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Opportunities For Intervention: Characteristics Of Alcohol Related Visits To United States Emergency Departments, 2003 - 2007, Jonathon LaValley 2010 University of Nevada, Las Vegas

Opportunities For Intervention: Characteristics Of Alcohol Related Visits To United States Emergency Departments, 2003 - 2007, Jonathon Lavalley

UNLV Theses, Dissertations, Professional Papers, and Capstones

The cycle of alcohol intoxicated patients passing through United States (US) emergency departments (ED) and repeated inpatient detoxification for alcohol inebriates is costly, as these patients are continually exposed to injury and other health and legal consequences of their continued at risk alcohol use. The high proportion of ED resources used by these alcohol intoxicated patients has contributed to increased patient wait times, increased ambulance diversions, forced closures of US EDs, increased numbers of patients leaving without being seen, and an overall reduction in the quality of medical services provided in the ED. In order to contribute to efforts towards ...


Need For Risk Assessment Of Suicide Across Mental Health Services, Amresh Srivastava, Megan Johnstom 2010 University of Western Ontario

Need For Risk Assessment Of Suicide Across Mental Health Services, Amresh Srivastava, Megan Johnstom

Amresh Srivastava

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologists or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also ...


To Be Or Not To Be: Education For Clinical Decisions In Risk Assessment Of Suicide Behavior, Amresh Srivastava, Megan Johnston 2010 University of Western Ontario

To Be Or Not To Be: Education For Clinical Decisions In Risk Assessment Of Suicide Behavior, Amresh Srivastava, Megan Johnston

Amresh Srivastava

Clinical practice of psychiatry has acquired role and responsibility which goes far beyond traditional expectations .Incident of suicide, particularly, is considered a high liability for then professionals, organizations and the consumer. It also remains a clinical issue which examines can we prevent suicide which in the system of care. Studies have shown about 1 in 6 psychologist or psychiatrist are likely to loose a patient due to suicide in a mean duration of 18-20 years practice. Repeatedly it has demonstrated that clinical skill training for risk assessment is the necessary for all professionals not only in mental health but also ...


Optimizing Outcome Measures For Schizophrenia: From Research To Clinics, Amresh Srivastava, Nina Schoolar, Alexander Miller, Jitenra Trivedi 2010 University of Western Ontario

Optimizing Outcome Measures For Schizophrenia: From Research To Clinics, Amresh Srivastava, Nina Schoolar, Alexander Miller, Jitenra Trivedi

Amresh Srivastava

Outcome measures in schizophrenia have evolved considerably to bring in more objectivity, uniformity and attempt to reflect ‘real-life’ situation. It has significantly moved away from measurement of symptom remission to assessment of level of functioning and quality of life parameters. Schizophrenia is a complex neurobehavioral disorder afflicting approximately 1% population, with onset in early adolescence, across the world. It cause immense burden of patients, families and caregivers. The economic cost of schizophrenia is enormous. It is therefore important that assessment of schizophrenia be reflective of ground reality, scientific, evidence-based and comprehensive. Several researchers have proposed multidimensional outcome parameters. The heterogeneity ...


School-Based Outreach: A Way In, Florida Covering Kids & Families 2010 mchavez10@gmail.com

School-Based Outreach: A Way In, Florida Covering Kids & Families

Florida Covering Kids & Families

According to the Urban Institute, 3.4 million U.S. children aged 6-18 are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) but are uninsured. These school-aged children make up about 68% of the total eligible but uninsured population. Child and family advocates have long considered schools to be valuable partners for Florida KidCare outreach.


Belize As A Classroom, Jordan Norris, Molly Calico 2010 Western Kentucky University

Belize As A Classroom, Jordan Norris, Molly Calico

Impact Belize

During the week of January 7-14, 2010, Molly Calico and Jordan Norris participated in the Impact Belize program through the College of Health and Human Services. This program took place in Gales Point, a rural, underserved community in Belize. Impact students provided medical, dental and public health services to the community in an interdisciplinary service-learning format. As Master of Public Health students, Molly and Jordan directed health education initiatives and served on the Leadership Team for the program. Having participated in January of 2009 as well, Molly and Jordan were well prepared to conduct public health research and to assume ...


