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At least 163 records · Page 9Linked to original sources
PubMed1999

Secular trends in the prevalence of HIV infection among a population of males with hemophilia, 1988-1997: the Oklahoma Hemophilia Surveillance System.

Tracking the natural history of HIV/AIDS in the hemophilia community is useful for planning future health care needs and for adjusting estimates of the prevalence of hemophilia as the impact of HIV/AIDS wanes over time. The present study was designed to determine the annual prevalence of HIV infection from 1988 through 1997 in a population of males with hemophilia A or B. Data were obtained from the Oklahoma Hemophilia Surveillance System and were limited to individuals who were seen at the Oklahoma Hemophilia Treatment Center. In 1988, the prevalence rate of HIV infection was 34 percent. Rates have declined in each subsequent year through 1997. The highest rates of HIV infection were observed in persons with severe hemophilia and hemophilia A. The overall prevalence rates of HIV infection in this treatment center population are lower than those reported in other populations. No new cases of HIV infection were observed in persons with hemophilia born after 1985.

HIV Infections↗
PubMed1998

The Oklahoma City bombing: the roles of the dental teams ... and the lessons learned.

The Oklahoma City bombing is considered by most historians the worst act of domestic terrorism ever to have occurred in the United States. The response to the disaster, however, is considered by most experts in the field as being the best; creating what is known as the "Oklahoma Standard". The roles of the dental teams in the resolution were pivotal and until now, the recognition of these roles have not been described, due to this being considered a case of mass murder. The purpose of this paper is to give an overview of the preparations, the initial responses, the roles of the dental teams in the resolution, the preparations for the criminal trials, and some of the lessons that were learned.

Crime Victims↗
PubMed2000

Consumer Assessment of Health Plans Survey (CAHPS) results for Oklahoma managed care Medicaid, 1997, 1998, and 1999.

Consumer satisfaction surveys have become an important source of information for purchasers and consumers of health care and health care organizations themselves. Individuals receiving health care provide valuable information regarding access, use of services, and satisfaction with care that can be used for multiple evaluative purposes. The Oklahoma Health Care Authority has adopted the Consumer Assessment of Health Plans Survey (CAHPS) to measure patient satisfaction for the SoonerCare managed care programs. The Oklahoma Foundation for Medical Quality administered the surveys. The adult and child CAHPS core questionnaires served as the basis for the general surveys in 1997 and 1998. The CAHPS for Children with Special Needs survey results and the Pediatric Adaptation of the CAHPS Behavioral Health Survey results were administered in 1999 for baseline measures. Results indicated an overall increase in consumer satisfaction levels across the two CAHPS core questionnaires. Baseline measures for special needs populations were also established.

Adult↗
PubMed2000

Preventing carpal tunnel syndrome and cumulative trauma disorder: effect of carpal tunnel decompression excercises: an Oklahoma experience.

An Oklahoma meat packing company with 286 production workers experienced a high incidence of cumulative trauma disorder (CTD), specifically carpal tunnel syndrome (CTS). The company learned about the Carpal Tunnel Decompression Exercises (exercise program) through the American Academy of Orthopedic Surgeons' official web page. The Orthopaedic & Reconstructive Center assisted the company with implementation of the exercise program. The company reported their one-year follow up findings to the Governor's Council on Safety Policy (State of Oklahoma). The exercise program was the only ergonomic change the company implemented that year. The company's workers' compensation loss ratio improved from 13.89% to 11.61%. The company reported a net financial gain after comparing injury reduction versus work time lost to exercise. The incidence of Cumulative Trauma Disorder, excluding Carpal Tunnel Syndrome, was reduced 37% and Carpal Tunnel Syndrome was reduced 45.4%. The results of the exercise program were significant enough that the company made the exercise program permanent.

Adolescent↗
PubMed2000

A history of the University of Oklahoma College of Medicine: perspectives on funding the educational mission.

