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The Guillain-Barre Syndrome And The 1992-1993 And 1993-1994 Influenza Vaccines, Tamar Lasky, Gina J. Terracciano, Laurence Magder, Carol Lee Koski, Michael Ballesteros, Denis Nash, Shelley Clarke, Penina Haber, Paul D. Stolley, Lawrence B. Schonberger, Robert T. Chen

Publications and Research

Background
The number of reports of influenza-vaccine-associated Guillain-Barré syndrome to the national Vaccine Adverse Event Reporting System increased from 37 in 1992-1993 to 74 in 1993-1994, arousing concern about a possible increase in vaccine-associated risk.

Methods
Patients given a diagnosis of the Guillain-Barré syndrome in the 1992-1993 and 1993-1994 influenza-vaccination seasons were identified in the hospital-discharge data bases of four states. Vaccination histories were obtained by telephone interviews during 1995-1996 and were confirmed by the vaccine providers. Disease with an onset within six weeks after vaccination was defined as vaccine-associated. Vaccine coverage in the population was measured through a random-digit-dialing …

In The Affirmative, Vol.5, [No.11] (Mid-December 1998/Mid-January 1999), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

Tractor Driver Killed In Overturn While Mowing, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 44-year-old farm owner was killed when the tractor he was driving overturned. Using a rotary mower attached to a Ford 600 tractor, the farmer was mowing an area along the gravel road leading to his home in a very remote area of the county. On the east side was a fence and on the west a brush covered embankment. At the top of the seven-foot embankment was a sloping field that had been mowed earlier in the season. The tractor, having been purchased six weeks earlier, had undergone maintenance work but was not equipped with a Roll Over Protective …

Factory Worker Caught In Overhead Conveyor While Hanging Transformers, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Other

A 29-year-old male factory worker (the victim) died after his head became caught at the point where an overhead chain conveyor made contact with an idler, or pinwheel, that allowed the conveyor to make a 90-degree turn. The conveyor was over seven feet above the floor, but the victim, who was 6'7" tall, was standing on a platform that enabled him to reach the hooks on the conveyor to hang transformer canisters for delivery to a paint booth. No one saw the victim get caught at the nip point, but his supervisor heard him call out and immediately pushed the …

Tractor Operator Killed By Rotary Mower While Mowing Highway Right-Of-Way, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 23-year-old male (the victim) was killed when he fell from the tractor he was operating and was run over by the attached rotary mower. The victim had been mowing near an interstate highway on-ramp at about 1:15 pm, when his right front tractor wheel hit a concrete drainage culvert, apparently jolting him off, into the path of the mower. Although he was working with a crew, none of his co-workers witnessed the event. A passing commercial truck driver saw the victim fall, pulled over, and called emergency medical services (EMS) on his cellular phone. EMS personnel arrived within minutes …

Factory Worker Entangled In Conveyor Belt Rollers, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Other

An 18-year-old male chop saw operator (the victim) died when his right arm became caught in the roller mechanism underneath a conveyor belt. He was pulled into the roller mechanism and suffered compressional asphyxia and blunt force injuries. The victim had left his usual work station for a break. When he did not return on time, his supervisor began to search for him. He saw the victim's legs hanging from the conveyor belt and immediately ran to him and shut off the power to the conveyor belt, radioing a guard to call for emergency medical services (EMS). He and another …

Vol. 21 No. 4 (1998): Pacific Studies Full Issue, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Pacific Studies is published two times a year by The Jonathan Nāpela Center for Hawaiian and Pacific Studies, Brigham Young University Hawai‘i #1979, 55–220 Kulanui Street, Lāʻie, Hawai‘i 96762, but responsibility for opinions expressed in the articles rests with the authors alone. Subscription rate is US$40.00 yearly, payable to The Jonathan Nāpela Center for Hawaiian and Pacific Studies. The Jonathan Nāpela Center for Hawaiian and Pacific Studies (formerly The Pacific Institute) is an organization funded by Brigham Young University Hawai‘i. The Center assists the University in meeting its cultural and educational goals by undertaking a program of teaching, research, and …

Books Received And Book Notices, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Book Listing for the Vol 21, No 4 Edition of the Pacific Studies Journal

The Potential Demographic Impact Of Hiv/Aids In The Pacific, Dennis A. Ahlburg, Heidi J. Larson, Tim Brown

Pacific Studies

The number of HIV infections and cases of AIDS reported in the Pacific Island nations is growing steadily. Since many, if not all, of the risk factors for HIV infection are present in the Pacific, without change in behaviors that place people at risk of infection the potential exists for an HIV/AIDS epidemic. This article shows that such an epidemic would considerably increase mortality and slow but not reverse population growth in many Pacific Island countries. As yet, well-designed, multisectoral responses to the threat of an epidemic are lacking. The longer such responses are delayed, the larger will be the …

Contributors: Vol 21 No. 4, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Contributors list of Vol. 21 (1998): Pacific Studies Full Issue 4