Association Of Education With Dietary Intake Among Young Adults In The Bi-Ethnic Coronary Artery Risk Development In Young Adults (Cardia) Cohort, S. L. Archer, J. E. Hilner, A. R. Dyer, Kurt J. Greenlund, Laura A. Colangelo, Catarina I. Kiefe, K. Liu 2010 Northwestern University

Association Of Education With Dietary Intake Among Young Adults In The Bi-Ethnic Coronary Artery Risk Development In Young Adults (Cardia) Cohort, S. L. Archer, J. E. Hilner, A. R. Dyer, Kurt J. Greenlund, Laura A. Colangelo, Catarina I. Kiefe, K. Liu

Catarina I. Kiefe

OBJECTIVE: To examine associations of changes in dietary intake with education in young black and white men and women.

DESIGN: The Coronary Artery Risk Development in Young Adults (CARDIA) study, a multi-centre population-based prospective study. Dietary intake data at baseline and year 7 were obtained from an extensive nutritionist-administered diet history questionnaire with 700 items developed for CARDIA.

SETTING: Participants were recruited in 1985-1986 from four sites: Birmingham, Alabama; Chicago, Illinois; Minneapolis, Minnesota; and Oakland, California.

SUBJECTS: Participants were from a general community sample of 703 black men (BM), 1006 black women (BW), 963 white men (WM) and 1054 white ...


Active And Passive Smoking And Development Of Glucose Intolerance Among Young Adults In A Prospective Cohort: Cardia Study, Thomas K. Houston, Sharina D. Person, Mark J. Pletcher, Kiang Liu, Carlos Iribarren, Catarina I. Kiefe 2010 University of Alabama

Active And Passive Smoking And Development Of Glucose Intolerance Among Young Adults In A Prospective Cohort: Cardia Study, Thomas K. Houston, Sharina D. Person, Mark J. Pletcher, Kiang Liu, Carlos Iribarren, Catarina I. Kiefe

Catarina I. Kiefe

OBJECTIVE: To assess whether active and passive smokers are more likely than non-smokers to develop clinically relevant glucose intolerance or diabetes. DESIGN: Coronary artery risk development in young adults (CARDIA) is a prospective cohort study begun in 1985-6 with 15 years of follow-up. SETTING: Participants recruited from Birmingham, Alabama; Chicago, Illinois; Minneapolis, Minnesota; and Oakland, California, USA. PARTICIPANTS: Black and white men and women aged 18-30 years with no glucose intolerance at baseline, including 1386 current smokers, 621 previous smokers, 1452 never smokers with reported exposure to secondhand smoke (validated by serum cotinine concentrations 1-15 ng/ml), and 1113 never ...


Does Interhospital Transfer Improve Outcome Of Acute Myocardial Infarction? A Propensity Score Analysis From The Cardiovascular Cooperative Project, John M. Westfall, Catarina I. Kiefe, Norman W. Weissman, Anthony Goudie, Robert M. Centor, O. Dale Williams, Jeroan J. Allison 2010 University of Colorado

Does Interhospital Transfer Improve Outcome Of Acute Myocardial Infarction? A Propensity Score Analysis From The Cardiovascular Cooperative Project, John M. Westfall, Catarina I. Kiefe, Norman W. Weissman, Anthony Goudie, Robert M. Centor, O. Dale Williams, Jeroan J. Allison

Catarina I. Kiefe

BACKGROUND: Many patients suffering acute myocardial infarction (AMI) are transferred from one hospital to another during their hospitalization. There is little information about the outcomes related to interhospital transfer. The purpose of this study was to compare processes and outcomes of AMI care among patients undergoing interhospital transfer with special attention to the impact on mortality in rural hospitals.

METHODS: National sample of Medicare patients in the Cooperative Cardiovascular Study (n = 184,295). Retrospective structured medical record review of AMI hospitalizations. Descriptive study using a retrospective propensity score analysis of clinical and administrative data for 184,295 Medicare patients admitted ...


The Art And Science Of Searching Medline To Answer Clinical Questions. Finding The Right Number Of Articles, Jeroan J. Allison, Catarina I. Kiefe, Norman W. Weissman, Jerome Carter, Robert M. Centor 2010 University of Massachusetts Medical School

The Art And Science Of Searching Medline To Answer Clinical Questions. Finding The Right Number Of Articles, Jeroan J. Allison, Catarina I. Kiefe, Norman W. Weissman, Jerome Carter, Robert M. Centor

Catarina I. Kiefe

The current medical environment makes information retrieval a matter of practical importance for clinicians. Many avenues present themselves to the clinician, but here we focus on MEDLINE by summarizing the current state of the art and providing an innovative approach for skill enhancement. Because new search engines appear rapidly, we focus on generic principles that can be easily adapted to various systems, even those not yet available. We propose an idealized classification system for the results of a MEDLINE search. Type A searches produce a few articles of high quality that are directly focused on the immediate question. Type B ...


