North CarolinaSouth CarolinaNorth AmericaAgriculture: The science, art or practice of cultivating soil, producing crops, and raising livestock.Transients and Migrants: People who frequently change their place of residence.North SeaAfrican Americans: Persons living in the United States having origins in any of the black groups of Africa.Agricultural Workers' Diseases: Diseases in persons engaged in cultivating and tilling soil, growing plants, harvesting crops, raising livestock, or otherwise engaged in husbandry and farming. The diseases are not restricted to farmers in the sense of those who perform conventional farm chores: the heading applies also to those engaged in the individual activities named above, as in those only gathering harvest or in those only dusting crops.Pesticides: Chemicals used to destroy pests of any sort. The concept includes fungicides (FUNGICIDES, INDUSTRIAL); INSECTICIDES; RODENTICIDES; etc.Pfiesteria piscicida: A dinoflagellate with a life cycle that includes numerous flagellated, amoeboid, and encysted stages. Both the flagellated and amoeboid forms produce toxins which cause open wounds on fish. Pfiesteria piscicida feeds on tissue sloughed from these wounds, as well as on bacteria and algae. It is found in Atlantic estuaries of the United States.VirginiaEuropean Continental Ancestry Group: Individuals whose ancestral origins are in the continent of Europe.IowaMedicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.United StatesSoutheastern United States: The geographic area of the southeastern region of the United States in general or when the specific state or states are not included. The states usually included in this region are Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, West Virginia, and Virginia.North DakotaRisk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Local Government: Smallest political subdivisions within a country at which general governmental functions are carried-out.Naled: An organophosphate cholinesterase inhibitor that is used as an insecticide and as an acaricide.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.Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Refuse Disposal: The discarding or destroying of garbage, sewage, or other waste matter or its transformation into something useful or innocuous.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.Environmental Monitoring: The monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the environment (soil, air, and water), workplace, or in the bodies of people and animals present in that environment.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.African Continental Ancestry Group: Individuals whose ancestral origins are in the continent of Africa.Child Day Care Centers: Facilities which provide care for pre-school and school-age children.Occupational Exposure: The exposure to potentially harmful chemical, physical, or biological agents that occurs as a result of one's occupation.Disasters: Calamities producing great damage, loss of life, and distress. They include results of natural phenomena and man-made phenomena. Normal conditions of existence are disrupted and the level of impact exceeds the capacity of the hazard-affected community.Health Planning Technical Assistance: The provision of expert assistance in developing health planning programs, plans as technical materials, etc., as requested by Health Systems Agencies or other health planning organizations.Birth Certificates: Official certifications by a physician recording the individual's birth date, place of birth, parentage and other required identifying data which are filed with the local registrar of vital statistics.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Medical Informatics Computing: Precise procedural mathematical and logical operations utilized in the study of medical information pertaining to health care.Homicide: The killing of one person by another.Geography: The science dealing with the earth and its life, especially the description of land, sea, and air and the distribution of plant and animal life, including humanity and human industries with reference to the mutual relations of these elements. (From Webster, 3d ed)Indians, North American: Individual members of North American ethnic groups with ancient historic ancestral origins in Asia.Housing: Living facilities for humans.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.
Annual report of the North Carolina Agricultural Experiment Station :: State PublicationsNorth Carolina Agricultural Experiment Station--Periodicals. Agriculture--North Carolina--Periodicals. Place North Carolina, ... Agricultural research in North Carolina; Research and farming Creator North Carolina Agricultural Research Service.. North ... 1916 North Carolina State Library GIFT OF North Carolina State Library ^ 7 Kaleich THIRTY-NINTH ANNUAL REPORT OF THE NORTH ... 1916 North Carolina State Library GIFT OF North Carolina State Library ^ 7 Kaleich THIRTY-NINTH ANNUAL REPORT OF THE NORTH ...
Nursing home medication error quality initiative : (MEQI) report :: State PublicationsNorth Carolina--Statistics--Periodicals. Medication errors--North Carolina--Statistics--Periodicals. Health--North Carolina. ... University of North Carolina at Chapel Hill, University of North Carolina (System) ... at the University of North Carolina at Chapel Hill for the North Carolina Department of Health and Human Services, Division of ... at the University of North Carolina at Chapel Hill for the North Carolina Department of Health and Human Services, Division of ...
