Barriers to cross-border research projects: A prelude to improving professional collaborations between the United States and Mexico

Study objective. This was a secondary data analysis of a study designed and executed in two phases in order to investigate several questions: Why aren't more investigators conducting successful cross-border research on human health issues? What are the barriers to conducting this research? What interventions might facilitate cross-border research? ^ Methods. Key informant interviews and focus groups were used in Phase One, and structured questionnaires in Phase Two. A multi-question survey was created based on the findings of focus groups and distributed to a wider circle of researchers and academics for completion. The data was entered and analyzed using SPSS software. ^ Setting. El Paso, TX located on the U.S-Mexico Border. ^ Participants. Individuals from local academic institutions and the State Department of Health. ^ Results. From the transcribed data of the focus groups, eight major themes emerged: Political Barriers, Language/Cultural Barriers, Differing Goals, Geographic Issues, Legal Barriers, Technology/Material Issues, Financial Barriers, and Trust Issues. Using these themes, the questionnaire was created. ^ The response rate for the questionnaires was 47%. The largest obstacles revealed by this study were identifying a funding source for the project (47% agreeing or strongly agreeing), difficulties paying a foreign counterpart (33% agreeing or strongly agreeing) and administrative changes in Mexico (31% agreeing or strongly agreeing). ^ Conclusions. Many U.S. investigators interested in cross-border research have been discouraged in their efforts by varying barriers. The majority of respondents in the survey felt financial issues and changes in Mexican governments were the most significant obstacles. While some of these barriers can be overcome simply by collaboration among motivated groups, other barriers may be more difficult to remove. Although more evaluation of this research question is warranted, the information obtained through this study is sufficient to support creation of a Cross-Border Research Resource Manual to be used by individuals interested in conducting research with Mexico. ^

Prevalence and determinants of hepatitis B co-infection among a United States Veterans Administration cohort with hepatitis C

Background and aim. Hepatitis B virus (HBV) and hepatitis C virus (HCV) co-infection is associated with increased risk of cirrhosis, decompensation, hepatocellular carcinoma, and death. Yet, there is sparse epidemiologic data on co-infection in the United States. Therefore, the aim of this study was to determine the prevalence and determinants of HBV co-infection in a large United States population of HCV patients. ^ Methods. The National Veterans Affairs HCV Clinical Case Registry was used to identify patients tested for HCV during 1997–2005. HCV exposure was defined as two positive HCV tests (antibody, RNA or genotype) or one positive test combined with an ICD-9 code for HCV. HCV infection was defined as only a positive HCV RNA or genotype. HBV exposure was defined as a positive test for hepatitis B core antibodies, hepatitis B surface antigen, HBV DNA, hepatitis Be antigen, or hepatitis Be antibody. HBV infection was defined as only a positive test for hepatitis B surface antigen, HBV DNA, or hepatitis Be antigen within one year before or after the HCV index date. The prevalence of exposure to HBV in patients with HCV exposure and the prevalence of HBV infection in patients with HCV infection were determined. Multivariable logistic regression was used to identify demographic and clinical determinants of co-infection. ^ Results. Among 168,239 patients with HCV exposure, 58,415 patients had HBV exposure for a prevalence of 34.7% (95% CI 34.5–35.0). Among 102,971 patients with HCV infection, 1,431 patients had HBV co-infection for a prevalence of 1.4% (95% CI 1.3–1.5). The independent determinants for an increased risk of HBV co-infection were male sex, positive HIV status, a history of hemophilia, sickle cell anemia or thalassemia, history of blood transfusion, cocaine and other drug use. Age >50 years and Hispanic ethnicity were associated with a decreased risk of HBV co-infection. ^ Conclusions. This is the largest cohort study in the United States on the prevalence of HBV co-infection. Among veterans with HCV, exposure to HBV is common (∼35%), but HBV co-infection is relatively low (1.4%). There is an increased risk of co-infection with younger age, male sex, HIV, and drug use, with decreased risk in Hispanics.^

