Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ALABAMA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources
PubMed1992

Breastfeeding among women in the Alabama WIC Program.

Women who participated in the Alabama WIC Program during 1986-88 and ceased breastfeeding during the months of May to August during those years breastfed an average 5.6 months. Slightly fewer than 15 percent of the women who breastfed continued for 12 months or longer; 45 percent continued for six months; 59 percent did so for 4 months; and 21 percent breastfed for one month or less. Breastfeeding duration was related positively and independently to increased maternal age and parity. Younger women were more likely than older women to stop breastfeeding due to perceived insufficient milk, in order to return to work or school, or to use oral contraceptives. Women who ceased breastfeeding at or after one year postpartum tended to be older.

Adolescent↗
PubMed2007

Family caregiving to those with dementia in rural Alabama: racial similarities and differences.

This study explored differences and similarities in the experiences of African American and White family caregivers of dementia patients living in rural Alabama. This cross-sectional survey used a caregiving stress model to investigate the interrelationships between caregiving burden, mediators, and outcomes. Random-digit-dialing telephone interviews were used to obtain data on a probability sample of 74 non-Hispanic White and 67 African American caregivers. White caregivers were more likely to be married and older, used acceptance and humor as coping styles, and had fewer financial problems. African American caregivers gave more hours of care, used religion and denial as coping styles, and were less burdened. The authors have developed a methodology for obtaining a representative sample of African American and White rural caregivers. Further investigations are needed of the interactions between urban/rural location and ethnic/racial backgrounds of dementia caregivers for heuristic and applied reasons.

Adaptation, Psychological↗
PubMed2006

Effect of Native American ancestry on iron-related phenotypes of Alabama hemochromatosis probands with HFE C282Y homozygosity.

BACKGROUND: In age-matched cohorts of screening study participants recruited from primary care clinics, mean serum transferrin saturation values were significantly lower and mean serum ferritin concentrations were significantly higher in Native Americans than in whites. Twenty-eight percent of 80 Alabama white hemochromatosis probands with HFE C282Y homozygosity previously reported having Native American ancestry, but the possible effect of this ancestry on hemochromatosis phenotypes was unknown. METHODS: We compiled observations in these 80 probands and used univariate and multivariate methods to analyze associations of age, sex, Native American ancestry (as a dichotomous variable), report of ethanol consumption (as a dichotomous variable), percentage transferrin saturation and loge serum ferritin concentration at diagnosis, quantities of iron removed by phlebotomy to achieve iron depletion, and quantities of excess iron removed by phlebotomy. RESULTS: In a univariate analysis in which probands were grouped by sex, there were no significant differences in reports of ethanol consumption, transferrin saturation, loge serum ferritin concentration, quantities of iron removed to achieve iron depletion, and quantities of excess iron removed by phlebotomy in probands who reported Native American ancestry than in those who did not. In multivariate analyses, transferrin saturation (as a dependent variable) was not significantly associated with any of the available variables, including reports of Native American ancestry and ethanol consumption. The independent variable quantities of excess iron removed by phlebotomy was significantly associated with loge serum ferritin used as a dependent variable (p < 0.0001), but not with reports of Native American ancestry or reports of ethanol consumption. Loge serum ferritin was the only independent variable significantly associated with quantities of excess iron removed by phlebotomy used as a dependent variable (p < 0.0001) (p < 0.0001; ANOVA of regression). CONCLUSION: We conclude that the iron-related phenotypes of hemochromatosis probands with HFE C282Y homozygosity are similar in those with and without Native American ancestry reports.

Adolescent↗
PubMed2005

Medical connections: use of the internet and traditional sources of health information by rural Alabama households.

Rural household adoption of the PC and Internet for accessing medical and healthcare information was investigated using survey data collected from 305 households randomly selected from non-metropolitan, rural counties across Alabama. The diffusion-adoption model for new technologies was employed to create five adoption stages relevant to this technology and its applications to communication of information in the health field. Descriptive household characteristics of age, education, income, and children revealed differences between adoption stages, with age and education having major impacts. Use of traditional sources of health information and the Internet were compared in relation to age and availability of medical services. Older, less educated households lagged behind in use of the Internet for health information. Medical professionals, doctors and pharmacists, were the most utilized information source by rural households; but those households connected to the Internet used on-line sources, even e-mail to communicate with their doctors.

Aged↗
PubMed2001

Documentation of hazards and safety perceptions for mechanized logging operations in East Central Alabama.

