Barbara Yawn

..This survey explores the attitudes, beliefs, and knowledge related to COPD recognition, diagnosis, and treatment from family physicians and nurse practitioners (NPs) and physician assistants (PAs) working in primary care...

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..Practice-based research network (PBRN) study investigators must interface with multiple Institutional Review Boards (IRBs), many of which are unfamiliar with PBRN research...

..To investigate presenting signs and symptoms of ovarian cancer and stage of tumor in a community cohort of women with the diagnosis of ovarian cancer...

..A large nationally diverse sample of asthma patients' self-assessment of severity is available but has not been analyzed to look at asthma severity from the patients' perspective...

..To understand when women's coronary heart disease (CHD) and CHD risk factors are recognized prior to first myocardial infarction (MI)...

..The ecology of medical care model may provide a useful framework to describe the use of health services in people with asthma compared to those without asthma and identify subgroups with apparent gaps in care...

..This review outlines some of the reasons why it is time to consider a 'whole body' approach to COPD, rather than clinicians continuing to address the lungs first and then each additional organ one at a time...

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..In 2005, school-based asthma work focused on two areas: identification of unrecognized asthma and management of under-treated asthma...

..To establish accurate, up-to-date, baseline epidemiological data for herpes zoster (HZ) before the introduction of the recently licensed HZ vaccine...

..While many patients with asthma and COPD are cared for by primary care practices, limited data are available on the use and results associated with spirometry in primary care...

..Family physicians should help their patients control allergic rhinitis and asthma during pregnancy, encouraging adherence to needed medications...

..And to compare the temporal trends in varicella vaccinations to trends of an older, more widely accepted vaccine, the MMR...

..The disparity in student and parent symptom reporting did not vary by age of the student. Students appear to provide the most sensitive measure of asthma-related problems...

..To assess the frequency and types of visits related to modifications in the intensity of asthma medications...

..Earlier recognition of CHD may be associated with higher levels of recognition and treatment of CHD risk factors that may delay incident AMI. To assess timing of CHD and CHD risk factor diagnoses prior to incident AMI...

..To compare the Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) as screening tools for postpartum depression...

..Neuropathic pain is reported to be common based on studies from specialty centers and survey studies. However, few prevalence estimates have been completed in a community population using clinical evaluation...

..This review outlines steps to aid physicians in devising and implementing an optimal management plan for COPD patients...

..IRR information should be required for all large medical records studies...

..Regular prophylaxis is seldom required, and treatment is initiated before planned invasive procedures or in response to bleeding...

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..To identify differences in time use during acute and chronic care visits...

..A better understanding of how time is spent during visits for asthma may facilitate the design of programs to enhance asthma disease management...

..Without further study, spirometry cannot be recommended for school-based asthma screening...

..The combination of standardized methodology and of the longitudinal data via the record linkage system of the Rochester Epidemiology Project will allow reliable measures of CHD trends and help define preventive strategies...

..The aim of this study was to evaluate the prevalence of COPD in a primary care setting in patients with a smoking history and self-reported chronic bronchitis symptoms...

..Although HRR has been tested in large populations, the short-term test-retest stability (reproducibility) of abnormal HRR for an individual has not been assessed...

..To develop a model for community-population- or health system-based registries of all patients with diagnosed hepatitis C, to facilitate clinical care and epidemiologic studies...

..To determine the health care follow-up and treatment associated with physician-diagnosed hepatitis C (HCV) in a community-based population...

..The purpose of this review is to discuss the potential benefit of mass screening for improving postpartum depression recognition and outcomes...

..This difference was constant over the time period. This twofold difference in brain metastases detected in women versus men with lung cancer deserves further evaluation and confirmation...

..Asthma is the most common chronic condition of childhood and a common reason for school absenteeism and use of school health services. Unrecognized but symptomatic childhood asthma may be adding to this school burden...

..In addition, generalists' recognition and treatment of potentially reversible contraindications to hepatitis C therapy could greatly increase the number of treatment candidates...

..Guideline dissemination and clinician education have met with variable success. School-based identification of children with potentially undertreated asthma may provide an alternative strategy for improving asthma management in children...

..However, differences in patient preference, cost, and safety of use during pregnancy may contribute to primary care physicians' selection of an INS therapy for their patients...

..We examined whether widespread use of laparoscopy was accompanied by increased diagnosis of asymptomatic endometriosis, inflated rates of diagnosis, or changes in the clinical spectrum of disease...

..This lack of information makes implementation of asthma care guidelines impossible. Therefore, these measures may be useful baseline quality indicators to begin the process of improving asthma care...

..The epidemic of heart failure has yet to be fully investigated, and data on incidence, survival, and sex-specific temporal trends in community-based populations are limited...

..CONCLUSIONS: In this community, 1 in 3 children have had a physician-documented recurrent wheezing-type illness, and 1 in 6 were diagnosed with asthma. Diagnoses rates were directly related to socioeconomic status...

