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PubMed2003

Recruitment, retention and matriculation of ethnic minority nursing students: a University of Mississippi School of Nursing approach.

According to Bednash (2000), the future of health care pivots on an adequate supply of appropriately educated and skilled professional registered nurses. Recognizing the long history of and the struggles by African-American (AA) nurses for education and equality in the nursing profession, it is essential that more African-American students be recruited, retained, and matriculated into the profession of nursing. African-American nurses have always contributed to the care of the poor and the sick and played a decisive role in the improvement of the health of their communities. The Bureau of Health Professions Division of nursing (March 2000) reported that 86.6 percent of the registered nurse population were white while 12.3 percent represented racial and ethnic minority groups. Given the current racial/ethnic background of the registered nurse population in the United States, there is an obvious disparity in the representation of minorities in the nursing profession, in spite of the increasing number of minorities represented in the general population. Thus, the purpose of this paper is to document strategies that are used to actively recruit, retain, and graduate ethnic minority students from the University of Mississippi Medical Center (UMMC) School of Nursing (SON).

Black or African American↗
PubMed2002

Engaging community members in health policy processes: a Mississippi example.

Legislation, such as the federal Personal Responsibility and Work Opportunity Reconciliation Act (1996), the Balanced Budget Act of 1997, and the authorization of federally-funded health insurance coverage for children (State Children's Health Insurance or SCHIP) continues the shift of assigning increased power and responsibility for health and human services "safety net" programs from the federal level to the state level. Known as "devolution," this complex shifting of responsibility and accountability continues to evolve with increasing transference of authority, control, and administration of social programs to local governments. Such changes require an informed citizenry and, hence, demand grassroots capacity building activities around public policy issues. This article describes a project designed to build the capacity of community-based organizations in several cities in Mississippi to become involved in health care policy activities. The primary purpose of this project was to inform and organize community members around improving health policies for low-income children and families.

Child↗
PubMed2005

A regional food-frequency questionnaire for the US Mississippi Delta.

OBJECTIVE: To describe food sources of nutrient intake for white and African American adults in the Lower Mississippi Delta (LMD), and their use in the development of a regional food-frequency questionnaire (FFQ) based on an earlier version of the National Cancer Institute's Health Habits and History Questionnaire. DESIGN: We ranked food sources of energy, macronutrients, vitamins and minerals, and examined portion size distributions for 842 white and 857 African American residents aged 19 years and older, using 24-hour dietary intake recall data from a telephone survey of 36 LMD counties. These values were used to develop a regional FFQ, which was then field-tested with 100 subjects and revised to improve interpretability. SETTING: The LMD region of the USA. SUBJECTS: White and African American adult residents of the LMD. RESULTS: LMD African Americans obtained more of their energy and nutrient intakes from poultry, processed meat, salty snacks, fruit drinks, pork and cornbread; and less from milk, alcohol, legumes, salad dressing, butter/margarine and sweetened tea than did white residents. Regional foods not on nationally used FFQs included grits, turnip greens, okra, ham hocks, chitterlings, crawfish, catfish, cracklings, jambalaya, potato logs, chicken and dumplings, and sweet potato pie. Based on responses during field-testing, the questionnaire was also designed to add four portion sizes for each food item, presented as questions, rather than in grid format. CONCLUSIONS: Regional food use patterns differ from national patterns and furthermore differ between African American and white adults in the LMD. The resulting Delta NIRI FFQ for Adults should contribute to improved assessment of usual intake for use in studies of diet and health in this region.

Adult↗
PubMed2005

Human exposure to mosquito-control pesticides--Mississippi, North Carolina, and Virginia, 2002 and 2003.

Public health officials weigh the risk for mosquito-borne diseases against the risk for human exposure to pesticides sprayed to control mosquitoes. Response to outbreaks of mosquito-borne diseases has focused on vector control through habitat reduction and application of pesticides that kill mosquito larvae. However, in certain situations, public health officials control adult mosquito populations by spraying ultra-low volume (ULV) (<3 fluid ounces per acre [oz/acre]) mosquito-control (MC) pesticides, such as naled, permethrin, and d-phenothrin. These ULV applications generate aerosols of fine droplets of pesticides that stay aloft and kill mosquitoes on contact while minimizing the risk for exposure to persons, wildlife, and the environment. This report summarizes the results of studies in Mississippi, North Carolina, and Virginia that assessed human exposure to ULV naled, permethrin, and d-phenothrin used in emergency, large-scale MC activities. The findings indicated ULV application in MC activities did not result in substantial pesticide exposure to humans; however, public health interventions should focus on the reduction of home and workplace exposure to pesticides.

Environmental Exposure↗
PubMed1992

Graduate follow-up in the University of Mississippi family practice residency program.

Practice profiles in 120 University Medical Center Department of Family Medicine residency graduates were assessed by questionnaire and follow-up telephone calls. Physician credentials, career satisfaction, and evaluation of residency training were also addressed. Findings include some preferences for partnership or group practice settings and practices in communities of less than 25,000. Eighty percent of graduates remain in Mississippi, and most are satisfied with their careers and the residency training they received. Changing patterns in areas such as obstetrical care provided and Medicare/Medicaid acceptance suggest new surveys may be needed to provide the department with information that will assist in meeting its goals.

