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Full-Text Articles in Medicine and Health Sciences

Lowering The Risk Of Spreading Hiv Among Heterosexual Men In Africa, Richard Wamai Dec 2010

Lowering The Risk Of Spreading Hiv Among Heterosexual Men In Africa, Richard Wamai

Richard G. Wamai

No abstract provided.


Status Of Epa’S Proposed Rule To Strengthen The Ozone Standard, Dale Stephenson Oct 2010

Status Of Epa’S Proposed Rule To Strengthen The Ozone Standard, Dale Stephenson

Dale J. Stephenson

On January 6, 2010 the EPA rolled out a proposal to reduce the 8-hour primary standard for tropospheric (ground level) ozone from its current level of 0.075 ppm to somewhere between 0.060 ppm and 0.070 ppm. This reduction has the potential for many US airsheds to be declared as nonattainment with the new standard (including many in the Rocky Mountain West). Such a declaration will require state regulatory agencies to initiate implementation plans to bring affected airsheds back into attainment. This presentation will summarize the current status of and reasoning for EPA’s proposed reduction to the primary ozone standard and …


Effect Of Elevated Leukocyte Count On In-Hospital Mortality Following Acute Myocardial Infarction, Mark Furman, Richard Becker, Jorge Yarzebski, Judith Savageau, Joel Gore, Robert Goldberg Jul 2010

Effect Of Elevated Leukocyte Count On In-Hospital Mortality Following Acute Myocardial Infarction, Mark Furman, Richard Becker, Jorge Yarzebski, Judith Savageau, Joel Gore, Robert Goldberg

Jorge L. Yarzebski

The peripheral white blood cell count on presentation with acute myocardial infarction directly correlates with short-term in-hospital mortality. This association is independent of other prognostic factors, including extent and size of the acute myocardial infarction.


Differences In Discharge Medication After Acute Myocardial Infarction In Patients With Hmo And Fee-For-Service Medical Insurance, Danny Mccormick, Jerry Gurwitz, Judith Savageau, Jorge Yarzebski, Joel Gore, Robert Goldberg Jul 2010

Differences In Discharge Medication After Acute Myocardial Infarction In Patients With Hmo And Fee-For-Service Medical Insurance, Danny Mccormick, Jerry Gurwitz, Judith Savageau, Jorge Yarzebski, Joel Gore, Robert Goldberg

Jorge L. Yarzebski

OBJECTIVE: To assess the impact of fee-for-service (FFS) versus HMO medical insurance coverage on receipt of aspirin, beta-blockers, and calcium channel blockers at the time of hospital discharge following an acute myocardial infarction. DESIGN: Prospective, population-based study. SETTING: All 16 community and tertiary care hospitals in the metropolitan area of Worcester, Massachusetts. PATIENTS: The study population consisted of patients under 65 years of age hospitalized with a validated acute myocardial infarction in all hospitals in the Worcester (Massachusetts) Standard Metropolitan Statistical Area (1990 census estimate, 437,000) during 1986, 1988, 1990, 1991, and 1993. MEASUREMENTS AND MAIN RESULTS: After adjustment for …


Age-Related Trends (1986-1993) In The Use Of Thrombolytic Agents In Patients With Acute Myocardial Infarction. The Worcester Heart Attack Study, Harish Chandra, Jorge Yarzebski, Robert Goldberg, Judith Savageau, Colleen Singleton, Jerry Gurwitz, Joel Gore Jul 2010

Age-Related Trends (1986-1993) In The Use Of Thrombolytic Agents In Patients With Acute Myocardial Infarction. The Worcester Heart Attack Study, Harish Chandra, Jorge Yarzebski, Robert Goldberg, Judith Savageau, Colleen Singleton, Jerry Gurwitz, Joel Gore

