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At least 991 records · Page 55Linked to original sources
PubMed1993

The Lifestyle Criminality Screening Form and Antisocial Personality Disorder: predicting release outcome in a state prison sample.

The Lifestyle Criminality Screening Form (LCSF) was compared with a clinical diagnosis of Antisocial Personality Disorder for the purposes of determining the relative efficiency of each measure in predicting the release outcome of 100 medium security New Mexico state prisoners. An 18-month follow-up revealed that high LCSF scores (total score > or = 10) and clinical diagnoses of Antisocial Personality Disorder effectively identified inmates who were eventually reincarcerated for a parole violation or new offense. However, because substantial overlap occurred between these two predictors (kappa = .58) partial correlations were calculated and revealed that only the LCSF displayed a robust relationship with release outcome independent of the other predictor measure.

Adult↗
PubMedDate not supplied

Hispanic ethnicity, physician-patient communication, and antidepressant adherence.

The purpose of the study was to examine how Hispanic ethnicity influenced physician-patient communication about antidepressants and antidepressant adherence using a data set of audiotapes and transcripts of 98 medical visits and medical and pharmacy records. The data were collected in 1995 at the University of New Mexico's general medicine and family practice clinics. Physicians were more likely to state antidepressant information to non-Hispanic white patients than to Hispanic patients. Physicians were more likely to state information to patients who were prescribed new antidepressants. Physicians asked approximately one of five patients on continued therapy how well their antidepressants were working and only one of 10 patients if they were experiencing any side effects. Non-Hispanic white patients were significantly more likely to state information about their antidepressants than Hispanic patients. Younger patients and patients who were prescribed new antidepressants were more likely to ask questions about antidepressants. Hispanic patients and patients who were prescribed new antidepressants were significantly less adherent to their antidepressant therapy during the one hundred day period after their audio-taped visits than non-Hispanic white patients and patients on continued therapy.

Adult↗
PubMed1975

The paleoepidemiology of porotic hyperostosis in the American Southwest: Radiological and ecological considerations.

Porotic hyperostosis was observed in 34 percent of 539 crania excavated from sites in Arizona and New Mexico. Common causes of this cranial pathology in the Old World (thalassemia, sickel cell anemia, and malargia) do not explain its occurrence in the American Southwest, as malaria and hemoglobinopathies are not known to have existed in the New World prior to European contact. Iron deficiency anemia which may also be assoicated with porotic hyperostosis occurs on a mass level only with hookworm infestation or nutritionally-related iron deficiency. Since hookworm infestation is rare in the American southwest and has not been reported in prehistoric southwestern American Indians, the hypothesis of nutritional anemia was examined. In canyon bottom sites where the diet was heavily dependent on maize, which is low in iron and also contains an inhibitor of iron absorption, significantly more crania had porotic hyperostosis than in sage plain sites, where the diet included ample animal protein rich in easily absorbable iron (p less than .001). Furthermore, canyon bottom children, who were more susceptible to iron deficiency anemia, had a higher incidence of porotic hyperostosis lesions than adults (p less than .0001).

Adult↗
PubMed1999

Conditional uncertainty analysis and implications for decision making: the case of WIPP.

Uncertainty analyses and the reporting of their results can be misinterpreted when these analyses are conditional on a set of assumptions generally intended to bring some conservatism in the decisions. In this paper, two cases of conditional uncertainty analysis are examined. The first case includes studies that result, for instance, in a family of risk curves representing percentiles of the probability distribution of the future frequency of exceeding specified consequence levels conditional on a set of hypotheses. The second case involves analyses that result in an interval of outcomes estimated on the basis of conservative assumptions. Both types of results are difficult to use because they are sometimes misinterpreted as if they represented the output of a full uncertainty analysis. In the first case, the percentiles shown on each risk curve may be taken at face value when in reality (in marginal terms) they are lower if the chosen hypotheses are conservative. In the second case, the fact that some segments of the resulting interval are highly unlikely--or that some more benign segments outside the range of results are quite possible--does not appear. Also, these results are difficult to compare to those of analyses of other risks, possibly competing for the same risk management resources, and the decision criteria have to be adapted to the conservatism of the hypotheses. In this paper, the focus is on the first type (conditional risk curves) more than on the second and the discussion is illustrated by the case of the performance assessment of the Waste Isolation Pilot Plant in New Mexico. For policy-making purposes, however, the problems of interpretation, comparison, and use of the results are similar.

Confidence Intervals↗
PubMed1993

Endemic human T cell leukemia virus type II infection in southwestern US Indians involves two prototype variants of virus.

