Allied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Allied Health Occupations: Occupations of medical personnel who are not physicians, and are qualified by special training and, frequently, by licensure to work in supporting roles in the health care field. These occupations include, but are not limited to, medical technology, physical therapy, physician assistant, etc.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.Medical Secretaries: Individuals responsible for various duties pertaining to the medical office routine.Access to Information: Individual's rights to obtain and use information collected or generated by others.BooksAttitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Midwifery: The practice of assisting women in childbirth.Library Collection Development: Development of a library collection, including the determination and coordination of selection policy, assessment of needs of users and potential users, collection use studies, collection evaluation, identification of collection needs, selection of materials, planning for resource sharing, collection maintenance and weeding, and budgeting.Military Personnel: Persons including soldiers involved with the armed forces.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Public Policy: A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Personnel, Hospital: The individuals employed by the hospital.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Mental Health: The state wherein the person is well adjusted.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Health: The state of the organism when it functions optimally without evidence of disease.United StatesHealth Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Health Planning: Planning for needed health and/or welfare services and facilities.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.World Health: The concept pertaining to the health status of inhabitants of the world.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Oral Health: The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Public Health Administration: Management of public health organizations or agencies.Occupational Health: The promotion and maintenance of physical and mental health in the work environment.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Environmental Health: The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.Health Status Disparities: Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.Public Health Practice: The activities and endeavors of the public health services in a community on any level.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Mental Health Services: Organized services to provide mental health care.Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Health Care Rationing: Planning for the equitable allocation, apportionment, or distribution of available health resources.Rural Health: The status of health in rural populations.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Women's Health: The concept covering the physical and mental conditions of women.Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Urban Health: The status of health in urban populations.Child Health Services: Organized services to provide health care for children.Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.Personnel Management: Planning, organizing, and administering all activities related to personnel.Health Facilities: Institutions which provide medical or health-related services.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Military Medicine: The practice of medicine as applied to special circumstances associated with military operations.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Health Occupations: Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Regional Health Planning: Planning for health resources at a regional or multi-state level.Medical Laboratory Personnel: Health care professionals, technicians, and assistants staffing LABORATORIES in research or health care facilities.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.Personnel Staffing and Scheduling: The selection, appointing, and scheduling of personnel.Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Emergency Medical Technicians: Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Reproductive Health: The physical condition of human reproductive systems.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.War: Hostile conflict between organized groups of people.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Health Services Administration: The organization and administration of health services dedicated to the delivery of health care.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Great BritainProgram Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Politics: Activities concerned with governmental policies, functions, etc.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Occupational Diseases: Diseases caused by factors involved in one's employment.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Women's Health Services: Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Iraq War, 2003-2011: An armed intervention involving multi-national forces in the country of IRAQ.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.School Health Services: Preventive health services provided for students. It excludes college or university students.Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.Catchment Area (Health): A geographic area defined and served by a health program or institution.Occupational Exposure: The exposure to potentially harmful chemical, physical, or biological agents that occurs as a result of one's occupation.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.Health Services, Indigenous: Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.IraqNaval Medicine: The practice of medicine concerned with conditions affecting the health of individuals associated with the marine environment.AfghanistanHealth Records, Personal: Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.Men's Health: The concept covering the physical and mental conditions of men.Health Planning Guidelines: Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Consumer Participation: Community or individual involvement in the decision-making process.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Health Planning Support: Financial resources provided for activities related to health planning and development.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Schools, Public Health: Educational institutions for individuals specializing in the field of public health.Infant, Newborn: An infant during the first month after birth.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Social Justice: An interactive process whereby members of a community are concerned for the equality and rights of all.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Personnel Staffing and Scheduling Information Systems: Computer-based systems for use in personnel management in a facility, e.g., distribution of caregivers with relation to patient needs.United States Public Health Service: A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Disaster Planning: Procedures outlined for the care of casualties and the maintenance of services in disasters.Personnel Delegation: To entrust to the care or management of another, to transfer or to assign tasks within an organizational or administrative unit or structureCohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Financing, Government: Federal, state, or local government organized methods of financial assistance.Occupational Health Nursing: The practice of nursing in the work environment.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Educational Status: Educational attainment or level of education of individuals.International Cooperation: The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.Administrative Personnel: Individuals responsible for the development of policy and supervision of the execution of plans and functional operations.United States Dept. of Health and Human Services: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.Laboratory Personnel: Professionals, technicians, and assistants staffing LABORATORIES.Disease Outbreaks: Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS.Stress, Psychological: Stress wherein emotional factors predominate.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Health Fairs: Community health education events focused on prevention of disease and promotion of health through audiovisual exhibits.Personnel Selection: The process of choosing employees for specific types of employment. The concept includes recruitment.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.Health Food: A non-medical term defined by the lay public as a food that has little or no preservatives, which has not undergone major processing, enrichment or refinement and which may be grown without pesticides. (from Segen, The Dictionary of Modern Medicine, 1992)Afghan Campaign 2001-: Multinational coalition military operation initiated in October 2001 to counter terrorism and bring security to AFGHANISTAN in collaboration with Afghan forces.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)IndiaProspective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Health Communication: The transfer of information from experts in the medical and public health fields to patients and the public. The study and use of communication strategies to inform and influence individual and community decisions that enhance health.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.Social Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Organizational Policy: A course or method of action selected, usually by an organization, institution, university, society, etc., from among alternatives to guide and determine present and future decisions and positions on matters of public interest or social concern. It does not include internal policy relating to organization and administration within the corporate body, for which ORGANIZATION AND ADMINISTRATION is available.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Federal Government: The level of governmental organization and function at the national or country-wide level.Ambulances: A vehicle equipped for transporting patients in need of emergency care.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Research Personnel: Those individuals engaged in research.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.History, 20th Century: Time period from 1901 through 2000 of the common era.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Organizational Case Studies: Descriptions and evaluations of specific health care organizations.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Dental Health Services: Services designed to promote, maintain, or restore dental health.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Public Sector: The area of a nation's economy that is tax-supported and under government control.Prepaid Health Plans: Contracts between an insurer and a subscriber or a group of subscribers whereby a specified set of health benefits is provided in return for a periodic premium.Employment: The state of being engaged in an activity or service for wages or salary.Operating Rooms: Facilities equipped for performing surgery.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Environmental Exposure: The exposure to potentially harmful chemical, physical, or biological agents in the environment or to environmental factors that may include ionizing radiation, pathogenic organisms, or toxic chemicals.Health Planning Councils: Organized groups serving in advisory capacities related to health planning activities.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Health Transition: Demographic and epidemiologic changes that have occurred in the last five decades in many developing countries and that are characterized by major growth in the number and proportion of middle-aged and elderly persons and in the frequency of the diseases that occur in these age groups. The health transition is the result of efforts to improve maternal and child health via primary care and outreach services and such efforts have been responsible for a decrease in the birth rate; reduced maternal mortality; improved preventive services; reduced infant mortality, and the increased life expectancy that defines the transition. (From Ann Intern Med 1992 Mar 15;116(6):499-504)Decision Making, Organizational: The process by which decisions are made in an institution or other organization.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Workplace: Place or physical location of work or employment.EnglandIncidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.