The logging industry remains one of the most hazardous in the nation. Despite more stringent safety regulations and improvements in equipment safety features, the rate of logging fatalities has decreased at a much lower rate than the decrease in the rate of illnesses and injuries in the same occupation. The objective of this research was to identify and assess the hazards associated with logging operations in the Southeast region of the U.S. and propose interventions, taking into consideration the fact that, currently, most operations in the region are fully mechanized. Five logging crews in East Central Alabama participated in the study and were observed repeatedly during their normal operations. Researchers observed loggers engaging in multiple unsafe behaviors, but none of those led to an injury. The incidence of unsafe behaviors may be due in part to a lack of awareness of the hazards. Results indicate that Occupational Safety and Health Administration (OSHA) regulations appear to have little influence on logging safety. Loggers believe that most safety training recommendations are difficult to implement and negatively impact productivity. Thus, there seem to be fundamental drawbacks in the logging industry regarding effective delivery of safety training to loggers. The present study was a joint venture by the Industrial and Systems Engineering and Psychology departments of Auburn University, with support from the United States Forest Service (USFS).

Accidents, Occupational↗
PubMed2006

Addressing disparities through coalition building: Alabama REACH 2010 lessons learned.

Community-based coalitions have become accepted vehicles for addressing complex health problems. Few articles have described the challenges and lessons learned from such a process. The purpose of this paper is two-fold: 1) to describe the processes involved in building and maintaining the REACH 2010 Alabama Breast and Cervical Cancer Control Coalition (ABCCCC) and 2) to highlight the lessons learned from this venture. Principles from community-based participatory research were used 1) to establish and maintain the ABCCCC, 2) to build coalition capacity, and 3) to develop breast and cervical cancer interventions. Over 95% of our coalition has been maintained over a 7-year period. The ABCCCC received a total of 17 breast and cervical cancer mini-grants. Adherence to ground rules such as exhibiting respect and trust and practicing open communication helped to solidify our partnership. Lessons learned from the ABCCCC can provide others with an in-depth exploration of the processes involved in coalition formation and maintenance.

Alabama↗
PubMed1979

An assessment of the Alabama Smile Keeper school dental health education program.

An evaluation of the Alabama Smile Keeper Dental Health Education Program was necessary to determine if educating teachers to teach preventive dentistry improved the oral hygiene and knowledge of dental health of elementary schoolchildren. Four hundred seventy-five students at the Maxwell Air Force Base elementary school in grades 1 through 6 were tested using a series of written examinations and scores from a plaque index (Greene's OHI-S Index) before and after the education program. Levels of plaque were significantly reduced immediately after instruction and retention test scores were significantly lower four months later than preinstruction test scores. Written examinations proved that knowledge increased immediately after instruction and retention test scores were significantly better than preinstruction test scores.

Alabama↗
PubMed2004

Impact of land use and physicochemical settings on aqueous methylmercury levels in the Mobile-Alabama River System.

Mercury (Hg) concentrations above levels that could pose health risks have been measured recently in predatory fish from many aquatic systems in the southeastern region of the United States. Based on hypotheses derived from published experimental data on the aqueous geochemistry of Hg, we investigated the effect of certain natural and human-imposed conditions on in situ levels of methylmercury (MeHg) in the Mobile-Alabama River System (MARS). Water samples were collected from different types of environments, hypothesized to have contrasting levels of MeHg in the aqueous phase, and were analyzed for total-Hg (THg) and MeHg concentrations, as well as some key geochemical parameters. The results showed the following. i) Overall, total Hg concentrations in waters of the MARS are quite uniformly distributed and vary from 0.2 to 6 ng L(-1), suggesting that besides geological sources, atmospheric deposition is certainly the main source of Hg inputs in the studied system. ii) In locations with comparable THg levels, the Hg fraction present as MeHg was consistently higher in samples collected from the Coastal Plain portion of the MARS as compared to those from other geological provinces. iii) Our in situ observations confirmed conclusions derived from laboratory experiments, in that, MeHg abundance in aquatic systems correlates with sulfate (but only within a narrow range of concentrations); decreasing pH; and has no direct relationships with either nitrate or phosphate. iv) The investigation of Hg accumulation in biota at a single site showed that an aquatic system with low THg concentrations but a high MeHg:THg ratios, could have organisms with Hg content above safe levels. Therefore, potential health risks to fish eating populations can exist even when the aqueous phase does not show signs of significant Hg enrichment.

Agriculture↗
PubMed1996

Assessment of a severe-weather warning system and disaster preparedness, Calhoun County, Alabama, 1994.

