Scholars@Duke
Truls Ostbye

Truls Ostbye

Professor of Family Medicine and Community Health
Family Medicine and Community Health
truls.ostbye@duke.edu
Duke Box 104006, Durham, NC 27710
2200 W. Main Street (Old Wachovia Bldg) Room 622, Durham, NC 27710

Selected Publications

Development of the PRECIOUS Short-Form (PRECIOUS-SF) quality of care measure for children with serious illnesses.

Journal Article J Patient Rep Outcomes · January 24, 2025 BACKGROUND: Rising number of children with complex medical conditions necessitate regular healthcare quality evaluation to achieve optimal outcomes. To address the need for a periodic and quick assessment of quality of care in serious childhood illnesses, ... Full text Link to item Cite

Electronic Clinical Decision Support Tools: Strategies to Improve the Management of Lower Respiratory Tract Infections in Low-Resource Settings.

Journal Article Am J Trop Med Hyg · December 4, 2024 Lower respiratory tract infection (LRTI) is a common reason for hospitalization and antibacterial use globally. There is considerable overlap in the clinical presentation of bacterial and viral LRTIs. Low- or middle-income countries (LMICs) face the dual c ... Full text Link to item Cite

Community-Acquired Pressure Injuries: Prevalence, Risk Factors and Effect of Care Bundles-An Integrative Review.

Journal Article J Clin Nurs · December 2024 AIM AND OBJECTIVES: To summarise the evidence and present the state of the science on pressure injury care bundles in the community. Specifically, this review examined (i) the extent of pressure injury by studying its prevalence and incidence in the last 1 ... Full text Link to item Cite

Extracting Critical Information from Unstructured Clinicians' Notes Data to Identify Dementia Severity Using a Rule-Based Approach: Feasibility Study.

Journal Article JMIR Aging · September 24, 2024 BACKGROUND: The severity of Alzheimer disease and related dementias (ADRD) is rarely documented in structured data fields in electronic health records (EHRs). Although this information is important for clinical monitoring and decision-making, it is often u ... Full text Link to item Cite

Caregivers' Absenteeism and Its Association With Health Shocks and Functional Impairment Among Persons With Severe Dementia.

Journal Article J Aging Soc Policy · July 3, 2024 Adult child caregivers of persons with severe dementia (PWSDs) experience absenteeism due to caregiving. We quantified employed adult child caregivers' absenteeism; its association with PWSDs' functional impairment and health shocks; and characteristics of ... Full text Link to item Cite

Prevalence and correlates of workplace violence: descriptive results from the National Transgender Discrimination Survey.

Journal Article Occup Environ Med · April 28, 2024 OBJECTIVE: To describe the lifetime prevalence of workplace harassment, physical violence and sexual assault against transgender and non-binary workers targeted due to their gender identity and to identify correlates of this workplace violence. METHODS: Th ... Full text Link to item Cite

PRECIOUS demonstrated satisfactory measurement properties for assessing the quality of care for children with serious illnesses.

Journal Article Journal of clinical epidemiology · April 2024 ObjectivesTo determine the measurement properties of PaRental Experience with care for Children with serIOUS illnesses (PRECIOUS), a parent-reported measure of Quality of Care for seriously ill children across care settings and illness trajectorie ... Full text Cite

Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka.

Journal Article J Clin Hypertens (Greenwich) · April 2024 Hypertension is a leading risk factor for cardiovascular disease in South Asia. The authors aimed to assess the cross-country differences in 24-h ambulatory, daytime, and nighttime systolic blood pressure (SBP) among rural population with uncontrolled clin ... Full text Link to item Cite

Development of the Parental Experience with Care for Children with Serious Illnesses (PRECIOUS) quality of care measure.

Journal Article BMC Palliat Care · March 8, 2024 BACKGROUND: Parent-reported experience measures are part of pediatric Quality of Care (QoC) assessments. However, existing measures were not developed for use across multiple healthcare settings or throughout the illness trajectory of seriously ill childre ... Full text Link to item Cite

Care sequences leading to the diagnosis of Alzheimer's disease and related dementias: An analysis of electronic health records.

Journal Article Alzheimers Dement · March 2024 BACKGROUND: We examined the sequences of clinical care leading to diagnoses of Alzheimer's disease and related dementias (ADRD) using electronic health records from a large academic medical center. METHODS: We included patients aged 65+ with their first AD ... Full text Link to item Cite

Heterogeneity in the risk of cardiovascular disease mortality after the hypertensive disorders of pregnancy across mothers' lifetime reproductive history.

Journal Article Paediatr Perinat Epidemiol · March 2024 BACKGROUND: Prior studies on maternal cardiovascular disease (CVD) mortality and hypertensive disorders of pregnancy (HDP) have focused only on a woman's first birth and have not accounted for successive affected pregnancies. OBJECTIVES: The objective of t ... Full text Link to item Cite

Exploring perceptions of frailty, resilience, and self-efficacy in older adults and caregivers in acute care context.

Journal Article Res Nurs Health · February 2024 This study aimed to explore the experience and perceptions of frailty in hospitalized older adults and caregivers caring for older adults, in relation to resilience and self-efficacy. A qualitative explorative descriptive study design was utilized. Face to ... Full text Link to item Cite

Trajectories of negative and positive experiences of caregiving for older adults with severe dementia: application of group-based multi-trajectory modelling.

Journal Article BMC geriatrics · February 2024 BackgroundFamily caregivers of older adults with severe dementia have negative and positive experiences over the course of caregiving. We aimed to delineate joint trajectories (patterns over time) for negative and positive experiences, identify ri ... Full text Cite

Incidence and Long-Term Outcomes of Acute Myocardial Infarction Among Survivors of Out-of-Hospital Cardiac Arrest.

Journal Article J Am Heart Assoc · January 2, 2024 BACKGROUND: Despite the increasing long-term survival after out-of-hospital cardiac arrest (OHCA), the risk of subsequent acute myocardial infarction (AMI) remains poorly understood. We aimed to determine the incidence, predictors, and long-term outcomes o ... Full text Link to item Cite

Breastfeeding and less healthy beverage intake during the first year of life.

Journal Article Pediatr Obes · January 2024 BACKGROUND AND OBJECTIVES: Breastfeeding during infancy is associated with healthier beverage consumption later in childhood, but little is known about this relation during infancy. This was a longitudinal study of breastfeeding and less healthy beverage c ... Full text Link to item Cite

Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses.

Journal Article Public Health · January 2024 OBJECTIVES: This objective of this study was to use empirical data to assess cross-sectional variation singular and changes over time in community efficacy for non-communicable diseases (NCDs) management (COEN) and to examine individual factors associated ... Full text Link to item Cite

Assessing COVID-19 pandemic's impact on essential diabetes care in Manila, the Philippines: A mixed methods study.

Journal Article PLOS Glob Public Health · 2024 The COVID-19 pandemic directly increased mortality and morbidity globally. In addition, it has had extensive indirect ill effects on healthcare service delivery across health systems worldwide. We aimed to describe how patient access to diabetes care was a ... Full text Link to item Cite

Barriers and facilitators for developing a prehospital emergency care system evaluation tool (PEC-SET) for low-resource settings: a qualitative analysis.

Journal Article BMJ Open · December 9, 2023 OBJECTIVES: Strengthening of emergency care systems, including prehospital systems, can reduce death and disability. We aimed to identify perspectives on barriers and facilitators relating to the development and implementation of a prehospital emergency ca ... Full text Link to item Cite

Associations of Plastic Bottle Exposure with Infant Growth, Fecal Microbiota, and Short-Chain Fatty Acids.

Journal Article Microorganisms · December 5, 2023 BACKGROUND/OBJECTIVES: Murine models show that plastics, via their chemical constituents (e.g., phthalates), influence microbiota, metabolism, and growth. However, research on plastics in humans is lacking. Here, we examine how the frequency of plastic bot ... Full text Link to item Cite

Association between perceived risk of Alzheimer's disease and related dementias and cognitive function among U.S. older adults.

Journal Article Arch Gerontol Geriatr · December 2023 INTRODUCTION: The aim of the study was to assess factors associated with the perceived risk of developing Alzheimer's disease and related dementias (ADRD) and how the perceived risk of ADRD was related to cognitive function. METHODS: We conducted a retrosp ... Full text Open Access Link to item Cite

Abstract 129: Gender Differences and Receipt of Telephone Cardiopulmonary Resuscitation of Suspected Out-of-Hospital Cardiac Arrests

Conference Circulation · November 7, 2023 Introduction: Women receive bystander cardiopulmonary resuscitation (CPR) less frequently in public. The gender of the person calling 911 and gender of the telecommunicator may influence receipt of te ... Full text Cite

Abstract 156: Incidence and Long-Term Outcomes of Acute Myocardial Infarction Among Survivors of Out-of-Hospital Cardiac Arrest

Conference Circulation · November 7, 2023 Introduction: Despite the increasing long-term survival after out-of-hospital cardiac arrest (OHCA), the risk of subsequent acute myocardial infarction (AMI) remains poorly understood. We aimed to det ... Full text Cite

Generativity and Engagement in Grandparenting Activities Among Older Adults in Northern Sri Lanka.

Journal Article Int J Aging Hum Dev · September 2023 Generativity refers to the desire to pass on one's skills, knowledge, and wisdom to future generations; this may be a clear indicator of the likelihood of older adults investing time and effort in engagement with their grandchildren. This cross-sectional s ... Full text Link to item Cite

COVID-19 in the Community: Changes to Women's Mental Health, Financial Security, and Physical Activity.

Journal Article AJPM Focus · September 2023 INTRODUCTION: This study describes changes in the mental health, financial security, and physical activity levels of women in North Carolina during the COVID-19 pandemic. METHODS: Data were collected from women aged 20-40 years receiving primary care at 2 ... Full text Link to item Cite

School-aged Children with Down Syndrome in Galle, Sri Lanka: Relationship between Level of Disability, Resource Use and Caregiver Burden

Journal Article Disability, CBR and Inclusive Development · September 1, 2023 Purpose: The study assessed the relationship between the level of disability amongst school-aged children with Down Syndrome and overall caregiver burden, and the potential moderating effects of social support and external service access on the caregiver/c ... Full text Cite

Racial difference in the association between non-alcoholic fatty liver disease and incident type 2 diabetes: findings from the CARDIA study.

Journal Article Diabetologia · July 2023 AIMS/HYPOTHESIS: Type 2 diabetes and non-alcoholic fatty liver disease (NAFLD) are prevalent diseases of metabolic origin. We examined the association between NAFLD and the development of type 2 diabetes among non-Asian adults, and whether the association ... Full text Link to item Cite

Determinants of health-related quality of life after out-of-hospital cardiac arrest (OHCA): A systematic review.

Journal Article Resuscitation · July 2023 OBJECTIVE: With a growing number of out-of-hospital cardiac arrest (OHCA) survivors globally, the focus of OHCA management has now broadened to survivorship. An outcome central to survivorship is health-related quality of life (HRQoL). This systematic revi ... Full text Link to item Cite

1343-P: Decreasing Lifetime Prevalence of Diabetes-Related Foot Ulcers over 25 Years—Longitudinal Analyses of the Trøndelag Health Study (HUNT), Norway

Conference Diabetes · June 20, 2023 Background and objectives: Data on time trends in diabetes-related foot ulcer (DFU) prevalence are limited. We aimed to determine trends in the lifetime prevalence of DFU in the Trøndelag Health Study (HUNT) conducted in three waves between 1995 an ... Full text Cite

Sensitivity and specificity of three screening tools for frailty in hospitalized older adults.

