Mississippi
Louisiana
Gulf of Mexico
Southeastern United States
Methyl Parathion
Arkansas
Disasters
Alabama
Cyclonic Storms
United States Department of Homeland Security
Rivers
Amoebozoa
New Orleans
Relief Work
Paramyxoviridae
Fluoride Poisoning
Hypertension in the haemodialysis population: any relationship to 2-years survival? (1/260)
BACKGROUND: Few studies have quantified the effect of hypertension on survival in the haemodialysis (HD) population. We have previously reported lack of adverse effect of hypertension on 1-year mortality in a cohort of 649 haemodialysis patients (Am J Kidney Dis 1996; 28: 737-744). We report here the effect of hypertension on 2-year survival in the same cohort of patients. METHODS: We reviewed the complete computerized files on 649 HD patients enrolled in 10 haemodialysis centres in the state of Mississippi, USA. One-month dialysis records for each patient from mid-October 1994 to mid-November 1994 were reviewed. Predialysis mean arterial pressure was calculated as immediate predialysis diastolic pressure plus one-third the difference between systolic and diastolic pressure. Patients were classified as hypertensive if their average pre-MAP was more than 114 mmHg or they were receiving antihypertensive drugs during the study period. Normotensives had a pre-MAP < 114 and were not receiving any antihypertensives. We followed these patients for 2 years to determine their survival and the effect of their BP status, as determined in October 1994, on 2-year mortality. RESULTS: In univariate analysis, hypertension was associated with improved 2-years survival (relative risk 0.64, P=0.08 compared to normotensives). Furthermore, among the hypertensives, good blood pressure control (less than 140/90) was associated with increased relative risk of death at 2 years (RR 1.86, P=0.004). In multivariate analysis, taking age, race, serum albumin, and diabetic status into consideration, there was a 27% reduction in mortality among hypertensives compared to normtensives (RR 0.73, P=0.06). Other factors of significance in multivariate analysis were age (RR 1.03/year, P=0.02), serum albumin (RR 0.36/g, P<0.0001), diabetes mellitus (RR 1.35, P=0.07), and race (RR 0.64, P=0.05). CONCLUSIONS: Our study suggests that hypertension has no adverse effect on survival at 2 years in the haemodialysis population. (+info)Using a multidisciplinary automated discharge summary process to improve information management across the system. (2/260)
We developed and implemented an automated discharge summary process in a regional integrated managed health system. This multidisciplinary effort was initiated to correct deficits in patients' medical record documentation involving discharge instructions, follow-up care, discharge medications, and patient education. The results of our team effort included an automated summary that compiles data entered via computer pathways during a patient's hospitalization. All information regarding admission medications, patient education, follow-up care, referral at discharge activities, diagnosis, and other pertinent medical events are formulated into the discharge summary, discharge orders, patient discharge instructions, and transfer information as applicable. This communication process has tremendously enhanced information management across the system and helps us maintain complete and thorough documentation in patient records. (+info)An epidemic of burkholderia cepacia transmitted between patients with and without cystic fibrosis. (3/260)
Burkholderia cepacia is an important pathogen in cystic fibrosis (CF) and an infrequent cause of nosocomial infection in non-CF patients. This report describes a large hospital outbreak that appeared to involve both patient groups, a previously unrecognized phenomenon. Ribotype restriction fragment length polymorphism (RFLP) profiles and pulsed-field gel electrophoresis-resolved macrochromosomal RFLPs were analyzed, a ribotype-based phylogenic tree was constructed, and case-control and cohort studies were performed. A single dominant clone was found in both CF and non-CF groups. Phylogenic analysis suggests that it has evolved independently and that such highly transmissible strains can emerge rapidly and randomly. Acquisition risk in the CF patients was linked to hospitalization (odds ratio=5.47, P=.0158, confidence interval=1. 28-26.86) and was associated with significantly increased mortality rates. Infection control policies must now consider this threat of transmission between non-CF and CF patients. (+info)Molecular characterization of Haemophilus ducreyi strains from Jackson, Mississippi, and New Orleans, Louisiana. (4/260)
