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At least 91 records · Page 5Linked to original sources
PubMed1998

Endoscopic injection of glutaraldehyde cross-linked collagen for efferent limb incompetence in the Indiana reservoir.

PURPOSE: We determined the clinical applicability, safety and efficacy of endoscopically injected glutaraldehyde cross-linked collagen for the treatment of efferent limb incompetence in the incontinent Indiana urinary reservoir. MATERIALS AND METHODS: Six patients were diagnosed with incompetence of the efferent limb of the Indiana reservoir by video urodynamics. Glutaraldehyde cross-linked collagen was injected through the efferent limb at the level of the ileocecal valve. Outcome was assessed by evaluation of dryness and pouchograms. RESULTS: With a mean followup time of 26 months (range 6 to 36) after the last injection 5 of the 6 patients were cured. The remaining patient, although improved, had a small capacity and subsequently underwent ileal patch augmentation. No patient failed to improve. The mean volume of collagen was 16 ml. (range, 5 to 26). Reservoir volume increased from 150 to 400 ml. CONCLUSIONS: The use of glutaraldehyde cross-linked collagen in the treatment of the incontinent Indiana reservoir is safe and effective.

Adult↗
PubMed1983

Prealbumin and retinol binding protein serum concentrations in the Indiana type hereditary amyloidosis.

Serum prealbumin and retinol binding protein (RBP) concentrations were determined for 68 members of a kindred in Indiana with a familial type of systemic amyloidosis. Immunohistochemical studies on rectal and muscle biopsy material from individuals with this type of amyloidosis revealed staining of amyloid deposits with anti-prealbumin. Both the serum prealbumin and RBP concentrations were significantly depressed in 9 patients with amyloidosis when compared with normal controls and unaffected kin. In addition, the mean RBP serum concentration of 21 offspring of the patients with amyloidosis was significantly depressed. A more significant finding was that on the basis of the serum RBP concentrations, the offspring could be divided into 2 distinct groups. One group represented approximately 50% of the children and had serum prealbumin and RBP concentrations not significantly different from their afflicted parents. The second group had serum prealbumin and RBP concentrations not significantly different from those of normal controls and non-affected kin. These findings show that prealbumin and RBP serum concentrations are depressed in patients with the Indiana type of hereditary amyloidosis and that these serum abnormalities may be present long before development of clinical disease. They suggest that individuals with this genetic abnormality may be identified prior to clinical expression of the disease.

Adolescent↗
PubMed2002

An assessment of injury to sediments and sediment-dwelling organisms in the Grand Calumet River and Indiana Harbor Area of Concern, USA.

This article is the first in a series of three that describe the results of a Natural Resource Damage Assessment (NRDA) conducted in the Grand Calumet River and Indiana Harbor Area of Concern (IHAOC). The assessment area is located in northwest Indiana and was divided into nine reaches to facilitate the assessment. This component of the NRDA was undertaken to determine if sediments and sediment-dwelling organisms have been injured due to exposure to contaminants that have accumulated in sediments as a result of discharges of oil or releases of other hazardous substances from industrial, municipal, and nonpoint sources. To support this assessment, information was compiled on the chemical composition of sediment and pore water; on the toxicity of whole sediments, pore water, and elutriates; and on the status of benthic invertebrate communities. The data on each of these indicators were compared to regionally relevant benchmarks to assess the presence and extent of injury to surface water resources ( i.e., sediments) or biological resources ( i.e., sediment-dwelling organisms). The results of this assessment indicate that sediment injury has occurred throughout the assessment area, with up to four distinct lines of evidence demonstrating injury within the various reaches. The primary contaminants of concern ( i.e., those substances that are present at concentrations that are sufficient to cause or substantially contribute to sediment injury) include metals, polycyclic aromatic hydrocarbons, and total polychlorinated biphenyls.

Animal Diseases↗
PubMed2002

Assessment of injury to fish and wildlife resources in the Grand Calumet River and Indiana Harbor Area of Concern, USA.

