Access to hypertensive care. Effects of income, insurance, and source of care

BACKGROUND: This study examines the relationship between income, health insurance, and usual source of care characteristics and screening and management of hypertension. METHODS: This is a secondary analysis of data from the 1987 National Medical Expenditure Survey. Adult survey respondents constitute a sample representative of the total adult noninstitutionalized US population. Screening, follow-up care, and pharmacologic treatment for hypertension were examined among low income individuals, the uninsured, those without a usual source of care place, and those without a particular usual source of care physician. RESULTS: The uninsured, individuals without a usual source of care place, and those without a particular usual source of care physician received less screening, follow-up care, and pharmacologic treatment for hypertension. Income did not affect receipt of hypertensive care. CONCLUSIONS: Lack of health insurance and lack of a usual source of care are barriers to hypertensive care. Policies that increase access to health insurance or to usual source of care physicians may enable more individuals to attain control of hypertension.     

Ambient, biological, and biological effect monitoring of exposure to polycyclic aromatic hydrocarbons (PAHs)

A novel strategy was utilised to assess the risk to health from exposure to polycyclic aromatic hydrocarbons (PAHs). Ambient monitoring was carried out by personal sampling. Urinary thioethers (UTh) and urinary 1-hydroxypyrene (1-HP) were utilised for biological monitoring. Urinary d-glucaric acid (UDGA) and sister chromatid exchange (SCE) in peripheral blood lymphocytes were used as biological effect markers. The population was categorised into exposed and control groups according to the external dose of PAHs. The excretion of 1-HP in the controls over the 3-day period showed a relatively stable baseline, while the exposed showed a significant increase over the same period of time. SCE frequency in the exposed population was significantly different from controls.     

Erp Implementation Failure: A Case Study

While it is true that successful implementation of an enterprise resource planning (ERP) system is a task of Herculean proportions, it is not impossible. If your organization is to reap the benefits of ERP, it must first develop a plan for success. But “prepare to see your organization reengineered, your staff disrupted, and your productivity drop before the payoff is realized.” Implementing ERP must be viewed and undertaken as a new business endeavor and a team mission, not just a software installation. Companies must involve all employees, and unconditionally and completely sell them on the concept of ERP for it to be a success. A successful implementation means involving, supervising, recognizing, and retaining those who have worked or will work closely with the system. Without a team attitude and total backing by everyone involved, an ERP implementation will end in less than an ideal situation. This was the situation for a soft drink bottler that tried to cut corners and did not recognize the importance of the people so heavily involved and depended on.     

Constructing a short form of the Smoking Consequences Questionnaire with adolescents and young adults.

The goal of the present studies was to construct and validate a short form of the 50-item Smoking Consequences Questionnaire (SCQ; T. H. Brandon & T. B. Baker, 1991), a measure of smoking outcome expectancies. In Study 1, a 21-item short form (S-SCQ) was derived from a sample of 107 young adults previously treated for substance abuse. In Study 2, the measure was cross-validated on 125 adolescents in treatment for substance abuse. Confirmatory factor analyses revealed good model fit and factorial invariance for the 4 S-SCQ subscales across both samples. Validation analyses on each sample found that subscale scores generally correlated significantly with smoking-related variables. The present studies provide initial evidence for the utility of the S-SCQ when used with young adults and adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

IEEE 802.11 roaming and authentication in wireless LAN/cellular mobile networks

A wireless LAN service integration architecture based on current wireless LAN hot spots is proposed so that migration to a new service becomes easier and cost effective. The proposed architecture offers wireless LAN seamless roaming in wireless LAN/cellular mobile networks. In addition, a link-layer-assisted mobile IP handoff mechanism is introduced to improve the network/domain switching quality in terms of handoff delay and packet loss. An application layer end-to-end authentication and key negotiation scheme is proposed to overcome the open-air connection problem existing in wireless LAN deployment. The scheme provides a general solution for Internet applications running on a mobile station under various authentication scenarios and keeps the communications private to other wireless LAN users and foreign network. A functional demonstration of the scheme is given. The research results can contribute to rapid deployment of wireless LANs.     

基于多分辨率的图象压缩系统结构分析

本文着重对图象多分辨率技术进行分析，并提出了相应的系统结构成框架，同时还探讨了以图象多分辨率处理为核心，采用了 新的压缩编码的可能性。     

COAEs and SSOAEs in adults with increased age

OBJECTIVE: The purpose of this study was to compare click-evoked otoacoustic emissions (COAEs) of subjects having similar auditory thresholds but different age ranges. It is well known that elevated hearing thresholds are common with increasing age and that deterioration of outer hair cells is often noted in cases of hearing loss due to increased age. It has also been reported that evoked otoacoustic emissions (EOAEs) decrease with increased age. However, there is still some question whether changes in EOAEs with aging are associated with the increased hearing threshold or whether there is some additional effect of aging that enfluences EOAEs. DESIGN: COAE input/output functions and synchronized spontaneous OAEs (SSOAEs) were measured in two groups of subjects having similar auditory thresholds, one ranging in age from 19 to 29 yr, the other ranging in age from 40 to 61 yr. Mixed-model ANOVAs were performed to determine whether there were any statistically significant differences in COAEs based on age group. RESULTS: There were no statistically significant differences in COAE level or COAE threshold between age groups. Significant differences in COAEs were found for subjects based on whether they had measurable SSOAEs, regardless of age. CONCLUSIONS: Age does not significantly reduce COAE level nor increase COAE threshold. Other factors, such as presence of SSOAEs and hearing loss, undoubtedly have more influence on COAEs than the factor of age.     

The perception of natural contour.

The observation that natural curves and surfaces are often fractal suggests that people may be sensitive to their statistical properties. The perceptual protocols that underlie discrimination between fractals and between other types of random contour and fractals are examined. Discrimination algorithms that have precisely the same sensitivities as human observers are constructed. These algorithms do not recognize the integrated scale hierarchy intrinsic to fractal form and operate by imposing a metatheory of structure that is based on a signal–noise distinction. The success of the algorithms implies that (1) self-affinity in random fractals is not perceptually recovered and (2) people have a natural disposition to view contour in terms of signal and noise. The authors propose that this disposition be understood as a principle of perceptual organization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Usefulness and limitations of thyrotropin measurements as a first-line test for follow-up of Graves'' patients

Although the good appearance and biocompatibility of dental porcelains, failures are still of considerable concern because of the limited properties to all ceramic system. Physical properties that might be considered ideal include high strength, resistance to abrasion, and resistance to the hostile oral environment. Porcelain has been considered by many of its physical characteristic are similar to those of enamel. In 1983 a new modality of treatment, the etched porcelain restoration was introduced by Simonsen and Calamia. Numerous investigations have shown the strength of the etched porcelain bonded to composite resin and also the clinical success of this porcelain to be used as laminated veneers and etched inlays and onlays.