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At least 1,657 records · Page 92Linked to original sources

9-1-1 implementation: implications for poison center access.

House Bill 3178, passed by the 1981 Oregon Legislature, requires state-wide participation in a 9-1-1 emergency telephone system by 1991. It further requires deletion of all emergency telephone numbers other than 9-1-1 from the front cover of all telephone directories. The gradual implementation of 9-1-1 provided a unique opportunity to study telephone access to the poison center. The impact of 9-1-1 implementation was assessed, in a two-month survey of calls from the general public, to determine awareness of 9-1-1 availability and the source used to gain access to the poison center. Results showed that most callers (72%) had access to and were aware of 9-1-1. Callers obtained the poison center number from the telephone directories (28%), health care providers (19%), poison symbols supplied by the poison center (15%), directory assistance (9%), or other sources. Only 3% of the callers were referred from 9-1-1. State-wide implementation of 9-1-1 will have a major impact on the public's access to the poison center. The results of this study will be used to develop strategies for cooperation with 9-1-1 agencies.

Information Services↗

[Problems in the use of personal computers in the military polyclinic].

Problems, connecting with use of the personal computer in military polyclinic and arising at creation of automated working places of medical purpose are analyzed. A role and place of unified medical qualifiers, directories and dictionaries, formalized descriptions is opened. A combined way is supposed, at which through directory the static diagnosis (main and accompanying) is chosen, but the doctor supplements record by the individual characteristics of particular patients. These records fill up the appropriate directories in order of the formalized conclusions. Here in after they can be caused on screen, having reduced sharply hand-operated input. Besides, these data are means of training for doctors with small experience, because information maintenance have been created during development by the experienced experts.

Computer Communication Networks↗

[Differences between listed and unlisted telephone subscribers among telephone survey respondents].

The number of telephone surveys conducted has increased in Japan, with the telephone directory often used for sampling respondents in telephone surveys. As some subscribers request that their numbers not be listed, they are excluded. The Random Digit Dialing (RDD) survey method, however, not only makes possible smooth data collection, but also random sampling of all subscribers in telephone surveys. The authors conducted a telephone survey in Tokyo using the RDD method to investigate any differences in behavior and demographic or social attributes between listed and unlisted subscribers. These attributes included gender, age, family size, job, and residential area. The findings were as follows: 1) The listing rate in telephone directories was 65.8% among respondents. 2) Old age, large family size and certain residential areas correlated with higher listing rates. 3) Nevertheless, the relationship between listing in the telephone directory and residential area remains somewhat unclear due to the confounding attributes of age and family size. 4) Using Hayashi's second method of quantification, age, family size and occupation correlated with listing frequency. 5) There were also significant differences between listed and unlisted subscribers on questions of health maintenance and lifestyle.

Adult↗

Yellow professionalism. Advertising by physicians in the Yellow Pages.

We compared the specialty listings of physicians in the Yellow Pages of the 1983 Hartford, Connecticut, telephone book with the board certifications in specialties of the American Board of Medical Specialties as listed in the American Medical Association directory or the Marquis Directory of Medical Specialists. There were 1179 listings by 946 physicians under 61 specialty headings in the Yellow Pages. We found that a mean of 12 percent of "specialists" listed in the Yellow Pages were not board-certified in a specialty, although they had had ample opportunity to obtain board certification. We conclude that specialty advertising in the Yellow Pages is potentially misleading to consumers and that member boards of the American Board of Medical Specialties should consider ways to diminish this possible misrepresentation.

Advertising↗

Happy second birthday to the "Purple Book".

In August 1985 the one-year Council of TY Program Directors of the Association for Hospital Medical Education (AHME) published its first directory of TY residencies--the "Purple Book". The directory evolved out of the perceived need to uniform specialty program directors of the diversity of the TY programs, to better guide their future trainees. Dr Tupper has written an account of how the Council and the Purple Book came to be.

Directories as Topic↗

Continuing dental education on the World Wide Web.