This article is the second in a series of three that describes the results of a Natural Resource Damage Assessment (NRDA) conducted in the Grand Calumet River and Indiana Harbor Area of Concern (IHAOC). The assessment area is located in northwest Indiana and was divided into nine reaches to facilitate the assessment. This component of the NRDA was undertaken to determine if fish and wildlife resources have been injured due to exposure to contaminants that are associated with discharges of oil or releases of other hazardous substances. To support this assessment, information was compiled on the chemical composition of sediment and tissues; on the toxicity of whole sediments, pore water, and elutriates to fish; on the status of fish communities; and on fish health. The data on each of these indicators were compared to regionally relevant benchmarks to assess the presence and extent of injury to fish and wildlife resources. The results of this assessment indicate that injury to fish and wildlife resources has occurred throughout the assessment area, with up to five distinct lines of evidence demonstrating injury within the various reaches. Based on the frequency of exceedance of the benchmarks for assessing sediment and tissue chemistry data, total polychlorinated biphenyls is the primary bioaccumulative contaminant of concern in the assessment area. It is important to note, however, that this assessment was restricted by the availability of published bioaccumulation-based sediment quality guidelines, tissue residue guidelines, and other benchmarks of sediment quality conditions. The availability of chemistry data for tissues also restricted this assessment in certain reaches of the assessment area. Furthermore, insufficient information was located to facilitate identification of the substances that are causing or substantially contributing to effects on fish (i.e., sediment toxicity, impaired fish health, or impaired fish community structure). Therefore, substances not included on the list of COCs cannot necessarily be considered to be of low priority with respect to sediment injury (e.g., metals, polycyclic aromatic hydrocarbons, alkanes, alkenes, organochlorine pesticides, phthalates, dioxins, and furans, etc.).

Animals↗
PubMed2000

Mixed-function oxygenases, oxidative stress, and chromosomal damage measured in lesser scaup wintering on the Indiana Harbor Canal.

During the winter of 1993-1994, male lesser scaup (Aythya affinis) were collected on the heavily polluted Indiana Harbor Canal, East Chicago, Indiana, and examined for several bioindicators of chemical exposure. Livers were analyzed for activities of three cytochrome P450-associated monooxygenases and four measures of oxidative stress. Blood and spleen were analyzed by flow cytometry for chromosomal damage. In a concurrent study, scaup tissues were analyzed for organic and inorganic contaminants. Ethoxyresorufin-O-dealkylase (EROD) activity in livers of scaup collected in January 1994 was significantly higher than in livers of scaup collected in March 1994 or in livers of reference birds. Three hepatic monooxygenase activities were each significantly correlated with polycyclic aromatic hydrocarbon (PAH) concentrations in scaup carcasses. Thiobarbituric acid (TBA) activity in scaup livers was positively correlated with iron, boron, and lead concentrations in livers and polychlorinated biphenyl concentrations in carcasses. TBA activity was negatively correlated with protein-bound thiol activity and mercury concentrations in livers. The coefficient of variation of DNA content in scaup blood cells was correlated with PAH concentrations in scaup carcasses. This is the first field study with birds to demonstrate a correlation between liver monooxygenase activity and carcass PAH concentrations and to show a direct correlation between PAH concentrations in tissues and somatic chromosomal damage in blood.

Animals↗
PubMedDate not supplied

The burden of smoking-attributable mortality among African Americans--Indiana, 1990.

Recent trends in smoking prevalence in Indiana indicate a slow decline in smoking prevalence among adults aged 18 years of age and under. Despite this decline, the smoking prevalence has remained consistently higher among Blacks compared to Whites. The purpose of this investigation was to evaluate the extent of mortality due to cigarette smoking in 1990 among Blacks and Whites in the state of Indiana. Estimates of smoking-attributable mortality (i.e., smoking-attributable mortality [SAM] and years of potential life lost [YPLL] associated with smoking in 1990 were calculated using SAMMEC, a software program developed by the Centers for Disease Control and Prevention and designed to measure the disease impact associated with cigarette smoking. Although the SAM and YPLL for Whites accounted for the greatest percentage of total SAM and total YPLL, SAM rates and YPLL rates were higher among Blacks compared to Whites, for both men and women. The SAM rate for Black men was 4% higher than that of White men and 9% higher for Black women compared to White women. Similarly, the YPLL to life expectancy rate for Black men was 7% higher than the YPLL rate for White men and 29% higher for Black women compared to White women. The greater burden of tobacco-related mortality among Blacks is evidenced through higher SAM and YPLL rates compared to Whites. It is imperative that high-risk populations be targeted at national, state, and local levels through anti-tobacco campaigns.

