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Biomedical subjects

C P Ryan

Publications and source records attributed to C P Ryan.

At least 19 recordsLinked to original sources
PubMed1994

Serological surveillance of plague in dogs and cats, California, 1979-1991.

Following natural infection both cats and dogs develop antibodies to plague which can be measured for several months after infection. Besides being helpful in the diagnosis of plague in domestic carnivores, the antibody titer has important implications in outbreak investigation and surveillance programs. We report the first serological survey for plague in domestic carnivores conducted in California between 1979 and 1991 in five different settings or programs. A total of 4115 dogs and 466 cats were tested for plague antibody by the passive hemagglutination test. 86 dogs (2.09%) and 15 cats (3.22%) had plague antibody titers > or = 1:16. The percentage of positive dogs and cats were respectively 3.96% and 0% on reservations, 3.27% and 1.39% on military bases, 0.74% and 1.25% in Los Angeles County and 0% and 4.61% in veterinary clinics, but 41.38% and 41.2% from outbreak investigations. Titers ranged from 1:16 to 1:4096 in dogs and cats, but were low in dogs and cats in the Los Angeles County survey and on the military bases. Serologic testing of pets during human case investigation or increased rodent mortality should be regularly implemented, as well as dog surveys on reservations. Surveys of pet dogs in veterinary clinics did not appear worthwhile, even if selected from plague endemic regions. Veterinarians should report suspect cases in cats to public health authorities, that will improve plague surveillance and reduce the risk of humans contracting the disease from their pets.

Animals↗
PubMed1992

Avocado poisoning.

Explore the source record for details and available documents.

Animal Welfare↗
PubMed1991

More on scrapie.

Explore the source record for details and available documents.

Animals↗
PubMed1989

PRO review. Part III: Quality review, intervention, and sanction.

The above material represents a detailed discussion of the GMCF quality review plan, the quality intervention plan, and the sanction plan. It should be clear that every effort is being made by GMCF-PRO to provide fair, realistic, and commonsense quality of care reviews to the physician and hospital community of Georgia. It should also be evident that GMCF interventions will focus on education. Practicing physicians of the appropriate specialty are involved at every level of the review, intervention, and sanction process. Due process is afforded to physicians and hospitals in each plan as described above. The practicing physician community should recognize the obvious need for active participation in the PRO review process to provide proper balance and perspective to quality of care reviews. The GMCF 29-member board (23 physicians) is committed to the concept of maintaining practicing physician involvement and participation in the HCFA-PRO program as mandated by Congressional legislation. It is necessary also for GMCF to continue with close communication to MAG and all specialty societies in order to ensure the recruitment of specialty physician consultants for a quality chart review program, review of screening criteria, and review committee participation.

Georgia↗
PubMed1989

Peer review in the 1990s. A look at the Georgia Medical Care Foundation.

Although it is not possible to completely summarize all of the policies and procedures of a program as complex as the PRO program in one article (or even three), it is useful for establishing the framework of these activities over the next 3 years. Many of us are skeptical of the government's role in the medical review process, and some of us can recall specific instances where problems, e.g., backlogs, have diverted us from our primary mission--to insure quality care. It is imperative, as we begin this new PRO contract, that we all recognize what the PRO program is and what it is not. Specifically, it is not a program of quotas wherein GMCF is required to produce a certain number of denials, quality problems, sanctions, etc. It is a peer review program funded by Medicare but implemented by Georgia physicians with a primary focus on quality review. A second point that needs to be made here concerns the scope of PRO findings relative to the volume of cases reviewed. As with any quality assurance program, it is necessary to look at many cases to determine if there are problems. It is important to note here that GMCF recognizes that most health care delivered in Georgia is appropriate. In fact, Mr. Thomas Morford, National PRO Program Director of the Health Care Financing Administration, recently testified to Congress as follows "clearly, the most important observation thus far is that the PROs have not uncovered any systemic quality problems in the Medicare program.(ABSTRACT TRUNCATED AT 250 WORDS)

Georgia↗
PubMed1987

Selected arthropod-borne diseases. Plague, Lyme disease, and babesiosis.

The incidence of plague, one of the oldest arthropod-borne diseases, has increased during the past 10 years in the United States. Domestic carnivores are playing an increased role in the occurrence of human cases. The cat is now the principal cause of primary human pneumonic plague in the United States. Lyme disease and babesiosis, which were initially thought to be limited to specific local regions, are much more widespread than originally thought.

Animals↗