Journal Article Int J Nurs Stud · March 2023 AIM: To determine the test accuracy, including sensitivity, specificity, positive predictive value, negative predictive value and area under curve, of three frailty screening tools in identifying the risk of frail outcomes among hospitalized older patients ... Full text Link to item Cite

Association Between Hypertensive Disorders of Pregnancy and Dementia: a Systematic Review and Meta-Analysis.

Journal Article Hypertension · February 2023 BACKGROUND: Prior meta-analyses report a 2- to 4-fold increased risk of later cardiovascular disease among women with a history of hypertensive disorders of pregnancy (HDP). Given HDP's vascular underpinnings, it is hypothesized to also be a risk factor fo ... Full text Link to item Cite

Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries.

Journal Article NPJ digital medicine · February 2023 Current evidence on digital health interventions is disproportionately concerned with high-income countries and hospital settings. This scoping review evaluates the extent of use and effectiveness of digital health interventions for non-communicable diseas ... Full text Cite

Associations of Plastic Bottle Exposure with Infant Fecal Microbiota, Short-Chain Fatty Acids, and Growth.

Journal Article Res Sq · January 17, 2023 BACKGROUND: Plastic exposures have been shown to impact the microbiome, metabolism and growth of animals. However, no human studies have examined how plastic exposures are associated with fecal microbiota, microbial metabolites, or growth. Here we examine ... Full text Link to item Cite

Grandparenting activities and mental health in Northern Sri Lanka.

Journal Article J Intergener Relatsh · 2023 Grandparenting activities are of increasing interest to researchers seeking to understand reduced social engagement and depression among aging adults. Heterogeneity in the population and caretaking roles complicate its measurement. We piloted a measure of ... Full text Link to item Cite

Family support and medication adherence among residents with hypertension in informal settlements of Nairobi, Kenya: a mixed-method study.

Journal Article J Hum Hypertens · January 2023 Suboptimal medication adherence is a major barrier to hypertension control in Kenya, especially among informal urban settlement areas (sometimes referred to as "slums"). The few studies that have specifically explored medication adherence among this popula ... Full text Link to item Cite

Prevalence and correlates of use of digital technology for managing hypertension among older adults.

Journal Article J Hum Hypertens · January 2023 Hypertension is prevalent among older adults (60 years and above), but control of blood pressure (BP) remains suboptimal. While there is increasing interest in using digital technology for managing hypertension, information about the extent and potential c ... Full text Link to item Cite

Derivation, and establishment of the validity and reliability, of the CASP-11-SG quality of life scale among community-dwelling older adults.

Journal Article Qual Life Res · January 2023 PURPOSE: The number and proportion of older adults, aged ≥ 60 years, in Singapore is rapidly increasing. A valid and reliable quality of life (QoL) measure will enable assessment of their situation and help evaluate social and clinical interventions, poten ... Full text Link to item Cite

Hypertensive disorders of pregnancy and subsequent risk of Alzheimer's disease and other dementias.

Journal Article Alzheimers Dement (Amst) · 2023 INTRODUCTION: Women with hypertensive disorders of pregnancy (HDP) have an increased risk of cardiovascular disease. Whether HDP is also associated with later-life dementia has not been fully explored. METHODS: Using the Utah Population Database, we perfor ... Full text Link to item Cite

Feasibility of a Park-Based Active Transportation Intervention to Promote Youth Physical Activity and Access to Parks and Recreation

Journal Article Journal of Park and Recreation Administration · January 1, 2023 This study conducted a needs assessment and feasibility testing of Going Places, a novel park-based active transportation intervention that aims to improve physical activity and access to parks and recreation. Participants (n=19) were recruited from park s ... Full text Cite

Assessing the reliability and feasibility of frailty screening tools among hospitalised older adults

Journal Article Proceedings of Singapore Healthcare · January 1, 2023 Background: The 29-item Frail-Physical, Psychological and Social (Frail-PPS) and the 14-item Frailty Assessment Measure (FAM) were developed in Singapore to identify risk of frailty among community dwelling older adults and validated for use among hospital ... Full text Cite

Community Efficacy for Non-Communicable Disease Management and Medication Adherence: The Sequential Mediating Role of Self-Efficacy and Depressive Symptoms.

Journal Article Patient Prefer Adherence · 2023 PURPOSE: We assess whether the sequential mediating effects of self-efficacy and depressive symptoms on the relationship between community efficacy for non-communicable disease management (COEN) and medication adherence and whether these relationships diff ... Full text Link to item Cite

Caregiving Network for Persons with Dementia: Profiles of the US and China

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · 2023 Cite

Sensitivity And Specificity Of Exercise As A Vital Sign In Adult Female Patients

Conference MEDICINE & SCIENCE IN SPORTS & EXERCISE · 2023 Cite

EngagINg the COmmunity to Reduce Preterm birth via Adherence To an Individualized Prematurity Prevention Plan (INCORPorATe IP3): intervention development and future pilot study design.

Journal Article J Matern Fetal Neonatal Med · December 2022 OBJECTIVE: Non-Hispanic Black birthing individuals are at increased risk of preterm birth compared to other racial and ethnic groups. In our clinical setting, we offer a tailored package of recommendations to reduce the risk of preterm birth known as an in ... Full text Open Access Link to item Cite

Polycyclic aromatic hydrocarbons are associated with later puberty in girls: A longitudinal study.

Journal Article Sci Total Environ · November 10, 2022 The objective of this study is to explore associations between PAH exposures and puberty timing in girls. Beginning in May 2014, 734 girls age 7.2-11.8 years in Chongqing, China, were enrolled in a prospective cohort study. They were followed up every 6 mo ... Full text Link to item Cite

How good are medical and death records for identifying dementia?

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · October 2022 IntroductionRetrospective studies using administrative data may be an efficient way to assess risk factors for dementia if diagnostic accuracy is known.MethodsWithin-individual clinical diagnoses of Alzheimer's disease (AD) and all-cause ... Full text Cite

Elucidating the role of a positive family history in differentiating between axial and peripheral spondyloarthritis: an ancillary analysis of the ASAS-PerSpA study.

Journal Article Clin Exp Rheumatol · September 2022 OBJECTIVES: Positive family history (PFH) of spondyloarthritis (SpA) is important in the diagnosis of SpA. However, the contribution of a PFH in differentiating the two SpA subtypes (axial and peripheral spondyloarthritis (pSpA)), in particular the importa ... Full text Link to item Cite

Development of an Item Bank for a Health-Related Quality of Life Measure in Spondyloarthritis.

Journal Article J Rheumatol · September 2022 OBJECTIVE: Health-related quality of life (HRQOL) is an important aspect in the management of chronic diseases such as spondyloarthritis (SpA). A promising approach to reduce respondent burden when measuring HRQOL is the use of shorter patient-reported out ... Full text Link to item Cite

Evaluation of telephone-assisted cardiopulmonary resuscitation recommendations for out-of-hospital cardiac arrest.

Journal Article Resuscitation · September 2022 AIM OF THE STUDY: While out-of-hospital cardiac arrest (OHCA) is associated with poor survival, early bystander CPR (B-CPR) and telephone CPR (T-CPR) improves survival from OHCA. American Heart Association (AHA) Scientific Statements outline recommendation ... Full text Link to item Cite

Paid sick leave among US private sector employees.

Journal Article Am J Ind Med · September 2022 BACKGROUND: Inequities in US employees' access to paid sick leave are known, but it is not clear whether they are increasing or decreasing over time. More than two dozen state and local paid sick leave laws were recently enacted, many with the stated goal ... Full text Link to item Cite

Mental well-being in Sri Lankan medical students: a cross-sectional study.

Journal Article Psychol Health Med · July 2022 Preventing burnout and promoting positive mental health among medical students is important. Relevant research is lacking on positive mental health in medical students, particularly in low- and middle-income countries. We conducted a cross-sectional survey ... Full text Link to item Cite

The prevalence and incidence of pharmacologically treated diabetes among older people receiving home care services in Norway 2009-2014: a nationwide longitudinal study.

Journal Article BMC Endocr Disord · June 14, 2022 BACKGROUND: A substantial proportion of older people who receive home care services (HCS) has diabetes and requires diabetes specific monitoring, treatment and self-care assistance. However, the prevalence and incidence rates of diabetes among older people ... Full text Link to item Cite

Use of Child Care Attenuates the Link Between Decreased Maternal Sleep and Increased Depressive Symptoms.

Journal Article J Dev Behav Pediatr · June 2022 OBJECTIVE: Sleep disruption is common among postpartum women and is linked with depression. Child care may alleviate parenting stress and protect new mothers against symptoms of depression. METHODS: Mothers from the NURTURE study, a birth cohort of 666 wom ... Full text Link to item Cite

Direct and indirect costs for hospitalized patients with dengue in Southern Sri Lanka.

Journal Article BMC Health Serv Res · May 16, 2022 BACKGROUND: The Southern Province of Sri Lanka is endemic with dengue, with frequent outbreaks and occurrence of severe disease. However, the economic burden of dengue is poorly quantified. Therefore, we conducted a cost analysis to assess the direct and i ... Full text Link to item Cite

Maternal Stress and Excessive Weight Gain in Infancy.

Journal Article Int J Environ Res Public Health · May 9, 2022 Rapid weight gain in infancy increases the risk of developing obesity early in life and contributes significantly to racial and ethnic disparities in childhood obesity. While maternal perceived stress is associated with childhood obesity, little is known a ... Full text Link to item Cite

Impact of the COVID-19 Pandemic on Chronic Disease Care in India, China, Hong Kong, Korea, and Vietnam.

Journal Article Asia Pac J Public Health · May 2022 This study aims to provide evidence on how the COVID-19 pandemic has impacted chronic disease care in diverse settings across Asia. Cross-sectional surveys were conducted to assess the health, social, and economic consequences of the pandemic in India, Chi ... Full text Link to item Cite

Economic hardships from COVID-19 and its association with socioeconomic factors and diabetes management indicators: A cross-sectional study.

Journal Article Heliyon · May 2022 AIMS: The three objectives of this study were to determine the economic hardships of COVID-19 pandemic, their socio-economic predictors, and their association with diabetes management indicators in three cities in a middle-income country. METHODS: A commun ... Full text Link to item Cite

The association of human, social, and cultural capital with prevalent volunteering profiles in late midlife.

Journal Article Eur J Ageing · March 2022 Volunteering can be critical to late middle-aged adults' well-being. Hence, it is essential to understand the antecedents of volunteering in this age group. The present study of Singaporeans aged 50 to 59 (N = 1620) considered 18 volunteering acts and used ... Full text Link to item Cite

Associations Among Food Security, Diet Quality, and Dietary Intake During Pregnancy in a Predominantly African American Group of Women from North Carolina.

Journal Article J Acad Nutr Diet · March 2022 BACKGROUND: Low food security during pregnancy can negatively affect women's physical and mental health. Although many women make a greater effort to eat a healthy diet during pregnancy, the influence of low food security during pregnancy on maternal diet ... Full text Link to item Cite

Interventions to promote dementia knowledge among racial/ethnic minority groups: A systematic review.