This paper discusses the history of the University of Oklahoma College of Medicine. The history from the perspective of the political environment has been published by Mark R. Everett and Alice A. Everett, and the third edition of that series will be published soon by Regents Professor Mark Allen Everett, MD. These volumes are essential reading for a thorough understanding of the history of the college. In this paper, I will concentrate on the history of funding the educational mission. It is an interesting study of the politics of a state institution and reflects the history of the chronic underfunding of higher education in the state of Oklahoma.

Education, Medical, Undergraduate↗
PubMed2001

The course of post-traumatic stress disorder after the Oklahoma City bombing.

Oklahoma City bombing survivors (N = 182) were studied 6 months post-bombing and reassessed approximately 1 year later (N = 141) to determine the longitudinal course of post-traumatic stress disorder (PTSD) and other psychiatric disorders. The Diagnostic Interview Schedule assessed lifetime, current, predisaster, and post-bombing psychiatric diagnoses at both assessment points. One-third of the Oklahoma City bombing survivors had PTSD at index, and similar rates were diagnosed at follow-up. More recovery from depression was apparent than from PTSD. No delayed onset PTSD was observed, and all PTSD was chronic. Avoidance and numbing symptoms were dominant in defining the development of PTSD. Early onset and chronicity of PTSD indicate need for prompt and long-term intervention after disasters. Focus on avoidance and numbing symptoms may aid in identification of individuals needing intervention and monitoring the course of PTSD.

Female↗
PubMed2002

ERISA preemption and Oklahoma laws on managed care.

The Employee Retirement Income and Security Act of 1974 ("ERISA") affects Oklahoma managed care laws and thus the practice of medicine in complex and important ways. Because ERISA was enacted before managed care became an industry, ERISA's provisions have had unanticipated effects and become controversial. Insurers and managed care organizations have been quite successful in taking advantage of ERISA's preemption provisions to avoid being controlled by state laws, including those that regulate insurance. Congress is presently seeking to change this to varying degrees in the different versions of the "Patient Protection" bills. ERISA preempts state laws that "relate to" the administration of an ERISA covered plan. Numerous courts and legal scholars have sought to define what this language means with respect to state managed care laws. ERISA preemption affects patients' rights to sue utilization reviewers and insurers (as opposed to healthcare providers) for negligent determinations of "medical necessity" that interfere with treatment. Moreover, it interferes with Oklahoma's laws governing the quality of benefits, including those concerning external review of insurance benefit determinations. This article provides practitioners with a roadmap to one of the most important debates in healthcare today to facilitate informed participation in the political process on these issues.

Employee Retirement Income Security Act↗
PubMed2002

Oklahoma City and Tulsa Metropolitan Medical Response System.

The tragic loss of lives on September 11 followed by the Anthrax contaminations reinforced the need for work already underway through the Metropolitan Medical Response System (MMRS). Through leadership from the Medical Director for the Medical Control Board and EMSA, Oklahoma City and Tulsa have been the beneficiaries of nearly $1.5 million dollars in funding to prepare for nuclear, chemical or bioterrorism. The two Oklahoma cities were among the second wave of cities invited in 1999 to participate in the federally funded program for Metropolitan Medical Response. Many of the requirements of the contract have already been met under the capable guidance of Michael Murphy, a 23 year paramedic with 12 years of management experience with EMSA. Among the plans completed or underway are a Development Plan, MMRS System Plan, Forward Movement of Patients Plan, Pre-hospital Response Plan, a Biological Incident Plan, a Hospital Response Plan, a Training Plan and an Equipment and Pharmaceutical Plan. Coordinated planning between the two cities bring the added benefit of seamless sharing of personnel between both ends of the turnpike should a disaster impact one rather than both communities.

Civil Defense↗
PubMed1992

The medical education system in Oklahoma.

This paper provides a data base and analysis of the effectiveness of the public medical education system in Oklahoma. It provides the facts from which future decisions for Oklahoma health manpower policies might be developed.

Career Choice↗
PubMed1992

Tularemia pneumonia in Oklahoma, 1982-1987.

