abstract：OBJECTIVE:To compare the analgesic efficacy of valdecoxib with placebo and naproxen sodium for relieving menstrual cramping and pain due to primary dysmenorrhea. DESIGN:Single-center, double-blind study with a 4-period, 4-sequence crossover design. Patients assessed pain intensity and pain relief at regular intervals ...

journal_title：Journal of general internal medicine

authors： Daniels SE,Torri S,Desjardins PJ

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:To assess whether newer antipsychotic medications are associated with weight gain and development of diabetes. DESIGN:Retrospective cohort study. SETTING:Data from a comprehensive electronic medical record serving an urban public hospital and a citywide network of mental health clinics. PATIENTS/PARTICIPAN...

journal_title：Journal of general internal medicine

authors： Farwell WR,Stump TE,Wang J,Tafesse E,L'Italien G,Tierney WM

更新日期：2004-12-01 00:00:00

abstract：OBJECTIVE:To identify gender differences in social and behavioral factors associated with antiretroviral adherence. DESIGN:Prospective cohort study. SETTING:Methadone maintenance program. PARTICIPANTS:One hundred thirteen HIV-seropositive current or former opioid users. MEASUREMENTS AND MAIN RESULTS:Participants we...

journal_title：Journal of general internal medicine

authors： Berg KM,Demas PA,Howard AA,Schoenbaum EE,Gourevitch MN,Arnsten JH

更新日期：2004-11-01 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：:While great strides have been made recently in improving end-of-life care in the United States, people with dementia often die with inadequate pain control, with feeding tubes in place, and without the benefits of hospice care. In this paper, we discuss the most important and persistent challenges to providing excelle...

journal_title：Journal of general internal medicine

authors： Sachs GA,Shega JW,Cox-Hayley D

更新日期：2004-10-01 00:00:00

abstract：OBJECTIVE:To use spatial and epidemiologic analyses to understand disparities in mammography use and to formulate interventions to increase its uptake in low-income, high-recent immigration areas in Toronto, Canada. DESIGN:We compared mammography rates in four income-immigration census tract groups. Data were obtained...

journal_title：Journal of general internal medicine

authors： Glazier RH,Creatore MI,Gozdyra P,Matheson FI,Steele LS,Boyle E,Moineddin R

更新日期：2004-09-01 00:00:00

abstract：OBJECTIVE:To assess the degree of agreement between four competing guidelines regarding the recommendation for prophylactic heparin therapy and to report to what extent actual practice agreed with or differed from the recommendations made before these guidelines were disseminated. DESIGN:Four French guidelines were ap...

journal_title：Journal of general internal medicine

authors： Labarère J,Bosson JL,Bergmann JF,Thilly N

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Mind-body practices such as yoga are widely popular, but little is known about how such exercises impact health-related quality of life. OBJECTIVE:To measure changes in health-related quality of life associated with 3 months of mind-body training as practiced in community-based settings. DESIGN:Prospective...

journal_title：Journal of general internal medicine

authors： Lee SW,Mancuso CA,Charlson ME

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Patients are often treated in hospital by physicians other than their regular community doctor. After they are discharged, their care is often returned to their regular community doctor and patients may not see the hospital physician. Transfer of information between physicians can be poor. We determined whet...

journal_title：Journal of general internal medicine

authors： van Walraven C,Mamdani M,Fang J,Austin PC

更新日期：2004-06-01 00:00:00

abstract：OBJECTIVE:Online learning has changed medical education, but many "educational" websites do not employ principles of effective learning. This article will assist readers in developing effective educational websites by integrating principles of active learning with the unique features of the Web. DESIGN:Narrative revie...

journal_title：Journal of general internal medicine

authors： Cook DA,Dupras DM

更新日期：2004-06-01 00:00:00

abstract：:The Accreditation Council of Graduate Medical Education (ACGME) and the Residency Review Committee require a competency-based, accessible evaluation system. The paper system at our institution did not meet these demands and suffered from low compliance. A diverse committee of internal medicine faculty, program directo...

journal_title：Journal of general internal medicine

authors： Triola MM,Feldman HJ,Pearlman EB,Kalet AL

更新日期：2004-05-01 00:00:00

abstract：:We describe a half-day workshop to teach third-year medical students three focused end-of-life care skills: breaking bad news, discussing advance directives, and assessing and managing pain. Our workshop included a readers' theater exercise and three role-play exercises. In two of the workshops, faculty members played...