Annual report of the North Carolina Child Fatality Task Force to the Governor and General Assembly :: State PublicationsChildren--Services for--North Carolina--Periodicals. Children--Mortality--North Carolina--Periodicals. Place North Carolina, ... Safe Kids NC NC Healthy Start Foundation NC Harm Reduction Coalition University of North Carolina Highway Safety Research ... Safe Kids NC NC Healthy Start Foundation NC Harm Reduction Coalition University of North Carolina Highway Safety Research ... 42 Report from North Carolina Child Fatality Prevention Team The North Carolina Child Fatality Prevention Team (known as the " ...
Explanatory text for geologic map of North Carolina :: State Publications IINorth Carolina, Dept. of Conservation and Development, Division of Mineral Resources Agency-Current North Carolina Department ... This strip is expected to cross a part of North Carolina. Perhaps, when it is com-pleted, a revised map of North Carolina will ... This strip is expected to cross a part of North Carolina. Perhaps, when it is com-pleted, a revised map of North Carolina will ... North Carolina State Library ( f t jleigh NORTH CAROLINA DEPARTMENT OF CONSERVATION AND DEVELOPMENT William P. Saunders, ...
North Carolina vital statistics, vol 2 :: State PublicationsMortality--North Carolina. Vital Statistics--North Carolina. North Carolina--Statistics, Vital--Periodicals. North Carolina-- ... North Carolina; North Zar.olA.na Board o& Medical Examiner* ; North Carolina Boand o& Nursing; North Carolina Division ofa ... North Carolina; North Zar.olA.na Board o& Medical Examiner* ; North Carolina Boand o& Nursing; North Carolina Division ofa ... Public health--North Carolina. Public health--Diseases. Women--North Carolina. Place Raleigh, Wake County, North Carolina, ...
1989 North Carolina health manpower and facilities data book :: State PublicationsNorth Carolina Board of Nursing • North Carolina Board of Pharmacy • North Carolina Board of Physical Therapy Examiners • North ... North Carolina State Board of Dental Examiners • North Carolina State Board of Examiners in Optometry • North Carolina State ... North Carolina meets national standards of health manpower only in the. supply of registered nurses. The North Carolina ratio ... North Carolina meets national standards of health manpower only in the. supply of registered nurses. The North Carolina ratio ...
Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health :: State PublicationsNorth Carolina--Statistics, Vital--Periodicals. Public health--North Carolina Place Raleigh, Wake County, North Carolina, ... 28 North Carolina Bureau of Vital Statistics North Carolina Bureau of Vital Statistics 29 s S5 30 North Carolina Bureau of ... 28 North Carolina Bureau of Vital Statistics North Carolina Bureau of Vital Statistics 29 s S5 30 North Carolina Bureau of ... North Carolina Bureau of Vital Statistics 55 1 56 North Carolina Bureau of Vital Statistics North Carolina Bureau of Vital ...
North Carolina dental review : magazine of the School of Dentistry, the University of North Carolina at Chapel Hill :: State...The North Carolina Dental Society, North Carolina Academy of Pediatric Dentistry, North Carolina Academy of General Dentistry ... The North Carolina Dental Society, North Carolina Academy of Pediatric Dentistry, North Carolina Academy of General Dentistry ... North Carolina dental review : magazine of the School of Dentistry, the University of North Carolina at Chapel Hill ... NCDR; Review; North Carolina dental review : a publication of the University of North Carolina Dental Alumni Association, ...
Parent perception on children's weight status : North Carolina 2005-2006 :: State PublicationsObesity in children--North Carolina--Statistics. Children--North Carolina. Health--North Carolina Place North Carolina, United ... North Carolina 2005- 2006 The North Carolina Child Health Assessment and Monitoring Program ( NC CHAMP) is a surveillance ... North Carolina 2005- 2006 The North Carolina Child Health Assessment and Monitoring Program ( NC CHAMP) is a surveillance ... Parent perception on children's weight status : North Carolina 2005-2006 Contributor North Carolina. State Center for Health ...
