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Biomedical subjects

T Curtis

Publications and source records attributed to T Curtis.

At least 19 recordsLinked to original sources
PubMed2005

Improving the accuracy of a photographic assessment system for breast cosmesis.

AIMS: To determine how the accuracy of a photographic system for cosmetic assessment of the breast after conserving treatment can be maximised. MATERIALS AND METHODS: Photographs of 40 women undergoing breast-conserving treatment for breast cancer were taken. Upward and lateral retraction was measured using a digitiser to enter the locations of reference marks on the photographs into a computer programme. In the readings produced, reduction in three potential sources of variation was considered by determining how few repeated photographs or measures were necessary to achieve an estimate within +/-2 mm of a mean value obtained from a large series. These included variation between assessments of the same photograph, between different photographs of the same patient and between different observers. We also sought to determine whether the attachment of white nipple markers (WNM) at the time of photography would reduce variation. RESULTS: A minimum of five readings was required from each photograph in order to obtain a result that was stable (defined as within 1 mm of that achieved by 20 readings). Using similar criteria, we found that at least four photographs of each patient were required, and that each should be assessed by at least four observers. The addition of WNM reduced the standard deviations by 36-45%. CONCLUSION: The use of WNM, which is simple, quick and cheap, is effective in reducing variation and can be recommended for use in clinical trials where overhead costs need to be contained.

Adolescent↗
PubMed2004

35 years of ICCH: evolution or stagnation of circumpolar health research?

The first Circumpolar Health symposium took place in Fairbanks in 1967. Approximately every three years since, an increasing number of researchers have met to present and discuss the health conditions of the North. We analysed the proceedings from the 11 congresses and the abstracts from the 12th congress in 2003 and found a shift of focus from biology to sociology of health. Today, circumpolar health research is primarily focused on three major topics: 1. epidemiology of indigenous peoples of the North; 2. health care delivery in the North; and 3. the effect of physical factors on human physiology and health. Despite the diverse research interests, it is remarkable how a community of circumpolar scientists and practitioners has emerged over the past 35 years.

Antarctic Regions↗
PubMed2004

Trends in the dietary patterns and prevalence of obesity among Greenlandic school children.

OBJECTIVE: The aim of the study was to examine the trends in the dietary patterns of selected food items and in the prevalence of self-perceived obesity in a population of Greenlandic schoolchildren. STUDY DESIGN: The study is based on three school surveys among Greenlandic schoolchildren, class 6 to 11 in public schools, and contributing to the Health Behaviour in School-aged Children (HBSC) Study. Data are collected through self-completed questionnaires administered in the classroom. Three surveys have been carried out in Greenland in 1994, 1998 and 2002 with the participation of 2,999, 3,057 and 2,010 pupils, respectively. RESULTS: The intake of vegetables has increased significantly since 1994, and the intake of fruits, sweets and soft drink has decreased significantly at a 5% level. An unchanged high proportion of schoolchildren report to be on a diet or consider themselves obese. CONCLUSION: Most of the observed trends are positive, with regard to intake of vegetables and sweets and consumption of soft drinks. The fact that a high proportion of schoolchildren consider themselves to be obese must be assumed to have a negative impact on the psychological well-being of this population. The results of the survey can reveal changes which have occurred over time for the specified population. This knowledge can be used in public health work and planning.

Adolescent↗
PubMed2004

Environmental engineering education for developing countries: framework for the future.

This paper presents the existing philosophy, approach, criteria and delivery of environmental engineering education (E3) for developing countries. In general, environmental engineering is being taught in almost all major universities in developing countries, mostly under civil engineering degree programmes. There is an urgent need to address specific inputs that are particularly important for developing countries with respect to the reality of urbanisation and industrialisation. The main component of E3 in the near future will remain on basic sanitation in most developing countries, with special emphasis on the consumer-demand approach. In order to substantially overcome environmental problems in developing countries, E3 should include integrated urban water management, sustainable sanitation, appropriate technology, cleaner production, wastewater minimisation and financial framework.

Cities↗
PubMed2003

Inuit health in Greenland: a population survey of life style and disease in Greenland and among Inuit living in Denmark.

