Ohio Department of Health

About: Ohio Department of Health is a government organization based out in Columbus, Ohio, United States. It is known for research contribution in the topics: Population & Public health. The organization has 308 authors who have published 354 publications receiving 14493 citations.

Emergency Physicians' Perception of Barriers and Facilitators for Adopting an Opioid Prescribing Guideline in Ohio: A Qualitative Interview Study.

Abstract: Background Ohio has the fifth highest rate of prescription opioid overdose deaths in the United States. One strategy implemented to address this concern is a state-wide opioid prescribing guideline in the emergency department (ED). Objective Our aim was to explore emergency physicians’ perceptions on barriers and strategies for the Ohio ED opioid prescribing guideline. Methods Semi-structured interviews with emergency physicians in Ohio were conducted from October to December 2016. Emergency physicians were recruited through the American College of Emergency Physicians Ohio State Chapter. The interview guide explored issues related to the implementation of the guidelines. Interview data were transcribed and thematically analyzed and coded using a scheme of inductively determined labels. Results In total, we conducted 20 interviews. Of these, 11 were also the ED medical director at their institution. Main themes we identified were: 1) increased organizational responsibility, 2) improved prescription drug monitoring program (PDMP) integration, 3) concerns regarding patient satisfaction scores, and 4) increased patient involvement. In addition, some physicians wanted the guidelines to contain more clinical information and be worded more strongly against opioid prescribing. Emergency physicians felt patient satisfaction scores were perceived to negatively impact opioid prescribing guidelines, as they may encourage physicians to prescribe opioids. Furthermore, some participants reported that this is compounded if the emergency physicians’ income was linked to their patient satisfaction score. Conclusions Emergency physicians interviewed generally supported the state-wide opioid prescribing guideline but felt hospitals needed to take additional organizational responsibility for addressing inappropriate opioid prescribing.

Access to patient-centered medical home among Ohio's Children with Special Health Care Needs.

Abstract: Medical homes deliver primary care that is accessible, continuous, comprehensive, family centered, coordinated, compassionate and culturally effective. Children with special health care needs (CSHCN) require a wide range of support to maintain health, making medical home access particularly important. We sought to understand independent risk factors for lacking access. We analyzed Ohio, USA data from the National Survey of Children with Special Health Care Needs (2005-2006). Among CSHCN, 55.6% had medical home access. The proportion achieving each medical home component was highest for having a personal doctor/nurse and lowest for receiving coordinated care, family-centered care and referrals. Specific subsets of CSHCN were significantly and independently more likely to lack medical home access: Hispanic (AOR=3.08), moderate/high severity of difficulty (AOR=2.84), and any public insurance (AOR=1.60). Efforts to advance medical home access must give special attention to these CSHCN populations and improvements must be made to referral access, family-centered care, and care coordination.

A gas chromatographic method for ethanol determination in vapors of biological fluids

Abstract: Rapid identification and quantitation of blood ethanol by gas chromatography (GC) has been especially useful to the clinical and forensic chemist, particularly as court evidence in prosecuting drunken drivers. Certain identification can be made and concentration determined rapidly by GC. A number of GC methods are available for ethanol determination in biological liquid samples. Currently, advances are being made in the area of vapor phase analysis [1–4]. Direct vapor injections overcome several disadvantages of liquid sample injection. Liquid samples containing sodium fluoride as a preservative tend to etch the syringe. Clotted samples are no longer a problem with vapor injections and frequent cleaning of the syringe is not required. With direct injection of blood or diluted blood samples, special inlets are necessary and must be changed periodically to remove protein and other nonvolatile deposits. In addition, the life of the columns is increased with vapor samples. According to Henry's law, at a given temperature there is a definite ratio between the concentration of ethanol in the blood phase and the air in direct equilibrium with it. Investigators have verified Henry's law [5–10] for both aqueous and blood ethanol solutions. The method described here consists of equilibrating blood with n-propanol as internal standard and injecting the vapors. Because of the internal standard, the volume of the injected sample is no longer a critical quantity.

An epidemic due to HA2 virus in an elementary school in Tokyo.

Abstract: A number of viruses of different kinds have been newly discovered as causative agents of respiratory tract infections since techniques for virus isolation especially by tissue culture method improved recently. Etiological and clinical significances of these agents are gradually being elucidated, and many publications have been devoted to the adeno viruses especially in this direction. Recently Chanock (1956) and Chanock et al. (1958) have reported the isolations of CA virus (croup associated virus), HAl and HA2 viruses from respiratory diseases and suggested the importance of these viruses in such diseases. In February, 1959, the health authority of Tokyo Prefecture received from an ele mentary school a report that an influenza-like disease was prevailing there especially in classes of younger ages. In Japan, Asian type influenza ceased almost in March 1958, and thereafter no case or outbreak had been reported until the end of 1958, but it was an important problem to know whether Asian influenza would recur in the winter of 1958-1959. Therefore, detailed examinations were performed about the nature of the outbreak mentioned above, and it was not proved either serologically or virologically to be due to any type of influenza virus. Further studies, however, revealed that it had been caused by a virus belonging to HA2 virus. The present paper will describe our findings in the outbreak in question in detail.

Is Pediatric Traumatic Brain Injury Associated with Adult Alcohol Misuse

Abstract: Evidence suggests that pediatric traumatic brain injury (TBI) may be causally related to alcohol misuse later in life; however, the nature and extent of the association has not been well described....