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At least 199 records · Page 11Linked to original sources
PubMed1989

Gastrointestinal helminths and protozoa from two raccoon populations in Kansas.

A survey in Kansas compared the prevalence of gastrointestinal helminths and protozoa in 2 raccoon (Procyon lotor) populations; a population in a typical rural setting and a relatively undisturbed population on a military reservation. Gastrointestinal tracts of 128 raccoons were examined. Freeze storage of alimentary tracts prevented collection of data on trematode prevalence. Helminth infections other than trematodes included 1 acanthocephalan, 2 cestodes, and 3 nematodes. Helminths were found in all raccoons from the population on the military installation and 96% of those from the rural population. Prevalence of helminths was generally greater in raccoons from the population living in the rural setting. Eimeria spp. and Sarcocystis sp. were also found, whereas Giardia spp. and Cryptosporidium parvum were not.

Animals↗
PubMed1989

Obstetrical practices of members of the Kansas Academy of Family Physicians.

Data reported from this survey of the members of the Kansas Academy of Family Physicians indicate that members performing obstetrics are paying significantly higher professional liability premiums than members not providing such services. This difference, as well as the overall escalating costs of professional liability insurance, can be expected to result in loss of family physician-provided obstetrical services. As family physicians are providing the only readily available obstetrical services in a substantial number of rural areas, it seems likely that rural areas will experience a significant loss of access to obstetrical care. Although delivery fees have risen, they have not risen at the same rate as premiums. A net loss of family physicians providing obstetrical services has been noted during the period of 1985-88, and such losses appear to be an accelerating future trend.

Academies and Institutes↗
PubMed1979

Serologic survey for leptospirosis in coyotes in northcentral Kansas.

During 1975 to 1977, serum samples were collected from 101 adult coyotes (Canis latrans) captured in northcentral Kansas. Ten samples were seropositive by microagglutination testing and six of those samples were seropositive for multiple serovars. Titers for Leptospira interrogans serovars grippotyphosa, pyrogenes, djasiman, butembo, and pomona were demonstrated.

Animals↗
PubMed1983

Occurrence of the cattle ear mite (Raillietia auris) in southeastern Kansas.

Forty-seven cattle from 8 separate herds in southeastern Kansas were examined for ear mites (Raillietia auris). Ear mites were directly observed in 12 of the animals while 19 others showed signs of infestation consisting of ulceration and blockage of the auditory canal by a thick plug of pus. The observed occurrence of infestation in 66 percent of the animals examined is higher than expected based on previous reports.

Animals↗
PubMed1982

Feline population dynamics: a study of the Manhattan, Kansas, feline population.

Analysis of the age-specific birth and survival rates and the age distribution in the pet population of cats in Manhattan, Kansas, revealed that the rate of population change (lambda) was about 1.18. This means that under present birth and death rates, the cat population can increase by about 18% per year. In reality, the increase may not be as high since pet ownership may not increase by as much. The frequency of spayed females of reproductive age in the Manhattan population was about 59%. This may not be sufficient to curb population growth. With the present age-specific survival rates, about 88% of the females should be spayed if the population is to remain stable. The ratio of people to cats in Manhattan was estimated to be 5.2:1. The average number of cats per household was 0.508. The percentage of households with cats was 28 with an average of 1.74 cats per household. In comparison, the average number of dogs per household was 0.43 and the percentage of households with dogs was 43 with an average of 1.36 dogs per household. The methods used in this study are useful for collecting and analyzing data to be used by governmental bodies and veterinarians concerned with proposals to regulate pet population growth and reproduction.

Animals↗
PubMed1982

Antitrust implications of health planning: National Gerimedical Hospital and Gerontology Center v. Blue Cross of Kansas City.