Journal Article J Am Geriatr Soc · February 2022 BACKGROUND: Certain racial/ethnic minority groups have a higher risk of developing dementia, yet studies have demonstrated that they often have limited knowledge and understanding of this disease. An increasing number of educational and advocacy programs h ... Full text Link to item Cite

Antenatal depression in Sri Lanka: a qualitative study of public health midwives' views and practices.

Journal Article Reprod Health · January 28, 2022 BACKGROUND: Almost all pregnant people in Sri Lanka receive antenatal care by public health midwives. While there is strong infrastructure in Sri Lanka for postpartum mental health care, the current practices within antenatal mental health care have not be ... Full text Link to item Cite

Association of vision and hearing impairments with quality of life among older adults: Mediation by psychosocial factors.

Journal Article Geriatr Gerontol Int · January 2022 AIM: Vision impairment (VI) and hearing impairment (HI), alone or in combination (dual sensory impairment [DSI]), are common in older adults. We determined (i) the association of vision and hearing, and of VI only, HI only and DSI, with three psychosocial ... Full text Link to item Cite

Evaluating the feasibility and effectiveness of a mindfulness-based intervention on stress and anxiety of family caregivers managing peritoneal dialysis

Journal Article Proceedings of Singapore Healthcare · January 1, 2022 Background: Mindfulness-based intervention (MBI) has not been evaluated for its feasibility and effectiveness in reducing stress and anxiety among family caregivers of patients on peritoneal dialysis (PD). Objectives: (1) To evaluate the feasibility to inc ... Full text Cite

Opportunities for Improving Antimicrobial Stewardship: Findings From a Prospective, Multi-Center Study in Three Low- or Middle-Income Countries.

Journal Article Front Public Health · 2022 BACKGROUND: To develop effective antimicrobial stewardship programs (ASPs) for low- and middle-income countries (LMICs), it is important to identify key targets for improving antimicrobial use. We sought to systematically describe the prevalence and patter ... Full text Link to item Cite

IMPaCT: A Pilot Randomized Trial of an Intervention to Reduce Preterm Birth Among Non-Hispanic Black Patients at High Risk.

Journal Article Health Equity · 2022 INTRODUCTION: Preterm birth is a major cause of neonatal morbidity and mortality rate. Non-Hispanic black patients disproportionately experience preterm birth and nonadherence to evidence-based preventive measures. Interventions tailored to non-Hispanic bl ... Full text Open Access Link to item Cite

Facilitators of and barriers to implementing a traditional Chinese medicine collaborative model of care for axial spondyloarthritis: a qualitative study.

Journal Article Acupunct Med · December 2021 BACKGROUND: Conventional therapy may be inadequate for many patients with axial spondyloarthritis (axSpA). Traditional Chinese medicine (TCM) may be a viable alternative, but its effectiveness for axSpA is unknown. We are currently conducting a pragmatic r ... Full text Link to item Cite

Outcomes among children and adults at risk of severe dengue in Sri Lanka: Opportunity for outpatient case management in countries with high disease burden.

Journal Article PLoS Negl Trop Dis · December 2021 BACKGROUND: Healthcare systems in dengue-endemic countries are often overburdened due to the high number of patients hospitalized according to dengue management guidelines. We systematically evaluated clinical outcomes in a large cohort of patients hospita ... Full text Link to item Cite

Protocol for a randomized controlled trial of electroacupuncture in the management of patients with axial spondyloarthritis in Singapore (E-AcuSpA)

Journal Article Rheumatology and Autoimmunity · December 1, 2021 Background: Despite therapeutic advances, treatment of patients with axial spondyloarthritis (axSpA) continue to pose as a challenge as many do not respond well to conventional Western medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and ... Full text Cite

Predictors and occurrence of antenatal depressive symptoms in Galle, Sri Lanka: a mixed-methods cross-sectional study.

Journal Article BMC Pregnancy Childbirth · November 10, 2021 BACKGROUND: There is a high prevalence of antenatal depression in low-or-middle-income countries, but information about risk factors in these settings is still lacking. The purpose of this study is to measure the prevalence of and explore risk factors asso ... Full text Link to item Cite

Novel two-tiered developmental screening programme for Singaporean toddlers: a quality improvement report.

Journal Article BMJ Open Qual · October 2021 Early identification of developmental delays with timely intervention, especially before the age of 3 years, can improve child development. In Singapore, however, diagnosis and intervention for developmental delays occur at a median age of 44 months. As ea ... Full text Link to item Cite

Knowledge, Perceptions, and Attitudes Regarding Antibiotic Use for Lower Respiratory Tract Infections: Insights from Patients in Sri Lanka.

Journal Article Am J Trop Med Hyg · September 27, 2021 Antibiotic resistance is an emerging global public health threat. One of the main drivers of this threat is the inappropriate use of antibiotics. In Sri Lanka, antibiotic consumption is increasing, but little is known locally about how patients perceive an ... Full text Link to item Cite

An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks.

Journal Article Journal of general internal medicine · September 2021 ObjectiveTo summarize the available conceptual models for factors contributing to medication adherence based on the World Health Organization (WHO)'s five dimensions of medication adherence via a systematic review, identify the patient groups desc ... Full text Open Access Cite

Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review.

Journal Article J Med Internet Res · August 13, 2021 BACKGROUND: The management of diabetes is complex. There is growing recognition of the use of patient-reported outcome measures (PROMs) as a standardized method of obtaining an outlook on patients' functional status and well-being. However, no systematic r ... Full text Link to item Cite

Health-related quality of life in Chinese workers: a systematic review and meta-analysis.

Journal Article Glob Health Res Policy · August 13, 2021 BACKGROUND: Studies of health-related quality of life among workers have generated varying results. The purpose of this study was to conduct a systematic review to synthesize the scores of health-related quality of life measured by the World Health Organiz ... Full text Link to item Cite

Improvement in quality of life with treatment of chronic venous disease: A longitudinal observational study in Kandy, Sri Lanka.

Journal Article Phlebology · August 2021 OBJECTIVE: This study assessed the improvement in Quality of Life (QoL) of Chronic Venous Disease (CVD) patients in Sri Lanka following treatment. METHODS: This was a prospective observational study of 58 newly or previously diagnosed CVD patients. QoL was ... Full text Link to item Cite

The impact of a produce prescription programme on healthy food purchasing and diabetes-related health outcomes.

Journal Article Public health nutrition · August 2021 ObjectiveTo evaluate a Produce Prescription Programme’s utilisation and its effects on healthy food purchasing and diabetes control among participants with type 2 diabetes.DesignProspective cohort study using participants’ electronic heal ... Full text Cite

Predictors and Patterns of Physical Activity From Transportation Among United States Youth, 2007-2016.

Journal Article J Adolesc Health · August 2021 PURPOSE: Physical activity is strongly associated with health benefits in youth, although wide disparities in physical activity persist across sex, race/ethnicity, and income. Active transportation is an important source of youth physical activity. We aime ... Full text Link to item Cite

Association of birth mode of delivery with infant faecal microbiota, potential pathobionts, and short chain fatty acids: a longitudinal study over the first year of life.

Journal Article BJOG · July 2021 OBJECTIVE: Caesarean section (CS) interrupts mother-to-newborn microbial transfer at birth. Beyond the neonatal period, the impact of CS on offspring gut microbiota and their short-chain fatty acids (SCFAs) remains unclear. Here, we examine birth delivery ... Full text Link to item Cite

Impact of lifestyle Intervention on branched-chain amino acid catabolism and insulin sensitivity in adolescents with obesity.

Journal Article Endocrinol Diabetes Metab · July 2021 UNLABELLED: Insulin resistance in adolescents with obesity associates with a sex-dependent metabolic 'signature' comprising branched-chain amino acids (BCAAs), glutamate and C3/C5 acylcarnitines (C3/C5), implicating altered flux through BCAA catabolic path ... Full text Link to item Cite

Discordance between dementia caregivers' goal of care and preference for life-extending treatments.

Journal Article Age Ageing · June 28, 2021 BACKGROUND: Many older adults with severe dementia receive potentially life-extending treatments even when caregivers do not wish to prolong their life inappropriately. OBJECTIVE: Explore factors that influence caregiver preferences for potentially life-ex ... Full text Link to item Cite

Associations between daily screen time and sleep in a racially and socioeconomically diverse sample of US infants: a prospective cohort study.

Journal Article BMJ Open · June 24, 2021 OBJECTIVE: To determine the associations between screen media use and sleep throughout infancy (3-12 months). DESIGN: Prospective Nurture birth cohort. SETTING: North Carolina, USA, 2013-2015. PARTICIPANTS: Women enrolled in their second to third trimester ... Full text Link to item Cite

Self-Efficacy for Healthy Eating Moderates the Impact of Stress on Diet Quality Among Family Child Care Home Providers.

Journal Article J Nutr Educ Behav · April 2021 OBJECTIVE: To examine associations of stress and sleep with diet quality of family child care home (FCCH) providers, and whether self-efficacy for healthy eating influences these associations. DESIGN: A cross-sectional analysis was performed using baseline ... Full text Link to item Cite

Barriers to implementing antimicrobial stewardship programs in three low- and middle-income country tertiary care settings: findings from a multi-site qualitative study.

Journal Article Antimicrob Resist Infect Control · March 25, 2021 BACKGROUND: Antimicrobial resistance has been named as one of the top ten threats to public health in the world. Hospital-based antimicrobial stewardship programs (ASPs) can help reduce antimicrobial resistance. The purpose of this study was to determine p ... Full text Link to item Cite

Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study.

Journal Article BJS Open · March 5, 2021 BACKGROUND: Haemorrhoids is a common chronic disease that can significantly impact patients' quality of life. Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study invest ... Full text Link to item Cite

Maternal Age at Menarche and Pubertal Timing in Boys and Girls: A Cohort Study From Chongqing, China.

Journal Article J Adolesc Health · March 2021 PURPOSE: This study explored the association of maternal age at menarche (AAM) with pubertal timing among girls and boys in Chongqing, China. METHODS: Pubertal development of 1,237 children (542 girls and 695 boys) were examined half-yearly through inspect ... Full text Link to item Cite

Pharmacologically treated diabetes and hospitalization among older Norwegians receiving homecare services from 2009 to 2014: a nationwide register study.

Journal Article BMJ Open Diabetes Res Care · March 2021 INTRODUCTION: The aim was to assess whether annual hospitalization (admissions, length of stay and total days hospitalized) among persons >65 years receiving home care services in Norway were higher for persons with diabetes than those without diabetes. Gi ... Full text Link to item Cite

Risk factors for pregnancy-associated venous thromboembolism in Singapore.

Journal Article J Perinat Med · February 23, 2021 OBJECTIVES: Pregnancy-associated venous thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE), is associated with increased risk of maternal mortality and morbidity. This study aimed to assess potential risk factors for ... Full text Link to item Cite

Gestational age-specific normative values and determinants of serum progesterone through the first trimester of pregnancy.

Journal Article Sci Rep · February 18, 2021 Progesterone is a steroid hormone that is critical for implantation and maintenance of pregnancy, and low levels are associated with higher miscarriage risk. However, little is known about its trajectory during early pregnancy. We sought to determine the g ... Full text Link to item Cite

Productive engagement patterns and their association with depressive symptomatology, loneliness, and cognitive function among older adults.

