The medical school of a land-grant university and its relation to the health care of the state. Medical manpower--a continuing crisis

JAMA ◽  
1967 ◽  
Vol 202 (5) ◽  
pp. 404-406
Author(s):  
V. E. Wilson
PEDIATRICS ◽  
1977 ◽  
Vol 60 (2) ◽  
pp. 234-234
Author(s):  
William B. Bean ◽  
R. J. H.

If only some wise person or group had established land grant medical schools as well as technical colleges, the gravitational tug of medical science into laboratories would have been balanced by the daily correctives which the practical art of caring for the ill and ailing brings. This might have avoided the dissociation and fragmentation which seem to follow so regularly when a medical school-hospital collaboration is transmogrified into a teeming unzoned megalopolis-the modern health-care-delivery-center-jungle.


2019 ◽  
Author(s):  
◽  
Bradd LeBow Anderson

Leadership has long been recognized as a subject central to the human experience. Prepared leaders can wield critical influence in the rise of cultures, the growth of human opportunity, and the lasting direction of world events. Studies of leadership inform the earliest writings of Aristotle, the history of warfare, the early success of the American space program, the impact of Nelson Mandela, and countless other examples of forces that have shaped our world today. It is logical to expect that the study of leadership will also inform the world of tomorrow, as young people mature to assume roles that guide the mechanisms of social change and cultural advancement. This study focuses on the impact of leadership experience, through engagement with a large-scale program designed to foster its effectiveness and success. The program is focused on the experience of adolescents and rooted at the University of Missouri, one of 69 Land Grant Universities, established by the Morrill Act of 1862 to expand access to higher education. Once established, the Smith-Lever Act of 1914 expanded the Land Grant University mission to include the Cooperative Extension Service, which will henceforth be referred to as Extension, an outreach component of Land Grant University programming which sent agents into rural areas to connect end users with the products of their university's agricultural science research. When they encountered target audiences who were unreceptive to their innovations, some of these agents found success in shifting their outreach focus from adults to youth, who were often more open to new approaches (www.4-h.org/about/4-h-history). ... The State 4-H Council model is an experiential youth development opportunity that is in line with the Missouri 4-H mission to engage youth as "valued, contributing members of their communities in partnership with caring adults" (4h.missouri.edu). It is intended to produce youth outcomes consistent with the Missouri 4-H vision to create an environment in which "youth and adults learn, grow and work together for positive change" (4h.missouri.edu). This study adds understanding to the impacts that can accrue from service on a state 4-H council and help inform the development of these councils in state 4-H programs beyond Missouri's borders. In doing so, this study will reveal elements of Missouri's State 4-H Council model that could be adapted by other avenues of leadership development, identifying factors that promote and detract from success and providing greater insight into the leadership experience.


Author(s):  
Raj Raghavendra Rao ◽  
Hanna Jensen ◽  
Thomas Schulz ◽  
Pearl McElfish

Biomedical engineering is the fastest growing engineering field in the United States, preparing a generation of skilled problem-solvers who, together with healthcare professionals, drive the momentum of novel technologies for prevention, detection, treatment, and monitoring of disease. It is important to the education of biomedical engineers that the dialogue between healthcare professionals and schools of engineering is seamless, constant, and interactive. Lack of sustainable discourse between those who produce technologies and those who use them could reduce the applicability and relevance of the biomedical engineering education1,2. Reciprocally, for healthcare professionals to optimally harness the expertise of their engineering colleagues, a direct interaction is required. The department of Biomedical Engineering (BMEG) is one of the largest departments within the College of Engineering at the University of Arkansas, with approximately 70 students graduating annually. Established in 2012, as the first and only biomedical engineering program in the state of Arkansas, the department is establishing itself as one of the premier research departments on campus. The department prides itself in its commitment to diversity and has been successful in attracting diverse groups of students to enter the field of science and engineering.  In the spring of 2018, the BMEG undergraduate student body had the highest percentage of female and underrepresented minorities within the college of engineering—53% female and 37% minority. The University of Arkansas for Medical Sciences (UAMS) is the only allopathic medical school in the state of Arkansas. In 2007, UAMS established UAMS-Northwest as a regional campus in Fayetteville. UAMS-Northwest extends UAMS’ medical education, research, and clinical mission. UAMS-Northwest has ~250 students in the colleges of medicine, nursing, pharmacy, and health professions, as well as 48 family medicine and internal medicine residents. UAMS-Northwest is located more than 200 miles from the main UAMS campus in Little Rock but is only one mile from Arkansas’ land grant university, the University of Arkansas. This proximity of the regional medical campus to the land grant university provides opportunities for collaboration that can benefit the students of both institutions. This article provides an overview of the implementation and preliminary assessment of a novel Clinical Needs Finding course that was recently instituted as a collaboration between the Department of Biomedical Engineering and the University of Arkansas for Medical Sciences– Northwest Campus.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B Guerra ◽  
L M Guerra ◽  
L F Probst ◽  
B V Castro Gondinho ◽  
G M Bovi Ambrosano ◽  
...  

Abstract Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality and maternal mortality in the state of São Paulo, Brazil. Methods In this ecological study, data from national official open sources were used. Analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality and maternal mortality rates were calculated for every 1000 live births, 2013. The association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. We used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted “p” at 5%. Results The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. Conclusions It was concluded that the Family Health Care Strategy model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model. Key messages Implementation of public policies with specific focus on attenuating these factors and making it possible to optimize resources, and not interrupting the FHS. Knowledge of the factors with impact on these indicators would be of help in formulating public policies.


1989 ◽  
Vol 15 (2-3) ◽  
pp. 184-188
Author(s):  
David Orentlicher

The interest of the eight major organizations of health care professionals was not in debating the philosophical, ethical, moral or religious issues surrounding abortion. The members of the organizations differ on how to balance the woman's privacy right against the state's interests in maternal and fetal health, and in particular about whether the state has a compelling interest in fetal health before viability. Given the diversity of views, the brief neither endorsed nor opposed the Supreme Court's holding in Roe v. Wade that the state's interest in fetal health becomes compelling at viability.


Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 102-113 ◽  
Author(s):  
Anna J. Najor ◽  
Juliana M. Kling ◽  
Reese L. Imhof ◽  
Jon D. Sussman ◽  
Todd B. Nippoldt ◽  
...  

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country


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