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Bullock TA, Galpayage Dona KNU, Hale JF, Morales P, Jagerovic N, Andrews AM, Ramirez SH. Activation of CB2R by synthetic CB2R agonist, PM289, improves brain endothelial barrier properties, decreases inflammatory response and enhances endothelial repair. NeuroImmune Pharm Ther 2023; 2:387-400. [PMID: 38116176 PMCID: PMC10726734 DOI: 10.1515/nipt-2023-0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 09/30/2023] [Indexed: 12/21/2023]
Abstract
The Cannabinoid 2 Receptor (CB2R) has been found to provide immunological modulation in different cell types. More recently, detection of CB2R in the cerebral endothelium suggests a possible role in the resolution of inflammation at the level of the blood-brain-barrier (BBB). Here, the notion that CB2R upregulation in brain endothelial cells could be exploited to promote vascular protection and BBB integrity was evaluated. Targeting and activation of CB2R was accomplished by a novel and highly specific chromenopyrazole based CB2R agonist, PM289. This study demonstrates that CB2R upregulation is induced as early as 8 h in the cortical vasculature in an experimental mouse model of TBI. Unlike CB2R, CB1R was marginally detected and not significantly induced. In the human brain endothelial cell line, hCMEC/D3 cells, similar induction of CB2R was observed upon stimulation with TNFα. Analysis of transendothelial electrical resistance shows that PM289 markedly prevented the barrier-leakiness induced by TNFα. The BBB is also responsible for maintaining an immunological barrier. The five-fold increase in ICAM1 expression in stimulated endothelial cells was significantly diminished due to CB2R activation. Utilizing wounding assays, results showed that wound repair could be accomplished in nearly half the time when the novel CB2R agonist is present compared to the untreated control. Lastly, mechanistically, the effects of CB2R may be explained by the observed inhibition of the p65 NFκB subunit. Overall, these studies support the notion that targeting and activating CB2R in the brain vasculature could aid in BBB and vascular protection in the context of neuroinflammation.
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Affiliation(s)
- Trent A. Bullock
- Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
- Center for Substance Abuse Research, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | | | - Jonathan F. Hale
- Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Paula Morales
- Medicinal Chemistry Institute, Spanish National Research Council, Madrid, Spain
| | - Nadine Jagerovic
- Medicinal Chemistry Institute, Spanish National Research Council, Madrid, Spain
| | - Allison M. Andrews
- Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
- Center for Substance Abuse Research, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Servio H. Ramirez
- Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
- Center for Substance Abuse Research, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
- Shriner’s Hospital for Children, Philadelphia, PA, USA
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Ramirez SH, Hale JF, McCarthy S, Lino Cardenas CL, Dona KNUG, Hanlon KS, Hudry E, Cruz DDL, Ng C, Das S, Nguyen DM, Nammour J, Bennett RE, Andrews AM, Musolino PL, Maguire CA. An Engineered Adeno-Associated Virus Capsid Mediates Efficient Transduction of Pericytes and Smooth Muscle Cells of the Brain Vasculature. Hum Gene Ther 2023; 34:682-696. [PMID: 37376759 PMCID: PMC10457656 DOI: 10.1089/hum.2022.211] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 06/08/2023] [Indexed: 06/29/2023] Open
Abstract
Neurodegeneration and cerebrovascular disease share an underlying microvascular dysfunction that may be remedied by selective transgene delivery. To date, limited options exist in which cellular components of the brain vasculature can be effectively targeted by viral vector therapeutics. In this study, we characterize the first engineered adeno-associated virus (AAV) capsid mediating high transduction of cerebral vascular pericytes and smooth muscle cells (SMCs). We performed two rounds of in vivo selection with an AAV capsid scaffold displaying a heptamer peptide library to isolate capsids that traffic to the brain after intravenous delivery. One identified capsid, termed AAV-PR, demonstrated high transduction of the brain vasculature, in contrast to the parental capsid, AAV9, which transduces mainly neurons and astrocytes. Further analysis using tissue clearing, volumetric rendering, and colocalization revealed that AAV-PR enabled high transduction of cerebral pericytes located on small-caliber vessels and SMCs in the larger arterioles and penetrating pial arteries. Analysis of tissues in the periphery indicated that AAV-PR also transduced SMCs in large vessels associated with the systemic vasculature. AAV-PR was also able to transduce primary human brain pericytes with higher efficiency than AAV9. Compared with previously published AAV capsids tropisms, AAV-PR represents the first capsid to allow for effective transduction of brain pericytes and SMCs and offers the possibility of genetically modulating these cell types in the context of neurodegeneration and other neurological diseases.