Jorge L. Yarzebski

OBJECTIVE: To examine age-related differences and temporal trends in the use of thrombolytic therapy in a community-wide study of patients hospitalized with acute myocardial infarction (AMI) between 1986 and 1993. METHODS: All hospitals in the Worcester, Mass, metropolitan area (1990 census population, 4370000) were included. A total of 3824 patients with validated AMI categorized according to age comprised the study sample: younger than 55 years (n = 577), 55 to 64 years (n = 758), 65 to 74 years (n = 1143), and 75 years or older (n = 1346). RESULTS: Use of thrombolytic therapy increased during the period under …


Health Insurance Coverage And Outcome Following Acute Myocardial Infarction. A Community-Wide Perspective, Silvia Kreindel, Ronald Rosetti, Robert Goldberg, Judith Savageau, Jorge Yarzebski, Joel Gore, Arthur Russo, Carol Bigelow Jul 2010

Health Insurance Coverage And Outcome Following Acute Myocardial Infarction. A Community-Wide Perspective, Silvia Kreindel, Ronald Rosetti, Robert Goldberg, Judith Savageau, Jorge Yarzebski, Joel Gore, Arthur Russo, Carol Bigelow

Jorge L. Yarzebski

BACKGROUND: Several studies have suggested that type of medical insurance coverage is associated with hospital utilization rates and receipt of selected diagnostic or treatment approaches. To our knowledge no studies, however, have examined the relation between medical insurance coverage and short-term outcomes following acute myocardial infarction (AMI) from a multihospital, community-wide perspective. OBJECTIVE: To examine the association between medical insurance coverage and in-hospital case-fatality rates as well as length of hospital stay following AMI. METHODS: The study sample consisted of 3735 residents of the Worcester, Mass, metropolitan area hospitalized with validated AMI during 1986, 1988, 1990, 1991, and 1993 at …


Qualidade De Vida No Trabalho: Indicadores E Instrumentos De Medidas / Quality Of Work Life: Indicators And Instruments Of Measure, Everton Fernando Alves May 2010

Qualidade De Vida No Trabalho: Indicadores E Instrumentos De Medidas / Quality Of Work Life: Indicators And Instruments Of Measure, Everton Fernando Alves

Everton Fernando Alves

The measurement of Quality of Life at Work (QLW) has been emerging in the scientific community as an important tool for investigating and evaluating the occupational health of individuals in a holistic manner. The measurement instruments are developed for many different purposes and directions, being held by generic scales of health status and specific scales to a given situation. The objective of this study is to discuss important aspects related to QLW and present in a systematic concept, indicators and measurement instruments used and validated in Brazil. Was conducted a study of narrative review of available knowledge in the literature, …


Considerations For Culturally Appropriate Hiv/Aids Education Strategies In Belize: An Analytical Study Exploring The Relationship Between Knowledge And Stigma, C. Mcinnes, Treena Orchard, E. Druyts, R. Baird, W. Zhang, R. Hogg, P. Vandeusen Dec 2009

Considerations For Culturally Appropriate Hiv/Aids Education Strategies In Belize: An Analytical Study Exploring The Relationship Between Knowledge And Stigma, C. Mcinnes, Treena Orchard, E. Druyts, R. Baird, W. Zhang, R. Hogg, P. Vandeusen

Dr. Treena Orchard

No abstract provided.


Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson Dec 2009

Help-Negation And Suicidal Ideation: The Role Of Depression, Anxiety And Hopelessness., Coralie J. Wilson

Coralie J Wilson

Help-negation is expressed behaviorally by the refusal or avoidance of available help and cognitively by the inverse relationship between self-reported symptoms of psychological distress and help-seeking intentions. The current study is part of a larger multi-cite research program developed and led by the first author. It examines the association between suicidal ideation and intentions to seek help from friends, family and professional mental health sources in a sample of 302 Australian university students. Participants were 77.5% female and aged from 18-25 years old, with 85.4% aged 21 years or younger. Higher levels of suicidal ideation were related to lower help-seeking …