Annual report of the North Carolina Agricultural Experiment Station :: State PublicationsNorth Carolina Agricultural Experiment Station--Periodicals. Agriculture--North Carolina--Periodicals. Place North Carolina, ... Agricultural research in North Carolina; Research and farming Creator North Carolina Agricultural Research Service.. North ... NORTH CAROLINA AGRICULTURAL EXPERIMENT STATION CONDUCTED JOINTLY BY THE NORTH CAROLINA DEPARTMENT OF AGRICULTURE AND THE NORTH CAROLINA ... NORTH CAROLINA AGRICULTURAL EXPERIMENT STATION CONDUCTED JOINTLY BY THE NORTH CAROLINA DEPARTMENT OF AGRICULTURE AND THE NORTH CAROLINA ...
Treatment of Voice Disorders in Children | Language, Speech, and Hearing Services in Schools | ASHA PublicationsThe author would like to acknowledge the work of Mary Kristen Clark, graduate research assistant at the University of North Carolina ... This project was supported by an intramural grant from the University of North Carolina at Greensboro, Office of Research, 2004 ... University of NC at Greensboro, Communication Sciences and Disorders, 300 Ferguson Building, Box 26170, Greensboro, NC 275402- ... graduate research assistant at The University of North Carolina at Greensboro, both of whom added to the information in this ...
Upper Cretaceous Ostracoda from North Carolina :: State Publications IINorth Carolina Geol. and Econ. Survey, v. Ill, p. 73-171. 1923, Cretaceous formations of North Carolina: North Carolina Geol. ... North Carolina Geol. and Econ. Survey, v. Ill, p. 73-171. 1923, Cretaceous formations of North Carolina: North Carolina Geol. ... North Carolina State Library Raleigh A/ NORTH CAROLINA DEPARTMENT OF CONSERVATION AND DEVELOPMENT William P. Saunders, Director ... North Carolina State Library Raleigh A/ NORTH CAROLINA DEPARTMENT OF CONSERVATION AND DEVELOPMENT William P. Saunders, Director ...
Comprehensive annual financial report of the University of North Carolina at Chapel Hill :: State PublicationsFOR CAROLINA NORTH The University's future contributions to the North Carolina economy one day will include Carolina North, a ... FOR CAROLINA NORTH The University's future contributions to the North Carolina economy one day will include Carolina North, a ... NORTH CAROLINA A CONSTITUENT INSTITUTION OF THE UNIVERSITY OF NORTH CAROLINA SYSTEM AND A COMPONENT U N I T O F T H E S TAT E O ... NORTH CAROLINA A CONSTITUENT INSTITUTION OF THE UNIVERSITY OF NORTH CAROLINA SYSTEM AND A COMPONENT U N I T O F T H E S TAT E O ...
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL - Patent applicationsTHE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL. THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL Patent applications. ...
Biennial report of the North Carolina State Board of Health :: State PublicationsNORTH CAROLINA BOARD OF HEALTH 33 MINUTES NORTH CAROLINA STATE BOARD OF HEALTH May 24, 1972 The North CaroHna State Board of ... NORTH CAROLINA BOARD OF HEALTH 33 MINUTES NORTH CAROLINA STATE BOARD OF HEALTH May 24, 1972 The North CaroHna State Board of ... NORTH CAROLINA BOARD OF HEALTH 15 MINUTES NORTH CAROLINA STATE BOARD OF HEALTH Wednesday, May 19, 1971 The North CaroHna State ... NORTH CAROLINA BOARD OF HEALTH 15 MINUTES NORTH CAROLINA STATE BOARD OF HEALTH Wednesday, May 19, 1971 The North CaroHna State ...
HIV prevention & community planning epidemiologic profile for North Carolina :: State PublicationsNorth Carolina--Epidemiology--North Carolina--Statistics. Public health--North Carolina. HIV infections--North Carolina-- ... Sexually transmitted diseases--North Carolina--Prevention--Statistics. Health--North Carolina Place North Carolina, United ... North Carolina Foreign-Born Population by Region of Birth, 2013 North Carolina DHHS 4 Communicable Disease 2013 North Carolina ... North Carolina Foreign-Born Population by Region of Birth, 2013 North Carolina DHHS 4 Communicable Disease 2013 North Carolina ...
