148 research outputs found

    Carol Steinbeck at Work

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    Cooperation between CMEA and EEC

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    08. Strengthening Karner Blue Butterfly Metapopulations

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    Wild lupine (Lupinus perennis) is the obligate host plant for larvae of the Karner blue butterfly (Lycaeides melissa samuelis). The purpose of this study was to determine whether planting wild lupine in dry prairie sites (areas previously devoid of wild lupine but having appropriate habitat structure for its growth) would result in colonization from existing populations of Karner blue butterflies over time, thereby adding to metapopulation stability. The newly planted sites were on private and public land and ranged in area from 0.81 to 8.1 ha (from 2 to 20 acres). They were located within about 3.2 km (2 mi) of existing Karner blue butterfly–occupied sites

    Pictorial Space as Identity in The Deerslayer

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    Effect of carbon dioxide and acids on survival of microorganisms

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    INFORMATION SYSTEMS AND COST CONTROL

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    Information Systems Working Papers Serie

    Current Use of Global Coronary Heart Disease Risk Assessment by a Sample of US Physicians

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    Background: Little is known about United States (US) physicians’ understanding and utilization of global CHD risk assessment in clinical practice. Purpose: To assess the current level of evidence regarding physicians’ use of global CHD risk assessment in primary prevention of cardiovascular disease by examining if there are valid and reliable tools available for clinicians to calculate patients’ global CHD risk scores, if calculation and communication of global risk scores translate into improved patient level outcomes, and if physicians understand/use global risk scoring in primary prevention of CVD. Methods: The MEDLINE database (from inception to 20 March 2010) was searched for studies involving physicians’ use of global CHD risk scores. Studies of any design were considered using the search terms, "global coronary heart disease risk score", "cardiovascular disease", "primary prevention", and "physicians". Reference lists from related systematic reviews and primary articles were searched and additional citations were provided by experts in the field of cardiovascular disease prevention. Studies were limited to those written in English. Results: The search resulted in one good quality recent systematic review that assessed the tools available for calculation of CHD risk scores, two good quality recent systematic reviews of the literature that assessed whether global CHD scoring results in improved patient outcomes, and three poor to fair quality original physician survey studies that examined physicians’ use of global CHD risk scores. Conclusion: Available evidence suggests that there are many accurate, easy to use tools available to physicians for calculation of patients CHD global risk score. Global CHD risk scoring may increase prescribing of preventive therapy (aspirin and lipid lowering therapy), reduce CHD risk 4 factors over the short-term, and improve the accuracy of risk perception with no reported clinical harm. Physicians may also overestimate the absolute risk of CHD events and effects of preventive therapy and could benefit from interventions to increase acceptance of tools used to calculate CHD risk.Master of Public Healt
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