Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “KANSAS”

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 109 records · Page 6Linked to original sources
PubMed1995

Fatalities from motor-vehicle collisions with trains--Kansas, 1990-1994.

During 1983-1992, a total of 5831 deaths in the United States were attributed to motor-vehicle collisions with trains. During that same period, Kansas had the third highest death rate in the United States from motor-vehicle collisions with trains, and the annual rate for the state (0.8 per 100,000 persons) was approximately four times the national rate (0.2 deaths per 100,000 persons). To identify approaches for preventing such collisions, the Kansas Department of Health and Environment (KDHE) characterized all fatal motor-vehicle collisions with trains at highway-rail grade crossings in the state from 1990 through 1994. This report summarizes the results of that study.

Accidents↗
PubMed1995

Achievement of dietary goals--Kansas, 1993.

Fat intake and other dietary factors are associated with increased risk for important chronic diseases, including cardiovascular disease and cancer (1-4). To characterize the nutritional behaviors of residents of Kansas, the Kansas Department of Health and Environment (KDHE) conducted a nutrition assessment survey in 1993 and has used the results as a baseline for monitoring progress toward attaining Healthy Kansans 2000 (HK2000) nutrition objectives. This report summarizes selected findings from the nutrition survey relative to three HK2000 objectives: 1) increase to 35% the proportion of adults who consume five or more daily servings of fruits and vegetables; 2) increase to 40% the proportion of adults whose dietary fat intake constitutes < 30% of their total food-energy intake (a lower fat diet); and 3) increase to 70% the proportion of adults who consume > or = 600 mg of calcium daily (75% of the Recommended Dietary Allowance for adults aged > or = 25 years [5]).

Adult↗
PubMed1994

Assessment of undervaccinated children following a mass vaccination campaign--Kansas, 1993.

A 1992 retrospective survey by the Kansas Department of Health and Environment (KDHE) of children entering school in Kansas indicated that 52% were completely vaccinated by 24 months of age (i.e., received four doses of diphtheria and tetanus toxoids and pertussis vaccine [DTP], three doses of poliomyelitis vaccine, and one dose of measles-mumps-rubella vaccine [MMR]). In response to this low vaccination coverage rate, the KDHE set a goal for 1995 of completely vaccinating 90% of children by age 24 months. A major new initiative--Operation Immunize (OI)--undertaken to accomplish this goal consisted of three statewide vaccination campaigns on weekends during 1993-1994. This report summarizes the results of an assessment of the short-term impact of OI on children who remained undervaccinated following the first campaign.

Child, Preschool↗
PubMed1996

The provision of labor and delivery services by graduates of four Kansas family practice residencies.

The provision of labor and delivery services by family physicians is especially important in largely rural states such as Kansas. The decline in the number of family physicians offering labor and delivery services threatens those who depend on access to primary health care in rural areas. A survey was mailed to all 370 of the University of Kansas School of Medicine-Wichita (UKSM-W) family practice residency graduates. Two hundred sixty-five (72%) graduates responded, of whom 206 are in private practice. Eighty percent of responding graduates practice in communities of less than 100,000, and 72% of those physicians provide labor and delivery services. Although 48 of 206 graduates have ceased delivering babies, 131 still do so, averaging 41 deliveries per year. Sixty-five graduates perform C-sections, averaging 12 per year. CONCLUSIONS. UKSM-W graduates afford rural patients considerable access to care. Income, work hours, and practice satisfaction were similar in all three groups (no delivery, delivery without cesarean section, and cesarean section). Policy makers are justified in expanding educational programs in family practice that emphasize complete care of the pregnant woman.

Cesarean Section↗
PubMed1996

Factors associated with self-perceived excellent and very good health among Blacks--Kansas, 1995.

Self-perceived health is related to functional status, morbidity and mortality and is an important measure in determining health status and health-related quality of life (HRQOL) scales. In 1994, the group of health professionals who established the health status indicators for Healthy People 2000 recommended that states examine the indicators for major demographic subgroups (e.g., racial/ethnic groups). The Kansas Department of Health and Environment (KDHE) analyzed data from the 1995 Behavioral Risk Factor Surveillance System (BRFSS) supplemental survey of blacks in Kansas to determine the relation between self-perceived excellent and very good health (EVGH) and physical functioning, mental functioning, role limitations, access to care, and health behaviors among blacks--the largest racial/ethnic minority group in that state. This report summarizes the findings of the analysis, which indicate that several factors related to demographics, physical functioning, and health behaviors were associated with EVGH.

Adolescent↗
PubMedDate not supplied

Kansas nursing occupational projection 1995-2005.