In National Gerimedical Hospital and Gerontology Center v. Blue Cross of Kansas City, the United States Supreme Court held that there is no blanket exemption from antitrust laws for health planning activities. The Court also held that no specific immunity can be granted where the challenged health planning activity is not undertaken pursuant to a federal regulatory scheme. This Comment reviews the Court's decision and concludes that the Court correctly determined that the challenged activities did not qualify for an exemption. The Comment also examines the implications of the Court's statement that, where Congress has manifested a belief that competition is ineffective in the health care industry, application of the antitrust laws should be modified. The Comment recommends that an intermediate review standard such as the "presumptive, incentive modifying approach" should be used by future courts in deciding whether the ineffectiveness of competition in a given area of health planning activity warrants immunity from antitrust scrutiny.

Blue Cross Blue Shield Insurance Plans↗
PubMed1980

Canine population dynamics: a study of the Manhattan, Kansas, canine population.

Analysis of the age distribution in the pet population of dogs in the community of Manhattan, Kansas from 1968 to 1979 revealed that the distribution was stationary and the rate of population change (lambda1) was close to 1, which means, that if present conditions do not change, the population probably would remain stable in size in the future. The number of females spayed in the Manhattan population reached a frequency of 66% in 1979. Considering only present age-dependent birth and survival rates, the population could not maintain itself and would decrease rapidly in size. It was found, however, that the population is maintained by a high net rate of immigration, with about 75% of all dogs under 6 months old coming from outside the Manhattan population. The ratio of people to dogs in Manhattan was estimated to be 4.14:1; about 41% of all dogs under 6 months of age were acquired through breeders. Roaming animals in 1 year represented about 12% of the canine population in Manhattan; of those, 36% were stray (not claimed by owner) and the rest were owned and redeemed. The data represented only a portion of the population (dogs with responsible owners) and for a complete understanding of the dynamics of the entire population, one should analyze roaming dogs in a similar way. The methods described in this study should be useful for collecting data to be used by veterinarians and municipal authorities confronted with proposals for regulation dealing with reproduction and pet population.

Age Factors↗
PubMed1994

Pediatric firearm injuries, Kansas City, 1992: a population-based study.

OBJECTIVE: To determine the morbidity, mortality, and epidemiologic features of pediatric powder-firearm injuries in a defined urban population. DESIGN AND SETTING: A population-based, descriptive epidemiologic study was conducted of firearm injuries to children in a mid-size urban community (total population: 435,178) in 1992. The population was 56% white and 39% black. Data from prehospital care providers, all city and adjacent community hospitals, and medical examiner and police records were searched for cases of firearm injury. The 1990 United States census provided denominator data. CASE DEFINITION: Subjects were all 0- to 16-year-old residents of Kansas City, Missouri who sought medical treatment at a hospital for a powder-firearm injury or who presented to the medical examiner with a fatal firearm injury in calendar year 1992. RESULTS: Seventy-two children met the case definition, for an incidence of 70 per 100,000 persons per year. There were 12 (16.7%) fatalities, for a mortality rate of 11.7 per 100,000 persons per year. Almost 10% of the patients sustained permanent disability. Mean and median ages of the patients were 14.9 years and 15.8 years, respectively; 79% were male and 82% were black. The majority of the children (63%) lived in census tracts with a high proportion of families in poverty. Black males had the highest rates of firearm injury, with a 1-year incidence of 233 per 100,000 persons per year. At younger than 12 years, the rates were equal among the races; however, for those 12 years and older, black adolescents had 13 times the risk of white adolescents (541 compared to 42 per 100,000 persons per year). The majority (71%) of injuries were due to assaults, with drive-by shootings the most frequent circumstance. The majority of unintentional injuries occurred to adolescents as the result of an unplanned discharge of a handgun as it was being placed in or removed from concealment. Among the patients, 39% were admitted to the hospital and 26% required surgery. CONCLUSIONS: 1) Black male adolescents had the highest risk of firearm injury or fatality. 2) The majority of victims lived in census tracts characterized by poverty. 3) injuries were alarmingly severe. 4) Interpersonal violence was the leading contributor to fatal and nonfatal injuries. 5) Unintentional injuries characteristically occurred during the process of weapon concealment. 6) The leading contributor to injury and death was the interaction of adolescents and guns, particularly handguns. The main implication for firearm-injury prevention in this population is the limiting of access to guns by adolescents. In addition, measures aimed at preventing violent behavior, such as education in nonviolent methods of conflict resolution, should be explored.

