Abstract:
OBJECTIVE:To evaluate a community-based, not-for-profit medical group's effectiveness with diabetic management while using an electronic medical record and financial incentives. DESIGN:Descriptive retrospective study over 2 years with published reference standards. METHODS:There were 5,316 diabetic patients in the medical group (MG) compared with 5,069 diabetic patients reported in the literature (CT). The main outcome measures included serum hemoglobin A1C (HbA1C), total (TC), low density lipoprotein (LDL-C) and high density lipoprotein (HDL-C) cholesterol, and clinic measures of systolic (SBP) and diastolic blood pressure. We determined a mean 10-year composite multivariable cardiovascular risk score based upon these parameters. RESULTS:The mean MG serum HbA1C (7.10+/-0.02; 8.18+/-0.23%), TC (193.2+/-0.64; 218.3+/-6.09 mg/dl), LDL-C (109.2+/-0.52; 137.8+/-4.24 mg/dl), and SBP (132.8+/-0.25; 141.6+/-2.36 mmHg) were below those for the CT (p<0.001). The MG mean overall coronary heart disease risk of 14.9+/-1.4% over 10 years was below that for the CT group of 22.7+/-2.3%, representing a 34.7+/-4.4% reduction (p<0.0002). The electronic medical record and the use of a financial award may have contributed to these results. CONCLUSION:Improvement of cardiovascular risk variables can be achieved in the primary care setting. Electronic tools and incentives may facilitate this improvement.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Reed HL,Bernard Edoi
10.3402/ijch.v64i1.17951subject
Has Abstractpub_date
2005-02-01 00:00:00pages
26-37issue
1eissn
1239-9736issn
2242-3982journal_volume
64pub_type
杂志文章abstract:BACKGROUND:Rickets was first described in the 17th century and vitamin D deficiency was recognized as the underlying cause in the early 1900s. Despite this long history, vitamin D deficiency remains a significant health concern. Currently, vitamin D supplementation is recommended in Canada for breast fed infants. There...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.20244
更新日期:2013-04-16 00:00:00
abstract:OBJECTIVES:To compare 3 questionnaires used to evaluate early developmental problems, emotional disturbances and competence in 18-month-old infants. STUDY DESIGN:A follow-up study with parents of infants 8 to 36 months of age who responded to a developmental questionnaire. METHODS:Fifty infants (18 months of age) wer...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i4.17365
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:The rapid increase in the prevalence of type 2 diabetes (T2D) has created an urgent need to develop new practices to prevent and treat it. One possibility is to provide specialists services to remote areas through videoconferencing (VC). Therefore, the aim was to study the feasibility of short-term group cou...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i5.17688
更新日期:2010-12-01 00:00:00
abstract::Inuit women's perceptions of health risks from potential contamination in the arctic food chain were investigated in 1995 through in-depth interviews with 47 women in a Canadian arctic community. This number represents 34% of the eligible participants in the population of the research community. Many of these Inuit wo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:The aim of this preliminary study was to investigate how commonly child-psychiatric inpatients have experienced and seen violence, and whether children with developmental disorders are at an increased risk for such traumatic events. METHODS:The sample consisted of 41 patients, 29 boys and 12 girls, with a m...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i0.17502
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:To describe the background, approach and general results of the Center for Alaska Native Health Research (CANHR) study. STUDY DESIGN:This was a cross-sectional Community-Based Participatory Research (CBPR) study with one tribal group to assess risk and protection for obesity and the risk factors related to ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v66i1.18219
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:To estimate the age specific prevalence of diagnosed type 2 diabetes mellitus (T2DM) in Greenland in 2008, and to evaluate the influence of electronic database access on the quality of the clinical management of the disease. STUDY DESIGN:Observational and cross-sectional study, review of medical records and...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v68i1.18296
更新日期:2009-02-01 00:00:00
abstract:AIM:The aim of this study was to analyse how changes in housework over the course of adulthood are related to somatic health in Swedish men and women. METHODS:Data were drawn from 2 waves of the Northern Swedish Cohort Study, response rate 94.3%, N=1,001. A subsample of cohabiting individuals was selected (n=328 women...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.31781
更新日期:2016-06-30 00:00:00
abstract:BACKGROUND:Kivalina is a northwest Alaska barrier island village of 400 people vulnerable to storm surges exacerbated recently by delayed winter sea and shore ice formation. The village has no in-home piped water or sewage; the "washeteria" is the only structure providing public showers, laundry facilities and flush to...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21233
更新日期:2013-08-05 00:00:00
abstract::Climate change could cause changes in the incidence of infectious diseases in Arctic regions. Higher ambient temperatures in the Arctic may result in an increase in some temperature sensitive foodborne diseases such as gastroenteritis, paralytic shellfish poisoning and botulism. An increase in mean temperature may als...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i5.18029
更新日期:2005-12-01 00:00:00
abstract::Cold causes cardiopulmonary stress often perceived as shortness of breath or chest pain, and causes exacerbation of these symptoms in persons suffering heart or lung disease. We investigated the prevalence of these symptoms and their association with sex, age and cold exposure in a population-based sample of 1,785 per...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,多中心研究
doi:
更新日期:2000-10-01 00:00:00
abstract::Mortality was compared in two major towns in northern Finland (Kemi and Oulu), which according to previous studies have high and low mortalities, respectively. In 1991-1995 life expectancy at birth in Oulu exceeded the national average by 0.7 years in males and 0.4 years in females but in Kemi it fell short of the nat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To compare European (ECSC) and Finnish reference values for single-breath diffusing capacity for carbon monoxide (DL(CO)). STUDY DESIGN:Finnish reference values for DL(CO), specific diffusing capacity (DL(CO)/VA) and total lung capacity (TLC) were compared with ECSC reference values calculated for different...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v66i5.18316