*  Welcome to CDC Stacks | CDC guidance for evaluating health-care personnel for hepatitis B virus protection and for...

... pdm09 virus among 193 emergency department health care personnel was similar among 147 non-health care personnel (odds ratio ... Health Personnel Hepatitis B/prevention & Control Hepatitis B/transmission Hepatitis B Vaccines/administration & Dosage ... Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2011;60 ... occupational health and student health providers, infection-control specialists, hospital and health-care training program ...
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*  Prospective Evaluation of Health-Care Workers Exposed via Parenteral or Mucous-Membrane Routes to Blood and Body Fluids of...

... were health-care workers with less direct patient contact, such as laboratory and maintenance personnel. Eighty percent were ... other health-care institutions, and health departments in the United States.* None of these workers has developed signs or ... Prospective Evaluation of Health-Care Workers Exposed via Parenteral or Mucous-Membrane Routes to Blood and Body Fluids of ... Length of follow-up of exposed health-care workers ranged from 1 month to 32 months by December 31, 1983 (mean 5.5 months). ...
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*  Hycet - FDA prescribing information, side effects and uses

Health care providers should recommend a dropper that can measure and deliver the prescribed dose accurately, and instruct care ... by personnel experienced in administering opioids to infants, and with intensive monitoring.. Head Injury and Increased ... Your pharmacist also has a longer leaflet about Hycet that is written for health professionals that you can ask to read.. ... We comply with the HONcode standard for trustworthy health information - verify here ...
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*  Health Personnel Trends in Canada | CIHI

It also includes information on the regulatory environment and examines the education and training required to enter the health ... Tables include counts of health professionals by registration status and, for some professions, the number of graduates. This ... This publication is a reference document published every 2 years that reports the most recent 10-year trends on selected health ... Health Personnel Trends in Canada, 1995 to 2004. Language. Media Type. Price A/B Details. Action. ...
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*  CDC To Congress: Raise Our Budget Or Americans Will Die Needlessly - Phenomena: Germination

... using the local or state health department as a data broker. That implies hiring additional personnel to do infection-control ... At Germination, she'll explore public health, global health, and food production and policy: ancient diseases, emerging ... The numbers were collated by the Council of State and Territorial Epidemiologists, a public health trade group.) ... "Not all health departments will be able to implement this without additional resources." ...
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*  military health personnel « CBS Baltimore

Shock Trauma Doctor Trains Military Health Personnel In War ZonesThe University of Maryland Shock Trauma mission to save lives ...
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*  Department of Health | Health topic quickview: Health personnel

