Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Information Distribution”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,027 records · Page 57Linked to original sources

[Resources and utilization of anticarciogenic medical fungi].

This paper summarizes the resources of anticarcinogenic medical fungi, and the information of distribution, eco-environment. It outlines the present statuts of the exploitation and utilization of some species of common anticarcinogenic medical fungi such as Ganoderma lucidum, Coriolus versicolor, Polyporus frondosus etc. The anticarcinogenic mechanism of medical fungi is discussed. Suggestions on how to development and utilize rationally these resources are offered as well.

Animals↗

[The carcinoembryonic antigen in the population of an industrial area (author's transl)].

The CEA level from human serum of male individuals born in 1924 living in different regions was determined. 527 test persons from the industrial city Duisburg, 132 from the town Siegburg and 389 from a country region in Kreis Gummersbach were investigated. Questionnaires were distributed for informations about maladies, smoking usage and workshop place. The CEA levels were distinctly increased in statistical examination of the industrial district. Smoking raised the CEA levels considerably. More cases of bronchial diseases with elevated CEA values were registrated in the population of the industrial city. The influence of workshop conditions was investigated on persons working in factories and offices. For the country region the CEA levels of these two groups resulted in negligible differences. However, the CEA levels of factory workers in the industrial city were found to be significantly increased in comparison with office workers for both, smokers and nonsmokers.

Adult↗

Information needs of the patients undergoing bone marrow transplantation.

The number of allogenic and autologous bone marrow transplantation (BMT) and the number of centers which perform these procedures have increased dramatically over the last 10 years. This increase can be attributed to the progress in supportive care which caused a significant decrease of transplant related mortality. Hematopoietic stem cell transplantation (HSCT) is now established therapy for many hematological malignancies, solid tumors and autoimmune disease. In spite of the great progress made, BMT is still a drastic procedure that may make patients suffer very much and can be even fatal. Careful exploration of the social and psychological situation of the patient is a very important factor which may prevent future difficulties. Many patients suffer psychological difficulties related to bone marrow transplantation from inadequate psycho-social preparation and support. It is important to prepare an information document about the newly diagnosed hematological malignancies. It must be a clear language and must answer the initial questions the patient will ask after diagnosis is made. The information leaflet distributed to the patients suffering from hematological malignancies can play an important role in the recovery of the immune system, thereby promoting a return to health.

Adaptation, Psychological↗

[Neurobiology of memory].

A first part of the paper describes the neuro-anatomical structures involved in the processes of memory and their connections, as demonstrated by the recent hodological methods. The classical view of the Papez's limbic circuitry represents only one part of the reality. Several other circuits do exist, including those relaying in the amygdaloid complex and in the septal area. Actually, all these structures can be understood as the nodal points of a set of cortico-subcortical networks, where information is distributed and processed according to the cognitive demand and finally stored in the cortical layers. In a second part, the various mechanisms at the cellular level in relation with the processes of learning, are discussed (i.e. plasticity of synaptic transmission, dynamic neuronal changes at the morphological, electrophysiological and metabolic levels). The role played by humoral neuromodulation is examined, although it remains largely unknown at present (i.e. acetylcholine, catecholamines, GABA, glutamate, neuropeptides). Unfortunately, therapeutical implications from these fundamental data stay mostly frustrating up to now. Finally, relationships between sleep and memory are considered. The abundant experimental work performed on animals mainly stresses the REM-sleep. However, data from the human pathology are much less conclusive, and no clear evidence of a specific interaction between one aspect of sleep and one kind of memory emerges. To conclude, a few remarks are warranted on the intimal links existing between the anatomical-functional set of memory and the neurobiological bases of behavioural responses and anticipatory processes.

Animals↗

Major review: The underutilization of vision screening (for amblyopia, optical anomalies and strabismus) among preschool age children.

