Developing the long range systems plan.
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Biomedical subjects
Publications and source records attributed to J I Levine.
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The characteristics of occurrence of head trauma were studied in north central Virginia. In 1978, 735 cases of head trauma were identified with documented head injuries occurring within the defined service area, and with a minimum overnight hospital stay. Overall occurrence was 208/100,000 population. The highest occurrence was found in the 15-19 age group (407/100,000). Nonwhites showed higher rates than whites. Motor vehicle crashes were the most frequent mechanism of injury (55% of patients) followed by falls (20%), and interpersonal violence (11%). Short-term time trends reveal unique daily, weekly, and seasonal patterns for motor vehicle crashes, falls, and interpersonal violence. Selected prevention strategies are discussed. The use of passive restraints in motor vehicles is recommended as one important means of reducing the occurrence and severity of head injuries.
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A comprehensive study of nurse practitioners was undertaken by the University of Virginia Schools of Medicine and Nursing in the summer of 1974 to evaluate nurse practitioner training programs of the University of Virginia and to determine the effectiveness and responsibilities of nurse practitioners in various practice settings. Data on nurse practitioners in a number of locations in Virginia and in the Philadelphia metropolitan area were collected and analyzed to determine the way in which the nurse practitioners' time was allocated among various duties and to evaluate nurse practitioner performance by physicians and patients. Nurse practitioners performed a wide variety of clinical and nonclinical tasks. Most physicians were satisfied with the practitioner's performance, although there was some inconsistency between physicians and nurse practitioners regarding actual duties performed. A high percentage of physicians stated they would hire a nurse practitioner to replace one who left their employ. Physicians' reasons for hiring a nurse practitioner, as well as their previous contact with such personnel, were examined. Regarding patient attitudes toward nurse practitioners, data indicated that patients were satisfied with nurse practitioners and felt comfortable being treated by them.