Health topic quickview /. Health topic quickview: Health personnel. A collection of Health personnel-related information in the ... Health workforce. 16 December 2015. Policy and Programmes to improve the adequacy and quality of Australia's health workforce. ... The Hon Greg Hunt MPMinister for HealthMinister for Sport. *The Hon Ken Wyatt AM MPMinister for Aged CareMinister for ... A quickview of health information. Select a topic. Please select. Aboriginal and Torres Strait Islander Health. Alcohol. Annual ...
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*  Alarming shortage of health personnel in conflict-affected Nigeria | UNFPA - United Nations Population Fund

There is an alarming shortage of skilled health personnel in the region. The violence has left more than 40 per cent of health ... Health personnel are critically needed to provide reproductive health services, including obstetric emergency obstetric care ... Health workers unload reproductive health kits in Maiduguri, Nigera. The kits contain life-saving reproductive health items. © ... Inicio Noticias Alarming shortage of health personnel in conflict-affected Nigeria. Noticias ...
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*  What does attitude of health personnel mean?

Find out what is the meaning of attitude of health personnel on Phrases.net! The Web's largest and most authoritative phrases ... Looking for the meaning of attitude of health personnel? ... ill health. A state of illness, or bad health.. Rate it:. (0.00 ... In good health, fitness.. Rate it:. (3.00 / 1 vote). inquire after. To ask about the health of someone.. Rate it:. (3.00 / 1 ... Perfectly fit; in excellent health.. Rate it:. (0.00 / 0 votes). fit as a Mallee bull. to be in good physical health. The ...
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*  Immunization of Health-Care Personnel

Disease in Health-Care Settings and Impact on Health-Care Personnel and Patients ... Disease in Health-Care Settings and Impact on Health-Care Personnel and Patients ... emergency medical service personnel, dental personnel, pharmacists, laboratory personnel, autopsy personnel, students and ... health-care or public safety personnel might be at risk for HBV exposure; in addition, personnel providing care and assistance ...
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... ...
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*  VM - Karl Golnik, MD, MEd, Named President of the Joint Commission on Allied Health Personnel in Ophthalmology

PAUL, Minn.-The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) has named ophthalmologist Karl Golnik, MD ... Karl Golnik, MD, MEd, Named President of the Joint Commission on Allied Health Personnel in Ophthalmology. ... PAUL, Minn.-The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) has named ophthalmologist Karl Golnik, MD ... He has a great commitment to the education and the value of certification of our ophthalmic medical personnel, as well as a ...
visionmonday.com/latest-news/article/karl-golnik-md-med-named-president-of-the-joint-commission-on-allied-health-personnel-in-ophthalmology/

*  Coping with Natural Disasters: Role of Local Health Personnel & Community (World Health Organisation): Part III : Preventing...

Chapter 6 : Action by the local health personnel. Essential professional qualities of local health personnel for coping with ... Coping with Natural Disasters: Role of Local Health Personnel & Community (World Health Organisation). ... local health personnel can include disaster-preparedness activities in the ordinary health programmes. For example, ordinary ... D. Activities concerned with the health education of groups at risk. E. Health activities as part of twinning arrangements. ...
nzdl.org/gsdlmod?e=d-00000-00---off-0aedl--00-0----0-10-0---0---0direct-10---4-------0-1l--11-en-50---20-about---00-0-1-00-0--4----0-0-11-10-0utfZz-8-00&a=d&c=aedl&cl=CL1.1&d=HASH8e8118a054b65947445b68.6.3.5

*  A Survey of the Knowledge, Attitude and Practice of the Labour Partogramme among Health Personnel in Seven Peripheral Hospitals...

Attitude and Practice of the Labour Partogramme among Health Personnel in Seven Peripheral Hospitals in Yaounde, Cameroon ... A Survey of the Knowledge, Attitude and Practice of the Labour Partogramme among Health Personnel in Seven Peripheral Hospitals ... attitude and practice of the labour partogramme among the health personnel in the main centers where referrals come from. We ... Our results showed that the personnel had a good knowledge of the labour partogramme, especially (100%) amongst the doctors. ...
https://omicsonline.org/peer-reviewed/a-survey-of-the-knowledge-attitude-and-practice-of-the-labour-partogramme-among-health-personnel-in-seven-peripheral-hospitals-in-16669.html

*  Defence personnel health and safety statistics: financial year 2011/12 - GOV.UK

... illness and deaths of service personnel, civilian employees and other civilian personnel. ... This annual statistical notice presents summary statistics on injury and illness to UK regular armed forces personnel, Ministry ... Ministry of Defence figures for injury, illness and deaths of service personnel, civilian employees and other civilian ... of Defence (MOD) civilian employees and other civilians that were recorded on MOD health and safety recording systems. ...
https://gov.uk/government/statistics/defence-personnel-health-and-safety-statistics-financial-year-201112

*  Health Personnel - India Environment Portal | News, reports, documents, blogs, data, analysis on environment & development |...

