scholarly journals Community coverage in a rural, church-based, hypertension screening program in Edgecombe County, North Carolina.

1985 ◽  
Vol 75 (4) ◽  
pp. 401-402 ◽  
Author(s):  
D S Strogatz ◽  
S A James ◽  
D Elliott ◽  
D Ramsey ◽  
L M Cutchin ◽  
...  
Keyword(s):  
North Carolina ◽  
Screening Program ◽  
Rural Church ◽  
Edgecombe County ◽  
Hypertension Screening

Techniques' Comparison and Report of the North Carolina Experience

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 843-848
Author(s):  
Thomas R. Kinney ◽  
Martha Sawtschenko ◽  
Mary Whorton ◽  
Jean Shearin ◽  
Christy Stine ◽  
...  
Keyword(s):  
North Carolina ◽  
Filter Paper ◽  
Screening Program ◽  
Medical Center ◽  
Sample Collection ◽  
Capillary Tubes ◽  
Blood Samples ◽  
Screening Programs ◽  
The North ◽  
Duke University

Controversy still exists as to the best laboratory method to use to screen newborns for sickle cell disease and other hemoglobinopathies. The proposed methods include hemoglobin electrophoresis, column chromatography, isoelectric focusing, and high performance liquid chromatography. There is also debate concerning the preferred method of sample collection. The proposed methods of sample collection include cord blood or blood obtained from the infant collected in a tube with anticoagulant or on filter paper. We compared hemoglobin electrophoresis patterns from infant blood samples collected in heparinized capillary tubes and on filter paper. This comparison was performed because hemoglobin electrophoresis of dried blood samples collected on filter paper has been advocated as a practical, reliable, and inexpensive method for mass screening programs, although the limitations of this technique have not been explored fully. We also summarize data from the North Carolina Newborn Hemoglobinopathy Screening Program, which relates to the advantages and limitations of hemoglobin electrophoresis from filter paper blood specimens. MATERIALS AND METHODS Specimens Four sets of specimens were used for this study: (1) specimens collected at Duke University Medical Center to compare hemoglobin electrophoresis patterns of hemolysates from filter paper and heparinized capillary tubes, (2) specimens collected by the North Carolina program for hemoglobinopathy screening, (3) specimens routinely collected at Duke University in heparinized capillary tubes for newborn hemoglobinopathy screening, and (4) samples for retesting to examine the error rate of the state program and to confirm screening results compatible with a hemoglobinopathy. Samples for Direct Comparison Between Filter Paper and Heparinized Specimens

Integrating Dental Screening and Fluoride Varnish Application into a Pediatric Residency Outpatient Program: Clinical and Financial Implications

2007 ◽  
Vol 31 (3) ◽  
pp. 175-178 ◽  
Author(s):  
Jonelle Grant ◽  
Michael Roberts ◽  
Wallace Brown ◽  
Rocio Quinoñez
Keyword(s):  
North Carolina ◽  
Oral Health ◽  
Screening Program ◽  
Fluoride Varnish ◽  
Chart Audit ◽  
Care Clinic ◽  
Health Counseling ◽  
Administrative Records ◽  
Academic Medical ◽  
The University

Delivery of preventive oral health services (POHS) has been embraced by many pediatric and family medical practices in North Carolina (NC). The outcome of implementing a state-wide Medicaid-supported oral health prevention initiative, "Into the Mouth of Babes Varnish and Screening Program (IMB), in an academic medical residency setting is described. Retrospective chart audit of encounter forms and collection of administrative records related to POHS provided by pediatric medical residents for Medicaid recipients less than 3 years of age at the University of North Carolina pediatric continuity care clinic over 31 months were examined. A total of 1,081 visits and 655 patients were documented during the study period accounting for 36.6% of all children aged 6-36 months seen in the clinic during the period of this study. Thirty-eight percent of the patients received one or more IMB follow-up visits. Twenty-nine (4.4%) children were reported to have one or more carious teeth and 94 children (14.1%) were referred to a dentist. The IMB program provides an oral screening, parent oral health counseling and application of fluoride varnish to the teeth at the medical appointment by non-dental personnel. Following a cost/revenue analysis it was concluded that a preventive oral health initiative in an academic setting provides an additional access to oral health preventative services for underserved children and contributes to the financial viability of the clinic.

scholarly journals Coverage and effectiveness of hypertension screening in different altitudes of Tibet autonomous region

2020 ◽  
Author(s):  
Ci Song ◽  
Virasakdi Chongsuvivatwong ◽  
Suolang Wangdui ◽  
Danzeng Mima ◽  
Cuoji Zhuoma ◽  
...  
Keyword(s):  
Census Data ◽  
Screening Program ◽  
Participation Rate ◽  
Management Program ◽  
Autonomous Region ◽  
Logistic Regression Models ◽  
Tibet Autonomous Region ◽  
Physical Examinations ◽  
Hypertension Screening ◽  
Low Altitude

