Medicine and Health Sciences Commons^™

Racial Differences In Symptom Management Approaches Among Persons With Radiographic Knee Osteoarthritis, Shibing Yang, Rachel Jawahar, Timothy Mcalindon, Charles B. Eaton, Kate L. Lapane

Family Medicine and Population Health Publications

Background

The extent to which racial differences exist in use of treatments for osteoarthritis (OA) is debatable. The purpose of this study was to describe the differences between African Americans (AA) and Caucasian Americans (CA) in using treatment approaches to manage symptoms among individuals with radiographic-confirmed knee OA.

Methods

A cross-sectional study was conducted. Using data from the Osteoarthritis Initiative, we identified 508 AA and 2,075 CA with radiographic tibiofemoral OA in at least one knee. Trained interviewers asked questions relating to current OA treatments including seven CAM therapy categories—alternative medical systems, mind-body interventions, manipulation and body-based methods, energy therapies, …

Developing Clinical Practice Guidelines: Reviewing, Reporting, And Publishing Guidelines; Updating Guidelines; And The Emerging Issues Of Enhancing Guideline Implementability And Accounting For Comorbid Conditions In Guideline Development, Paul Shekelle, Steven H. Woolf, Jeremy M. Grimshaw, Holger J. Schünemann, Martin P. Eccles

Family Medicine and Population Health Publications

Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this third paper we discuss the …

Developing Clinical Practice Guidelines: Target Audiences, Identifying Topics For Guidelines, Guideline Group Composition And Functioning And Conflicts Of Interest, Martin P. Eccles, Jeremy M. Grimshaw, Paul Shekelle, Holger J. Schünemann, Steven H. Woolf

Family Medicine and Population Health Publications

Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this first paper we discuss: the …

Developing Clinical Practice Guidelines: Types Of Evidence And Outcomes; Values And Economics, Synthesis, Grading, And Presentation And Deriving Recommendations, Steven H. Woolf, Holger J. Schünemann, Martin P. Eccles, Jeremy M. Grimshaw, Paul Shekelle

Family Medicine and Population Health Publications

Clinical practice guidelines are one of the foundations of efforts to improve healthcare. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearinghouses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this second paper, we discuss issues of identifying …

Treatment For Schistosoma Japonicum, Reduction Of Intestinal Parasite Load, And Cognitive Test Score Improvements In School-Aged Children, Amara E. Ezeamama, Stephen T. Mcgarvey, Joseph Hogan, Kate L. Lapane, David C. Bellinger, Luz P. Acosta, Tjalling Leenstra, Remigio M. Olveda, Jonathan D. Kurtis, Jennifer F. Friedman

Family Medicine and Population Health Publications

Background

To determine whether treatment of intestinal parasitic infections improves cognitive function in school-aged children, we examined changes in cognitive testscores over 18 months in relation to: (i) treatment-related Schistosoma japonicum intensity decline, (ii) spontaneous reduction of single soil-transmitted helminth (STH) species, and (iii) ≥2 STH infections among 253 S. japonicum-infected children.

Methodology

Helminth infections were assessed at baseline and quarterly by the Kato-Katz method. S. japonicum infection was treated at baseline using praziquantel. An intensity-based indicator of lower vs. no change/higher infection was defined separately for each helminth species and joint intensity declines of ≥2 STH species. In …

Designing A Patient-Centered Personal Health Record To Promote Preventive Care, Alex H. Krist, Eric Peele, Steven H. Woolf, Stephen F. Rothemich, John F. Loomis, Daniel R. Longo, Anton J. Kuzel

Family Medicine and Population Health Publications

Background Evidence-based preventive services offer profound health benefits, yet Americans receive only half of indicated care. A variety of government and specialty society policy initiatives are promoting the adoption of information technologies to engage patients in their care, such as personal health records, but current systems may not utilize the technology's full potential.