Health Personnel. * Observations of infection prevention and control practices in primary health care, Kenya. ,p,The objective ... Working for health and growth- Investing in the health workforce. ,p,The health sector is a key economic sector and a job ... National Health Profile 2016. The biggest challenge for India is the dual fight of containing a 'developing' country's health ... National Health Profile 2017. The Central Bureau of Health Intelligence (CBHI) has been releasing its annual publication ' ...
indiaenvironmentportal.org.in/category/2384/thesaurus/health-personnel/

*  Allied health personnel--Salaries, etc.

... Information about the Resource. Schema.org Name(s): Controlled Heading Identifier: * ...
experimental.worldcat.org/fast/805609/

*  Sequoia Personnel hosts health care talk

recently hosted David Fear, a 34-year veteran of the employee benefits business specializing in group health purchasing ... Eureka-based Sequoia Personnel Services Inc. recently hosted David Fear, a 34-year veteran of the employee benefits business ... Fear is a former president of both the National and the California Association of Health Underwriters, and currently serves on ... He is certified in the Patient Protection and Affordable Care Act and has presented numerous seminars on health care reform ...
times-standard.com/business/20131119/sequoia-personnel-hosts-health-care-talk

*  Ethical Challenges for Military Health Care Personnel: Dealing with Epidemics (Hardback) - Routledge

Outbreaks of epidemics like Ebola trigger difficult ethical challenges for civilian and military health care personnel. This ... This book examines the issue of ethics in the context of the provision of military health care in an epidemic. ... Ethical Challenges for Military Health Care Personnel. Dealing with Epidemics. Edited by Daniel Messelken, David Winkler. © ... While military health care personnel are always crucially involved during disaster relief operations and large-scale public ...
https://routledge.com/Ethical-Challenges-for-Military-Health-Care-Personnel-Dealing-with-Epidemics/Messelken-Winkler/p/book/9781472480736

*  Italy to Train Ethiopian Pediatricians, Health Care Personnel

The memorandum will promote cooperation in pediatric health surgery and training of health care personnel, it was learned. ... Italy to Train Ethiopian Pediatricians, Health Care Personnel 13 May 2017 Social ... Ethiopians to receive training on pediatric health surgery and vocational education and training of health care personnel ... Minister of Health Yifru Birhane appreciated on the occasion the assistance extended by Italy to strengthen the skills and ...
ena.gov.et/en/index.php/social/item/3179-italy-to-train-ethiopian-pediatricians-health-care-personnel

*  Medical personnel get health system up in Joplin - News - Journal Star - Peoria, IL

Freeman Health System near Joplin's destroyed St. John's hospital is open and fully functional, officials said at a Thursday ... Medical personnel get health system up in Joplin. Friday. May 27, 2011 at 12:01 AM May 27, 2011 at 3:47 AM ... Freeman Health System near Joplin's destroyed St. John's hospital is open and fully functional, officials said at a Thursday ... Freeman Health System is open and fully functional, officials said at a Thursday morning press conference. ...
pjstar.com/x1355387609/Medical-personnel-get-health-system-up-in-Joplin

*  A health balance sheet | Personnel Today

About Personnel Today Occupational Health & Wellbeing Contact us Features list 2017 Personnel Today Awards RAD Awards Whatmedia ... The health balance sheet Measuring the payoff to the corporation in promoting health in their. organisation is the key to the ... Health & Safety. Learning & Development. Occupational Health. Organisational Development. Payroll. Recruitment & Resourcing. ... Health is an individual issue Many corporations offer wellness programmes, but they are not often. comprehensive. Do any of the ...
personneltoday.com/hr/a-health-balance-sheet/

*  enursed.com: Regional Adviser, Nursing, Midwifery and Allied Health Personnel in World Health Organisation

HMC Qatar Middleeastjob Midwife Midwifery and Allied Health Personnel in World Health Organisation Midwives Ministry of Health ... How to Apply and get more details of post of Regional Adviser, Nursing, Midwifery and Allied Health Personnel in World Health ... Here is a vacancy of Regional Adviser, Nursing, Midwifery and Allied Health Personnel in World Health Organisation.. ... Labels: International Job, Midwifery and Allied Health Personnel in World Health Organisation, Nursing, Nursing Job, Regional ...
enursed.com/2014/11/regional-adviser-nursing-midwifery-and.html

*  Personnel health service infection control policies and practices regarding accidental needlestick injuries in selected South...