OBJECTIVE: We assessed the incidence, risk factors, and prognostic implications of tularemia pneumonia in Oklahoma from 1982 through 1987. DESIGN: We retrospectively reviewed all reported case-patients over the six-year period 1982-1987. SETTING: Department of Health in Oklahoma, where tularemia is known to be endemic. PATIENTS: Of 128 patients with tularemia who entered the study, 32 had pulmonary involvement. MAIN RESULTS: Compared to patients without pulmonary involvement, those with tularemia pneumonia were older (52 vs 32, p less than .0001), less likely to give a history of vector exposure (25% vs 7%, p less than .05), more likely to present with typhoidal illness (56% vs 15%, p less than .0001), hospitalized longer (11.6 vs 4.7 days, p less than .001), more likely to have a positive culture (9 vs 7, p less than .01), and more likely to die (4 vs 1, p less than .01). CONCLUSIONS: Patients with tularemia pneumonia often present without historical or physical examination findings that suggest the diagnosis; thus, tularemia pneumonia often cannot be distinguished from other cases of community-acquired pneumonia. Therefore, especially in areas where the disease is endemic, tularemia must be considered in patients with pneumonia.

Adolescent↗
PubMed2005

The Oklahoma Attorney General's Task Force report on the State of End-of-Life Health Care, 2005.

This article includes the recommendations submitted by the 15 members of the Oklahoma Attorney General's Task Force in their Report on the State of End-of-Life Health Care. The task force was created on April 21, 2004, and their report was accepted by Attorney General W.A. Drew Edmondson at a press conference April 11, 2005. It has been forwarded to members of the Oklahoma Legislature, relevant state agencies and organizations with an invitation to join with members of the task force to continue efforts to improve end-of-life care for Oklahomans. Copies of the report are available upon request to the Office of Attorney General.

Advance Directives↗
PubMed2005

OSMA and Oklahoma medicine: 1916-1925.

Despite uncertain economic times, the Oklahoma State Association grew steadily in the decade from 1916-1925, passing the 1500 membership mark for the first time and establishing itself as the premier medical organization in the state. While the world fought its first great war and suffered an influenza pandemic, Oklahoma physicians battled diseases for which there were no immunizations or cures, and OSMA struggled to establish its identity in the arena of medical legislation.

History, 20th Century↗
PubMedDate not supplied

Oklahoma Nurses Association 2005 House of Delegates resolution. Dangers of leaving children unattended in and around motor vehicles.

There is an escalation in the number of fatalities and injuries to children left unattended in and around motor vehicles. Since 1996, more than 225 children, most of them age 3 and under, have died of heat stroke after being trapped inside a parked car. In Oklahoma, SAFE KIDS Coalition has worked to educate parents and the public about leaving children in cars especially when temperatures reach 70 degrees or higher. Currently 12 states have laws that prohibit leaving children unattended in automobiles, but those states do not include Oklahoma. In states where no specific law exists, state and local prosecutors have the discretion to criminally charge adults under existing child endangerment laws. At the 2005 ANA House of Delegates a resolution to adopted so that the American Nurses Association would work with other entities to bring this issue to the public's attention to reduce and prevent future injuries and harm to children.

Accident Prevention↗
PubMedDate not supplied

Oklahoma Nurses Association 2005 House of Delegates resolution. Intimate partner violence assessment, intervention and documentation.