Does Delayed Measurement Affect Patient Reports Of Provider Performance? Implications For Performance Measurement Of Medical Assistance With Tobacco Cessation: A Dental Pbrn Study, Thomas K. Houston, Joshua S. Richman, Heather L. Coley, Midge N. Ray, Jeroan J. Allison, Gregg H. Gilbert, Judith S. Gordon, Catarina I. Kiefe 2010 University of Alabama

Does Delayed Measurement Affect Patient Reports Of Provider Performance? Implications For Performance Measurement Of Medical Assistance With Tobacco Cessation: A Dental Pbrn Study, Thomas K. Houston, Joshua S. Richman, Heather L. Coley, Midge N. Ray, Jeroan J. Allison, Gregg H. Gilbert, Judith S. Gordon, Catarina I. Kiefe

Catarina I. Kiefe

BACKGROUND: We compared two methods of measuring provider performance of tobacco control activities: immediate "exit cards" versus delayed telephone follow-up surveys. Current standards, e.g. HEDIS, use delayed patient measures that may over or under-estimate overall performance. METHODS: Patients completed exit cards in 60 dental practices immediately after a visit to measure whether the provider "asked" about tobacco use, and "advised" the patient to quit. One to six months later patients were asked the same questions by telephone survey. Using the exit cards as the standard, we quantified performance and calculated sensitivity (agreement of those responding yes on telephone surveys ...


Sets Definable Over Finite Fields: Their Zeta-Functions, Catarina I. Kiefe 2010 University of Massachusetts Medical School

Sets Definable Over Finite Fields: Their Zeta-Functions, Catarina I. Kiefe

Catarina I. Kiefe

Sets definable over finite fields are introduced. The rationality of the logarithmic derivative of their zeta-function is established, an application of purely algebraic content is given. The ingredients used are a result of Dwork on algebraic varieties over finite fields and model-theoretic tools.


Pseudodefinite Fields, Procyclic Fields And Model-Completion, Allan Adler, Catarina I. Kiefe 2010 Massachusetts Institute of Technology

Pseudodefinite Fields, Procyclic Fields And Model-Completion, Allan Adler, Catarina I. Kiefe

Catarina I. Kiefe

In this paper, it is shown that the theory of pseudofinite fields is, with respect to a suitable language, the model completion of the theory of procyclic fields. Also, procyclic fields are characterized as the class of relatively algebraically closed subfields of pseudofinite fields.


Cognitive Factors In Long Term Outcome Of First Episode Psychosis, Amresh Srivastava, Megan Johnston, Nilesh Shah, Meghana Thakar, Larry Stitt 2010 University of Western Ontario

Cognitive Factors In Long Term Outcome Of First Episode Psychosis, Amresh Srivastava, Megan Johnston, Nilesh Shah, Meghana Thakar, Larry Stitt

Amresh Srivastava

Cognitive factors in long term outcome of first episode psychosis

Amresh Shrivastava, Megan Johnston, Nilesh Shah , Meghana Thakar , and Larry Stitt

a Excecutive Director , Mental Health Foundation of India (PRERANA Charitable trust) and Silver Mind Hospital, 209 Shivkripa Complex, Gokhale Road, Thane, Mumbai, Maharashtra, India 400 602, Currently: Assistant Professor of Psychiatry, The University of western Ontario, & associate Scientist, Lawson Health Research Institute, London, Ontario,Canada, E Mail : amresh.edu@gmail.com b Professor of Psychiatry LTMG Hospital, University of Mumbai, Sion, Mumbai, Maharashtra, India 400 022 c Clinical psychologist, Silver Mind Hospital, Mumbai,India d Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada N6A 5C1 e Research Office, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada N6A 5C1

*Corresponding author. Tel.: +1-519-631-8510; Fax: +1-519-631-2512. E-mail address: dr.amresh@gmail.com (A. Shrivastava). Present address: Regional Mental Health Care, 467 Sunset Drive, St. Thomas, Ontario, Canada N5H 3V9.

One negative outcome associated with schizophrenia is a deterioration of cognitive functioning. The existing research on cognitive functioning ...


