Plumbism or lead intoxication mimicking an abdominal tumor.

abstract：OBJECTIVE:To describe the clinical features of patients diagnosed with upper respiratory tract infections (URIs), and determine which clinical features are associated with antibiotic use. DESIGN:Prospective cohort study. SETTING:Three ambulatory care practices at a group-model HMO in the Denver metropolitan area. PA...

journal_title：Journal of general internal medicine

authors： Gonzales R,Barrett PH Jr,Steiner JF

更新日期：1999-03-01 00:00:00

abstract：OBJECTIVE:This study explores the alignment between physicians' confidence in their diagnoses and the "correctness" of these diagnoses, as a function of clinical experience, and whether subjects were prone to over-or underconfidence. DESIGN:Prospective, counterbalanced experimental design. SETTING:Laboratory study co...

journal_title：Journal of general internal medicine

authors： Friedman CP,Gatti GG,Franz TM,Murphy GC,Wolf FM,Heckerling PS,Fine PL,Miller TM,Elstein AS

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Delivery of comprehensive care for persons with human immunodeficiency virus (HIV) infection in rural and low prevalence settings presents many challenges. We developed and evaluated a telehealth collaborative care (TCC) program for persons with HIV in a rural area. OBJECTIVE:To determine the feasibility of...

journal_title：Journal of general internal medicine

authors： Ohl M,Dillon D,Moeckli J,Ono S,Waterbury N,Sissel J,Yin J,Neil B,Wakefield B,Kaboli P

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Racial disparities in hypertension control contribute to higher rates of cardiovascular mortality among blacks. Patient-physician communication quality is associated with better health outcomes, including blood pressure (BP) control. Both race/ethnicity and BP control may adversely affect communication. OBJ...

journal_title：Journal of general internal medicine

authors： Cené CW,Roter D,Carson KA,Miller ER 3rd,Cooper LA

更新日期：2009-09-01 00:00:00

abstract：:Three currently used screening methods are aimed at detecting colorectal cancer when it is asymptomatic and curable, and at detecting polyps so that they can be removed before they can progress to cancer. Digital rectal examinations are relatively cheap and easy but can detect only a small fraction of large-bowel canc...

journal_title：Journal of general internal medicine

authors： Friedman GD,Selby JV

更新日期：1990-09-01 00:00:00

abstract：OBJECTIVES:To review systematically the evidence about what factors influence the decision to choose or not choose a career in academic medicine. DESIGN:A systematic review of relevant literature from 1990 to May 2005. DATA SOURCES:Searches of The Cochrane Library, Medline (using Ovid and PubMed) from 1990 to May 200...

journal_title：Journal of general internal medicine

authors： Straus SE,Straus C,Tzanetos K,International Campaign to Revitalise Academic Medicine.

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model. AIM:To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educatio...

journal_title：Journal of general internal medicine

authors： Henschen BL,Garcia P,Jacobson B,Ryan ER,Woods DM,Wayne DB,Evans DB

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:Few data have evaluated the relationship between caregiving and cardiovascular disease (CVD) risk. OBJECTIVE:The purpose of this study was to determine the prevalence and predictors of caregiver strain and to evaluate the association between caregiving and CVD lifestyle and psychosocial risk factors among f...

journal_title：Journal of general internal medicine

authors： Aggarwal B,Liao M,Christian A,Mosca L

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:For adults who stutter, communication difficulties can impact many spheres of life. Previous studies have not examined how stuttering might impact patient's experiences with the medical system. OBJECTIVE:Our objective was to understand the range and depth of experiences with the medical system among adults ...

journal_title：Journal of general internal medicine

authors： Perez HR,Doig-Acuña C,Starrels JL

更新日期：2015-11-01 00:00:00

abstract：:We varied the softness and nodularity of silicone breast models to assess the effects of age-related breast tissue characteristics on lump detection. In two sets of six silicone breast models manufactured to simulate premenopausal and postmenopausal breast tissue, respectively, 82 internal medicine attending and house...

journal_title：Journal of general internal medicine

authors： McDermott MM,Dolan NC,Huang J,Reifler D,Rademaker AW

更新日期：1996-02-01 00:00:00

abstract：:We conducted a telephone survey of patients in a university-based medical practice to determine if there was a difference across payer class in patients' willingness to have supervised housestaff physicians function as their primary care providers. Overall, commercial managed care patients were more likely to object t...