The Nature, Scope, And Consequences Of Drug And Alcohol Use Of Students Enrolled At Three Southern Appalachian Community Colleges, Jewel D. Morgan

Electronic Theses and Dissertations

The primary purpose of this study was to determine the nature, scope, and consequences of drug and alcohol use by students enrolled at three southern Appalachian community colleges: Mountain Empire Community College (MECC) in Virginia, Northeast State Technical Community College (NSTCC) in Tennessee, and Southwestern Community College (SCC) in North Carolina. An additional purpose was to use this information to formulate recommendations for new and improved preventive substance-abuse programs. The design for this study was descriptive research. The Core Alcohol and Drug Survey (CORE) was selected as the appropriate instrument for use in this study. The 23-item questionnaire was designed …

Étude Exploratoire De L'Exposition Aux Vibrations Globales Du Corps Dans Un Véhicule Ambulancier De Modèle Gmc Top Kick, Paul-Émile Boileau, Subhash Rakheja

Rapports de recherche scientifique

No abstract provided.

La Sécurité Dans L'Utilisation De Machines Dangereuses : Les Presses Plieuses Dans Le Secteur De La Fabrication D'Équipement De Transport Et De Machines, Anh Dung Ngô, Yves Beauchamp, Phieu Le-Huy

Rapports de recherche scientifique

No abstract provided.

Impact Des Nouvelles Technologies Comme Moyen Stratégique De Prévention Des Accidents De Travail, Jean-Bernard Carrière, Yves Beauchamp, Jacqueline Dionne-Proulx

Rapports de recherche scientifique

No abstract provided.

Retooling Tax Subsidies For Health Coverage: Old Ideas, New Politics, Karl Polzer

National Health Policy Forum

This paper describes the tax treatment of health coverage and health care spending and explores the potential impact of recent tax reform proposals. The paper summarizes the criticisms of the current system and analyzes various alternatives including capping the open-ended tax exclusion of health benefits provided by employers and unions, eliminating the exclusion, and establishing a tax credit.

Physician Organizations Assuming Risk: Market And Policy Implications, Sandra Foote, Lisa Sprague

National Health Policy Forum

This issue brief looks at capitation contracting between physician groups and health plans and ways in which financial risk and functional responsibilities may be apportioned. It traces the evolution of capitation contracting in California and the legislative and regulatory issues that have arisen.

Site Visit To Southern California — Plans And Providers: Risk, Accountability, And Staying Power, Lisa Sprague

National Health Policy Forum

This site visit was the second of two focused on managed care operations and market dynamics in California, a state notable for high HMO market penetration and intense competition. In southern California, large physician groups and independent practice associations were highly visible and influential. They had assumed significant financial risk and care management responsibility for patients in HMO plans. The result was a distinctly different model of managed care than existed in other regions of the country. The visit included meetings with leaders from physician organizations and managed care organizations in San Diego and Orange counties, as well as an …

Logger Fatally Injured By Falling Limb, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 60-year-old male logger (the victim) was killed when a falling limb struck him on the head. He had been involved in the logging industry all of his life and had been working for a small logging business for six days when the fatal incident occurred. At about 9 a.m. on the day of the incident, the owner of the company went with the victim to where he would be felling trees. The victim was not wearing any personal protective equipment (PPE). They talked for a few minutes then the owner left on the bulldozer. When he returned 20-25 minutes …

Étude Des Processus Accidentels Dans L'Industrie De La Construction : Le Rôle De La Qualification Professionnelle Chez Les Charpentiers-Menuisiers Et Les Électriciens, Michel Vézina, Richard Gagnon, Serge André Girard, Jean-Pierre Brun, Michel Lavoie, Pierre Joubert, Renée Bourbonnais

Rapports de recherche scientifique

No abstract provided.

Évaluation Des Déterminants De L'Efficacité D'Une Formation En Matière De Sécurité Du Travail Dans Le Secteur Minier, Michel Vézina, Michel Lavoie, Richard Gagnon, Renée Levaque Charron, Pierre Joubert, Jean-Pierre Brun, Renée Bourbonnais

Rapports de recherche scientifique

No abstract provided.

Évaluation Des Déterminants De L'Efficacité D'Une Formation En Matière De Sécurité Du Travail Dans Le Secteur Minier : Résumé, Michel Vézina, Michel Lavoie, Richard Gagnon, Renée Levaque Charron, Pierre Joubert, Jean-Pierre Brun, Renée Bourbonnais

Rapports de recherche scientifique

No abstract provided.

Étude Des Processus Accidentels Dans L'Industrie De La Construction : Le Rôle De La Qualification Professionnelle Chez Les Charpentiers-Menuisiers Et Les Électriciens : Résumé, Michel Vézina, Richard Gagnon, Serge André Girard, Jean-Pierre Brun, Michel Lavoie, Pierre Joubert, Renée Bourbonnais

Rapports de recherche scientifique

No abstract provided.