Biennial report of the Western North Carolina Sanatorium, Black Mountain, and the North Carolina Sanatorium, Sanatorium ::...North Carolina--Sanatorium--Periodicals. Sanatoriums--North Carolina--McCain--Periodicals. Sanatoriums--North Carolina--Black ... Annual report of the North Carolina Sanatorium for the Treatment of Tuberculosis; Biennial report of the North Carolina ... Biennial report of the Western North Carolina Sanatorium, Black Mountain, and the North Carolina Sanatorium, Sanatorium ... Biennial report of the North Carolina Sanatorium, Sanatorium, and the Western North Carolina Sanatorium, Black Mountain ...
HIV Cohort Study At Johns Hopkins University, University of North Carolina at Chapel Hill and Vanderbilt University - Full Text...HIV Cohort Study At Johns Hopkins University, University of North Carolina at Chapel Hill and Vanderbilt University. This study ... Human Immunodeficiency Virus (HIV) infected patients in the HIV registries of Johns Hopkins University, University of North Carolina ... HIV infected patients seeking treatment at Johns Hopkins University, Vanderbilt University and University of North Carolina at ...
NCAA Basketball Aircraft Carrier Classic: Michigan State vs. North CarolinaNorth Carolina has had Michigan States number in years past, look for nothing to change this time around. North Carolina brings ... Last time Michigan State and North Carolina met in basketball the final score was 89-82 North Carolina winning in Chapel Hill. ... Alot of keys to this game, but a few that will be important is for North Carolina to show off their size early. With Harrison ... The year before that in 2008-2009 Michigan State loss twice to North Carolina, one being in the National Championship 89-72. ...
North Carolina awards :: State PublicationsState of North Carolina First Lady Mary P. Easley, State of North Carolina Acknowledgments Blue Cross and Blue Shield of North ... State of North Carolina First Lady Mary P. Easley, State of North Carolina Acknowledgments Blue Cross and Blue Shield of North ... He graduated from North Carolina State University in 1966 and from the University of North Carolina School of Law in 1969. He ... He graduated from North Carolina State University in 1966 and from the University of North Carolina School of Law in 1969. He ...
State medical facilities plan :: State PublicationsNorth Carolina. Department of Health and Human Services.. North Carolina Health Coordinating Council.. North Carolina. ... North Carolina state health plan Title Replaces North Carolina. Department of Human Resources. Division of Facility Services. ... Health facilities--North Carolina--Planning--Periodicals. Health facilities--North Carolina--Statistics--Periodicals. ... NOTE: Data used in the North Carolina 2017 State Medical Facilities Plan was last updated October 7, 2016. North Carolina ...
NORTH CAROLINA TOMAHAWK... Note: all information within the pages of this site, have been found in the free domain of the web. ... NA DURHAM, NC. POLICE OFFICER. INDIANS IN THE MILITARY 20th CENTURY WARRIORS. NATIIVE AMERICAN F KEY CONTACT TRIBES BY. STATE. ...
North Carolina... Aquarium on Roanoke Island, North Carolina by Kathy M. Newbern & J.S. Fletcher Jun 01, 2012. ... The North Carolina Bill That Could Make the Abortion Pill a Less Viable Option by HelloFlo Feb 17, 2017. ... North Carolina's favorite family parks, zoos & aquariums by Kathy M. Newbern & J.S. Fletcher Jul 06, 2011. ... North Carolina's best after-dinner outings by Kathy M. Newbern & J.S. Fletcher Jul 13, 2011. ...
North Carolina - Education WeekThe schools chief in North Carolina's largest city says he expects to have to lay off more than 1,000 of the district's 19,000 ... A North Carolina school board's decision to stop busing to achieve socioeconomic diversity comes as districts elsewhere adjust ... Children's advocates in North Carolina are seeking a spanking ban on students with disabilities after losing political tussles ... As Texas, North Carolina, and Ohio rewrite their social studies standards, the expectations around history are stirring ...
