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PubMedDate not supplied

City of Faith Medical and Research Center, Tulsa, Oklahoma.

The gold towers of the City of Faith command the viewer's attention as they soar into the Tulsa sky. Built by Evangelist Oral Roberts, the City of Faith combines a 60-story clinic and diagnostic center, a 30-story full-service hospital and a 20-story research center on one 80-acre site adjacent to the Oral Roberts University campus. Due in part to their futuristic architectural features, the campus and the City of Faith are one of the top tourist attractions in Oklahoma. Construction began in early 1978. The clinic, first opened in June 1981 with nine physicians, is now staffed with more than 80, all with faculty appointments to the Oral Roberts School of Medicine. The hospital accepted its first patient in November, 1981 and is currently certified for 294 beds (final plans call for a total of 777). The research center began operations last June and focuses on cancer, heart disease, arthritis, diabetes and geriatrics. Built entirely through contributions from followers of the Oral Roberts Ministries, the debt-free City of Faith is expected to cost more than $500 million when completed in 1988.

Central Supply, Hospital↗
PubMed2001

Wireless telephone-hearing aid electromagnetic compatibility research at the University of Oklahoma.

A multiphase study examining electromagnetic compatibility (EMC) between wireless digital telephones and hearing aids has been under way at the University of Oklahoma EMC Center since May 1995. In a phase 1 clinical study involving 68 hearing aid wearers, interference varied significantly by telephone technology, hearing aid type, and hearing loss characteristics. More than 80 percent of the tests resulted in either no interference or a detection threshold distance less than 1 meter. Metallic shielding of the units yielded positive results. Various elements of phase 2 involved instrument-based tests of hearing aid interference using telephones in a sound-isolation chamber and radio frequency signals in a waveguide, along with clinical studies of speech-to-interference ratios, all leading to the development of standards of measurement and performance criteria for telephone emissions and hearing aid immunity. Results to date confirm that bystander interference is of less concern than user interference, which is the focus of continuing research.

Electromagnetic Phenomena↗
PubMed2001

Update on nursing home care in Oklahoma.

In Oklahoma approximately 36,000 people live in a nursing home. This article reviews those initiatives by Medicare, the Health Care Finance Administration (HCFA), and the American Medical Directors' Association to improve the quality of care that physicians and nurses provide to residents in long-term care facilities, specifically nursing homes.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2001

The impact of the Oklahoma City bombing on children in the community.

This study examined the influence of exposure on post-traumatic stress symptomatology in children following the 1995 Oklahoma City bombing. Over 2,000 children were surveyed 7 weeks after the bombing. Initial reaction and emotional exposure were important predictors of post-traumatic stress symptomatology in the full sample. Children who reported no physical or emotional exposure had significantly lower scores than exposed children on television viewing, initial reaction, and post-traumatic stress symptomatology. Within the nonexposed group, those with high television exposure had significantly more post-traumatic stress symptoms. Children with strong initial reactions should be followed over time, and disaster-related television viewing should be carefully monitored.

Child↗
PubMed2001

Tularemia--Oklahoma, 2000.

In June 2000, seven cases of tularemia were reported to the Oklahoma State Department of Health (OSDH) over an 18-day period. Enhanced tularemia surveillance by OSDH during July-September 2000 detected four additional cases. During 1995-1999, an average of six cases were reported each year. This report summarizes clinical and epidemiologic information from the investigation of the 11 cases, presents three case reports to illustrate different risk factors for tularemia, and underscores the danger of delayed diagnosis of tularemia and the risk for acquiring tularemia in laboratory settings. Physicians should consider tularemia in ill persons with fever who reside in or visit areas where the disease is endemic and who have been exposed to ticks or carcasses or tissue from rabbits or other animals.

Adolescent↗
PubMed2002

Canadian prescription drug importation programs contain risks for Oklahoma physicians.

In response to high prescription drug prices in the United States, several services have attempted to make prescription drugs available directly from Canadian pharmacies, which often can sell the drugs at a significantly cheaper price. Normally, a patient must have his physician become directly involved in this process in order to import the drugs from Canada. Although it is understandable for a physician to want to help a patient in this manner, there are several potential risks for an Oklahoma physician participating in these programs. In addition, there is significant risk the patient may not be getting the drugs prescribed.

Canada↗
PubMed1976

Acanthocephalus tahlequahensis sp. n. (Acanthocephala: Echinorhynchidae) from the the stippled darter, Etheostoma punctulatum (Agassiz), in northeastern Oklahoma.