Site Visit To Utah And Nevada — Essential Community Health Services On The Frontier, Karen Matherlee, Michael Anzick

National Health Policy Forum

From the opening dinner to the closing summary, this site visit explored the delivery and financing of essential community services for vulnerable populations in the frontier West. A sequel to the Forum's March 30-31, 1998, urban-centered site visit to Philadelphia, Providing Community-Based Primary Care: Nursing Centers, CHCs, and Other Initiatives, the visit spanned 493 miles. It included overview presentations, bus briefings, facility tours, telehealth demonstrations, panel discussions, and wrap-up reviews. Topics included the Utah health marketplace, the demands of emergency preparedness, the development of a patchwork of services along a continuum ranging from preventive care to tertiary referrals and follow-up, …

53-Year-Old Dies In Tricycle Tractor Overturn While Transporting Round Bale, Kentucky Injury Prevention And Research Center

Fatality Case Reports--Tractors/Logging

A 53-year-old full-time farmer (the victim) was crushed to death when the tractor he was operating overturned. At 1:45 pm, the victim was moving a large round bale of hay with a hay spike mounted on the front of a tractor. The tractor was not equipped with a rollover protective structure (ROPS) or a seatbelt. The farmer, who was sharecropping, was moving rolled hay from a field to a wagon in preparation for transportation to his farm. Hydraulics were used to lift the approximately 1500-pound spiked bale, and the farmer began driving toward the wagon. He proceeded along a tobacco …

In The Affirmative, Vol.5, No.9 (Mid-October/ Mid-November 1998), Mike Martin, The Aids Project

In the affirmative (1993-1999)

No abstract provided.

Assessing The Accuracy Of A New Diagnostic Test When A Gold Standard Does Not Exist, Todd A. Alonzo, Margaret S. Pepe

UW Biostatistics Working Paper Series

Often the accuracy of a new diagnostic test must be assessed when a perfect gold standard does not exist. Use of an imperfect test biases the accuracy estimates of the new test. This paper reviews existing approaches to this problem including discrepant resolution and latent class analysis. Deficiencies with these approaches are identified. A new approach is proposed that combines the results of several imperfect reference tests to define a better reference standard. We call this the composite reference standard (CRS). Using the CRS, accuracy can be assessed using multistage sampling designs. Maximum likelihood estimates of accuracy and expressions for …

Health And Wellness Among Adults With Developmental Disabilities, Ann Szalda-Petree Ph.D., Meg A. Traci Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

In 1988, the National Council on Disability published Toward Independence, which identified the prevention of secondary conditions and health promotion for people with disabilities as a major national goal. During the last ten years this goal has grown in importance, with U.S. service corporations and agencies, researchers, policy makers, and even private industry acknowledging its wisdow. An entire section of Healthy People 2010, the nation’s blueprint for promoting the health of the entire population, addresses disability and health. Previous editions in the series contained no explicit sections on disability. Now, disability has its own section, with 12 specific objectives and …

The State Children's Health Insurance Program: How Much Latitude Do The States Really Have?, Richard Hegner

National Health Policy Forum

The State Children's Health Insurance Program (CHIP) — a major program to cover low-income, uninsured children — was passed as part of the Balanced Budget Act of 1997. Its passage was part of a trend of a shifting balance of power between the federal and state governments, particularly in the policy areas of health and social welfare. This issue brief explores the degree of freedom afforded the states by CHIP, the factors guiding state decision making and planning, and the factors influencing the states' various decisions about CHIP. It also discusses state options in four basic areas: participation or nonparticipation …

A Cross-Sectional Study Examining Lifestyle And Rheumatoid Arthritis, Leslie Nazaroff

Loma Linda University Electronic Theses, Dissertations & Projects

Objective. Rheumatoid arthritis (RA) is a chronic inflammatory disease that affects the synovial joints. RA affects 0.5-2% of the population. Though it is predominantly a progressive disease, adjunct therapy may slow the destructive pathway or alleviate affiliated symptoms. This study examined the effects of lifestyle (diet and exercise) and self-efficacy on symptoms of RA as measured by disease activity and health satisfaction.

Methods. Seventy-five RA patients (77% female) from the Loma Linda University Faculty Medical Offices, Rheumatology Department completed self-assessment surveys on their lifestyle practices and RA affliction. Disease symptoms and activity were assessed with the Arthritis Impact Measurement …

Stachybotrys: Is Nevada At Risk?, Terrylynn C. Foley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Stachybotrys chartarum (atra) is a toxigenic fungus that is known to adversely impact the health of animals. Until recently, there have only been a few documented clinical reports linking Stachybotrys chartarum to human health effects. Scientists are increasingly convinced that Stachybotrys and its metabolites are responsible for several adverse health effects experienced by people all over the world, although conclusive proof has yet to be established. All the physical requirements needed for indoor Stachybotrys sporulation and growth is provided through water leaks (plumbing, roof or ceiling), flood events, nutrient sources (cellulose and nitrogen), pH, and temperature(23° - 28°C). Stachybotrys has …