Adult↗
PubMed2005

Reliability of Indiana birth certificate data compared to medical records.

PURPOSE: The purpose of this study was to measure the reliability of data reported on Indiana electronic birth certificates. Knowing the accuracy of birth certificate data is crucial when identifying community health needs and evaluating birth outcomes interventions. METHODS: This study compared 1996 electronic birth certificate data on a random sample of 1050 Indiana hospital births to data abstracted from the hospital medical records for the same patients. Kappa scores, Pearson r correlation values, sensitivity, specificity, and positive predictive values of the birth certificate data were used to measure agreement. RESULTS: Parents' demographic variables had the best agreement, followed by birth outcome variables. Delivery type, cesarean indications, pregnancy history, prenatal care and mother's risk variables were found to have moderate agreement. Agreement was poor for variables measuring labor and delivery complications, obstetric procedures, concurrent illnesses, pregnancy complications, congenital anomalies, and abnormal conditions. CONCLUSIONS: The results of this study clearly show that some important descriptive and outcome data are reliable while infrequent events are generally not. The results indicate a need to improve the quality of data reported on birth certificates.

Adult↗
PubMed2005

Retroviral vector production in the National Gene Vector Laboratory at Indiana University.

The National Gene Vector Laboratory (NGVL) is a US National Institutes of Health initiative charged with providing clinical grade vectors for gene therapy trials. The program was started in 1995 and Indiana University has served as the production site for retroviral vectors and is also accepting applications for production of lentiviral vectors. The facility is designed to produce vectors for Phase I and Phase II clinical trials with the specific mandate to facilitate investigator-initiated research for academic institutions. To date, the facility has generated over 30 Master Cell Banks for gene therapy investigators throughout the United States. This required the facility to develop a system that can adapt to the varied needs of investigators, most of whom request different vector backbones, packaging cell lines, final product volumes, and media. In this review, we will illustrate some of the experiences of the Indiana University NGVL during the generation of retroviral vectors using murine-based packaging cell lines.

Animals↗
PubMed2005

Outcomes of American Lung Association-Indiana Lung Centers asthma program.

The American Lung Association of Indiana (ALA-I), in conjunction with participating Indiana hospitals, developed the Lung Center concept as a mechanism to provide standardized delivery of lung health education. The goal of this pilot study was to evaluate initial experience with the Lung Center program "Overcoming Your Asthma," a two-session asthma education program, and identify areas needing improvement. A total of 305 participants responded to a 31-item questionnaire at baseline (immediately prior to program exposure) and again at 1 month (n = 75) and 6 months (n = 30) after participation. Overall, delivery of the ALA-I Lung Center asthma education program improved respondents' experience with asthma. At one month after the educational session, the program improved participant knowledge about asthma. This was associated with modest improvements in treatment behaviors, economic outcomes and asthma symptoms such as reduced breathing difficulties, wheezing and asthma exacerbations, and improvement in sleep. Improvements were not uniformly sustained at 6 months. In summary, the Lung Center asthma education program appears to benefit patients with asthma. The results provide preliminary evidence to support continued delivery of asthma education in Lung Centers. Future efforts should emphasize education to improve treatment attitudes and behaviors.

Asthma↗
PubMed1989

Overwintering survival of Aedes albopictus (Diptera: Culicidae) eggs in Indiana.

