446 research outputs found
Retinal nerve fibre layer thickness profile in normal eyes using third-generation optical coherence tomography
Aims To establish four normal retinal nerve fibre layer (RNFL) thickness radial profiles based on third-generation optical coherence tomography (OCT) and to compare them with previously reported histologic measurements.Methods A total of 20 normal eyes were studied. A circular scan was adjusted to the size of the optic disc and three scans were performed with this radius and every 200 mu m thereafter, up to a distance of 1400 mu m. Four different radial sections (superotemporal, superonasal, inferonasal, and inferotemporal) were studied to establish RNFL thickness OCT profiles. Additionally, two radial scans orientated at 45 and 1351 crossing the optic disc centre were performed in six of 20 eyes, and RNFL thickness was measured at disc margin.Results Quadrant location and distance from disc margin interaction in RNFL thickness was statistically significant (P < 0.001). the RNFL thickness decreased (P < 0.001) as the distance from the disc margin increased for all sections. the measurements automatically generated by the OCT built-in software were thinner (P < 0.001) than histologic ones close to the disc margin.Conclusions Four normal OCT RNFL profiles were established and compared with histological data obtained from the same area. RNFL measurements assessed by OCT 3 were significantly thinner close to the optic disc margin.Hosp Olhos Araraquara, Glaucoma Sect, BR-14802530 Araraquara, SP, BrazilHosp Olhos Araraquara, Retina Diagnost & Treatment Div, BR-14802530 Araraquara, SP, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUSP, Inst Fis Sao Carlos, Sao Carlos, SP, BrazilUniv So Calif, Doheny Eye Inst, Dept Ophthalmol, Los Angeles, CA USAUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc
Community-based social determinants of three measures of mortality in Rhode Island cities and towns
Background: Efforts to understand and address the causes of place-based health disparities have focused primarily on understanding the social determinants of health on a large geographic level, such as the region, state, or county. However, there is a growing need to assess and understand how place-based characteristics at smaller geographic areas relate to of local place-based neighborhood characteristics on population health. Therefore, the objective of this study was to evaluate the magnitude of the associations between social determinants of health and life expectancy (LE) and related measures on the community level.
Methods: LE at birth (LE0), remaining LE at age 65 (LE65), and age-specific mortality rates (ASMR) were calculated from mortality data (2009–2011) collected by the Rhode Island Department of Health (RIDoH) using abridged life table methods for each RI city/town. The city/town-specific LE and ASMR were linked to data collected by the US Census, RIDoH, the Federal Bureau of Investigation, and other databases that include information about multiple social, environmental, and demographic determinants of health. Bivariate correlations between city/town-level LE0, LE65, and ASMR and social determinants: demographics, household composition, income and poverty, education, environment, food insecurity, crime, transportation, and rural-urban status were examined.
Results: LE0 (range: 75.9–83.3 years) was strongly associated with the percent of the population with a graduate/professional degree (r = 0.687, p \u3c 0.001), violent crime rate (r = − 0.598, p \u3c 0.001), and per capita income (r = 0.553, p \u3c 0.001). Similar results were observed for ASMR: ASMR was associated with the percent of the population with a graduate/professional degree (r = − 0.596, p \u3c 0.001), violent crime rate (r = 0.450, p = 0.005), and per capita income (r = − 0.533, p \u3c 0.001). The associations between LE65 and social determinants were more attenuated. Of note, none of the measures (LE0, LE65, or ASMR) were associated with any of the race/ethnicity variables.
Conclusions: There are several important place-based characteristics associated with mortality (LE and ASMR) among RI cities/towns. Additionally, some communities had unexpectedly high LE and low ASMR, despite poor social indicators
Health Law (Practitioner Treatise Series)
Volume One of Two Volume Set. This desk reference explores and interprets the important details of every major issue in health care today. You\u27ll find in-depth discussion of tax, corporate, and organizational issues, as well as governmental initiatives in the areas of cost control, access to health care, anti-competitive activities, fraud, and abuse. The legal and ethical issues involving highly sensitive issues, such as death, reproductive rights, and medical research, are also covered
Copyright page and Table of Contents only. Two volume set.https://digitalrepository.unm.edu/law_facbookdisplay/1013/thumbnail.jp
Health Care Reform Supplement to Health Law: Cases, Materials and Problems
Copyright page and Table of Contents only.https://digitalrepository.unm.edu/law_facbookdisplay/1016/thumbnail.jp
The Law of Health Care Organization and Finance
Copyright page and Table of Contents only.https://digitalrepository.unm.edu/law_facbookdisplay/1011/thumbnail.jp
Teacher\u27s Manual to Accompany Health Law: Cases, Materials and Problems
Copyright page and Table of Contents only.https://digitalrepository.unm.edu/law_facbookdisplay/1014/thumbnail.jp
International Encyclopaedia of Medical Laws (Supplement 14 United States of America)
Relating to the practice of medicine in the large sense, this subset of the IEL covers national and international medical law. Each national monograph contains, besides a general introduction, a description for the country in question of:
the law related to the medical profession, such as access to the medical profession, illegal practice of medicine and control over the practice of medicine;
the physician-patient relationship (the rights and duties of physicians and patients) and specific issues such as abortion and euthanasia; and,
the national law dealing with the physician in relation to his colleagues, to other health care providers and the health care system.https://digitalrepository.unm.edu/law_facbookdisplay/1027/thumbnail.jp
Bioethics: Health Case Law and Ethics
This book provides a rich body of materials for courses in bioethics and law. Primary legal sources, including judicial opinions, statutes, regulations and institutional policies, will give students insight into the strategies used by courts, legislatures, agencies and health care providers in addressing bioethics issues. The book also draws from interdisciplinary research in medicine, ethics, and law to provide students diverse critiques of legal and public policy issues in bioethics. Materials in this text are tightly edited and designed to create high quality and focused classroom discussion, and, the text includes classroom tested problems that will engage students more deeply on each issue.Bioethics: Health Care Law and Ethics begins with accessible introductory material on how to do ethics analysis. It then provides separate chapters on Reproduction and Birth (including current issues relating to abortion and contraception and issues related to assisted reproductive technologies); Legal, Social, and Ethical Issues in Genetics; Life and Death Decision-making; Regulation of Research Involving Human Subjects; Distributive Justice and Organ Transplantation; and Current Controversies in Public Health (including issues related to immunization practice).https://digitalrepository.unm.edu/law_facbookdisplay/1009/thumbnail.jp
Liability and Quality Issues in Health Care
Copyright page and Table of Contents only.https://digitalrepository.unm.edu/law_facbookdisplay/1008/thumbnail.jp
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