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1.
Mol Ecol Resour ; 15(4): 843-54, 2015 Jul.
Article in English | MEDLINE | ID: mdl-25522240

ABSTRACT

Knowledge of population demographics is important for species management but can be challenging in low-density, wide-ranging species. Population monitoring of the endangered Sonoran pronghorn (Antilocapra americana sonoriensis) is critical for assessing the success of recovery efforts, and noninvasive DNA sampling (NDS) could be more cost-effective and less intrusive than traditional methods. We evaluated faecal pellet deposition rates and faecal DNA degradation rates to maximize sampling efficiency for DNA-based mark-recapture analyses. Deposition data were collected at five watering holes using sampling intervals of 1-7 days and averaged one pellet pile per pronghorn per day. To evaluate nuclear DNA (nDNA) degradation, 20 faecal samples were exposed to local environmental conditions and sampled at eight time points from one to 124 days. Average amplification success rates for six nDNA microsatellite loci were 81% for samples on day one, 63% by day seven, 2% by day 14 and 0% by day 60. We evaluated the efficiency of different sampling intervals (1-10 days) by estimating the number of successful samples, success rate of individual identification and laboratory costs per successful sample. Cost per successful sample increased and success and efficiency declined as the sampling interval increased. Results indicate NDS of faecal pellets is a feasible method for individual identification, population estimation and demographic monitoring of Sonoran pronghorn. We recommend collecting samples <7 days old and estimate that a sampling interval of four to seven days in summer conditions (i.e., extreme heat and exposure to UV light) will achieve desired sample sizes for mark-recapture analysis while also maximizing efficiency [Corrected].


Subject(s)
DNA/isolation & purification , Feces/chemistry , Ruminants/classification , Ruminants/genetics , Specimen Handling/methods , Animals , DNA/genetics , Specimen Handling/economics
2.
Neuroscience ; 245: 166-78, 2013 Aug 15.
Article in English | MEDLINE | ID: mdl-23597832

ABSTRACT

In addition to androgen differences between males and females, there are genetic differences that are caused by unequal dosage of sex chromosome genes. Using the cuprizone-induced demyelination model, we recently showed that surgical gonadectomy of adult mice resulted in decreased normal myelination and remyelination compared to gonadally intact animals, suggesting a supporting role for sex hormones in the maintenance of myelination. However, inherent sex differences in normal myelination and remyelination persisted even after gonadectomy, with males consistently remyelinating to a lesser extent relative to normal myelination as assayed by axon conduction and immunohistochemistry. This suggests a potential role for the sex chromosome complement in mediating the differential rates of remyelination observed in males and females. The present study focuses on the impact that sex chromosomes might have on these myelination differences. Making use of the four core-genotype mice and cuprizone-diet induced demyelination/remyelination paradigm, our results demonstrate sex chromosome-mediated asymmetry between XX and XY mice. The rate of functional remyelination following cuprizone diet-induced callosal demyelination in four core-genotype mice is attenuated in XY compared to XX animals of both gonadal sexes. Importantly, this difference arises only in the absence of circulating sex hormones following gonadectomy and confirms the role of sex hormones in the remyelination process reported earlier by our group. Because a genotype-mediated difference only arises following gonadectomy, the chromosomal contribution to myelination and remyelination is subtle yet significant. To explain this difference, we propose a possible asymmetry in the expression of myelination-related genes in XX vs. XY mice that needs to be investigated in future studies.


Subject(s)
Corpus Callosum/physiology , Nerve Fibers, Myelinated/physiology , Sex Characteristics , Sex Chromosomes/physiology , Animals , Corpus Callosum/ultrastructure , Female , Male , Mice , Mice, Inbred C57BL , Mice, Transgenic , Nerve Fibers, Myelinated/ultrastructure
3.
Eur J Clin Nutr ; 64(5): 454-60, 2010 May.
Article in English | MEDLINE | ID: mdl-20197788