journal_title：Journal of general internal medicine

authors： Gross C,Callahan M,Mele J

更新日期：1998-05-01 00:00:00

abstract：:To investigate the frequency of physician delivery of advice to stop smoking and patient characteristics affecting whether physicians deliver such advice, the authors surveyed 97 current cigarette smokers seen in two specialty and one general medicine clinic at a university medical center. Approximately two thirds of ...

journal_title：Journal of general internal medicine

authors： Ockene JK,Hosmer DW,Williams JW,Goldberg RJ,Ockene IS,Biliouris T,Dalen JE

更新日期：1987-09-01 00:00:00

abstract：BACKGROUND:Chronic hepatitis B and hepatitis B-associated liver cancer is a major health disparity among Vietnamese Americans, who have a chronic hepatitis B prevalence rate of 7-14% and an incidence rate for liver cancer six times that of non-Latino whites. OBJECTIVE:Describe factors associated with hepatitis B testi...

journal_title：Journal of general internal medicine

authors： Nguyen TT,McPhee SJ,Stewart S,Gildengorin G,Zhang L,Wong C,Maxwell AE,Bastani R,Taylor VM,Chen MS Jr

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Post-hospital discharge follow-up appointments are intended to evaluate patients' recovery following a hospitalization, but it is unclear how appointment statuses are associated with readmissions. OBJECTIVE:To examine the association between post-discharge ambulatory follow-up status, (1) having a scheduled...

journal_title：Journal of general internal medicine

authors： Coppa K,Kim EJ,Oppenheim MI,Bock KR,Conigliaro J,Hirsch JS

更新日期：2021-01-19 00:00:00

abstract：:Research on interventions within the standard of care has enormous potential, yet it also raises several ethical and regulatory challenges. Perhaps the most important is determining what consent process is needed for these "pragmatic" clinical trials. Some argue that pragmatic clinical trials need to obtain in-depth r...

journal_title：Journal of general internal medicine

authors： Wendler D

更新日期：2015-05-01 00:00:00

abstract：:Nicotine meets all critical criteria for an addictive drug. Furthermore, there is no evidence that there would be widespread compulsive use of tobacco without nicotine. These findings have led to consideration of the cigarette as a contaminated vehicle for an addictive drug (nicotine). Nevertheless, nicotine itself ma...

journal_title：Journal of general internal medicine

authors： Cohen C,Henningfield JE

更新日期：1990-09-01 00:00:00

abstract：OBJECTIVE:To assess the effect of a program that encourages teamwork between physicians and pharmacists on attempts to lower total cholesterol levels and to meet recommended goals proposed by the National Cholesterol Education Program (NCEP). DESIGN:A single-blind, randomized, controlled trial lasting 6 months. SETTI...

journal_title：Journal of general internal medicine

authors： Bogden PE,Koontz LM,Williamson P,Abbott RD

更新日期：1997-03-01 00:00:00

abstract：BACKGROUND:Early detection of cognitive impairment is a goal of high-quality geriatric medical care, but new approaches are needed to reduce rates of missed cases. OBJECTIVE:To evaluate whether adding routine cognitive screening to primary care visits for older adults increases rates of dementia diagnosis, specialist ...

journal_title：Journal of general internal medicine

authors： Borson S,Scanlan J,Hummel J,Gibbs K,Lessig M,Zuhr E

更新日期：2007-06-01 00:00:00

abstract：BACKGROUND:There is a growing focus on improving the quality and value of health care delivery for high-cost patients. Compared to fee-for-service Medicare, less is known about the clinical composition of high-cost Medicare Advantage populations. OBJECTIVE:To describe a high-cost Medicare Advantage population and iden...

journal_title：Journal of general internal medicine

authors： Powers BW,Yan J,Zhu J,Linn KA,Jain SH,Kowalski JL,Navathe AS

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Residents have a major role in teaching students, yet little has been written about the effects of resident work hour restrictions on medical student education. OBJECTIVE:Our objective was to determine the effects of resident work hour restrictions on medical student education. DESIGN:We compared student r...

journal_title：Journal of general internal medicine

authors： Nixon LJ,Benson BJ,Rogers TB,Sick BT,Miller WJ

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Global health measures represent an attractive option for researchers and clinicians seeking a brief snapshot of a patient's overall perspective on his or her health. Because scores on different global health measures are not comparable, comparative effectiveness research (CER) is challenging. OBJECTIVE:To ...

