Strategies to Make Immunization Status Visible During Patient Encounters at Naval Medical Center San Diego

2007 ◽  
Author(s):  
Robert P. Nevins
Keyword(s):  
San Diego ◽  
Medical Center ◽  
Immunization Status

scholarly journals Predictors of Failure from Primary Therapy for Giardiasis in San Diego: A Single Institution Retrospective Review

Pathogens ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 165 ◽  
Author(s):  
Anjan Debnath ◽  
Sharon L. Reed ◽  
Sheldon R. Morris
Keyword(s):  
Treatment Failure ◽  
San Diego ◽  
Medical Center ◽  
Case Series ◽  
Primary Therapy ◽  
Hiv Patients ◽  
Consistent Finding ◽  
Significant Decrement ◽  
Rate Of Failure ◽  
Cluster Of Differentiation

This study aimed to determine the presence of giardiasis among HIV patients in San Diego, the rate of failure of metronidazole treatment, and factors associated with treatment failure. We used a 7 year retrospective single-center case series of HIV-infected individuals with giardiasis at University of California San Diego Medical Center. Data were analyzed for the changes in the hematological, biochemical, and immunologic results at pre- and at-diagnosis levels. We also compared the changes at the diagnosis level white blood cell (WBC) among patients who were treated successfully and those who experienced treatment failure as defined by retreatment with a second course of antibiotics. In 29 Giardia lamblia-infected HIV patients, following diagnosis of G. lamblia, there was a non-significant decrement in cluster of differentiation 4 (CD4), but a statistically significant increase in the number of WBC. Other indices did not differ between pre- and at-diagnosis levels. Twenty patients (69%) were treated with a single course of metronidazole or tinidazole and seven patients (24.1%) were treated with more than one course of metronidazole. These seven patients had statistically significant higher hemoglobin at the time of diagnosis, but further studies are required to confirm if this is a consistent finding and if this can predict failure from primary therapy.

scholarly journals Utilizing Lean Six Sigma Methodology to Improve the Authored Works Command Approval Process at Naval Medical Center San Diego

2018 ◽  
Vol 183 (9-10) ◽  
pp. e405-e410 ◽  
Author(s):  
Michelle M Valdez ◽  
Maureen Liwanag ◽  
Charles Mount ◽  
Rechell Rodriguez ◽  
Elisea Avalos-Reyes ◽  
...  
Keyword(s):  
Six Sigma ◽  
San Diego ◽  
Medical Center ◽  
Lean Six Sigma ◽  
Approval Process ◽  
Six Sigma Methodology

Interview with Larry R. Squire

1998 ◽  
Vol 10 (6) ◽  
pp. 778-782
Keyword(s):  
San Diego ◽  
Medical Center ◽  
Modern Science ◽  
Albert Einstein ◽  
Molecular Study ◽  
National Academy Of Sciences ◽  
Arts And Sciences ◽  
The University ◽  
Academy Of Sciences ◽  
The Brain

Larry R. Squire is Professor of Psychiatry, Neurosciences, and Psychology at the University of California, San Diego, and Research Career Scientist at the San Diego Veterans Affairs Medical Center. He received a B.A. from Oberlin College, a Ph.D. from MIT, and did postdoctoral work at the Albert Einstein Medical School. His most influential mentors were Hans-Lukas Teuber and Samuel H. Barondes. His work has focused broadly on the problem of how the brain accomplishes learning and memory. Some of this work has involved mice and rats, but most of it has been carried out with monkeys and humans. Although his own studies have been concerned primarily with the function and organization of the brain systems that support memory, he sees the modern science of memory as benefiting from a broad range of approaches that includes the cellular and molecular study of synaptic plasticity as well as the study of normal cognition. In 1993–1994 he served as President of the Society for Neuroscience. He is a member of the National Academy of Sciences, the American Academy of Arts and Sciences, and the American Philosophical Society. A book, Memory: From Mind to Molecules, coauthored with Eric Kandel, will be published in late 1998 by W. H. Freeman and Company.

scholarly journals Influence of Family Structure and Functionality on Immunization Status of Infants Attending GOPC of BMC Saki

2020 ◽  
Vol 8 (3) ◽  
pp. 163-174
Author(s):  
A.I. Bolaji ◽  
T.O. Ojebode ◽  
O.S. Adekanye ◽  
A.O. Bolaji
Keyword(s):  
Family Structure ◽  
Medical Center ◽  
Sampling Technique ◽  
Family Type ◽  
Systematic Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Immunization Status ◽  
Study Population ◽  
Family Functionality