Eggs of 12 strains of Aedes albopictus (Skuse), two strains of A. aegypti L., and one strain of A. triseriatus (Say) were tested for ability to overwinter at three outdoor locations in Indiana. Some survival of A. albopictus eggs was observed during the winters of 1986-1987 and 1987-1988. A. triseriatus had greater overwintering ability than A. albopictus; A. aegypti did not survive at all locations. Prolonged cold-conditioning and photoperiodically induced diapause increased the overwintering ability of A. albopictus eggs. Strains of A. albopictus from northern Asia and North America showed higher overwintering survival rates than A. albopictus strains from tropical Asia, Hawaii, and Brazil; strains from Indiana had greater ability to overwinter than those from Texas, Louisiana, and Florida. Results are discussed in relation to the overwintering limits of this species in the United States.

Aedes↗
PubMed1991

Collections of adult Ixodes dammini in Indiana, 1987-1990, and the isolation of Borrelia burgdorferi.

The collection records for Ixodes dammini Spielman, Clifford, Piesman & Corwin in Indiana are summarized for the period 1987-1990. In 1990, 13 of 729 deer examined were found to harbor adult I. dammini ticks. Eleven of these ticks were collected from 10 deer at a site in Newton County in northwestern Indiana. Borrelia burgdorferi spirochetes were isolated from a single female I. dammini tick collected from this site.

Animals↗
PubMed1998

Minimum infection rate of Ambylomma americanum (Acari: Ixodidae) by Ehrlichia chaffeensis (Rickettsiales: Ehrlichieae) in southern Indiana.

In 1994 and 1995, 8 cases of human monocytic ehrlichiosis were confirmed. These cases originated from southern counties where the putative tick vector Ambylomma americanum (L.) is well established. To confirm the presence of Ehrlichia chaffeensis in ticks in southern Indiana and to determine the minimum infection rate, specimens of A. americanum were collected from 5 counties (7 sites). Nucleic acid was isolated from 88 pools of ticks (430 individuals) using an optimized phenol/CTAB (cetyltrimethylammonium bromide) extraction procedure and subjected to polymerase chain reaction analysis using species-specific 16S rRNA gene bacterial primers. Twenty-one of 88 pools (a minimum of 21 of 430 individuals) were positive for the presence of E. Chaffeensis, yielding an average minimum infection rate of 4.9%. Minimum infection rates at individual sites ranged from 0 to 9.4%. These data extend the known distribution of the bacterium to 3 southern counties of Indiana and suggest a higher prevalence of E. chaffeensis than previously reported for Missouri, North Carolina, or Kentucky.

Animals↗
PubMed1989

Outpatient views on direct access to physical therapy in Indiana.

The purpose of this study was to determine the opinions of outpatients receiving physical therapy in Indiana about physical therapy evaluation and treatment without referral (direct access). Subjects were 361 individuals being treated at one of 25 privately owned clinics. Each subject completed a 15-item questionnaire. Results showed that 82.8% of the respondents supported direct access to physical therapy. A majority indicated they would seek physical therapy services without referral if they were available. Physical therapists were cited as frequently as all other health care professionals combined as the practitioners providing the most thorough evaluation. Physical therapists were cited far more often than other health care professionals combined as the practitioners providing the best information about the control of symptoms. Subjects who had received more treatments than others were significantly more likely to support direct access (p less than .05). Conclusions were that individuals who have received physical therapy at private outpatient physical therapy clinics in Indiana are supportive of direct access to physical therapy services.

Adolescent↗
PubMed1994

Content of physician referrals to physical therapists at clinical education sites in Indiana.

BACKGROUND AND PURPOSE: The content of physician referrals to physical therapists was studied as an indicator of the level of decision making required of physical therapists. SUBJECTS AND METHODS: Seventeen managers of clinical education sites in Indiana provided diagnosis and treatment information on a total of 2,267 patient referrals. RESULTS: Differential diagnoses were specified in 39.6% of the referrals, and specific treatment orders were present in 32.6% of the referrals. Outpatient referrals contained significantly fewer diagnoses (29.1%) and specific orders (28.2%) than did inpatient referrals (56.0% and 39.5%, respectively). CONCLUSION AND DISCUSSION: These results indicate that physical therapists working in clinical education sites in Indiana must frequently exercise independent decision-making skills in determining the nature of the patient complaint and the appropriate treatment for the complaint. Academic programs that choose to expose students to a full range of decision-making situations should ensure a balance between inpatient and outpatient experiences.