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Affiliation(s)
- Servio H. Ramirez
- Department of Pathology and Laboratory Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
- Shriners Hospitals Pediatric Research Center, Philadelphia, Pennsylvania, USA
| | - Jonathan F. Hale
- Department of Pathology and Laboratory Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
- Shriners Hospitals Pediatric Research Center, Philadelphia, Pennsylvania, USA
| | - Siobhan McCarthy
- Center for Genomic Medicine; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Christian L. Lino Cardenas
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Cardiology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Kalpani N. Udeni Galpayage Dona
- Department of Pathology and Laboratory Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
- Shriners Hospitals Pediatric Research Center, Philadelphia, Pennsylvania, USA
| | - Killian S. Hanlon
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Eloise Hudry
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Demitri De La Cruz
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
- Molecular Neurogenetics Unit, Massachusetts General Hospital, Charlestown, Massachusetts, USA
| | - Carrie Ng
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
- Molecular Neurogenetics Unit, Massachusetts General Hospital, Charlestown, Massachusetts, USA
| | - Sabyasachi Das
- Center for Genomic Medicine; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Diane M. Nguyen
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Josette Nammour
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
- Molecular Neurogenetics Unit, Massachusetts General Hospital, Charlestown, Massachusetts, USA
| | - Rachel E. Bennett
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Allison M. Andrews
- Department of Pathology and Laboratory Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
- Shriners Hospitals Pediatric Research Center, Philadelphia, Pennsylvania, USA
| | - Patricia L. Musolino
- Center for Genomic Medicine; Massachusetts General Hospital, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Casey A. Maguire
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology; Massachusetts General Hospital, Boston, Massachusetts, USA
- Molecular Neurogenetics Unit, Massachusetts General Hospital, Charlestown, Massachusetts, USA
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Stults CB, Brandt SA, Hale JF, Rogers N, Kreienberg AE, Griffin M. A Qualitative Study of Intimate Partner Violence Among Young Gay and Bisexual Men. J Interpers Violence 2022; 37:NP2251-NP2287. [PMID: 32618219 DOI: 10.1177/0886260520936365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Intimate partner violence (IPV) is prevalent among young gay and bisexual men (YGBM) and is associated with physical and mental health problems, as well as deleterious psychosocial conditions. Most previous studies of IPV among YGBM have been quantitative in nature and have not examined the numerous subtypes of IPV, the chronicity of IPV experiences, and how is IPV manifested in the context of these same-sex relationships. Thus, a qualitative approach may be useful in exploring these multidimensional and understudied experiences. The present qualitative study sought to (a) explore dimensions of IPV victimization, perpetration, and bidirectional IPV among a sample of (n = 26) YGBM living in New York City and (b) explore the chronicity of IPV experiences among these YGBM. Participants were recruited from an ongoing cohort study of YGBM. Participants completed semistructured interviews that included questions about IPV victimization, perpetration, and bidirectional IPV. A modified version of the consensual qualitative research method was used to analyze the data. The YGBM in this study reported numerous forms of physical, psychological, sexual, and financial IPV victimization and perpetration. Bidirectional experiences of IPV were common. The various subtypes of IPV victimization and perpetration are explored in detail in this manuscript. In addition, many participants reported multiple experiences of abuse within the same relationship, and some participants experienced a pattern of abusive relationships over time. This study corroborates findings from quantitative studies, which indicate that IPV is a prevalent and significant health problem among YGBM, and one that warrants additional attention from researchers, practitioners, and policy-makers. Furthermore, this study adds rich qualitative data to the existing literature-data that can be used to help develop and refine future measures of IPV that are tailored for use with YGBM.
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Affiliation(s)
| | - Stephan A Brandt
- Brooklyn College, The City University of New York, New York City, USA
| | - Jonathan F Hale
- Baruch College, The City University of New York, New York City, USA
| | - Nicholas Rogers
- Baruch College, The City University of New York, New York City, USA
| | | | - Marybec Griffin
- School of Public Health, Rutgers University, New Brunswick, NJ, USA
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Ramirez SH, Buzhdygan TP, Hale JF, Cheng L, Li G, Hoover-Hankerson B, Razmpour R, Sriram U, Su L, Potula R, Andrews AM. Correction to: Extracellular Microvesicles Released From Brain Endothelial Cells are Detected in Animal Models Of HIV‑1 Signifying Unresolved Inflammation. J Neuroimmune Pharmacol 2021; 16:888-889. [PMID: 34596820 DOI: 10.1007/s11481-021-10024-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Servio H Ramirez
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA.,School of Medicine at, The Center for Substance Abuse Research Lewis Katz, Temple University, 3500 N Broad St, Philadelphia, PA, 19140, USA.,The Shriners Hospitals Pediatric Research Center, Philadelphia, PA, 19140, USA
| | - Tetyana P Buzhdygan
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA.,School of Medicine at, The Center for Substance Abuse Research Lewis Katz, Temple University, 3500 N Broad St, Philadelphia, PA, 19140, USA
| | - Jonathan F Hale
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA
| | - Liang Cheng
- Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA.,Frontier Science Center for Immunology and Metabolism, Medical Research Institute, Wuhan University, Wuhan, 430071, China
| | - Guangming Li
- Division of Virology, Pathogenesis and Cancer, Institute of Human Virology, Departments of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.,Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Bryson Hoover-Hankerson
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA
| | - Roshanak Razmpour
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA
| | - Uma Sriram
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA
| | - Lishan Su
- Division of Virology, Pathogenesis and Cancer, Institute of Human Virology, Departments of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.,Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Raghava Potula
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA.,School of Medicine at, The Center for Substance Abuse Research Lewis Katz, Temple University, 3500 N Broad St, Philadelphia, PA, 19140, USA
| | - Allison M Andrews
- Department of Pathology &, Laboratory Medicine Lewis, Katz School of Medicine at Temple University, 3500 N, Broad St, Philadelphia, PA, 19140, USA. .,School of Medicine at, The Center for Substance Abuse Research Lewis Katz, Temple University, 3500 N Broad St, Philadelphia, PA, 19140, USA.
