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.

SourceResearch connectionFrom yearThrough year

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

At least 163 records · Page 9Linked to original sources

PubMed2003

Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population.

BACKGROUND: Scant research has adequately addressed the impact of chronic fatigue syndrome on patients' daily activities and quality of life. Enumerating specific problems related to quality of life in chronic fatigue syndrome patients can help us to better understand and manage this illness. This study addresses issues of functional status in persons with chronic fatigue syndrome and other fatiguing illnesses in a population based sample, which can be generalized to all persons with chronic fatigue. METHODS: We conducted a random telephone survey in Wichita, Kansas to identify persons with chronic fatigue syndrome and other fatiguing illnesses. Respondents reporting severe fatigue of at least 1 month's duration and randomly selected non-fatigued respondents were asked to participate in a detailed telephone interview. Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning. Those meeting the 1994 chronic fatigue syndrome case definition, as determined on the basis of their telephone responses, were invited for clinical evaluation to confirm a diagnosis of chronic fatigue syndrome. For this analysis, we evaluated unemployment due to fatigue, number of hours per week spent on work, chores, and other activities (currently and prior to the onset of fatigue), and energy level. RESULTS: There was no difference between persons with chronic fatigue syndrome and persons with a chronic fatigue syndrome-like illness that could be explained by a medical or psychiatric condition for any of the outcomes we measured except for unemployment due to fatigue (15% vs. 40%, P <.01). Persons with chronic fatigue syndrome and other fatiguing illnesses had substantially less energy and spent less time on hobbies, schooling, or volunteer work than did non-fatigued controls (P <.01). CONCLUSIONS: Persons with chronic fatigue syndrome are as impaired as persons whose fatigue could be explained by a medical or psychiatric condition, and they have less energy than non-fatigued controls.

Activities of Daily Living↗

PubMed2004

Kansas office-based nurses' evaluation of patient tobacco cessation activities.

In this study, we examined the tobacco cessation efforts of nurses working in primary care settings. A 43-item questionnaire was mailed to 1,036 office-based nurses located throughout Kansas. With a response rate of 50.1%, 415 questionnaires were available for analysis. Although 89% of respondents encountered patients who smoked on a daily or weekly basis, only 51% reported documenting their patients' tobacco use, and 38% assessed patients' readiness to quit. Two thirds (66%) of nurses believed that tobacco management was part of their role but only 35% provided cessation advice, 23% recommended nicotine replacement therapy, and 14% provided coping techniques. Nurses cited barriers such as perceiving patients as disinterested or unmotivated to quit (65%) and having little time (55%), skills (32%), or knowledge (25%). Most (91%) agreed that they needed additional tobacco control education. Nurses who were advanced registered nurse practitioners or clinical nurse specialists were more likely to feel confident about their smoking cessation counseling skills compared to nurses with less education (66.7 vs. 31.2%, p =.010). Office-based nurses identified specific barriers that could be addressed through professional education about tobacco management.

Adaptation, Psychological↗

PubMed2001

Telemedicine in Kansas: the successes and the challenges.

Based on our experience of telemedicine in Kansas, we have identified several key factors in the success of a telemedicine practice. Very early in any project, it is important to bring together all participants (especially the physicians who are expected to refer patients) to define the need, outline specific goals, analyse and test the technology, and develop a plan for the implementation. As with traditional health-care, many partners must come together, including primary-care practitioners willing to shoulder day-to-day responsibility for management of complex patients, nurses with special expertise and consultants willing to work with a remote team using telemedicine. These individuals must accept the challenges and appreciate the rewards of working in a different practice model, in which communication and interdependence are critical for success. The telemedicine consultant is only as good as the local health-care team. The technology itself is only a small part of the equation.

Academic Medical Centers↗

PubMed2005

Diffusion theory and telemedicine adoption by Kansas health-care providers: critical factors in telemedicine adoption for improved patient access.

