Saturday, March 7, 2015

TIPRP for Animal Health Workers in Private Practice

TIPRP for Animal Health Workers in Private Practice
            The veterinary staff   of Tuskegee University in Alabama and the Animal Medical Center in New York will be used as a model representing the ideals of private practice veterinary medicine. Tuskegee has pioneered bioinformatics and telehealth through its BIMS Center. The AMC is also an academic institution with a 24/7 service that provides postgraduate residency and internship training for veterinarians. It is equipped with state of the art diagnostics that expose veterinarians, animal health technicians, and laboratory technicians to increased levels of RFR.
Needs Assessment
An on-line survey will be part of a need assessment (NA) to quantify the levels of protection currently practiced at TUSVM and the AMC. The NA will also be used in the risk assessment, risk management, and marketing strategy.
Risk Assessment and Epidemiological Studies
            The United States Environmental Protection Agency (USEPA) protocols for risk assessment and risk management will be used for carcinogenicity, genotoxicity, and neurobehavioral health effects.
            In addition, epidemiological studies will be conducted to gather data sets, including morbidity, mortality, and cancer prevalence rates associated with RFR or RFR devices. The epidemiology data will be used in the formulating of marketing strategies.
Marketing
The asset model (AM) derived from change theory will be used.  The AM can facilitate the pooling of currently available resources and collaboration of many parts of communities for the common good of a health initiative. A SWOT analysis (Figure 9 C) will be performed along with a 4 x 4 P square analysis (4 x 4 P2) (“Think Tank”, 2011) (Figure 10 C). In the analysis, a mathematical model is developed in which numerical values of the following variables are combined and examined statistically: (Price + place+ product + promotion) x (Plan + perspective + perseverance + passionate people) (Equation 1).
New York City, the media capital of the world, will be used as a hub for the digital media marketing of the initiative and for the manufacture of personal protective items against RFR. A week-long scientific conference on the health effects of RFR and protection from RFR will be held in NYC to launch the initiative. There will also be a fashion show exhibiting apparel for RFR protection. The success of the conference and fashion show will be used as small wins for future grant applications, consistent with business applications of Sun Zhou’s classic: The Arts of War (Wee, 2002).
Experimental Materials and Methods
            A cohort consisting of 100 individuals from the veterinary staff of TUSVM and the AMC will be issued with personal protective devices for protection from RFR for a five-year period.  Protective devices will also be installed in the homes of the individuals during the study.  Four times per year, blood samples will be collected from the individuals, complete physical examinations will be done on each person, and electroencephalographs (EEG) studies and fMRI brain scans  will also be performed (Regel & Achermann, 2011).  Dosimeter badges for each individual will also be examined and exposure dose recorded.
            Peripheral blood samples will be used for assessing mitochondrial respiratory reserve capacity (MRRC) (Tkalec, Stambuk, Srut, Malarić, & Klobučar, 2013), and the Emulate organ-on-chip platform kits will be used to detect changes is specific organs.  Software provided by LogiNet will be used to record and process the data from the TIPRP.
            The concurrent control for this study will be 100 health care workers at institutions in Alabama and New York City who do not use personal protective devices for RFR.  Similar experimental and non-experimental methodologies will be applied to the other TIPRP groups. The experimental protocols will, however, be unique for the specific group

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