Journal Article Aging Ment Health · February 2021 OBJECTIVES: Little is known about composite patterns of productive engagement among older people. Related, the implication of these patterns for well-being remains unclear. The present study addresses these gaps. METHODS: The analytical sample comprised 20 ... Full text Link to item Cite

Examining the heterogeneity inexcess risks of coronary heart disease, stroke, dialysis, and lower extremity amputation associated with type 2 diabetes mellitus across demographic subgroups in an Asian population: A population-based matched cohort study.

Journal Article Diabetes Res Clin Pract · January 2021 AIMS: To examine whether the excess risks of coronary heart disease (CHD), stroke, dialysis, and lower extremity amputation (LEA) associated with type 2 diabetes mellitus (T2DM) differ across age, sex, and ethnicity in Singapore. METHODS: Using a 10-year a ... Full text Link to item Cite

Acceptance of Love and Remarriage Among Older Adults in the Philippines.

Journal Article J Aging Health · 2021 Objectives: Later-life re-partnership has been linked to healthy aging, but little is known about Philippine older adults' perception of love and remarriage in older age. Methods: Using two nationally representative surveys on aging in the Philippines, we ... Full text Link to item Cite

Predictors of ambulance transport to first health facility among injured patients in southern Sri Lanka.

Journal Article PLoS One · 2021 BACKGROUND: Injuries account for about 13% of all registered deaths in Sri Lanka and are the leading cause of admission to public hospitals. Prehospital trauma care is new to Sri Lanka, and in 2016, a free ambulance service was launched in the Western and ... Full text Link to item Cite

Perception and Use of Primary Healthcare Services Among People With Cardiometabolic Diseases in Two Resource-Limited Areas in Nepal: A Mixed Methods Study.

Journal Article Front Public Health · 2021 Nepal is a country in south Asia with a high burden of cardiometabolic diseases (CMDs). Strengthening primary healthcare (PHC) is a key strategy to mitigate this increasing burden and achieve universal health coverage. While previous studies in Nepal have ... Full text Link to item Cite

Comparisons of occupational ergonomic exposure patterns and health status of Chinese expatriate and local construction workers in Sri Lanka

Journal Article Journal of Environmental and Occupational Medicine · January 1, 2021 [Background] In recent years, the number of Chinese expatriate construction workers has reached a considerable scale, but now little is known about the characteristics of occupational ergonomics exposure, the scores of qualities of life, and the prevalence ... Full text Cite

Maternal Employment and Infant BMI z Score in a US Birth Cohort.

Journal Article Obesity (Silver Spring) · December 2020 OBJECTIVE: The purpose of this study was to investigate the association between maternal employment and infant BMI z score. METHODS: Longitudinal data from 520 mother-infant dyads participating in the Nurture Study, an observational cohort in the southeast ... Full text Link to item Cite

Abstract 228: Evaluation of Telephone-Assisted Cardiopulmonary Resuscitation Performance Recommendations for Out-Of-Hospital Sudden Cardiac Arrest

Conference Circulation · November 17, 2020 Introduction: Telephone-assisted CPR (T-CPR) may improve bystander CPR (B-CPR) rates and survival from sudden cardiac arrest (SCA). The American Heart Association (AHA) has specified performance measu ... Full text Cite

A systematic review of nudge theories and strategies used to influence adult health behaviour and outcome in diabetes management.

Journal Article Diabetes Metab · November 2020 BACKGROUND: Diabetes is a chronic disease associated with a variety of complications, and nudging may be a potential solution to improve diabetes control. Since nudging is a new concept, no review of literature on nudging diabetic patients into improving t ... Full text Link to item Cite

Hypertension Care Coordination and Feasibility of Involving Female Community Health Volunteers in Hypertension Management in Kavre District, Nepal: A Qualitative Study.

Journal Article Glob Heart · October 23, 2020 BACKGROUND: Hypertension and related complications are major contributors to morbidity and mortality in Nepal. Community health workers have been proposed as promising health cadres to meet the growing healthcare demand for non-communicable disease managem ... Full text Link to item Cite

Effect of a telemedicine intervention for diabetes-related foot ulcers on health, well-being and quality of life: secondary outcomes from a cluster randomized controlled trial (DiaFOTo).

Journal Article BMC Endocr Disord · October 21, 2020 BACKGROUND: Follow-up care provided via telemedicine (TM) is intended to be a more integrated care pathway to manage diabetes-related foot ulcers (DFU) than traditionally-delivered healthcare. However, knowledge of the effect of TM follow-up on PROMs inclu ... Full text Link to item Cite

Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review (Preprint)

Journal Article · October 14, 2020 BACKGROUNDThe management of diabetes is complex. There is growing recognition of the use of patient-reported outcome measures (PROMs) as a standardized method of obtaining an outlook on p ... Full text Cite

Measurement Properties of Existing Patient-Reported Outcome Measures on Medication Adherence: Systematic Review.

Journal Article J Med Internet Res · October 9, 2020 BACKGROUND: Medication adherence is essential for improving the health outcomes of patients. Various patient-reported outcome measures (PROMs) have been developed to measure medication adherence in patients. However, no study has summarized the psychometri ... Full text Open Access Link to item Cite

Development of an Item Bank to Measure Medication Adherence: Systematic Review.

Journal Article J Med Internet Res · October 8, 2020 BACKGROUND: Medication adherence is important in managing the progression of chronic diseases. A promising approach to reduce cognitive burden when measuring medication adherence lies in the use of computer-adaptive tests (CATs) or in the development of sh ... Full text Open Access Link to item Cite

Term Complications and Subsequent Risk of Preterm Birth: Registry-Based Study

Journal Article Obstetrical and Gynecological Survey · October 1, 2020 (Abstracted from BMJ 2020;369:m1007) Preterm birth in a previous pregnancy is associated with future preterm delivery. This suggests that underlying factors may play a role in an individual's pregnancies. ... Full text Cite

Mila Blooms: A Mobile Phone Application and Behavioral Intervention for Promoting Physical Activity and a Healthy Diet Among Adolescent Survivors of Childhood Cancer.

Journal Article Games Health J · August 2020 Objectives: Smartphone applications ("apps") can be used to promote health behavior change and expand the reach of behavioral interventions. To date, only a few existing apps have been developed for health promotion among adolescent survivors of childhood ... Full text Link to item Cite

Impact of bystander-focused public health interventions on cardiopulmonary resuscitation and survival: a cohort study.

Journal Article Lancet Public Health · August 2020 BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) increases an individual's chance of survival from out-of-hospital cardiac arrest (OHCA), but the frequency of bystander CPR is low in many communities. We aimed to assess the cumulative effect of CP ... Full text Open Access Link to item Cite

Park Quality and Road Walkability in Greater Noida, India: A Case Study Demonstrating GIS for Assessing Barriers to Being Physically Active in Urban Areas

Journal Article International Journal of Applied Geospatial Research · July 1, 2020 In urbanizing India, walkability and outdoor physical activities are essential for a healthy lifestyle. Urban roads need to be assessed for walkability, and public parks need to be assessed as spaces for physical activities. Not many studies have looked at ... Full text Cite

Geospatial analysis of dengue emergence in rural areas in the Southern Province of Sri Lanka.

Conference Trans R Soc Trop Med Hyg · June 1, 2020 BACKGROUND: Dengue is a major cause of acute febrile illness in Sri Lanka. Dengue has historically been considered an urban disease. In 2012-2013, we documented that acute dengue was surprisingly associated with self-reported rural residence in the Souther ... Full text Link to item Cite

Effects of Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore.

Journal Article J Immigr Minor Health · June 2020 Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [1]. The study assessed the acceptability and effectivenes ... Full text Link to item Cite

Adaptation and validation of the Tamil (Sri Lanka) version of the montreal cognitive assessment

Journal Article Kesmas · May 25, 2020 The study aimed to develop the Tamil (Sri Lanka) version of the Montreal Cognitive Assessment (MoCA) and investigate its reliability and validity as a brief screening tool for mild cognitive impairment (MCI). Tamil-speaking Sri Lankan elderly with normal c ... Full text Cite

Term complications and subsequent risk of preterm birth: registry based study.

Journal Article BMJ · April 29, 2020 OBJECTIVE: To explore conditions and outcomes of a first delivery at term that might predict later preterm birth. DESIGN: Population based, prospective register based study. SETTING: Medical Birth Registry of Norway, 1999-2015. PARTICIPANTS: 302 192 women ... Full text Link to item Cite

Timing of complementary feeding is associated with gut microbiota diversity and composition and short chain fatty acid concentrations over the first year of life.

Journal Article BMC Microbiol · March 11, 2020 BACKGROUND: Early introduction of complementary foods has been associated with various immune disorders, oxidative stress, and obesity in childhood. The gut microbiota and the short chain fatty acids (SCFAs) they produce are postulated to be on the causal ... Full text Link to item Cite

Early Child Care and Weight Status in a Cohort of Predominantly Black Infants in the Southeastern United States.

Journal Article Childhood obesity (Print) · March 2020 Background: Previous studies show inconsistent relations between child care and obesity, but few assessed longitudinal associations during infancy and even fewer included racially diverse children. We examined associations of time infants spe ... Full text Cite

Keys to healthy family child care homes: Results from a cluster randomized trial.

Journal Article Prev Med · March 2020 Early care and education settings, such as family child care homes (FCCHs), are important venues for children's health promotion. Keys to Healthy Family Child Care Homes evaluated a FCCH-based intervention's impact on children's diet and physical activity. ... Full text Link to item Cite

The direct and indirect costs of axial spondyloarthritis (axSpA) in Singapore.

Journal Article Int J Rheum Dis · March 2020 OBJECTIVE: To estimate the economic annual direct and indirect costs of axial spondyloarthritis (axSpA) in Singapore, and to identify factors associated with these costs. METHODS: A retrospective, cross-sectional, Institutional Review Board-approved study ... Full text Link to item Cite

Physical Activity and Adiposity in a Racially Diverse Cohort of US Infants.

Journal Article Obesity (Silver Spring) · March 2020 OBJECTIVE: Early life physical activity may help prevent obesity, but objective quantification in infants is challenging. METHODS: A total of 506 infants were examined from 2013 to 2016. Infants wore accelerometers for 4 days at ages 3, 6, 9, and 12 months ... Full text Link to item Cite

The Association Between Psychological Resilience and Physical Function Among Older Adults With Hip Fracture Surgery.

Journal Article J Am Med Dir Assoc · February 2020 OBJECTIVES: To examine the associations of prefracture psychological resilience and prefracture general mental health with physical function among older adults with hip fracture surgery. DESIGN: Single-center observational study. INTERVENTION: None. SETTIN ... Full text Open Access Link to item Cite

Prevalence and risk factors for postpartum depression in Sri Lanka: A population-based study.

Journal Article Asian J Psychiatr · January 2020 BACKGROUND: Previous studies in Sri Lanka have shown a high prevalence of postpartum depression (PPD). Postpartum depression screening using the Edinburgh Postnatal Depression Scale (EPDS) has been validated and included in routine postnatal care in 2012. ... Full text Link to item Cite

A Prospective Longitudinal Study of Caregivers of Community Dwelling Persons with Severe Dementia (PISCES): Study Protocol.

