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Individual Records (individual + record)

Distribution by Scientific Domains

Medical Sciences	22%
Life Sciences	22%
Humanities and Social Sciences	22%

Selected Abstracts

Urban-Rural Flows of Physicians

THE JOURNAL OF RURAL HEALTH, Issue 4 2007
Thomas C. Ricketts PhD
ABSTRACT:,Context:Physician supply is anticipated to fall short of national requirements over the next 20 years. Rural areas are likely to lose relatively more physicians. Policy makers must know how to anticipate what changes in distribution are likely to happen to better target policies. Purpose: To determine whether there was a significant flow of physicians from urban to rural areas in recent years when the overall supply of physicians has been considered in balance with needs. Methods: Individual records from merged AMA Physician Masterfiles for 1981, 1986, 1991, 1996, 2001, and 2003 were used to track movements from urban to rural and rural to urban counties. Individual physician locations were tracked over 5-year intervals during the period 1981 to 2001, with an additional assessment for movements in 2001-2003. Findings: Approximately 25% of physicians moved across county boundaries in any given 5-year period but the relative distribution of urban-rural supply remained relatively stable. One third of all physicians remained in the same urban or rural practice location for most of their professional careers. There was a small net movement of physicians from urban to rural areas from 1981 to 2003. Conclusions: The data show a net flow from urban to rural places, suggesting a geographic diffusion of physicians in response to economic forces. However, the small gain in rural areas may also be explained by programs that are intended to counter normal market pressures for urban concentrations of professionals. It is likely that in the face of an overall shortage, rural areas will lose physician supply relative to population. [source]

Developing efficient scalar and vector intensity measures for IDA capacity estimation by incorporating elastic spectral shape information,

EARTHQUAKE ENGINEERING AND STRUCTURAL DYNAMICS, Issue 13 2005
Dimitrios Vamvatsikos
Abstract Scalar and vector intensity measures are developed for the efficient estimation of limit-state capacities through incremental dynamic analysis (IDA) by exploiting the elastic spectral shape of individual records. IDA is a powerful analysis method that involves subjecting a structural model to several ground motion records, each scaled to multiple levels of intensity (measured by the intensity measure or IM), thus producing curves of structural response parameterized by the IM on top of which limit-states can be defined and corresponding capacities can be calculated. When traditional IMs are used, such as the peak ground acceleration or the first-mode spectral acceleration, the IM-values of the capacities can display large record-to-record variability, forcing the use of many records to achieve reliable results. By using single optimal spectral values as well as vectors and scalar combinations of them on three multistorey buildings significant dispersion reductions are realized. Furthermore, IDA is extended to vector IMs, resulting in intricate fractile IDA surfaces. The results reveal the most influential spectral regions/periods for each limit-state and building, illustrating the evolution of such periods as the seismic intensity and the structural response increase towards global collapse. The ordinates of the elastic spectrum and the spectral shape of each individual record are found to significantly influence the seismic performance and they are shown to provide promising candidates for highly efficient IMs. Copyright © 2005 John Wiley & Sons, Ltd. [source]

First and second-trimester biochemical markers of chromosomal anomalies and their relationship to maternal haemoglobin levels