Abstract Background: Tibet is an autonomous region in China located around an average altitude of 4,500 meters above sea level. Since 2012 the local government of Tibet has been providing free physical examinations, including screening for hypertension. However, the coverage and effectiveness of this free program have not uncovered. This study aims to assess the coverage and effectiveness of hypertension screening and management program in 3 altitude levels of Tibet, and also the determinants of the success of the screening program. Methods: A stratified cluster survey was conducted among 1,636 residents aged 18 years or over in three different altitude areas in Tibet. We adjusted for age and sex based on national census data and used weighted logistic regression models to find factors associated with hypertension screening. Results: The coverage of the hypertension screening program evaluated by participation rate in the previous screening was 94.9%, while 24.7% (95% CI: 22.1-27.3) of them were diagnosed with hypertension. Females and alcohol drinkers were more likely to be screened. Among those diagnosed with hypertension, 28.7% had it under control. High altitude areas had a high proportion of controlled hypertension. The overall rate of controlled hypertension in high, moderate and low altitude areas was 35.1% (95% CI: 24.8-45.3), 32.7% (95% CI: 22.2-43.2) and 23.7% (95% CI: 14.7-32.6), respectably. Younger aged persons were more likely to have better control of their hypertension. Conclusions: The coverage of hypertension screening in Tibet was high, especially in the low altitude areas. However, the effectiveness of hypertension control was low, indicating a need to improve interventions.

scholarly journals Coverage and effectiveness of hypertension screening in different altitudes of Tibet autonomous region

2020 ◽  
Author(s):  
Ci Song ◽  
Virasakdi Chongsuvivatwong ◽  
Suolang Wangdui ◽  
Danzeng Mima ◽  
Cuoji Zhuoma ◽  
...  
Keyword(s):  
Census Data ◽  
Screening Program ◽  
Participation Rate ◽  
Management Program ◽  
Autonomous Region ◽  
Logistic Regression Models ◽  
Tibet Autonomous Region ◽  
Physical Examinations ◽  
Hypertension Screening ◽  
Low Altitude

Abstract Background: Tibet is an autonomous region in China located around an average altitude of 4,500 meters above sea level. Since 2012 the local government of Tibet has been providing free physical examinations, including screening for hypertension. However, the coverage and effectiveness of this free program have not been uncovered. This study aims to assess the coverage and effectiveness of hypertension screening and management program in 3 altitude levels of Tibet, and also the determinants of the success of the screening program.Methods: A stratified cluster survey was conducted among 1,636 residents aged 18 years or over in three different altitude areas in Tibet. We adjusted for age and sex based on national census data and used weighted logistic regression models to find factors associated with hypertension screening. Results: The coverage of the hypertension screening program evaluated by participation rate in the previous screening was 94.9%, while 24.7% (95% CI: 22.1%-27.3%) of them were diagnosed with hypertension. Females and alcohol drinkers were more likely to be screened. Among those diagnosed with hypertension, 28.7% had it under control. High altitude areas had a high proportion of controlled hypertension. The overall rate of controlled hypertension in high, moderate and low altitude areas was 35.1% (95% CI: 24.8%-45.3%), 32.7% (95% CI: 22.2%-43.2%) and 23.7% (95% CI: 14.7%-32.6%), respectively. Younger aged persons were more likely to have better control of their hypertension.Conclusions: The coverage of hypertension screening in Tibet was high, especially in the low altitude areas. However, the effectiveness of hypertension control was low, indicating a need to implement the treatment adherence routines into the current screening interventions.

Drug Screening in the Public Sector: A Focus on Law Enforcement

1994 ◽  
Vol 23 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Dennis M. Daley ◽  
Curtis L. Ellis
Keyword(s):  
North Carolina ◽  
Law Enforcement ◽  
Drug Screening ◽  
Screening Program ◽  
International Association ◽  
Police Departments ◽  
Empirical Examination ◽  
The North ◽  
Chain Of Custody ◽  
Reasonable Suspicion

The academic and legal literature has clearly established a set of policies suited for inclusion in a comprehensive drug screening program. The employment of urinanalysis, random drug tests, reasonable suspicion tests, and chain of custody procedures are mixed with employee safeguards such as test interpretation by medical review officers, analysis in NIDA certified labs, and confirmatory tests for initial positive results. This paper provides a two-fold, empirical examination of those policies. First, the International Association of Directors of Law Enforcement Standards and Testing were surveyed. The IADLEST members' recommendations represent the standards that law enforcement agencies in each state would consider as their most appropriate professional guidelines. Inasmuch as they fall short of what the literature recommends (and they do in regard to a number of items), it is unlikely that individual police departments would find either the support or courage for recommending stronger policies. Second, a North Carolina survey examines the implementation of these recommendations by municipalities in one of the more advanced states included in the IADLEST survey. In general, municipal police departments are found to follow the North Carolina Criminal Justice Standards Division's recommendations.

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