Cambridge Health Alliance
Organization: Cambridge Health Alliance
- Impact of patient language proficiency and interpreter service use on the quality of psychiatric care: a systematic reviewAmy M Bauer
Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA 02139, USA
Psychiatr Serv 61:765-73. 2010..This literature review examined the effects of patients' limited English proficiency and use of professional and ad hoc interpreters on the quality of psychiatric care...
- When is antipsychotic polypharmacy supported by research evidence? Implications for QIJessica L Goren
University of Rhode Island, Kingston, Rhode Island, USA
Jt Comm J Qual Patient Saf 34:571-82. 2008..Although this has often been cited as a potential quality-of-care problem, reviews of research evidence on antipsychotic polypharmacy have not distinguished between appropriate versus inappropriate use...
- Blood pressure in firefighters, police officers, and other emergency respondersStefanos N Kales
Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology EOME, Harvard School of Public Health, Boston, Massachusetts, USA
Am J Hypertens 22:11-20. 2009....
- Discussions about preventive services: a qualitative studyKaren E Lasser
Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, MA, USA
BMC Fam Pract 9:49. 2008..Elderly minority patients are less likely to receive influenza vaccination and colorectal cancer screening than are other patients. Communication between primary care providers (PCPs) and patients may affect service receipt...
- Regional public health emergency preparedness: the experience of Massachusetts Region 4bJohn Grieb
Regional Preparedness Health Planning, Advanced Practice Center for Emergency Preparedness, Cambridge Public Health Department, Cambridge, MA 02139, USA
Public Health Rep 123:450-60. 2008..It also examines the organizational, financial, and planning challenges associated with organizing these towns as a unified entity...
- Multicultural psychiatric education: using the DSM-IV-TR Outline for Cultural Formulation to improve resident cultural competenceTreniece Lewis Harris
Department of Psychiatry, Cambridge Health Alliance Harvard Medical School, Cambridge, MA 02139, USA
Acad Psychiatry 32:306-12. 2008..The authors present a 9-week multicultural competence course organized around the DSM-IV-TR Outline for Cultural Formulation...
- Coping with youth suicide and overdose: one community's efforts to investigate, intervene, and prevent suicide contagionKaren Hacker
Institute for Community Health, Cambridge, MA 02141, USA
Crisis 29:86-95. 2008..This collaborative approach to suicide contagion used existing resources and provides important lessons learned for other communities facing similar circumstances...
- Sources of U.S. physician income: the contribution of government payments to the specialist-generalist income gapKaren E Lasser
Department of Medicine, The Cambridge Health Alliance and Harvard Medical School, Cambridge, MA 02139, USA
J Gen Intern Med 23:1477-81. 2008..Physician income varies threefold among specialties. Lower incomes have produced shortages in primary care fields...
- Barriers to colorectal cancer screening in community health centers: a qualitative studyKaren E Lasser
Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
BMC Fam Pract 9:15. 2008..The purpose of this study was to describe barriers to/facilitators of colorectal cancer screening among diverse patients served by community health centers...
- Access to clinical care via clinical trials: is it ethically possible?Paul L Romain
Division of Rheumatology, Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA 02139, USA
Nat Clin Pract Rheumatol 4:166-7. 2008
- Diagnostic and sex effects on limbic volumes in early-onset bipolar disorder and schizophreniaJean A Frazier
Department of Psychiatry, Harvard Medical School, Massachusetts, USA
Schizophr Bull 34:37-46. 2008..The limbic structures in early-onset schizophrenia-spectrum illness (SZ) and bipolar disorder (BPD) were studied to discern patterns associated with diagnosis and sex...
- Psychosocial rehabilitation: a newcomer's eyeMiriam C Tepper
Department of Psychiatry, Cambridge Health Alliance, 26 Central Street, Somerville, MA 02143, USA
Psychiatr Serv 58:1116-8. 2007..The challenges and rewards of this approach for clinicians in training are also highlighted...
- One-on-OnePieter Cohen
Cambridge Health Alliance, Harvard Medical School, Somerville, MA 02143, USA
J Gen Intern Med 22:1480. 2007
- Approaching the mind in clinical interviewing: the techniques of soundings and counterprojectionLeston Havens
Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Psychiatr Clin North Am 30:145-56. 2007....