更新日期:2007-12-01 00:00:00
abstract::Two different possible behaviors at -5 degrees C after cold water immersion were studied. A test subject wearing winter clothing walked (5 km/h) on a treadmill for 45 minutes at -5 degrees C and at a wind velocity of 3 m/s with dry clothing, immediately after a thorough immersion in 5 degrees C water, or after immersi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::A prevalence study methodology developed for use in rural and frontier settings is described. The general method was developed over a 15 year period and has been successfully adapted and used in studies of 14 different childhood onset developmental disorders. Subjects were the 168,000 school aged children from North D...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:To test the hypothesis that the unexpectedly low prevalence of winter depression in Iceland is explained by Icelanders enjoying more daylight, during the winter months, than allocated to them by latitude. METHODS:A conventional photometer was applied to measure illuminance on a horizontal surface at 64 degr...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v63i3.17736
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Tobacco reduction is a major priority in Canadian Inuit communities. However, many Inuit frontline health workers lacked the knowledge, confidence and support to address the tobacco epidemic. Given vast distances, high costs of face-to-face training and previous successful pilots using distance education, th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21078
更新日期:2013-08-05 00:00:00
abstract::Our research in high latitudes has allowed the identification of a special class of deadaptive disorders, northern cardiometeopathies, which integrates cardiovascular functional violations connected to biologically significant modifications of meteorological, geomagnetic, electrical, gravitational, rhythmological and ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:We studied the association and agreement between questionnaire data and biomarkers of marine food among Greenland Inuit. DESIGN:Cross sectional study. METHODS:The study population comprised 2,224 Inuit, age 18+ (43% men); data collected 2005-2008 in Greenland. Using a food frequency questionnaire (FFQ), we...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.18361
更新日期:2012-05-17 00:00:00
abstract:OBJECTIVES:Characterize and examine the prevalence of food insecurity in Qeqertarsuaq, Greenland, and identify stressors affecting the food system. STUDY DESIGN:A mixed-methods study using quantitative food security surveys and semi-structured interviews. METHODS:Food security surveys (n=61) were conducted with a ran...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i3.17616
更新日期:2010-06-01 00:00:00
abstract::Because Alaska does not have its own medical school, it has become part of WAMI (Washington, Alaska, Montana, Idaho), an educational agreement with the University of Washington School of Medicine (UWSM). Each year, 10 Alaskans are accepted into the entering class of UWSM and spend their first year at the University of...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Notable regional and seasonal variation has been reported in the rate of hospital admissions for chronic obstructive pulmonary disease (COPE). The aim of this study was to assess the variation in the length of hospital stay for COPD in Finland on the north south axis and by season. For this purpose, the patient record...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v61i2.17445
更新日期:2002-05-01 00:00:00
abstract::Reliance on self-reported health status information as a measure of population health can be challenging due to errors associated with participant recall. We sought to determine agreement between self-reported and registry-recorded site-specific cancer diagnoses in a cohort of Alaska Native people. We linked cancer hi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1571383
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Serum thyroid hormones, plasma catecholamines and mood were examined in 10 male members of the 16th Chinese Antarctic Expedition who spent the 2000 austral winter at Great Wall Station. STUDY DESIGN:Samples were taken prior to deployment to Antarctica (December, 1999) and upon return to China 54 weeks later...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v62i3.17562
更新日期:2003-09-01 00:00:00
abstract::Considerable interest exists in characterizing the extent of changes in methylmercury exposures from preindustrial to modern-day times. Hair is often preserved over centuries and has been useful in determining the extent of dietary trace metal exposures, particularly methylmercury. We examined 16 human hair samples ta...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Recent reports have found a rise in Hepatitis C virus (HCV) infection in reproductive age women in the USA. Surveillance data suggests one group that is at increased risk of HCV infection is the American Indian and Alaska Native population (AI/AN). Using the National Center for Health Statistics (NCHS) birth certifica...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2019.1608139
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:This article is based on a pilot study of Finnmark University College's off-campus bachelor programme (BA) for nurses, organised in rural areas. The objectives were to explore whether these courses had contributed to reduced vacancies; whether the learning outcome of the off-campus courses was the same as th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17902
更新日期:2012-03-30 00:00:00
abstract:BACKGROUND:Primary care in remote communities in northern Canada is delivered primarily by nurses who receive clinical support from physicians in regional centres and the patient transportation system. To improve continuity, quality and access to care in remote northern communities, it is important to understand the pe...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.32159
更新日期:2016-09-14 00:00:00
abstract::Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous pe...
journal_title:International journal of circumpolar health
pub_type: 历史文章,杂志文章,评审
doi:10.1080/22423982.2018.1454784
更新日期:2018-12-01 00:00:00
abstract::Morbidity and mortality rates of noncommunicable diseases (NCD) are very high in Siberia. The prevalence of NCD risk factors is also very high, smoking being one of the most widespread risk factors. Prevention and cessation of smoking may improve the health of the population. Within the framework of the WHO MONICA (Mo...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00