Personnel health service infection control policies and practices regarding accidental needlestick injuries in selected South ... Personnel health service infection control policies and practices regarding accidental needlestick injuries in selected South ... Theses and Dissertations (School of Health Systems and Public Health (SHSPH)) 84 ...
https://repository.up.ac.za/handle/2263/27294

*  Global 3D CAD Industry

Lifestyle & Health * Consumer Products & Retail * All Consumer Products & Retail Consumer Products & Retail Overview * Animals ... Personnel Announcements * Real Estate Transactions * Residential Real Estate * Small Business Services * Socially Responsible ...
prnewswire.com/news-releases/global-3d-cad-industry-300352227.html

VCU School of Allied Health Professions: Carnegie Classifications | Institution ProfileMinati SenUniversity College of Applied Sciences: University College of Applied Sciences (UCAS) is a technical college in Gaza founded in 1998. It offers 40 majors in engineering, health, technology, administration, education and the humanities.Blue Peter Book Award: The Blue Peter Book Awards are a set of literary awards for children's books conferred by the BBC television programme Blue Peter. They were inaugurated in 2000 for books published in 1999.Charles Brandon, 3rd Duke of Suffolk: Charles Brandon, 3rd Duke of Suffolk (1537/1538 – 14 July 1551), known as Lord Charles Brandon until shortly before his death, was the son of the 1st Duke of Suffolk and the suo jure 12th Baroness Willoughby de Eresby.United States Military Academy class ringBehavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.Self-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.Global Health Delivery ProjectClosed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Health policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Rock 'n' Roll (Status Quo song)Lifestyle management programme: A lifestyle management programme (also referred to as a health promotion programme, health behaviour change programme, lifestyle improvement programme or wellness programme) is an intervention designed to promote positive lifestyle and behaviour change and is widely used in the field of health promotion.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Prenatal nutrition: Nutrition and weight management before and during :pregnancy has a profound effect on the development of infants. This is a rather critical time for healthy fetal development as infants rely heavily on maternal stores and nutrient for optimal growth and health outcome later in life.Halfdan T. MahlerBehavior: Behavior or behaviour (see spelling differences) is the range of actions and [made by individuals, organism]s, [[systems, or artificial entities in conjunction with themselves or their environment, which includes the other systems or organisms around as well as the (inanimate) physical environment. It is the response of the system or organism to various stimuli or inputs, whether [or external], [[conscious or subconscious, overt or covert, and voluntary or involuntary.Contraceptive mandate (United States): A contraceptive mandate is a state or federal regulation or law that requires health insurers, or employers that provide their employees with health insurance, to cover some contraceptive costs in their health insurance plans. In 1978, the U.School health education: School Health Education see also: Health Promotion is the process of transferring health knowledge during a student's school years (K-12). Its uses are in general classified as Public Health Education and School Health Education.WHO collaborating centres in occupational health: The WHO collaborating centres in occupational health constitute a network of institutions put in place by the World Health Organization to extend availability of occupational health coverage in both developed and undeveloped countries.Network of WHO Collaborating Centres in occupational health.Great Lakes Environmental Research Laboratory: right|300px|thumb|Great Lakes Environmental Research Laboratory logo.National Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Aging (scheduling): In Operating systems, Aging is a scheduling technique used to avoid starvation. Fixed priority scheduling is a scheduling discipline, in which tasks queued for utilizing a system resource are assigned a priority each.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.Women's Health Initiative: The Women's Health Initiative (WHI) was initiated by the U.S.European Immunization Week: European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases. EIW activities are carried out by participating WHO/Europe member states.Cross-training (business)Society for Education Action and Research in Community Health: Searching}}Healthy community design: Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:United States Army Medical Research Unit-Brazil: The United States Army Medical Research Unit-Brazil (USAMRU-B) was a "Special Foreign Activity" of the Walter Reed Army Institute of Research headquartered in Rio De Janeiro, Brazil with several satellite labs in the Brazilian hinterland.National Research Council (2000), Strategies to Protect the Health of Deployed U.Resource leak: In computer science, a resource leak is a particular type of resource consumption by a computer program where the program does not release resources it has acquired. This condition is normally the result of a bug in a program.Northeast Community Health CentreSharon Regional Health System: Sharon Regional Health System is a profit health care service provider based in Sharon, Pennsylvania. Its main hospital is located in Sharon; additionally, the health system operates schools of nursing and radiography; a comprehensive pain management center across the street from its main hospital; clinics in nearby Mercer, Greenville, Hermitage, and Brookfield, Ohio; and Sharon Regional Medical Park in Hermitage.Maternal Health Task ForceList of EMS provider credentials: An EMS provider's post-nominal (listed after the name) credentials usually follow his or her name in this order:Basic Occupational Health Services: The Basic Occupational Health Services are an application of the primary health care principles in the sector of occupational health. Primary health care definition can be found in the World Health Organization Alma Ata declaration from the year 1978 as the “essential health care based on practical scientifically sound and socially accepted methods, (…) it is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work (…)”.DenplanList of military conflicts spanning multiple wars: Early histories of a war typically describe the war as it was declared by the states involved. It is not uncommon for later historians to group together a series of wars over a long period or spread over several theaters as part of a broader conflict or strategic campaign.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Essence (Electronic Surveillance System for the Early Notification of Community-based Epidemics): Essence is the United States Department of Defense's Electronic Surveillance System for the Early Notification of Community-based Epidemics. Essence's goal is to monitor health data as it becomes available and discover epidemics and similar health concerns before they move out of control.National Cancer Research Institute: The National Cancer Research Institute (NCRI) is a UK-wide partnership between cancer research funders, which promotes collaboration in cancer research. Its member organizations work together to maximize the value and benefit of cancer research for the benefit of patients and the public.Standard evaluation frameworkImplementation research: Implementation research is the scientific study of methods to promote the uptake of research findings. Often research projects focus on small scale pilot studies or laboratory based experiments, and assume that findings can be generalised to roll out into a practice based domain with few changes.Opinion polling in the Philippine presidential election, 2010: Opinion polling (popularly known as surveys in the Philippines) for the 2010 Philippine presidential election is managed by two major polling firms: Social Weather Stations and Pulse Asia, and several minor polling firms. The polling firms conducted surveys both prior and after the deadline for filing of certificates of candidacies on December 1, 2009.Mental disorderProportional reporting ratio: The proportional reporting ratio (PRR) is a statistic that is used to summarize the extent to which a particular adverse event is reported for individuals taking a specific drug, compared to the frequency at which the same adverse event is reported for patients taking some other drug (or who are taking any drug in a specified class of drugs). The PRR will typically be calculated using a surveillance database in which reports of adverse events from a variety of drugs are recorded.