Steven Zeisel: Steven H. Zeisel, M.Florence Crittenton Home (Charleston, South Carolina)American Medical Student AssociationChilalo Agricultural Development Union: Chilalo Agricultural Development Union (CADU) is the first comprehensive package project established in Arsi Zone, Oromia Region, Ethiopia to modernize traditional subsistence agriculture. The major components of the package programmes include fertilizers, ameliorated seeds, farm credits, marketing facilities, better tools and implements, and improved storage facilities.Nomad Rock: Nomad Rock () is an isolated rock in Bransfield Strait, 5 nautical miles (9 km) off the north coast of Trinity Peninsula and 9 nautical miles (17 km) northeast of Cape Legoupil. So named by United Kingdom Antarctic Place-Names Committee (UK-APC) because of confusion about the identity of geographic points along this coast, and because of the wandering of features and names on charts of this vicinity.Middle North Sea Group: The Middle North Sea Group (abbreviation: NM) is a group of geologic formations in the Dutch subsurface, part of the North Sea Supergroup. The three formations of this group form a thick sequence of sediments in the Dutch subsurface, they crop out in parts of the southern Netherlands.African-American family structure: The family structure of African-Americans has long been a matter of national public policy interest.Moynihan's War on Poverty report A 1965 report by Daniel Patrick Moynihan, known as The Moynihan Report, examined the link between black poverty and family structure.Pesticides in the United States: Pesticides in the United States are used predominantly by the agricultural sector,Kellogg RL, Nehring R, Grube A, Goss DW, and Plotkin S (February 2000), Environmental indicators of pesticide leaching and runoff from farm fields. United States Department of Agriculture Natural Resources Conservation Service.Pfiesteria: Pfiesteria is a genus of heterotrophic dinoflagellates that has been associated with harmful algal blooms and fish kills. Pfiesteria complex organisms (PCOs) were claimed to be responsible for large fish kills in the 1980s and 1990s on the coast of North Carolina and in tributaries of the Chesapeake Bay.History of Virginia Commonwealth University: The history of Virginia Commonwealth University begins in 1967, when the Medical College of Virginia and the Richmond Professional Institute merged to become one, single university in Richmond, Virginia. The earliest roots of the school trace back to 1838, when the Medical College of Virginia was founded.Charles F. Lynch: Charles F. Lynch has been the Principal Investigator of the Iowa Cancer Registry, a statewide cancer surveillance program that is part of the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Pinguicula lutea: Pinguicula lutea, commonly known as the yellow butterwort, is a species of warm-temperate carnivorous plant in the Lentibulariaceae family. It grows in savannas and sandy bog areas of the Southeastern United States.Maple River (North Dakota): The Maple River is a tributary of the Sheyenne River, about long,U.S.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.Local government areas of Scotland: Local government areas covering the whole of Scotland were first defined by the Local Government (Scotland) Act 1889. As currently defined, they are a result, for the most part, of the Local Government etc (Scotland) Act 1994.NaledProportional 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.Neighbourhood: A neighbourhood (Commonwealth English), or neighborhood (American English), is a geographically localised community within a larger city, town, suburb or rural area. Neighbourhoods are often social communities with considerable face-to-face interaction among members.Seismic response of landfill: Solid waste landfills can be affected by seismic activity. The tension in a landfill liner rises significantly during an earthquake, and can lead to stretching or tearing of the material.Closed-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.Milad HospitalOccupational hygiene: Occupational (or "industrial" in the U.S.South Asia Disaster Report: South Asia Disaster Report is a 2006 report by Duryog Nivaran, edited by Amjad Bhatti and others, and subtitled Tackling the Tides and Tremors. It looks at disasters affecting the South Asian region's "countries and communities (that) are connected to each other geologically, geographically and culturally".Conservation technical assistanceDesiderata of the Lombards: Desiderata or Ermengarda was one of four daughters of Desiderius, king of the Lombards, and his queen, Ansa. She was married to Charlemagne, king of the Franks, in 770, probably to form a bond between the otherwise enemy states of Francia and Lombardy.Homicide: Homicide occurs when one human being causes the death of another human being. Homicides can be divided into many overlapping types, including murder, manslaughter, justifiable homicide, killing in war, euthanasia, and execution, depending on the circumstances of the death.Health geography: Health geography is the application of geographical information, perspectives, and methods to the study of health, disease, and health care.Robinson Rancheria of Pomo Indians of California: The Robinson Rancheria of Pomo Indians of California is a federally recognized tribe of Eastern Pomo people in Lake County, California.California Indians and Their Reservations.National Healthy Homes Hero Award: National Healthy Homes Hero Award is an award presented by a consortium of agencies at the United States' National Healthy Homes Conference. The first year this award was presented was in 2011.
(1/1906) Longitudinal evaluation of serovar-specific immunity to Neisseria gonorrhoeae.