Acanthocephalus tahlequahensis sp. n. was recovered from the intestines of 4 species of freshwater fishes, Etheostoma punctulatum, E. spectabile, Nocomis asper, and Notropis pilsbryi, collected in northeastern Oklahoma. The new species is distinguished from all other species of Acanthocephalus, except A. japonicus (Fukui and Morisita 1936) Petrochenko 1956, and A. fluviatilus Paperna 1964, by having smaller proboscis hooks. The length of the proboscis hooks for males is 27 to 38 (33) mum and for females 35 to 46 (42) mum. A. tahlequahensis is smaller than either A. japonicus or A. fluviatilis, and has about half the number of longitudinal rows of proboscis hooks of A. japonicus and half the number of proboscis hooks in each longitudinal row of A. fluviatilus. In addition to having smaller hooks. A. tahlequahensis differs from other species of Acanthocephalus parasitizing North American fishes by its smaller, spindle-shaped trunk and more hooks in each longitudinal row.

Acanthocephala↗
PubMed2004

Spinal cord injuries due to falls from hunting tree stands in Oklahoma, 1988-1999.

Serious injuries resulting in paralysis or death have been shown to occur to hunters who have sustained falls from tree stands. A total of sixteen spinal cord injuries or deaths among Oklahoma hunters falling from tree stands were reported between 1987 and 1999. The mean height of the falls was 16.4 feet. Three (18.8%) of the cases were related to substance use. None of the patients were using a safety restraint. Nearly 90% of the injuries resulted in paraplegia/paresis; two (12.5%) of the injuries resulted in death. Forty-four percent of the spinal injuries occurred at the thoraco-lumbor junction (T12 or L1). Burst fractures were the most common fracture pattern. Hospitalizations averaged 19.6 days (range 3 to 73 days) and eight (50%) were discharged to inpatient rehabilitation facilities. Falls from tree stands can result in serious injuries or death. Hunter education and the use of safety harnesses for prevention of injuries related to tree stands are paramount.

Accidental Falls↗
PubMed2004

Update: investigation of rabies infections in organ donor and transplant recipients--Alabama, Arkansas, Oklahoma, and Texas, 2004.

On July 1, 2004, CDC reported laboratory confirmation of rabies as the cause of encephalitis in an organ donor and three organ recipients at Baylor University Medical Center (BUMC) in Dallas, Texas. Hospital and public health officials in Alabama, Arkansas, Oklahoma, and Texas initiated public health investigations to identify donor and recipient contacts, assess exposure risks, and provide rabies postexposure prophylaxis (PEP). As of July 9, PEP had been initiated in approximately 174 (19%) of 916 persons who had been assessed for exposures to the organ recipients or the donor. As a result of its public health investigation, the Arkansas Department of Health determined that the donor had reported being bitten by a bat (Frank Wilson, M.D., Arkansas Department of Health, personal communication, 2004).

Alabama↗
PubMed2004

Oklahoma and the issue of tobacco.

Tobacco use, particularly cigarette smoking, continues to be the leading cause of preventable morbidity and mortality in the United States. An important public health issue, this has been the focus of much study. Several organizations have issued statements and recommendations for handling this issue. Reducing tobacco use is a key component of Healthy People 2010, the national action plan for improving the health of all Americans. The Surgeon General, Agency for Healthcare Research and Quality (AHRQ) and the U.S. Preventive Services Task Force (USPSTF) have put forth valuable guidelines concerning preventive services in the primary care setting, and programs such as Putting Prevention into Practice (PPIP) and state based initiatives have aimed to implement them. States that have taken these messages to heart and acted upon them to fully implement these preventive measures and interventions have had significant success, most notably Oregon, California and Massachusetts. In less than a decade, the Massachusetts Tobacco Control Program has evolved into one of the leading public health initiatives of our time. Perhaps by learning from their successes we can bring about a similar change in the state of Oklahoma.

Health Promotion↗
PubMed2004

Social and cultural barriers to diabetes prevention in Oklahoma American Indian women.

INTRODUCTION: The prevalence of diabetes is disproportionately higher among minority populations, especially American Indians. Prevention or delay of diabetes in this population would improve quality of life and reduce health care costs. Identifying cultural definitions of health and diabetes is critically important to developing effective diabetes prevention programs. METHODS: In-home qualitative interviews were conducted with 79 American Indian women from 3 tribal clinics in northeast Oklahoma to identify a cultural definition of health and diabetes. Grounded theory was used to analyze verbatim transcripts. RESULTS: The women interviewed defined health in terms of physical functionality and absence of disease, with family members and friends serving as treatment promoters. Conversely, the women considered their overall health to be a personal issue addressed individually without burdening others. The women presented a fatalistic view of diabetes, regarding the disease as an inevitable event that destroys health and ultimately results in death. CONCLUSION: Further understanding of the perceptions of health in at-risk populations will aid in developing diabetes prevention programs.