The Kansas State Department of Human Resources recently released a study of occupational employment throughout the state. The data was compiled using staffing pattern employment from the 1992, 1993 and 1994 occupational employment statistics program survey of industries, along with base year 1993 average annual employment for Kansas industries. Projected demand for occupational employment is significantly affected by the projected employment for industries.

Employment↗
PubMed1996

Educating dental hygienists in Kansas.

Kansas has about two dentists for every hygienist. Most dental hygiene programs are situated in junior or community colleges. The trend is toward two-year programs. About 90 non-traditional programs are now in existence. The Alabama preceptorship program appears to be unique, but of all the states which have looked at it, Alabama still is the only state to have adopted the ADHP. Perhaps Kansas should consider establishing a non-traditional program that could be rotated among the state's network of community colleges with the support of the two existing dental hygiene programs through an existing telecommunications network connected to our two existing hygiene education programs.

Dental Hygienists↗
PubMedDate not supplied

Issues in statutory rape law enforcement: the views of district attorneys in Kansas.

CONTEXT: The 1996 federal welfare reform law calls for the reduction of adolescent pregnancy rates through aggressive enforcement of statutory rape laws at the local and state level. Yet there are few quantitative data on district attorneys' attitudes toward enforcement and related issues. METHODS: Anonymous surveys were mailed to all 105 Kansas district attorneys in 1997; 92 surveys were returned. In-depth telephone interviews were conducted with seven of the attorneys. RESULTS: Most of the respondents (74%) favored aggressive enforcement, but just 37% believed the public would support aggressive enforcement. Only 24% believed enforcement would reduce adolescent pregnancy. Fifty-seven percent supported the current legal age of consent in Kansas (16 years). Fifty-three percent thought the law should not specify age differences between the partners. Most (77%) believed the law should protect sexually active minors, and that paternity acknowledgments should be admissible evidence in prosecutions (78%). Only 17% believed that enforcement would discourage adolescents from seeking health care. CONCLUSIONS: The potential impact of statutory rape prosecution on reproductive and psychological health should be considered in each case. Educating law enforcement officials about adolescent health care issues and encouraging them to consult with professionals in health and psychological fields may help to minimize the potentially negative effects of enforcement on adolescents' reproductive health.

Adolescent↗
PubMed1991

Improving client outcomes: the Kansas technical assistance consultation project.

A central problem in the design and implementation of mental health services is how to transfer relevant information to the active practitioner. Traditional methods of knowledge transfer, such as professional journals and workshops, appear to have uneven results at best. Outreach consultation services, here described as technical assistance, holds promise as an effective and efficient vehicle for transferring relevant knowledge necessary to improve professional practice. This report describes the technical assistance consultation project jointly sponsored by the University of Kansas, School of Social Welfare and the Kansas State Department of Mental Health and Retardation. It is argued that an important function of this project was symbolic as well as substantive. State departments of mental health and major public universities can work in consort to assist professionals and programs perform at a maximum level. Such an effort re-casts the manner in which these institutions are traditionally viewed by those engaged in direct practice. A case example is provided.

Combined Modality Therapy↗
PubMed1992

Hemoglobin Kansas found in a patient with polycythemia.

A 62-year-old woman, long suspected of having heart disease, was admitted to our hospital for thorough examination. Her hemoglobin level was 17.7 g/dl and her 2.3-DPG level was 8.90 microM/ml RBC. The patient proved to have polycythemia, hemoglobin Kansas, and diabetes mellitus. To our knowledge, this is the third case of hemoglobin Kansas in the world.

2,3-Diphosphoglycerate↗
PubMed2000

Evaluation of Land Condition Trend Analysis for Birds on a Kansas Military Training Site.

/ Land condition trend analysis (LCTA) is a long-term monitoring program used on military training lands to identify ecological changes that result from training and management activities. We initiated LCTA at the Kansas Army National Guard Training Facility (KANGTF) in Saline County, Kansas, in March 1998. This paper evaluates the LCTA methodology for birds by comparing LCTA results with a modified methodology designed to place sampling transects in field-identified rather than satellite-identified land-cover types. In the satellite-identified land-cover types developed at the site, grassland habitats included a large component of woody vegetation, which resulted in poor resolution of bird assemblages associated with the different land-cover types. Using these cover classes, mixed grass prairie included five grass/forb (g/f) and 10 woody-dependent species; old-field included four g/f and four woody-dependent species; and riparian included one g/f and six woody-dependent species. LCTA sampling was too limited in the ecologically important riparian woodland habitat with the result that bird species were not adequately sampled there. In the alternate sampling strategy, we identified three land-cover classes (grassland, hedgerow, and riparian woodland) by field reconnaissance and increased sampling in the riparian woodland. Grassland included six g/f and three woody-dependent species; hedgerow included six g/f and 20 woody-dependent species, and riparian included two g/f and 19 woody-dependent species. The modifications greatly improved the resolution of bird assemblages associated with land-cover classes at the KANGTF. Use of the alternative sampling method should improve the ability to detect long-term trends in the bird communities.

