Referral Patterns Between Allopathic Physicians And Complementary And Alternative Medicine Practitioners: A Followup Study, Molly Hubbard, Hany Khattab, Matthew Lecomte, Lindsay Peet, Meghan Small, Khine Win, Asha Zimmerman, Margaret Eppstein, Helene Langevin, Phil Trabulsy
Public Health Projects, 2008-present
Introduction: • Despite the high prevalence of Complementary and Alternative Medicine (CAM) usage, several recent surveys suggest that the vast majority of patient visits to CAM practitioners are self-referred and that communication between conventional and CAM practitioners is limited. • There is a need for a better understandingof factors influencing referral patterns across these two groups of practitioners. • Network analysis provides a useful tool to quantify relationships between members of an interrelated social network. • The goal of this follow up study was to quantify the cross-class referral patterns between conventional and CAM classes of practitioners in Chittenden County Vermont as well as ...
Are Mandates The Answer? Improving Palliative Care And Pain Management In Vermont, 2010 University of Vermont College of Medicine
Are Mandates The Answer? Improving Palliative Care And Pain Management In Vermont, Patrick O. Butsch, Laura C. Depouli, Nicholas A. Larochelle, Mckalyn G. Leclerc, Michael A. Maccini, Michael P. Morwood, Andrea M. Steely, Virginia Hood, George Phillips, William Wargo, Tom Delaney, Jan Carney
Public Health Projects, 2008-present
Background: The Vermont legislature (bill H.435, Sec. 19) has tasked the Vermont Board of Medical Practice (VBMP) with making a formal recommendation on improving Vermont health professionals’ knowledge and practice of Palliative Care and Pain Management (PC/PM). In collaboration with the VBMP, our group set out to answer the following questions: • How confident/competent are VT physicians in the practice of PC/PM? • What are the barriers to achieving optimal patient care in PC/PM? • Do VT physicians believe mandatory CME would improve the overall quality of care in PC/PM? • What are the best methods of providing ...
Physician Screening For Intimate Partner Violence In Vermont, 2010 University of Vermont
Physician Screening For Intimate Partner Violence In Vermont, Aleksey Androsov, Jessica Chao, Kira Fiset, Erin Hickman, Amy Huckins-Noss, Daniel Kim, Amy Kravetz, Makeda Semma, Scott Warhit
Public Health Projects, 2008-present
Introduction: The term intimate partner violence (or IPV) refers to a threat of abuse or actual psychological, physical, and/or sexual abuse perpetrated by a former or current intimate partner. IPV is an important public health issue that crosses socioeconomic lines. Approximately 4.8 million women experience physical or sexual assault perpetrated by their intimate partner each year in the US. There are no reliable statistics for how many women suffer psychological abuse, but the numbers are likely much higher. Physical, psychological, or sexual injuries can have wide ranging effects, including increased mortality. Although it has been firmly established that ...
Assessing Barriers To Utilization Of Adult Day Care Centers In A Rural County, 2010 University of Vermont
Assessing Barriers To Utilization Of Adult Day Care Centers In A Rural County, William Ares, Michael Hart, Derek Huang, Laurel Karian, Maria Michael, Auna Otts, Donna Lafromboise-Perretta, Jill Jemison
Public Health Projects, 2008-present
Introduction: Adult Day Care programs provide cognitively or functionally impaired adults with medical, social, and therapeutic services as well as offer valuable respite and education to family caregivers. The Visiting Nurse Association’s Adult Day program manages three centers that offer these services and are located in Colchester, Williston, and South Burlington. We have explored the underutilization of these centers by comparing variables such as demographics, services provided, referrals, transportation constraints, and satisfaction surveys between centers and to national success guidelines for adult day services.
Emergency And Scheduled Respite Care For Caregivers Of Persons With Dementia: A Model, 2010 University of Vermont
Emergency And Scheduled Respite Care For Caregivers Of Persons With Dementia: A Model, Piyush Gupta, Benjamin King, Katherine Mcbride, Damoon Rejaei, Jennifer Springer, Tyler Stewart, Diana Swett, William Pendlebury, Linda Martinez
Public Health Projects, 2008-present
Background: As the population of elderly citizens in the U.S. continues to expand paralleled by an increase in the prevalence of dementia, the role of respite care within the healthcare system will increase in importance. Respite care is defined as providing the primary caregiver with relief, or a reprieve, from care commitments on a short-term or emergency basis. The need for caregiver respite is well-documented; has been shown to decrease emotional stress,burnout, anxiety and depression; and is considered vital to the overall well-being of the caregiver. While studies have shown that respite care is effective, there is an ...