Chancroid, a sexually transmitted disease caused by Haemophilus ducreyi, is one of the most common genital ulcer diseases in developing countries. In the United States, while less common, the disease has been associated with outbreaks in inner cities, particularly among persons who engage in sex for drugs or money. Two outbreaks of chancroid were recently studied in the United States, one in New Orleans (from 1990 to 1992) and one in Jackson, Mississippi (from 1994 to 1995). By use of ribotyping, plasmid content, and antibiotic susceptibility, the chancroid cases in New Orleans were found to be due to a limited number of strains, consistent with a limited introduction of H. ducreyi into this community. The H. ducreyi isolates from New Orleans and Jackson had different ribotype patterns, suggesting that the two outbreaks were probably not linked. (+info)Neighbourhood differences in diet: the Atherosclerosis Risk in Communities (ARIC) Study. (5/260)
STUDY OBJECTIVE: To investigate whether neighbourhood characteristics are related to dietary patterns independently of individual level variables. DESIGN: A cross sectional analysis of the relation between neighbourhood median household income and food and nutrient intakes, before and after adjustment for individual level variables. SETTING: Four United States communities (Washington Co, MD; Suburban Minneapolis, MN; Forsyth Co, NC, and Jackson, MS). PARTICIPANTS: 13,095 adults aged 45 to 64 years participating in the baseline examination of the Atherosclerosis Risk in Communities (ARIC) Study, a prospective study of atherosclerosis. MEASUREMENTS AND MAIN RESULTS: Information on diet and individual level income was obtained from the baseline examination of the ARIC Study. Diet was assessed using a semi-quantitative food frequency questionnaire. Information on neighbourhood (census defined block groups) median household income was obtained from the 1990 US Census. Multilevel models were used to account for the multilevel structure of the data. Living in lower income neighbourhoods was generally associated with decreased energy adjusted intake of fruits, vegetables, fish, and increased intake of meat. Patterns generally persisted after adjustment for individual level income, but were often not statistically significant. Inconsistent associations were recorded for the intake of saturated fat, polyunsaturated fat, and cholesterol. Overall, individual level income was a more consistent predictor of diet than neighbourhood income. CONCLUSION: Despite limitations in the definition and characterisation of neighbourhoods, this study found consistent (albeit small) differences across neighbourhoods in food intake, suggesting that more in depth research into potential neighbourhood level determinants of diet is warranted. (+info)Prevalence of self-reported nutrition-related health problems in the Lower Mississippi Delta. (6/260)
OBJECTIVES: The purpose of this study was to assess demographic and geographic differences in prevalence of self-reported nutrition-related health problems in Arkansas, Louisiana, and Mississippi. METHODS: The authors analyzed 1991 and 1993 Behavioral Risk Factor Surveillance System data for adults 18 years or older. RESULTS: Less educated African American women and women of other minority groups who were aged 35 to 64 years reported the highest prevalence of health problems. Geographic differences involved prevalence of hypertension, health status, and insurance status. CONCLUSIONS: Specific demographic subgroups and geographic areas with a high risk of health problems are in particular need of targeted interventions. (+info)The impact of Mississippi's mandatory delay law on the timing of abortion. (7/260)
CONTEXT: Mississippi mandates that a woman seeking an abortion must first receive, in person, information about the fetus and alternatives to abortion. She must then wait at least 24 hours before having an abortion. It is not clear how such mandatory delay requirements affect the timing during pregnancy at which abortion occurs. METHODS: The data for analysis, from the Mississippi Department of Health, are 34,748 abortions obtained by residents in the six-year period surrounding the law's enactment in August 1992 (i.e., from August 1989 through July 1995). The records were stratified by location of the nearest provider, so abortions to women whose nearest provider is in-state comprised the "treatment group" (N = 28,975), while abortions to women whose nearest provider is in a neighboring state with no such law comprised the "control group" (N = 5,773). Probit regressions were used to assess effects on the likelihood of a second-trimester abortion, and ordinary least-squares regressions were used to