(1/2817) Health at work in the general practice.

BACKGROUND: Poor mental health and high stress levels have been reported in staff working in general practice. Little is known about how practices are tackling these and other issues of health at work in the absence of an established occupational healthcare service. AIM: To establish the extent of knowledge and good practice of health at work policies for staff working in general practice. METHOD: Practice managers in 450 randomly selected general practices in England were interviewed by telephone, and the general practitioner (GP) with lead responsibility for workplace health in the same practice was surveyed by postal questionnaire. We surveyed the existence and implementation of practice policies, causes and effects of stress on practice staff, and agreement between practice managers and GPs on these issues. RESULTS: Seventy-one per cent of GPs and 76% of practice managers responded, with at least one reply from 408 (91%) practices and responses from both the practice manager and GPs from 252 (56%) practices. Seventy-nine per cent of practices had a policy on monitoring risks and hazards. The proportion of practices with other workplace health policies ranged from 21% (policy to minimize stress) to 91% (policy on staff smoking). There was a tendency for practices to have policies but not to implement them. The three causes of stress for practice staff most commonly cites by both GP and practice manager responders were 'patient demands', 'too much work', and 'patient abuse/aggression'. Sixty-five per cent of GPs felt that stress had caused mistakes in their practices. Although there was general agreement between the two groups, there was a considerable lack of agreement between responders working in the same practices. CONCLUSIONS: The study revealed substantial neglect of workplace health issues with many practices falling foul of health and safety legislation. This report should help general practices identify issues to tackle to improve their workplace health, and the Health at Work in the NHS project to focus on areas where their targeted help will be most worthwhile.  (+info)

(2/2817) The managed care revolution: how medical technologists have tolerated the change.

A repeated cross-sectional study on the psychological profiles and interpersonal styles of highly stressed medical technologists (perfusionists) has found remarkable consistency in internal psychological profiles and differences in interpersonal dynamics over a 6-year period. Six years ago a longitudinal study was begun to track the psychological profiles of perfusionists. Surgeons can repair cardiac defects only after a beating heart has been stopped. In order for the brain and other organs to survive cardiac surgery, they must be perfused with well-oxygenated blood. As a result, the life of every cardiac surgery patient literally sits in the hands of the cardiac perfusionist. The stress of placing patients on and off the 'pump' is one that is experienced by cardiovascular perfusionists on a daily basis. This stress has been likened to that of air traffic controllers who continually prepare planes for take off and/or landing. In the 6 years between studies, medical technologists have changed very little psychologically. They remain very well balanced. However, there have been significant changes in their interpersonal behaviours. Instead of the 'well-balanced' interpersonal profiles of 6 years ago, there is a higher degree of assertiveness/aggressiveness being reported. Managed Care has begun to impact interpersonal behaviours but has not yet altered the more resilient platform of internal psychological balance.  (+info)

(3/2817) Sentinel lymph node biopsy and axillary dissection in breast cancer: results in a large series.