Assessing Health Concerns & Obstacles To Diesel Exposure Reduction In Vermont Diesel Vehicle Operators, 2010 University of Vermont College of Medicine
Assessing Health Concerns & Obstacles To Diesel Exposure Reduction In Vermont Diesel Vehicle Operators, Melissa Marotta, Renee Bratspis, Maria Furman, Brett Porter, Joseph Yared, William Timbers, Quillan Huang, Rebecca Ryan, Gerald S. Davis, Jan Carney
Public Health Projects, 2008-present
Background and Objectives: Diesel vehicle idling reduction is an important national environmental and legislative issue. Exposure to diesel exhaust is associated with significant morbidity and mortality, including: • Lung & esophageal cancer • Asthma • Cardiovascular disease • Neurotoxicity • Decreased sperm count & testosterone deficiency Drivers of diesel vehicles have specifically been shown to have increased incidence and death from lung cancer. Diesel engines emit a number of known hazardous chemicals, including carbon monoxide, nitric oxide, sulfur dioxide, benzene, formaldehyde, and acrolein, into the air supply. While public health efforts to reduce diesel idling in Vermont and elsewhere have identified employers’ significant financial incentives in fuel ...
Analysis Of Primary Risk Factors For Oral Cancer From Us States With Increasing Rates, 2010 University of Nevada, Las Vegas
Analysis Of Primary Risk Factors For Oral Cancer From Us States With Increasing Rates, Anthony Bunnell, Nathan Pettit, Nicole Reddout, Kanika Sharma, Susan O'Malley, Michelle Chino, Karl Kingsley
Public Health Faculty Publications
To examine the primary risk factor for oral cancer in the US, smoking and tobacco use, among the specific US states that experienced short-term increases in oral cancer incidence and mortality.
Population-based data on oral cancer morbidity and mortality in the US were obtained from the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results (SEER) database for analysis of recent trends. Data were also obtained from the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS) to measure current and former trends of tobacco usage. To comprehensive measures of previous state tobacco ...
Prescriptions For Excellence In Health Care Winter 2009 Download Pdf Of Full Issue, 2010 Thomas Jefferson University
Prescriptions For Excellence In Health Care Winter 2009 Download Pdf Of Full Issue
Prescriptions for Excellence in Health Care Newsletter Supplement
No abstract provided.
Foreclosure And Health Status, 2010 University of Pennsylvania
Foreclosure And Health Status, Craig Evan Pollack, Julia Lynch, Dawn Alley, Carolyn Cannuscio
In 2009, more than 2.8 million housing units in the U.S. received a foreclosure notice. That represents about 1 in every 45 properties and a 120% increase in the number of foreclosed properties since 2007. Real estate experts predict even more foreclosures in 2010 as high unemployment continues. The cascading effects of the foreclosure crisis on the U.S. economy are all too clear; the effects on individuals’ health status are less obvious. This Issue Brief summarizes two studies that examine the health implications of foreclosure and reveal a vulnerable population that may benefit from coordinated health and ...
Arborist Dies After Fall From Tree, 2010 University of Kentucky
Arborist Dies After Fall From Tree, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Falls
A 30-year old arborist was hired by a private resident to remove trees from a yard. At approximately 5:00 PM, the arborist, along with a ground person, arrived at the residence. The arborist donned climbing spurs, and a tree climbing saddle then spoke briefly with the homeowner. With the climbing line and spurs, the arborist climbed the first tree. After trimming limbs from the tree trunk, the arborist began cutting the tree trunk one section at a time. There was a power line near the trees. The arborist was working at the fork of the tree and had cut ...
Development Of The Lung Function Questionnaire (Lfq) To Identify Airflow Obstruction, 2010 Baylor College of Medicine
Development Of The Lung Function Questionnaire (Lfq) To Identify Airflow Obstruction, Barbara P. Yawn, Douglas W. Mapel, David M. Mannino, Fernando J. Martinez, James F. Donohue, Nicola A. Hanania, Mark Kosinski, Regina Rendas-Baum, Matthew Mintz, Steven Samuels, Anand A. Dalal
David M. Mannino
To describe the item-selection and item-reduction for the Lung Function Questionnaire (LFQ), being developed to help clinicians identify patients appropriate for diagnostic evaluation for chronic obstructive pulmonary disease (COPD) using spirometry.
