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At least 19 recordsLinked to original sources
PubMed1989

Prehistoric parasitism in Tennessee: evidence from the analysis of desiccated fecal material collected from Big Bone Cave, Van Buren County, Tennessee.

Eight samples of desiccated human feces collected from Big Bone Cave (40VB103), Van Buren County, Tennessee, were analyzed to determine the presence of ecto- and endoparasitic infection among the prehistoric population using the cave. Radiocarbon-dated torch material from the cave indicated that it was a locus of human activity 2,177 +/- 145 yr ago. Parasitic species identified were: Ascaris lumbricoides, Enterobius vermicularis, fleas of the tribe Phalacropsyllini, and protozoan cysts. The cysts were identified as Giardia using an indirect immunofluorescent antibody test. The only report of Giardia in a prehistoric context is the identification of cysts in 2 1,800-yr-old paleofecal specimens from a cave in Israel. This is the first report of Giardia from paleofeces in the New World.

Animals↗
PubMed1999

Prescribing controlled substances in Tennessee: progress, not perfection.

BACKGROUND: In the 1980s, Tennessee ranked among the top 10 states in per capita consumption of several controlled substances. We describe efforts designed to reduce non-criminally motivated misprescribing in Tennessee, present Tennessee's recent Drug Enforcement Administration (DEA) rankings, and suggest how physicians may reduce misprescribing. METHODS: Tennessee's Board of Medical Examiners (BME) consults with Tennessee Physician Health Program (PHP) and refers selected physicians to a continuing medical education (CME) program offered at Vanderbilt University School of Medicine. The BME has also published a clear set of prescribing guidelines. RESULTS: Of more than 160 CME participants, only two have reappeared before the BME for prescribing infractions. Tennessee's overall DEA ranking improved from 7th highest to 17th from 1994 to 1997. CONCLUSIONS: The reasons the rankings improved cannot be established, but the changes occurred at the same time as the BME, PHP, and Vanderbilt CME collaborations. We will continue to promote professional and patient health throughout the region.

Drug and Narcotic Control↗
PubMed2005

Tennessee trauma care system plan, Part II.

Tennessee implemented a statewide trauma care system in 1988. This system serves the state of Tennessee and supports eight neighboring states. The demographics and geography of Tennessee have ensured that nearly all residents have rapid access to the trauma care system. However, since 1988, many changes have occurred in healthcare in general, and trauma care in particular, that point out problems and issues with the Tennessee trauma care system. Therefore, the Tennessee Trauma Care Advisory Council has developed this Trauma Care System Plan to look at needs and opportunities for the future of trauma care in Tennessee. This plan will be presented in four segments: History, Administrative Components, Operational Components, and Clinical Components.

Advisory Committees↗
PubMed2005

Tennessee Trauma Care System Plan, part III.

Tennessee implemented a statewide trauma care system in 1988. This system serves the state of Tennessee and supports eight neighboring states. The demographics and geography of Tennessee have ensured that nearly all residents have rapid access to the trauma care system. However, since 1988, many changes have occurred in healthcare in general, and trauma care in particular, that point out problems and issues with the Tennessee trauma care system. Therefore, the Tennessee Trauma Care Advisory Council has developed this Trauma Care System Plan to look at needs and opportunities for the future of trauma care in Tennessee. This plan will be presented in four segments: History, Administrative Components, Operational Components, and Clinical Components.

Adult↗
PubMed2005

Tennessee trauma care system plan, Part 1.

Tennessee implemented a statewide trauma care system in 1988. This system serves the state of Tennessee and supports eight neighboring states. The demographics and geography of Tennessee have ensured that nearly all residents have rapid access to the trauma care system. However, since 1988, many changes have occurred in healthcare in general, and trauma care in particular, that point out problems and issues with the Tennessee trauma care system. Therefore, the Tennessee Trauma Care Advisory Council has developed this Trauma Care System Plan to look at needs and opportunities for the future of trauma care in Tennessee. This plan will be presented in four segments: History, Administrative Components, Operational Components, and Clinical Components.

Health Services Accessibility↗
PubMed2004

The height of Tennessee convicts: another piece of the "antebellum puzzle".

Average height of the free population in the United States born in the mid-1830s began to decline despite growing per capita incomes. Explanations for this "antebellum puzzle" revolve around a possibly deteriorating disease environment promoted by urban agglomeration and increases in the relative price of protein-rich foods. However, several groups were immune to the effect, including members of the middle class, whose income was high enough, and increased enough to overcome the adverse developments and maintain their nutritional status. Although at the opposite end of the social spectrum, the height of male slaves also increased, as it was in their owners' interest to raise their slaves' food allotments. The height of Tennessee convicts, analyzed in this article, also increased in the late-1830s, being the third exception to the "antebellum puzzle." Mid-19th century Tennessee was integrated into interstate commerce in cotton and tobacco and experienced considerable movement of people who would have brought with them diseases from elsewhere, hence, it would have been integrated into the US disease pool, and the fact that heights did not decline in the 1830s is therefore an indication that the antebellum puzzle cannot be explained exclusively by the spread of diseases. Yet, Tennessee's economy was quite different to that of the rest of the country. Although it did export live swine to the South, these exports did not increase during the antebellum decades. Hence, Tennessee remained self-sufficient in pork, and consumption of pork did not decline. Thus, the evidence presented here is consistent with the economic interpretation of the "antebellum puzzle": self-sufficiency in protein production protected even the members of the lower-classes of Tennessee from the negative externalities associated with the onset of industrialization.

Adolescent↗
PubMed1979

Evaluation of the Tennessee Child Restraint Law.

In Tennessee a law came into force January 1, 1978 requiring parents to use child restraints properly when transporting their children who are less than four years old. Alternatively, the law permits children to be held in arms, a practice known to be hazardous rather than protective. Before and after the law went into force, observations were made of children in cars exiting from shopping centers in Knoxville and Nashville, Tennessee, and in Lexington and Louisville, Kentucky, an adjacent state not having a child restraint law. More than 80 per cent of Tennessee children observed in the fourth month the law was in force were not using child restraints anchored by seat belts, although use rates increased in Tennessee (8 to 16 per cent) to a greater extent than in Kentucky (11 to 15 per cent). Moreover, due to a large increase in children traveling in arms in Nashville, there was an increase in such travel in the two Tennessee cities studied (23 to 28 per cent) relative to a decrease in those studied in Kentucky (19 to 14 per cent).

Child Welfare↗