Journal Article↗
PubMed1997

Low pharmacist counseling rates in the Kansas City, Missouri, metropolitan area.

OBJECTIVE: To quantify the percentage of patients counseled by community-based pharmacists. METHODS: Phase I consisted of a 15-minute observational period of pharmacist counseling in 50 randomly selected pharmacies in the Kansas City, MO, area. In phase II, a survey was mailed to the same pharmacies to obtain policies, self-reported rates of counseling, baseline workload, and personnel information, as well as perceived communication barriers. RESULTS: Forty-six of 50 pharmacies were observed in phase I after excluding 10 ineligible pharmacies and adding 6 replacement pharmacies. Pharmacists provided counseling in only 14 of the 46 pharmacies (30%). Nineteen percent (20/106) of all patients received pharmacist-initiated counseling. Pharmacists in independent pharmacies were observed counseling a significantly higher percentage of patients than were pharmacists in chain pharmacies (44% vs. 11%; p = 0.014). Technicians were observed counseling 5 patients in chain pharmacies. Detailed verbal counseling, defined as four or more of a group of major counseling components, was provided to only 8 of the 20 patients who were counseled by a pharmacist (40%; 8% of all patients). In phase II, 31 of 51 surveys (61%) were returned. During the requested survey time period, pharmacies estimated that approximately five prescriptions were filled every 15 minutes, 51.5% of which were new. Pharmacists in chain pharmacies reported dispensing greater numbers of prescriptions than did pharmacists in independent pharmacies. These data and the reported counseling rates indicated that 50% of all patient prescriptions should be counseled. This is a higher rate than actually observed. All pharmacies reported that pharmacists completed the counseling; however, 10% of the respondents reported that technicians also counseled patients. Contrary to the findings in phase I, slightly more than 50% of the pharmacists reported using detailed verbal counseling. CONCLUSIONS: The overall observed rate of counseling in community pharmacies is low. In the Kansas City area, independent pharmacists counsel a greater than average percentage of their patients. Even if the national counseling rate is double what was observed, millions of patients are leaving pharmacies without the benefit of pharmacotherapeutic guidance. If pharmacists are slow to meet these challenges, other service providers will relieve pharmacists of that responsibility.

Counseling↗
PubMedDate not supplied

Non-equivalence and inverse allosteric response of the alpha and beta chains in haemoglobins. An electron spin resonance study of NO-ligated Hb Kansas.

The electron spin resonance (ESR) spectra of 15NO- and 14NO-ligated Hb Kansas have been measured at 77 K in the range of pH 5 TO 10. At low pH the ESR spectrum is the composite of a type I and a type II spectrum which changes to another composite of type I and type II spectrum at high pH. For the definition of type I and type II spectra and the correlation of these types with two tertiary conformation states see Overkamp et al., Z. Naturforsch. 31 c, 524 [1976]. Both, the type I and the type II spectra observed at low and high pH respectively are different with regard to g-tensors and hyperfine-splitting constants. Therefore at intermediate pH values the ESR spectra of NO-Hb Kansas are the composites of four spectral components. The assignments of the four spectral components to the alpha and the beta chains are arrived at from the comparison of the ESR spectra of the alpha2Mmet beta2NO and of the alpha2MNObeta2NO species of Hb M Iwate. alpha and beta chains are both characterized by a pH-dependent spectral transition from a type I to a type II spectrum. The chains are non-equivalent with regard to both the type I and the type II spectra. The type I spectra assigned to the alpha and the beta chains are characterized by G*ZZ=2.0095 with a hyperfine splitting of alpha*ZZ(15NO)=2.36 mT and gZZ-2.0085 with a hyperfine splitting of aZZ(15NO)=2.41 mT respectively. The type II spectra assigned to the alpha and the beta chains are characterized by g*'ZZ-2.005 and a hyperfine splitting of alpha*'ZZ(15NO)-3.07 mT and g'ZZ-2.005 and a hyperfine splitting of alpha'ZZ(15NO)=3.31 mT. The change of the hyperfine splitting at gZZ during the transition from type I to type II corresponds to an increase of the spin density at the NO by about 25% in both types of chains. Comparison of type I spectra of the NO-ligated alpha and beta chains respectively demonstrates that the spin density at the NO is larger in the beta chains that in the alpha chains. The spectral types are correlated with functional states defined by the kinetics of N0-binding. Binding of inosital hexaphosphate has no influence on the ESR spectra in the whole range of pH as it is expected if NO-Hb Kandas is in the quaternary T structure.