Twenty counties in Kansas were randomly selected from those designated as rural on the basis of their populations. A sample of 356 physicians and physicians' assistants in these counties was chosen. A postal survey was sent to the identified providers up to three times. One hundred and eighty-six of the questionnaires were returned (a response rate of 52%). In all, 76% of the respondents were physicians, 76% were men and 42% were family practitioners. Practitioners were classified as adopters or non-adopters of telemedicine, based on their report of whether they had ever referred one or more patients for a health-care consultation via telemedicine. Of the 167 participants who marked this item, 30 (18%) were adopters and 137 (82%) were non-adopters. Among the adopters, 16 (53%) said that they expected to use telemedicine with about the same frequency or more often in the future. In contrast, 61 (45%) non-adopters reported that they did not expect to refer patients by telemedicine in the future and 51 (37%) were unsure. Neither age (r = 0.16, P = 0.44) nor gender (chi2 = 2.35, P = 0.13) was related to the adoption variable or the number of referrals made to telemedicine clinics. The results suggest that adopters and non-adopters of telemedicine perceive its value very differently, and that an opportunity exists to promote the concept to non-adopters more effectively.

Age Factors↗

PubMed1997

Home telenursing in Kansas: patients' perceptions of uses and benefits.

Elderly individuals involved in a home telenursing project were studied. The project nurses provided home health services from 'telenursing cockpits' located in three separate sites in Kansas. A cable television-based interactive video system was used to transmit video pictures at 30 frames/s, with 288 horizontal lines of resolution. During phase 1 of the study, interview data were collected from 22 subjects (4 men, 18 women). During phase 2, the original participants were contacted but only 9 (1 man, 8 women) were still receiving home health services. Contrary to expectations, the technology was not an important issue for the participants. They did not express any particular worry or excitement about it. Nor did they describe difficulties in adapting to its use. Use of telemedicine technology did not appear to have any negative effects on communication. The results suggests that further thought needs to be given to defining clearly the purpose and goals of telemedicine projects.

Female↗

PubMed2003

The role of early newborn discharge legislation in influencing policy development: understanding the Kansas experience.

Early newborn discharge legislation began a movement in health policy towards incremental changes in how medical consumers receive services. While well intentioned, these initiatives may undermine national efforts to address problems through more comprehensive reform, while stifling smaller efforts to address the problems locally. This paper discusses early newborn discharge legislation in Kansas: its origins, apparent impact, and implications. Findings from a hospital survey and two-year follow-up suggest a minimal effect of the legislation on health services in the state. Though acute hospital care appeared to replace home-based programs in many hospitals we spoke with, the more longstanding impact of the legislation seems to have been its precedent in how health policy is now made.

Female↗

PubMed2001

Perspectives of dentists, families, and case managers on dental care for individuals with developmental disabilities in Kansas.

The status of dental care for individuals with developmental disabilities in Kansas was examined. Dentists, family members, and case managers reported general, but partial, satisfaction with the availability, accessibility, appropriateness, and affordability of such care. Reasons for the results and recommendations for further improvement are discussed.

Adolescent↗

PubMed2003

Stored-product insects associated with a retail pet store chain in Kansas.

The types and numbers of insect species associated with eight Kansas retail stores belonging to a pet store chain were surveyed during February to August 2001. Insects were monitored at 1-3-wk intervals using food- and pheromone-baited pitfall traps for beetles and pheromone-baited sticky traps for moths. Thirty traps of each type were placed within a store. Thirty insect species belonging to 20 families in four orders were recorded from the eight stores. The weevils, Sitophilus spp.; Indianmeal moth, Plodia interpunctella (Hübner); and merchant grain beetle, Oryzaephilus mercator (Fauvel), were the most common and abundant species in all stores, whereas the red-legged ham beetle, Necrobia rufipes (Degeer), and red flour beetle, Tribolium castaneum (Herbst), were abundant only in one store. The numbers of each insect species captured varied from store to store. In each of the stores, a total of 12-19 stored-product species were captured in traps, and seven of the eight stores had relatively high species diversity. With the exception of one store, the different types of insect species found among the remaining seven stores were essentially similar. The mean density of insects in infested bulk-stored and bagged pet food products removed from a store ranged from 65 to 656 adults/kg. The types and numbers of insect species captured in traps indicated that infestations were well established in the surveyed stores. Early detection and management of these infestations is critical for maintaining quality and integrity of food products sold in the pet stores.