Continuing dental education (CDE) courses delivered on the World Wide Web (Web CDE) offer numerous advantages over traditional CDE; however, two major issues--location of suitable courses and course quality--need resolution. Locating high-quality courses is difficult due to the lack of the standardized metadata that allows search engines to match courses to practitioners' needs. Web directories created by professional organizations are beginning to show promise, but require further development. Search engines and Web directories are discussed and improvements currently underway summarized. Course quality remains a highly significant concern. A national effort to create Web CDE course quality standards is underway that includes proposed standards. These proposed standards are summarized and used to comment on the current state of Web CDE courses. Examples are given when possible. Three emerging Web CDE technologies and a look to the future of Web CDE are discussed.

Computer-Assisted Instruction↗

Peach, practice, placements and partnership: an initiative to support clinical placements in nursing curricula.

This article reports on the formation of an innovative new unit, termed the Clinical Placement Support Unit (CPSU), within a Faculty of Health in a Midlands university. The CPSU is concerned with managing the clinical experiences of the Faculty's health care students and promoting a healthy dialogue between the staff in the Faculty and their clinical colleagues. Several approaches by which a relatively small group of people (the Faculty staff) keep informed a relatively large group of people (the clinical staff within the local NHS Trusts) are detailed. One of the approaches is an assessors newsletter and a second is a website for use by both health care students and the clinical assessors of those students. The main part of the website is an ambitious attempt to help better prepare students prior to their clinical placements and this section of the website is called the Placement Directory. The Placement Directory currently holds details on hundreds of placements where the health care students may be placed. Each web page gives details about a specific clinical placement and has a number of hyperlinks to relevant internet resources.

Career Choice↗

Ongoing research in occupational health and environmental epidemiology in developing countries.

Research in occupational health and environmental epidemiology can play an important role in furthering our understanding of occupational and environmental health problems. Research guides us in the recognition, management, and prevention of health problems. However, in developing countries, where rates of occupational and environmental illnesses and injuries are higher and where these problems are often more severe than in developed countries, research capabilities are less developed. In mid-1990, a project was undertaken to (a) document ongoing research in occupational health and environmental epidemiology in developing countries, (b) facilitate the exchange of information among researchers in this field, (c) stimulate research, and (d) avoid unnecessary duplication among researchers in this field. A questionnaire was mailed, the purpose of which was to learn the current status of research in developing countries and to develop a directory of such ongoing research. The questionnaire was sent to 1,528 individuals. Of the 500 research projects identified, 77% were investigating chemical hazards; 26%, physical hazards; 10%, biological hazards; and 10%, psychosocial hazards (some projects addressed multiple hazards). The chemical hazards studied most frequently were dusts, pesticides, and lead. The greatest number of research projects were identified in China, India, Brazil, Korea, and Thailand. Most projects were descriptive or cross-sectional epidemiologic studies or industrial hygiene or exposure-assessment studies. The World Health Organization has published a directory of the specific research projects that were identified in this survey.

Developing Countries↗

Home nutrition support patient education materials.

The practice of providing specialized enteral and parenteral nutrition to patients in the home setting has expanded nationwide during the past decade. Accompanying this growth has been an increased need for education of patients, families, and care providers in techniques of administering intravenous and tube feedings safely after discharge from the hospital. To meet this demand for information, written home nutrition support (HNS) education materials have been developed by hospital nutrition support teams, patient education specialists, home care providers, and formula manufacturers. The time and financial costs of developing these materials may be prohibitive in certain institutions that need HNS education resources. A directory of the printed materials available has been compiled to facilitate communication and exchange of HNS education information among institutions. The directory is presented with this article, with important characteristics to consider in the development of HNS education materials.

Enteral Nutrition↗

Home nutrition support materials.

The provision of enteral and parenteral nutrition to patients in the home setting continues to be an expanding area of practice throughout the US and Canada. The need for specialized training of patients and family members to safely administer these nutrition therapies at home following hospital discharge also continues to grow. In 1993, written materials designed for this purpose were gathered from institutions throughout the US and listed in a directory of Home Nutrition Support Patient Education Materials. Many nutrition support teams and health care organizations have been undergoing reorganization and streamlining during the past several years. As a result, resources for the creation and distribution of home nutrition support (HNS) education materials are diminished in many areas. An updated version of this directory has therefore been compiled to facilitate the exchange of these training items between institutions and teams across the country.