Journal Article J Alzheimers Dis · 2020 Although many persons with severe dementia (PWSDs) are cared for at home by their family caregivers, few studies have assessed end of life (EOL) care experiences of PWSDs. We present the protocol for the PISCES study (Panel study Investigating Status of Co ... Full text Link to item Cite

Risk of malignancies in patients with spondyloarthritis treated with biologics compared with those treated with non-biologics: a systematic review and meta-analysis.

Journal Article Ther Adv Musculoskelet Dis · 2020 BACKGROUND: The aim of our study was to synthesize evidence on the occurrence of malignancy in spondyloarthritis (SpA), from randomized controlled trials (RCTs) comparing biologics with non-biologics and biologics to each other. METHODS: We systematically ... Full text Link to item Cite

n-3 Canola oil effectively replaces fish oil as a new safe dietary source of DHA in feed for juvenile Atlantic salmon.

Journal Article Br J Nutr · December 28, 2019 Limited availability of fish oils (FO), rich in n-3 long-chain (≥C20) PUFA, is a major constraint for further growth of the aquaculture industry. Long-chain n-3 rich oils from crops GM with algal genes are promising new sources for the industry. This proje ... Full text Link to item Cite

The mediating role of pain and function in the association between stiffness and quality of life in patients with axial spondyloarthritis.

Journal Article Semin Arthritis Rheum · December 2019 OBJECTIVE: The relationship between stiffness and quality of life (QoL) remains unclear. We therefore aimed to examine the role of pain and function in linking stiffness and QoL in patients with axSpA. METHODS: We used cross-sectional data from a registry ... Full text Link to item Cite

The types of caregiving reactions experienced by the older spouse caregivers.

Journal Article J Clin Nurs · December 2019 AIMS: To examine factors associated with the four types of caregiver reactions according to the modified Caregiver Reaction Assessment (mCRA) and assess the differences in the narrative assessment from spouse caregivers between the high-positive and high-n ... Full text Link to item Cite

Validity and reliability of the Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) in patients with axial spondyloarthritis (axSpA) in Singapore.

Journal Article Int J Rheum Dis · December 2019 INTRODUCTION: The Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP) and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) are commonly used instruments for measuring disease activity. However, few studies have asse ... Full text Link to item Cite

Associations of Less Healthy Snack Food Consumption with Infant Weight-for-Length Z-Score Trajectories: Findings from the Nurture Cohort Study.

Journal Article Nutrients · November 13, 2019 Little is known about the impact of less healthy snack foods on weight trajectories during infancy. This secondary analysis of data from the Nurture cohort explored prospective associations of less healthy snack foods with infant weight trajectories. Pregn ... Full text Link to item Cite

Maternal predictors of infant beverage consumption: results from the Nurture cohort study.

Journal Article Public Health Nutr · October 2019 OBJECTIVE: The goal of the present study was to estimate prevalence and maternal risk factors for infant beverage consumption. DESIGN: Observational birth cohort. SETTING: Central North Carolina, USA. PARTICIPANTS: Mothers 20-36 weeks pregnant were surveye ... Full text Link to item Cite

Associations between timing and quality of solid food introduction with infant weight-for-length z-scores at 12 months: Findings from the Nurture cohort.

Journal Article Appetite · October 1, 2019 This study assesses associations of the timing and quality of solid foods introduced during infancy with weight-for-length (WFL) z-scores at 12 months within the Nurture cohort. Women from North Carolina self-reported sociodemographics, the timing and type ... Full text Link to item Cite

Associations of maternal diet with infant adiposity at birth, 6 months and 12 months.

Journal Article BMJ Open · September 6, 2019 OBJECTIVES: To assess associations between maternal prenatal diet quality and infant adiposity. DESIGN: The design was a prospective birth cohort. SETTING: We used data from the Nurture study, a cohort of women and their infants residing in the southeaster ... Full text Link to item Cite

Validity and reliability of the Assessment of Spondyloarthritis International Society Health Index in English-speaking patients with axial spondyloarthritis in Singapore.

Journal Article Int J Rheum Dis · September 2019 OBJECTIVES: To assess the validity and reliability of the Assessment of Spondyloarthritis International Society Health Index (ASAS HI) among patients with axial spondyloarthritis (axSpA) in Singapore. METHODS: We collected data from English-speaking patien ... Full text Link to item Cite

A Novel Adaptation of the HOME Inventory for Elders: The Importance of the Home Environment Across the Life Course.

Journal Article Int J Environ Res Public Health · August 8, 2019 The context in which dependents, regardless of age, receive care affects their health. This study adapted the Home Observation for Measurement of the Environment (HOME) Inventory, originally designed for child development research, to assess the quality of ... Full text Link to item Cite

Does cesarean delivery impact infant weight gain and adiposity over the first year of life?

Journal Article Int J Obes (Lond) · August 2019 BACKGROUND: Potentially driven by the lack of mother-to-infant transmission of microbiota at birth, cesarean delivery has been associated with higher risk of offspring obesity. Yet, no studies have examined when delivery-mode differences in adiposity begin ... Full text Link to item Cite

Virtual Reality for Screening of Cognitive Function in Older Persons: Comparative Study.

Journal Article J Med Internet Res · August 1, 2019 BACKGROUND: The prevalence of dementia, which presents as cognitive decline in one or more cognitive domains affecting function, is increasing worldwide. Traditional cognitive screening tools for dementia have their limitations, with emphasis on memory and ... Full text Link to item Cite

Are extra-spinal symptoms associated with quality of life in patients with axial spondyloarthritis? A 1-year follow-up study.

Journal Article Clin Rheumatol · July 2019 To assess the extent to which a history of extra-spinal symptoms (including peripheral arthritis, heel enthesitis, or dactylitis) (HPED) is associated with quality of life (QoL) in patients with axial spondyloarthritis (axSpA) at baseline and 1-year follow ... Full text Link to item Cite

Association between access to health-promoting facilities and participation in cardiovascular disease (CVD) risk screening among populations with low socioeconomic status (SES) in Singapore.

Journal Article Primary health care research & development · July 2019 BackgroundLow socioeconomic status (SES) is a barrier for cardiovascular disease (CVD) risk screening and a determinant of poor CVD outcomes. This study examined the associations between access to health-promoting facilities and participation in a ... Full text Cite

Association of prenatal antibiotics with measures of infant adiposity and the gut microbiome.

Journal Article Ann Clin Microbiol Antimicrob · June 21, 2019 BACKGROUND: Prenatal antibiotic exposure has been associated with an altered infant gut microbiome composition and higher risk of childhood obesity, but no studies have examined if prenatal antibiotics simultaneously alter the gut microbiome and adiposity ... Full text Link to item Cite

Association of Early Introduction to Solid Foods with Infant Gut Microbiota Abundance, Overweight/obesity, and Short Chain Fatty Acids at Ages 3 and 12 Months (OR01-06-19).

Journal Article Curr Dev Nutr · June 2019 Objectives: Clinical recommendations for optimal timing of introduction to solid foods vary, but earlier introduction has been associated with childhood overweight and obesity (OWOB). The gut microbiota and short chain fatty acids (SCFAs) they produce are ... Full text Link to item Cite

A systematic review of the association of obesity with the outcomes of inflammatory rheumatic diseases.

Journal Article Singapore Med J · June 2019 This was a systematic review of the literature on the association between obesity and the outcome of inflammatory rheumatic diseases. We conducted a literature search using PubMed®, Embase and PsycINFO®. Articles were classified into three categories based ... Full text Link to item Cite

175-LB: Effect of a Telemedicine Diabetic Foot Ulcer Intervention on Health and Well-Being: A Cluster Randomized Controlled Trial

Conference Diabetes · June 1, 2019 Objective: To assess change in health and well-being using generic and disease-specific self-report instruments among patients with diabetes-related foot ulcers (DFU) receiving a telemedicine intervention compared to patients receiving standard hos ... Full text Cite

Virtual Reality for Screening of Cognitive Function in Older Persons: Comparative Study (Preprint)

Journal Article · May 27, 2019 BACKGROUNDDementia, which presents as cognitive decline in one or more cognitive domains affecting function, is becoming more prevalent. Traditional cognitive screening tools for dementia ... Full text Cite

A systematic review of the factors associated with the initiation of biologicals in patients with rheumatological conditions.

Conference Eur J Hosp Pharm · May 2019 OBJECTIVES: Biologicals play a crucial role in managing some of the rheumatological diseases, thus it is important for clinicians, healthcare institutions and policy-makers to understand why biologicals are initiated or refused so as to make better decisio ... Full text Link to item Cite

Prevalence of and factors associated with sarcopenia among multi-ethnic ambulatory older Asians with type 2 diabetes mellitus in a primary care setting.

Journal Article BMC Geriatr · April 29, 2019 BACKGROUND: Sarcopenia is the age-related loss of muscle mass and function, which increases fall risks in older persons. Hyperglycemia relating to Type-2 Diabetes Mellitus (T2DM) is postulated to aggravate sarcopenia. This study aimed to determine the prev ... Full text Link to item Cite

Factors Associated With Initiation of Biologics in Patients With Axial Spondyloarthritis in an Urban Asian City: A PRESPOND Study.

Conference J Clin Rheumatol · March 2019 OBJECTIVE: The aim of this study was to examine if patients' sociodemographic, clinical characteristics, and patient-reported outcomes were associated with biologics initiation in patients with axial spondyloarthritis in Singapore. METHODS: Data from a ded ... Full text Link to item Cite

A qualitative study of quality of life domains and subdomains relevant to patients with spondyloarthritis.

Journal Article Int J Rheum Dis · February 2019 AIMS: To identify quality of life (QoL) domains and subdomains relevant to patients with different spondyloarthritis (SpA) subtypes in Singapore, and to assess how identified QoL domains and subdomains map onto currently used patient-reported outcome measu ... Full text Link to item Cite

Modifying the Environment and Policy Assessment and Observation (EPAO) to better capture feeding practices of family childcare home providers.

Journal Article Public Health Nutr · February 2019 OBJECTIVE: To describe the modification and validation of an existing instrument, the Environment and Policy Assessment and Observation (EPAO), to better capture provider feeding practices. DESIGN: Modifications to the EPAO were made, validity assessed thr ... Full text Link to item Cite

Point-prevalence study of antimicrobial use in public hospitals in southern Sri Lanka identifies opportunities for improving prescribing practices.

Journal Article Infection control and hospital epidemiology · February 2019 A point-prevalence study of antimicrobial use among inpatients at 5 public hospitals in Sri Lanka revealed that 54.6% were receiving antimicrobials: 43.1% in medical wards, 68.0% in surgical wards, and 97.6% in intensive care wards. Amoxicillin-clavulanate ... Full text Cite

Longitudinal associations of gross motor development, motor milestone achievement and weight-for-length z score in a racially diverse cohort of US infants.

Journal Article BMJ Open · January 15, 2019 OBJECTIVES: To investigate longitudinal associations between gross motor development, motor milestone achievement and weight-for-length z scores in a sample of infants. In a secondary aim, we explored potential bidirectional relationships, as higher weight ... Full text Link to item Cite

Traditional Chinese medicine (TCM) collaborative care for patients with axial spondyloarthritis (AcuSpA): protocol for a pragmatic randomized controlled trial.

