Abstracts. Meeting of the Virginia Society of Hematology in Virginia Beach on June 15-16, 1979.
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A microteaching project, designed to increase the teaching effectiveness of nurses in Virginia, is described. The vehicle for the project is Teaching Strategies, a graduate credit course offered at the University of Virginia School of Nursing and in other state locations through the university's regional centers. The course uses microteaching techniques and videotape recordings of student teaching performances. The teaching behavior of 57 students who attended the course was rated using the project's rating scales. All students showed significant positive increases in teaching behavior on pre-, mid-, and postcourse measures in lecture discussion and group discussion teaching modes. Additional measures of students' teaching indicate retention of the learned behaviors six months after course completion.
A venereal disease educational programme entitled Venereal Disease Education in West Virginia was constructed. It consisted of a preliminary test to assess the level of general knowledge of venereal diseases, a value survey list, a lecture illustrated by colour slides, and a final test. The programme was presented to 3210 students in Northcentral West Virginia who ranged in age from 12 to 20 years (7th to 12th grade). The mean score in the preliminary test was 7.97 (53%) correct answers out of 15, and the mean score for the final test was 11.55 (77%) correct answers out of 15. The ability of students to retain the information given to them was measured by testing the same class of 53 students one year later. These students obtained a mean score of 11.41 (76%) correct answers out of 15 in the later test which demonstrates that the students had retained much of the information.
In the first year of practice two family physicians recorded 8,795 new problems. The problems were ranked in order of decreasing frequency and compared to the results of the Virginia study. The results support the concept that a curriculum for family practice residency training based on results of the Virginia study is a valuable concept. The study also sheds light on the patterns of disease in a new practive as well as suggesting applications for the use of the disease index in practice management.
This article describes the new Health Sciences Library at the University of Virginia Medical Center in Charlottesville, Virginia. The library was under construction for about two years and opened in August 1975. It comprises an area of 66,250 sq. ft. gross, almost 44,000 sq. ft. net, and provides space for approximately 190,000 volumes, 500 readers, and a staff of 35. The cost of construction was $2,350,000, plus approximately $400,000 for furnishings and equipment. A portion of the library is located on a bridge spanning a four-lane highway. Special features include a 6,000 net sq. ft. audiovisual information center, Elecompack (TM) motorized shelves for little-used materials, and a closed-circuit television surveillance system.
Drug addiction among physicians appears to be an occupational hazard, with chronic pain, depression, and the easy availability of drugs major factors leading to addiction. In this study of 46 cases of physician addicts handled by the Virginia State Board of Medicine, meperidine hydrochloride (Demerol) was the most frequent addictive agent. The Virginia disciplinary and therapeutic plan for addicted physicians was effective in successfully rehabilitating and returning to medical practice 72% of the 46 physician addicts reported to the board from 1949 to 1974.
Statistical analysis of one eastern and two western Virginia Indian skeletal samples reveals a general association between geographical and biological distance. However, the data suggest the importance of gene flow as a factor in minimizing local microdifferentiation. Females appear to contribute a disproportionate share to gene flow. This may be attributed to the widespread and apparently frequent practice of acquiring females and children through capture during recurring warfare.
Levels of lead, cadmium, nickel, and zinc were determined in feathers of 175 wild turkeys (Meleagris gallopava) shot by hunters in 19 Virginia counties in 2 physiographic regions. Lead and nickel levels did not vary by county, region, sex, or age. Zinc and cadmium levels were significantly (P less than 0.01) higher in adult turkeys.
A neoplastic disease of the hematopoietic system of oysters was found in tray-cultured native and laboratory-bred populations and was associated with mortalities during field monitoring. The disease, characterized by nuclear abnormalities and intensive proliferation of hemocytes, was first observed at the Virginia Institute of Marine Science in 1963. Cases rarely occurred during 14 years (1959-1973 inclusive) of regular sampling and monitoring of thousands of oysters. However, two groups exhibited a high susceptibility to this disease in a program of intensive inbreeding to achieve genetic resistance to oyster pathogens.
Adoption is a relatively new and evolving institution. The characteristics of children available for adoption are changing. Some hard-to-place children will be helped by subsidized adoption. The concept of children as property of biologic parents continues to shadow efforts to terminate parental rights. Virginia law allows adoption against parental consent if such consent is withheld contrary to the child's welfare, but decisions continue to be based upon whether or not parental behavior has been sufficiently extreme to justify a finding of unfitness. New legislation is required to put the child's interests on a par with those of parents.
Until a few years ago, the results of most surveys of the prevalence of dental caries among school-age children in the United States, particularly those done in the south, showed that black children had a lower prevalence of dental caries than did white children who lived in the same community.4-6,11,16,19,20-23,25 However, in several recent surveys, the formerly observed race-caries relation has not been detected.2,8,17,18,26 In connection with a study initiated in 1972 in Nelson County, Virginia to determine the effectiveness of a combination of self-applied procedures for the administration of fluoride, baseline data on dental caries experience were collected for 1,374 white and 761 black children attending the County's public schools. The availability of data for large numbers of white and black children prompted a cross-racial comparison of prevalence of dental caries. Findings of the comparative analysis are contained in this report.
All patients with cancer of the glottis treated by radiotherapy with curative intent at the University of Virginia from 1956 through 1971 have been reviewed. Follow-up is complete through December, 1973. Results are presented by both stage and treatment policy and indicate that with our present methods of management a high degree of local control is achieved. The complications of treatment are examined, particularly those arising as a result of combined radiotherapy and surgery. A small number of cases have been salvaged following local recurrence and these are described in detail. Particularly striking has been the effectiveness of radiotherapy in the treatment of advanced (Stage III and IV) lesions. In this group 58 percent of the patients survive with their larynges intact. Considering the poor general condition and advanced nature of the lesions in these cases this result is important and may indicate the nature of future trends in treatment, namely radiotherapy, with surgery held in abeyance until there is overt recurrence.
Rabies virus, the gray fox, and the Alleghenian Biotic Region form a pathobiocenose; rabies in Virginia exists in a diffuse nidus, the Alleghenian Biotic Region. Physiographic features may serve as barriers or as passageways for epidemic spread of rabies. Epidemic spread is characterized by a radial pattern and a linear northeast-southwest pattern reflecting physiographic features. Incidence of rabies in the fox varies according to seasons. Present control efforts are generally ineffective; under certain conditions, population reduction for control of rabies may be detrimental instead of beneficial.
Botfly infestation was analyzed in 1319 small mammals from varied habitats and elevations in upland Virginia, 1972-1974. Adult Cuterebra fontinella were reared from bots infesting the woodmouse (Peromyscus leucopus). Of 651 woodmice, 199 (30.6%) were infested at least once. The season of bot infestation extended from May through November of all years, with peak prevalence (mean 42.2%) in August. Infestation in woodmice was general over a 2000 km2 study area during peak months. Significantly greater prevalence (P less than 0.001) was seen in forested and brushy habitat (39.9%) compared with old fields (2.6%). Higher prevalence (P less than 0.01) was found in males than in females, and in postjuveniles compared to adults. Greatest overall prevalence (39.1%) was in postjuvenile males. Most warble sites (98%) were inguinal, and observations suggested that many infested adults were non-reproductive. Mean burden (1.27) was independent of host age, sex, habitat, and month of capture. Multi-infestations occurred in 23% of the affected mice; maximum burden was six bots. Botflies were absent or negligible in sympatric deermice (P. maniculatus) and twelve other species of rodents and shrews.