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PubMed2006

Risk factors for postpartum depression: a retrospective investigation at 4-weeks postnatal and a review of the literature.

OBJECTIVE: To describe possible correlations between incidence of postpartum depression and the following patient characteristics: age, breastfeeding status, tobacco use, marital status, history of depression, and method of delivery. STUDY DESIGN: Data gathered at routine 4-week postnatal visits were obtained from the patient records of 209 women who gave birth between June 1, 2001, and June 1, 2003, at three university medical clinics in Tulsa, Okla. Inclusion criteria required that the records of potential study subjects contain data on the characteristics noted as well as patient-completed Edinburgh Postnatal Depression Scale forms. RESULTS: Formula feeding in place of breastfeeding, a history of depression, and cigarette smoking were all significant risk factors for an Edinburgh Postnatal Depression Scale score of 13 or higher, indicating probable postpartum depression. CONCLUSION: The authors' findings corroborate the results of previous investigators. To facilitate prophylactic patient education and intervention strategies, a larger study is recommended to determine risk factors for postpartum depression.

Adult↗
PubMed2006

The 2005 C.T. Rowland Award orthodontic case report.

The C.T. Rowland award is presented annually by the Texas Orthodontic Study Club (formerly "Texas Tweed"). The award was first presented in 1954 in recognition of the group's president, C. T. Rowland. Applicants to the study club, which numbers almost 200 orthodontists from Texas and surrounding states, are required to present five cases for membership. These cases, with before and after records, represent a variety of malocclusions demonstrating the applicants' knowledge and expertise in diagnosing, treating, and finishing cases with quality results. The qualifying committee reviews each applicant's cases and, based on the difficulty of the original malocclusions and the degree of excellence of the finished result, chooses one person to receive their award. The 2005 winner of the C. T. Rowland award is Dr. Kyle Shannon. He is in the exclusive practice of orthodontics in Tulsa, OK.

Awards and Prizes↗
PubMed1990

The emerging profile of dental manpower in Oklahoma. 1: Oklahoma county.

This is the first report of a three part study. Part I focuses upon the dental manpower profile of Oklahoma County between the years 1972-1989 (Part II will emphasize the dental manpower profile of Tulsa County, and Part III, will be inclusive of the dental manpower profile of all other Oklahoma counties). In all phases of the study, data has been stratified into six categories, namely, general practitioners, specialists, full time general practice dental faculty, full time specialist dental faculty, and public health dentists. The demographic data analyzed in Part I, demonstrated an increasing average age of the dentists from 45.33 years of age in 1972 advancing to 48.33 years of age in 1989. The University of Oklahoma College of Dentistry is currently the primary resource of the dental manpower pool in Oklahoma County. The data indicated a downward turn in the percentage of dentists choosing to locate in Oklahoma County.

Dentistry↗
PubMed1989

Occupational medicine in Oklahoma: hydrofluoric acid dangers.

Occupational Medicine is the study of the interaction of workers with their workplace and the workplace's effect on the workers' health. In addition, many workplaces have the potential to affect the community as a whole. Herein is reported a brief case of community-wide exposure to the powerful oxidant, hydrofluoric acid. A discussion of sources and uses of hydrofluoric acid along with emergent care of burn victims is also presented. Even as this paper was being prepared, a second toxic cloud (sulfuric acid) was released in the Tulsa area. Clearly physicians should be aware of potential environmental impacts of occupational hazards.

Accidents, Occupational↗
PubMed1986

Trypanosoma cruzi from wild raccoons in Oklahoma.

Trypomastigotes of Trypanosoma cruzi were detected in the blood of 5 of 8 wild adult raccoons which were live-trapped in Tulsa, Okla. Organisms were isolated in diphasic blood agar medium and maintained in Vero cell cultures. Inoculated mice exhibited transient parasitemias without tissue involvement. Amastigote forms occurred within Vero cells. This is the first report of naturally occurring T cruzi infection of wild mammals in Oklahoma.

Animals↗
PubMed1995

Gastroschisis: a birth defect seen in increasing numbers in Oklahoma?

OBJECTIVE: To identify if an actual increase in children born with gastroschisis is occurring in Oklahoma. To compare findings with historical and current literature concerning the incidence of this congenital malformation of the abdominal wall. DATA: Derived from Children's Hospital of Oklahoma (CHO) medical records, inventory sheets completed by nurses and resident physicians on admission of gastroschisis infants at CHO, hospital records of Tulsa pediatric surgeons (Subramania Jegathesan, MD, and Richard Ranne, MD), and the state health departments of Oklahoma and Iowa. FINDINGS: 1. Increase in number of gastroschisis children born in Oklahoma. 2. Comparable findings in the state of Iowa. 3. No specific maternal or environmental factor to account for increase. CONCLUSIONS: Children born with gastroschisis in Oklahoma and other areas of the country, as well as internationally, have shown an increase in number over the past two decades. This increase cannot be attributed to any one identifiable factor.