PRENATAL DIAGNOSIS, Issue 8 2005
N. J. Cowans
Abstract Objective To evaluate a previous hypothesis that maternal serum biochemical markers used in the assessment of Down syndrome risk are related to maternal haemoglobin concentrations. Methods A series of 1306 second-trimester prenatal screening records were retrieved including information on marker levels (AFP and f,hCG MoMs), Down's risk, a priori age risk, maternal weight and maternal height. Each individual record was merged with data from haematological investigations on samples collected on the same day. A similar series of 1688 first-trimester screening records were also retrieved including the maker levels for PAPP-A, and f,hCG MoMs were merged with data from haematological investigations carried out on the same day. The two groups were categorised according to their haemoglobin levels; anaemic (less than 11.0 g/dL in first trimester and 10.5 g/dL in the second trimester), high haemoglobin (greater than 14.0 g/dL and 13.2 g/dL) or normal (between these ranges). An analysis was made of marker levels in the various groups before and after correction for ethnicity and of the screen-positive rate in the various groups. Using a formula based on maternal height and weight, variation of marker levels with plasma volume was assessed. Results In the first trimester, 12.6% of the pregnant population was anaemic and 1.6% had elevated haemoglobin levels. In the second trimester this was 12.7 and 3.9%. These figures varied considerably with ethnic origin, with Asian and Afro-Caribbean women being more anaemic than Caucasian women. Haemoglobin levels declined by 7% between the 11- and 21-week period. Maternal plasma volume (as calculated by a widely used maternal height and weight relationship) was not correlated with weight-corrected biochemical marker MoMs in either trimester. A weak but significant correlation of maternal plasma volume and haemoglobin concentration was observed. There was no significant correlation between biochemical marker MoMs and haemoglobin concentration. Although the proportion of pregnancies designated screen positive decreased as haemoglobin levels increased, this was paralleled by a decrease in the maternal age apriori risk. Conclusions There is no relationship between maternal haemoglobin levels and the levels of Down syndrome markers in either the first or second trimester. Biochemical marker levels do not need to be corrected for haemoglobin concentrations when used in screening for Down syndrome. Copyright © 2005 John Wiley & Sons, Ltd. [source]

Developing efficient scalar and vector intensity measures for IDA capacity estimation by incorporating elastic spectral shape information,

An epidemiological analysis of severe cases of the influenza A (H1N1) 2009 virus infection in Japan

INFLUENZA AND OTHER RESPIRATORY VIRUSES, Issue 4 2010
Koji Wada
Please cite this paper as: Wada et al. (2010). An epidemiological analysis of severe cases of the influenza A (H1N1) 2009 virus infection in Japan. Influenza and Other Respiratory Viruses 4(4), 179,186. Background, The age distribution of confirmed cases with influenza A (H1N1) 2009 has shifted toward children and young adults, in contrast to interpandemic influenza, because of the age specificities in immunological reactions and transmission characteristics. Objectives, Descriptive epidemiological analysis of severe cases in Japan was carried out to characterize the pandemic's impact and clinical features. Methods, First, demographic characteristics of hospitalized cases (n = 12 923), severe cases (n = 894) and fatal cases (n = 116) were examined. Second, individual records of the first 120 severe cases, including 23 deaths, were analyzed to examine potential associations of influenza death with demographic variables, medical treatment and underlying conditions. Among severe cases, we compared proportions of specific characteristics of survivors with those of fatal cases to identify predictors of death. Results, Age distribution of hospitalized cases shifted toward those aged <20 years; this was also the case for deaths without underlying medical conditions. Deaths in adults were mainly seen among those with underlying medical conditions, resulting in an increased risk of death as a function of age. According to individual records, the time from onset to death in Japan appeared rather short compared with that in other countries. Conclusion, The age specificity of severe cases and their underlying medical conditions were consistent with other countries. To identify predictors of death in influenza A (H1N1) 2009 patients, more detailed clinical characteristics need to be examined according to different age groups and types of manifestations, which should ideally include mild cases as subjects. [source]

Size, Conflict, and Opportunities for Interaction: Congregational Effects on Members' Anticipated Support and Negative Interaction

JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION, Issue 1 2009
Christopher G. Ellison
A growing literature examines the role of religious communities as sources of social support for members, and a smaller body of work also explores negative aspects of social relations within congregations. However, very little is known about the characteristics of religious groups that promote or impede the development of supportive networks. We use data from a unique source,the National Congregations Study, linked with individual records from the 1998 General Social Survey (GSS),to explore this issue. Key findings reveal that: (1) individuals who attend very large churches tend to report lower levels of anticipated support and informal negative interaction; (2) the presence of major congregational conflict tends to dampen anticipated support and increase informal negative interaction; and (3) the absence of a well-defined period for informal socializing before or after the worship service is associated with lower levels of anticipated support, but is unrelated to the frequency of negative interaction among church members. Several implications and promising directions for future research are discussed. [source]