determine effects on gestational age at the time of the abortion. RESULTS: After enactment of the law, the proportion of second-trimester procedures increased by 53% (from 7.5% of abortions to 11.5%) among women whose closest provider is in-state, but it increased by only 8% (from 10.5% to 11.3%) among women whose closest provider is out-of-state. And although the overall abortion rate declined among women in the treatment group over the period (from 11.3 procedures per 1,000 women aged 15-44 to 9.9), the rate of second-trimester procedures increased among these women (from 0.8 per 1,000 women aged 15-44 to 1.1). The law was independently associated with delays in obtaining an abortion: Once the law went into effect and net of all covariates, the proportion of second-trimester abortions increased by nearly three percentage points more among women living closest to an in-state provider than among those living closest to an out-of-state provider. The law increased the mean gestational age of the fetus at the time of the procedure by approximately four days. Women who live closest to abortion providers in other states were relatively unaffected by the law. CONCLUSIONS: The proportion of abortions performed later in pregnancy will probably increase if more states impose mandatory delay laws with in-person counseling requirements. (+info)A survey of stool culturing practices for vibrio species at clinical laboratories in Gulf Coast states. (8/260)
Non-cholera Vibrio infections are an important public health problem. Non-cholera Vibrio species usually cause sporadic infections, often in coastal states, and have also caused several recent nationwide outbreaks of gastroenteritis in the United States. We report a survey of laboratory stool culturing practices for Vibrio among randomly selected clinical laboratories in Gulf Coast states (Alabama, Florida, Louisiana, Mississippi, and Texas). Interviews conducted with the microbiology supervisors of 201 clinical laboratories found that 164 (82%) received stool specimens for culture. Of these, 102 (62%) of 164 processed stool specimens on site, and 20 (20%) of these 102 laboratories cultured all stool specimens for Vibrio, indicating that at least 34,463 (22%) of 152, 797 stool specimens were cultured for Vibrio. This survey suggests that despite an increased incidence of non-cholera Vibrio infections in Gulf Coast states, a low percentage of clinical laboratories routinely screen all stool specimens, and fewer than 25% of stool specimens collected are routinely screened for non-cholera Vibrio. (+info)I believe there might be a misunderstanding. "Mississippi" is typically associated with the state in the United States or the river that flows through several states including Minnesota, Wisconsin, Iowa, Illinois, Missouri, Kentucky, Tennessee, Arkansas, Mississippi, and Louisiana. It is not a medical term or condition. If you have any medical terms or conditions you would like me to define, please let me know and I'd be happy to help.
I'm sorry for any confusion, but "Louisiana" is not a medical term or condition. It is a state located in the southern United States, known for its diverse culture, music, food, and history. If you have any questions about medical conditions or terms, I would be happy to help clarify those for you.
I'm sorry for any confusion, but the term "Gulf of Mexico" is not a medical concept or condition. The Gulf of Mexico is a large gulf located in the North American continent, surrounded by the United States to the north, Mexico to the west and south, and Cuba to the east. It's a geographical feature, specifically an oceanic gulf, and not related to medical terminology or healthcare.
I'm sorry for any confusion, but "Southeastern United States" is not a medical term. It refers to a geographical region in the eastern part of the United States, consisting of Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, and sometimes extended to include parts of West Virginia, Texas, Oklahoma, Missouri, Maryland, and Delaware.
If you have any medical questions or terms, I'd be happy to help clarify those!
Methyl parathion is an organophosphate insecticide and acaricide. It functions by inhibiting the enzyme cholinesterase, which leads to an accumulation of the neurotransmitter acetylcholine, causing nervous system excitation and ultimately damage or death in insects. However, it can also have toxic effects on mammals, including humans, if ingested, inhaled, or absorbed through the skin. It is classified as a highly hazardous pesticide by the World Health Organization (WHO) and its use is restricted or banned in many countries due to its high toxicity and environmental persistence.