Enteral Nutrition↗

Product overview hotlist. Integration tools.

December's HotList features the continuation of our integration tools buyer's guide begun in November. All data have been provided by individual vendors who responded to survey questions. Computers in Healthcare has made an effort to contact all vendors within this market. See the 1993 Computers in Healthcare Market Directory for complete listing, or look for the new 1994 Market Directory scheduled for release in February.

Catalogs, Commercial as Topic↗

Alternative healing in nurse-midwifery practice.

This Clinical Practice Exchange focuses on alternative healing in nurse-midwifery practice. It features interviews with six certified nurse-midwives (CNMs) who practice complementary therapies (CTs). The healing modalities they use include homeopathy, Healing Touch, hypnosis, herbal healing, mindfulness meditation, and water healing. The CNMs discuss their training to practice CTs, how they use alternative healing with clients, and how they integrate this with midwifery practice. The interviews are followed by an Alternative Healing Directory composed of 37 CNMs who responded to a Call, which appeared several times in Quickening and JNM. Each midwife's listing includes contact information, CTs practices, and special interests in networking with other CNMs about alternative healing. The JNM hopes that this Directory will be a catalyst for networking and communication that will move forward the discussion, practice, and research of alternative healing within the midwifery community.

Complementary Therapies↗

Tracing medical information over the Internet.

The Internet became with do doubt a huge and valuable source of information for researchers. The wealth of information on the Internet is second to none and medical information is no exception. Yet with the vast expansion of the Internet and the World Wide Web in specie, to find the kind of information one is looking for, he/she needs to browse thousands of web sites and the experience would be like digging into a stack of hay looking for a needle. That's why search engines and subject indexes, as means to overcome this problem, were introduced and grew so rapidly. In general, there are three approaches to retrieve data from the World Wide Web; the subject directories, search engines and detailed subject indexes. However, there is no single comprehensive search engine or directory and it is recommended to use more than one with different keywords and synonymous.

Abstracting and Indexing↗

LifeBridge new publication: Md.MD. Listing of 1,200 physicians a major part of consumer-type magazine.

LifeBridge Health, Baltimore, created a directory of its physicians, which developed into a 100-page consumer magazine titled Md.MD A Directory of the Region's Finest Physicians. Written and designed in-house, the premier edition paid for itself, thanks to publishing partner, Alter Communications. The premier edition was mailed to 50,000 Baltimore area homes last September.

Advertising↗

The first 25 years of the Northwestern Ontario Medical Programme.

OBJECTIVE: A tracking study of the undergraduate medical students and postgraduate residents who participated in the Northwestern Ontario Medical Programme (NOMP) during its first 25 years (1972-1997) was conducted to search for factors related to physician recruitment to Northwestern Ontario. METHODS: Annual editions of the Canadian Medical Directory were used to determine how many participants returned to practise in Northwestern Ontario. RESULTS: A total of 1982 (84.9%) of the 2335 NOMP participants were located using the Canadian Medical Directory. Of those located, 217 (10.9%) had established practice in Northwestern Ontario. Significantly higher recruitment rates (p < 0.001) were found for postgraduate residents (88/410 [21.5%]) than for undergraduates (95/1445 [6.6%]). Undergraduates who returned for multiple placements were significantly (p < 0.001) more likely to practise in Northwestern Ontario. Furthermore, significant differences in recruitment rates (p < 0.001) were found among the 5 Ontario medical schools. A "snapshot" of 1999 identified that undergraduate medical students and postgraduate residents who undertook a NOMP placement were significantly (p < 0.001) more likely to practise in Northwestern Ontario (odds ratio 7.11, 95% confidence interval 5.11-9.90) than those graduating from Ontario universities who did not experience a NOMP placement. CONCLUSIONS: Analysis of 25 years of student tracking data confirms that NOMP placements were significantly associated with physician recruitment to Northwestern Ontario. Recruitment rates from participation in NOMP were higher for postgraduate residents, undergraduate medical students who returned for multiple placements, and for undergraduate medical students from certain Ontario universities.