BACKGROUND: Nearly 80% of preschool age children never get an eye examination (1). Many "back to school" physical exams do not test for common vision disorders. Untreated eye and vision problems can interfere with most life experiences. The prevalence of undetected vision problems among preschool age children is estimated to be 5% to 10% (2). Failure to detect visual impairment early may have a permanent effect on long term vision outcomes, education achievement, and self esteem (3). The most common vision disorders among children are strabismus, amblyopia and optical problems impairing visual acuity and depth perception. Various professional organizations, including the American Academy of Pediatrics (AAP), advise preschool vision screening to detect and correct vision problems before school entry. The AAP also recommends that children continue to receive periodic eye and vision examinations throughout childhood. However, resources for this level of care are rarely available. As such, only 21% of preschool age children receive vision screening and even fewer children get a comprehensive eye examination (1). PURPOSE: The purpose of this review is to determine, through a critical review of the literature, the social, economic, and political barriers which contribute to the underutilization of vision screening among preschool age children. A secondary aim is to identify gaps in the literature base that may be needed to complete a public policy response to this problem. METHOD: A comprehensive review and analysis of the pertinent available literature. RESULTS: A variety of barriers exist which prevent children from receiving proper vision screening. They include social, economic and even political problems. Social contextual barriers include ignorance, inconvenience, language, and a lack of providers. Financial barriers affect low income families. Political barriers reside in the disproportionately meager funding of preventative medicine. Moreover there are additional factors which put preventative medicine for vision at a disadvantage compared to other pediatric demands like immunizations, such as the danger to both the individual and society from the medical condition being prevented. CONCLUSION: Even considering large gaps in the literature concerning this topic, it is clear that low income, minority, uninsured families are at high risk of not utilizing vision screening. Ignorance remains a major problem at all levels so improvements in the distribution of information and education are needed and should yield improvement. Additional funding is necessary to pay for these remedies. Titration and direction of available resources to those at highest risk will create the greatest return on such efforts.

Amblyopia↗

Risk analysis highly valued.

It is felt that risk and vulnerability analysis is an excellent means of assessing and communicating risk and inconvenience related to extensive construction activities. The main reasons for this are: It uncovers the risks and inconveniences involved. Risk reducing and alert measures are identified. Preventive action and emergency plans are implemented. It is easy to learn. It is unbureaucratic. It promotes cross-professional communication. It distributes correct information very effectively.

Communication↗

Privilege management and access control in Shared Care IS and EHR.

Realising the shared care concept based on distributed health information systems, we have to meet the challenge for advanced security and privacy based on a Public Key Infrastructure (PKI) Beside strong authentication, authorisation of principals and access control using role concepts and security object classification schemes are essential application security services. The paper presents the actual drafts of ISO and CEN standards dealing with privilege management and access control.

Access to Information↗

A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles.

Health care providers who feel prepared are more apt to assume tobacco interventionist roles; therefore, educational preparation is critical. A nonprobability sample of health professions students at an urban academic health center were asked to respond to a twenty-two-item survey eliciting demographic, behavioral, and tobacco-related attitudinal information. Frequency distributions were assessed with Pearson chi-square statistics. The overall response rate was 76.7 percent, and final sample size was 319. Current use of spit tobacco (ST) was 2.5 percent and current smoking 5.6 percent. In comparing current smokers to nonsmokers and current ST users to nonusers, we found that no differences in proportion agreeing with any of the five questions about attitudes and opinions were statistically significant at p-value 0.05. At least 70 percent of students from each of six health professions programs agreed it was their professional responsibility to help smokers quit, and at least 65 percent agreed to the same responsibility for helping ST users quit. The proportion agreeing that their programs had course content describing their role in helping patients quit tobacco use varied widely by program from 100 percent agreement among dental hygiene and pharmacy students to 14.6 percent of physical therapy students (p-value <0.001). When asked whether their program adequately prepared them to help smokers quit, agreement ranged from 100 percent among dental hygiene students to only 5.5 percent among physical therapy students (p-value <0.001). Almost 90 percent of dental hygiene students agreed that they were adequately trained to help ST users quit, but no other program had a percentage of agreement above 34 percent (p-value <0.001). Consistent and comprehensive multidisciplinary tobacco-related curricula could offer desirable standardization.

Adult↗

Environmentally superior technologies for swine waste management.

The high nitrogen content of animal waste provides opportunities for processing to marketable byproducts and challenges for proper management to avoid harmful impacts. Technologies are being developed to conserve and utilize nitrogen as well as other valuable constituents in animal waste. Advanced treatment technologies are also being developed for housing/waste management systems that address public concerns and protect soil, water and air quality. Smithfield Foods, Premium Standard Farms and Frontline Farmers have entered into an agreement with North Carolina to develop environmentally superior technologies that meet these goals. The 18 candidate technologies are identified and three with the longest operating period, and thus most data to date are discussed. Methods for distributing this information for implementation of cost-effective technologies through the Curriculum Project and the National Center for Manure and Animal Waste Management will be presented. This work supports priority goals to conserve and utilize valuable animal waste constituents while also protecting against negative impacts.

Animals↗

[Weight-control intervention in overweight subjects at high risk of cardiovascular disease: a trial of a public health practical training program in a medical school].

