Barriers to Telehealth Utilization Among Patients of Limited Income with Chronic Conditions and a Gap in Care.

p p p p

Ghrelin, ghrelin-O-acyl transferase, nucleobindin-2/nesfatin-1 and prohormone convertases in the pancreatic islets of Sprague Dawley rats during development.

Ghrelin and nesfatin-1 are regulators of blood glucose and energy balance. Prohormone convertases (PCs) enable processing of ghrelin and nesfatin-1 from its precursors. An acylation, enabled by ghrelin O-acyl transferase (GOAT) is critical for many of the biological actions of ghrelin.

Legal and policy barriers to sharing data between public health programs in New York City: a case study.

Integration of public health surveillance data within health departments is important for public health activities and cost-efficient coordination of care. Access to and use of surveillance data are governed by public health law and by agency confidentiality and security policies. In New York City, we examined public health laws and agency policies for data sharing across HIV, sexually transmitted disease, tuberculosis, and viral hepatitis surveillance programs.

A qualitative study of pandemic influenza preparedness among small and medium-sized businesses in New York City.

Small businesses need to engage in continuity planning to assure delivery of goods and services and to sustain the economy during an influenza pandemic. This is especially true in New York City, where 98 per cent of businesses have fewer than 100 employees. It was an objective therefore, to determine pandemic influenza business continuity practices and strategies suitable for small and medium-sized NYC businesses.

The use of legal action in New York City to ensure treatment of tuberculosis.

Background And Methods: After an increase in the number of cases of tuberculosis, New York City passed regulations to address the problem of nonadherence to treatment regimens. The commissioner of health can issue orders compelling a person to be examined for tuberculosis, to complete treatment, to receive treatment under direct observation, or to be detained for treatment. On the basis of a review of patients' records, we evaluated the use of these legal actions between April 1993 and April 1995.

Advance directives: implications for critical care.

Objective: To discuss the relative merits and limitations of living wills and the durable power of attorney for health care.

Data Sources: Computerized search of MEDLINE.

Study Selection: Studies involving treatment decisions at the end of life and descriptive articles on advance directives.

Cruzan v Harmon, and In the Matter of O'Connor. Two anomalies.

Two recent court cases, Cruzan v Harmon and In the Matter of O'Connor, denied family requests to withhold or withdraw life-sustaining treatment. The facts of the cases are discussed, as well as the impact on medical practice for physicians in Missouri and New York. Approaches of other state courts are pointed out.