journal_title：Journal of general internal medicine

authors： Torke AM,Quest TE,Kinlaw K,Eley JW,Branch WT Jr

更新日期：2004-05-01 00:00:00

abstract：:Writing a meaningful and valuable letter of reference is not an easy task. Several factors influence the quality of any letter of reference. First, the accuracy and reliability of the writer's impressions and judgment depend on how well he knows the individual being described. Second, the writer's frame of reference, ...

journal_title：Journal of general internal medicine

authors： Wright SM,Ziegelstein RC

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Quite often medical students or novice residents have difficulty in ruling out diseases even though they are quite unlikely and, due to this difficulty, such students and novice residents unnecessarily repeat laboratory or imaging tests. OBJECTIVE:To explore whether or not a carefully designed short trainin...

journal_title：Journal of general internal medicine

authors： Noguchi Y,Matsui K,Imura H,Kiyota M,Fukui T

更新日期：2004-05-01 00:00:00

abstract：OBJECTIVE:To identify the communication factors that are significantly associated with appropriate short-term follow-up of abnormal mammograms. DESIGN:Prospective longitudinal study involving medical record review and patient survey. SETTING:Ten academically affiliated ambulatory medical practices in the Boston metro...

journal_title：Journal of general internal medicine

authors： Poon EG,Haas JS,Louise Puopolo A,Gandhi TK,Burdick E,Bates DW,Brennan TA

更新日期：2004-04-01 00:00:00

abstract：OBJECTIVE:To identify the ethical dilemmas that internists encounter, the strategies they use to address them, and the usefulness of ethics consultation. DESIGN:National telephone survey. SETTING:Doctors' offices. PARTICIPANTS:General internists, oncologists, and critical care/pulmonologists (N = 344, 64% response r...

journal_title：Journal of general internal medicine

authors： DuVal G,Clarridge B,Gensler G,Danis M

更新日期：2004-03-01 00:00:00

abstract：OBJECTIVE:To examine how Asian race/ethnicity affects patients' health care experiences and satisfaction with care. DESIGN:Telephone interview using random-digit dialing, stratified to over-sample adults living in areas with disproportionately large numbers of minorities. PARTICIPANTS AND SETTING:White (N = 3,205) an...

journal_title：Journal of general internal medicine

authors： Ngo-Metzger Q,Legedza AT,Phillips RS

更新日期：2004-02-01 00:00:00

abstract：CONTEXT:To date, research regarding the influence of conflicts of interest on the presentation of findings by researchers has been limited. OBJECTIVE:To evaluate the sources of funding for published manuscripts, and association between reported findings and conflicts of interest. METHODS:Data from both print and elec...

journal_title：Journal of general internal medicine

authors： Friedman LS,Richter ED

更新日期：2004-01-01 00:00:00

abstract：CONTEXT:Understanding students' perceptions of and responses to lapses in professionalism is important to shaping students' professional development. OBJECTIVE:Utilize realistic, standardized professional dilemmas to obtain insight into students' reasoning and motivations in "real time." DESIGN:Qualitative study usin...

journal_title：Journal of general internal medicine

authors： Ginsburg S,Regehr G,Lingard L

更新日期：2003-12-01 00:00:00

abstract：:Chronic care facility stay has been shown to be an independent risk factor for venous thromboembolism. Review of the literature, however, reveals a paucity of data addressing the issue of venous thromboembolism in nursing home residents. The purpose of this study was to determine the incidence of venous thromboembolic...

journal_title：Journal of general internal medicine

authors： Gomes JP,Shaheen WH,Truong SV,Brown EF,Beasley BW,Gajewski BJ

更新日期：2003-11-01 00:00:00

abstract：OBJECTIVE:To examine in-depth the lives of women whose partners attempted to kill them, and to identify patterns that may aid in the clinician's ability to predict, prevent, or counsel about femicide or attempted femicide. DESIGN:Qualitative analysis of 30 in-depth interviews. SETTING:Six U.S. cities. PARTICIPANTS:T...