During 1997-2001 a population survey was carried out amongst Greenland Inuit living in Denmark and West Greenland (Nuuk, Sisimiut, Qasigiannguit and four villages in Uummannaq municipality). Data collection comprised an interview, a questionnaire, clinical examinations and sampling of biological specimens (blood, urine, subcutaneous fat tissue). The clinical examinations included anthropometric measurements, an oral glucose tolerance test, ECG, ultrasound of thyroid gland and carotid arteries, a skin prick test, and lung function. The data collection areas in Greenland ranged from the westernized capital of Nuuk (pop. app. 13,000) to small fishing and hunting villages (pop. app. 250). A total of 4,162 persons aged 18+ participated in the study; clinical examinations were performed on 2,056 of these, 739 from Denmark and 1317 from Greenland. Some of the above mentioned procedures were performed on a subset of the participants. The participation rate was 62%. We provide an overview of the background of the study and a detailed description of the methods employed for the data collection. A set of standard tables are provided for the indigenous population of Greenland. These cover statistics for selected variables by gender and ten-year age groups.

Adolescent↗
PubMed2001

Occupational respiratory diseases in South Africa--results from SORDSA, 1997-1999.

OBJECTIVES: To describe the nature and extent of work-related respiratory diseases reported to the national Surveillance of Work-related and Occupational Respiratory Diseases in South Africa (SORDSA) reporting scheme. The causative agents and industrial categories in which they occurred are also characterised. DESIGN: Voluntary monthly reporting of newly diagnosed cases by pulmonologists, occupational medicine practitioners and occupational health nurses. SETTING: Medical and occupational health referral centres in the nine provinces of South Africa. SUBJECTS: Cases were workers from non-mining industries or ex-miners, suffering from a newly diagnosed occupational respiratory disease, reported to SORDSA between October 1996 and December 1999. OUTCOME MEASURES: Frequencies of reported occupational respiratory disease by year, reporting source, province and sex. Frequencies of short- and long-latency diseases by industry and causative agent. RESULTS: There was incomplete reporting coverage of the nine provinces in the first 3 years. Reporting was most comprehensive from Gauteng, KwaZulu-Natal and the Western Cape. Diseases with long latency periods made up 76.2% of the cases. Pneumoconiosis, even in non-mining industries, was the most frequently reported disease, followed by inhalation accidents. Occupational asthma was the fourth most reported disease. Apart from the prominence of pneumoconiosis, the results obtained by SORDSA are similar to those from a British occupational lung disease surveillance scheme. This study showed that newly diagnosed cases of occupational lung disease occurred in many industries and were caused by a variety of agents. CONCLUSION: SORDSA has contributed insight into the nature, extent and distribution of occupational respiratory diseases in South Africa. It has also highlighted important causes of occupational respiratory diseases in South Africa, as well as hazardous industries. The data indicate that South Africa has a widespread occupational lung disease problem, and provide a platform for targeted prevention strategies.

Accidents, Occupational↗
PubMed2000

Changes in reports and incidence of child abuse following natural disasters.

OBJECTIVE: The aim of this research was to investigate if there is a higher incidence of child abuse following major natural disasters. METHODOLOGY: Child abuse reports and substantiations were analyzed, by county, for 1 year before and after Hurricane Hugo, the Loma Prieta Earthquake. and Hurricane Andrew. Counties were included if damage was widespread, the county was part of a presidential disaster declaration, and if there was a stable data collection system in place. RESULTS: Based on analyses of numbers, rates, and proportions, child abuse reports were disproportionately higher in the quarter and half year following two of the three disaster events (Hurricane Hugo and Loma Prieta Earthquake). CONCLUSIONS: Most, but not all, of the evidence presented indicates that child abuse escalates after major disasters. Conceptual and methodological issues need to be resolved to more conclusively answer the question about whether or not child abuse increases in the wake of natural disasters. Replications of this research are needed based on more recent disaster events.

Child↗
PubMed1999

[Health, life style and living conditions in Greenland. The 1993-1994 Greenland health survey].

Existing knowledge about the disease pattern in Greenland does not include the Greenlanders' own perception of their health. Consequently, the Greenland Home Rule Government initiated a countrywide health interview survey which was carried out during 1993-1994. A total of 1728 adults were interviewed and filled in a questionnaire. Self-rated health varied with age, gender and socioeconomic conditions. Only few of those bothered by symptoms had contacted the health care services. Musculoskeletal diseases were by far the most frequent cause of symptoms. Suicidal thoughts were frequent; 48% had experienced the suicide of a relative or friend. The life style is characterized by a high consumption of marine mammals and fish, a decreasing but still high alcohol consumption and an 80% prevalence of smoking among both men and women. The health care services are often staffed by Danish physicians and nurses. Occasionally this gives rise to communication problems and dissatisfaction.