Introduction: Vaccine-preventable diseases are endemic in Nigeria, and contribute greatly to childhood morbidities and mortalities. Good family structure has been reported to improve children's wellbeing, health and eating habit, but the contribution of family structure together with family functionality on immunization status has not been documented. Overall, the goal of the research was to determine the level of immunization status in the study population, assess their knowledge of immunization and determine what influence family structure and functionality have on children's immunization status.Methods: A cross-sectional descriptive study was conducted in 2016 in the General outpatient clinic (GOPC) of Baptist Medical Centre (BMC), Saki, Oyo State. Family APGAR Scale and self-design questionnaire were used to collect data from 299 respondents using systematic sampling technique. A SPSS (version 21) was used for the analysis.Results: Our results showed that 82.9% of the respondents were fully immunized and 98% had knowledge about Immunization. Majority of the respondents came from functional families, accounting for 85.6% of cases. The following factors were found to be statistically significantly  associated with immunization status: family functionality (X2 = 101.694, P = 0.000), family type (p value =0.000), family size (p value = 0.000), ethnic group (p value = 0.000) and number of children (P value = 0.000)Conclusion: Our findings showed that there is an adequate knowledge of immunization in the study population, and that a child's immunization status is significantly influenced by the family structure and functionality. However, given the fact that this is a single, hospital-based study, several multi-center studies would have to be employed not just to validate this conclusion but also to inform policy making. Keywords: Immunization status, family structure, family functionality, vaccine, health facility, Nigeria   French Title: Influence de la structure familiale et de la fonctionnalité sur le statut de vaccination des nourrissons assistant au GOPC de BMC, Saki Les morts évitables par la vaccination restent endémiques et contribuent de manière significative à la morbidité infantile au Nigéria et il a été reconnu qu'une bonne structure familiale améliore le bien-être, la santé et les habitudes alimentaires des enfants, mais la contribution de la structure et de la fonctionnalité de la famille au statut vaccinal n'est pas encore établie. Le but de cette étude est de déterminer le niveau  d'immunisation des répondants, d'évaluer leurs connaissances en matière d'immunisation et de déterminer l'influence de la structure et de la fonctionnalité de la famille sur l'état de vaccination. Méthode de l'étude: Une étude descriptive transversale a été menée en 2016 dans la clinique externe générale (GOPC) du Baptist Medical Center (BMC), Saki, dans l'état d'Oyo. L'échelle familiale APGAR et le questionnaire d'auto-conception ont été employés pour recueillir des données auprès de 299 répondants à l'aide d'une technique d'échantillonnage systématique. Un SPSS (version 21) a été utilisé pour l'analyse. Résultats de l'étude: Les résultats ont révélé que la majorité (82,9%) des répondants était entièrement immunisée et que 98% avaient des connaissances sur la vaccination. La majorité des répondants (85,6%) étaient issus de familles fonctionnelles. La fonctionnalité de la famille était statistiquement significative sur le statut vaccinal (X2 = 101,694, P = 0,000) ainsi que sur certaines composantes de la structure familiale: type de famille (P = 0,000), taille de la famille (P = 0,000), groupe ethnique (P = 0,000), et nombre d'enfants (P = 0,000)Conclusion: Les répondants avaient une connaissance adéquate de la vaccination. De plus, la fonctionnalité familiale et la structure familiale influencent le statut vaccinal des nourrissons. Par conséquent, d'autres études devraient être menées sur l'influence de la fonctionnalité et de la structure de la famille sur le statut vaccinal en utilisant une approche multicentrique. Mots-clés: Immunisation, fonctionnalité familiale, structure familiale, vaccine

scholarly journals Meeting the Challenge of Surgery and Pulmonary Hypertension: How to Manage the “Hemodynamic Environment” to Optimize Outcomes

2007 ◽  
Vol 6 (2) ◽  
pp. 92-95
Author(s):  
Richard Channick ◽  
Kenneth R. McCurry ◽  
Ronald Pearl ◽  
Stuart Rich
Keyword(s):  
Pulmonary Hypertension ◽  
Critical Care ◽  
Lung Transplantation ◽  
San Diego ◽  
Medical Center ◽  
Assistant Professor ◽  
Associate Professor ◽  
University Of California ◽  
University Of Pittsburgh ◽  
School Of Medicine

This discussion was moderated by Richard Chan-nick, MD, Associate Professor of Medicine, Pulmonary and Critical Care Division, University of California, San Diego Medical Center, San Diego, California. Panel members included Kenneth R. McCurry, MD, Assistant Professor of Surgery, Division of Cardiothoracic Surgery, Director, Lung and Heart-Lung Transplantation Programs, University of Pittsburgh Department of Surgery, Pittsburgh, Pennsylvania; Ronald Pearl, MD, PhD, Professor and Chair, Anesthesia Department, Stanford University School of Medicine, Stanford, California; and Stuart Rich, MD, Professor of Medicine, Section of Cardiology, Center for Pulmonary Hypertension, University of Chicago, Chicago, Illinois.

scholarly journals Pulmonary Hypertension Roundtable

2005 ◽  
Vol 4 (2) ◽  
pp. 24-29
Author(s):  
Richard Channick ◽  
Hap Farber ◽  
Nicholas Hill ◽  
Robert Schilz
Keyword(s):  
Pulmonary Hypertension ◽  
Critical Care ◽  
New England ◽  
San Diego ◽  
Medical Center ◽  
Assistant Professor ◽  
Associate Professor ◽  
University Of California ◽  
Boston University ◽  
England Medical

This discussion was moderated by Richard Channick, MD, Associate Professor of Medicine, Pulmonary and Critical Care Division, University of California, San Diego Medical Center, San Diego, California. The physicians participating included Hap Farber, MD, Director, Pulmonary Hypertension Center, Boston University Medical Center, Boston, Massachusetts; Nicholas Hill, MD, Chief, Pulmonary, Critical Care and Sleep Division, Tufts-New England Medical Center, Boston, Massachusetts; and Robert Schilz, PhD, DO, Director of Lung Transplantation and Advanced Lung Disease, and Assistant Professor of Medicine, Case Western Reserve University, Cleveland, Ohio.

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