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Ramirez SH, Buzhdygan TP, Hale JF, Cheng L, Li G, Hoover-Hankerson B, Razmpour R, Sriram U, Su L, Potula R, Andrews AM. Extracellular Microvesicles Released From Brain Endothelial Cells are Detected in Animal Models Of HIV-1 Signifying Unresolved Inflammation. J Neuroimmune Pharmacol 2021; 16:785-795. [PMID: 34435263 PMCID: PMC8714626 DOI: 10.1007/s11481-021-10008-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 08/06/2021] [Indexed: 11/28/2022]
Abstract
Treatment of HIV-infected patients with antiretroviral therapy (ART) has effectively suppressed viral replication; however, the central nervous system is still a major target and reservoir of the virus leading to the possible development of HIV-associated neurocognitive disorders (HAND). Furthermore, a hallmark feature of HAND is the disruption of the blood–brain barrier that leads to loss of tight junction protein (TJP) complexes. Extracellular vesicles (EVs), released by every cell type in the body, occur in greater quantities in response to cellular activation or injury. We have found that inflammatory insults activate brain endothelial cells (EC) and induce the release of EVs containing TJPs such as Occludin. We thus hypothesized that HIV infection and unresolved neuroinflammation will result in the release of brain-EC derived EVs. Herein, our results show elevated levels of brain-EC EVs in a humanized mouse model of HIV infection. Furthermore, while ART reduced brain-EC EVs, it was unable to completely resolve increased vesicles detectable in the blood. In addition to inflammatory insults, HIV-1 viral proteins (Tat and gp120) increased the release of Occludin + vesicles from human brain microvasculature ECs. This increase in vesicle release could be prevented by knock-down of the small GTPase ARF6. ARF6 has been shown to regulate EV biogenesis in other cell types, and we provide further evidence for the involvement of ARF6 in brain EC derived EVs. Overall, this study offers insight into the process of brain vascular remodeling (via EVs) in the setting of neuroinflammation and thus provides possibilities for biomarker monitoring and targeting of ARF6.
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Affiliation(s)
- Servio H Ramirez
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA.,The Center for Substance Abuse Research Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA.,The Shriners Hospitals Pediatric Research Center, Philadelphia, PA, 19140, USA
| | - Tetyana P Buzhdygan
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA.,The Center for Substance Abuse Research Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Jonathan F Hale
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Liang Cheng
- Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA.,Frontier Science Center for Immunology and Metabolism, Medical Research Institute, Wuhan University, Wuhan, 430071, China
| | - Guangming Li
- Division of Virology, Pathogenesis and Cancer, Institute of Human Virology, Departments of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.,Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Bryson Hoover-Hankerson
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Roshanak Razmpour
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Uma Sriram
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Lishan Su
- Division of Virology, Pathogenesis and Cancer, Institute of Human Virology, Departments of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.,Lineberger Comprehensive Cancer Center, Department of Microbiology and Immunology, The University of North Carolina At Chapel Hill, Chapel Hill, NC, 27599, USA
| | - Raghava Potula
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA.,The Center for Substance Abuse Research Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA
| | - Allison M Andrews
- Department of Pathology &, Laboratory Medicine Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA. .,The Center for Substance Abuse Research Lewis Katz School of Medicine at Temple University, 3500 N Broad St, PA, 19140, Philadelphia, USA.
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Abstract
Cross-cultural education presents many challenges and focuses attention on the significant differences in teaching and learning styles around the world. In 1995, the George Mason University College of Nursing and Health Science embarked on the Saudi-US University Project, an effort that brought these theoretical differences to life. The stark contrast between the Saudi Arabian and Western cultures provided administration, faculty, and students the opportunity to develop creative strategies to accommodate learning across cultures.