I apologize for any confusion, but "Arkansas" is a proper noun and refers to a state in the United States. It does not have a medical definition. Arkansas is located in the southern region of the U.S. and is known for its diverse geography, which includes mountains, forests, and lowlands. The capital and largest city of Arkansas is Little Rock.
If you have any questions related to health or medicine, I would be happy to try to help answer them.
A disaster is a serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which exceeds the ability of the affected community or society to cope using its own resources. Disasters can be natural, such as earthquakes, hurricanes, tsunamis, and wildfires, or they can be caused by human activities, such as technological accidents, intentional acts of violence, and complex emergencies.
The medical definition of a disaster focuses on the health impacts and consequences of the event, which can include injury, illness, disability, and death, as well as psychological distress and social disruption. The response to a disaster typically involves a coordinated effort by multiple agencies and organizations, including healthcare providers, emergency responders, public health officials, and government authorities, to address the immediate needs of affected individuals and communities and to restore basic services and infrastructure.
Disasters can have long-term effects on the health and well-being of individuals and populations, including increased vulnerability to future disasters, chronic illness and disability, and mental health problems such as post-traumatic stress disorder (PTSD), depression, and anxiety. Preparedness, mitigation, response, and recovery efforts are critical components of disaster management, with the goal of reducing the risks and impacts of disasters and improving the resilience of communities and societies to withstand and recover from them.
I apologize, but "Alabama" is not a medical term or condition. It is the name of one of the states in the United States of America, located in the southeastern region. The term "Alabaman" is used to describe someone from this state. If you have any questions related to medical terminology or health concerns, I would be happy to help answer those for you.
A Cyclonic Storm is a large scale air mass that rotates around a strong center of low atmospheric pressure. In the context of meteorology, cyclonic storms are characterized by inward spiraling winds that rotate about a calm center known as the "eye." These storms can bring significant rainfall, high winds, and severe weather conditions. They are often referred to as tropical cyclones, hurricanes, or typhoons depending on their location and strength.
In the Indian Ocean, including the Bay of Bengal and the Arabian Sea, a cyclonic storm is defined as a tropical cyclone with sustained wind speeds of 34-61 knots (39-70 mph) near its center. The India Meteorological Department (IMD) and other regional meteorological organizations are responsible for tracking and issuing warnings for these storms to help minimize potential impacts on human life and property.
I'm sorry for any confusion, but the 'United States Department of Homeland Security' (DHS) is not a medical term or concept. It's a cabinet department of the U.S. federal government, created in response to the September 11 attacks, with the primary responsibilities of protecting the United States from terrorism and managing border control. The DHS includes several components, including the U.S. Coast Guard, Transportation Security Administration (TSA), Federal Emergency Management Agency (FEMA), Customs and Border Protection (CBP), and Immigration and Customs Enforcement (ICE), among others.
If you have any medical questions or terms you would like defined, I'd be happy to help!
I'm sorry for any confusion, but "Rivers" is not a medical term or concept. It is a geographical term referring to large, flowing bodies of water that usually empty into a sea or an ocean. If you have any medical questions or terms you would like defined, I'd be happy to help!
Amoebozoa is a supergroup of unicellular eukaryotic organisms that includes various kinds of amoebas and slime molds. These organisms are characterized by the presence of lobose pseudopodia, which are temporary protrusions of cytoplasm used for locomotion and feeding. Amoebozoa is a diverse group with over 9,000 described species, including both free-living and symbiotic forms. Some amoebozoans can form multicellular structures during their life cycle, such as slime molds, which are known for their complex behaviors and social interactions. The study of Amoebozoa is important for understanding the evolutionary history and diversity of eukaryotic organisms.
I'm sorry for any confusion, but "New Orleans" is not a medical term. It is a place name, referring to the largest city in the state of Louisiana, United States, and known for its distinctive French Creole and Spanish architecture, as well as its cross-cultural and multilingual heritage.
If you have any questions about medical terminology or concepts, I would be happy to help with those!