Humans↗
PubMed2006

The Indiana Chronic Disease Management Program.

The Indiana Chronic Disease Management Program (ICDMP) is intended to improve the quality and cost-effectiveness of care for Medicaid members with congestive heart failure (chronic heart failure), diabetes, asthma, and other conditions. The ICDMP is being assembled by Indiana Medicaid primarily from state and local resources and has seven components: (1) identification of eligible participants to create regional registries, (2) risk stratification of eligible participants, (3) nurse care management for high-risk participants, (4) telephonic intervention for all participants, (5) an Internet-based information system, (6) quality improvement collaboratives for primary care practices, and (7) program evaluation. The evaluation involves a randomized controlled trial in two inner-city group practices, as well as a statewide observational design. This article describes the ICDMP, highlights challenges, and discusses approaches to its evaluation.

Chronic Disease↗
PubMed1992

HIV/AIDS education in Indiana public schools, grades 7-12.

Indiana secondary school principals were surveyed regarding HIV/AIDS education status in their schools. A questionnaire from the Centers for Disease Control was evaluated then modified for the survey. More than 520 school principals responded to the questionnaire mailed to all 680 school principals, grades 7-12, in Indiana. Most schools offer some form of HIV/AIDS education in grades 7-12. HIV education was taught by teachers with different educational backgrounds and school roles. Almost 60% of school principals believe students are at risk for HIV infection. Tests of statistical significance were conducted with regard to principals' opinions and actual practice of HIV/AIDS education in schools. Most schools have responded to the need for HIV/AIDS education, but with a variety of formats, teaching personnel, and teacher training.

Acquired Immunodeficiency Syndrome↗
PubMed2003

A preliminary survey of health education in Indiana home schools.

The total US school enrollment of 52.7 million students in 1998 excluded an estimated 1.2 million students educated in their homes. In 1989, some 1,148 home school families enrolled with the Indiana Department of Education. Just over a decade later, some 18,260 home school families had registered, and this number continues to increase. Despite knowledge about the growing numbers of families choosing to home school, limited empirical data exists of how health education is presented in home schools or the needs of home school educators who teach health education. This preliminary study examined health education content areas taught by home school educators in Indiana. An instrument was developed, piloted, and administered to a random sample of 600 home school educators. Results indicated most home school educators taught a variety of health education topics. Three topics--first aid, physical activity and fitness, and nutrition and diet--were taught most frequently in the health curriculum of home schools. Violence prevention, suicide prevention, and consumer health were covered less frequently in the health curriculum. Health was typically taught in a nonstructured, teachable moment format. Implications for coordinated school health programs and suggestions for further research are discussed.

Health Education↗
PubMed2002

A pilot study of oncology staff perceptions of palliative care and psycho-oncology services in rural and community settings in Indiana.

Although there has been an increased interest in health care delivery for rural community populations, concerns remain regarding the lack of access to primary health care and specialty services (such as palliative care), particularly in rural areas that are medically underserved (MU). This survey was conducted to examine the perceptions of palliative care services in rural communities and toward identifying perceived barriers that interfere with accessing palliative care services. In conducting the study, personnel from various disciplines throughout the Community Cancer Care (CCC) network (the largest private provider of oncology services in Indiana) completed a survey that assessed their perceptions of the strengths and weaknesses of the available palliative care services in their communities. These responses, which indicate discrepancies in perceptions among staff within sites, suggest problems of integration of palliative care in given locations. Results revealed three particularly problematic areas: accessing pain control, accessing psychological or psychiatric services or both, and overcoming barriers to hospice care. Although no significant differences were found for any variables between MU and adequately medically served (AMS) areas, in general palliative care is limited and unintegrated into oncology care. Confusion among staff at a particular oncology program likely contributes to the haphazard delivery and poor integration of palliative care. Conclusions are tempered by important study limitations but the results suggest the need for programs that improve delivery of palliative care in rural Indiana.

Analysis of Variance↗