journal_title：Journal of general internal medicine

authors： Nicolaidis C,Curry MA,Ulrich Y,Sharps P,McFarlane J,Campbell D,Gary F,Laughon K,Glass N,Campbell J

更新日期：2003-10-01 00:00:00

abstract：:While the association between abuse in childhood and adverse adult health outcomes is well established, this link is infrequently acknowledged in the general medical literature. This paper has 2 purposes: (1) to provide a broad overview of the research on the long-term effects of child abuse on mental and physical hea...

journal_title：Journal of general internal medicine

authors： Springer KW,Sheridan J,Kuo D,Carnes M

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Primary care physicians are spending fewer hours in direct patient care, yet it is not known whether reduced hours are associated with differences in patient outcomes. OBJECTIVE:To determine whether patient outcomes vary with physicians' clinic hours. DESIGN:Cross-sectional retrospective design assessing p...

journal_title：Journal of general internal medicine

authors： Parkerton PH,Wagner EH,Smith DG,Straley HL

更新日期：2003-09-01 00:00:00

abstract：BACKGROUND:Attending physicians are well positioned to identify medical errors and understand their consequences. The spectrum of errors that can be detected by attending physicians in the course of their usual practice is currently unknown. OBJECTIVES:To determine the frequency, types, and consequences of errors that...

journal_title：Journal of general internal medicine

authors： Chaudhry SI,Olofinboba KA,Krumholz HM

更新日期：2003-08-01 00:00:00

abstract：OBJECTIVE:To lay the groundwork for a better understanding of patient views on medical confidentiality. DESIGN:Studies were found by searching medline, bioethicsline, and selected bibliographies. Articles concerning physician perspectives or implications of legal and administrative regulations were excluded. Only peer...

journal_title：Journal of general internal medicine

authors： Sankar P,Mora S,Merz JF,Jones NL

更新日期：2003-08-01 00:00:00

abstract：OBJECTIVES:To build health promotion capacity among community residents through a community-based participatory model, and to apply this model to study the nutritional environment of an urban area to better understand the role of such resources in residents' efforts to live a healthy life. DESIGN:A multiphase collabor...

journal_title：Journal of general internal medicine

authors： Sloane DC,Diamant AL,Lewis LB,Yancey AK,Flynn G,Nascimento LM,McCarthy WJ,Guinyard JJ,Cousineau MR,REACH Coalition of the African American Building a Legacy of Health Project.

更新日期：2003-07-01 00:00:00

abstract：OBJECTIVE:To determine the incremental cost-effectiveness of a quality improvement depression intervention (enhanced care) in primary care settings relative to usual care. DESIGN:Following stratification, we randomized 12 primary care practices to enhanced or usual care conditions and followed patients for 12 months. ...

journal_title：Journal of general internal medicine

authors： Pyne JM,Rost KM,Zhang M,Williams DK,Smith J,Fortney J

更新日期：2003-06-01 00:00:00

abstract：OBJECTIVE:To decrease unnecessary antibiotic use for acute respiratory tract infections in adults in a point-of-service health care setting. DESIGN:Prospective, nonrandomized controlled trial. SETTING:An urban urgent care clinic associated with the major indigent care hospital in Denver, Colorado between October 2000...

journal_title：Journal of general internal medicine

authors： Harris RH,MacKenzie TD,Leeman-Castillo B,Corbett KK,Batal HA,Maselli JH,Gonzales R

更新日期：2003-05-01 00:00:00

abstract：OBJECTIVE:Although hospitalization patterns have been studied, little is known about hospital readmission among HIV-infected patients in the era of highly active antiretroviral therapy. We explored the risk factors for early readmission to a tertiary care inner-city hospital among HIV-infected patients with pneumonia i...

journal_title：Journal of general internal medicine

authors： Palepu A,Sun H,Kuyper L,Schechter MT,O'Shaughnessy MV,Anis AH

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVE:In primary prevention of atherosclerotic disease, it is difficult to decide when medical treatment should be initiated. The main goal of the study was to compare different guidelines for coronary heart disease (CHD) risk assessment and initiation of lipid-lowering therapy. DESIGN:Cross-sectional evaluation. ...

journal_title：Journal of general internal medicine

authors： Broedl UC,Geiss HC,Parhofer KG

更新日期：2003-03-01 00:00:00

abstract：:African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and ...