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Abstract
Since 1991, the George Mason University Student Health Center (SHC) has been a primary health care center directed by College of Nursing and Health Science (CNHS) nurse practitioner (NP) faculty. This model was planned and implemented through a partnership between the CNHS and Student Services. From September 1991 until the present, the number of student visits has more than doubled, and the offered services have tripled without a comparable increase in budget and with minimal expansion of space. The student population now has access to comprehensive quality primary care services on-site at a relatively small investment per student. The focus of care goes beyond simply managing current health care needs by emphasizing prevention of future health problems, wellness, and quality of life. In addition, negotiations with surrounding specialists have resulted in a prompt and cost-effective referral system as needed by conditions exceeding the capabilities of the SHC providers. Responses to student surveys regarding the quality, availability, and cost of care, as well as the process involved in receiving that care, indicate the highest level of satisfaction among students using these services. The CNHS has a fertile, convenient faculty practice site as well as several clinical placements for NP as well as undergraduate students. This NP faculty-directed SHC offers a cost-effective, consumer-responsive alternative for delivering primary care services to the members of the university community.
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Affiliation(s)
- J F Hale
- College of Nursing and Health Science, NP Program, George Mason University, Fairfax, VA 22030, USA
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Hale JF, Collins SC. Critical care nursing in army field hospitals. Crit Care Nurse 1995; 15:90-4, 100. [PMID: 7774251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Greenberg JS, Hale JF. The receptivity to and the feasibility of patient education for patients of private practice, primary care physicians. Am J Health Promot 1989; 3:36-43. [PMID: 10290497 DOI: 10.4278/0890-1171-3.2.36] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This article describes a study of the receptivity to and the feasibility of a patient education service for patients of private practice, primary care physicians. A stratified (by medical specialty), random sample of 400 private practice, primary care physicians in the State of Maryland was selected from the State medical society roster. In addition, a random sample of 800 health care consumers was selected from a listing of residents in a five county area of Maryland. Questionnaires were developed, pilot tested, revised, and eventually mailed to the physician and consumer samples. Completed questionnaires were obtained from 140 physicians and from 314 consumers. Results indicated that both physicians and consumers were receptive to patient education in the private practice medical setting. Based upon the findings, recommendations are offered regarding the manner in which patient education in a private practice medical setting should be organized.
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Ramsey SA, Greenberg JS, Hale JF. Evaluation of a self-instructional program in stress management for college students. Health Educ 1989; 20:8-13. [PMID: 2516023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Affiliation(s)
- P J Hale
- Diabetic Clinic, General Hospital, Birmingham
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Hale JF, Hollander RB. Spanning the distance and resource gaps in health promotion and health education programs. Health Values 1988; 12:46-52. [PMID: 10302143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Traditionally, health care/health promotion professionals have relied on a face-to-face format for their teaching and are now becoming increasingly involved with new and creative ways to use microcomputers in educational technology. These methodologies have their limitations. Each is limited by the number of participants who can be reached at a given time, the availability of local experts, the existence of the necessary hardware and software, and accessibility due to special characteristics of the audience. These limitations often dictate what presentations health professionals can offer, what media can be used, and which groups will attend. Health care/health promotion professionals must not lose sight of readily available, nontraditional, cost effective methods that serve to enhance high level wellness in a broad and diverse population. The alternative health promotion delivery systems of radio, audioconferencing, and teleconferencing, as discussed in this article, can be used in a variety of settings (school, university, community, and worksite), applied to all levels of health promotion and education (elementary through university education and community/worksite offerings), and can increase awareness of additional methods of communication of health-related information by health professionals.
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Hale JF, Wade DS. One way to cure postpartum charting blues. Am J Nurs 1987; 87:1044-5. [PMID: 3649185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Hale JF. Caring: the key to recruitment and retention. Focus Crit Care 1984; 11:44-7. [PMID: 6567552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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Hale JF. Factors affecting the implementation, success and failure of primary nursing as a delivery system in U.S. hospitals. Hosp Top 1984; 62:30-1. [PMID: 10266195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Abstract
Serum levels of thyroid stimulating hormone and of the two thyroid hormones were compared in pregnant women and in non-pregnant control subjects. Circulating levels of thyroid stimulating hormone did not alter significantly throughout pregnancy. Total thyroxine and triiodothyronine concentrations increased markedly during the first and second trimesters, associated with a progressive increase in the thyroid binding capacity of serum proteins. Urinary triiodothyronine and thyroxine excretion during the third trimester of pregnancy was comparable to that found in non-pregnant euthyroid females and, it is concluded, provides the simplest method of assessing thyroid function during pregnancy.
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Hale JF. Tumours of the thymus. Proc R Soc Med 1968; 61:871-4. [PMID: 5679002 PMCID: PMC1902640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Affiliation(s)
- J F Hale
- St Bartholomew's Hospital, London
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