Determinants of medical care utilization: the role of the telephone in total medical care.
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
C R Pope
Publications and source records attributed to C R Pope.
Protection of chickens after live and inactivated virus vaccination against challenge with nephropathogenic infectious bronchitis virus PA/Wolgemuth/98.
Protection provided by live and inactivated virus vaccination against challenge with the virulent nephropathogenic infectious bronchitis virus (NIBV) strain PA/Wolgemuth/98 was assessed. Vaccinations with combinations of live attenuated strains Massachusetts (Mass) + Connecticut (Conn) or Mass + Arkansas (Ark) were given by eyedrop to 2-wk-old specific-pathogen-free leghorn chickens. After live infectious bronchitis virus (IBV) vaccination, some chickens at 6 wk of age received an injection of either an oil emulsion vaccine containing inactivated IBV strains Mass + Ark or an autogenous vaccine prepared from NIBV PA/Wolgemuth/98. Challenge with PA/Wolgemuth/98 was given via eyedrop at 10 wk of age. Serum IBV enzyme-linked immunosorbent assay antibody geometric mean titers (GMTs) after vaccination with the combinations of live attenuated strains were low, ranging from 184 to 1,354, prior to NIBV challenge at 10 wk of age. Both inactivated vaccines induced an anamnestic response of similar magnitudes with serum GMTs of 6,232-12,241. Assessment of protection following NIBV challenge was based on several criteria virus reisolation from trachea and kidney and renal microscopic pathology and IBV-specific antigen immunohistochemistry (IHC). Live attenuated virus vaccination alone with combinations of strains Mass + Conn or Mass + Ark did not protect the respiratory tract and kidney of chickens after PA/Wolgemuth/98 challenge. Chickens given a live combination vaccination of Mass + Conn and boosted with an inactivated Mass + Ark vaccine were also susceptible to NIBV challenge on the basis of virus isolation from trachea and kidney butshowed protection on the basis of renal microscopic pathology and IHC. Live IBV-primed chickens vaccinated with an autogenous inactivated PA/Wolgemuth/98 vaccine had the highest protection against homologous virulent NIBV challenge on the basis of virus isolation.
Animals↗
Comparison of a putative second serotype of chicken infectious anemia virus with a prototypical isolate I. Pathogenesis.
CIAV-7 is a virus with similar pathogenic and physicochemical characteristics to, but antigenically distinct from, chicken infectious anemia virus (CIAV). The pathogenesis of CIAV-7 was evaluated in a comparative study with a representative isolate of CIAV, the Del-Ros strain. The pathogenesis of CIAV-7 was similar to Del-Ros on the basis of the clinical disease induced and gross and microscopic lesions, although CIAV-7 produced fewer and less severe lesions overall. A second comparative pathogenesis study was performed with Del-Ros and CIAV-7, both alone and in combination with infectious bursal disease virus (IBDV). In this study, the pathogenesis of CIAV-7 was similar to Del-Ros in clinical, gross, and microscopic lesions in the bone marrow. However, thymic lesions were less severe in CIAV-7-inoculated birds. The interaction between Del-Ros and IBDV was synergistic, whereas there was no observed potentiation of CIAV-7-induced disease by IBDV. Progeny from breeder flocks from several geographic locations in the eastern United States were challenged with CIAV-7 or Del-Ros to assess protection by maternal antibodies. Some progeny from all flocks had protection against CIAV-7 challenge, providing evidence for the presence of CIAV-7 in the field. Additionally, the number of birds protected against CIAV-7 or Del-Ros challenge varied within flocks, demonstrating that the agents are serologically distinct.
Animals↗
The effects of avian leukosis virus subgroup J on broiler chicken performance and response to vaccination.
The effects of avian leukosis virus subgroup J (ALV-J) infection on meat-type chickens reared in a simulated commercial setting were evaluated. Each of three ALV-J isolates was evaluated with both simulated horizontal transmission (SHT) and simulated vertical transmission (SVT). Mortality, morbidity, disease condemnations, and feed conversions were increased and body weights at processing were decreased in ALV-J infected birds as compared to sham inoculated hatch mates. The adverse effects of ALV-J infection were more severe in birds exposed by SVT than in birds exposed by SHT. At 8 weeks of age response to vaccination for infectious bronchitis virus and Newcastle disease virus or prior exposure to a pathogenic reovirus was assessed in the ALV-J and sham inoculated broiler chickens by challenge studies. Although not statistically significant, an overall trend of decreased protection to challenge after vaccination, or prior exposure, was observed in the ALV-J inoculates as compared to sham inoculated hatch mates. Differences in vaccine response were most evident in groups inoculated with ALV-J by the SVT route.
Age Factors↗
Depressive symptoms, health promotion, and health risk behaviors.
OBJECTIVES: To assess the relationships between history of depressive symptoms and smoking, alcohol consumption, dietary changes, attempts to lose weight or increase exercise, use of health services, and the likelihood of receiving influenza and pneumonia vaccinations, mammograms, and Pap tests. METHODS: A survey of randomly sampled members of a large health maintenance organization (n = 5841). RESULTS: Individuals with past depressive symptoms were more likely to smoke cigarettes (despite making more attempts to quit smoking); to drink more alcohol; to attempt to lose weight, increase exercise, reduce fat intake, increase fiber intake; and, for women, to have a mammogram. CONCLUSIONS: Individuals with histories of depressive symptoms engage in more positive and negative health behaviors. Additionally, their increased service use provides opportunities to achieve positive health changes and improve treatment outcomes.
Adolescent↗
Comparison of two serotype 1 MDV isolates.