ABSTRACT

BACKGROUND/OBJECTIVES: Unhealthy eating behaviours may contribute to the rising prevalence of childhood obesity in Canada. The purpose of this study was to describe family dinner frequency (FDF) and its associations with overall diet quality. SUBJECTS/METHODS: The sample included grades six (n=372), seven (n=429) and eight (n=487) students from Southern Ontario. Data were collected with the Food Behaviour Questionnaire, including a single 24-h dietary recall and questions about individual meals. Diet quality was calculated using the Healthy Eating Index-C (HEI-C), which is a recently modified diet quality index. RESULTS: The majority of participants (65%) reported frequent family dinner meals (6-7 days/week versus 20% on 3-5 days/week and 15% on 0-2 days/week). Diet quality scores were higher among participants reporting 6-7 dinners/week (HEI-C=66.2 versus 62.1 and 62.8 for 0-2 and 3-5 days/week, respectively, P<0.001). Adjusted models reported that diet quality scores were also associated with whom participants consumed breakfast (P<0.001), lunch (P<0.001) and dinner (P<0.001), yet they were most strongly associated (negatively) with participants who skipped the meal altogether. CONCLUSIONS: Increased family dinner meals were positively associated with daily diet quality and negatively associated with breakfast and lunch skipping. Promoting family dinner meals in healthy living intervention strategies is advised.


Subject(s)
Child Behavior , Diet/standards , Family , Feeding Behavior , Obesity/etiology , Social Environment , Child , Cross-Sectional Studies , Diet Records , Diet Surveys , Female , Humans , Male , Ontario , Students , Time Factors
4.
Neuroscience ; 164(4): 1407-21, 2009 Dec 29.
Article in English | MEDLINE | ID: mdl-19800949

ABSTRACT

Axonal dysfunction as a result of persistent demyelination has been increasingly appreciated as a cause of functional deficit in demyelinating diseases such as multiple sclerosis. Therefore, it is crucial to understand the ultimate causes of ongoing axonal dysfunction and find effective measures to prevent axon loss. Our findings related to functional deficit and functional recovery of axons from a demyelinating insult are important preliminary steps towards understanding this issue. Cuprizone diet for 3-6 wks triggered extensive corpus callosum (CC) demyelination, reduced axon conduction, and resulted in loss of axon structural integrity including nodes of Ranvier. Replacing cuprizone diet with normal diet led to regeneration of myelin, but did not fully reverse the conduction and structural deficits. A shorter 1.5 wk cuprizone diet also caused demyelination of the CC, with minimal loss of axon structure and nodal organization. Switching to normal diet led to remyelination and restored callosal axon conduction to normal levels. Our findings suggest the existence of a critical window of time for remyelination, beyond which demyelinated axons become damaged beyond the point of repair and permanent functional loss follows. Moreover, initiating remyelination early within the critical period, before prolonged demyelination-induced axon damage ensues, will improve functional axon recovery and inhibit disease progression.


Subject(s)
Axons/physiology , Corpus Callosum/physiology , Myelin Sheath/physiology , Action Potentials , Animals , Astrocytes/drug effects , Astrocytes/physiology , Axons/drug effects , Cell Adhesion Molecules, Neuronal/metabolism , Cell Lineage , Cuprizone/administration & dosage , Diet , Female , Kv1.2 Potassium Channel/metabolism , Mice , Mice, Transgenic , Microglia/drug effects , Microglia/physiology , NAV1.6 Voltage-Gated Sodium Channel , Nerve Tissue Proteins/metabolism , Oligodendroglia/drug effects , Oligodendroglia/physiology , Ranvier's Nodes/drug effects , Ranvier's Nodes/ultrastructure , Regeneration , Sodium Channels/metabolism
5.
Obes Rev ; 10(1): 103-8, 2009 Jan.
Article in English | MEDLINE | ID: mdl-18778314

ABSTRACT

In 2002/2005, separate energy requirement equations were generated by the Institute of Medicine's (IOM) Dietary Reference Intake process for normal weight and overweight/obese children and adolescents. The current paper questions the theoretical rationale of having two sets of equations (based solely on body-weight classification): when body weight is considered, overweight and obese children and adolescents do not seem to differ from their normal weight counterparts in energy expended for basal metabolism or physical activity tasks. However, energy needs for weight maintenance among overweight/obese girls were consistently higher when predicted using the equations for overweight/obese individuals compared with those developed for normal weight individuals. In contrast, among overweight/obese boys, they were consistently lower. Although the differences are within the variability of the estimates, even theoretical support for a higher energy intake (as occurs in girls) seems unwise because of the potential contribution to a higher body mass in children who are already at risk. It is the opinion of the authors that the IOM revisit the use of two separate equations and generate one set that is appropriate for all children and adolescents.