Information And Incentives: Improving The Health Of New York City's Low-Income Population, Kathryn Linehan, Lisa Sprague 2010 George Washington University

Information And Incentives: Improving The Health Of New York City's Low-Income Population, Kathryn Linehan, Lisa Sprague

National Health Policy Forum

The National Health Policy Forum sponsored a site visit to New York City (NYC) in April 2010 to explore health care delivery for Medicaid beneficiaries and the uninsured in New York City’s hospital-dominated market. New York offers real-time examples of government policy and provider initiatives in health information technology (IT) and quality improvement being played out on a large, complex, and dynamic stage with multiple stakeholders. Site visit participants heard from providers and others who discussed efforts to improve the quality of care for low-income New Yorkers through a variety of methods, such as the adoption and use of ...


Venous Thromboembolism Risk And Prophylaxis In Hospitalised Medically Ill Patients. The Endorse Global Survey., Jean-Francois Bergmann, Alexander T. Cohen, Victor F. Tapson, Samuel Z. Goldhaber, Ajay K. Kakkar, Bruno Deslandes, Wei Huang, Frederick A. Anderson, ENDORSE Investigators 2010 Hôpital Lariboisière

Venous Thromboembolism Risk And Prophylaxis In Hospitalised Medically Ill Patients. The Endorse Global Survey., Jean-Francois Bergmann, Alexander T. Cohen, Victor F. Tapson, Samuel Z. Goldhaber, Ajay K. Kakkar, Bruno Deslandes, Wei Huang, Frederick A. Anderson, Endorse Investigators

Clinical & Population Health Research

Limited data are available regarding the risk for venous thromboembolism (VTE) and VTE prophylaxis use in hospitalised medically ill patients. We analysed data from the global ENDORSE survey to evaluate VTE risk and prophylaxis use in this population according to diagnosis, baseline characteristics, and country. Data on patient characteristics, VTE risk, and prophylaxis use were abstracted from hospital charts. VTE risk and prophylaxis use were evaluated according to the 2004 American College of Chest Physicians (ACCP) guidelines. Multivariable analysis was performed to identify factors associated with use of ACCP-recommended prophylaxis. Data were evaluated for 37,356 hospitalised medical patients across ...


The Role Of State Flex Programs In Supporting Quality Improvement In Critical Access Hospitals, Andrew F. Coburn PhD, John A. Gale MS, Mark Richards BA, Anush Yousefian Hansen MS,MA 2010 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

The Role Of State Flex Programs In Supporting Quality Improvement In Critical Access Hospitals, Andrew F. Coburn Phd, John A. Gale Ms, Mark Richards Ba, Anush Yousefian Hansen Ms,Ma

Rural Hospitals (Flex Program)

A central goal of the Medicare Rural Hospital Flexibility (Flex) Program, as defined in the original and reauthorizing legislation, is to help Critical Access Hospitals (CAHs) develop and sustain effective quality improvement (QI) programs. In support of this goal, the Flex Grant Guidance prioritizes the development of QI and multi-CAH QI programs. Consistent with these priorities, State Flex Programs have supported a wide range of QI and patient safety initiatives including the development of statewide or regional multi-CAH QI collaboratives to promote sharing of knowledge, expertise, resources, and benchmarking data. This study examined QI activities supported by the Flex Program ...


Wku Scholar, Pamela Napier, editor-in-chief 2010 Western Kentucky University

Wku Scholar, Pamela Napier, Editor-In-Chief

WKU Scholar

No abstract provided.


Direct-To-Consumer Advertising Of Prescription Drugs, Dominick L. Frosch, David Grande 2010 University of Pennsylvania

Direct-To-Consumer Advertising Of Prescription Drugs, Dominick L. Frosch, David Grande

Issue Briefs

In 2007, the pharmaceutical industry spent more than $4.9 billion on direct-to-consumer advertising (DTCA) of prescription drugs in the U.S. Controversy over DTCA has grown since the Food and Drug Administration liberalized its regulations in 1997. Proponents claim that such advertising educates consumers, promotes patient participation in clinical decisions, and improves patient adherence to medication instructions. Opponents argue that such advertising is meant to persuade, not educate, and that it promotes inappropriate use of prescription drugs, or diverts consumers from better alternatives. This Issue Brief summarizes the evidence about the effects of DTCA, and proposes guidelines for improving ...


Review Of: Who Chooses? American Reproductive History Since 1830 / Simone Caron, Jimmy Meyer 2010 No institutional affiliation

Review Of: Who Chooses? American Reproductive History Since 1830 / Simone Caron, Jimmy Meyer

Dr. Jimmy W Meyer

No abstract provided.


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