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Abbreviata terrapenis (Nematoda: Physalopteridae): an accidental parasite of the banded rock rattlesnake (Crotalus lepidus klauberi).

The nematode, Abbreviata terrapenis (Physalopteridae) was found in 16 (6%) of 267 banded rock rattlesnakes (Crotalus lepidus klauberi) from Arizona and New Mexico. Abbreviata terrapenis in C. lepidus represents an accidental parasite in that "infection" was acquired by the ingestion of lizard prey. Feeding captive snakes on wild-caught lizards poses a risk of introducing nematodes to the snakes.

Animal Feed↗

Mechanization in a new medical school library. II. Serials and circulation.

The serials and circulation phases of the data-processing system in use at the University of New Mexico Library of the Medical Sciences are described. The development of the programs is also reported. The serials program uses simple punched card equipment. The circulation program uses the IBM 357 Data Collection System and punched card data-processing equipment.

Electronic Data Processing↗

Acculturation and mammography screening among Hispanic women living in farmworker communities.

The relationship between acculturation and mammography screening practices among Hispanic women is unclear due to inconsistent study findings. The purpose of this research was to further investigate the effect of acculturation on mammography screening practices among Hispanic women and to explore the effect of biculturalism on mammography screening. Hispanic female farmworkers (N = 716) who were 50 years of age and older living in communities in Texas, New Mexico, and California were interviewed at their homes. Data collection was conducted from November 2001 to February 2002. Logistic regression models showed no significant effect for acculturation for the entire sample. Post hoc stratified analysis found that bicultural study participants in California were 3 times more likely to be adherent to screening compared to those with low acculturation. Study findings suggest that distinct differences might exist for Hispanic women living in farmworker communities in California, and perhaps other communities not on the United States-Mexico border. Women in such communities with low levels of acculturation can be targeted for interventions to increase mammography adherence.

Acculturation↗

Empowerment to reduce health disparities.

This article articulates the theoretical construct of empowerment and its importance for health-enhancing strategies to reduce health disparities. Powerlessness is explored as a risk factor in the context of social determinants, such as poverty, discrimination, workplace hazards, and income inequities. Empowerment is presented and compared with social capital and community capacity as strategies to strengthen social protective factors. A case study of a youth empowerment and policy project in New Mexico illustrates the usefulness of empowerment strategies in both targeting social determinants, such as public policies which are detrimental to youth, and improving community capacities of youth to be advocates for social change. Challenges for future practice and research are articulated.

Adolescent↗

Balloon observations of organic and inorganic chlorine in the stratosphere: the role of HClO4 production on sulfate aerosols.

Simultaneous observations of stratospheric organic and inorganic chlorine were made in September 1993 out of Fort Sumner, New Mexico, using JPL balloon-borne MkIV interferometer. Between 15 and 20 km, a significant fraction (20-60%) of the inorganic chlorine could not be accounted for by the sum of measured HCl, ClONO2, and HOCl. Laboratory measurements of the reaction of ClO radicals on sulfuric acid solutions have indicated that, along with HCl, small amounts of perchloric acid, HClO4, were formed. Very little is known about the fate of HClO4 in the stratosphere and we use a photochemical box model to determine the impact of this new species on the partitioning of inorganic chlorine in the stratosphere. Assuming that HClO4 is photochemically stable, it is shown that in the enhanced aerosol loading conditions resulting from Mt. Pinatubo's eruption, HClO4 could represent a significant reservoir of chlorine in the lower stratosphere, sequestering up to 0.2 ppbv (or 50%) of the total inorganic chlorine at 16 km. The occurrence of this new species could bring to closure the inorganic chlorine budget deficiency made apparent by recent ER-2 aircraft in situ measurements of HCl.

Aerosols↗

PIL: a control procedure for technical services management.

An acquisitions control procedure at the University of New Mexico Library of the Medical Sciences is described. Using an IBM 360/40, a program has been written to keep the acquisitions section and the administration apprised of the status of materials ordered or donated to the library. Future modifications of the program are also described.

Computers↗

Clinical nurse specialist prescriptive authority and the legislative process.