Animal Feed↗

PubMedDate not supplied

Enteric helminths of juvenile and adult wild turkeys (Meleagris gallopavo) in eastern Kansas.

Viscera of 49 wild turkeys (Meleagris gallopavo) collected in the spring of 2001 and 23 wild turkeys collected in the fall and winter of 2001-02 from 12 counties in eastern Kansas were examined for enteric helminths. Four cestode species, two trematode species, one nematode species, and one acanthocephalan species were identified. Two cestode and two trematode species present in the spring sample also were present in the fall and winter sample. Parasite prevalence was similar to previous studies of enteric helminths of wild turkeys except for the low numbers of nematode species and individuals recovered in the present study.

Acanthocephala↗

PubMed2005

Geographic variation in the prevalence of macular disease among elderly medicare beneficiaries in Kansas.

This study used Medicare Part B claims and enrollment data to estimate the prevalence of macular disease in Kansas at county and area levels. Spatial analysis by aggregated county clusters was assessed with standardized prevalence ratios and 95% confidence intervals, and a thematic map was produced to illustrate geographic distribution. A total of 17888 unduplicated claims were identified among 335132 beneficiaries older than age 64 years. Compared with the state prevalence of 5.34%, the central agricultural area showed a disproportionately high macular disease prevalence.

Aged↗

PubMed2000

Prevalence and correlates of preventive care among adults with diabetes in Kansas.

OBJECTIVE: To assess the prevalence and correlates of recommended preventive care among adults with diabetes in Kansas. RESEARCH DESIGN AND METHODS: A cross-sectional telephone survey was conducted among a sample of adults (> or = 18 years of age) with self-reported diabetes. Recommended preventive care was defined based on four criteria: number of health-care provider (HCP) visits per year (> or = 4 for insulin users and > or = 2 for nonusers), number of foot examinations per year (> or = 4 for insulin users and > or = 2 for nonusers), an annual dilated eye examination, and a blood pressure measurement in the past 6 months. RESULTS: The mean age of the 640 respondents was 61 years, 58% were women, and 86% were white. In the preceding year, 62% of respondents reported the appropriate number of visits to a HCP 27% the appropriate number of foot examinations, 65% an annual dilated eye examination, and 89% a blood pressure measurement in the preceding 6 months. Only 17% (95% CI 14-20) met all four criteria for recommended care. The adjusted odds of receiving recommended care were higher for males than for females (odds ratio [OR] 1.6; 95% CI 1.1-2.5), higher for people whose HCP scheduled follow-up appointments than for those who self-initiated follow-up (OR 2.7; 95% CI 1.6-4.8), and higher for former smokers than for current smokers (OR 3.1; 95% CI 1.6-6.9). CONCLUSIONS: Preventive care for people with diabetes is not being delivered in compliance with current guidelines, especially for women and current smokers. Scheduling follow-up visits for patients, targeting certain high-risk populations, and developing protocols to improve foot care may be effective in improving care.

Adult↗

PubMed2005

Design and initial results from a supported education initiative: the Kansas Consumer as Provider program.

Despite increased attention to consumer-providers, there remains a lack of models that prepare, support, and sustain consumers in provider roles. This article describes the Consumer as Provider (CAP) Training program at the University of Kansas School of Social Welfare, which creates opportunities for individuals with severe psychiatric disabilities to develop knowledge and skills to be effective as human service providers. CAP fosters a partnership between colleges and community mental health centers where students experience classroom and internship activities. Outcome from a 2-year longitudinal study on CAP graduates indicates increased employability, especially in social services field, and higher post-secondary educational involvement.

Adult↗

PubMed2006

The Kansas Consumer as Provider program: measuring the effects of a supported education initiative.

Consumers providing direct services at mental health centers contribute positive qualities to the service delivery system; however, there are few instructional programs to prepare consumers for these roles. Of the few consumer-provider training programs that exist, those conducting research have focused on employment and hospitalization outcomes. No program has researched changes in students' perceptions of subjective well-being. Research with students in the Kansas Consumer as Provider (CAP) training program found significant differences in students' perception of hope, self-esteem, and recovery after the training program.