Abdominal Muscles↗
PubMed1995

The immediate effect of activator vs. meric adjustment on acute low back pain: a randomized controlled trial.

OBJECTIVE: To compare the immediate effects on pain of Meric and Activator adjustments in patients with acute low back pain (LBP). DESIGN: Adjustments were compared using a randomized, controlled clinical trial for relative effectiveness. SETTING: The study was conducted at a private chiropractic clinic in Tulsa, Oklahoma. PATIENTS: Thirty consecutive established patients presenting with acute LBP were studied. Sixteen subjects were randomly assigned to the Meric group and 14 to an Activator group. The mean (SD) age was 53.5 (9.5) for the Activator group and 51.8 (10.3) for the Meric group. INTERVENTION: The subjects received either a single Meric or Activator adjustment to the posterior joints involved. MAIN OUTCOME MEASURES: Before and immediately after the adjustments, subjects rated their pain intensity on a visual analog pain scale. RESULTS: The mean reduction in pain for the Activator group was means = 22.2, SD = 21.7; for the Meric group means = 21.8, SD = 21.5. The results indicate that there is no significant difference between Meric and Activator adjustments in reducing acute LBP (F = .005, df = 2, 27, p = .941). CONCLUSION: This study demonstrated no advantage of one procedure over the other for the reduction of pain.

Acute Disease↗
PubMed1996

OAFP starts practice-based resource/research network.

The Oklahoma Academy of Family Physicians, in collaboration with the University of Oklahoma Health Sciences Center, has established a primary care practice-based research network with thirteen family practice offices currently participating. The practices are connected to each other and to the Health Sciences Center campuses in Oklahoma City and Tulsa by electronic mail and have begun their first research project involving the diagnosis and treatment of brown recluse spider bites in the primary care setting.

Computer Communication Networks↗
PubMed1997

Naturally occurring cerebral nematodiasis due to Baylisascaris larval migration in two black-and-white ruffed lemurs (Varecia variegata variegata) and suspected cases in three emus (Dromaius novaehollandiae).

During September and October 1992, two black-and-white ruffed lemurs (Varecia variegata variegata) were housed in an outdoor wire enclosure at the Tulsa Zoological Park. The following February and April, both lemurs developed head tilt and ataxia, and they were euthanized. Necropsy revealed multifocal malacia of the white matter of the pons, cerebellum, internal capsule, and cerebral and cerebellar peduncles. Nematode larvae consistent with Baylisascaris spp. were observed in the brain of one lemur. A retrospective study revealed three cases of ataxia in emus (Dromaius novaeholloandiae) that were previously housed in the same enclosure. Archival paraffin-embedded tissue from one emu revealed tractlike foci of malacia within the white matter of the cerebellum. Circumstantial evidence, including the observation of numerous raccoons (Procyon lotor) in the vicinity, and the presence of numerous Baylisascaris. procyonis in the intestine of a single trapped raccoon implicate this roundworm as the pathologic agent in the lemurs.

Animals↗
PubMed1998

Child homicide in Oklahoma: a continuing public health problem.

Homicide is a leading manner of injury to cause death in children. To assess this phenomenon in Oklahoma, the demographic characteristics and causes of death of the victims of child homicide in Oklahoma have been reviewed. One hundred eleven consecutive cases of homicide in children less than age 13 years were reviewed and the demographic characteristics of the victims were analyzed. The majority of homicides occurred in Tulsa and Oklahoma Counties (55.8%). The ratio of male to female victims was approximately equal. The races of the victims were 66.6 percent White, 24.3 percent Black, 8.1 percent Native American and 0.9 percent Asian. The most common cause of death was head injury (45.9%). An unexpected finding was that in 23.4 percent of cases, an additional fatality occurred in the family due to family violence. This fatality involved either suicide of the perpetrator or homicide of a sibling. These findings indicate a continuing family violence problem in Oklahoma.

Child↗
PubMed1993

The misuse of cardiopulmonary resuscitation.

Over a 41-month period, 1,233 "Code Blues" were retrospectively reviewed. Twenty-five codes on infants and children < 16 years of age were eliminated from the study group. The adult survivors of 1,208 codes numbered 243 (20.1%). Clinical chart review revealed that 49 (4.0%) did not involve cardiopulmonary resuscitation (CPR) or intubation and were "non-codes." Of the remaining 1,159 codes, there were 194 (16.7%) survivors. Of these survivors, 102 (52.5%) were patients with respiratory distress or failure and required intubation only. No CPR was needed. Thus, only the remaining 92 survivors of the 1,057 codes were cardiac cases for which CPR was appropriate (8.7% survival). Ventricular tachycardia and fibrillation, promptly defibrillated, was the most important rhythm factor for survival. Underlying ischemic heart disease (acute myocardial infarction and chronic ischemic heart disease with arrhythmia) was the most common underlying disease entity among the survivors. CPR performed in the group of patients unlikely to survive was expensive.

Aged↗