- Lifetime and during pregnancy experience of violence and the risk of low birth weight and preterm birthLise E Fried
Institute for Community Health, Cambridge, MA 02141, USA
J Midwifery Womens Health 53:522-8. 2008..The findings suggest that married women in certain populations may experience more frequent or more severe experience of violence than unmarried women...
- Prolyl isomerase Pin1 is highly expressed in Her2-positive breast cancer and regulates erbB2 protein stabilityPrudence B Lam
Cancer Biology Program, Division of Hematology Oncology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, NRB 1030c, Boston, MA 02215, USA
Mol Cancer 7:91. 2008..The goal of this study was to examine the expression of prolyl isomerase Pin1 in human Her2+ breast cancer, and to study if Pin1 affects the expression of Her2/Neu itself...
- Imported fenproporex-based diet pills from Brazil: a report of two casesPieter A Cohen
Department of Internal Medicine, Cambridge Health Alliance, Cambridge, MA, USA
J Gen Intern Med 24:430-3. 2009..Increasing physicians' awareness of imported diet pill use may improve care of patients suffering from the pills' many adverse effects...
- Safety of herbal supplements: a guide for cardiologistsPieter A Cohen
Harvard Medical School, Cambridge Health Alliance, Somerville, MA 02143, USA
Cardiovasc Ther 28:246-53. 2010..We review clinically relevant patterns of adverse cardiovascular reactions to herbal supplements, and we provide resources and recommendations for practicing cardiologists evaluating patients with suspected herbal adverse effects...
- Tackling the global mental health challenge: a psychosomatic medicine/consultation-liaison psychiatry perspectiveAmy M Bauer
Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge St, Cambridge, MA 02139, USA
Psychosomatics 51:185-93. 2010..Consultation-liaison (C-L) psychiatry, informed by principles of psychosomatic medicine, is well-positioned to address the global impact of mental disorders through primary care C-L models...
- Phoenix Rising: use of a participatory approach to evaluate a federally funded HIV, hepatitis and substance abuse prevention programEileen Dryden
Institute for Community Health, 163 Gore Street, Cambridge, MA 02141, USA
Eval Program Plann 33:386-93. 2010..This approach has helped to build the capacity of a program and stimulated new possibilities for learning, growing, and ultimately improving the services offered to those the program strives to reach...
- A meta-analysis of performance on emotion recognition tasks in Parkinson's diseaseHeather M Gray
Division on Addictions, Cambridge Health Alliance, Harvard Medical School, 101 Station Landing, Suite 2100, Medford, MA 02155, USA
Neuropsychology 24:176-91. 2010..We highlight the potential implications of these findings for communication abilities in PD...
- Low-dose amitriptyline for treatment of persistent arm pain due to repetitive useRose H Goldman
Cambridge Health Alliance, Cambridge, MA 02139, USA
Pain 149:117-23. 2010..Future research is needed to explore the effects of higher doses and longer duration of treatment...
- Trauma informed care on an inpatient pediatric psychiatric unit and the emergence of ethical dilemmas as nurses evolved their practiceKathleen Regan
Cambridge Health Alliance, Cambridge, Massachusetts 02193, USA
Issues Ment Health Nurs 31:216-22. 2010..Discussion of the use of the American Nursing Association's (ANA, 2001 ) Nursing Code of Ethics with Interpretive Statements is highlighted for its relevance and support of the nurses experiencing the ethical dilemmas...
- Healthy Living Cambridge Kids: a community-based participatory effort to promote healthy weight and fitnessVirginia R Chomitz
Institute for Community Health, Cambridge Health Alliance, Cambridge, Massachusetts, USA
Obesity (Silver Spring) 18:S45-53. 2010..The CBPR approach facilitated sustaining policies and program elements postintervention in this diverse community...
- Hospital computing and the costs and quality of care: a national studyDavid U Himmelstein
Department of Medicine, Cambridge Hospital Harvard Medical School, Cambridge, MA 02139, USA
Am J Med 123:40-6. 2010..However, no previous studies have examined computerization's cost and quality impacts at a diverse national sample of hospitals...
- Decrease in as-needed sedative use by limiting nighttime sleep disruptions from hospital staffMelissa C Bartick
Department of Medicine, Harvard Medical School, Cambridge Health Alliance, Cambridge, Massachusetts 02139, USA
J Hosp Med 5:E20-4. 2010..Sedatives promote sleep, but increase the risk of delirium and falls. Few interventional trials have studied sleep promotion in medical-surgical units and little is known about its impact on sedative use...