Item selection and reduction were based on information from 387 ≥40-year-old respondents to the third National Health and Nutrition Examination Survey who had self-reported chronic bronchitis. Item reduction involved stepwise logistic regression. The accuracy of the final subset of items for identifying individuals with airflow obstruction (forced expiratory volume in one second/forced vital capacity <0.70) versus those without it was assessed with receiver operating characteristic analysis. Content and face validity were assessed using focus groups of primary care physicians (n = 16) and interviews with COPD patients (n = 16).
The model with all five items (age; smoking history; the presence ...0.70)>
The Medical Education Of Physicians, 2010 George Washington University
The Medical Education Of Physicians, Jonathan Saxton
National Health Policy Forum
This background paper provides a descriptive overview of the process of education, licensing, certification, and continuing education involved in becoming and continuing to practice as a physician.
Team Semi Driver Dies After Rig Is Struck By Impaired Driver, 2010 University of Kentucky
Team Semi Driver Dies After Rig Is Struck By Impaired Driver, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Motor Vehicle
During the early hours one fall morning, a husband and wife driving team were traveling west on a divided interstate highway. A concrete barrier separated the four east bound lanes from the four west bound lanes. The wife was driving while the husband was asleep in the sleeper berth. Driving conditions were dark and the pavement dry. They were traveling in the second lane from the median and there was a passenger car to the right of the semi in the third lane from the median traveling next to the front wheel well and bumper. The passenger car driver veered ...
The Economic Stimulus: Gauging The Early Effects Of Arra Funding On Health Centers And Medically Underserved Populations And Communities, 2010 George Washington University
The Economic Stimulus: Gauging The Early Effects Of Arra Funding On Health Centers And Medically Underserved Populations And Communities, Peter Shin, Brian K. Bruen, Emily Jones, Leighton C. Ku, Sara J. Rosenbaum
Geiger Gibson/RCHN Community Health Foundation Research Collaborative
During times of economic crisis, community health centers and other health care safety net providers become even more vital to the communities they serve. The current downturn, with its high levels of unemployment and enormous impact on family incomes, carries major implications for health insurance coverage. The American Recovery and Reinvestment Act (ARRA), signed into law on February 17, 2009, provided slightly more than two billion dollars to community health centers for capital improvements, expansion (or retention) of personnel and services, and adoption of health information technology. All of these uses not only support health centers' mission to serve populations ...
Comparative Efficacy Versus Effectiveness Of Initial Antiretroviral Therapy In Clinical Trials Versus Routine Care, 2010 University of Alabama at Birmingham
Comparative Efficacy Versus Effectiveness Of Initial Antiretroviral Therapy In Clinical Trials Versus Routine Care, Justin S. Routman, James H. Willig, Andrew O. Westfall, Sarah R. Abroms, Mohit Varshney, Sunil Adusumilli, Jeroan J. Allison, Karen G. Savage, Michael S. Saag, Michael J. Mugavero
Population and Quantitative Health Sciences Publications
BACKGROUND: The applicability of clinical trial findings (efficacy) to the routine care setting (effectiveness) may be limited because of study eligibility criteria and volunteer bias. Although well-chronicled in many conditions, the efficacy versus effectiveness of antiretroviral therapy (ART) remains understudied.
METHODS: A retrospective study of the University of Alabama at Birmingham 1917 Clinic Cohort evaluated ART-naive patients who started ART from 1 January 2000 through 31 December 2006. Patients received ART through clinical trials or routine care. Multivariable logistic and linear regression models were fit to evaluate factors associated with virological failure (virological failure was defined as a viral load ...
Smart Density: A More Accurate Method Of Measuring Rural Residential Density For Health-Related Research, 2010 Smart Mobility, Inc.