Methods Using a previously described model to make information technology more patient-centered, we developed an interactive preventive health record (IPHR) designed to more deeply engage patients in preventive care and health promotion. We recruited 14 primary care practices to promote the IPHR to all adult patients and …

Psychometric Assessment Of Hiv/Sti Sexual Risk Scale Among Msm: A Rasch Model Approach, Jian Li, Hongjie Liu, Hui Liu, Tiejian Feng, Yumao Cai

Family Medicine and Population Health Publications

Background

Little research has assessed the degree of severity and ordering of different types of sexual behaviors for HIV/STI infection in a measurement scale. The purpose of this study was to apply the Rasch model on psychometric assessment of an HIV/STI sexual risk scale among men who have sex with men (MSM).

Methods

A cross-sectional study using respondent driven sampling was conducted among 351 MSM in Shenzhen, China. The Rasch model was used to examine the psychometric properties of an HIV/STI sexual risk scale including nine types of sexual behaviors.

Results

The Rasch analysis of the nine items met the …

The Chinese Government's Response To Drug Use And Hiv/Aids: A Review Of Policies And Programs, Jianhu Li, Toan H. Ha, Cunmin Zhang, Hongjie Liu

Family Medicine and Population Health Publications

Illicit drug use has become popular in China. Acknowledging the challenge of illicit drug use, China has adopted several new policies on the management of illicit drug use in recent years. This study reviews the current policies on drug use and assesses the harm reduction interventions among drug users in China. The review documents that the new policies on drug use provide a variety of choices of detoxification treatment for drug users. The methadone maintenance treatment and needle exchange programs have been adopted as harm reduction models in China. Most of the reviewed harm reduction programs have been successfully implemented …

Does Chinese Culture Influence Psychosocial Factors For Heroin Use Among Young Adolescents In China? A Cross-Sectional Study, Hongjie Liu, Jian Li, Zhouping Lu, Wei Liu, Zhiyong Zhang

Family Medicine and Population Health Publications

Background

Little empirical research has examined how cultural factors influence psychosocial factors for heroin drug use. The objectives of the study were to investigate the levels of individualism and collectivism among young adolescents and how cultural differences were associated with the constructs of the Theory of Planned Behavior and other psychosocial factors for heroin drug use.

Methods

A cross-sectional study was conducted among young adolescents in an HIV and heroin-stricken area in China. The Individualism-Collectivism Interpersonal Assessment Inventory (ICIAI) was used to measure cultural norms and values in the context of three social groups: family members, close friends, and classmates. …

The Development Of A Web- And A Print-Based Decision Aid For Prostate Cancer Screening, Caroline S. Dorfman, Randi M. Williams, Elisabeth C. Kassan, Sara N. Red, David L. Dawson, William Tuong, Elizabeth R. Parker, Janet Ohene-Frempong, Kimberly M. Davis, Alexander H. Krist, Steven H. Woolf, Marc D. Schwartz, Mary B. Fishman, Carmella Cole, Kathryn L. Taylor

Family Medicine and Population Health Publications

Background Whether early detection and treatment of prostate cancer (PCa) will reduce disease-related mortality remains uncertain. As a result, tools are needed to facilitate informed decision making. While there have been several decision aids (DAs) developed and tested, very few have included an exercise to help men clarify their values and preferences about PCa screening. Further, only one DA has utilized an interactive web-based format, which allows for an expansion and customization of the material. We describe the development of two DAs, a booklet and an interactive website, each with a values clarification component and designed for use in diverse …

Serratia Marcescens Bacteremia Traced To An Infused Narcotic, Belinda E. Ostrowsky , M.D., M.P.H., Cynthia Whitener , M.D., Helen K. Bredenberg , M.D., Loretta A. Carson , M.S., Stacey Holt , B.S., Lori Hutwagner , M.S., Matthew J. Arduino , Dr., Ph.D, William R. Jarvis , M.D.

Family Medicine and Population Health Publications

BACKGROUND

From June 30, 1998, through March 21, 1999, several patients in the surgical intensive care unit of a hospital acquired Serratia marcescens bacteremia. We investigated this outbreak.

METHODS

A case was defined as the occurrence of S. marcescens bacteremia in any patient in the surgical intensive care unit during the period of the epidemic. To identify risk factors, we compared patients with S. marcescens bacteremia with randomly selected controls. Isolates from patients and from medications were evaluated by pulsed-field gel electrophoresis. The hair of one employee was tested for fentanyl.

RESULTS

Twenty-six patients with S. marcescens bacteremia were identified; …