OBJECTIVE: To evaluate the effectiveness of a weight-control intervention for overweight subjects at high risk of cardiovascular disease (CVD) at a worksite conducted by medical students as a public health practical training program. METHODS: A total of 45 men and women who were obese (BMI > or = 24.0 kg/m2) and found to be hypertensive (SBP > or = 140 mmHg or DBP > or = 90 mmHg) or suffering from hypercholesterolemia (total serum cholesterol > or = 220 mg/dl) in an annual health check up in November 2001 were invited to participate in a weight-control intervention program. Eight individuals agreed (intervention group) and other sixteen control subjects whose sex and age (+/- 3 years) were matched to the intervention subjects were selected. The duration of the program was three months (from July to October 2002) and a 2 kg weight reduction in that period was set as the goal. The baseline survey consisted of a dietary questionnaire and a health quiz. Subjects had two counseling sessions and received four personal letters in the three months. A semi-quantitative food frequent questionnaire, a photograph method (Diet Agent Service, Matsushita Electric Works, Ltd.) and three day food records were conducted for dietary surveys. Changes in bodyweight, BMI, blood pressure, and serum total cholesterol concentration from November 2001 to November 2002 were compared between the intervention and control groups. Food group intakes and nutrient intakes were compared between weight reduction achievers and non-achievers. RESULTS: Mean bodyweight changes from November 2001 to November 2002 were -2.3 kg (SD 3.3 kg) for the intervention group and +0.3 kg (SD 1.5 kg) for the control group, the difference being significant (p = 0.013). For the intervention group mean bodyweight change from July to October 2002 was -1.5 kg (SD 2.4 kg). For total serum cholesterol, the mean changes were -32.1 mg/dl vs. +0.5 mg/dl (p = 0.005), for SBP -9.5 mmHg vs. +4.7 mmHg (p = 0.083) and for DBP -2.8 mmHg vs. +1.4 mmHg (p = 0.438). These were thought to be consequences of weight-control intervention. From dietary surveys, weight reduction achievers increased fish intake and decreased fats, snacks and sweets. Those who answered the health quiz more correctly demonstrated more reduction of bodyweight. CONCLUSIONS: Effectiveness of a weight-control intervention for reduction of CVD risk factors was found in the present public health practical training program for medical students. Dietary advice based on various dietary surveys was indicated to be effective in the weight-control program. A population strategy to distribute health information appeared necessary for effective health education programs for high-risk subjects.

Cardiovascular Diseases↗

[Changes in serum cholesterol level in blood donors over a 2-year period].

Serum cholesterol levels were measured in 280 blood donors between November 1988 and May 1989 and again between February and April 1991. In 84 of these persons the cholesterol level was also measured between November 1989 and January 1990. The 122 females showed a 9.6% reduction in mean serum cholesterol from 5.8 mmol/l in the first sample to 5.2 mmol/l in the final sample. The 158 males showed a 7.4% reduction from 5.7 to 5.3 mmol/l. Females with initial values greater than 6 mmol/l showed an average reduction in serum cholesterol of 15.2%. For males with initial values greater than 6 the reduction was 14.0%. There was no difference in reduction between those whose cholesterol was measured at the beginning and the end of the study and those whose cholesterol was also controlled during the course of the study. Our study shows that, in the case of blood donors, a programme involving measuring serum cholesterol and distributing written information can lead to a substantial reduction in serum cholesterol.

Adult↗

A cost-benefit analysis of typhoid fever immunization programmes in an Indian urban slum community.

Many economic analyses of immunization programmes focus on the benefits in terms of public-sector cost savings, but do not incorporate estimates of the private cost savings that individuals receive from vaccination. This paper considers the implications of Bahl et al.'s cost-of-illness estimates for typhoid immunization policy by examining how community-level incidence estimates and information on distribution of costs of illness among patients and the public-health sector can be used in the economic analysis of vaccination-programme options. The findings illustrate why typhoid vaccination programmes may often appear to be unattractive to public-health officials who adopt a public budgetary perspective. Under many plausible sets of assumptions, public-sector expenditure on typhoid vaccination does not yield comparable public-sector cost savings. If public-health officials adopt a societal perspective on the economic benefits of vaccination, there are many situations in which different vaccination programmes will make economic sense. The findings show that this is especially true when public decision-makers recognize that (a) the incidence of typhoid fever is underestimated by blood culture-positive cases and (b) avoided costs of illness represent a significant underestimate of the actual economic benefits to individuals of vaccination.