Journal Article Trials · January 14, 2019 BACKGROUND: Axial spondyloarthritis (AxSpA) is a chronic disease which results in fatigue, pain, and reduced quality of life (QoL). Traditional Chinese medicine (TCM), especially acupuncture, has shown promise in managing pain. Although a TCM collaborative ... Full text Link to item Cite

Residential Mobility and Cognitive Function Among Middle-Aged and Older Adults in China.

Journal Article Res Aging · January 2019 OBJECTIVES: To assess the association between rural and urban residential mobility and cognitive function among middle-aged and older adults in China. METHOD: We used data from the World Health Organization Study on global AGEing and adult health that incl ... Full text Link to item Cite

Gender differences in the association between migration and cognitive function among older adults in China and India.

Journal Article Arch Gerontol Geriatr · 2019 OBJECTIVE: This study aims to examine gender differences in the association between migration and cognitive function among adults in China and India. METHODS: Data from the World Health Organization Study on global AGEing and adult health (SAGE) study were ... Full text Link to item Cite

Validity and reliability of the ten-item Connor-Davidson Resilience Scale (CD-RISC10) instrument in patients with axial spondyloarthritis (axSpA) in Singapore.

Journal Article Rheumatol Int · January 2019 We aimed to assess the validity and reliability of the ten-item Connor-Davidson Resilience Scale (CD-RISC10) in patients with axial spondyloarthritis (axSpA) in Singapore. We used cross-sectional data from 108 patients with axSpA recruited from a dedicated ... Full text Link to item Cite

Knowledge, attitudes and practices towards avian influenza among live poultry market workers in Chongqing, China.

Journal Article Prev Vet Med · January 1, 2019 BACKGROUND: Live poultry market (LPM) workers are at high risk of infection with avian influenza virus due to frequent occupational exposure to poultry. This study aims to assess the knowledge, attitude and preventive practice regarding avian influenza amo ... Full text Link to item Cite

The Health and Well-Being of Caregivers of Technologically Dependent Children.

Journal Article Glob Pediatr Health · 2019 Caregivers of technology-dependent children face considerable responsibilities. This study examined the association of 2 child-related stressors-functional status and use of mechanical ventilator-with 2 domains of family caregiver well-being-depressive sym ... Full text Link to item Cite

An integrative review on screening for frailty in acute care: Accuracy, barriers to implementation and adoption strategies.

Journal Article Geriatr Nurs · 2019 Frailty is a multifactorial clinical syndrome associated with increased vulnerability to negative health-related outcomes including disease and disability. Many frailty screening tools are established for use in community settings with few for acute care. ... Full text Link to item Cite

Prevalence of dental caries, oral health awareness and treatment-seeking behavior of elderly population in rural Maharashtra.

Journal Article Indian J Dent Res · 2019 BACKGROUND AND OBJECTIVE: There have been numerous studies of oral health status of school children and young population; however, similar studies in elderly population in India are lacking. With advances in medical science and consequent increase in life ... Full text Link to item Cite

Accuracy and congruence of physician and adolescent patient weight-related discussions: Teen CHAT (Communicating health: Analyzing talk).

Journal Article Patient Educ Couns · December 2018 OBJECTIVE: We assessed the accuracy and congruence of recall of weight topics during clinical encounters between adolescent patients with overweight/obesity and physicians (randomized to Motivational Interviewing education vs. control arm). METHODS: We aud ... Full text Link to item Cite

Nutritional Quality of Meals and Snacks Served and Consumed in Family Child Care.

Journal Article J Acad Nutr Diet · December 2018 BACKGROUND: Improving the nutritional quality of food, including beverages, served in early care and education settings should enhance children's diet quality. However, few studies have explored the relationship between what is served and consumed in famil ... Full text Link to item Cite

The Role of Prefracture Health Status in Physical and Mental Function After Hip Fracture Surgery.

Journal Article J Am Med Dir Assoc · November 2018 OBJECTIVES: To examine the associations of 3 measures of prefracture health status (physical function, mental function, and comorbidity count) with trajectories of physical and mental function at 1.5, 3, 6, and 12 months after hip fracture surgery. DESIGN: ... Full text Open Access Link to item Cite

Physical Activity and Sedentary Behaviors of Children in Family Child Care Homes: Are There Opportunities for Improvement?

Journal Article Pediatr Exerc Sci · November 1, 2018 PURPOSE: Many children attend family child care homes (FCCHs), an important setting to influence children's physical activity (PA) and sedentary behavior (SB). This study assessed children's PA and SB while in FCCHs, characteristics of the FCCH PA environm ... Full text Link to item Cite

Association of prepubertal obesity with pubertal development in Chinese girls and boys: A longitudinal study.

Journal Article Am J Hum Biol · November 2018 OBJECTIVES: The purpose of this study was to examine the association of prepubertal body mass index (BMI) and weight status with pubertal development in boys and girls in Chongqing, China. METHODS: In a longitudinal study, 1237 students (695 boys and 542 g ... Full text Link to item Cite

Lessons from Singapore's national weight management program, Lose To Win.

Journal Article Health Promot Int · October 1, 2018 The prevalence of overweight and obesity in Singapore is lower than in most countries, but it is increasing. There is evidence health complications may appear at lower weights among Asians. We describe the evolution of a national weight management program ... Full text Link to item Cite

Measurement properties of patient reported outcome measures for spondyloarthritis: A systematic review.

Journal Article Semin Arthritis Rheum · October 2018 OBJECTIVES: This systematic review aimed to identify studies investigating measurement properties of patient reported outcome measures (PROMs) for spondyloarthritis (SpA), and to evaluate their methodological quality and level of evidence relating to the m ... Full text Link to item Cite

Weak social networks and restless sleep interrelate through depressed mood among elderly.

Journal Article Qual Life Res · October 2018 PURPOSE: Sleep disturbance is common in late life. While social interaction is a basic human concern, few studies have explored the linkage between interpersonal relationships and sleep disturbance. The present study examines the reciprocal associations be ... Full text Link to item Cite

Road traffic crashes and built environment analysis of crash hotspots based on local police data in Galle, Sri Lanka.

Journal Article Int J Inj Contr Saf Promot · September 2018 Road traffic crashes (RTCs) are a leading cause of death and disability. In low- and middle-income countries, vulnerable road users are commonly involved in injurious RTCs. This study describes epidemiological and built environment analysis (BEA) of in Gal ... Full text Link to item Cite

Threatened miscarriage and depressive and anxiety symptoms among women and partners in early pregnancy.

Journal Article J Affect Disord · September 2018 BACKGROUND: Antenatal depression has been associated with poor maternal and fetal outcomes, and threatened miscarriage is often seen clinically to impact adversely on maternal wellbeing, notwithstanding the limited research evidence. Our study aims to exam ... Full text Link to item Cite

The physical environment in family childcare homes and children's physical activity.

Journal Article Child Care Health Dev · September 2018 BACKGROUND: Family childcare homes (FCCHs) are the second largest provider of childcare in the United States, yet little is known about how this setting influences children's physical activity, particularly related to the physical environment. Thus, the pu ... Full text Link to item Cite

The impact of axial spondyloarthritis on quality of life (QoL): a comparison with the impact of moderate to end-stage chronic kidney disease on QoL.

Journal Article Qual Life Res · September 2018 PURPOSE: The purpose of the study was to assess the impact of axial spondyloarthritis (axSpA) on patients' quality of life (QoL) compared to patients with moderate to end-stage chronic kidney disease (CKD). METHODS: We conducted secondary analysis of QoL d ... Full text Link to item Cite

The randomised controlled trial of micronised progesterone and dydrogesterone (TRoMaD) for threatened miscarriage.

Journal Article Eur J Obstet Gynecol Reprod Biol · September 2018 UNLABELLED: There has not been conclusive evidence in literature on the efficacy of progestogen in the treatment of threatened miscarriage, although some studies showed benefits. In our centre, threatened miscarriage is treated with either micronised proge ... Full text Link to item Cite

Erratum

Journal Article Asia Pacific Journal of Public Health · September 2018 Full text Cite

Anti-hypertensive medications and injurious falls in an older population of low socioeconomic status: a nested case-control study.

Journal Article BMC Geriatr · August 28, 2018 BACKGROUND: This study aimed to determine whether the number of anti-hypertensive medication classes or any change in anti-hypertensive medication were associated with injurious fall among the community-dwelling older population of low socioeconomic status ... Full text Link to item Cite

Physician Weight-Related Counseling Is Unrelated to Extreme Weight Loss Behaviors Among Overweight and Obese Adolescents.

Journal Article Clin Pediatr (Phila) · July 2018 Some physicians may be hesitant to counsel overweight and obese adolescents about weight because of concerns that such counseling may result in extreme weight loss behaviors and the subsequent development of eating disorders. We compared self-reported extr ... Full text Link to item Cite

The family child care home environment and children's diet quality.

Journal Article Appetite · July 1, 2018 BACKGROUND: Developing healthy eating behaviors and food preferences in early childhood may help establish future healthy diets. Large numbers of children spend time in child care, but little research has assessed the nutritional quality of meals and snack ... Full text Link to item Cite

Changes in nocturnal sleep and daytime nap durations predict all-cause mortality among older adults: the Panel on Health and Ageing of Singaporean Elderly.

Journal Article Sleep · July 1, 2018 STUDY OBJECTIVES: To determine the effects of changes in nocturnal sleep and daytime nap durations on all-cause mortality among older adults. METHODS: Two-thousand four-hundred forty-eight community-dwelling older Singaporeans (≥60 years) reported their no ... Full text Link to item Cite

A Systematic Review and Meta-Analyses of the Association Between Anti-Hypertensive Classes and the Risk of Falls Among Older Adults.

Journal Article Drugs Aging · July 2018 BACKGROUND: Falls in individuals aged ≥ 60 years may result in injury, hospitalisation or death. The role of anti-hypertensive medications in falls among older adults is unclear. OBJECTIVE: The objective of this study was to assess the association of six a ... Full text Link to item Cite

Living arrangements of community-dwelling older Singaporeans: Predictors and consequences

Journal Article Ageing and Society · June 1, 2018 In this paper, we examine predictors and consequences of living arrangements among community-dwelling older Singaporeans. We take a holistic approach and consider a range of social and economic as well as emotional and physical wellbeing indicators. Two wa ... Full text Cite

Physical activity and sedentary behavior during pregnancy and postpartum, measured using hip and wrist-worn accelerometers.

Journal Article Prev Med Rep · June 2018 BACKGROUND: Physical activity in pregnancy and postpartum is beneficial to mothers and infants. To advance knowledge of objective physical activity measurement during these periods, this study compares hip to wrist accelerometer compliance; assesses conver ... Full text Link to item Cite

Inclination towards research and the pursuit of a research career among medical students: an international cohort study.

Journal Article BMC Med Educ · May 2, 2018 BACKGROUND: Involvement of clinicians in biomedical research is imperative for the future of healthcare. Several factors influence clinicians' inclination towards research: the medical school experience, exposure to research article reading and writing, an ... Full text Link to item Cite

Complementary and alternative medicine for rheumatic diseases: A systematic review of randomized controlled trials.

Journal Article Complement Ther Med · April 2018 OBJECTIVES: To summarize all good quality randomized controlled trials (RCTs) using complementary and alternative medicine (CAM) interventions in patients with rheumatic diseases. METHODS: A systematic literature review guided by the Preferred Reporting It ... Full text Link to item Cite

Generativity Among Elderly in a Rural Area of Maharashtra, India: Correlates and Relationship With Quality of Life Approved.