The serovars of Neisseria gonorrhoeae that are predominant in a community change over time, a phenomenon that may be due to the development of immunity to repeat infection with the same serovar. This study evaluated the epidemiologic evidence for serovar-specific immunity to N. gonorrhoeae. During a 17-month period in 1992-1994, all clients of a sexually transmitted disease clinic in rural North Carolina underwent genital culture for N. gonorrhoeae. Gonococcal isolates were serotyped according to standard methods. Odds ratios for repeat infection with the same serovar versus any different serovar were calculated on the basis of the distribution of serovars in the community at the time of reinfection. Of 2,838 patients, 608 (21.4%; 427 males and 181 females) were found to be infected with N. gonorrhoeae at the initial visit. Ninety patients (14.8% of the 608) had a total of 112 repeat gonococcal infections. Repeat infection with the same serovar occurred slightly more often than would be expected based on the serovars prevalent in the community at the time of reinfection, though the result was marginally nonsignificant (odds ratio = 1.5, 95% confidence interval 1.0-2.4; p = 0.05). Choosing partners within a sexual network may increase the likelihood of repeat exposure to the same serovar of N. gonorrhoeae. Gonococcal infection did not induce evident immunity to reinfection with the same serovar. (+info)
(2/1906) Should a history section be included on the National Youth Sports Program preparticipation physical examination?
The National Youth Sports Program (NYSP) is an annual event sponsored by the National Collegiate Athletic Association that provides structured sports and enrichment programs to youth of low socioeconomic status. As part of the program, youths undergo a free medical examination that uses a physical examination checklist but does not include a section on medical history. To determine what additional information a medical history would provide, a history form was used in conjunction with the regular preparticipation examination for participants in the 1996 NYSP at the North Carolina Agricultural and Technical State University. The history form provided information such as family history of sudden death, personal history of asthma or bone injury, and whether participants took medications or used corrective lenses. Seventy-nine percent of the completed history forms documented a positive response to at least one question. Of these, only 5% had physical findings on examination. Conversely, 15% of participants had physical findings that were not reported on the history form. Because much of what is discovered by a medical history often is not found on physical examination and because history information can be used to prevent the occurrence of an accident or illness, this study suggests that the use of such a form is beneficial in providing a more comprehensive screening. (+info)
(3/1906) Environmental contaminants and body fat distribution.
The effect of body mass index (BMI) and waist:hip ratio (WHR) on plasma levels of organochlorines [i.e., 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (DDE)] was investigated in a sample of black and white women drawn from a population-based study in North Carolina. Organochlorine levels were determined in plasma samples from 99 women selected on the basis of race (black versus white) and quartile of the WHR (1st versus 4th). Of a panel of 20 organochlorine compounds tested, only DDE was detectable in most study subjects. Measurements of height, weight, and waist and hip circumferences were taken during an in-person interview. Information was elicited regarding dietary, residential, and breast-feeding histories. Results of multiple regression analyses indicate that black women had significantly higher plasma levels of DDE than white women. These levels were independent of BMI and WHR. BMI but not WHR was also found to be an independent predictor of DDE plasma level. These results suggest that black/white differences should be considered in studies that explore the relationship between environmental contaminants and various disease outcomes, such as breast cancer risk. In addition, BMI may affect circulating levels of contaminants and should also be considered a potentially important modifying factor for exposure to lipophilic substances. (+info)
(4/1906) Evidence for a black-white crossover in all-cause and coronary heart disease mortality in an older population: the North Carolina EPESE.
OBJECTIVES: This cohort study evaluated racial differences in mortality among Blacks and Whites 65 years and older. METHODS: A total of 4136 men and women (1875 Whites and 2261 Blacks) living in North Carolina were interviewed in 1986 and followed up for mortality until 1994. Hazard ratios (HRs) for all-cause and cause-specific mortality were calculated, with adjustment for sociodemographic and coronary heart disease (CHD) risk factors. RESULTS: Black persons had higher mortality rates than Whites at young-old age (65-80 years) but had significantly lower mortality rates after age 80. Black persons age 80 or older had a significantly lower risk of all-cause mortality (HR of Blacks vs Whites, 0.75; 95% confidence interval [CI] = 0.62, 0.90) and of CHD mortality (HR 0.44: 95% CI = 0.30, 0.66). These differences were not observed for other causes of death. CONCLUSIONS: Racial differences in mortality are modified by age. This mortality crossover could be attributed to selective survival of the healthiest oldest Blacks or to other biomedical factors affecting longevity after age 80. Because the crossover was observed for CHD deaths only, age overreporting by Black older persons seems an unlikely explanation of the mortality differences. (+info)
(5/1906) What's driving an epidemic? The spread of syphilis along an interstate highway in rural North Carolina.
