Describing Barriers to Healthcare Access in the Homer Area, Alaska

Presented to the Faculty of the University of Alaska Anchorage in Partial Fulfillment of the Requirements for the Degree of MASTER OF SCIENCEData on healthcare access barriers are lacking for any location in the state of Alaska. The current project set out to describe the barriers to healthcare access experienced by people living in the rural Homer Area of southcentral Alaska. Of the 124 surveys returned 50 (46%) of the respondents identified cost, lack of specialists, transportation, time, and mistrust/dislike of providers as barriers that had kept them from accessing local heathcare in the previous 12 months. Improving healthcare access for this rural population will require a paradigm shift in how we think about healthcare. Novel approaches to when, where, and how healthcare is delivered will need to be considered if healthcare access is to be improved in the region.Title Page / Abstract / Table of Contents / List of Figures / List of Appendices / Introduction / Literature Review / Framework / Methods / Results / Discussion / References / Appendice

Correspondence Related to the DWC Listserv, 1999.

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THE DISTRIBUTION OF 51CR-LABELED LYMPHOCYTES INTO ANTIGEN-STIMULATED MICE : LYMPHOCYTE TRAPPING

The localization of syngeneic 51Cr-labeled lymph node cells was investigated in CBA/J mice previously challenged with sheep erythrocytes, Salmonella H antigen, keyhole limpet hemocyanin, C57BL/6J skin, or rat skin. The effect of time, dose, and route of antigen administration on lymphocyte migration was studied in both primary and secondary responses. When the distribution pattern of lymphocytes was examined after 20–24 hr, it was found that increased localization of labeled cells occurred in spleen after intravenous or intraperitoneal antigen injection, and in draining lymph nodes after subcutaneous antigen injection or skin grafting. Increased localization (trapping) of lymphocytes was antigen dose dependent and could be demonstrated when 1–6 hr had elapsed between intravenous antigen administration, or when 24 hr had elapsed between subcutaneous antigen administration and intravenous cell infusion. Trapping was transient, lasting approximately 24 hr. Maximal trapping of lymphocytes in the draining nodes occurred 9 days after skin grafting in the first-set allograft response, and 3 days after grafting in the second-set allograft and first-set xenograft responses. The cell type trapped, the specificity and mechanism of action of the trap, and the role of lymphocyte trapping in the initiation of immune responses are discussed

Ecological aspects of the casque-headed frog Aparasphenodon brunoi (Anura, Hylidae) in a Restinga habitat in southeastern Brazil

We describe some aspects of the ecology of Aparasphenodon brunoi, a species associated with bromeliads. We comment on the relationships of this species with bromeliad size, microhabitat use, diet and sexual dimorphism. This study was conducted on a Restinga habitat near Presidente Kennedy, state of Espírito Santo, southeastern coast of Brazil. When the animals were found inside the bromeliads, we measure bromeliad and head size of frogs. We analyzed stomach contents and determined the sex and reproductive condition. We found 17 individuals (58.6%) in bromeliad leafs, six (20.7%) in Cactaceae, three (10.3%) in liana and three (10.3%) on trunks. The correlation between head measurements and bromeliad size were high, indicating that animals apparently use bromeliads based on their size, which could be related to the minimization of water loss. The most common prey items were beetles, ants, and insect larvae, suggesting that the species is relatively generalist in prey consumption. Aparasphenodon brunoi showed significant sexual size and shape dimorphism with females having larger bodies than males (size) and females having tibia, eye diameter and SVL larger than males (shape), but larger sample size and more detailed ecological and life history data are needed to elucidate the factors that have led to sexual size dimorphism