Subject(s)
Child Nutrition Sciences/standards , Energy Intake , Nutrition Policy , Obesity , Adolescent , Algorithms , Child , Child Nutritional Physiological Phenomena , Female , Humans , Male , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , United States
6.
Biochem Biophys Res Commun ; 332(3): 873-9, 2005 Jul 08.
Article in English | MEDLINE | ID: mdl-15913553

ABSTRACT

The cyclin-dependent kinase inhibitor p16INK4a has been identified as tumor suppressor and melanoma predisposition gene. While its cell cycle inhibitory ability is important in protecting cells from uncontrolled growth and possible tumor formation, other functions of p16INK4a are likely to contribute to its nature as a tumor suppressor. p16INK4a binding and inhibition of the transcription factor NF-kappaB has been shown and is consistent with the reports of abnormally increased NF-kappaB activity in various cancers including melanoma. Here, we present evidence that wild type p16INK4a binds to the NF-kappaB subunit RelA more efficiently than melanoma-associated p16INK4a mutations. Furthermore, whereas wild type p16INK4a strongly inhibits NF-kappaB transcriptional activity, a subset of melanoma-associated p16INK4a mutants show reduced NF-kappaB inhibitory function. p16INK4a does not affect NF-kappaB nuclear translocation or DNA binding, suggesting a mechanism that reduces NF-kappaB transactivation activity.


Subject(s)
Genes, p16 , Melanoma/genetics , Melanoma/metabolism , Mutation , NF-kappa B/metabolism , Active Transport, Cell Nucleus , Cell Line, Tumor , Cyclin-Dependent Kinase Inhibitor p16/genetics , Cyclin-Dependent Kinase Inhibitor p16/metabolism , DNA, Neoplasm/metabolism , Genetic Variation , Humans , In Vitro Techniques , Protein Binding , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Transcription Factor RelA , Transcriptional Activation , Two-Hybrid System Techniques
7.
Phys Rev Lett ; 93(20): 205002, 2004 Nov 12.
Article in English | MEDLINE | ID: mdl-15600933

ABSTRACT

By operating a magnetized coaxial gun in a pulsed mode it is possible to produce large voltage pulses of duration approximately 500 mus while reaching a few kV, giving a discrete input of helicity into a spheromak. In the sustained spheromak physics experiment (SSPX), it is observed that pulsing serves to nearly double the stored magnetic energy and double the temperature. We discuss these results by comparison with 3D MHD simulations of the same phenomenon.

8.
J Neurosci Res ; 77(3): 363-6, 2004 Aug 01.
Article in English | MEDLINE | ID: mdl-15248292

ABSTRACT

Multiple sclerosis (MS) is characterized by demyelination of the CNS with associated neurological deficits. Remyelination can occur but is often incomplete. The process of myelin repair requires the proliferation and migration of oligodendrocyte progenitor cells (OPC) into the lesion from the neighboring areas. OPC migration is altered by several factors, including antibodies that bind to OPC surface proteins. We have previously reported elevated anti-OSP/claudin-11 antibodies in the cerebrospinal fluid (CSF) of MS patients and that anti-OSP/claudin-11 antibodies generated in rabbits can inhibit OPC migration. In the study presented here, we investigated the effect of CSF IgG from MS patients and controls on OPC migration in culture. Rat OPC cultured with CSF from MS patients tended to migrate more than those cultured with control CSF, but this did not reach statistical significance. To determine whether the IgG fraction in the CSF influenced migration, we removed it using protein-A sepharose. A dramatic decrease in OPC migration was found in both MS (45 +/- 24 vs.16 +/- 9) and control (40 +/- 19 vs. 22 +/- 13) samples after IgG was removed (P <.05). Anti-OSP/claudin-11 antibody concentration did not significantly correlate with OPC migration. These data demonstrate that CSF IgG promotes OPC migration. Identification of the specific IgG fraction responsible for this effect could lead to novel therapies to promote recovery in MS.


Subject(s)
Cell Movement/immunology , Immunoglobulin G/cerebrospinal fluid , Multiple Sclerosis/cerebrospinal fluid , Multiple Sclerosis/immunology , Oligodendroglia/cytology , Stem Cells/cytology , Adult , Animals , Female , Humans , Immunoglobulin G/physiology , Male , Middle Aged , Oligodendroglia/immunology , Rats , Stem Cells/immunology
9.
Tob Control ; 13(1): 90-2, 2004 Mar.
Article in English | MEDLINE | ID: mdl-14985605