OBJECTIVES: The purpose of this study was to determine whether county syphilis rates were increased along Interstate Highway 95 (I-95) in North Carolina during a recent epidemic. METHODS: Ecological data on syphilis cases demographic data, highway data, and drug activity data were used to conduct a cross-sectional and longitudinal study of North Carolina countries from 1985 to 1994. Crude and adjusted incidence rate ratios (IRRs) were determined by means of standard and longitudinal Poisson regression models adjusted for sociodemographic factors and drug use. RESULTS: Ten-year syphilis rates in I-95 counties greatly exceeded rates in non-I-95 counties (38 vs 16 cases per 100,000 persons) and remained higher after adjustment for race, age, sex, poverty, large cities, and drug activity (adjusted IRR = 2.05, 95% confidence interval [CI] = 1.84, 2.28). Syphilis rates were stable until 1989, when rates increased sharply in I-95 counties but remained stable in non-I-95 counties. Increased drug activity in I-95 counties preceded the rise in syphilis cases. CONCLUSIONS: A better understanding of the relationship between high-ways and the spread of sexually transmitted diseases may guide future prevention interventions. (+info)
(6/1906) Predictors of crop diversification: a survey of tobacco farmers in North Carolina (USA).
OBJECTIVE: To assess the attitudes and behaviours of North Carolina tobacco farmers around crop diversification. DESIGN: Cross-sectional telephone survey. PARTICIPANTS: Active tobacco farmers in 14 North Carolina counties (n = 1236), interviewed between January and April 1997 (91% response rate). OUTCOME MEASURES: Interest in, experience with, and perceived barriers to diversification. RESULTS: Most farmers (95%) grew/raised a commodity other than tobacco (mean = 2.8). A total of 60% of farmers expressed interest in trying other on-farm activities to supplement their tobacco and 60% reported taking action in the past year around supplementation. Younger age and college education were positively associated with interest. College education, off-farm income, and larger farm size were associated with the number of actions taken. For perceived external barriers to diversification, use of tobacco, percent income from tobacco, lack of college education, and younger age were most strongly associated with the number of barriers. For internal barriers (personal factors), percent income from tobacco, use of tobacco, and lack of college education were most strongly associated with the number of barriers. CONCLUSIONS: Most farmers were involved in diverse operations and expressed interest in continuing to diversify, although the breadth of diversification was narrow. Farmers noted many barriers to diversifying. If conventional production and marketing techniques are employed for non-tobacco alternatives, these alternatives may not provide the sustainable profitability that tobacco has afforded. Competition from foreign tobacco growers is the primary threat to the future of American growers and tobacco dependent communities. (+info)
(7/1906) Do tailored behavior change messages enhance the effectiveness of health risk appraisal? Results from a randomized trial.
Health risk appraisal (HRA) remains one of the most widely used health promotion tools despite only equivocal evidence for its effectiveness. Theories of behavior change predict conventional HRA's ineffectiveness because risk information alone is seldom sufficient to change complex behaviors. In this study, a randomized trial compared the effects of feedback from an enhanced HRA with a typical HRA and a control group among adult patients from eight family medicine practices. The enhanced HRA assessed behavior-specific psychosocial factors and provided patients with computer-generated, individually-tailored behavior change information in addition to typical HRA risk feedback. Changes in seven behaviors were assessed at a 6 month follow-up. Overall, patients receiving enhanced HRA feedback were 18% more likely to change at least one risk behavior than were patients receiving typical HRA feedback or no feedback (OR = 1.18, 95% CI = 1.00, 1.39). The enhanced HRA feedback appeared to promote changes in cholesterol screening, dietary fat consumption and physical activity, but not in smoking, seat belt use, mammography and Pap smears. We conclude that the addition of theory-based, individually-tailored behavior change information may improve the effectiveness of HRA. (+info)
(8/1906) Cost implications of selective preoperative risk screening in the care of candidates for peripheral vascular operations.
