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At least 19 recordsLinked to original sources

Pacific States Chiropractic College: the legacy of George Emmet Anderson, D.C.

Established in 1976, Pacific States Chiropractic College (PSCC) was the first such institution in Northern California since the 1950s. Its founder, Dr. George E. Anderson, was himself a 1954 graduate of an earlier school, Claifornia Chiropractic College at Oakland. His vision was of a strong, professionally-owned institution founded on a balance of science, art and traditional chiropractic principles. It was to be a fitful start for the new school as two administrators would be discharged for malfeasance; lawsuits filed against them by Dr. Anderson and his founding associate, Dr. George Wentland. A newly-structured PSCC reopened in September 1978 at its present location in San Lorenzo and with its master plan intact. In the early 1980s, after three interim administrations and a long search Pacific States was merged with Life Chiropractic College of Marietta, GA. Dr. Gerard W. Clum was named president. Fully accredited, Life Chiropractic College West today the largest chiropractic institution on the West Coast and carries on the dream of Dr. George Anderson.

Chiropractic↗

The Pacific Island Health Care Project: easing the cancer burden in the United States associated Pacific Islands.

Cancer is a serious and ever increasing problem in the United States Associated Pacific Islands (USAPIs). Nearly 30% of all consultations and referrals are for cancer. Depending on the type of cancer, the prognosis for long-term survival is often poor and the cost of caring for such patients is considerable. Tripler Army Medical Center (TAMC) provides tertiary medical care to patients from the USAPIs in support of Graduate Medical Education (GME) at no cost to the patient or jurisdiction. Continuing its tradition of leading telemedicine initiatives in the Pacific, TAMC has developed a web-based electronic consultation and referral network, the Pacific Island Health Care Project (PIHCP). Ten sites in Micronesia and one in American Samoa were provided with computer equipment. Local clinicians request consultation from TAMC specialists through the internet, attaching supporting imagery. The consults are posted on a secure web page, where they are viewed, evaluated, forwarded, and commented on by the consultants. Experience with more than 2,100 cases indicates that the Internet can be easily used as a store-and-forward consultation format and offers a cost effective means for distance consultation, referral, and learning. This format has provided for a more rational evaluation of all patients but especially patients with cancer. Patients who are terminally ill, have widely metastasized disease, and/or have inoperable tumors or recurrences are excluded so that limited resources can be used for those most likely to benefit. There has been overwhelming enthusiasm for such Internet consultations between referring physicians and consultants. Many Pacific Islander patients have received state-of-the-art medical care through this program. At the same time, the training of TAMC physicians and residents has been enhanced by their opportunity to care for these remarkable and deserving patients from the Pacific.

Education, Medical, Continuing↗

Taeniasis and cysticercosis in Asia and the Pacific: present state of knowledge and perspectives.

Several topics on taeniasis and cysticercosis in Asia and the Pacific are overviewed. In Asia and the Pacific, three human taeniid species have been recognized: Taenia solium, Taenia saginata and Taenia asiatica. The first topic is on evolution of T. solium. Mitochondrial DNA polymorphisms of T. solium worldwide are discussed with emphasis of two specific genotypes: American-African and Asian. The second topic is recent major advances in sero- and molecular-diagnosis of T. solium cysticercosis in humans, pigs and dogs. The third is the present situation of T. solium taeniasis/cysticercosis in Papua (Irian Jaya), Indonesia. The forth is the present situation of T. solium cysticercosis and T. saginata taeniasis in Bali, Indonesia. The fifth is the present situation of T. asiatica taeniasis in Asia and the Pacific and in North Sumatra, Indonesia. The sixth is on the debate of the exact definition of T. asiatica. Because T. asiatica can not be differentiated from T. saginata morphologically, it is time to re-evaluate T. saginata in Asia and the Pacific. New and broad-based surveys across this region are necessary from epidemiological and public health perspectives, based on evidence.

Animals↗

Telemedicine success in the United States Associated Pacific Islands (USAPI): two illustrative cases.

A simple technical solution to a difficult situation serves as a model for telemedicine in the developing world of the Pacific Rim. Reported here are two cases involving little girls who accidentally suffered broken legs and how they were helped. The first, a 6-year-old from Kolonia, Pohnpei State, Federated States of Micronesia, fell out of a second story window and broke her left leg. The second, a 5-year-old girl from Majuro, Republic of the Marshall Islands, was hit by an automobile and suffered a fracture of her left leg. These two cases illustrate the utility of simple-store-and-forward telemedicine technology in distance consultation, referral, and education.

Child↗

Diphyllobothriasis associated with salmon consumption in Pacific Coast states.

A review of requests for niclosamide ( Niclocide or Yomesan ) made to the Centers for Disease Control Parasitic Diseases Drug Service indicated that an outbreak of diphyllobothriasis occurred in west coast states in 1980, and in the Los Angeles area in 1981. Our investigation of 52 infections that occurred in 1980 implicates fresh salmon (Oncorhynchus spp.) as the host for the Diphyllobothrium parasite in 82% of the persons interviewed. We describe here common symptoms of the infection, methods of fish preparation employed by infected individuals, and epidemiologic data. We suggest that changes in fish marketing practices and the popularity of uncooked or slightly cooked fresh salmon were responsible for this epidemic. We recommend that salmon be either cooked or frozen before it is eaten.

Alaska↗

National surveillance of Lyme disease, 1987-1988.