Tornado preparedness warning system effectiveness, and shelter-seeking behavior were examined in two Alabama areas after tornado warnings. In the area without sirens, only 28.9% of 194 respondents heard a tornado warning of these, 73.2% first received the warning from radios or television. In the area with sirens, 88.1% of 193 respondents heard a warning, and 61.8% first received the warning from a siren. Knowledge of warnings, access to shelter, and education were key predictors for seeking shelter. Our findings indicate that installing sirens, providing access to shelter, and teaching appropriate responses to warnings are important elements of an effective disaster prevention system.

Alabama↗
PubMed2001

An outbreak of syphilis in Alabama prisons: correctional health policy and communicable disease control.

OBJECTIVES: After syphilis outbreaks were reported at 3 Alabama State men's prisons in early 1999, we conducted an investigation to evaluate risk factors for syphilis infection and describe patterns of syphilis transmission. METHODS: We reviewed medical, patient interview, and prison transfer records and documented sexual networks. Presumptive source cases were identified. Odds of exposure to unscreened jail populations and transfer from other prisons were calculated for case patients at 1 prison. RESULTS: Thirty-nine case patients with early syphilis were identified from 3 prisons. Recent jail exposure (odds ratio [OR] = 8.0, 95% confidence interval [CI] = 0.3, 158.7, P = .14) and prison transfer (OR = 32.0, 95% CI = 1.6, 1668.1, P < .01) were associated with being a source case patient. CONCLUSIONS: Probable sources of syphilis introduction into and transmission within prisons included mixing of prisoners with unscreened jail populations, transfer of infected inmates between prisons, and multiple concurrent sexual partnerships. Reducing sexual transmission of disease in correctional settings is a public health priority and will require innovative prevention strategies.

AIDS Serodiagnosis↗
PubMed1989

Epidemiology of IDDM in black and white children in Jefferson County, Alabama, 1979-1985.

For the period of 1 January 1979 through 31 December 1985, an average annual incidence rate (IR) of 12.1/100,000 (95% confidence interval [10.4/100,000, 14.0/100,000]) of insulin-dependent diabetes mellitus (IDDM) was observed in Jefferson County, Alabama, among people less than 20 yr old. Hospital medical-record review was the primary source of case ascertainment. A large proportion of Black children in the county permitted race-specific analyses. The average annual IR among the Black children was less than half that observed in the White children (7.0/100,000 vs. 15.6/100,000, respectively). Nearly equal numbers of White boys and girls were diagnosed during this period; however, there were three times as many Black girls as Black boys diagnosed. Among the 134 Whites, age-specific annual IRs were highest in the 5- to 9- and 10- to 14-yr age groups. Little variation was observed in age-specific rates among the 41 Black subjects. A seasonal trend was evident in both races, with the fewest cases of IDDM diagnosed in the months of April through June (P less than .001). No association between the incidence of diabetes and income level was found among White or Black children. Significant differences in the epidemiology of IDDM between White and Black children suggest an important avenue for studying the etiology of IDDM.

Adolescent↗
PubMed2002

Responses to lost letters about a 2000 General Election amendment to abolish prohibition of interracial marriages in Alabama.

A field study using 621 "lost" letters was conducted in the city of Mobile and in small towns in mostly rural Baldwin County, Alabama. Milgram's lost letter technique was validated against the actual votes cast during the November 7, 2000 General Election. The technique was successful as an unobtrusive measure useful for predicting patterns of voting behavior. Rates of return of lost letters "in favor of and opposed to legalizing interracial marriage" agreed with the actual election returns (chi-square "goodness of fit"). Community size seemed associated with return of lost letters.

Alabama↗
PubMed1989

Preliminary results from the Collaborative Alabama and Scandinavian Study of Successive Small-for-Gestational Age Births.

The study "Successive Small-for-Gestational Age Births" (SGA study) was initiated and is sponsored by the National Institutes of Health (N.I.H.) in the U.S.A. Its purpose is to describe and characterize the different types of intra-uterine growth retardation and their consequences, to assess the associated risk factors, and to provide a basis for preventive measures. Starting in 1986, it runs concurrently in Bergen and Trondheim (Norway), Uppsala (Sweden) and Birmingham, Alabama (U.S.A.), recruiting pregnant para 1 and 2 mothers at high risk of having an SGA birth and a random (control) sample of the total pregnant population. Data collection will end in late 1989, when the last-born children have reached 13 months of age. At the present symposium, investigators from all four study centers and the N.I.H. described the study design and discussed problems of methodology. Strict standardization of parameters to determine gestational age (ultrasound, menstrual dates) is a prerequisite for comparison of results over time and between study centers. Some preliminary results were presented.

Alabama↗
PubMed2001

Interrelationships in lactating Holsteins of rectal and skin temperatures, milk yield and composition, dry matter intake, body weight, and feed efficiency in summer in Alabama.