Adult↗
PubMed2005

Essentials of hospice: what every Oklahoma physician needs to know, Part II.

Every physician, regardless of specialty, must advocate and facilitate patient access to comprehensive palliative and hospice care as their patients enter the last phase of life due to advanced disease or a terminal condition. Accordingly, physicians must become familiar with both the general and the disease-specific eligibility guidelines for hospice, the different levels of hospice care, physician re-imbursement for hospice patient care, and become knowledgeable in advance health care planning. The latter includes an understanding of Oklahoma's DNR law and the Advance Directive for Health Care (Living Will) law. Physician proficiency in the palliation of pain and non-pain symptoms that occur in patients at end-of-life is critical to alleviate patient suffering and to ensure the patient's peaceful dying.

Advance Directives↗
PubMed2004

Essentials of hospice: what every Oklahoma physician needs to know, Part I.

Every physician, regardless of specialty, must advocate and facilitate patient access to comprehensive palliative and hospice care as their patients enter the last phase of life due to advanced disease or a terminal condition. Accordingly, physicians must become familiar with both the general and the disease-specific eligibility guidelines for hospice, the different levels of hospice care, physician re-imbursement for hospice patient care, and become knowledgeable in advance healthcare planning. The latter includes an understanding of Oklahoma's DNR law and the Advance Directive for Health Care (Living Will) law. Physician proficiency in the palliation of pain and non-pain symptoms that occur in patients at end-of-life is critical to alleviate patient suffering and to ensure the patient's peaceful dying.

Advance Directives↗
PubMedDate not supplied

Oklahoma Nurses Association 2005 House of Delegates resolution. The Nightingale tribute.

Nursing is a calling, a way of life. Nursing is a service profession that can not be lived in isolation. Nurses rely on each other for the synergistic effect of teamwork in our efforts of care giving. It is appropriate that we honor our colleagues not only during their career, but also at the end of life's journey. The Nightingale Tribute is a way of honoring our colleagues at the end of life's journey. The Tribute has been fully developed and piloted by the Kansas State Nurses Association. A brochure describing The Nightingale Tribute for use by funeral homes and those presenting the Tribute is available free online at http://www.nursingworld.org/snas/ks/index.htm The purpose of bringing this action report to the ONA HOD is to encourage the use of The Nightingale Tribute in Oklahoma.

Ceremonial Behavior↗
PubMed1991

Cardiovascular risk factor prevalence in African-American adult screenees for a church-based cholesterol education program: the Northeast Oklahoma City Cholesterol Education Program.

The status of selected cardiovascular risk factors was ascertained in a consecutive sample of 661 (222 men and 439 women) African-American adults who were screened for the Northeast Oklahoma City Cholesterol Education Program, a church-based cholesterol intervention program. Hypertension was present in 48.4% and 44.7% of men and women, respectively. Average systolic blood pressure levels were similar in men and women (132.0 vs 131.5 mm Hg, P = 0.40) although average diastolic blood pressure levels were higher in men (84.0 vs 81.1 mm Hg; P < .0001). A substantial proportion of the screenees were unaware of their hypertension, and blood pressure normalization (SBP < 140 and DBP < 90 mm Hg) was uncommon in drug-treated hypertensives. Average cholesterol levels were slightly higher in women compared to men (206.0 vs 199.6 mg/dL, P = 0.11). The majority of persons with elevated cholesterol levels (> or = 240 mg/dL) were unaware of their condition and were infrequently treated with cholesterol-lowering drugs. Overweight was highly prevalent, was more common with advancing age, and was related to the presence of hypertension in both men and women. In addition, a strong linear relation between overweight and blood pressure was present in both sexes. Overweight was more common in young men (< 35 years old) compared to age-matched women; however, women were increasingly more overweight than men after 35-44 years of age. In fact, by age 65, 90% of the women were overweight. These data indicate an excessive prevalence and high mean levels of modifiable cardiovascular risk factors in these church-attending African-American adults. Because churches are a central institution in most African-American communities, and their congregations appear to have an excessive cardiovascular disease risk factor burden, churches may be appropriate sites for the implementation of community-based risk factor control programs.

Adult↗
PubMed1991

Lay midwives in Oklahoma.

Since the 1970s a trend towards home birth has sparked a strident debate among obstetric practices and lay midwives which concerns the most valuable member of our society: newborn infants. This paper focuses specifically on lay midwives. Their situation in the country as a whole and in Oklahoma in particular is discussed. The state has ignored the existence of these practitioners, forcing the medical establishment to deal with the consequences of unsafe deliveries.

Attitude of Health Personnel↗