Role of a central laboratory in implementing national cholesterol education panel guidelines in rural practices: model system for managed care

1995 ◽  
Vol 41 (2) ◽  
pp. 271-274 ◽  
Author(s):  
R G Reed ◽  
S Y Fong ◽  
T A Pearson
Keyword(s):  
New York ◽  
Managed Care ◽  
Treatment Program ◽  
Registered Dietitian ◽  
Central Laboratory ◽  
Treatment Protocols ◽  
Center Staff ◽  
Upstate New York ◽  
National Cholesterol Education Panel

Abstract We describe the use of a central laboratory to identify patients who may be candidates for a hypercholesterolemia treatment program and to direct their referral into this program. The laboratory, providing service for 16 medical practices in a rural area of upstate New York, served as the entry point to the treatment program for those patients with serum cholesterol > or = 5.18 mmol/L. This treatment program, designed to follow the National Cholesterol Education Program Adult Treatment Panel Guidelines, was provided by the lipid referral center staff, including a registered dietitian and a lipid specialist. After introduction of this program, 52% of eligible patients received nutritional counseling for hypercholesterolemia, compared with only 29% in usual care settings. This program represents an enhanced role for laboratories in the implementation of treatment protocols typical of those adopted by managed care networks.

scholarly journals History and the Claims of Revelation: Joseph Smith and the Materialization of the Golden Plates

Numen ◽  
2014 ◽  
Vol 61 (2-3) ◽  
pp. 182-207 ◽  
Author(s):  
Ann Taves
Keyword(s):  
New York ◽  
Historical Explanation ◽  
Joseph Smith ◽  
Religious Traditions ◽  
Upstate New York ◽  
Sacred Objects ◽  
Complex Building ◽  
The Creation

AbstractThe Mormon claim that Joseph Smith discovered ancient golden plates buried in a hillside in upstate New York is too often viewed in simple either/or terms, such that the plates either existed, making Smith the prophet he claimed to be, or did not, making him deceptive or delusional. If we assume that there were no ancient golden plates and at the same that Smith was not a fraud, then the task of historical explanation is more complex. Building on a review of the evidence for the materiality of the plates, the paper uses a series of comparisons — between the golden plates and sacred objects in other religious traditions, between Smith’s claims and claims that psychiatrists define as delusional, and between Smith’s role as a seer and the role of the artist and the physician as skilled perceivers — to generate a greater range of explanatory options. In light of these comparisons, we can view the materialization of the golden plates in naturalistic terms as resulting from an interaction between an individual with unusual abilities, intimate others who recognized and called forth those abilities, and objects that facilitated the creation of both the revelator and the revelation.

scholarly journals Effect of Managed Care on Perinatal Transports for the Publicly Funded in Upstate New York

2004 ◽  
Vol 25 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Robert A Sinkin ◽  
Susan G Fisher ◽  
Ann Dozier ◽  
Timothy D Dye
Keyword(s):  
New York ◽  
Managed Care ◽  
Publicly Funded ◽  
Upstate New York

New York State Assisted Outpatient Treatment Program Evaluation

2009 ◽  
Author(s):  
Marvin S. Swartz ◽  
Jeffrey W. Swanson ◽  
Henry J. Steadman ◽  
Pamela Clark Robbins ◽  
John Monahan
Keyword(s):  
New York ◽  
Program Evaluation ◽  
Treatment Program ◽  
Outpatient Treatment ◽  
New York State ◽  
York State ◽  
Assisted Outpatient Treatment

The Social Dimensions of Shoreline Quality in Upstate New York

1988 ◽  
Vol 15 (23) ◽  
pp. 33-49
Author(s):  
Hisayoshi Mitsuda ◽  
Charles C. Geisler
Keyword(s):  
New York ◽  
Social Dimensions ◽  
Upstate New York ◽  
The Social

38. Max Brodel (1870-1941): His artistic influence on surgical learning at John Hopkins Medical School

2007 ◽  
Vol 30 (4) ◽  
pp. 47
Author(s):  
P. Pace-Asciak ◽  
T. Gelfand
Keyword(s):  
New York ◽  
Neck Surgery ◽  
The United States ◽  
Spoken Word ◽  
Medical Illustration ◽  
3 Dimensional ◽  
Teaching Anatomy ◽  
Computer Based ◽  
Pathological Disease

Medical students depend on illustration to learn anatomical facts and details that may be too subtle for the written or spoken word. For surgical disciplines, learners rely on tools such as language, 2-dimensional illustrations, and 3-dimensional models to pass on important concepts. Although a photograph can convey factual information, illustration can highlight and educate the pertinent details for understanding surgical procedures, neurovascular structures, and the pathological disease processes. In order to understand the current role of medical illustration in education, one needs to look to the past to see how art has helped solve communication dilemmas when learning medicine. This paper focuses on Max Brodel (1870-1941), a German-trained artist who eventually immigrated to the United States to pursue his career as a medical illustrator. Shortly after his arrival in Baltimore, Brodel made significant contributions to medical illustration in Gynecology at John Hopkins University, and eventually in other fields of medicine such as Urology and Otolaryngology. Brodel is recognized as one of America’s most distinguished medical illustrators for creating innovative artistic techniques and founding the profession of medical illustration. Today, animated computer based art is synergistically used with medical illustration to educate students about anatomy. Some of the changes that have occurred with the advancement of computer technology will be highlighted and compared to a century ago, when illustrations were used for teaching anatomy due to the scarcity of cadavers. Schultheiss D, Udo J. Max Brodel (1870-1941) and Howard A.Kelly (1858-1943) – Urogynecology and the birth of modern medical illustration. European Journal of Obstetrics & gynecology and Reproductive Biology 1999; 86:113-115. Crosby C. Max Brodel: the man who put art into medicine. New York: Springer-Verlag, 1991. Papel ID. Max Brodel’s contributions to otolaryngology – Head and Neck surgery. The American Journal of Otology 1986; 7(6):460-469.

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