Predictors and Effects of Training on an Online Health Education and Support System for Women with Breast Cancer

JOURNAL OF COMPUTER-MEDIATED COMMUNICATION, Issue 3 2010
Helene McDowell
Many breast cancer patients currently turn to Internet-based education and support to help them cope with their illness. This study explores the role of training in influencing how patients use a particular Interactive Cancer Communication System (ICCS) over time and also examines what pre-test characteristics predict which people are most likely to opt in or out of training in the first place. With use of pre-test survey and unobtrusive individual records of ICCS system use data (N = 216), nonparametric tests revealed that only having a later stage of cancer predicted whether or not patients participated in training. Results indicated that participating in training was a significant predictor of higher levels of using the CHESS system. In particular, the repeated measures analysis of covariance found the significant interaction as well as main effect of group (i.e., training vs. no training) and time (i.e., individual's CHESS usages at different times) in interactive and information CHESS services, suggesting that 1) the training group has a higher level of usage than the no training group, 2) both of the groups' usage decreased over time, and 3) these joint patterns hold over time. Practical guidelines for future ICCS campaign implementation are discussed. [source]

Violence and race in professional baseball: Getting better or getting worse?

AGGRESSIVE BEHAVIOR, Issue 2 2002
Thomas A. Timmerman
Abstract The purpose of this study was to examine the relationship between race and violence in the context of professional baseball. Specifically, I used the number of times a batter was hit by a pitch (per plate appearance) as an indicator of being the victim of an indirect violent act. Archival data were gathered from 4,273 players from 1950 to 1997, yielding 27,022 individual records. Even after controlling for player ability and league rules, race was a significant predictor of being hit. Specifically, from 1950 to 1997, the rate at which Blacks were hit was approximately 7.5% greater than the rate for Whites. The rate at which Hispanics were hit was approximately 7.6% greater than the rate for Whites. Testing year as a moderator revealed that the Black-White difference was much greater in the 1950s and 1960s. From 1970 to 1989, race was not a significant predictor of being hit. Contrary to the hypotheses, from 1990 to 1997, Whites and Hispanics were hit at a significantly higher rate than Blacks (23.0% and 29.0%, respectively). Additional analyses revealed no relationship between pitcher race and batter race in hit-by-pitch events from 1997 to 1999. The findings are discussed with respect to group threat theory and the distinction between covert and overt aggression. Aggr. Behav. 28:109,116, 2002. © 2002 Wiley-Liss, Inc. [source]

Floristic changes in the British Isles: comparison of techniques for assessing changes in frequency of plants with time

BOTANICAL JOURNAL OF THE LINNEAN SOCIETY, Issue 3 2006
TIM C. G. RICH
Botanical recording data are often used to assess changes in the frequencies of plant species over time, but are subject to marked variations in recording activity. We compare and evaluate some general methods that can be used to detect changes in species' frequencies taking into account the recording variations. Models for 15 species that have been studied in detail previously were compared using the numbers of individual records, sites, hectads, or vice-counties at different time scales (year, decade, moving averages, and pre-/post- specific dates), with or without correction for recording variation. The best methods had a correction for the amount of recording over time, summarized records by decade or moving average, and used an extrapolation between first and last records for sites or hectads. Increasing the geographical and temporal scales can decrease the influence of recording variations, but leads to a loss of sensitivity and under-estimates the true extent of change. The choice between sites and hectads will depend on the detail of the records available; cruder data sets should use the latter. © 2006 The Linnean Society of London, Botanical Journal of the Linnean Society, 2006, 152, 279,301. [source]