journal_title：Journal of general internal medicine

authors： Ashton CM,Haidet P,Paterniti DA,Collins TC,Gordon HS,O'Malley K,Petersen LA,Sharf BF,Suarez-Almazor ME,Wray NP,Street RL Jr

更新日期：2003-02-01 00:00:00

abstract：OBJECTIVE:Determine relationships between age, self-reported health, and satisfaction in a large cohort of hospitalized patients. DESIGN:Cross-sectional survey. SETTING:Thirty-one hospitals in a large Midwestern metropolitan area. PATIENTS/PARTICIPATION: Randomly selected medical and surgical patients (N = 64,900; me...

journal_title：Journal of general internal medicine

authors： Jaipaul CK,Rosenthal GE

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:Hypertensive urgencies and emergencies are common clinical occurrences in hypertensive patients. Treatment practices vary considerably to because of the lack of evidence supporting the use of one therapeutic agent over another. This paper was designed to review the evidence for various pharmacotherapeutic re...

journal_title：Journal of general internal medicine

authors： Cherney D,Straus S

更新日期：2002-12-01 00:00:00

abstract：:The emotional investment required to construct a caring doctor-patient relationship can be justified on humane grounds. Can it also be justified as a direct physiologic intervention? Two lines of evidence point in this direction. People in an empathic relationship exhibit a correlation of indicators of autonomic activ...

journal_title：Journal of general internal medicine

authors： Adler HM

更新日期：2002-11-01 00:00:00

abstract：OBJECTIVES:To describe and explain the patterns of adherence to supplemental oxygen in individuals with hypoxemic chronic obstructive pulmonary disease (COPD). DESIGN:Qualitative study of a case-series of patients with COPD who use supplemental oxygen. SETTING:Denver, Colorado. PARTICIPANTS:Community-dwelling, Engli...

journal_title：Journal of general internal medicine

authors： Earnest MA

更新日期：2002-10-01 00:00:00

abstract：:Over the past several decades, and particularly during the last 10 to 15 years, there has been a rapid increase in the accessibility of legalized gambling in the United States and other parts of the world. Few studies have systematically explored the relationships between patterns of gambling and health status. Existi...

journal_title：Journal of general internal medicine

authors： Potenza MN,Fiellin DA,Heninger GR,Rounsaville BJ,Mazure CM

更新日期：2002-09-01 00:00:00

abstract：OBJECTIVE:To examine the characteristics and outcomes of physician-referred weight management patients relative to self-referred patients. DESIGN:Review of clinic records of all individuals contacting a weight control program during a 2-year period with follow-up throughout consecutive levels of treatment (i.e., enrol...

journal_title：Journal of general internal medicine

authors： Binks M,O'Neil MP

更新日期：2002-08-01 00:00:00

abstract：OBJECTIVE:Addressing the epidemic of poor compliance with antihypertensive medications will require identifying factors associated with poor adherence, including modifiable psychosocial and behavioral characteristics of patients. DESIGN:Cross-sectional study, comparing measured utilization of antihypertensive prescrip...

journal_title：Journal of general internal medicine

authors： Wang PS,Bohn RL,Knight E,Glynn RJ,Mogun H,Avorn J

更新日期：2002-07-01 00:00:00

abstract：OBJECTIVE:We compare preventive services utilization among privately insured African Americans and Hispanics in managed care organizations (MCOs) versus fee-for-service (FFS) plans. We also examine racial/ethnic disparities in the receipt of preventive services among enrollees in FFS or MCO plans. DESIGN:Analysis of t...

journal_title：Journal of general internal medicine

authors： DeLaet DE,Shea S,Carrasquillo O

更新日期：2002-06-01 00:00:00

abstract：OBJECTIVE:To examine the impact of the New Haven Community Health Care Van (CHCV), a mobile needle exchange-based health care delivery system, in reducing emergency department (ED) use among out-of-treatment injection drug users (IDUs) between January 1, 1996 and December 31, 1998. DESIGN:A pre-post comparison of ED u...

journal_title：Journal of general internal medicine

authors： Pollack HA,Khoshnood K,Blankenship KM,Altice FL

更新日期：2002-05-01 00:00:00