ABSTRACT

OBJECTIVE: To evaluate the effectiveness of a lay delivered intervention to reduce Latino children's exposure to environmental tobacco smoke (ETS). The a priori hypothesis was that children living in households that were in the intervention group would have lower exposure over time than measurement only controls. DESIGN: A two group, randomised control trial was conducted. SETTING: Areas of San Diego county with a large Latino population. PARTICIPANTS: 143 Latino parent-child pairs. INTERVENTION: Trained bicultural and bilingual Latina lay community health advisors, or promotoras, conducted problem solving aimed at lowering the target child's exposure to ETS in the household. Six home and telephone sessions were delivered by the promotoras over a four month period. MAIN OUTCOME MEASURES: Outcome measures were collected at baseline, immediately post-intervention, three months post-intervention, and 12 months post-intervention. Four outcomes were considered: (1) parent's paper-and-pencil reports of the child's past month exposure; (2) hair samples from the child analysed for past month nicotine; (3) hair samples from the child analysed for past month cotinine; and (4) per cent confirmed reducers. RESULTS: There were no significant condition-by-time interactions, the term indicative of a differential intervention effect. Significant or near significant time main effects were seen for children's hair cotinine, per cent confirmed reducers, and, in particular, parent reports of exposure. CONCLUSIONS: Applying a lay promotora model to deliver the behavioural problem solving intervention unfortunately was not effective. A likely explanation relates to the difficulty of delivering a relatively complex intervention by lay women untrained in behaviour change theory and research methods.


Subject(s)
Counseling , Hispanic or Latino , Parents , Tobacco Smoke Pollution/prevention & control , Adult , Biomarkers/analysis , Child , Cotinine/analysis , Environmental Exposure , Female , Hair/chemistry , Humans , Male , Nicotine/analysis
10.
Eye (Lond) ; 18(1): 15-9, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14707958

ABSTRACT

PURPOSE: To evaluate the contribution of electrodiagnostic testing (EDT) to the management of children in a paediatric ophthalmology service using the Greenwich Grading System (GGS). METHODS: A retrospective analysis was performed of the case notes of 105 of the 113 paediatric patients referred from the Strabismus and Paediatric Service at Moorfields Eye Hospital for electrophysiological testing over a 1-year period. The GGS was used to quantify the contribution of EDT to the diagnosis, overall investigation, and treatment of each patient. Patients were further subdivided into different diagnostic groups to allow comparison of the value of EDT in different conditions. RESULTS: EDT was found to be of value in 91% of the children tested and was considered an essential investigation in 71%. EDT made a new diagnosis in 7% of patients, changed it in 5%, and confirmed or excluded a diagnosis in 79%. EDT made a useful contribution to the overall investigation of 89% of the patients and was considered the only test that could provide the required information in 71%. The results of EDT allowed reassurance and/or explanation with regard to the diagnosis, prognosis, and treatment in 91% of children. In one patient, treatment was changed as a result of EDT. The clinical outcome was not adversely affected in any patient. CONCLUSIONS: EDT was of value to the clinical management of most of the children reviewed, mainly by confirming or excluding a clinical diagnosis and allowing explanation and reassurance to children and parents. Electrodiagnostic information gave a new or changed diagnosis in 12% of the children.


Subject(s)
Electrodiagnosis , Eye Diseases/diagnosis , Adolescent , Age Distribution , Amblyopia/diagnosis , Child , Child, Preschool , Electrooculography , Electroretinography , Evoked Potentials, Visual , Eye Diseases/therapy , Humans , Infant , Outcome and Process Assessment, Health Care/methods , Retinal Diseases/diagnosis , Retrospective Studies
11.
Phys Rev Lett ; 90(9): 095001, 2003 Mar 07.
Article in English | MEDLINE | ID: mdl-12689228

ABSTRACT

By operating a magnetized coaxial plasma gun continuously with just sufficient current to enable plasma ejection, large gun-voltage spikes (approximately 1 kV) are produced, giving the highest sustained voltage approximately 500 V and highest sustained helicity injection rate observed in the Sustained Spheromak Physics Experiment. The spheromak magnetic field increases monotonically with time, exhibiting the lowest fluctuation levels observed during formation of any spheromak (B/B>/=2%). The results suggest an important mechanism for field generation by helicity injection, namely, the merging of helicity-carrying filaments.