Adolescent↗
PubMed1994

Efficacy of a composite biological age score to predict ten-year survival among Kansas and Nebraska Mennonites.

In 1980 and 1981 Mennonite descendants of a group of Russian immigrants participated in a multidisciplinary study of biological aging. The Mennonites live in Goessel, Kansas, and Henderson, Nebraska. In 1991 the survival status of the participants was documented by each church secretary. Data are available for 1009 individuals, 177 of whom are now deceased. They ranged from 20 to 95 years in age when the data were collected. Biological ages were computed using a stepwise multiple regression procedure based on 38 variables previously identified as being related to survival, with chronological age as the dependent variable. Standardized residuals place participants in either a predicted-younger or a predicted-older group. The independence of the variables biological age and survival status is tested with the chi-square statistic. The significance of biological age differences between surviving and deceased Mennonites is determined by t test values. The two statistics provide consistent results. Predicted age group classification and survival status are related. The group of deceased participants is generally predicted to be older than the group of surviving participants, although neither statistic is significant for all subgroups of Mennonites. In most cases, however, individuals in the predicted-older groups are at a relatively higher risk of dying compared with those in the predicted-younger groups, although the increased risk is not always significant.

Adult↗
PubMed1994

Tetanus--Kansas, 1993.

In 1993, two tetanus cases were reported to the Kansas Department of Health and Environment--the first cases reported in the state since 1987. This report summarizes the findings of the case investigations.

Aged↗
PubMed1994

Maternal hepatitis B screening practices--California, Connecticut, Kansas, and United States, 1992-1993.

Each year in the United States, an estimated 22,000 infants are born to women with chronic hepatitis B virus (HBV) infection. These infants are at high risk for perinatal HBV infection and chronic liver disease as adults. The American College of Obstetrics and Gynecology, the American Academy of Pediatrics, the American Academy of Family Practice, and the Advisory Committee on Immunization Practices each have recommended that all pregnant women be routinely tested for hepatitis B surface antigen (HBsAg) during an early prenatal visit in each pregnancy to identify newborns who require immunoprophylaxis for the prevention of perinatal HBV infection (1-4). To evaluate progress in implementing this recommendation, surveys were conducted to assess the effectiveness of maternal HBsAg screening in three states--California, Connecticut, and Kansas--and a sample of hospitals in the United States.

California↗
PubMed1993

Kansas risk management laws and nursing practice: approaches towards compliance in reporting substandard nursing practice in acute care facilities.

This article provides a structural outline of the many basic elements needing to be considered when institutions are developing a system for review of incidents that may fall below the applicable standard of care. Details for program development need to be explored and implemented with the mindset that the process will be modified and continuously improved over time. Protecting the interest of the individual licensee, the healthcare institution and the public are important aspects that demand attention when complying with the Kansas Risk Management Laws as they pertain to nursing practice.

Ethics, Nursing↗
PubMed1997

Efforts to quit smoking among persons with a history of alcohol problems--Iowa, Kansas, and Nebraska, 1995-1996.

In 1991, approximately 13.8 million adults in the United States met diagnostic criteria for alcohol abuse, alcohol dependence, or both. In addition, at least 80% of persons in this group were likely to be daily tobacco smokers and, therefore, at increased risk for oral and pharyngeal cancers. In Minnesota, among adult smokers with a history of alcohol abuse during 1972-1983, the number of tobacco-related deaths was higher than the number of alcohol-related deaths. To assess rates of smoking cessation among adults with a history of alcohol problems, the University of Nebraska Medical Center conducted an intervention study with 1 year of follow-up during 1995-1996 in 12 residential alcohol-treatment centers in Iowa, Kansas, and Nebraska. This report summarizes the findings, which suggest that a substantial proportion of adults recently treated for alcoholism attempted to quit smoking, even though actual quit rates were low.

