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At least 505 records · Page 28Linked to original sources

Epidemic influenza in a hill tribe of northwest Thailand.

An investigation of an epidemic of respiratory disease in a remote region of northwest Thailand revealed Influenza A/H3N2 as the etiologic agent. This epidemic would not have been recognized were it not for an unusual increase in respiratory disease following a meeting attended by residents of many villages. The influenza strains isolated most closely resembled A/Port Chalmers/1/73 when tested by hemagglutination inhibition but showed consistent antigenic differences when tested by quantitative neutralization. It is suggested that the differences noted between this strain and influenza viruses isolated elsewhere may have been due to the sequential transmission of influenza through partially immune people.

Child↗

An occupational therapy life skills curriculum model for a Native American tribe: a health promotion program based on ethnographic field research.

A unique, nontraditional occupational therapy role focusing on primary prevention, community health promotion, and enhancement for a nonpatient population is examined. The purpose of this ongoing consultancy project was to develop a series of life skills and prevocational programs for an ethnic population of native Americans from elementary school through high school and post-secondary adulthood levels in British Columbia, Canada, from 1986 to 1990. This consultancy evolved from a philosophy of renewing and preserving the culturally distinct ethnic heritage and tribal integrity of this native American community. Knowledge about sociocultural systems theory, anthropology, and developmental cognitive-behavioral learning theories are combined with ongoing clinical experience in psychosocial occupational therapy practice and consultancy principles to develop life skills and an educational, community-based prevention/wellness educational program model. Subsequent modifications of the original model, with consultancy recommendations for implementation of future programs, are based on tribal members' feedback and concerns elicited with psychosocial and ethnographic interviewing techniques during villager community meetings. The replicability of this primary prevention and wellness life skills program model offers numerous possibilities for occupational therapists to develop similar programs within the cultural contexts and perceived needs of specific ethnic groups in other nontraditional community-based settings.

Activities of Daily Living↗

Diastolic heart failure in older people--myth or lost tribe?

Left ventricular diastolic dysfunction occurs due to a variable combination of abnormal myocardial relaxation and reduced ventricular compliance. The diagnosis of diastolic congestive heart failure is controversial. Some studies suggest that up to one-third of older people with symptomatic congestive heart failure (CHF) have echocardiograph evidence of diastolic dysfunction. Other authors have suggested the comorbid diseases often found in persons with suspected diastolic CHF explain the patient's symptoms and hence diastolic CHF is a misdiagnosis in many cases. Many of the characteristic echo features of diastolic dysfunction occur in normal ageing hearts. Unlike in systolic CHF, evidence for disease modifying treatment is lacking. Clinical trials currently in progress to determine the effectiveness of ACE inhibitors and angiotensin II receptor antagonists in the management of diastolic CHF may clarify the prognosis and management of this condition.

Aged↗

Office of Human Development Services--Grants to Indian tribes for social and nutrition services. Final rule.

The Administration on Aging (AoA), in the Office of Human Development Services, is issuing final regulations for a new program for older Indians authorized by Title VI of the Older Americans Act, as amended. The purpose of this program is to promote the delivery of social and nutrition services for older Indians comparable to the services provided through the State and Community Programs on Aging, under Title III of the Act. Eligible tribal organizations will be able to apply for direct funding to pay the costs of providing social and nutrition services to Indians at 60 and older, including the acquisition, alteration, or renovation of multipurpose senior centers.

Aged↗

Low birth weight in relation to sex of baby, maternal age and parity: a hospital based study on Tangsa tribe from Arunachal Pradesh.

Records of 151 Tangsa singleton live births over a period of 4 years at the Nampong Primary Health Centre of Nampong Circle of the Changlang district of Arunachal Pradesh were analysed to examine the effect of sex of baby, mother's age and parity on the incidence of low birth weight. The occurrence of low birth weight was 28.48% and only 4.64% of newborns weighed 2000 g or less. The mean birth weight was found to be 2806.95 +/- 39.32 g. Female babies had a significantly higher incidence of low birth weight than male babies. Parity was found to be significant influence on the incidence of low birth weight. An increase of low birth weight babies was noticed after 4th parity and the best outcome was also observed at this parity. The higher incidence of low birth weight was found in the 5+ parity. Young mothers (< 20 years) had also higher incidence of low birth weight and mother's age had no significant effect on the incidence of low birth weight.

Chi-Square Distribution↗