- Training and working in high-stakes environments: lessons learned and problems shared by aviators and surgeonsSteven D Schwaitzberg
Department of Surgery, Cambridge Health Alliance, Cambridge Massachusetts 02139, USA
Surg Innov 16:187-95. 2009..In doing so, surgeons may find reinvigorated commitment through study of the aviation industry's established methods of training and practice...
- Is there a relationship between physical fitness and academic achievement? Positive results from public school children in the northeastern United StatesVirginia R Chomitz
Institute for Community Health, Lecturer on Medicine, Harvard Medical School, Boston, MA 02141, USA
J Sch Health 79:30-7. 2009..To determine relationships between physical fitness and academic achievement in diverse, urban public school children...
- Natural remedies for anxiety disorders: potential use and clinical applicationsGustavo Kinrys
Depression and Anxiety Disorders Research Program, Cambridge Health Alliance, Cambridge, Massachusetts, USA
Depress Anxiety 26:259-65. 2009..Natural remedies have been widely used and generally accepted as established treatments of depressive disorders, leading to the investigation of their potential role and efficacy in the treatment of the various anxiety disorders...
- An in-group advantage in detecting intergroup anxietyHeather M Gray
Boston University School of Public Health, Boston, MA, USA
Psychol Sci 19:1233-7. 2008..These results suggest that White and Black Americans may have difficulty developing a sense of shared emotional experience...
- Lactation safety recommendations and reliability compared in 10 medication resourcesMonica Akus
Department of Pharmacy, Cambridge Health Alliance, Somerville, MA 02143, USA
Ann Pharmacother 41:1352-60. 2007..Mothers and physicians often depend on pharmacists for accurate drug information. Their information is only as good as the sources available to them...
- Hematopoietic toxicity from lead-containing Ayurvedic medicationsStefanos N Kales
Department of Medicine, Cambridge Health Alliance, Cambridge, MA 02139, USA
Med Sci Monit 13:CR295-8. 2007..These medications are increasingly associated with lead poisoning, often accompanied by anemia. We compared the relative hematopoietic toxicity of Ayurvedic lead poisoning with a common form of occupational lead poisoning...
- Missed appointment rates in primary care: the importance of site of careKaren E Lasser
Department of Medicine, Harvard Medical School and the Cambridge Health Alliance, MA, USA
J Health Care Poor Underserved 16:475-86. 2005..Receipt of primary care services at specific neighborhood health centers was the strongest predictor of missed appointment rates in this sample...
- Applying a transtheoretical behavioral change model to HIV/STD and pregnancy prevention in adolescent clinicsKaren Hacker
Institute for Community Health, Cambridge, Massachusetts 02139, USA
J Adolesc Health 37:S80-93. 2005..To evaluate the application of a transtheoretical model (TTM) of behavioral change to adolescent reproductive health counseling...
- Anticonvulsants in anxiety disordersGustavo Kinrys
Anxiety Disorders Research Program, Cambridge Health Alliance Harvard Medical School, Department of Psychiatry, Cambridge, MA 02139, USA
Curr Psychiatry Rep 7:258-67. 2005..This article reviews past and current research being done in this novel area of psychopharmacology...
- Structural brain magnetic resonance imaging of limbic and thalamic volumes in pediatric bipolar disorderJean A Frazier
Child and Adolescent Neuropsychiatric Research Program, Cambridge Health Alliance Mystic Center, 1493 Cambridge Street, Cambridge, MA 02139, USA
Am J Psychiatry 162:1256-65. 2005..On the basis of adult studies, the authors hypothesized a priori that youths with bipolar disorder would have amygdalar, hippocampal, and thalamic volume abnormalities...
- Childhood sexual abuse and adult defensive functioningKelley L Callahan
Victims of Violence Program, Harvard Medical School, The Cambridge Health Alliance, Somerville, MA, USA
J Nerv Ment Dis 193:473-9. 2005..This defensive style likely contributes to the greater difficulties in interpersonal functioning and psychological problems in adulthood...
- Adverse health behaviors and the detection of partner violence by cliniciansMegan R Gerber
Cambridge Health Alliance, Cambridge, Mass, USA
Arch Intern Med 165:1016-21. 2005..By estimating the predicted probability of 12-month and lifetime IPV for a given patient based on whether she presents with these conditions, our study gives clinicians information that can help them identify patients at risk for IPV...