journal_title：Journal of general internal medicine

authors： Schalet BD,Rothrock NE,Hays RD,Kazis LE,Cook KF,Rutsohn JP,Cella D

更新日期：2015-10-01 00:00:00

abstract：OBJECTIVE:To examine suicidal behavior and depression prevalence among a group of Medicare patients under age 65 with functional impairment and recent significant health care services use. DESIGN:An observational study of baseline characteristics of participants in a randomized controlled trial. SETTING:A Medicare de...

journal_title：Journal of general internal medicine

authors： Friedman B,Conwell Y,Delavan RR,Wamsley BR,Eggert GM

更新日期：2005-05-01 00:00:00

abstract：OBJECTIVE:To examine changes in the quality of primary care experienced and reported by Medicare beneficiaries from 1998 to 2000. DESIGN:Longitudinal observational study. SETTING:Thirteen states with large, mature Medicare HMO markets. PARTICIPANTS:Probability sample of noninstitutionalized Medicare beneficiaries ag...

journal_title：Journal of general internal medicine

authors： Montgomery JE,Irish JT,Wilson IB,Chang H,Li AC,Rogers WH,Safran DG

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Mentorship is perceived to play a significant role in the career development and productivity of academic clinicians, but little is known about the characteristics of mentorship. This knowledge would be useful for those developing mentorship programs. OBJECTIVE:To complete a systematic review of the qualita...

journal_title：Journal of general internal medicine

authors： Sambunjak D,Straus SE,Marusic A

更新日期：2010-01-01 00:00:00

abstract：BACKGROUND:Increasing the use of electronic medical records (EMR) has been suggested as an important strategy for improving healthcare safety. OBJECTIVE:To sequentially measure, evaluate, and respond to safety culture and practice safety concerns following EMR implementation. DESIGN:Safety culture was assessed using ...

journal_title：Journal of general internal medicine

authors： McGuire MJ,Noronha G,Samal L,Yeh HC,Crocetti S,Kravet S

更新日期：2013-02-01 00:00:00

abstract：:Hospitalists are well poised to serve in key leadership roles and in frontline care in particular when facing a pandemic such as the SARS-CoV-2 (COVID-19) infection. Much of the disaster planning in hospitals around the country addresses overcrowded emergency departments and decompressing these locations; however, in ...

journal_title：Journal of general internal medicine

authors： Bowden K,Burnham EL,Keniston A,Levin D,Limes J,Persoff J,Thurman L,Burden M

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:The objective of the study was to identify potential explanatory factors for racial differences in blood pressure (BP) control. DESIGN:The design of the study was a cross-sectional study PATIENTS/PARTICIPANTS:The study included 608 patients with hypertension who were either African American (50%) or white (...

journal_title：Journal of general internal medicine

authors： Bosworth HB,Powers B,Grubber JM,Thorpe CT,Olsen MK,Orr M,Oddone EZ

更新日期：2008-05-01 00:00:00

abstract：OBJECTIVE:To compare the prevalence of major medical problems in homeless and nonhomeless patients. PATIENTS:All 475 persons seeking care at an ambulatory clinic serving the medically indigent for one calendar year. INTERVENTION:None. MEASUREMENTS AND MAIN RESULTS:Demographic and clinical data were collected by stru...

journal_title：Journal of general internal medicine

authors： Ferenchick GS

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVE:Internet and other interactive technology-based programs offer great potential for practical, effective, and cost-efficient diabetes self-management (DSM) programs capable of reaching large numbers of patients. This study evaluated minimal and moderate support versions of an Internet-based diabetes self-manag...

journal_title：Journal of general internal medicine

authors： Glasgow RE,Kurz D,King D,Dickman JM,Faber AJ,Halterman E,Wooley T,Toobert DJ,Strycker LA,Estabrooks PA,Osuna D,Ritzwoller D

更新日期：2010-12-01 00:00:00

abstract：BACKGROUND:Network meta-analysis (NMA) is a popular tool to compare multiple treatments in medical research. It is frequently implemented via Bayesian methods. The prior choice of between-study heterogeneity is critical in Bayesian NMAs. This study evaluates the impact of different priors for heterogeneity on NMA resul...

journal_title：Journal of general internal medicine

authors： Rosenberger KJ,Xing A,Murad MH,Chu H,Lin L

更新日期：2021-01-05 00:00:00