Smart Density: A More Accurate Method Of Measuring Rural Residential Density For Health-Related Research, Peter M. Owens, Linda Titus-Ernstoff, Lucinda Gibson, Michael L. Beach, Sandy Beauregard, Madeline A. Dalton
Open Dartmouth: Faculty Open Access Articles
Studies involving the built environment have typically relied on US Census data to measure residential density. However, census geographic units are often unsuited to health-related research, especially in rural areas where development is clustered and discontinuous. We evaluated the accuracy of both standard census methods and alternative GIS-based methods to measure rural density.
Findings From The Nevada Business Summit On Early Childhood Investment, 2010 Nevada Institute for Children’s Research and Policy
Findings From The Nevada Business Summit On Early Childhood Investment, Nevada Institute For Children’S Research And Policy, The United Way Of Southern Nevada, The Nevada Head Start State Collaboration, Early Childhood Comprehensive Systems Office, The Agassi Foundation, The Children’S Cabinet, Denise Tanata Ashby, Amanda Haboush
Nevada Institute for Children's Research and Policy Reports
On February 10, 2010, a partnership of the United Way of Southern Nevada, the UNLV Nevada Institute for Children’s Research and Policy, the Agassi Foundation for Education and the State of Nevada Head Start State Collaboration Office, with support from The Lincy Foundation, hosted the Nevada Business Summit on Early Childhood Investment. The summit met to discuss effective ways to invest in early childhood education and health, in hopes of creating solutions that would provide long term human capital development through early intervention. The summit tied issues of employment opportunities, job readiness and economic trends with the need to ...
Seasonal And Sex Variation Of High-Sensitivity C-Reactive Protein In Healthy Adults: A Longitudinal Study, 2010 University of Massachusetts - Amherst
Seasonal And Sex Variation Of High-Sensitivity C-Reactive Protein In Healthy Adults: A Longitudinal Study, David Chiriboga, Yunsheng Ma, Wenjun Li, Edward Stanek, James Hébert, Philip Merriam, Eric Rawson, Ira Ockene
Edward J. Stanek
Cross-sectional studies have reported seasonal variation in high-sensitivity C-reactive protein (hsCRP). However, longitudinal data are lacking. METHODS
We collected data on diet, physical activity, psychosocial factors, physiology, and anthropometric measurements from 534 healthy adults (mean age 48 years, 48.5% women, 87% white) at quarterly intervals over a 1-year period between 1994 and 1998. Using sinusoidal regression models, we estimated peak-to-trough amplitude and phase of the peaks. RESULTS
At baseline, average hsCRP was 1.72 mg/L (men, 1.75 mg/L; women, 1.68 mg/L). Overall seasonal variation amplitude was 0.16 mg/L (95% CI 0 ...
Factor Vii Deficiency And Pregnancy: A Case Report And Review Of Literature, 2010 Aga Khan University
Factor Vii Deficiency And Pregnancy: A Case Report And Review Of Literature, Syed Mohammad Asad Zaidi, Rahat Qureshi, Salman Naseem Adil
Department of Obstetrics & Gynaecology
Factor VII deficiency is one of the 'rare inherited disorders of coagulation.' Few cases of Factor VII deficiency have been reported during pregnancy, a state which could potentially cause fatal haemorrhage. Here we report a case of a pregnant lady with a history of heavy menorrhagia and multiple first pregnancy failures. Delivery was carried out via Caesarean section due to non-reassuring foetal heart monitoring. Patient was treated with Fresh Frozen Plasma (FFPs) and Factor VII concentrates, however, the patient developed bleeding postoperatively. Literature indicates that whilst Factor VII levels rise during pregnancy in normal women, no increase is seen in ...
Input Constraints And The Efficiency Of Entry: Lessons From Cardiac Surgery, 2010 University of Pennsylvania
Input Constraints And The Efficiency Of Entry: Lessons From Cardiac Surgery, David M. Cutler, Robert S. Huckman, Jonathan T. Kolstad
Health Care Management Papers
Prior studies suggest that with elastically supplied inputs free entry may lead to an inefficiently high number of firms in equilibrium. Under input scarcity, however, the welfare loss from free entry is reduced. Further, free entry may increase use of high-quality inputs, as oligopolistic firms underuse these inputs when entry is constrained. We assess these predictions by examining how the 1996 repeal of certificate-of-need (CON ) legislation in Pennsylvania affected the market for cardiac surgery in the state. We show that entry led to a redistribution of surgeries to higher quality surgeons, and that this entry was approximately welfare neutral.