- Illness and injury as contributors to bankruptcyDavid U Himmelstein
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) . 2005..7 percent had insurance at the onset of illness. Medical debtors were 42 percent more likely than other debtors to experience lapses in coverage. Even middle-class insured families often fall prey to financial catastrophe when sick...
- Acute chemical emergenciesStefanos N Kales
Cambridge Health Alliance, Department of Medicine, Occupational and Environmental Health, Harvard Medical School, Cambridge, Mass 02139, USA
N Engl J Med 350:800-8. 2004
- Firefighters and on-duty deaths from coronary heart disease: a case control studyStefanos N Kales
The Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
Environ Health 2:14. 2003..Coronary heart disease (CHD) is responsible for 45% of on-duty deaths among United States firefighters. We sought to identify occupational and personal risk factors associated with on-duty CHD death...
- Do women who screen positive for mental disorders in primary care have lower mammography rates?Karen E Lasser
Department of Medicine, The Cambridge Health Alliance and Harvard Medical School, Cambridge, MA, USA
Gen Hosp Psychiatry 25:214-6. 2003..Screening for mental disorders in primary care does not appear to identify women at risk for nonreceipt of mammography...
- National health insurance or incremental reform: aim high, or at our feet?David U Himmelstein
Department of Medicine, Cambridge Hospital Harvard Medical School, Mass, USA
Am J Public Health 93:102-5. 2003..While national health insurance is often dismissed as ultra left by the policy community, it is dead center in public opinion. Polls have consistently shown that at least 40%, and perhaps 60%, of Americans favor such reform...
- Do minorities in the United States receive fewer mental health services than whites?Karen E Lasser
Department of Medicine, Cambridge Hospital, MA 02139, USA
Int J Health Serv 32:567-78. 2002..6 vs. 85.1; P < .0001 for both comparisons) and drug therapy (38.3 and 29.1 vs. 71.8; P < .0001 for both comparisons). These results indicate that minorities receive about half as much outpatient mental health care as whites...
- Male sexual dysfunction associated with antiretroviral therapyAmy E Colson
Channing Laboratory, Brigham and Women s Hospital and Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA
J Acquir Immune Defic Syndr 30:27-32. 2002..69; 95% CI, 0.84-3.37; p =.14), nelfinavir (HR, 1.53; 95% CI, 0.66-3.54; p =.32) and saquinavir (HR, 1.25; 95% CI, 0.53-2.96; p =.60). We conclude that PIs, especially ritonavir, appear to increase the risk of sexual dysfunction...
- How and why community hospital clinicians document a positive screen for intimate partner violence: a cross-sectional studyMegan R Gerber
Harvard Medical School, Cambridge Health Alliance, Cambridge, MA, USA
BMC Fam Pract 6:48. 2005..This two-part study examines primary care clinicians' chart documentation and attitudes when confronted by a positive waiting room screen for intimate partner violence (IPV)...
- [Anxiety disorders in women: does gender matter to treatment?]Gustavo Kinrys
Programa de Pesquisa dos Transtornos de Ansiedade, Cambridge Health Alliance, Cambridge, MA 02139, USA
Rev Bras Psiquiatr 27:S43-50. 2005..This article reviews the prevalence, epidemiology, and phenomenology of the major anxiety disorders in women, as well as the implications of such differences for treatment...
- Cortical gray matter differences identified by structural magnetic resonance imaging in pediatric bipolar disorderJean A Frazier
Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Bipolar Disord 7:555-69. 2005..Cortical gray matter (GM) volume deficits have been reported in some studies of adults with BPD; this study assessed the presence of such deficits in children with BPD...
- Adjunctive zonisamide for treatment refractory anxietyG Kinrys
Anxiety Disorders Research Program, Cambridge Health Alliance, Cambridge, MA, USA
Int J Clin Pract 61:1050-3. 2007..Larger and controlled studies are warranted to confirm these preliminary findings...
- The Harvard Medical School-Cambridge integrated clerkship: an innovative model of clinical educationBarbara Ogur
Harvard Medical School Cambridge Integrated Clerkship, Harvard Medical School, Boston, Massachusetts, Cambridge 02139, USA
Acad Med 82:397-404. 2007....
- Emergency duties and deaths from heart disease among firefighters in the United StatesStefanos N Kales
Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02139, USA
N Engl J Med 356:1207-15. 2007..Heart disease causes 45% of the deaths that occur among U.S. firefighters while they are on duty. We examined duty-specific risks of death from coronary heart disease among on-duty U.S. firefighters from 1994 to 2004...