Journal Article Asia Pac J Public Health · April 2018 Generativity, "a concern for others and a need to contribute something to the next generation," is a dimension of successful aging in and of itself, but also predicts other positive health outcomes. We examine its manifestations and correlates among elderl ... Full text Link to item Cite

Validity and reliability of the Health Assessment Questionnaire among patients with spondyloarthritis in Singapore.

Journal Article Int J Rheum Dis · March 2018 AIM: The Health Assessment Questionnaire (HAQ) is a popular tool used to measure disability. Few studies have assessed its psychometric properties in patients with spondyloarthritis (SpA). We therefore aimed to assess the reliability and validity of the HA ... Full text Link to item Cite

Barriers to Engagement in a Workplace Weight Management Program: A Qualitative Study.

Journal Article Am J Health Promot · March 2018 PURPOSE: To investigate (1) why some participants in a workplace weight management program were more engaged in the program, (2) specific barriers and facilitators for engagement and weight loss, and (3) suggest how workplaces may better engage employees i ... Full text Link to item Cite

Incidence, risk factors, and outcomes of pregnancy-associated venous thromboembolism in Singapore

Conference BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY · March 1, 2018 Link to item Cite

The association between pre pregnancy body mass index and risk of preeclampsia: a registry based study from Tanzania.

Journal Article BMC Pregnancy Childbirth · February 21, 2018 BACKGROUND: Preeclampsia is among the leading causes of maternal mortality and morbidity worldwide, occurs in 2-8% of all pregnancies, and is estimated to account for at least 9 % of maternal deaths in Africa. Studies from developed countries show that hig ... Full text Link to item Cite

Evaluation of the WHO 2009 classification for diagnosis of acute dengue in a large cohort of adults and children in Sri Lanka during a dengue-1 epidemic.

Journal Article PLoS Negl Trop Dis · February 2018 BACKGROUND: Dengue is a leading cause of fever and mimics other acute febrile illnesses (AFI). In 2009, the World Health Organization (WHO) revised criteria for clinical diagnosis of dengue. METHODOLOGY/PRINCIPAL FINDINGS: The new WHO 2009 classification o ... Full text Link to item Cite

The Effect of Telemedicine Follow-up Care on Diabetes-Related Foot Ulcers: A Cluster-Randomized Controlled Noninferiority Trial.

Journal Article Diabetes care · January 2018 ObjectiveTo evaluate whether telemedicine (TM) follow-up of patients with diabetes-related foot ulcers (DFUs) in primary health care in collaboration with specialist health care was noninferior to standard outpatient care (SOC) for ulcer healing t ... Full text Cite

Place of Residence and Cognitive Function among the Adult Population in India.

Journal Article Neuroepidemiology · 2018 BACKGROUND: The place of residence has been linked to cognitive function among adults in developed countries. This study examined how urban and rural residence was associated with cognitive function among adults in India. METHODS: The World Health Organiza ... Full text Link to item Cite

Intergenerational support to and from older singaporeans

Chapter · January 1, 2018 The family has historically been the provider of support for older adults in Singapore. Demographic changes over the past 50 years, in particular increases in longevity, smaller family sizes, and increases in non-marriage and divorce may be associated with ... Full text Cite

Migration and cognitive function: a conceptual framework for Global Health Research.

Journal Article Glob Health Res Policy · 2018 BACKGROUND: Migration is a fundamental demographic process that has been observed globally. It is suggested that migration is an issue of global health importance that can have an immediate and lasting impact on an individual's health and well-being. There ... Full text Link to item Cite

Correction: Time trends in management of HIV-positive pregnant women in Northern Tanzania: A registry-based study.

Journal Article PLoS One · 2018 [This corrects the article DOI: 10.1371/journal.pone.0184362.]. ... Full text Link to item Cite

Apathy and depressive symptoms in older people and incident myocardial infarction, stroke, and mortality: a systematic review and meta-analysis of individual participant data.

Journal Article Clin Epidemiol · 2018 BACKGROUND: Previous findings suggest that apathy symptoms independently of depressive symptoms measured using the Geriatric Depression Scale (GDS) are associated with cardiovascular disease (CVD) in older individuals. AIMS: To study whether apathy and dep ... Full text Link to item Cite

Primary care multidisciplinary teams in practice: a qualitative study.

Journal Article BMC Fam Pract · December 29, 2017 BACKGROUND: Current recommendations for strengthening the US healthcare system consider restructuring primary care into multidisciplinary teams as vital to improving quality and efficiency. Yet, approaches to the selection of team designs remain unclear. T ... Full text Open Access Link to item Cite

Challenges faced by older nurses in Singapore: a mixed methods study.

Journal Article Int Nurs Rev · December 2017 BACKGROUND: In Singapore, employees aged 62-65 can continue to be employed if they meet the re-employment eligibility criteria. This policy, coupled with an ageing workforce, calls for age-friendly initiatives, specific to work-related challenges faced by ... Full text Link to item Cite

The association between distance to public amenities and cardiovascular risk factors among lower income Singaporeans.

Journal Article Prev Med Rep · December 2017 Existing evidence on the association between built environment and cardiovascular disease (CVD) risk factors focused on the general population, which may not generalize to higher risk subgroups such as those with lower socio-economic status (SES). We exami ... Full text Link to item Cite

Levels and risk factors for urinary metabolites of polycyclic aromatic hydrocarbons in children living in Chongqing, China.

Journal Article Sci Total Environ · November 15, 2017 AIMS: Since childhood exposure to polycyclic aromatic hydrocarbons (PAHs) have been associated with a variety of adverse health outcomes, the aims of this study were to1) document PAH exposure levels among children in Chongqing, China by measuring urinary ... Full text Link to item Cite

Shared Electronic Health Record Systems: Key Legal and Security Challenges.

Journal Article J Diabetes Sci Technol · November 2017 Use of shared electronic health records opens a whole range of new possibilities for flexible and fruitful cooperation among health personnel in different health institutions, to the benefit of the patients. There are, however, unsolved legal and security ... Full text Link to item Cite

SCRUB TYPHUS AS A MAJOR CAUSE OF ILLNESS FOR PATIENTS WITH UNKNOWN FEVER ORIGIN IN GALLE, SRI LANKA

Conference AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE · November 1, 2017 Link to item Cite

Association of obesity with patient-reported outcomes in patients with axial spondyloarthritis: a cross-sectional study in an urban Asian population.

Journal Article Clin Rheumatol · October 2017 To determine if obesity is associated with poorer patient-reported outcomes (PROs) in patients with axial spondyloarthritis (axSpA), we conducted a cross-sectional study using data of the PRESPOND registry from a tertiary referral center in Singapore betwe ... Full text Link to item Cite

A systematic review of quality-of-life domains and items relevant to patients with spondyloarthritis.

Journal Article Semin Arthritis Rheum · October 2017 OBJECTIVES: To summarize, from the literature, quality-of-life (QoL) domains and items relevant to patients with spondyloarthritis (SpA), and to determine if commonly used SpA patient-reported outcome (PRO) instruments include the identified domains. METHO ... Full text Link to item Cite

Validity and Reliability of the Positive Aspects of Caregiving (PAC) Scale and Development of Its Shorter Version (S-PAC) Among Family Caregivers of Older Adults.

Journal Article Gerontologist · August 1, 2017 PURPOSE OF THE STUDY: To (a) assess the validity and reliability of the 9-item Positive Aspects of Caregiving (PAC) scale among a national sample of caregivers for older adults with functional limitations, (b) develop a shorter version (short-PAC [S-PAC] s ... Full text Link to item Cite

Perceived Barriers to Healthy Eating and Physical Activity Among Participants in a Workplace Obesity Intervention.

Journal Article J Occup Environ Med · August 2017 OBJECTIVE: To characterize barriers to healthy eating (BHE) and physical activity (BPA) among participants in a workplace weight management intervention. METHODS: Steps to health participants completed a questionnaire to ascertain barriers to physical acti ... Full text Link to item Cite

Assessment of nutrition and physical activity environments in family child care homes: modification and psychometric testing of the Environment and Policy Assessment and Observation.

Journal Article BMC public health · August 2017 BackgroundEarly care and education (ECE) settings play an important role in shaping the nutrition and physical activity habits of young children. Increasing research attention is being directed toward family child care homes (FCCHs) specifically. ... Full text Cite

Burden and Seasonality of Viral Acute Respiratory Tract Infections among Outpatients in Southern Sri Lanka.

Journal Article Am J Trop Med Hyg · July 2017 In tropical and subtropical settings, the epidemiology of viral acute respiratory tract infections varies widely between countries. We determined the etiology, seasonality, and clinical presentation of viral acute respiratory tract infections among outpati ... Full text Link to item Cite

Computer-Automated Malaria Diagnosis and Quantitation Using Convolutional Neural Networks

Conference Proceedings - 2017 IEEE International Conference on Computer Vision Workshops, ICCVW 2017 · July 1, 2017 The optical microscope remains a widely-used tool for diagnosis and quantitation of malaria. An automated system that can match the performance of well-trained technicians is motivated by a shortage of trained microscopists. We have developed a computer vi ... Full text Cite

Development of the FitSight Fitness Tracker to Increase Time Outdoors to Prevent Myopia.

Journal Article Transl Vis Sci Technol · June 2017 PURPOSE: To develop a fitness tracker (FitSight) to encourage children to increase time spent outdoors. To evaluate the wear pattern for this tracker and outdoor time pattern by estimating light illumination levels among children. METHODS: The development ... Full text Link to item Cite

The Relationship Between BMI and Work-Related Musculoskeletal (MSK) Injury Rates is Modified by Job-Associated Level of MSK Injury Risk.

Journal Article J Occup Environ Med · May 2017 OBJECTIVE: The aim of this study was to examine the relationship between body mass index (BMI) and occupational musculoskeletal (MSK) injury rates, and the statistical interaction between BMI and occupational exposure to MSK hazards (measured by level of M ... Full text Link to item Cite

Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore: Feasibility and Effects on Knowledge About Depression and Cognitive Behavioral Therapy Skills

Conference European Psychiatry · April 2017 IntroductionApproximately one in every five Singaporean households employs Foreign Domestic Workers (FDWs) (Humanitarian Organization for Migration Economics [Home] ... Full text Cite

Antibiotic overuse for acute respiratory tract infections in Sri Lanka: a qualitative study of outpatients and their physicians.

Journal Article BMC Fam Pract · March 16, 2017 BACKGROUND: Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influenza-like illness received antibiot ... Full text Open Access Link to item Cite

Family child care home providers as role models for children: Cause for concern?

Journal Article Prev Med Rep · March 2017 Health behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in fam ... Full text Link to item Cite

Caregiving-related needs of family caregivers of older Singaporeans.

Journal Article Australas J Ageing · March 2017 OBJECTIVE: To describe the extent and correlates of caregiving-related needs among family caregivers of Singaporeans aged 75+ with ≥1 activity of daily living limitations (care-recipients). METHODS: National survey data of 1181 care-recipient/caregiver dya ... Full text Link to item Cite

Validation of serum progesterone <35nmol/L as a predictor of miscarriage among women with threatened miscarriage.