Adult↗
PubMed1998

Human exposure to Brucella abortus strain RB51--Kansas, 1997.

On May 26-27, 1997, nine persons (a farmer, four veterinary clinicians, and four veterinary students) in Manhattan, Kansas, participated in an attempted vaginal delivery, a cesarean delivery, and a necropsy on a stillborn calf that died because of Brucella abortus infection. The infection was confirmed by isolation of B. abortus from placental and fetal lung tissue cultures. The National Animal Disease Center, U.S. Department of Agriculture (USDA), identified the B. abortus isolate from the calf as the RB51 vaccine strain. RB51 is a live, attenuated strain that was licensed conditionally by the Veterinary Services, Animal and Plant Health Inspection Service, USDA, on February 23, 1996, for vaccination of cattle in the United States. Before 1996, vaccine was made by using the S19 strain. This report describes occupational exposure to animals infected with the RB51 strain and emphasizes the need for surveillance of unintentional exposure of humans to RB51 to assess outcomes of such exposures.

Adult↗
PubMedDate not supplied

Serologic incidence of some diseases in Kansas wild turkeys.

Wild turkeys (Meleagris gallopavo, n = 1164) were tested for Mycoplasma gallisepticum, Mycoplasma meleagridis, Mycoplasma synoviae, and Salmonella pullorum from 1990 to 1997. Although 3.3% of the turkeys were suspect for one or more diseases, only 0.9% were serologically positive for M. gallisepticum. These 11 positives were all from one country in south-central Kansas.

Animals↗
PubMed1998

Public and private health initiatives in Kansas.

This article summarizes several health initiatives in Kansas that are being forwarded by way of public/private partnerships. Consensus is being shaped on the standardization of health data and use of actionable indicators. Statewide public health improvement planning is also being pursued. A group of large employers and state agencies are creating a basis for group purchasing, consumer assessments of health plans, and coordinated public policy formulation.

Health Planning Organizations↗
PubMed1981

Carcinoma of the uterine cervix: review of experience at University of Kansas Medical Center.

A total of 211 patients with a diagnosis of carcinoma of uterine cervix, managed by radiotherapy at the University of Kansas Medical Center between 1969-1975 was reviewed. There were 90 patients in Stage I, 65 in Stage II, 43 in Stage III, and 13 with Stage IV disease. Squamous cell carcinoma was found to be the most common histologic type. Twenty-three patients had shown uterine extension of the disease; of these, eight had adenocarcinoma. The majority of the patients received external whole-pelvic telecobalt therapy followed by a variety of intracavitary radium applications. The combined dose to point A ranged from 5000-13,000 rad. There were 166 patients followed for five or more years. Overall five-year survival was 74% (124/166). Survival by stage: IA--92% (12/13); IB--88% (55/62); IIA2--74% (23/31); IIB--58% (14/24); IIIA&B--64% (18/28); and IV--25% (2/8). The overall three-year survival was 73% (155/211). Thirty-three patients (33/211 = 16%) developed local recurrence, and five of these patients were salvaged by surgery. Surgery for complications was required in nine patients. Rectovaginal and vesicovaginal fistulae occurred in three patients (1.5%). Local recurrence and complications vs. dose and system used were analyzed.

Adenocarcinoma↗
PubMed2000

The future of involuntary civil commitment in the U.S.A. after Kansas v. Hendricks.

This article examines new sexual predator commitment laws enacted recently in the United States to civilly commit dangerous sex offenders after they have served their prison sentences. It then examines Kansas v. Hendricks, a Supreme Court case that upheld these laws as constitutionally permitted. The article next describes the broad parameters that demarcate the government's civil commitment authority identified by the Supreme Court in that case. The author concludes that Hendricks establishes that the state has expansive civil commitment power much greater than our previous understanding. The government may use civil commitment solely to protect the public from dangerous individuals without proving a medically recognized mental disorder, recent evidence of dangerousness, or a treatment purpose or possibility. Moreover, this quarantine system may be justified by proving the same unlawful behavior for which the individual has already been criminally punished.

Adult↗