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Biomedical subjects

A F North

Publications and source records attributed to A F North.

18 recordsLinked to original sources
PubMed1977

Regional planning of hospital facilities for children.

The quest for constraint of health care costs has combined with the quest for better distribution of specialized child health services to emphasize the need for facility planning that considers the needs and resources of an entire region. This article describes the guidelines derived through one such planning effort and the process through which they were derived. The process can, we believe, be replicated or modified for planning pediatric hospital facilities or other health care facilities in other regions of the country.

Adolescent↗
PubMed1977

A secular increase in the incidence of juvenile diabetes mellitus.

Data from a 1973 survey of diabetes mellitus among schoolchildren in Michigan have been analyzed to derive age-specific incidence and prevalence rates. The annual incidence of new cases of diabetes is approximately 20/100,000 children from age four through age 17, with the highest incidence rates at age nine through age 12. The prevalence rates to be expected, if the most recent incidence rates persist, are approximately 50/100,000 at age five, 150/100,000 at age ten, 270/100,000 at age 15, and 325/100,000 by age 18. The incidence rate of diabetes in Michigan children appears to have doubled between 1959 and 1972. Data from Erie County, New York, suggest that this secular trend has been evident since 1949, and data from Norway suggest that the trend could be noted 50 to 70 years ago.

Adolescent↗
PubMed1977

Current status and future role of health screening.

To date, screening has largely failed to fulfill the hope that early detection would lead to more effective early treatment and to improved health status in the population served. The future role of screening can be much more positive but only if (1) screening is directed only at diseases and conditions for which early intervention has proven benefits; (2) valid screening methods are developed and used; (3) screening is done in settings in which diagnosis and treatment are assured; and (4) there is continuing scientific evaluation of the benefits and costs of screening.

Cost-Benefit Analysis↗
PubMed1976

The effects of anticipated funding changes on maternal and child health projects: a case study of uncertainty.

A questionnaire survey of Title V special projects--Maternal and Infant Care (M&I), Comprehensive Care for Children and Youth (C&Y), Neonatal Intensive Care and Children's Dental Care--indicated that the anticipated change from federal project grants to state formula grants caused anxiety among project directors, low morale and high turnover in project staff, difficulty in filling staff positions, and anticipation of service reductions. These effects were much more prevalent and severe in projects which could realistically be expected to suffer budget cuts as a result of the shift in funding method. Despite the widespread anxiety, low morale and adverse effects reported by program directors, there was no reduction in the number of patients served, the scope of services offered, or the number of staff employed.

Adolescent↗
PubMed1976

Screening in child care.

For a disease to be susceptible to screening, it should be definable, important and treatable. Treatment begun earlier on the basic of discovery through screening must have some advantage. The period between first possible detection and optimal time for treatment must be substantial. Adequate facilities and resources for evaluation and care must be available. Finally, there must be a valid, low-cost test for the disease and there must not be a high cost associated with false-positive or false-negative results.

Adolescent↗