Adult↗
PubMed1998

Family pattern and family care in Greenland.

Information on household and family patterns from the 1993-94 Health Interview Survey in Greenland is described. The average size of households is 3.5, and almost three-fourths of the Greenlandic population live in families with children. The pattern of these families with children covers a variety of single-parent families (6% of the total Greenlandic population), nuclear families (42%), extended families (14%), and other types of families (11%).

Adult↗
PubMed1998

Social and cultural factors as determinants of self-rated health in Greenland.

In 1993-94, a countrywide health interview survey was performed in 38 towns and villages throughout Greenland. Information was collected on self-rated health and self-reported disease, social and cultural factors, lifestyle, and living conditions. A total of 1,580 adult Greenlanders and 148 Danes was interviewed (57% of the sample). Respondents were classified according to ethnic self-identification and job category, but these customary classifications were not satisfactory. An alternative classification according to exposure to traditional Greenlandic hunting culture and Danish culture during childhood was tested. The population fell into three subgroups, each with its own socioeconomic, ethnic, and occupational pattern, and with different health and health behavior. The new classification has distinct advantages as a supplement to the usual classification according to ethnicity and job category. The aim of the present paper is to present a comprehensive health interview survey from Greenland and to discuss some considerations regarding sociocultural classification of the population.

Adolescent↗
PubMed1998

The role of hunting in a socioeconomic classification for Greenland.

The socioeconomic classification used in Western societies is not directly applicable to Greenland where other factors, such as success as a hunter, participation in community life, and raising children, also convey status and must be included in a status coding. In the 1993 Greenland Health Interview Survey the participants' hunting activities were estimated through a number of questions. Nineteen percent of male Greenlanders classified themselves as hunters when asked about their primary occupation, but in another question an additional 10% stated that they relied on hunting for a living. When asked about their job, hunters were confused as to whether hunting was considered a job by the researchers. This uncertainty may explain the difference between the two questions regarding classification of individuals as hunters. For future research it is necessary to develop a socioeconomic status classification which is culturally sensitive and suited to contemporary Greenlandic society.

Animals↗
PubMed1993

AIDS theories.

Explore the source record for details and available documents.

AIDS Vaccines↗
PubMed1993

Challenges in medical staff credentialing.

This article addresses the challenges faced by medical staffs in conducting their medical staff appointment and reappointment activities, including credentialing, privileging, establishing criteria for new procedures, crossover privileging, and creating credentialing systems for new facilities. In order to satisfy legal scrutiny, the cornerstone of all these activities must be quality patient care.

Credentialing↗
PubMed1992

Vertical dimension increases in the adult rhesus monkey: a pilot study.

Tooth impaction, increased muscle activity, and histologic changes in the bone of the temporomandibular joint have been reported following attempts to increase the vertical dimension of occlusion. The purpose of this research was to study the effects of increases in the vertical dimension of occlusion on bone density at five levels of the mandible in the adult rhesus monkey, and to assess dentoalveolar changes by lateral cephalometric radiographs and mounted diagnostic casts. Mandibular cobalt chromium splints measuring 3 mm in height at the first molar, providing even occlusal contact to the maxillary anterior and posterior teeth, were cemented in place on two monkeys. Five similar monkeys without splints were used as controls. Computed tomograms were completed to evaluate bone density bilaterally at five levels of the mandible after 3 months of splint wear. Pretreatment and posttreatment lateral cephalometric radiographs and mounted diagnostic casts were completed to assess tooth impaction. Periodontal ligament (PDL) thickening and mobility of molars and premolars were evaluated before splint placement and after splint removal. There was no statistically significant difference in the bone density levels of the animals with splints compared with the controls. Minimal dentoalveolar changes were observed.

Animals↗
PubMed1990

Fair hearings for physicians denied participation in managed care plans.

As a result of the imminent application of the doctrine of corporate negligence to health maintenance organizations and other providers of managed care, those entities are likely to become much more active in the credentialing processes they undertake. Adversely affected physicians should be entitled to the same procedural protection currently afforded by hospitals, a "fair hearing" that at least provides a notice of charges and an opportunity to respond to the charges.

Credentialing↗