Allosteric Site↗
PubMed2001

Family strengths and the Kansas Marital Satisfaction Scale: a factor analytic study.

20 new items were developed to measure six concepts of family strengths and were administered, along with the Kansas Marital Satisfaction Scale, to over 266 married subjects as part of a larger survey of current and former members of the Christian Church (Disciples of Christ). A common factor analysis suggested that most of the items were associated with their expected factors, while reliability analyses indicated that most of the scales had acceptable estimates of internal consistency. The marital satisfaction items clearly were associated with their own factor and not other factors, providing support for the unidimensional nature of the Kansas Marital Satisfaction Scale and for its construct validity.

Adult↗
PubMed1973

1973 meeting in kansas city.

Kansas City will be the site of the 1973 MLA Annual Meeting, and the program will emphasize education for medical librarians. The two preconvention tours, together with other activities available in Kansas City, are described. The convention hotel, the Muehlebach, is discussed, and other possible accommodations are listed. Several fine restaurants are also listed.

Journal Article↗
PubMedDate not supplied

Physician recruitment. CD-ROM plays key role in recruiting docs to Children's Mercy in Kansas City.

Children's Mercy Hospitals and Clinic of Kansas City, MO, is growing rapidly in size and recognition. Of course, its excellent treatment services depend upon recruiting a wide range of pediatric specialists. Faced with the challenge of attracting professionals to the heartland, its marketing department and physician recruitment personnel worked together on a CD-ROM designed to catch the attention of physician prospects and encourage them to visit Kansas City to see the hospital firsthand.

CD-ROM↗
PubMed1977

Nonequivalence of subunits in [15N]nitrosylhemoglobin Kansas. A single crystal electron paramagnetic resonance investigation.

EPR spectra of Hb15NO crystals of mutant Kansas (Asn G4(102) beta leads to Thr) have been recorded at every 5' intervals and in three orthogonal planes. The nitrosylhemes are nonequivalent for the alpha and beta subunits, their assignments are made possible by comparison with the powder EPR specrtra of Hb15NO of mutant Iwate (His F8(87)alpha leads to Tyr) (Trittelvitz, E., Gersonde, K., and Winterhalter, K.H. (1975) Eur. J. Biochem. 51, 33-42). The EPR parameters for the beta-nitrosylhemes of Hb Kansas are: gxx=2.094 gyy=2.031, gzz=2.00, Azetazeta=11 G, Azetazeta=32.5 G, Aetaeta=12.5 G; the Fe-N-O bond angle is about 105 degrees. The paramters for the alpha-nitrosyl hemes are: gxx=2.058, gyy=2.021, gzz=1.977, Azetazeta=24.5 G, Azetazeta less than or equal to 5G, Aetaeta=23 G; the Fe-N-O bond angle is about 167 degrees. Hyperfine splittings of 7 to 8 gauss with 14Nepsilon atom of His(F8) were observed for the beta-nitrosylhemes; none was resolved for the alpha-nitrosylhemes. The results were interpreted to mean that the tension on the iron of the beta subunits is not large in the unliganded state and this tension was not greatly increased by the binding of nitric oxide in the strongly bent configuration. The tension at the iron in the deoxyhemoglobin is dominant at the alpha subunits. Binding of nitric oxide in this case causing either the breaking or great weakening of the Fe-His(F8) bond. The nitrosyl is in a nearly linear configuration. The unpaired electron densities at the nitrogen atom of the bound nitric oxide is about 63% for the beta-nitrosylheme and 37% for the alpha-nitrosylhemes.

Binding Sites↗
PubMed1977

Myxosoma funduli Kudo 1918 (Protozoa: Myxosporida) in Fundulus kansae: summer epizootiology.

The occurrence and distribution of the myxosporida Myxosoma funduli on the gills of the plains killifish (Fundulus kansae) were investigated; Fundulus kansae is reported as a new host. Host samples from various sites on the South Platte River, Nebraska, were collected during the summer months of 1975 and 1976. The protozoan parasite population was shown to be overdispersed within the host population, and this distribution was similar to that described by the negative binomial equation. Demographic characteristics of the infected fish subpopulation were virtually identical to those of the whole fish population. Infection intensity was independent of gill bar number or side. The frequency of bilateral infections was 0.54, of left only infections was 0.23, and of right only infections was 0.22. Distribution of immature and mature plasmodia indicated that a pre-existing infection did not preclude a new infection, and suggested a prepatent period of less than two months.

Animals↗