Career Choice↗

Heavy metal content of ayurvedic herbal medicine products.

CONTEXT: Lead, mercury, and arsenic intoxication have been associated with the use of Ayurvedic herbal medicine product (HMPs). OBJECTIVES: To determine the prevalence and concentration of heavy metals in Ayurvedic HMPs manufactured in South Asia and sold in Boston-area stores and to compare estimated daily metal ingestion with regulatory standards. DESIGN AND SETTING: Systematic search strategy to identify all stores 20 miles or less from Boston City Hall that sold Ayurvedic HMPs from South Asia by searching online Yellow Pages using the categories markets, supermarkets, and convenience stores, and business names containing the word India, Indian cities, and Indian words. An online national directory of Indian grocery stores, a South Asian community business directory, and a newspaper were also searched. We visited each store and purchased all unique Ayurvedic HMPs between April 25 and October 24, 2003. MAIN OUTCOME MEASURES: Concentrations (microg/g) of lead, mercury, and arsenic in each HMP as measured by x-ray fluorescence spectroscopy. Estimates of daily metal ingestion for adults and children estimated using manufacturers' dosage recommendations with comparisons to US Pharmacopeia and US Environmental Protection Agency regulatory standards. RESULTS: A total of 14 (20%) of 70 HMPs (95% confidence interval, 11%-31%) contained heavy metals: lead (n = 13; median concentration, 40 microg/g; range, 5-37,000), mercury (n = 6; median concentration, 20,225 microg/g; range, 28-104,000), and/or arsenic (n = 6; median concentration, 430 microg/g; range, 37-8130). If taken as recommended by the manufacturers, each of these 14 could result in heavy metal intakes above published regulatory standards. CONCLUSIONS: One of 5 Ayurvedic HMPs produced in South Asia and available in Boston South Asian grocery stores contains potentially harmful levels of lead, mercury, and/or arsenic. Users of Ayurvedic medicine may be at risk for heavy metal toxicity, and testing of Ayurvedic HMPs for toxic heavy metals should be mandatory.

Arsenic↗

Pediatric rheumatology in adult rheumatology practices in Washington state.

OBJECTIVE: To determine both the extent to which adult rheumatologists treat children and their level of comfort in doing so. METHODS: A questionnaire was sent to all 77 physicians in the state of Washington who were listed as adult rheumatologists in the American College of Rheumatology (ACR) directory. RESULTS: Sixty-six questionnaires (86%) were returned; 50 were identified as being from private-practicing adult rheumatologists and were the focus of this study. Sixty-two percent of the respondents reported that they care for children; predictors included increased exposure to pediatric rheumatology during fellowship (P = 0.003), increased distance from Seattle (P = 0.001), and listing oneself in the ACR directory as treating children (P = 0.03). Most respondents reported feeling discomfort in treating children younger than 6 years of age, treating Kawasaki disease, and treating polyarteritis nodosa, but most reported feeling comfortable treating children with chronic arthritides. Impediments to referring to a pediatric rheumatologist included distance (median distance 35 miles), convenience for the family, personal preference, and experience in caring for children. Twenty-nine percent reported difficulties referring to a pediatric rheumatologist outside of one's managed care plan. Adult rheumatologists expressed interest in continuing medical education dealing with pediatric rheumatology, preferably with a lecture format in their home communities. CONCLUSION: A significant number of adult rheumatologists care for children. Pediatric rheumatologists should provide both educational and consultative support for these adult rheumatologist colleagues.

Adult↗

Academic courses in biofeedback.

The data presented here represent a sampling of the activities in programs offering academic courses in biofeedback that responded to the Education Committee's effort to develop a directory of such courses. A diversity of type and number of training experiences, equipment, resources, and approaches to training are represented. The committee is currently working on a format to share the wealth of course materials gathered in addition to the directory, which has already been published (Biofeedback Society of America, 1987).

Biofeedback, Psychology↗