Despite certification and graduate education, clinical nurse specialists are denied prescriptive authority in many states. Restrictions on their scope of practice and prescriptive authority are barriers to potential contributions to the health care delivery system. The article describes the experience of the New Mexico Council of Clinical Nurse Specialists in the process of obtaining prescriptive authority. It discusses council formation, lobbying activities, the legislative process, and ways to become politically involved. Clinical nurse specialists are encouraged to become politically active and work through their state nurses association to change restrictive policies.

Drug Prescriptions↗

Cultural ecology of prehistoric parasitism on the Colorado Plateau as evidenced by coprology.

The study of coprolites (desiccated feces) is recognized as a viable method for analyzing parasitism of prehistoric peoples. Eight species of helminth parasites, including nematodes, cestodes, and acanthcephalans, have been recovered from archaeological sites on the Colorado Plateau. The comparative analysis of parasitological findings illustrates the effects of changing subsistence strategies and varying life-style on prehistoric human parasitism. This comparative study is based on the analysis of coprolites recovered from one Archaic hunter-gatherer site and two Anasazi agricultural villages. Hunter-gatherers are represented by coprolites from Dust Devil Cave in south-eastern Utah. Coprolites of prehistoric agriculturalists from Antelope House in Canyon de Chelly, Arizona, and from Salmon Ruin in northwestern New Mexico were studied. The results demonstrate that helminth parasitism increased with the advent of agriculture. Between the agricultural sites, differences in patterns of excreta disposal, foraging behavior, and local ecology resulted in pronounced variations in both percentage of coprolites containing parasite remains and the number of parasite species represented.

Animals↗

Intra-ethnic diversity in Hispanic child mortality, 1890-1910.

Using a representative sample of the Hispanic population of the United States based on the manuscripts of the 1910 census, we estimate childhood mortality for the period from approximately 1890 to 1910. We find high child mortality in the Hispanic population, higher than for non-Hispanic whites but not significantly different than among nonwhite non-Hispanics (mostly African Americans). Hispanic rural farm populations in California, Texas, and Arizona experienced high mortality, but not as high as other Hispanic populations. Child mortality was very high among Hispanic residents of New Mexico and those in Florida outside Tampa; it was especially low in the Hispanic population in Tampa.

Black or African American↗

Barriers to health care and protocol-based treatment of ectopic pregnancy.

OBJECTIVE: To evaluate whether treatment provided for ectopic pregnancies was different for patients with identified barriers to health care, including ethnicity, lack of insurance, distance from the treating facility that provides services and undocumented residency, at an institution that utilizes a protocol-based algorithm for treatment of ectopic pregnancies. STUDY DESIGN: Charts of 401 patients who were diagnosed with ectopic pregnancy from January 1, 1993, through December 31, 1998, were reviewed to compare the use of medical treatment using methotrexate versus surgical treatment. Data were analyzed with respect to patient ethnicity, socioeconomic status (including insurance status and possession of a social security card [a proxy for legal residency status]), residence inside or outside the county of the treating facility, patient presentation and treatment outcomes. RESULTS: There was no difference in treatment modality or success of primary treatment for ectopic pregnancies between groups regardless of ethnicity, health care insurance, residence outside the county the treating facility was located in or possession of a social security number. CONCLUSION: The treatment of ectopic pregnancies at the University of New Mexico Health Sciences Center is consistent across ethnic and socioeconomic populations. A well-designed treatment protocol may help provide evidenced-based, consistent treatment for patients requiring care who also have identified barriers to medical and surgical treatment.

Abortifacient Agents, Nonsteroidal↗

Bioethics principles, informed consent, and ethical care for special populations: curricular needs expressed by men and women physicians-in-training.

OBJECTIVE: Physicians-in-training today are learning in an ethical environment that is unprecedented in its complexity. There is a call for new approaches in preparing medical students and residents for the ethical and professional issues they will encounter. The perspectives of physicians-in-training at different levels regarding the level of curricular attention needed for emerging bioethics concepts, practical informed consent considerations, and the care of special populations are unknown. METHOD: The authors performed a hypothesis-driven, confidential survey study to assess perceived needs and preferences among medical students and residents related to medical ethics education at the University of New Mexico School of Medicine. RESULTS: A total of 336 physicians-in-training volunteered (62% response rate). Overall, strong interest was expressed for increased curricular attention to the domains of bioethics principles, informed consent, and care of special populations. Women students expressed greater interest generally. For certain domains, clinical students expressed relatively less curricular need and psychiatry and primary care residents expressed relatively greater curricular need. Two of the four hypotheses were supported, a third received partial support, and a fourth was not supported by the findings. DISCUSSION: To be valuable and effective, new ethics curricular approaches must be responsive to the current complex ethical environment and attentive to the preferences of medical students and residents of both genders, at different stages of training, with different patient care responsibilities. This hypothesis-driven study provides guidance for the inclusion of novel and important ethics domains in training curricula across medical school and diverse residency programs.