We compared the RB1B and T. King (TK) serotype 1 isolates of Marek's disease virus (MDV) in vivo. Body and organ weights, mortality, and lesions indicated that the TK inoculum established early infection more efficiently than RB1B and did greater damage to the bursa of Fabricius and thymus. Subsequent studies showed that the TK inoculum that we used contained chicken infectious anemia virus (CIAV). Therefore, pathogenicity profiles shown here should be interpreted with the presence of CIAV contamination in the TK stock in mind.
Animals↗
Genetic variation in susceptibility to Marek's disease in a commercial broiler population.
Two commercial broiler pure lines that were previously identified to differ in their susceptibility to Marek's disease (MD) were line-crossed to generate an F1 population. Eight F1 males were randomly mated to four or five F1 females to produce an F2 test population that would be segregating for genes affecting MD. All F2 progeny (four hatches) were pedigreed at hatch and placed in colony houses as nonvaccinated. At 5 days of age, they were challenged intraabdominally with MD virus RB1B. Clinical signs, mortality, and gross and microscopic lesions were recorded during the MD challenge. At 8 wk postchallenge, all remaining birds were euthanatized and necropsied. During the MD challenge of the first two hatches, we observed that several severely stunted broilers originated from certain families and the differences in body weight among birds appeared as early as 3 wk postchallenge. To confirm this observation, body weight at 6 wk postchallenge was determined for all surviving birds in hatches 3 and 4 (n = 242). Genetic variation in body weight among broiler sire families was apparent; the average body weight for males at this time was 2.07 kg, whereas with females, it was 1.87 kg. At least 12.2% of the broilers, including both sexes, weighed less than 1 kg ("severely stunted") at this time. The incidence of these growth-stunted birds within each broiler sire family ranged from 0 to 26% and for dam families, 0 to 60%. Correlation analyses between stunting and other MD-associated traits revealed that the incidence of stunting had a significant and positive association with paralysis (r = 0.50). Therefore, the data suggest that there may be a genetic component affecting body weight loss during MD infection. The genetic component is speculated to affect susceptibility to MD paralysis with an indirect effect on the body weight of birds. The significance of this finding is best exemplified by the identification of a broiler sire family with over 26% of its progeny affected by this MD-associated trait.
Animals↗
Nonprescription drug use among the elderly.
We investigated the extent of the use of nonprescription drugs among an elderly population and the health and social characteristics most related to their use (nonprescription drugs referring to "medicines that don't require a prescription for slight illnesses"). The study data derive from an interview survey of a random sample of adult members of a large health maintenance organization (HMO). While most of the members we interviewed used nonprescription drugs, only one in eight were categorized as using them "very often," the category of most frequent use. Nonprescription drug use was more often associated with reports of common, largely self-limiting conditions than with less common symptoms that could be indicative of serious underlying disease. Such drugs appeared to be used in conjunction with, rather than instead of, physician services. The most frequent users also more frequently asked pharmacists for advice, had unfilled prescriptions, and did not follow physician's instructions. Emotional and mental health were the most important factors accounting for nonprescription drug use among the elderly, particularly among the most frequent users. The profile of the "most frequent" elderly user is one of having emotional health problems; engaging in self-care, but also receiving professional physician services; and engaging in some questionable health behaviors, but not skeptical of medicine in general. Our findings suggest that more attention should be paid to the emotional needs of the elderly.
Aged↗
Efficacy in chickens of a herpesvirus of turkeys recombinant vaccine containing the fusion gene of Newcastle disease virus: onset of protection and effect of maternal antibodies.
The onset of protection against Newcastle disease and the effect of maternal antibodies to Newcastle disease virus (NDV) and Marek's disease virus (MDV) on vaccine efficacy were determined following vaccination of chickens with a recombinant herpesvirus of turkeys (HVT) vaccine expressing the fusion (F) glycoprotein gene of NDV. Onset of protection following intra-abdominal administration of the recombinant HVT/F vaccine at 1 day of age and subsequent ocular challenge with the neurotropic velogenic Texas GB strain of NDV was determined to occur between days 14 and 21 post-vaccination (PV). Vaccination with the Hitchner B1 strain of NDV resulted in protection by day 6 PV, and vaccination with an inactivated NDV oil-emulsion vaccine induced protection by day 14 PV. One-day-old broiler-type chickens with maternal antibodies to both NDV and MDV and 1-day-old specific-pathogen-free (SPF) white leghorn chickens lacking maternal antibodies were vaccinated with the recombinant HVT/F vaccine or with control vaccines, challenged intra-abdominally with the very virulent RB1B strain of MDV on day 8 PV, and challenged with the Texas GB strain of NDV on day 29 PV. The HVT/F and NDV strain Hitchner B1 vaccines provided 73% and 80% protection, respectively, against NDV in broilers, whereas both vaccines resulted in 100% protection in SPF leghorns.
Animals↗
Isolation and identification of Ornithobacterium rhinotracheale from commercial broiler flocks on the Delmarva peninsula.
The growth and biological characteristics of isolates of Ornithobacterium rhinotracheale (ORT) from commercial broiler chickens in the mid-Atlantic region of the U.S.A. appear to be identical to those previously reported in the literature. The clinical disease and lesions are also similar to those reported from other poultry growing regions including South Africa and Europe. The diagnostic cases included in this report were often associated with known respiratory pathogens, namely, lentogenic Newcastle disease virus, and infectious bronchitis virus, and Escherichia coli bacteria. The role of ORT in the disease cases presented in this report is unclear.
Animals↗