Rethinking population communication.
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Communication↗
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Results for “Information Centers--changes”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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Where there is no vision the people perish.
Forces are already in motion that will change the future of health sciences librarianship. In addition to changes in academic health centers, changes in the publishing industry, the mode of delivering information by librarians, the use of computers to manipulate and make information available, the user's access to information, and communications technology are briefly described. The author proposes that health sciences librarians can participate in the creative process of constructing their professional future by being informed, expanding cooperative efforts, planning, ceasing a romanticized view of the profession, and becoming achievers rather than sustainers.
Computers↗
Cohort study of twinning in an academic health center: changes in management and outcome over forty years.
OBJECTIVE: Our purpose was to explore the management and outcomes of twin pregnancies over 40 years (1952 to 1993) within a single academic health center. STUDY DESIGN: According to a retrospective cohort design, twin pregnancies were collected and the following variables were analyzed: maternal age, parity, gestational age, birth weight, twin gender, presentation, delivery route, intervals between births, Apgar scores, and perinatal outcome. Information was broken into approximately decade-long epochs (1952 to 1962, 1963 to 1972, 1973 to 1982, 1983 to 1993) to compare trends over time. RESULTS: A total of 814 twin pregnancies were delivered. Median birth weight and gestational age decreased over time. The prevalence of > 20% birth weight discordancy was 23% and did not increase. Nulliparity increased over time but maternal age did not. Same-sex pairs were constant, as was presentation. Use of abdominal delivery and the abdominal delivery of a nonvertex second twin after vaginal delivery of the first increased in the last two epochs. Both the interval between births and the Apgar score of the second twin increased over time. Perinatal mortality of very-low-birth-weight and normal-birth-weight twins decreased over time. CONCLUSIONS: The maternal demographics of twinning changed little over 40 years. Gestational age and birth weight decreased over time because of the regionalization of perinatal care. Birth weight-specific perinatal mortality improved over time.
Adult↗
Establishing centers to address treatment effectiveness in diverse ethnic groups: the MEDTEP experience.
OBJECTIVE: To investigate racial, ethnic, and socioeconomic disparities in health outcomes amenable to improvement through more effective delivery of health care services. DESIGN: The Medical Treatment Effectiveness Program (MEDTEP) Research Centers on Minority Populations were a group of centers in the USA funded to improve the effectiveness of medical diagnosis and treatment, to provide technical assistance to ethnic minority health researchers, to train new researchers, and to disseminate information to help ethnic minority patients and their health care providers. RESULTS: Centers often provided many specific findings related to assessment of the magnitude of disparities in health outcomes and to approaches for eliminating these outcomes. The Centers were able to build community partnerships using an approach now defined as community-based participatory research. Centers changed the culture of their institutions by making them more aware of the need to train diverse investigators and do more to eliminate health disparities. CONCLUSION: A key to the success of the Centers has been the unification of a cadre of committed investigators dedicated to the mentoring of minority health researchers and to the elimination of ethnic and socioeconomic disparities in health. The MEDTEP Centers provide a model but there remains a need for continued work.
Academies and Institutes↗