- What works, when, and why: an outcome study of psychodynamic psychotherapyRebecca Drill
Department of Psychiatry, The Cambridge Hospital, Harvard Medical School, USA
J Am Psychoanal Assoc 54:1353-7. 2006
- Empirical evidence for the use of lithium and anticonvulsants in children with psychiatric disordersMelissa Lopez-Larson
Department of Psychiatry, Harvard Medical School, USA
Harv Rev Psychiatry 14:285-304. 2006....
- Hyperthyroidism associated with topiramate treatmentJessica L Goren
University of Rhode Island, Cambridge Health Alliance and Harvard Harvard Medical School, Somerville, MA, USA
Psychosomatics 47:529-30. 2006
- Medication reconciliation at Cambridge Health Alliance: experiences of a 3-campus health system in MassachusettsMelissa Bartick
Harvard Medical School, MA, USA
Am J Med Qual 21:304-6. 2006
- Developmental differences in risk factors for suicide attempts between ninth and eleventh gradersKaren A Hacker
Institute for Community Health, Cambridge Health Alliance, Cambridge, MA 02141, USA
Suicide Life Threat Behav 36:154-66. 2006..The differences detected are consistent with developmental changes of adolescence and represent important information for identification of at-risk youth...
- The case manager's viewSuzanne M Burke
Cambridge Health Alliance in Cambridge, Massachusetts, USA
J Clin Ethics 17:83-4. 2006
- Elevated urine arsenic: un-speciated results lead to unnecessary concern and further evaluationsStefanos N Kales
Department of Medicine, Cambridge Health Alliance, Macht Building, 1493 Cambridge Street, Cambridge, MA 02139, USA
J Anal Toxicol 30:80-5. 2006..Laboratories should reflexively perform speciation on most samples with elevated total arsenic concentrations prior to reporting the results. Reflexive speciation could reduce unnecessary referrals, further testing, and patient anxiety...
- Levetiracetam for treatment-refractory posttraumatic stress disorderGustavo Kinrys
Anxiety Disorders Research Program, Cambridge Health Alliance, Cambridge, MA 02139, and the Department of Psychiatry, Harvard Medical School, Boston, MA, USA
J Clin Psychiatry 67:211-4. 2006..To assess the use of levetiracetam, a novel anticonvulsant agent, in the treatment of refractory posttraumatic stress disorder (PTSD)...
- Adherence to black box warnings for prescription medications in outpatientsKaren E Lasser
Department of Medicine, Cambridge Health Alliance and Harvard Medical School, Cambridge, Mass, USA
Arch Intern Med 166:338-44. 2006..Our objectives were to determine how frequently clinicians prescribe drugs in violation of black box warnings for these issues and to determine how frequently such prescribing results in harm...
- Paradigm shifts in inpatient psychiatric care of children: approaching child- and family-centered careKathleen M Regan
Child Assessment Unit of Cambridge Hospital, Cambridge, Massachusetts, USA
J Child Adolesc Psychiatr Nurs 19:29-40. 2006..The changes in structures and policies that the unit adopted are described, with specific examples cited as illustrations of the components of this care...
- Timing of new black box warnings and withdrawals for prescription medicationsKaren E Lasser
Department of Medicine, Cambridge Hospital, Cambridge, MA 02139, USA
JAMA 287:2215-20. 2002..Recently approved drugs may be more likely to have unrecognized adverse drug reactions (ADRs) than established drugs, but no recent studies have examined how frequently postmarketing surveillance identifies important ADRs...
- BRAIN ANATOMIC MRI IN CHILDHOOD BIPOLAR DISORDERJean Frazier; Fiscal Year: 2002..By allowing the Candidate to focus time and energy on acquiring the necessary skills, the Award is an important step in her goal to pursue independent research in neuroimaging of childhood mania. ..
- TREATMENT OF EARLY ONSET SCHIZOPRENIA SPECTRUM (TEOSS)Jean Frazier; Fiscal Year: 2005..This study will provide information about the comparative effectiveness of the most commonly used and representative antipsychotic drugs in youth with schizophrenia spectrum disorders. ..
- Foster Care Youth: The Consequences of Abuse and NeglectJusteen Hyde; Fiscal Year: 2007..This project will provide depth to current understandings of the consequences of abuse and neglect on adolescents in foster care. Study findings will be widely disseminated to a range of key stakeholders. ..