An evaluation of 222Rn concentrations in Idaho groundwater.
Factors potentially correlated with 222Rn concentrations in groundwater were evaluated using a database compiled by the U.S. Geological Survey. These included chemical and radiological factors, and both well depth and discharge rate. The 222Rn concentrations contained within this database were examined as a function of latitude and longitude. It was observed that the U.S. Geological Survey sample locations for 222Rn were not uniformly distributed throughout the state. Hence, additional samples were collected in southeastern Idaho, a region where few 222Rn in water analyses had been performed. 222Rn concentrations in groundwater, in Idaho, were found using ANOVA (alpha = 0.05) to be independent of the chemical, radiological, and well parameters thus far examined. This lack of correlation with other water quality and well parameters is consistent with findings in other geographical locations. It was observed that an inverse relationship between radon concentration and water hardness may exist.
Fresh Water↗
Local health districts and the public health workforce: a case study of Wyoming and Idaho.
This study of personnel in local health departments (LHDs) focused on two predominantly rural states: Idaho and Wyoming. Although in the same region of the country, the structure of local public health is different in each state. Idaho's regionalized LHDs are relatively autonomous, whereas Wyoming's are county based, with many public health functions retained at the state level. The majority of professionals are nurses followed by environmental health workers and sanitarians, similar to data reported nationally. With increased emphasis on core public health functions of policy, assurance, and assessment, rural LHDs will be challenged to redirect the functions of their workforce.
Idaho↗
Abortions in rural Idaho: physicians' attitudes and practices.
This study surveyed all family physicians, obstetrician-gynecologists, and general surgeons practicing in rural Idaho in 1994. Although most respondents provided a wide range of reproductive health services, less than 4% performed abortions, so most rural Idaho women wanting abortions must travel long distances for this procedure. Physicians report that they do not provide abortion services because of both their own moral objections and local community opposition to the procedure. Yet 26% of the respondents indicated interest in using RU-486 for abortions when it becomes available. This suggests that the development of acceptable medical abortifacients may improve access to this procedure even in very conservative rural areas.
Abortifacient Agents, Steroidal↗
Coordinated response to reports of possible anthrax contamination, Idaho, 2001.
In 2001, the intentional release of anthrax spores in the eastern United States increased concern about exposure to anthrax nationwide, and residents of Idaho sought assistance. Response from state and local agencies was required, increasing the strain on epidemiologists, laboratorians, and communications personnel. In late 2001, Idaho's public health communications system handled 133 calls about suspicious powders. For each call, a multiagency bridge call was established, and participants (public health officials, epidemiologists, police, Federal Bureau of Investigation personnel, hazardous materials officials, and others) determined which samples would be tested by the state public health laboratory. A triage system for calls helped relieve the burden on public safety and health systems.
Anthrax↗