Dental Care Utilization of Hospitalized Persons Living with HIV and Substance Use

Journal of Community Health - People living with HIV (PLWH) who use drugs experience worse health outcomes than their non-using counterparts. Little is known about how often they seek dental care...     

Selector genes and the Cambrian radiation of Bilateria

There is a significantly greater post-Cambrian decline in frequency of ordinal origination among serially constructed Bilateria, such as arthropods, than in nonserially constructed Bilateria. Greater decline in arthropod ordinal origination is not predicted by ecologic, diversity-dependent models of decline in the production of higher taxa. Reduction in ordinal origination indicates increased constraint on arthropod body-plan evolution. The dispersal of selector genes in the genomes of arthropods in conjunction with the retention of a simple regulatory hierarchy in development may have caused the increased constraint seen. Increased constraint would not be expected in those organisms that are not serially constructed and presumably have not retained the simple ancestral regulatory hierarchy in development of selector gene differentiation of serial elements. The hypothesis of differential constraint tested against the fossil record in this paper can be further tested by examination of the distribution of selector genes in the genomes of arthropods.     

Cell division in higher plants: a cdc2 gene, its 34-kDa product, and histone H1 kinase activity in pea.

The mitotic cell cycle of yeast and animal cells is regulated by the cdc2 gene and its product, the p34 protein kinase, and by other components of the MPF or histone H1 kinase complex. We present evidence that cdc2, p34, and a histone H1 kinase also exist in higher plants. Protein extracts from 10 plant species surveyed display a 34-kDa component recognized by a monoclonal antibody directed against an evolutionarily conserved epitope of fission yeast p34. Nondenatured protein extracts of mitotic Pisum sativum (garden pea) tissues were fractionated by gel filtration, electrophoretically separated under denaturing conditions, and immunoblotted. p34 crossreactive material was apparent in both low and high molecular mass fractions, indicating that pea p34 occurs as both a monomer and as part of a high molecular mass complex. Histone H1 kinase activity was found predominantly in the higher molecular mass fractions, those to which the least phosphorylated form of pea p34 was confined. We also report the cloning of the pea homologue of cdc2 by polymerase chain reaction. DNA sequence analysis reveals perfect conservation of the hallmark "PSTAIR" sequence motif found in all cdc2 gene products analyzed to date.     

Financing long-term care in Canada

Financial policies relating to long-term care in Canada are changing rapidly in response to demands for health care reform. This chapter focuses on the financial structure of institutional care, primarily nursing homes, in the western provinces of Alberta and British Columbia. Community-based long-term care is discussed briefly.     

Atrial Fibrillation in the Elderly: A Review

Atrial fibrillation is the most common cardiac arrhythmia in the elderly. It is associated with significant morbidity and mortality due to hemodynamic and cardioembolic complications. The incidence of stroke in elderly patients is 5 times higher than in patients in sinus rhythm. Atrial fibrillation should be actively treated in the elderly. Treatment should be directed toward the correction of reversible factors, control of ventricular response rate, restoration and maintenance of sinus rhythm, and prevention of cardioembolic events. Treatment of atrial fibrillation in the elderly should be individualized with careful regard for risk-benefit ratio.     

A comparative review of pharmacoeconomic guidelines

We have reviewed 4 international sets of guidelines for the economic evaluation of pharmaceutical products-those of the Australian Pharmaceutical Benefits Advisory Committee, the Canadian Coordinating Office for Health Technology Assessment, the Ontario Ministry of Health, and the England and Wales Department of Health. Comparison of these guidelines reveals that there are a number of differences between them, including disparities in outcome selection, costs and perspectives. These observations were attributed to differences in study purpose, conceptual approach, measurement techniques and value judgements. Uniformity can be achieved only in conceptual approach and measurement technique. Guidelines should be flexible to accommodate differences in the study purposes and value judgements of the analysts.     

Emergency care episodes: an economic profile

A new "episode of care" definition of emergency care was developed, consisting of the emergency department encounter and all subsequent, related care delivered within 48 hrs from the initial contact. Data were analyzed by ICD-9-CM Major Diagnostic Category (MDC) and surgical intervention using 1.6 million episodes generated by 809,145 separate patients from a national claims database. Secondary/adjunct services were a major component of episode charges. For several MDCs, hospitalization and/or surgical procedures were also major determinants of overall episodic charges. Results support the premise that economic analysis and reimbursement of emergency care benefits from the use of episodic data.     

The efficacy of carbohydrate supplementation and chronic high- carbohydrate diets for improving endurance performance

Carbohydrate (CHO) is the body's most limited fuel and the most heavily metabolized during moderate-intensity exercise. For this reason it is recommended that endurance athletes consume a high-CHO diet (8-10 g CHO . kg body weight-1 . day-1) to enhance training and performance. A review of the literature supports the benefits of CHO supplementation on endurance performance. The benefits of chronic high-CHO diets on endurance performance are not as clear. Recent evidence suggests that a high-CHO diet may be necessary for optimal adaptations to training. However, the paucity of date in this area precludes any concrete conclusions. The practicality of high-CHO diets is not well understood. The available evidence would indicate that a high-CHO diet is the best dietary recommendation for endurance athletes.