12.
Tob Control ; 11(4): 361-7, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12432162

ABSTRACT

BACKGROUND: Many believe that smoking cessation programmes for Latinos should be tailored to the values and beliefs of the culture. However, randomised studies of culturally appropriate smoking cessation interventions with Latinos are rare. METHODS: Latino smokers (n = 313) were randomised to an intervention condition or a comparison group. The intervention was a three month programme based on social cognitive constructs and delivered in the smoker's home by trained lay health advisors, or promotores. Comparison group participants were referred to the California Smoker's Helpline in Spanish. Predictors of abstinence among all participants also were examined. RESULTS: About one week post-intervention, validated (carbon monoxide) past week abstinence rates were more than twice as high in the intervention group (20.5%) than in the comparison (8.7%) (p < or = 0.005). The pattern of results held for self reported abstinence, and after recoding dropouts to non-abstinence. The primary predictor of abstinence was number of cigarettes smoked per day at baseline, a common measure of addiction. CONCLUSIONS: The culturally appropriate intervention facilitated abstinence in Latino smokers, at least in the short term. Strengths and weaknesses of the study are discussed.


Subject(s)
Culture , Hispanic or Latino , Smoking Cessation/ethnology , Adult , Analysis of Variance , Female , Humans , Male , Middle Aged , Patient Acceptance of Health Care/statistics & numerical data , Smoking Cessation/methods , United States
13.
Phys Rev Lett ; 88(12): 125004, 2002 Mar 25.
Article in English | MEDLINE | ID: mdl-11909469

ABSTRACT

Magnetic fluctuations have been reduced to approximately 1% during discharges on the Sustained Spheromak Physics Experiment by shaping the spatial distribution of the bias magnetic flux in the device. In the resulting quiescent regime, the safety factor profile is nearly flat in the plasma and the dominant ideal and resistive MHD modes are greatly reduced. During this period, the temperature profile is peaked at the magnetic axis and maps onto magnetic flux contours. Energy confinement time is improved over previous reports in a driven spheromak.

14.
J Adolesc Health ; 29(4): 239-43, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11587907

ABSTRACT

OVERVIEW: This pilot study evaluated the acceptability and efficacy of an Internet-based virtual reality "world" for teen smoking cessation. Rural teens at six school sites interacted in real-time in the virtual world with a trained cessation counselor and other teen smokers over a 2-month period in seven 1-hour chat sessions. The cessation counselor used motivational interviewing, a "client-centered" nonconfrontational approach to behavior change that has shown promise with behaviors resistant to change. Smoking behavior and attitudes were assessed at baseline, after intervention, and at 1-month follow-up. Significant changes were found in quitting, amount smoked, and intentions to quit. Positive trends were seen in past-week abstinence rates, quit attempts, and attitudes toward quitting.


Subject(s)
Internet , Rural Population , Smoking/psychology , User-Computer Interface , Adolescent , Attitude to Health , Female , Humans , Male , Pilot Projects , Smoking Cessation/psychology , Time Factors
16.
Br J Ophthalmol ; 85(8): 942-5, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11466251

ABSTRACT

AIM: To review retrospectively 74 consecutive cases of combined phacoemulsification and transpupillary drainage of silicone oil. METHODS: Candidate patients for intraocular silicone oil removal and cataract extraction underwent combined phacoemulsification and transpupillary drainage of silicone oil through a planned posterior capsulorrhexis and without the use of a pars plana infusion line. RESULTS: The retina remained attached in 59 (79.7%) patients postoperatively. In this success group, the postoperative visual acuity improved in 42 (71.2%) patients. There was no association between age, duration of silicone oil tamponade, preoperative diagnosis, macular status or number and nature of previous surgery, and the incidence of redetachment following silicone oil removal. CONCLUSION: Combined phacoemulsification and transpupillary drainage of silicone oil is a safe and reliable technique that offers the main advantage of diminished surgical trauma.


Subject(s)
Drainage/methods , Phacoemulsification/methods , Retinal Detachment/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Cataract/etiology , Child , Drainage/adverse effects , Female , Humans , Male , Middle Aged , Phacoemulsification/adverse effects , Pupil , Recurrence , Retinal Perforations/surgery , Retrospective Studies , Silicone Oils/adverse effects , Silicone Oils/therapeutic use , Treatment Outcome , Visual Acuity , Vitrectomy/methods
17.
J Cell Biol ; 153(2): 295-305, 2001 Apr 16.
Article in English | MEDLINE | ID: mdl-11309411

ABSTRACT

Oligodendrocyte-specific protein (OSP)/claudin-11 is a major component of central nervous system myelin and forms tight junctions (TJs) within myelin sheaths. TJs are essential for forming a paracellular barrier and have been implicated in the regulation of growth and differentiation via signal transduction pathways. We have identified an OSP/claudin-11-associated protein (OAP)1, using a yeast two-hybrid screen. OAP-1 is a novel member of the tetraspanin superfamily, and it is widely expressed in several cell types, including oligodendrocytes. OAP-1, OSP/claudin-11, and beta1 integrin form a complex as indicated by coimmunoprecipitation and confocal immunocytochemistry. Overexpression of OSP/claudin-11 or OAP-1 induced proliferation in an oligodendrocyte cell line. Anti-OAP-1, anti-OSP/claudin-11, and anti-beta1 integrin antibodies inhibited migration of primary oligodendrocytes, and migration was impaired in OSP/claudin-11-deficient primary oligodendrocytes. These data suggest a role for OSP/claudin-11, OAP-1, and beta1 integrin complex in regulating proliferation and migration of oligodendrocytes, a process essential for normal myelination and repair.