BACKGROUND: Axillary lymph node dissection is an established component of the surgical treatment of breast cancer, and is an important procedure in cancer staging; however, it is associated with unpleasant side effects. We have investigated a radioactive tracer-guided procedure that facilitates identification, removal, and pathologic examination of the sentinel lymph node (i.e., the lymph node first receiving lymphatic fluid from the area of the breast containing the tumor) to predict the status of the axilla and to assess the safety of foregoing axillary dissection if the sentinel lymph node shows no involvement. METHODS: We injected 5-10 MBq of 99mTc-labeled colloidal particles of human albumin peritumorally in 376 consecutive patients with breast cancer who were enrolled at the European Institute of Oncology during the period from March 1996 through March 1998. The sentinel lymph node in each case was visualized by lymphoscintigraphy, and its general location was marked on the overlying skin. During breast surgery, the sentinel lymph node was identified for removal by monitoring the acoustic signal from a hand-held gamma ray-detecting probe. Total axillary dissection was then carried out. The pathologic status of the sentinel lymph node was compared with that of the whole axilla. RESULTS: The sentinel lymph node was identified in 371 (98.7%) of the 376 patients and accurately predicted the state of the axilla in 359 (95.5%) of the patients, with 12 false-negative findings (6.7%; 95% confidence interval = 3.5%-11.4%) among a total of 180 patients with positive axillary lymph nodes. CONCLUSIONS: Sentinel lymph node biopsy using a gamma ray-detecting probe allows staging of the axilla with high accuracy in patients with primary breast cancer. A randomized trial is necessary to determine whether axillary dissection may be avoided in those patients with an uninvolved sentinel lymph node.  (+info)

(4/2817) Occupational human immunodeficiency virus infection in health care workers: worldwide cases through September 1997.

The average estimated risk of human immunodeficiency virus (HIV) infection for health care workers following a percutaneous or mucous exposure is <0.5% in incidence studies, although a case-control study suggests it is much higher for highest-risk percutaneous exposure. To characterize exposures resulting in HIV transmission, we reviewed available data on occupational cases reported worldwide, identifying 94 documented and 170 possible cases. The majority of documented infections occurred in nurses, after contact with the blood of a patient with AIDS by means of percutaneous exposure, with a device placed in an artery or vein. High-exposure job categories, e.g., midwives and surgeons, are represented mostly among possible cases. Transmission occurred also through splashes, cuts, and skin contaminations, and in some cases despite postexposure prophylaxis with zidovudine. Health care workers could benefit if these data were incorporated in educational programs designed to prevent occupational bloodborne infections.  (+info)

(5/2817) High prevalence of hepatitis G virus (HGV) infections in dialysis staff.

BACKGROUND: Patients on renal replacement therapy, haemodialysis (HD), or after kidney transplantation (TX), are known to be at risk of acquiring blood-borne infections (HBV, HCV). GBV-C/Hepatitis G virus (HGV) has been described recently and is considered to cause blood-borne infections. The aim of this study was to analyse the risk for the medical staff of HD and TX patients to acquire HGV infection. METHODS: Eighty-five HD patients and 86 TX recipients were compared with 49 health-care workers and 64 blood donors as controls. The HGV prevalence was determined by RT-PCR and antibodies to E2 protein. RESULTS: A high prevalence of HGV was found in the medical staff (24%) which nearly corresponded to the prevalence of the patients (TX 36%, HD 25%) but not to the controls (9%). In contrast, the prevalence of HCV was low in the medical staff (2%) and controls (0%) but high in HD (13%) and TX (13%). Age and duration of employment in the department did not significantly influence the HGV prevalence in staff. The number of viraemic subjects in staff was high, possibly indicating a more recent infection. CONCLUSION: An occupational risk for HGV exists in medical staff of dialysis and transplant patients. Further routes of transmission than only parenteral may play a role in this setting.  (+info)

(6/2817) Nosocomial group A streptococcal infections associated with asymptomatic health-care workers--Maryland and California, 1997.

Group A Streptococcus (GAS), a common cause of pharyngitis and uncomplicated skin and soft tissue infections, can cause serious invasive infections (including necrotizing fasciitis and streptococcal toxic-shock syndrome [STSS]) and death. Since 1965, at least 15 postoperative or postpartum GAS outbreaks attributed to asymptomatic carriage in health-care workers (HCWs) have been reported. This report describes two nosocomial outbreaks of GAS infection in Maryland and California during 1996-1997; the findings suggest that early infection-control measures that include active surveillance may interrupt transmission and prevent morbidity and mortality.  (+info)

(7/2817) Effectiveness of training health professionals to provide smoking cessation interventions: systematic review of randomised controlled trials.

