376 research outputs found
Patterns of prescribing of nutritional supplements in the United Kingdom
No full textBackground and Aims: A large number of prescriptions are issued for nutritional supplements under British National Formulary classifications 9.4.1 (foods for special diets) and 9.4.2 (enteral feeds), but little is known about the characteristics of the patients who receive them. We used the General Practice Research Database to examine patterns of prescribing of these supplements.Methods: We selected patients who had been prescribed supplements under classifications 9.4.1 and 9.4.2 during 1996–1997. Descriptive statistics were used to examine how prescribing varied. Results: 28644 patients received prescriptions during 1996–1997. Among the 27413 (96%) patients prescribed supplements for oral use, 14750 received supplements for enteral nutrition alone, 8122 received supplements for special diets alone and 4541 had both types of supplement. 51% of patients receiving supplements for special diets were <18 years. The commonest diagnoses among such children were milk intolerance (24%) and malnutrition (17%). 94% of patients receiving supplements for enteral nutrition were adult, 52% of whom had cancer or cardiovascular disease. Only 4% of patients had weight and height recorded prior to first prescription.Conclusions: The GPRD provides valuable information on the characteristics of patients prescribed nutritional supplements. But because only limited data are available on their nutritional status prior to supplementation, it is hard to assess whether general practitioners are prescribing these supplements appropriately
Skin Cancers Among Albinos at a University Teaching Hospital in Northwestern Tanzania: A Retrospective Review of 64 Cases.
No full textSkin cancers are a major risk associated with albinism and are thought to be a major cause of death in African albinos. The challenges associated with the care of these patients are numerous and need to be addressed. The aim of this study was to outline the pattern and treatment outcome of skin cancers among albinos treated at our centre and to highlight challenges associated with the care of these patients and proffer solutions for improved outcome. This was a retrospective study of all albinos with a histopathological diagnosis of skin cancer seen at Bugando Medical Centre from March 2001 to February 2010. Data collected were analyzed using descriptive statistics. A total of 64 patients were studied. The male to female ratio was 1.5:1. The median age of patients was 30 years. The median duration of illness at presentation was 24 months. The commonest reason for late presentation was financial problem. Head and the neck was the most frequent site afflicted in 46(71.8%) patients. Squamous cell carcinoma was the most common histopathological type in 75% of cases. Surgical operation was the commonest modality of treatment in 60 (93.8%) patients. Radiotherapy was given in 24(37.5%) patients. Twenty-seven (42.2%) of the patients did not complete their treatment due to lack of funds. Local recurrence following surgical treatment was recorded in 6 (30.0%) patients. Only thirty-seven (61.7%) patients were available for follow-up at 6-12 months and the remaining patients were lost to follow-up. Skin cancers are the most common cancers among albinos in our environment. Albinism and exposure to ultraviolet light appears to be the most important risk factor in the development of these cancers. Late presentation and failure to complete treatment due to financial difficulties and lack of radiotherapy services at our centre are major challenges in the care of these patients. Early institution of preventive measures, early presentation and treatment, and follow-up should be encouraged in this population for better outcome
Assessment of social functioning in the social work and attendance department of the Charlotte-Mecklenburg schools, 1963
No full textAbstracts
No full textW. E. Edington—Indiana Women in MathematicsJ. J. Favinger—Indiana Contributions to the National Plant Boar
Edington, Mrs. D.
No full textPhotograph from the C.R. Savage Portrait Studio. Name associated with the photograph: Mrs. D. Edingto
Edington, Mrs. D.
No full textPhotograph from the C.R. Savage Portrait Studio. Name associated with the photograph: Mrs. D. Edingto
The Effectiveness and Cost-Effectiveness of a Rural Employer-Based Wellness Program
No full textContext: The cost-effectiveness of employer-based wellness programs has been previously investigated with favorable financial and nonfinancial outcomes being detected. However, these investigations have mainly focused on large employers in urban settings. Very few studies examined wellness programs offered in rural settings.Purpose: This paper aims to explore the effectiveness and cost-effectiveness of a rural employer-based wellness program.Methods: Six rural employers were categorized into 3 groups: a control group and 2 intervention groups with varying degrees of wellness activities. Participants were asked to complete an annual health risk assessment (HRA) that addressed 16 wellness areas. At the conclusion of 4 years, HRA and effectiveness data were utilized to examine program effectiveness and combined with program costs to estimate cost-effectiveness.Findings: The Coaching and Referral group-the highest in intensity of participant engagement-exhibited superior improvement in several wellness areas and in percentage of employees with good health indicators compared to the control and the Trail Marker, lower-intensity intervention groups. However, the Trail Markers had more favorable cost-effectiveness ratios.Conclusions: Rural worksite wellness programs have shown great potential in their effectiveness and cost-effectiveness. Such programs need not be too aggressive, tedious, and costly to generate a favorable return for employers and funders. However, employers should be encouraged to experiment with different levels of wellness program intensities until a more favorable outcome can be realized. © 2010 National Rural Health Association.Anderson DR, 2000, AM J HEALTH PROMOT, V15, P45; Arcury TA, 2005, J RURAL HEALTH, V21, P337, DOI 10.1111-j.1748-0361.2005.tb00104.x; Aronson RE, 2004, J RURAL HEALTH, V20, P76, DOI 10.1111-j.1748-0361.2004.tb00010.x; BOWCUTT M, 2004, NURSE LEADER, V2, P25, DOI 10.1016-j.mnl.2004.01.015; Edington DW, 2008, INT J WORKPLACE HLTH, V1, P8, DOI 10.1108-17538350810865569; Faghri PD, 2008, J OCCUP ENVIRON MED, V50, P1378, DOI 10.1097-JOM.0b013e3181862471; GOLASZEWSKI T, 1992, J OCCUP ENVIRON MED, V34, P1164; Hennessy CH, 2001, J RURAL HEALTH, V17, P364, DOI 10.1111-j.1748-0361.2001.tb00290.x; Kelsey KS, 2006, AM J HEALTH BEHAV, V30, P199; Liu JH, 2008, J RURAL HEALTH, V24, P407, DOI 10.1111-j.1748-0361.2008.00188.x; Mills PR, 2007, AM J HEALTH PROMOT, V22, P45; Pelletier KR, 2005, J OCCUP ENVIRON MED, V47, P1051, DOI 10.1097-01.jom.0000174303.85442.bf; PERRIN KM, 2008, J MANAGE MARKETING H, V1, P382; Rice Muriel C, 2005, AWHONN Lifelines, V9, P468, DOI 10.1177-1091592305285273; Schult TMK, 2006, J OCCUP ENVIRON MED, V48, P541, DOI 10.1097-01.jom.0000222565.68934.0b; Tilson EC, 2002, J RURAL HEALTH, V18, P547; Walton C, 1999, AAOHN J, V47, P449; *WELLS, 2009, WELLN ASS10
Maud Edington : 1913 (3 years)
No full textFur alterer ; Married Andrew J. Parker ; Washington, D.C.https://ida.gallaudet.edu/alumni-cards/2061/thumbnail.jp
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