1902 Polk's Medical Register and Directory of the United States and Canada (Texas portion only)

List of Physicians and Surgeons arranged by states and provinces, giving post office address with population and location, the School practiced, date and college of graduation, all the existing and extinct medical colleges in the United States and Canada, with locations, officers, number of professors, lecturers, demonstrators, etc., the various medical societies, state prisons, hospitals, sanitariums, dispensaries, asylums and other medical institutions, boards of health, boards of medical examiners, a synopsis of the laws of registration and other laws relating to the profession, medical journals with names of editors, frequency of publication and subscription rates, medical libraries, mineral springs, official list of officers of the medical departments of the U.S. Army, Navy and Marine Hospital Service, roster of examining surgeons of the U.S. Pension Department, a descriptive sketch of each state, territory and province, embodying such matters as location, boundary, extent in miles and acres, latitude and longitude, statistics relating to climate, temperature, rate of mortality, number of deaths from consumption, etc. full particulars of all national associations and societies relating to medicine and surgery, and an INDEX TO THE PHYSICIANS OF THE UNITED STATES. Arranged alphabetically, with the number of the page on which the name appears.

Frankfort Harbor maintenance dredging, revision of disposal plan to incorporate changes in the nearshore and slternative deepwater placement of dredged materials, evaluation and EA B1; FONSI : environmental impact statement.

Mode of access: Internet.

Evaluation of selective erosion control techniques : Piedmont region of S.E. United States /

Mode of access: Internet.

From test tube to patient : new drug development in the United States.

Mode of access: Internet.

Shaw Air Force Base : test excavations at 20 archeological sites on the Poinsett Electronic Combat Range, Sumter County, South Carolina.

"June 1999."

Evaluation of seismometer wave gage and comparative analysis of wave data at Yaquina and Coquille Bays, Oregon /

"September 1985."

Port and terminal charges at United States Great lakes ports.

At head of title: War Department. Corps of Engineers, U.S. Army .

Supplement to Port and terminal charges at United States seaports /

At head of title: War Department, Corps of Engineers, U.S. Army.

Nominations before the Senate Armed Services Committee, second session, 106th Congress : hearings before the Committee on Armed Services, United States Senate, One Hundred Sixth Congress, second session, on nominations of Rudy de Leon; Douglas A. Dworkin; Bernard D. Rostker; Gregory R. Dahlberg; Madelyn R. Creedon; Adm. Vernon E. Clark; Gen. John A. Gordon; Lt. Gen. Tommy R. Franks; Lt. Gen. William F. Kernan; Donald Mancuso; Roger W. Kallock; James E. Baker; Lt. Gen. Peter Pace; Lt. Gen. Charles R. Holland; Maj. Gen. Robert B. Flowers; and Robert B. Pirie, Jr., February 8; March 21; April 11; May 16, 24; June 27; July 26; September 6; October 3, 19, 2000.

Shipping list no.: 2001-0213-P.

Department of Defense authorization for appropriations for fiscal year 2010 : hearing before the Committee on Armed Services, United States Senate, One Hundred Eleventh Congress, first session, on S. 1390, to authorize appropriations for fiscal year 2010 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe personnel strengths for such fiscal year, and for other purposes.

"May 20 and June 3, 2009"--Pt. 6-7.

Tides and tidal datums in the United States /

"February 1981."

Army airfield rigid pavement evaluation.

At head of title: Engineering and design.

Final report to Congress, The Streambank Erosion Control Evaluation and Demonstration Act of 1974, Section 32, Public Law 93-251 : Main report, supplemented by appendices A-H in separate volumes /

Main report -- Appendix A. Literature survey -- Appendix B. Hydraulic research -- Appendix C. Geotechnical research -- Appendix D. Ohio River demonstration projects -- Appendix F. Missouri River demonstration projects (2 v.) -- Appendix F. Yazoo River Basin demonstration projects -- Appendix G. Demonstration projects on other streams, nationwide (2 v.) -- Appendix H. Evaluation of existing projects (2 v.).