OBJECTIVE: To assess the effectiveness of interventions that train healthcare professionals in methods for improving the quality of care delivered to patients who smoke. DESIGN: Systematic literature review. SETTING: Primary care medical and dental practices in the United States and Canada. Patients were recruited opportunistically. SUBJECTS: 878 healthcare professionals and 11,228 patients who smoked and were identified in eight randomised controlled trials. In each of these trials healthcare professionals received formal training in smoking cessation, and their performance was compared with that of a control group. MAIN MEASURES: Point prevalence rates of abstinence from smoking at six or 12 months in patients who were smokers at baseline. Rates of performance of tasks of smoking cessation by healthcare professionals, including offering counselling, setting dates to stop smoking, giving follow up appointments, distributing self help materials, and recommending nicotine gum. METHODS: Trials were identified by multiple methods. Data were abstracted according to predetermined criteria by two observers. When possible, meta-analysis was performed using a fixed effects model and the results were subjected to sensitivity analysis. RESULTS: Healthcare professionals who had received training were significantly more likely to perform tasks of smoking cessation than untrained controls. There was a modest increase in the odds of stopping smoking for smokers attending health professionals who had received training compared with patients attending control practitioners (odds ratio 1.35 (95% confidence interval 1.09 to 1.68)). This result was not robust to sensitivity analysis. The effects of training were increased if prompts and reminders were used. There was no definite benefit found for more intensive forms of counselling compared with minimal contact strategies. CONCLUSIONS: Training health professionals to provide smoking cessation interventions had a measurable impact on professional performance. A modest, but non-robust, effect on patient outcome was also found, suggesting that training alone is unlikely to be an effective strategy for improving quality of care, unless organisational and other factors are also considered.  (+info)

(8/2817) Understanding adverse events: human factors.

(1) Human rather than technical failures now represent the greatest threat to complex and potentially hazardous systems. This includes healthcare systems. (2) Managing the human risks will never be 100% effective. Human fallibility can be moderated, but it cannot be eliminated. (3) Different error types have different underlying mechanisms, occur in different parts of the organisation, and require different methods of risk management. The basic distinctions are between: Slips, lapses, trips, and fumbles (execution failures) and mistakes (planning or problem solving failures). Mistakes are divided into rule based mistakes and knowledge based mistakes. Errors (information-handling problems) and violations (motivational problems) Active versus latent failures. Active failures are committed by those in direct contact with the patient, latent failures arise in organisational and managerial spheres and their adverse effects may take a long time to become evident. (4) Safety significant errors occur at all levels of the system, not just at the sharp end. Decisions made in the upper echelons of the organisation create the conditions in the workplace that subsequently promote individual errors and violations. Latent failures are present long before an accident and are hence prime candidates for principled risk management. (5) Measures that involve sanctions and exhortations (that is, moralistic measures directed to those at the sharp end) have only very limited effectiveness, especially so in the case of highly trained professionals. (6) Human factors problems are a product of a chain of causes in which the individual psychological factors (that is, momentary inattention, forgetting, etc) are the last and least manageable links. Attentional "capture" (preoccupation or distraction) is a necessary condition for the commission of slips and lapses. Yet, its occurrence is almost impossible to predict or control effectively. The same is true of the factors associated with forgetting. States of mind contributing to error are thus extremely difficult to manage; they can happen to the best of people at any time. (7) People do not act in isolation. Their behaviour is shaped by circumstances. The same is true for errors and violations. The likelihood of an unsafe act being committed is heavily influenced by the nature of the task and by the local workplace conditions. These, in turn, are the product of "upstream" organisational factors. Great gains in safety can ve achieved through relatively small modifications of equipment and workplaces. (8) Automation and increasing advanced equipment do not cure human factors problems, they merely relocate them. In contrast, training people to work effectively in teams costs little, but has achieved significant enhancements of human performance in aviation. (9) Effective risk management depends critically on a confidential and preferable anonymous incident monitoring system that records the individual, task, situational, and organisational factors associated with incidents and near misses. (10) Effective risk management means the simultaneous and targeted deployment of limited remedial resources at different levels of the system: the individual or team, the task, the situation, and the organisation as a whole.  (+info)



military personnel


  • Cohesion, leadership, mental health stigmatisation and perceived barriers to care in UK military personnel. (cambridge.org)
  • Unit cohesion, traumatic exposure and mental health of military personnel. (cambridge.org)
  • Association of Combat Experiences with Post-Traumatic Stress Disorder Among Canadian Military Personnel Deployed in Support of the Mission in Afghanistan. (cambridge.org)

care


  • and a legislative proposal for the Department of Defense (DOD) to offer TRICARE, the military's health care program, to reservists and their families when members are not on active duty. (gao.gov)
  • Estimates from DOD's 2000 survey showed that nearly 80 percent of reservists had health care coverage when they were not on active duty. (gao.gov)
  • In addition, a high percentage of reservists' civilian employers who currently pay some or all of health care premiums for reservists during activations could discontinue providing such assistance. (gao.gov)
  • A number of recent improvements have been made to reservists and their families' health care when members are activated. (gao.gov)
  • Congress made subsequent enhancements to TRICARE aimed at improving health care benefits for reserve component members. (gao.gov)

problems


  • Norwegian male military veterans show low levels of mental health problems four years after deployment in Afghanistan. (cambridge.org)
  • Potentially modifiable risk factors for mental health problems in deployed UK maritime forces. (cambridge.org)