The preoperative identification that patients are at high risk for adverse postoperative outcomes is the first step toward preventing costly in-hospital complications. The economic implications of noninvasive screening strategies in the care of patients undergoing peripheral vascular operations must be clarified. A decision model was developed from the peer-reviewed literature on patients undergoing preoperative screening by means of dipyridamole myocardial perfusion imaging, dobutamine echocardiography, or cardiac catheterization before vascular operations (n = 23 studies). Routine versus selective screening strategies were compared for patients with an intermediate likelihood of having coronary artery disease on the basis of clinical history of coronary disease or typical symptoms. Median costs (1994 US dollars) of preoperative screening strategies were derived with two microcosting approaches: adjusted Medicare charges (top-down approach) and a bottom-up approach with Duke University Center direct cost estimate data. In-hospital cost was 11% higher for preoperative screening by means of routine cardiac catheterization ($27,760) than for routine pharmacologic stress imaging ($24,826, P = 0.001). The total cost of a do-nothing strategy, that is, no preoperative testing, was 5.9% less than that of routine preoperative pharmacologic stress imaging and 15.9% lower than that of cardiac catheterization (P = 0.001). Selective screening among patients with a history of coronary disease or typical angina resulted in further reduction of the cost of care to a level comparable with that of a do-nothing strategy (52.5% reduction in cost with pharmacologic stress imaging, P > 0.20). Use of noninvasive testing for preoperative risk stratification was cost effective for patients 60 to 80 years of age. Cost per life saved ranged from $33,338 to $21,790. However, coronary revascularization after an abnormal noninvasive test was cost effective only for patients older than 70 years. In this economic decision model, substantial cost savings were predicted when selective noninvasive stress imaging was added to preoperative screening for patients about to undergo vascular operations. With a selective screening approach, the economic impact of initial diagnostic testing may be minimized without compromising patient outcomes. (+info)
- 4 MEQI FY2012 The MEQI Project The Medication Error Quality Initiative, or MEQI, is a North Carolina nursing home medication error reporting system, as required by NC Senate Bill 1016 (2003). (ncdcr.gov)
- I have visited every cor-ner of North Carolina as part of an initiative called "Carolina Connects" to spotlight the work of faculty, staff, and students.This University serves North Carolina each day in meaningful, relevant ways. (ncdcr.gov)
- and Rishi Desai, MS 4 1 Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill, Chapel Hill, NC 2 Harrison School of Pharmacy, Auburn University, Auburn, Alabama 4 UNC Eschelman School of Pharmacy, The University of North Carolina at Chapel Hill, Chapel Hill, NC. (ncdcr.gov)
- The Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. (ncdcr.gov)
- The Board of Podiatries Examiners, State of North Carolina This report was developed by the Health Services Research Center at the University of North Carolina at Chapel Hill. (ncdcr.gov)
- Funds for the publication of this doCument were provided by the Area Health Education Centers Program (AHEC), School of Medicine, and the Vice Chanccl10r for Health Affairs Office, University of North Carolina at Chapel Hill. (ncdcr.gov)
- Such a bold aspiration is consistent with Carolina's history as the birthplace of American public higher education.We want the University to be the best that it can be for the people of North Carolina and beyond. (ncdcr.gov)
- Carolina Covenant Expands In 2003, we launched the Carolina Covenant, a first for a major public U.S. university, because we recognized that access to higher education is the key to opportunity for a better life in a knowl-edge- based economy.The Carolina Covenant promises admitted students from low-income families that we will provide the full cost of their education so that they can graduate debt-free. (ncdcr.gov)
- Carolina Connects' Spotlights Engagement With State A leading public university is an engaged university that always puts its state first.We are enhancing that Carolina tradition. (ncdcr.gov)
- Our increased financial commitment to the Covenant is possible because of our Board of Trustees policies emphasizing need-based aid and strong sup-port from the State of North Carolina in funding financial aid as the cost of education rises. (ncdcr.gov)
- iii I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Introduction This is the twelfth annual report prepared from data collected by the Manpower Component of the North Carolina Cooperative Health Information System. (ncdcr.gov)
- Pfiesteria piscicida is a dinoflagellate species of the genus Pfiesteria that some researchers claim is responsible for many harmful algal blooms in the 1980s and 1990s on the coast of North Carolina and Maryland . (wikipedia.org)