Adult↗

Forecasting state and local population growth with limited data: the use of employment-migration relationships and trends in vital rates.

In this study, the rate of growth of state and local populations in the United States is related to the growth rate of national employment, and to demographic and economic features of the regions concerned, in order to make more realistic long-term population projections. Both natural increase and migration are taken into account in the model developed. "The model is estimated for two regions, the El Paso, TX, standard metropolitan statistical area (SMSA) and the State of New Mexico. Several statistical problems arise because of the limited number of available time-series observations. Fully dynamic historical simulations track the population quite closely, in one case never differing from the actual value by more than 1.17% and in the other never differing by more than 1.36%."

Americas↗

Education review: Crossing borders--delivering health information management education across state lines.

Since its inception in 1992, the associate degree program in health information management (HIM) of the University of Alaska Southeast has been distance delivered across the state; it was the first distance degree program to be approved by the university's Board of Regents. In the spring of 1995, the HIM program was selected to be part of a pilot brokering project of the Western Interstate Consortium on Higher Education, in which member institutions would offer programs to or receive programs from other member institutions. The university's HIM program was selected by New Mexico and Wyoming, and classes for two groups of Wyoming students were initiated in the fall of 1995. The article summarizes the results of the project for the HIM program and future plans. It also provides an overview of some of the challenges facing institutions with out-of-state or multistate program delivery.

Alaska↗

A laser-like focus on diabetes pays off for multi-plan coalition in NM.

Where the efforts of other coalitions have fallen short, several managed care organizations in New Mexico have been able to work together to substantially raise HEDIS scores related to diabetes across the entire state. There is more room for improvement, but some leaders of the effort are already suggesting the same model could be used to address other chronic diseases as well.

Chronic Disease↗

Nursing department strategy, planning, and performance in rural hospitals.

Do strategic planning and nursing department strategies explain major differences in hospital performance? Answers to this question surfaced in a study of nursing directors of rural New Mexico hospitals. The results indicate that managerial strategies, cost-control strategies, and strategic planning by the nursing department explain differences in net income and operating margin. These results imply that nursing directors can take an active role in influencing the strategic direction and fiscal achievements of rural hospitals.

Analysis of Variance↗

Clinical advice from the bench.

This article discusses three aspects of family law: (1) a new approach to custody litigation currently in use in one family law court in New Mexico; (2) why some judges, lawyers, and family courts are slow to change the way family law cases are managed; and (3) how mental health professionals might change their interactions with the legal system to benefit both their professions and the people they serve.

Adolescent↗

Recombinant 8 syndrome: the pool of Hispanic pericentric inversion 8 carriers expands numerically and geographically.

Recombinant 8 syndrome is a well-established syndrome with mental and developmental retardation and usually severe cardiac anomalies. A carrier parent will produce affected offspring in 6% of pregnancies and carrier offspring in 53% of such pregnancies. Four New Mexican kindres ascertained by the discovery of four apparently unrelated probands with cytogenetically confirmed recombinant 8 syndrome were studied. We found that (1) recombinant 8 syndrome will soon no longer be confined to New Mexico and southern Colorado, (2) the number of persons at risk may be higher than previously considered, and (3) through proper pedigree techniques and increased professional education, most carriers can be identified.

Chromosome Aberrations↗

Cognitive development and the dynamics of decision-making among adolescents.

Cognitive development was examined in relation to the amount of time students would deliberate before making a decision, the effect of perceived emotional stress on decision making, and identification of all possible decisions that would have to be made. Subjects were 94 eighth-11th grade students in New Mexico and Montana. Results indicated abstract thinkers had a better decision-making process than concrete thinkers and made more health promoting decisions. Health educators are challenged to create educational strategies that enhance abstract development and teach classic steps of decision-making, thus improving the decision-making ability of youth.

Adolescent↗