In 1987 and 1988, 6876 Lyme disease cases from 43 states were reported to the Centers for Disease Control. The 4507 cases reported in 1988 was nearly double the case number reported in 1987, and ninefold the number reported in 1982, when a systematic system of national surveillance was established. The average annual incidence of reported Lyme disease in the United States in 1987-1988 was 1.4/100,000. New York led the nation in reported cases in 1988 with 57% of the cases reported nationally. Eight states, New York, New Jersey, Pennsylvania, Connecticut, Massachusetts, Rhode Island, Wisconsin, and Minnesota, reported 92% of the nation's cases. The state reporting the highest incidence rate in 1987-88 was Rhode Island, with 9.9 cases/100,000. Regionally, incidence rates were highest in Northeastern and Mid-Atlantic states, intermediate in North Central and Pacific states, lower in the Southeast, and lowest in the Great Plains and Mountains states. The seven remaining states in which Lyme disease has not been transmitted all lie west of the 100th meridian.

Humans↗

Effects of historical climate change, habitat connectivity, and vicariance on genetic structure and diversity across the range of the red tree vole (Phenacomys longicaudus) in the Pacific Northwestern United States.

Phylogeographical analyses conducted in the Pacific Northwestern United States have often revealed concordant patterns of genetic diversity among taxa. These studies demonstrate distinct North/South genetic discontinuities that have been attributed to Pleistocene glaciation. We examined phylogeographical patterns of red tree voles (Phenacomys longicaudus) in western Oregon by analysing mitochondrial control region sequences for 169 individuals from 18 areas across the species' range. Cytochrome b sequences were also analysed from a subset of our samples to confirm the presence of major haplotype groups. Phylogenetic network analyses suggested the presence of two haplotype groups corresponding to northern and southern regions of P. longicaudus' range. Spatial genetic analyses (samova and Genetic Landscape Shapes) of control region sequences demonstrated a primary genetic discontinuity separating northern and southern sampling areas, while a secondary discontinuity separated northern sampling areas into eastern and western groups divided by the Willamette Valley. The North/South discontinuity likely corresponds to a region of secondary contact between lineages rather than an overt barrier. Although the Cordilleran ice sheet (maximum approximately 12,000 years ago) did not move southward to directly affect the region occupied by P. longicaudus, climate change during glaciation fragmented the forest landscape that it inhabits. Signatures of historical fragmentation were reflected by positive associations between latitude and variables such as Tajima's D and patterns associated with location-specific alleles. Genetic distances between southern sampling areas were smaller, suggesting that forest fragmentation was reduced in southern vs. northern regions.

Animals↗

Physician career satisfaction across specialties.

BACKGROUND: The career satisfaction and dissatisfaction physicians experience likely influence the quality of medical care. OBJECTIVE: To compare career satisfaction across specialties among US physicians. METHODS: We analyzed data from the Community Tracking Study of 12 474 physicians (response rate, 65%) for the late 1990s. Data are cross-sectional. Two satisfaction variables were created: very satisfied and dissatisfied. Thirty-three specialty categories were analyzed. RESULTS: After adjusting for control variables, the following specialties are significantly more likely than family medicine to be very satisfying: geriatric internal medicine (odds ratio [OR], 2.04); neonatal-perinatal medicine (OR, 1.89); dermatology (OR, 1.48); and pediatrics (OR, 1.36). The following are significantly more likely than family medicine to be dissatisfying: otolaryngology (OR, 1.78); obstetrics-gynecology (OR, 1.61); ophthalmology (OR, 1.51); orthopedics (OR, 1.36); and internal medicine (OR, 1.22). Among the control variables, we also found nonlinear relations between age and satisfaction; high satisfaction among physicians in the west north Central and New England states and high dissatisfaction in the south Atlantic, west south Central, Mountain, and Pacific states; positive associations between income and satisfaction; and no differences between women and men. CONCLUSIONS: Career satisfaction and dissatisfaction vary across specialty as well as age, income, and region. These variations are likely to be of interest to residency directors, managed care administrators, students selecting a specialty, and physicians in the groups with high satisfaction and dissatisfaction.

Adult↗

Aging in Pacific Northwest forests: a selection of recent research.

This paper provides an overview of the work reported at a symposium on age-related changes in the structure and function of forests in the United States Pacific Northwest. Some of the work presented at this meeting is reported in the peer-reviewed papers comprising this journal issue. Age-related changes in leaf structure, CO2 assimilation rate, stable carbon isotope ratio, nitrogen concentration and stomatal limitation were demonstrated at many organizational scales. At larger scales, age-related changes were reported in canopy structure and light profile, stand productivity, tree mortality and respiration. These data raise new questions about the potential interaction among the structural and functional changes in aging forests, and indicate many avenues for future research concerning tree growth and ecosystem functioning.

Forestry↗

Geographic variation in the onset of decline of ischemic heart disease mortality in the United States.

This report examines geographic variation in the onset of the decline of ischemic heart disease (IHD) mortality in white males aged 35-74 during the period 1968-78. Using a quadratic regression model, State Economic Areas (SEAs) were classified as experiencing onset of the decline in 1968 or earlier, 1969-72, or 1973 or later. In the United States as a whole, approximately one-third of SEAs experienced a late onset of the decline (after 1968). Metropolitan SEAs were in advance of non-metropolitan, and the Northeast and Pacific states showed earlier onset than the South and midsections of the country. The acceleration of the national decline after 1972 appears to be due to declines in areas in which rates had been increasing or in plateau until that time. Evidence about geographic variation in the onset of decline may provide clues about social and environmental factors responsible for the decline.

Adult↗