Adult↗

PubMed1975

Soil survival of toxoplasma oocysts in Kansas and Costa Rica.

Toxoplasma oocysts in cat feces were marked with a tracer amount of strontium-85 (85-SR), and were superficially buried simulating the natural disposal of feces by cats. Oocyst infectivity in Costa Rica was followed qualitatively and persisted for 1 year in three shaded sites, two moist, and one relatively dry site. Oocyst infectivity was quantitated in the Kansas deposit over a period of 18 months, including two winters. After initial mixing in soil, the level of infectivity remained fairly stable. Infectivity was recovered, probably from the surface on one Musca, several isopods, and earthworms. These data on persistence of Toxoplasma oocysts in soil support the concept that Toxoplasma infectivity in nature may be increased logarithmically by cats.

Animals↗

PubMed1975

Some hematologic and blood chemistry values in two herds of American bison in Kansas.

The data presented are compiled from two herds of American bison (Bison bison) in Kansas. In this study there were differences in the mean values of white blood cell count, neutrophil percentage, lymphocyte percentage and cholestrol, alkaline phosphatase, specific glutamic-oxalacetic transaminase concentrations between the age groups of animals under 2 years of age and bison over 2 year old. Differences in the two age groups paralleled those found in Jersey and Hereford cattle. Packed cell volume and hemoglobin concentrations was considerably higher than found in domestic Bovidae. More data is needed from other bison herds in this country to better describe the range of normal variation in individuals, population and age groups of B. bison.

Alkaline Phosphatase↗

PubMed1986

Blood characteristics of white-tailed deer from northeastern Kansas.

Blood samples were collected from 118 white-tailed deer (Odocoileus virginianus) shot on the Fort Riley Military Installation in northeastern Kansas. Values for these deer for hematocrit, glucose, alkaline phosphatase, uric acid, total protein, albumin, and calcium were within the ranges reported in previous studies for undrugged white-tailed deer. Abnormally high concentrations of serum glutamic oxaloacetate transaminase (SGOT) and lactic dehydrogenase (LDH) were attributed to general trauma and tissue damage caused by shooting the deer. Fawns had higher concentrations of alkaline phosphatase than adults and had lower concentrations in winter than at other times of the year. Serum urea nitrogen (SUN) concentrations fluctuated seasonally. Elevated concentrations of SUN in adult males killed in December were attributed to an increased catabolism of muscle protein caused by low dietary intake and high energy requirements during the rut. Cholesterol concentrations varied seasonally without regard to age or sex.

Animals↗

PubMed1989

Trypanosoma kansasensis sp. n. from Neotoma floridana in Kansas.

Trypanosoma kansasensis sp. n. (Sarcomastigophora: Kinetoplastida) is described from three of 23 (13%) eastern woodrats (Neotoma floridana) collected from Pottawatomie County, Kansas (USA). All flagellates found in the blood of woodrats were trypomastigotes and are larger than T. neotomae in overall dimensions, especially flagellar length and the distance between the posterior end of the organism and kinetoplast. Liver infusion-tryptose (LIT) cultures of infected whole blood resulted in the transformation of some parasites into epimastigotes; however, there was no apparent increase in parasite numbers.

Animals↗

PubMed1991

Serologic survey for selected microbial pathogens in bison from Kansas.

A serologic survey was conducted on an American bison (Bison bison) herd in Kansas for antibodies against Brucella spp., Leptospira interrogans serovar canicola, pomona, grippotyphosa, icterohaemorrhagiae, and hardjo, Anaplasma spp., bluetongue virus, infectious bovine rhinotracheitis virus and bovine viral diarrhea virus. There was an increase in prevalence of bluetongue antibodies from 38% in 1987 to 100% in 1989 in animals greater than or equal to 24-mo-old. Prevalences of antibodies against the other livestock pathogens were either negative or at levels associated with previous vaccination.

Anaplasmosis↗