Thirty-two lactating, multiparous Holstein cows were utilized in a 91-d experiment in Auburn, Alabama, during summer to determine whether rectal and skin temperatures and respiration rates are repeatable and interrelated and whether whole cottonseed or calcium salts of long-chain fatty acids (Megalac, Church & Dwight Co., Inc., Princeton, NJ) affected milk production or its constituents. Treatments were (I) control, (II) I plus 10.4% whole cottonseed, (III) I plus 2.6% Megalac, and (IV) I plus 5.2% whole cottonseed plus 1.3% Megalac. Data included 358 to 2644 measurements analyzed as a split-plot design of experiment. Only milk protein percentage and protein-to-fat ratio were significantly affected by dietary treatment. Milk protein percentage was depressed by dietary fat additions, especially by the combination of whole cottonseed and Megalac. Within lactation repeatabilities for milk, fat, protein, and SCM yields ranged from 0.44 to 0.66; two percentages and protein to fat ratio, 0.21 to 0.32; feed efficiency, 0.18; dry matter intake (DMI) and body weight, 0.98 and 0.84; rectal and skin temperatures and respiration rate, 0.001 to 0.055. Partial and simple correlations were similar in sign and magnitude. Noteworthy were partial correlations between milk yield and DMI, 0.367; milk yield and rectal temperature, -0.135; milkyield and respiration rate, 0.102. Skin temperature was unrelated to other variables. Respiration rate was correlated with DMI, 0.270. Results should help researchers designing future experiments involving these responses to predict the number of measures needed to detect differences.

Alabama↗
PubMedDate not supplied

Continuing education needs of hospital-based nurses in Alabama.

Staff nurses (n = 403) and nurse executives (n = 82) were surveyed to determine the continuing education (CE) needs of hospital-based nurses in Alabama. Nurse executives preferred on-site, live offerings on Wednesday. Staff nurses preferred on-site, live offerings on Monday or Tuesday. Findings indicated that there was a difference in: (a) nurse executives' and staff nurses' perception of reimbursement policies, (b) nurse executives' and staff nurses' choice for days of week preferred, and (c) reimbursement policies and practices for RNs and LPNs.

Alabama↗
PubMedDate not supplied

Evaluation of Alabama's mandatory continuing education program for reasonableness, access, and value.

BACKGROUND: As a measure of quality control, the Alabama Board of Nursing subjected the regulations for mandatory continuing education (MCE) for licensure to an evaluation of their impact and effectiveness. This study focused on licensees' perceptions of the regulations regarding reasonableness, access, and value. METHOD: Evaluation research methods were used to answer research questions related to the rules governing continuing education (CE) requirements for nursing licensure. Data were obtained from a survey of a random sample (N = 406) of RNs and licensed practical nurses. Both qualitative and quantitative methods were applied to data analysis. FINDINGS: Requirements for CE were perceived as reasonable; however, concerns were identified related to cost, access, and quality of presentations. Licensees perceived CE to be of value, and applied CE to decision-making and action in nursing practice. Chi-square analysis was significant to license type related to selected variables (e.g., rights and responsibilities). Qualitative analysis provided insight regarding licensees' concerns and recommendations for change. CONCLUSION: Mandatory continuing education (MCE) plays a significant role in promoting competence in nursing practice and is a mechanism for enhancing public protection. A high noncompliance rate on the MCE audit has ramifications for enforcement regulations.

Alabama↗
PubMed1997

Age distribution of lymphocytic choriomeningitis virus serum antibody in Birmingham, Alabama: evidence of a decreased risk of infection.

Lymphocytic choriomeningitis virus (LCMV) is an arenavirus that causes human disease ranging from a mild, flu-like illness to meningitis. Infections occur principally in and around the home due to contact with infected mice. Data on the incidence of LCMV infection in the United States are scarce but suggest that the risk of infection may have decreased over the past 30-40 years. To examine this hypothesis, sera from an age-stratified sample of hospital patients in Birmingham, Alabama were tested for LCMV antibody by ELISA. The overall prevalence of LCMV-specific IgG was 3.5% (56 of 1,600). The prevalence of antibody among those < 30 years of age was 0.3% (2 of 600), while the prevalence among those 30 years of age and older was 5.4% (P < 0.0001). Multiple logistic regression was used to identify risk factors for LCMV seropositivity. Age was positively associated (P < 0.0001) and socioeconomic status was negatively associated with a positive antibody test result (P < 0.03). These data are consistent with a decreased incidence of human LCMV infection in Birmingham over the past 30-40 years.

Adolescent↗