Subject(s)
Cell Division/physiology , Cell Movement/physiology , Integrin beta1/metabolism , Membrane Proteins/metabolism , Nerve Tissue Proteins/metabolism , Oligodendroglia/metabolism , Amino Acid Sequence , Animals , Antibodies/immunology , Antibodies/metabolism , Blotting, Northern , Brain/cytology , Brain/metabolism , Cell Line , Claudins , Fibronectins/metabolism , In Situ Hybridization , Macromolecular Substances , Membrane Proteins/chemistry , Membrane Proteins/genetics , Mice , Mice, Knockout , Microscopy, Fluorescence , Molecular Sequence Data , Nerve Tissue Proteins/genetics , Oligodendroglia/chemistry , Oligodendroglia/cytology , Oligodendroglia/ultrastructure , Sequence Alignment , Tetraspanins , Tight Junctions/metabolism , Two-Hybrid System Techniques
18.
J Am Acad Dermatol ; 44(1): 53-60, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11148477

ABSTRACT

BACKGROUND: The prevalence rates of both skin cancers and indoor tanning among the US population are high and have increased substantially in recent years. Low compliance by indoor tanning facilities with safety regulations may place consumers at greater risk of skin and ocular damage. OBJECTIVE: This study quantified the level of compliance by indoor tanning facilities with selected federal and state regulations and recommendations. METHODS: Tanning facilities (N = 54) in San Diego County, California, were visited by a confederate posing as a prospective customer. Compliance with 13 regulations/recommendations were assessed by either direct query or observation of the presence/absence of signs and warning labels. Operators' responses to 5 risk-based questions also were noted. RESULTS: No facility complied with all 13 regulations/recommendations. Compliance with 3 protective eyewear regulations was high (89%-100%). In contrast, compliance with maximum tanning frequency recommendations (approximately 6%) and parental consent regulations (approximately 43%) was disturbingly low. CONCLUSION: The investigators recommend instituting mandatory, comprehensive training for operators, as well as systematic compliance monitoring with enforcement of penalties for noncompliance.


Subject(s)
Beauty Culture/legislation & jurisprudence , Ultraviolet Rays/adverse effects , Beauty Culture/standards , California , Eye Protective Devices , Guideline Adherence , Humans , Observer Variation , Skin Neoplasms/prevention & control
20.
Adv Ren Replace Ther ; 7(4 Suppl 1): S81-4, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11053592

ABSTRACT

Billing data from the Health Care Financing Administration (HCFA) indicated that the influenza immunization rates for dialysis patients in the United States do not meet the goal of 60% set by Healthy People 2000, and fall significantly short of the goal of 90% of all Medicare beneficiaries as outlined in Healthy People 2010. Influenza and pneumonia together are the sixth leading cause of death in the United States. Despite the known benefits of influenza vaccination in reducing morbidity and mortality, only 40% to 50% of high-risk patients are immunized. Although HCFA/Medicare billing data may not provide the best measurement of actual practice, it is currently the only measure available from any national source. The data suggest that there is a need for improvement. Because the HCFA/Medicare rates were based only on those immunizations for which Medicare was billed, End-Stage Renal Disease Network 15 embarked on a project to determine a more accurate rate of immunization within the Network based on information provided by the dialysis facilities. Influenza vaccination rates for the winter 1998 flu season ranged from 51.5% to 84.9% for the states in the Network; the rate for the whole Network was 74.6%. The HCFA/Medicare billed influenza immunization rates were 26.5 to 45.6 percentage points lower.


Subject(s)
Influenza Vaccines/administration & dosage , Influenza, Human/prevention & control , Arizona , Centers for Medicare and Medicaid Services, U.S. , Colorado , Humans , Immunization/statistics & numerical data , Kidney Failure, Chronic/therapy , Nevada , New Mexico , Total Quality Management , United States , Utah , Wyoming
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