All 319 participants of an intensive continuing education course on optometric hypertension screening at the University of Alabama at Birmingham were surveyed 5 years after completion of the course. Almost 85 percent of 211 responding optometrists reported that they were continuing to screen for hypertension in their practices. They estimated that 24 percent of their patients had hypertension and that of these 11 percent were previously undetected. The criteria used by these optometrists for tentative diagnosis and referral were consistent with currently accepted guidelines. Hypertension screening by optometrists is cost-effective, and this survey suggests that continuing education courses providing intensive didactic and clinical instruction may be an effective method for changing clinicians' behavior. For most optometrists who participated in this continuing education program, the program appears to have positively changed their clinical behavior.
Morelock, S; Hingson, R W; Smith, R A; Lederman, R I;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):357-363
Description:
Less than one-fifth of the U.S. population consistently wears automobile seatbelts. Automatic seatbelts or air bags will be required in all new cars, unless States whose total population equals two-thirds of the nation's adopt mandatory seatbelt use ...
Anderson, D W; Bryan, F A; Harris, B S; Lessler, J T; Gagnon, J P;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):386-393
Description:
Identify persons with epilepsy by first looking for prescriptions for particular antiseizure drugs. Follow these prescriptions from the pharmacies to the physicians who wrote them for patients. Ask the physicians whether the patients have epilepsy. F...
Risser, N L; Belcher, D W; Bushyhead, J B; Sullivan, B M;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):439-445
Description:
Tuberculin skin testing is an accurate, inexpensive screening procedure for detecting tuberculosis infection. The return visit needed to interpret the reaction is inconvenient, costly, and may contribute to under-utilization of the test. Although som...
To investigate the validity of the credentialing examination for entry-level practitioners in environmental health, 15 work measures, simulating or assessing important components of job practice, were developed. These work measures, along with the wr...
Krishan, I; Drummond, D C; Naessens, J M; Nobrega, F T; Smoldt, R K;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):379-386
Description:
Prevalence studies of the use of ambulatory health care services have consistently reported relatively lower demand for services in rural areas. Such studies have implied that low use rates may be fixed characteristics of rural populations and may be...
In the fall of 1982, the Office of Disease Prevention and Health Promotion, Public Health Service, engaged the services of the North American Precis Syndicate, Inc., to distribute two columns on health promotion to suburban newspapers. An analysis of...
Strobino, D M; Kim, Y J; Crawley, B E; Chase, G A; Salim, J H;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):417-427
Description:
Linked birth and death records provided the population for an investigation of declines in nonwhite and white neonatal mortality rates (NMR) in Mississippi between 1975 and 1980. The effect of changes in the characteristics of women giving birth and ...
Under Norway's prospective payment system, which was in existence from 1972 to 1980, hospital costs increased 15.8 percent annually, compared with 15.3 percent in the United States. In 1980 the Norwegian national government started paying for all ins...
An epidemiology teaching course for third-year medical students was developed at the University of Vermont's College of Medicine by staff members of the Vermont Department of Health in conjunction with clinical faculty members. The course consists of...
The University of California at Los Angeles School of Public Health, in collaboration with the Los Angeles County Department of Health Services, compiled data and developed a standardized format that displayed a comparison of mortality and morbidity ...
Brown, Stuart T.; Anderson, Linda W.; Caldwell, Glyn G.;
Published Date:
1985 Jul-Aug
Source:
Public Health Rep. 100(4):374-378
Description:
Within the last decade, the Centers for Disease Control (CDC) has increasingly emphasized environmental public health activities. The Center for Environmental Health (CEH), one of nine major units of the CDC, was established as a focus for assessment...
With the passage of the Omnibus Reconciliation Act and the establishment of the block grant system in 1981, responsibility for the direction of many public health programs shifted from Federal to State government. This shift, coupled with funding cut...
The California Department of Health Services conducted a cervical cancer screening program in 12 counties where local health agencies provided the screening services. A major purpose of the study was to screen women at high risk of cervical cancer an...
A hypertension control program was established as part of the more comprehensive North Karelia Project. This project was started in 1972 in response to a petition from the population of North Karelia, a county in Finland, asking for national assistan...
Cardiac screening programs are ineffective when participants with abnormal findings fail to seek treatment and, to a lesser extent, when participants with normal findings use medical facilities unnecessarily because of continuing concern about heart ...
In a 5-year period, 215 black hypertensives were identified at a neighborhood primary care center that offered free services to residents of a low-income housing project. The mean length of followup for the group was about 34 months, and 183 persons ...
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