Human T cell leukemia virus (HTLV) type II is endemic in certain American Indians, and high rates of infection occur in intravenous drug users (IVDUs). North American IVDUs are infected with two distinct variants, HTLV-IIa and -IIb. If IVDUs became infected as a result of interaction with members of an American Indian population, both viral forms should be demonstrable in such populations. Nucleotide sequence analysis of 630 bases of the env gene encoding the gp21 protein was done on DNA from 12 New Mexico Indians (8 Pueblo, 4 Navajo). All samples were typical subtype a or b viruses. Seven of the 8 Pueblo and 2 of 4 Navajo had subtype b; the rest had subtype a. The results are compatible with an indigenous New World origin for both subtypes of HTLV-II.

Adult↗
PubMed1982

Rural health care: opportunities for established group practices.

Many rural areas of the United States are considered medically underserved. At the core of this underservice is a lack of physicians. Physicians are not attracted to rural areas for a variety of personal and professional reasons. We explore the role of established group practices (EGPs) in dealing with these barriers, by using a model of small associated group practices (AGPs) created in rural communities in association with a larger EGP located elsewhere. We also describe the use of this model by the Lovelace Medical Foundation in New Mexico in creating three rural group practices and planning a fourth.

Attitude↗
PubMed2004

Distributed interactive virtual environments for collaborative medical education and training: design and characterization.

Project TOUCH (Telehealth Outreach for Unified Community Health) is a collaborative effort between University of New Mexico and University of Hawaii. The purpose of the project is to demonstrate the feasibility of using advanced technologies to overcome geographical barriers to delivery of medical education and to enhance the learning process within a group setting. This has led to the design and implementation of a new system that addresses the critical requirements for collaborative virtual environments: consistency, networking, scalability, and system integration. The objective of this study is to evaluate the performance of the collaborative system based on use patterns during Project TOUCH sessions.

Cooperative Behavior↗
PubMed2005

De facto disentitlement in an information economy: enrollment issues in Medicaid managed care.

This article discusses enrollment issues in New Mexico's Medicaid managed care (MMC) system and seeks to illuminate reasons for persistent problems reported by workers and clients. It argues that between 1997 and 2000, the MMC and welfare reforms raised enrollment barriers by complicating and dehumanizing the system, thus "technically disenfranchising" workers and clients. Specifically, the new system increased the need for professional, in-person enrollment assistance precisely when the state decreased its provision of it. Some aspects of the State Child Health Insurance Program (SCHIP) reforms indirectly aggravated those same problems, and though they also significantly lowered barriers in some areas, overall the new system was plagued with preexisting barriers as well as new, unmet needs that produced "de facto disentitlement" to health services.

Health Care Rationing↗
PubMed1996

Reducing variation in patient care. Nursing responds to capitation.

As managed care and capitation methods of payment become more common to hospitals, a strategy to improve quality and reduce costs is introduced in response to these new pressures. Nursing leaders must take the initiative and respond to these changes by reducing the variations in patient care. The author describes seven initiatives undertaken by the nursing leaders of The St. Joseph Healthcare System in Albuquerque. New Mexico during a 3-year period. The success of these initiatives and their universal application is discussed.

Capitation Fee↗
PubMedDate not supplied

Crisis? What crisis. Five states not experiencing crushing malpractice premium increases.

Five states not experiencing crushing malpractice premium increases. As daily headlines across the nation advertise the plight of physicians, medical practices and hospitals struggling to cope with soaring medical malpractice costs, five states--California, Colorado, Indiana, New Mexico and Wisconsin--have established countermeasures that are keeping them on the sidelines of the crisis.

California↗
PubMed2007

Provision of pain management by a pharmacist with prescribing authority.

PURPOSE: The clinical and financial outcomes of a pain clinic managed by a pharmacist with prescribing authority are described. SUMMARY: Pharmacist clinicians in a for-profit, integrated health system recently received permission to bill for their services in certain ambulatory clinics. A pharmacist clinician, who had an individual Drug Enforcement Administration number and whose services are billable under New Mexico law, was chosen to assume the medication management responsibilities in a clinic where 90% of the patient population is treated for chronic non-cancer-related pain. No additional personnel were needed, and no additional space was required, eliminating overhead for the space and utilities needed for operating a new clinic. With the ability to bill for the pharmacist clinician's services, a new model for justification of clinical pharmacy services was developed for the ambulatory care clinics. The revenue generated was tracked by a medical billing system, and clinical outcomes were tracked using the clinic's database for patients' individual visual analogue scale (VAS) pain scores. Between June 2004 and June 2005, an average of 18 patients were seen by the pharmacist clinician each day. The clinic generated 107,550 dollars of actual revenue and saved the health plan over 450,000 dollars. There was a consistent decrease in mean VAS pain scores with continued visits. CONCLUSION: Patients with chronic non-cancer-related pain were managed effectively by a pharmacist with prescribing authority and refill authorization in a pain management clinic. The favorable clinical outcomes, revenue generated, and cost savings achieved justified the pharmacist clinician's services in this health system.