..We reported an increased risk of serious pneumococcal disease (SPD) among patients with asthma. It is not known whether this is true for patients with other atopic conditions...

..This article gives one example of participatory research used to help translate asthma guidelines into primary care in rural Minnesota practices...

..Primary pediatric health care providers who routinely perform developmental screening need to consider this relationship when interpreting developmental screening results and offer supportive and referral services to families as needed...

..4; 95% confidence interval, 0.1-1.0; P = .044). The data highlight the problems working parents have in accessing health care during usual working hours and the potential value of convenient health care programs...

..In 2000, the definition of myocardial infarction (MI) changed to rely on troponin rather than creatine kinase (CK) and its MB fraction (CK-MB). The implications of this change on trends in MI incidence and outcome are not defined...

..HOUSES may be a useful surrogate measure of individual SES in epidemiologic research, especially when SES measures for individuals are not available...

..69) and age greater than 40 years (OR = 2.32 per decade). In conclusion, in this Midwestern community, chronic HBV infection was predominantly seen in immigrants from endemic parts of the world...

..This suggests that improved survival after MI is unlikely to be a major contributor to the heart failure epidemic...

..181) from 1987 to 1994, while the incidence of diabetes increased (p = 0.033). Thus, the authors conclude that the increase in diabetes incidence accelerated over the last quinquennium and was not due to increased surveillance...

..Stroke is associated with a large increase in the risk for death after MI...

..To assess bias in parent reports of asthma status of children and detection bias of medical records-based asthma ascertainment and to examine effects of such bias on the association between asthma status and infections...

..To determine whether physicians' satisfaction in clinical encounters with ethnic immigrant patients differs from satisfaction in clinical encounters with white patients in the local community...

..These findings point to the need for additional research to further elucidate the determinants of patient satisfaction...

..Individuals with asthma have been reported to be at increased risk of invasive pneumococcal disease (IPD). These findings need to be confirmed in a different population-based study setting...

..Our data suggest that the prevalence of PSC in the United States, with its attendant medical burdens, is significantly greater than previously estimated...

..At the midpoint of a large clinical trial taking place in a practice-based research network (PBRN), we asked leaders of the enrolled practices about the impact of participating in a PBRN study...

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..The relationship between electrocardiographic unrecognized myocardial infarction (UMI), abnormal functional status, echocardiographic abnormalities, and mortality has not been evaluated...

..We sought to summarize the rationale behind the various UMI-ECG definitions and to suggest an approach to develop uniform criteria...

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..Patient involvement in the choice of antihyperglycemic agents could improve adherence and optimize glycemic control in patients with type 2 diabetes mellitus...

..However, little is known about translating the findings from CER into routine practice such that it provides value to the patients, clinicians, and the healthcare system...

..We sought to evaluate the effect of ECG-MI criteria and study methodology on the prevalence of unrecognized myocardial infarction (UMI) and to identify the optimal ECG-MI criteria for UMI detection in epidemiologic studies...

..We wanted to quantify how the location in which medical care is delivered in the United States varies with the sociodemographic characteristics and health care arrangements of the individual person...

..The consequences of this variance from guideline recommendations are not well described...

..It uses a symptom-based approach, and includes original questionnaires and diagnostic guides to help the primary care clinician proceed systematically through the diagnostic process...

..The US experienced a shortage of varicella vaccine in 2002, leading to the concerns about its impact...

..001). CONCLUSION: More than 1 in 5 people with chronic pain did not seek physician care for their pain. This group is unknown to physicians and therefore represents an unreported patient group with an unmet need for pain care...

..The objectives of this study are to evaluate the effect of VFC on physician reported referral of children to public health clinics and on doses administered in the public sector...

..Pain is poorly understood on a population level. This study provides updated estimates of the prevalence, location, severity, and impact of pain in a U.S. community and discusses current definitions of "chronic" pain...

..Despite the apparent protective effect of farm residence, asthma remains a significant public health issue among rural Minnesota adolescents...

..B recommendation) Current evidence is insufficient to assess the balance of benefits and harms of routine screening in asymptomatic adults with blood pressure of 135/80 mm Hg or lower. (I statement)...

..Many people with hepatitis C receive all or most of their care from primary care physicians, yet little information exists about the practice patterns, knowledge, and beliefs and attitudes of family physicians related to hepatitis C...

..The SQ, obtained by directly screening students, may provide a sensitive approach for detecting children with previously undiagnosed asthma and allergies...

..Grade A recommendation.) Do not screen for asymptomatic bacteriuria in men and nonpregnant women. (Grade D recommendation.)...

..Although clinical practice guidelines have been developed for COPD, their influence on primary care practice is unclear...

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..B recommendation) Current evidence is insufficient to assess the balance of benefits and harms of behavioral counseling to prevent STIs in non-sexually active adolescents and in adults not at increased risk for STIs. (I statement)...

..D recommendation). The USPSTF concludes that the evidence is insufficient to assess the benefits and harms of computed tomographic colonography and fecal DNA testing as screening modalities for colorectal cancer. (I statement)...