Intimate Partner Violence (IPV), physical and/or sexual assault of a spouse or intimate partner, has been highly associated with severe health problems such as chronic pain, recurring central nervous system symptoms, injuries, chronic disabilities, gastrointestinal disorders, sexually transmitted diseases, gynecological disorders, unintended pregnancies, depression, substance abuse, and post traumatic stress disorder. Statistically, 40-50% of women in IPV experience both physical and sexual assault. IPV is also associated with 3-13% of pregnancies, posing a threat to health and risk of death for the mother or fetus or both from trauma. Further, 40-60% of female murders in North America are committed by intimate partners. Oklahoma ranks 13th in the nation for women murdered by men in single victim, single offender incidents. IPV associated mortality also includes suicide of women with chronic depression related to violence. Women involved with IPV utilize health care providers and the health care system 3 times more frequently than non-battered women' and generate 92% more health plan costs per year as compared to non-battered women. There is sufficient research concurrence to demonstrate a significant number of women in Oklahoma, the nation and world have severe short and long term physical and mental health effects from IPV. Some victims of IPV may turn to health care professionals for help while other victims are fearful of asking for such assistance. Therefore, it is critical that nurses, as the largest group of health care providers and often the first to come in contact with a victim of IPV, do not miss an opportunity for accurate assessment, appropriate intervention and documentation of IPV in order to provide for a safe, timely and healthy resolution.

Documentation↗
PubMed1991

HIV seroprevalence in Oklahoma childbearing women.

From October 1989 through September 1990, we conducted an unlinked seroprevalence survey in Oklahoma to determine the prevalence of human immunodeficiency virus, type 1 (HIV) in women at the time of childbirth. Blood specimens obtained from 41,809 newborns in conjunction with the state's newborn metabolic screening program were tested for HIV after personal identifiers were removed. The overall HIV seroprevalence rate was 0.02% (10/41,809). Rates were highest for mothers aged 30 to 39 years (0.06%, 3/5,158). No difference was found between the HIV seroprevalence rates for women residing in standard metropolitan areas (MSAs) of the state (0.03%, 6/21,105) and women residing in non-metropolitan areas (0.03%, 3/11,904). When compared to other states where surveys have been done, Oklahoma's rate of HIV infection in childbearing women was low.

Adult↗
PubMed1991

Occupational risk exposure reports among first responders in Oklahoma, January 1989-December 1990.

In response to the risk of occupationally acquired infection with hepatitis B and human immunodeficiency virus, the State of Oklahoma enacted legislation which provided for a system of notification of emergency medical personnel who sustain risk exposures to blood or other potentially infectious body fluids. The system is based on the immediate report of the exposure to the STD/HIV Division of the Oklahoma State Department of Health. Between January 1, 1989, and December 31, 1990, emergency response facilities reported 115 exposures to blood or other body fluids. There was a mean delay of 12 days between exposure and report to the STD/HIV Division. Only 10 (9%) of the exposed workers had been previously vaccinated against hepatitis B, and universal precautions were in use only 40% of the time. Forty-eight reports (41.7%) indicated exposures that did not pose a risk of disease transmission. These data indicate that emergency response facilities are in need of further education directed at the risk and prevention of transmission of bloodborne pathogens.

Emergency Medical Services↗
PubMedDate not supplied

Differences between Oklahoma Indian infant mortality and other races.

Indian infant mortality rates (IMR) in the State of Oklahoma follow a downward linear trend from 13 per 1,000 live births in the 1975-76 period to 5.8 in 1987-88. Data from 7,631 death certificates matched to birth certificates, however, reveal much higher Indian IMR across the time interval than is currently documented. Matching (linking) of infant deaths to birth certificates from 1975 to 1988 indicates that infants born Indian had a 28 percent chance of being misclassified as another race (usually white) on the death certificate. Infants born white or black had less than a 1 percent chance of being misclassified. Misclassification of Indian deaths strongly alters the overall IMR for the Oklahoma Indian population from the currently reported 5.8 per 1,000 (1987-88) to an estimated actual rate of 10.4 per 1,000 for the same period.

Black People↗
PubMed1991

Changes in demographics at the University of Oklahoma College of Medicine.

Efforts in recruitment and retention of students by the University of Oklahoma College of Medicine have resulted in an increased size of applicant pool to the college over the past three years. Curriculum changes and programmatic innovations have provided new opportunities for students and incentives to remain in the State of Oklahoma. Continuing and expanding recruitment efforts can be enhanced by the active participation and support of the physicians of the state.

Education, Medical↗