Adult↗
PubMed2006

Human rabies--Mississippi, 2005.

On September 27, 2005, a previously healthy boy aged 10 years in Mississippi died from encephalitis later attributed to rabies. This report summarizes the patient's clinical course and the subsequent epidemiologic investigation, which implicated exposure to bats at the boy's home as the likely source of rabies. The findings underscore the importance of recognizing the risk for rabies from direct contact with bats and seeking prompt medical attention when exposure occurs.

Animals↗
PubMed2006

Morbidity surveillance after Hurricane Katrina--Arkansas, Louisiana, Mississippi, and Texas, September 2005.

Hurricane Katrina made landfall on the U.S. Gulf Coast on August 29, 2005. Thousands of Gulf Coast residents evacuated and dispersed across the country, moving into hotels, private homes, and evacuation centers (ECs) in 30 states and the District of Columbia (DC). One goal of public health responders was to identify and prevent hurricane-related morbidity and mortality among affected populations, especially among those with limited access to health care and those who were living in crowded conditions. This report summarizes the challenges of conducting national surveillance after Hurricane Katrina, focusing on the role of CDC in coordinating surveillance and consolidating and interpreting morbidity data from jurisdictions that used diverse surveillance approaches. Aggregate morbidity data that were reported through Arkansas, Louisiana, Mississippi, and Texas to CDC during September 1-22, 2005 (before the Gulf Coast landfall of Hurricane Rita on September 24) are presented from ECs and health-care facilities (HCFs) that served affected populations in these states. Chronic diseases and injuries were the most common conditions reported by ECs and HCFs, respectively. To better prepare for future large-scale disasters with widespread impact, public health agencies and other partners are actively working to establish standardized guidelines and tools for morbidity surveillance. These guidelines will facilitate the interpretation and exchange of health information among multiple jurisdictions and public and private agencies during a disaster response to identify outbreaks and monitor health concerns.

Arkansas↗
PubMed1989

Hospital emergency departments in Mississippi.

This paper is a descriptive study of hospital emergency departments in Mississippi. Hospital emergency departments are analyzed according to the number of patient visits per day and the services available. The data indicate that rapid access of a trauma patient to a high volume, broad service emergency department is difficult in much of the state. The authors encourage the state to utilize recommendations of the American College of Surgeons to develop a statewide emergency medical system. They maintain that such a system would better match existing resources with the needs of emergency patients.

Emergency Service, Hospital↗
PubMed1989

Update on street drugs in Mississippi.

Drug abuse is on the rise in Mississippi. Treatment centers across the state report significant increases in substance abuse cases. Consequently, family physicians must have the most current, accurate information available and the skills with which to treat either an acute crisis or the chronic problems related to drug abuse. The authors present an overview of the clinical presentations and management of some of the most widely used designer drugs: crack, ecstasy and PCP.

Adult↗
PubMed1979

Frequency of selection of food groups by low-income families in southwestern Mississippi.

Food resources and frequency of food use of 1,000 households in Claiborne County in southwestern Mississippi were studied and related to income and educational level of the family heads. Income and educational levels of the family heads were much lower than the national average. The data on food frequency use indicated that the meal patterns of these households could not provide sufficient nutrients for individual family members. Income and educational levels of the family heads correlated highly with food frequency scores. The households with higher incomes and more education had better food consumption patterns than those with lower incomes and less education. However, income had more effect on low nutrient intake than education.

Adolescent↗
PubMed1979

Nutrient intake of low-income, black families in southwestern Mississippi.

A dietary intake study for 250 low-income households in Claiborne County in southwestern Mississippi was conducted from June through August 1974. Data were obtained during daily home visits for seven days by trained college students. The adequacy of nutrient intake for individuals was evaluated by comparing the data with the 1974 Recommended Dietary Allowances by age and sex. The data was also compared with those of the Ten-State Nutrition Survey and HANES. Mean intakes of protein, vitamin A, thiamin, riboflavin, and ascorbic acid for all subjects were above the RDAS; those of energy, calcium, iron, and preformed niacin were below the allowances. Whereas calcium was the nutrient least adequately consumed by all persons, protein was most adequately consumed. Sixty per cent of children had calcium intakes below two-thirds of the allowance. By sex, 66.7 per cent of all males and 73.3 per cent of all females had calcium intakes below two-thirds of the standard. None of children received less than two-thirds of the allowance for protein. Nutrient intake was low for a substantial number of the subjects. Adolescents, ages eleven to eighteen years, of both sexes had the poorest diets for all nutrients. Regarding the sex difference, females had better nutrient intakes than did males for all nutrients except calcium and iron.

Adolescent↗
PubMed1984

Food resources of low-income households in Southwest Mississippi.

