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Biomedical subjects

A M Perez

Publications and source records attributed to A M Perez.

8 recordsLinked to original sources

Epidemiological investigations of the 2001 foot-and-mouth disease outbreak in Argentina.

A total of 2126 herds, an attack rate of 0.82 per cent, were affected during an epidemic of foot-and-mouth disease in Argentina in 2001. The spatial and temporal distribution of the epidemic was investigated using nearest-neighbour and spatial scan tests and by estimating the frequency distributions of the times to intervention, and distances and times between outbreaks. The outbreaks were clustered and associated significantly (P<0.01) with herd density; 94 per cent were located in the Pampeana region, where the cattle population is concentrated, which had an attack rate of 1.4 per cent. The clustering results suggested that the virus had spread locally between outbreaks. Most of the outbreaks were separated by one day and the maximum distance between outbreaks was almost 2000 km, indicating that the infection spread rapidly over large distances. The index outbreak was detected more than 15 days after the primary outbreak, and restrictions on the movement of cattle were probably not enforced until about one month after infection occurred. As in other major epidemics, the period between the first outbreaks and the effective application of control strategies was probably crucial in determining the progress of the epidemic.

Animals↗

Resolving conflicts between EMTALA and managed care requirements.

The Emergency Medical Treatment and Active Labor Act (EMTALA) requires a hospital to provide services to persons who come to the emergency department (ED) for emergency treatment without regard for their ability to pay. Yet some managed care plans require that the hospital obtain authorization before rendering emergency medical treatment, with the result that hospitals risk either nonpayment for services or violation of EMTALA. Hospitals can improve their payment rates for ED care by amending or challenging preauthorization requirements and insisting that plans apply a uniform standard of care to treatment of ED patients.

Conflict, Psychological↗

Improving awareness of peripheral visual field using sectorial prism.

BACKGROUND: The authors wish to alert optometrists that an increased awareness of peripheral visual field is possible in selected patients with complete homonymous hemianopsia through the use of ground-in sectorial prisms. METHOD: A case series of nine patients prospectively completed activities of daily living (ADL) questionnaires before and after the use of sectorial prism spectacles for the treatment of complete homonymous hemianopsias. RESULTS: Of the nine enrolled patients, seven reported subjective quantitative improvement in ADL scores on questionnaire responses and two patients did not report improvement. CONCLUSION: Patients with homonymous hemianopic visual-field loss may improve their functional vision and activities of daily living through the use of hemianopic prism spectacles. These sectorial prisms--along with proper training--may enhance peripheral awareness through more efficient visual scanning skills.

Adaptation, Ocular↗