Adolescent↗

Bioptic ultrasound-guided prostate remapping (fan shape) using grid software for brachytherapy.

A new transperineal ultrasound-guided prostate rebiopsy method is described. The method is performed using a fixed grid approach similar to the method that has been in use for some time for brachytherapy i n prostate cancer. The method adopts special cylindrical cutting needles to take cores of varying lengths and was found to be more time consuming (this is the main reason it is mostly used for rebiopsies). It nevertheless allowed more accurate ard systematic mapping of the prostate gland than the standard method of taking multiple biopsies by sector. Sending in each biopsy fragment for separate histological examination based on grid coordinates allowed the Anatomical Pathology laboratory to build up an ideal topographic reconstruction of the disease lesions detected. The approach offers the advantages of a repeatable biopsy plan that can be compared with previous biopsies, more accurate spatial localisation of diseased tissue and accurate information on distribution within the gland. The benefits are multifold and all extremely interesting both for the diagnosis and subsequent choice, evaluation and administration of therapeutic treatment--and also for the dynamic study of evolving cell changes and cell structure anomalies detectable in the prostate gland.

Biopsy, Needle↗

[Occupational exposure to biological agents and the protection of exposed workers according to the new legal regulations].

Directive 2000/54/EC deals thoroughly with issues referring to the protection of workers from risks related to occupational exposure to biological agents in the European Union. The ordinance of the Minister of Health on harmful biological agents at work and the protection of exposed workers implements its content into Polish legislation. This paper reviews essential records of the ordinance: definition of biological agents; classification of biological agents into four risk groups according to their level of risk of infection; employers' obligations concerning the protection of workers exposed to biological agents. The results of Phare project supporting implementation of the directive in Poland regarding distribution of information on occupational exposure to biological agents among State Sanitary Inspection and occupational medicine service staff and employers are also presented.

Biological Products↗

[Biological effects of chlorogenic acid and body health].

Chlorogenic acid, as a phenolic acid, occurs ubiquitously in food. Proved to have a series of biological effects in vitro and in vivo, such as antioxidant capacity, radical scavenging activity, antimutagenic/anticarcinogenic effect, inflammation inhibiting and endothelial protective properties, etc., chlorogenic acid might therefore contribute to body health promotion to some extent, and be hopeful to provide new ways for chronic disease prevention. It's physicochemical properties, food distribution, metabolism information and biological effects are reviewed in this article.

Animals↗

Outlook for grid service technologies within the @neurIST eHealth environment.

The aim of the @neurIST project is to create an IT infrastructure for the management of all processes linked to research, diagnosis and treatment development for complex and multi-factorial diseases. The IT infrastructure will be developed for one such disease, cerebral aneurysm and subarachnoid haemorrhage, but its core technologies will be transferable to meet the needs of other medical areas. Since the IT infrastructure for @neurIST will need to encompass data repositories, computational analysis services and information systems handling multi-scale, multi-modal information at distributed sites, the natural basis for the IT infrastructure is a Grid Service middleware. The project will adopt a service-oriented architecture because it aims to provide a system addressing the needs of medical researchers, clinicians and health care specialists (and their IT providers/systems) and medical supplier/consulting industries.

Database Management Systems↗

What influences seniors' choice of medications for osteoarthritis? Qualitative inquiry.

OBJECTIVE: To explore with seniors what influences their choice of medication for osteoarthritis. DESIGN: Qualitative study using semistructured in-depth interviews. SETTING: Interviews were conducted in patients' homes in two cities in Nova Scotia. PARTICIPANTS: Seniors with a physician-confirmed diagnosis of osteoarthritis. METHOD: Interviews were audiotaped and transcribed verbatim. A grounded-theory approach was used. Key words and phrases were identified independently by all members of the research team who then collectively grouped the data into conceptual categories. MAIN FINDINGS: Four themes emerged from discussions about medication choices: the role of family physicians in influencing use of cyclooxygenase-2 inhibitors, the effect of fear of making medication choices, the reasons for discontinuing cyclooxygenase-2 inhibitors, and views on other information sources. Distribution of free samples, family physicians' recommendations, and fear of side effects influenced seniors' choices of osteoarthritis medications. They claimed not to be influenced by direct-to-consumer advertising or the fact that cyclooxygenase-2 inhibitors are more expensive than other classes of drugs for osteoarthritis. CONCLUSION: Because seniors' choice of medications for osteoarthritis is often influenced by physicians' recommendations and distribution of free samples, further research into how distribution of free samples affects medication choices in family practice is needed.

Advertising↗