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Biomedical subjects

S B McKenzie

Publications and source records attributed to S B McKenzie.

6 recordsLinked to original sources

Identification of core educational goals and related outcome measures for development of assessment programs in selected schools of allied health.

The purpose of this study was to determine important core educational goals and valid, feasible outcome measures to assess the goals in schools of allied health in academic health centers. The study also attempted to identify potential problems associated with using these outcome measures. The population included all allied health deans in public academic health centers accredited by the Southern Association of Colleges and Schools. Questionnaires with Likert scales were designed to gather opinions utilizing the Delphi technique. Deans identified 13 important core educational goals and 84 outcome measures they perceived to be both valid and feasible to assess these goals. Outcome measures that require collection of highly objective data obtained from student or university records were considered most valid and feasible. Problems included inconsistency in definitions of outcomes, lack of appropriate methodology, and costs associated with developing instruments and collecting data. The results of this study indicate that there are a number of common educational goals and valid feasible outcome measures that schools can select to fit their unique needs, but potential problems must be addressed to ensure full and fair representation of the school's performance.

Accreditation↗

AIDS and the responsibilities of academic health science centers: a case law approach.

The advent of AIDS and HIV infection has heightened administrator and faculty concern over providing and maintaining a safe environment for students in the health professions. Failure to provide this environment may result in litigation. Although case law on AIDS-related issues in higher education is sparse, court decisions on related issues are helpful in providing guidance on university responsibility. Case law indicates that if faculty provide appropriate supervision and give adequate instruction, including accepted safety practices, the courts will determine that the university has provided reasonable care to prevent student exposure to HIV. Other issues, related to HIV-positive students, demand that universities create carefully deliberated policies and procedures that do not discriminate against these individuals. This paper is the result of research on case law as it pertains to the potential legal issues of HIV and the university.

Academic Medical Centers↗

A primary intervention program (pilot study) for Mexican American children at risk for type 2 diabetes.

Many chronic diseases that are leading causes of morbidity and mortality can be prevented or controlled by primary or secondary interventions. Type 2 diabetes with its complications constitutes a major health problem, especially among Mexican Americans. The purpose of this pilot study was to develop an age- and culturally appropriate primary intervention program for Mexican American children at risk of type 2 diabetes. The sample included 37 Mexican American children ages 7 to 12 years who had at least one parent or grandparent with type 2 diabetes. A health screen of physiologic risk factors, a nutritional assessment, and a diabetes knowledge test were administered before and after the program. The eight-session activity oriented educational program focused on nutrition, exercise, and diabetes knowledge. Due to small sample size and limited study time, changes in physiologic factors and diet were not analyzed for statistical significance. Analysis of individual factors showed a trend toward more normal values. Results of this pilot program indicated that health intervention projects may be effective in helping children at risk of type 2 diabetes adopt healthier lifestyles.

Child↗

Analysis of reticulocyte counts using various methods.

The precision and accuracy of manual reticulocyte counts using the Miller disc reticle, other ruled reticle and no reticle are compared with the reticulocyte results from the automated Hematrak 590 instrument. Two slides of each of 50 patient blood specimens were sent to the hematology laboratories of each of six participating hospitals. In addition to between-method comparison (precision), the manual method results using the three different counting techniques were each compared with the Hematrak results to determine if there were significant differences in reported results (accuracy). Statistical analysis revealed that the Miller disc method was the most precise and accurate manual method as compared with the Hematrak. Methods without a Miller disc reported significantly higher reticulocyte counts. Imprecision was also higher among non-Miller manual methods. By using the Miller disc, the accuracy and precision of manual methods may be increased to that of the automated Hematrak method.

Anemia↗

Hematologic changes associated with infection.

Hematologic data provide information useful in both the detection of infectious disease and in the monitoring of patients diagnosed with bacterial, viral, fungal, and parasitic infections. Infection, typically accompanied by inflammation, results in changes within the hematopoietic system that can be observed as qualitative and/or quantitative changes in 3 cell lines: Leukocytes, erythrocytes, and thrombocytes. These alterations to hematopoietic cells are mediated via the influence of microbial toxins and cytokines on cellular proliferation, differentiation, and activation.

Blood Platelets↗