Drug Prescriptions↗
PubMedDate not supplied

Using nurse hot line calls for disease surveillance.

Nurse hot line calls are a potential source of public health surveillance data and may help identify epidemics of emerging infectious diseases. In this study, nurse hot line data from Milwaukee, Wisconsin, showed more than a 17-fold increase in calls for diarrhea during the 1993 Milwaukee cryptosporidiosis outbreak. Moreover, consistent patterns of seasonal variation in diarrhea- and vomiting-related calls were detected from the Baltimore, Maryland, and Albuquerque, New Mexico, hot lines. Analysis of nurse hot line calls may provide an inexpensive and timely method for improving disease surveillance.

Cryptosporidiosis↗
PubMed2006

Hantavirus pulmonary syndrome--five states, 2006.

Hantavirus pulmonary syndrome (HPS) is a rodentborne viral disease characterized by severe pulmonary illness and a case-fatality ratio of 30%-40%. Sin Nombre virus causes the majority of HPS cases in the United States, and the deer mouse (Peromyscus maniculatus) is its predominant reservoir. This report describes an increase in human cases of HPS reported during January-March 2006 from Arizona, New Mexico, North Dakota, Texas, and Washington state. The findings emphasize the need for renewed attention to reducing the risk for hantavirus exposure.

Arizona↗
PubMed1998

Health-related quality of life and activity limitation--eight states, 1995.

Since January 1993, CDC's Behavioral Risk Factor Surveillance System (BRFSS) has included four general questions concerning health-related quality of life (HRQOL). The results of these HRQOL measures are useful for population health assessment, epidemiologic research, and policy development, but they are less useful for identifying specific public health interventions because they track general deficiencies such as poor health. Since 1995, state health departments have had the option of including in the BRFSS an expanded set of 14 HRQOL questions; these questions ask about specific types of activity limitation and common physical and emotional symptoms. This report summarizes preliminary findings from the eight states (i.e., Delaware, Indiana, Kansas, Mississippi, Missouri, New Mexico, North Carolina, and Tennessee) in which these other questions were included in the 1995 BRFSS.

Adult↗
PubMed2002

Graduated licensing for teens: why everybody's doing it.

While the United States traditionally has allowed quick and easy paths to full-privilege licensure of drivers at an early age, graduated licensing is becoming increasingly popular. The graduated licensing system phases in unrestricted driving by allowing beginners to get their initial behind-the-wheel experiences under conditions that reduce the risk of collision. As of June 2002, 35 states and the District of Columbia had enacted some sort of graduated licensing law. Recent evaluations of graduated licensing systems in four states have found reductions in crashes among 16-year-old drivers ranging from 11 to 33 percent. Yet, not all states have such laws, and many of the graduated licensing systems in use lack important provisions, such as nighttime driving and passenger restrictions. This article reviews the rules, restrictions, and provisions of the graduated licensing model; discusses evaluations of graduated licensing systems; identifies and analyzes variations in graduated licensing approaches across states; assesses the successes and failures of early graduated licensing laws, using New Mexico as an example; and discusses the potential of these systems to prevent injuries.

Accidents, Traffic↗
PubMed1988

Spread and maintenance of a disease in a structured population.

The patterns of interactions among different groups of individuals in a structured population is an important factor affecting the ease of establishment of a disease and the rate of spread of the disease in a population. A model for the spread of a disease in such a population is described. The model considers two levels of interaction: interactions between individuals within a subpopulation because of geographic proximity, and interactions between individuals of the same or different sub-populations because of attendance at common social functions. Analysis of the model leads to sufficient conditions which determine maximum subpopulation sizes which allow the disease to be maintained in the population. These conditions are inequalities relating the removal rate of infectives to the infection rate of susceptibles. Results are discussed for both idealized movement patterns and for the spread of hepatitis A among day care centers in Albuquerque, New Mexico. In addition, the basic structures of the contact matrices necessary to extend the model to deal with vector-borne diseases and with sexually transmitted diseases are discussed.

Hepatitis A↗