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Distractive driving or sharks... you be the judge. 分心驾驶或鲨鱼……你来判断吧。
The Journal of the Kentucky Medical Association Pub Date : 2009-12-01
Daniel P Garcia
{"title":"Distractive driving or sharks... you be the judge.","authors":"Daniel P Garcia","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 12","pages":"491-2"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28641430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parental perception of children's weight as a function of ethnicity/race, gender, and age. 父母认为孩子的体重与种族、性别和年龄有关。
The Journal of the Kentucky Medical Association Pub Date : 2009-12-01
Ximena L Valdes, M Fernanda Nota, Sofia M Franco
{"title":"Parental perception of children's weight as a function of ethnicity/race, gender, and age.","authors":"Ximena L Valdes,&nbsp;M Fernanda Nota,&nbsp;Sofia M Franco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We hypothesized that parental perception of their child's weight varies as a function of ethnicity/race, age, and gender. We enrolled parents from three ethnic/race groups of children, 2-18 years of age, attending an inner-city clinic with BMI between 25th and 75th or exceeding 95th percentiles. Parents rated their own and their child's weight and their level of concern about it. A total of 104 Hispanic, 104 African-American, and 102 Caucasian parent/child dyads participated. No ethnic diference in parental perception of child's weight was noted. Analysis restricted to obese children showed parents were less likely to recognize obesity in their younger than in their older girls (P<0.001). This difference was not observed among obese boys. In 80% of parent/child dyads, the parent and child were concordant on the assessment of the child's weight, regardless of race. Both obese and non-obese parents recognized obesity in their child 75% of the time. Parents of obese Hispanic children (81%) were more concerned about their child's weight than were Caucasian (60%) or African-American (65%) (P< or =0.06). Parents of three ethnic/racial groups recognized clinical obesity but were less likely to recognize it in their younger children. Most obese children recognized their obesity, a finding that may facilitate physicians' weight loss interventions.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 12","pages":"485-9"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28641975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Funding for a healthy future in Kentucky. 为肯塔基州的健康未来提供资金。
The Journal of the Kentucky Medical Association Pub Date : 2009-12-01
{"title":"Funding for a healthy future in Kentucky.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 12","pages":"481-2"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28641427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
H1N1. H1N1。
The Journal of the Kentucky Medical Association Pub Date : 2009-12-01
John R White
{"title":"H1N1.","authors":"John R White","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 12","pages":"479"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28641426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing the medical school application pool: a key to training more rural physicians. 增加医学院申请人数:培养更多农村医生的关键。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
F Douglas Scutchfield
{"title":"Increasing the medical school application pool: a key to training more rural physicians.","authors":"F Douglas Scutchfield","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"464"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28585057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The safety and price of guns in Kentucky. 肯塔基州枪支的安全性和价格。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
Steven Lippmann
{"title":"The safety and price of guns in Kentucky.","authors":"Steven Lippmann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"464-5"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28625677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An investigation of an outbreak: Methicillin resistant Staphylococcus aureus colonization in an intensive care cardiac unit. 一次爆发的调查:耐甲氧西林金黄色葡萄球菌定植在重症监护心脏病房。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
Inemesit Umoren, Raul Nakamatsu, Carmen Sciortino, Joanna Sarver, Susan Blake, Paula Peyrani, Timothy Wiemken, Charles Woods, Julio Ramirez
{"title":"An investigation of an outbreak: Methicillin resistant Staphylococcus aureus colonization in an intensive care cardiac unit.","authors":"Inemesit Umoren,&nbsp;Raul Nakamatsu,&nbsp;Carmen Sciortino,&nbsp;Joanna Sarver,&nbsp;Susan Blake,&nbsp;Paula Peyrani,&nbsp;Timothy Wiemken,&nbsp;Charles Woods,&nbsp;Julio Ramirez","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Colonization in the nares with Methicillin Resistant Staphylococcus aureus (MRSA) has been described as a risk factor for eventual MRSA infection. The objective of this report is to describe the outbreak investigation, to identify the risk factors involved, and to evaluate and recommend control measures.</p><p><strong>Methods: </strong>This study was a retrospective observational outbreak study carried out in the Intensive Care and Cardiac Unit. Percentages of patients with positive conversions were graphically plotted out and were used to determine expected percentage of conversions versus observed. The case definition was determined to be a patient with a positive culture for MRSA from a nasal swab upon discharge or transfer from the ICCU whose initial swab on admission was negative.</p><p><strong>Results: </strong>The expected number of conversions was 2% per month and the newly observed number of conversions was 6%, which was >3 standard deviations from the mean. Repetitive sequence-based PCR (rep-PCR) was performed for the microbial DNA typing, which discovered genetically identical strains.</p><p><strong>Discussion: </strong>The main finding in this outbreak investigation was that the common room which housed four of these patients was contaminated with MRSA. A limitation was that some patients who would have been included in the study did not get screened at discharge and their conversion status could not be ascertained and environment cultures were not performed. Active surveillance allowed for the detection of an outbreak of MRSA colonization which led to early intervention that prevented more patients from becoming colonized. Prevention of colonization should be one of the primary goal in the prevention of MRSA.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"443-9"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28585171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abundance--the dilemma. 丰富的困境。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
Anita Garrison
{"title":"Abundance--the dilemma.","authors":"Anita Garrison","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"461"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28585056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The dollars & sense of health information technology (HIT) funding. 美元和卫生信息技术(HIT)资助的意义。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
{"title":"The dollars & sense of health information technology (HIT) funding.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"435-7"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28585166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kentucky pilot project for primary PCI without onsite CABG. 肯塔基州初级PCI试点项目，无需现场冠脉搭桥。
The Journal of the Kentucky Medical Association Pub Date : 2009-11-01
John Myers, Guy Brock, Savitri Appana, Laman Gray
{"title":"Kentucky pilot project for primary PCI without onsite CABG.","authors":"John Myers,&nbsp;Guy Brock,&nbsp;Savitri Appana,&nbsp;Laman Gray","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The American College of Cardiology, the American Heart Association, and the Society for Cardiovascular Angiography and Interventions strongly recommend that primary Percutaneous Coronary Intervention (PCI) should be performed in facilities that have an experienced cardiovascular surgical team available as emergency backup for all procedures. The current study investigates the medical soundness of allowing select facilities in Kentucky to perform primary PCI despite being devoid of onsite emergency backup capabilities.</p><p><strong>Methods: </strong>Two hospitals in the state of Kentucky, currently without emergency backup capabilities, have been allowed to perform primary PCIs for more than three years (beginning in April 2005) by the Kentucky Cabinet for Health and Family Services. The two hospitals selected were of similar size (approximately 200 beds) and similar distances from hospitals with onsite emergency backup capabilities (approximately one hour). We performed an analysis evaluating if hospitals without backup surgical capability have similar outcomes when compared to hospitals with backup surgical capabilities. Outcome variables included: (1) mortality, (2) cardiac arrest as result of PCI, (3) emergency surgery performed as a result of PCI, and (4) door-to-balloon time.</p><p><strong>Results: </strong>Our results suggest that there is no significant difference in any of the outcome variables studied between facilities with and without onsite emergency backup capabilities.</p><p><strong>Conclusions: </strong>Recommendations concerning primary PCI may need to be revisited. The principal outcomes associated with primary PCI were not significantly affected by whether a facility has onsite emergency backup capabilities. Therefore, we recommend that hospitals without backup surgical capabilities be allowed to perform primary PCI (with restrictions based on surgeon experience and the facilities' volume).</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 11","pages":"451-8"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28585172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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