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Biomedical subjects

J R Page

Publications and source records attributed to J R Page.

11 recordsLinked to original sources

Disaster training for emergency physicians in the United States: a systems approach.

Disaster strikes more frequently and with greater impact than ever before, and the demand for improved community disaster preparedness rises. The American College of Emergency Physicians (ACEP), in collaboration with the Federal Emergency Management Agency (FEMA), has responded by developing a 16-hour course that prepares emergency physicians and other emergency providers to serve as knowledgeable members of their community's disaster team. The course was developed using a standard instructional design system to cover the basic components of disaster planning and emergency medical operations, including: disaster elements, general planning and organization, victim flow, communication, evacuation modalities, field and hospital management, documentation, public relations, and application to the local community. The 35 national faculty members present the course on a geographic basis across the United States. Further considerations for emergency medicine in the disaster domain include questions of education, research and the formation of a network to coordinate with other medical, health, and nonhealth care sectors nationally and internationally.

Curriculum↗

Blood pressure of Qash'qai pastoral nomads in Iran in relation to culture, diet, and body form.

Blood pressure, diet, urinary electrolyte excretion, and body form were studied in 264 traditional nomadic herdsmen of the Qash'qai tribe, southern Iran. The population sample included male and female members over 14 yr of age at six winter campsites. Interviews established biological age, any experience of nonnomadic living, and 24-h dietary recall. Height, weight, triceps skinfolds, and blood pressure were measured. Overnight urine samples were analyzed for sodium, potassium, and creatinine. Samples of dietary staples were analyzed for selected nutrients and electrolyte content. Urinary sodium excretion averaged 186 mEq/24 h in males, and 141 mEq/24 h in females. Urinary Na/K ratios were 3.64 and 3.24 in males and females, respectively. Systolic, diastolic, and mean blood pressure in both males and females increased significantly with age. Blood pressure greater than or equal to 140/90 was found in 12% of males and 18% of females age 30 yr or over. Body weight showed no tendency to increase with age in either sex. Systolic and mean blood pressure correlated with urinary sodium excretion in males and with urinary Na/K ratio in females. From cultural observations, the population sample was considered to be at a low level of acculturation. The data suggest that blood pressure trends in this population are related to habitual dietary electrolyte intake.

Adolescent↗