Demographic data and food resources were studied for 1,400 households in seven counties in Southwest Mississippi. The results were compared for industrialized and non-industrialized counties and the urban areas. Household incomes and the educational levels of household heads were far below the national level. Hunger is still prevalent among those with the lowest incomes and the least education. Since most of the household heads with lower incomes either were unemployed or had unskilled jobs, the government was their main food resource. Welfare accounted for 25% and Food Stamps for 30%. The next important source was the school. Such critical conditions as lower income, limited education, unemployment, hunger, and need for government assistance were more prevalent in non-industrialized counties than in industrialized counties and the urban areas. The government assistance programs for food are necessary to prevent hunger, to maintain nutritional adequacy, and, consequently, to reduce medical bills. This is especially true for the poverty-level families, who need the federal food programs for daily survival.

Educational Status↗
PubMed1984

Comparison of dietary energy intakes and sources by race, sex, and age for adults in Mississippi.

Energy intake and sources and alcohol and caffeine consumption of 384 Mississippians older than 34 were studied by 24-hour recall. The data were compared by race, sex, and age. Whites consumed more energy and had more adequate energy intake than blacks. Energy intake was more adequate in women than in men. The mean protein intake for all groups, except black men, was in excess of the Recommended Dietary Allowance (RDA). Protein represented 12% of the calories consumed daily by whites and 14% by blacks. Both figures are slightly more than the RDA for this age group. Whites consumed 66 gm fat and blacks 56 gm, representing 33% of total energy for whites and 38% for blacks. The mean cholesterol consumption was 339 mg for blacks and 310 mg for whites. Men consumed slightly more cholesterol than women. Whites consumed 334 gm total carbohydrates and blacks 202 gm. Starch and sugar provided 59% of total energy for whites and 52% for blacks. Whites drank 4 times more alcohol than blacks, with alcohol representing 3% of energy for whites and 1% for blacks. Whites consumed 2.5 times more caffeine than blacks. Young individuals consumed more caffeine than older ones. This study clearly shows a significant racial difference in energy content and sources in the diet of adults in Mississippi.

Adult↗
PubMed1978

Mirex incorporation in estuarine animals, sediment, and water, Mississippi Gulf Coast--1972-74.

Analysis of mirex residues in estaurine animals, sediments, and waters collected from the Mississippi Gulf Coast in 1972-74 showed the following ranges of concentrations: seston, 200-3000 ppb; molluscs, 36-500 ppb; fish, 0-259 ppb; sediment, 3-5ppb; and water, 0-0.01 ppb. These data indicate that mirex in aquatic environments is localized in animal tissues and bottom substrate and that only a negligible amount is incorporated in the water.

Animals↗
PubMed1980

Use of selected freshwater bivalves for monitoring organochlorine pesticide residues in major Mississippi stream systems, 1972-73.

Seven species of freshwater Pelecypoda, Amblema costata, Corbicula manilensis, Elliptio crassidens, lampsilis anadontoides, Lampsilis claibornensis, Megalonaias gigantea, and Plectomerus dombeyanus, were collected and monitored for pesticide content during 1972 and 1973. Thirteen collection sites, representing five major river basins in the state of Mississippi, were sampled and compared. During the 24-month study, 26 water samples and 58 claim samples from the five river basins were analyzed. Individual samples weighed from 8 g to 20 g and consisted of 1-30 clams, depending on size. Residues of toxaphene and methyl parathion were found only in 1973 water samples. The study shows that freshwater clams are effective monitors of pesticide content. The tendency of clams to concentrate pesticides and their corresponding ability to eliminate them varies with species. Significant reductions in DDT and a corresponding buildup of p,p'-TDE were noted in 1973, following the limitations on the use of DDT and large-scale flooding throughout the state.

Animals↗
PubMed1995

Chancroid detected by polymerase chain reaction--Jackson, Mississippi, 1994-1995.

Chancroid is a sexually transmitted disease (STD) caused by infection with Haemophilus ducreyi and is characterized by genital ulceration. Chancroid is underreported in the United States (1), reflecting, in part, difficulties in diagnosis because of clinical similarities between chancroid and other ulcerative STDs. In addition, laboratory confirmation by culture is 53%-84% sensitive and often is unavailable in clinical settings (2). In September 1994, clinicians at the District V STD clinic of the Mississippi State Department of Health (MSDH) in Jackson reported examining patients with genital ulcers characteristic of chancroid but lacked capacity to confirm the diagnosis. To determine the cause of the ulcers, MSDH, in conjunction with CDC, conducted an investigation of all patients with genital ulcers examined at the Jackson STD clinic during October 20, 1994-February 1, 1995. This report summarizes the findings of the investigation.

Adolescent↗
PubMed1994

Variance in substance use between rural black and white Mississippi high school students.

The purpose of this study was to determine the extent to which the use of substances varies between black and white students in a sample of primarily rural Mississippi adolescents. It was found that black adolescent males were significantly less likely than white adolescent males to drink alcohol, get drunk, smoke cigarettes, use smokeless tobacco, hallucinogens, and sedatives. Black adolescent females were significantly less likely than white adolescent females to drink alcohol, get drunk, smoke cigarettes, and use marijuana. Differences in proportions of black and white females were more pronounced than differences between black and white males. Possible reasons for these differences are explored.

Adolescent↗