"Relief work" is not a term that has a specific medical definition. However, in a broader context, relief work often refers to the provision of assistance and support to communities or individuals affected by various forms of distress such as natural disasters, conflicts, poverty, or epidemics. This assistance can include providing basic needs like food, water, shelter, healthcare services, and psychological support to help alleviate suffering and promote recovery.
In the medical field, healthcare professionals may engage in relief work during humanitarian crises or emergencies by providing essential health services, treating injuries and illnesses, and helping to prevent the spread of diseases. Relief work can also involve collaborating with other organizations and government agencies to coordinate a comprehensive response to the crisis and ensure that those affected receive the necessary support.
Paramyxoviridae is a family of negative-sense, single-stranded RNA viruses that include several medically important pathogens. These viruses are characterized by their enveloped particles and helical symmetry. The paramyxoviruses can cause respiratory infections, neurological disorders, and other systemic diseases in humans, animals, and birds.
Some notable members of the Paramyxoviridae family include:
* Human respirovirus (also known as human parainfluenza virus): causes upper and lower respiratory tract infections in children and adults.
* Human orthopneumovirus (also known as respiratory syncytial virus, or RSV): a major cause of bronchiolitis and pneumonia in infants and young children.
* Measles morbillivirus: causes measles, a highly contagious viral disease characterized by fever, rash, and cough.
* Mumps virus: causes mumps, an acute infectious disease that primarily affects the salivary glands.
* Hendra virus and Nipah virus: zoonotic paramyxoviruses that can cause severe respiratory and neurological disease in humans and animals.
Effective vaccines are available for some paramyxoviruses, such as measles and mumps, but there are currently no approved vaccines for others, such as RSV and Nipah virus. Antiviral therapies are also limited, with only a few options available for the treatment of severe paramyxovirus infections.
Fluoride poisoning, also known as fluoride toxicity, is a condition that occurs when someone ingests too much fluoride. This can lead to a variety of symptoms, including nausea, vomiting, diarrhea, abdominal pain, excessive saliva, and weakness. In severe cases, it can cause more serious problems, such as seizures, coma, or even death.
Fluoride is a naturally occurring mineral that is often added to drinking water and toothpaste in order to help prevent tooth decay. However, consuming too much fluoride can be harmful. The amount of fluoride that is considered safe for human consumption depends on a number of factors, including age, weight, and overall health.
Fluoride poisoning is usually caused by accidental ingestion of large amounts of fluoride-containing products, such as toothpaste or mouthwash. It can also occur if someone drinks water that has been contaminated with high levels of fluoride. In some cases, fluoride poisoning may be the result of industrial accidents or intentional poisoning.
If you suspect that you or someone else has ingested too much fluoride, it is important to seek medical attention immediately. Treatment for fluoride poisoning typically involves supportive care, such as administering fluids to help flush the fluoride out of the body. In severe cases, more invasive treatments may be necessary.
Water pollution is defined medically as the contamination of water sources by harmful or sufficient amounts of foreign substances (pathogens, chemicals, toxic compounds, etc.) which tend to interfere with its normal functioning and can have negative effects on human health. Such pollutants can find their way into water bodies through various means including industrial waste disposal, agricultural runoff, oil spills, sewage and wastewater discharges, and accidental chemical releases, among others.
Exposure to polluted water can lead to a range of health issues, from minor problems like skin irritation or stomach upset, to severe conditions such as neurological disorders, reproductive issues, cancer, and even death in extreme cases. It also poses significant risks to aquatic life, disrupting ecosystems and leading to the decline or extinction of various species. Therefore, maintaining clean and safe water supplies is critical for both human health and environmental preservation.
African Americans are defined as individuals who have ancestry from any of the black racial groups of Africa. This term is often used to describe people living in the United States who have total or partial descent from enslaved African peoples. The term does not refer to a single ethnicity but is a broad term that includes various ethnic groups with diverse cultures, languages, and traditions. It's important to note that some individuals may prefer to identify as Black or of African descent rather than African American, depending on their personal identity and background.