Journal Article BMC pregnancy and childbirth · March 2017 BackgroundOur recent paper, based on a pilot cohort of 119 women, showed that serum progesterone <35 nmol/L was prognostic of spontaneous miscarriage by 16 weeks in women with threatened miscarriage in early pregnancy. Using a larger cohort of wom ... Full text Cite

Knowledge, Attitudes and Practices relating to Leprosy among Public Health Care Providers in Colombo, Sri Lanka.

Journal Article Lepr Rev · March 2017 INTRODUCTION: Leprosy remains a serious public health problem due to its ability to cause disability. The prevention of leprosy ultimately lies in the early diagnosis and treatment of the individuals having leprosy, thereby preventing further transmission. ... Link to item Cite

Time Trends and Educational Inequalities in Out-of-Hospital Coronary Deaths in Norway 1995-2009: A Cardiovascular Disease in Norway (CVDNOR) Project.

Journal Article J Am Heart Assoc · February 20, 2017 BACKGROUND: Recent time trends and educational gradients characterizing out-of-hospital coronary deaths (OHCD) are poorly described. METHODS AND RESULTS: We identified all deaths from coronary heart disease occurring outside the hospital in Norway during 1 ... Full text Link to item Cite

Cohort profile for the Nurture Observational Study examining associations of multiple caregivers on infant growth in the Southeastern USA.

Journal Article BMJ Open · February 8, 2017 PURPOSE: Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. PARTIC ... Full text Link to item Cite

Cohort profile for the Nurture Observational Study examining associations of multiple caregivers on infant growth in the Southeastern USA

Journal Article BMJ Open · February 2017 PurposeChildcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when chil ... Full text Cite

Severity and duration of diabetic foot ulcer (DFU) before seeking care as predictors of healing time: A retrospective cohort study.

Journal Article PLoS One · 2017 OBJECTIVES: To investigate whether A) duration of ulcer before start of treatment in specialist health care, and B) severity of ulcer according to University of Texas classification system (UT) at start of treatment (baseline), are independent predictors o ... Full text Link to item Cite

Time trends in management of HIV-positive pregnant women in Northern Tanzania: A registry-based study.

Journal Article PLoS One · 2017 OBJECTIVE: To examine time trends in antenatal factors and delivery characteristics in Northern Tanzania, and relate these to national guidelines for HIV in pregnancy. DESIGN: Registry-based study. SETTING: Northern Tanzania, 2000-2014. POPULATION OR SAMPL ... Full text Link to item Cite

Effects of a portion design plate on food group guideline adherence among hospital staff.

Journal Article J Nutr Sci · 2017 Food group guideline adherence is vital to prevent obesity and diabetes. Various studies have demonstrated that environmental variables influence food intake behaviour. In the present study we examined the effect of a portion design plate with food group p ... Full text Link to item Cite

Validity and reliability of the Short Form 36 Health Surveys (SF-36) among patients with spondyloarthritis in Singapore.

Journal Article Rheumatol Int · December 2016 The Short Form 36 Health Survey (SF-36) is a popular health-related quality of life (HrQoL) tool. However, few studies have assessed its psychometric properties in patients with spondyloarthritis (SpA). We therefore aimed to assess the reliability and vali ... Full text Link to item Cite

Older nurses in Singapore: Factors associated with attitudes towards extending working life

Journal Article Proceedings of Singapore Healthcare · December 1, 2016 Aims: We aim to determine associations between demographic variables, motivation to work, economic factors, work demands and organisational attitudes towards older workers and whether nurses want to extend working life. Background: Singapore’s ageing workf ... Full text Cite

Association Between Exercise Frequency and Health Care Costs Among Employees at a Large University and Academic Medical Center.

Journal Article J Occup Environ Med · December 2016 OBJECTIVE: The aim of this study was to evaluate the relationship between exercise frequency and health care costs associated with medical and pharmacy claims among a 10-year employee cohort. METHODS: The relationship between self-reported exercise (days/w ... Full text Link to item Cite

Challenges for strengthening the health workforce in the Lao People's Democratic Republic: perspectives from key stakeholders.

Journal Article Hum Resour Health · November 29, 2016 BACKGROUND: The Lao People's Democratic Republic is facing a critical shortage and maldistribution of health workers. Strengthening of the health workforce has been adopted as one of the five priorities of the National Health Sector Strategy (2013-2025). T ... Full text Link to item Cite

Teaching primary care physicians the 5 A's for discussing weight with overweight and obese adolescents.

Journal Article Patient Educ Couns · October 2016 OBJECTIVE: We developed an online intervention to teach physicians both MI (addressed in outcomes paper) and the 5 A's (Ask, Advise, Assess, Assist, and Arrange) when discussing weight with overweight/obese adolescents. METHODS: We audio recorded 527 encou ... Full text Link to item Cite

Providers' response to child eating behaviors: A direct observation study.

Journal Article Appetite · October 1, 2016 Child care providers play an important role in feeding young children, yet little is known about children's influence on providers' feeding practices. This qualitative study examines provider and child (18 months -4 years) feeding interactions. Trained dat ... Full text Link to item Cite

Prevalence and Correlates of Leprosy in a High-Risk Community Setting in Sri Lanka.

Journal Article Asia Pac J Public Health · October 2016 Leprosy is caused by the Mycobacterium leprae bacillus. Pockets of high endemicity remain in a number of countries including Sri Lanka, in spite of the fact that elimination has been achieved at the national level. In 2012, in a village in the Puttlam dist ... Full text Link to item Cite

Emergence of Epidemic Dengue-1 Virus in the Southern Province of Sri Lanka.

Journal Article PLoS Negl Trop Dis · October 2016 BACKGROUND: Dengue is a frequent cause of acute febrile illness with an expanding global distribution. Since the 1960s, dengue in Sri Lanka has been documented primarily along the heavily urbanized western coast with periodic shifting of serotypes. Outbrea ... Full text Open Access Link to item Cite

Prevalence of occupational injury and its contributing factors among rubber tappers in Galle, Sri Lanka.

Journal Article Int J Occup Environ Health · October 2016 BACKGROUND: Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population. OBJECTIVE: To assesses the prevalence, severity, and con ... Full text Link to item Cite

Normative Values of Hand Grip Strength for Elderly Singaporeans Aged 60 to 89 Years: A Cross-Sectional Study.

Journal Article J Am Med Dir Assoc · September 1, 2016 OBJECTIVES: What are normative values for hand grip strength (HGS) for elderly Singaporeans? Which elderly characteristics influence the normative values of HGS for elderly Singaporeans? DESIGN: Nationally representative, cross-sectional observational stud ... Full text Link to item Cite

Recruitment of Family Child Care Homes for an Obesity Prevention Intervention Study.

Journal Article Contemp Clin Trials Commun · August 15, 2016 OBJECTIVE: Critical to the success of any intervention study is successful recruitment. The aim of this paper was to examine the recruitment process of a randomized controlled trial evaluating an intervention conducted with family child care home providers ... Full text Link to item Cite

Telemedicine Versus Standard Follow-Up Care for Diabetes-Related Foot Ulcers: Protocol for a Cluster Randomized Controlled Noninferiority Trial (DiaFOTo).

Journal Article JMIR Res Protoc · July 18, 2016 BACKGROUND: This paper presents the protocol for an ongoing study to evaluate a telemedicine follow-up intervention for patients with diabetes-related foot ulcers. Diabetes-related foot ulcers represent challenges for patients and the health services. The ... Full text Link to item Cite

Health-related quality of life in older depressed psychogeriatric patients: one year follow-up.

Journal Article BMC Geriatr · July 7, 2016 BACKGROUND: Knowledge about long-term change in health related quality of life (HQoL) among older adults after hospitalization for treatment of depression has clinical relevance. The aim was firstly to describe the change of HQoL one year after admission f ... Full text Link to item Cite

Teaching Physicians Motivational Interviewing for Discussing Weight With Overweight Adolescents.

Journal Article J Adolesc Health · July 2016 PURPOSE: We tested whether an online intervention combined with a patient feedback report improved physicians' use of motivational interviewing (MI) techniques when discussing weight with overweight and obese adolescents. METHODS: We randomized 46 pediatri ... Full text Link to item Cite

Improvements in Functional Exercise Capacity after a Residential Behavioural Change, Diet and Fitness Program for Obese Adults.

Journal Article Physiother Res Int · June 2016 BACKGROUND AND PURPOSE: Obese adults are at an increased risk for mobility-related problems. National guidelines recommend calorie restrictions and exercise for obese adults as a means to improve functional fitness capacity and to increase mobility. Yet, l ... Full text Link to item Cite

Preventing childhood obesity in early care and education settings: lessons from two intervention studies.

Journal Article Child Care Health Dev · May 2016 BACKGROUND: Obesity prevention in young children is a public health priority. In the USA, nearly 10% of children less than 5 years of age are obese, and most attend some form of out-of-home child care. While a number of interventions have been conducted in ... Full text Link to item Cite

Prevalence and risk factors of musculoskeletal disorders among Sri Lankan rubber tappers.

Journal Article Int J Occup Environ Health · April 2016 BACKGROUND: Rubber tapping exposes workers to risk factors for musculoskeletal disorders (MSDs). OBJECTIVES: This cross-sectional study assessed the prevalence and factors associated with MSDs among Sri Lankan rubber tappers. METHODS: Questionnaires were a ... Full text Link to item Cite

Identifying types of sex conversations in adolescent health maintenance visits.

Journal Article Sex Health · February 2016 UNLABELLED: Background Physician-adolescent sexuality discussions are a recommended element in health maintenance visits, but such discussions - if they occur at all - probably vary by adolescents' characteristics and situations, and physicians' personal b ... Full text Link to item Cite

The Effects of Two Workplace Weight Management Programs and Weight Loss on Health Care Utilization and Costs.

Journal Article J Occup Environ Med · February 2016 OBJECTIVES: The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+ [education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observatio ... Full text Link to item Cite

High road utilizers surveys compared to police data for road traffic crash hotspot localization in Rwanda and Sri Lanka.

Journal Article BMC Public Health · January 20, 2016 BACKGROUND: Road traffic crashes (RTCs) are a leading cause of death. In low and middle income countries (LMIC) data to conduct hotspot analyses and safety audits are usually incomplete, poor quality, and not computerized. Police data are often limited, bu ... Full text Link to item Cite

Association of maternal serum progesterone in early pregnancy with low birth weight and other adverse pregnancy outcomes.

Journal Article J Matern Fetal Neonatal Med · 2016 OBJECTIVE: To investigate the association of serum progesterone in first trimester with low birth weight (LBW, birth weight <2500 g) and other adverse pregnancy outcomes including hypertensive disorders of pregnancy, preterm delivery, premature rupture of ... Full text Link to item Cite

Are coping strategies and locus of control orientation associated with health-related quality of life in older adults with and without depression?

Journal Article Arch Gerontol Geriatr · 2016 The aim of this study was to investigate relationships between coping and health related quality of life (HRQoL) in older adults (aged ≥60 years) with and without depression. This cross-sectional study included 144 depressed inpatients from seven psychoger ... Full text Link to item Cite

Application of the Intervention Mapping protocol to develop Keys, a family child care home intervention to prevent early childhood obesity.

Journal Article BMC Public Health · December 10, 2015 BACKGROUND: Many families rely on child care outside the home, making these settings important influences on child development. Nearly 1.5 million children in the U.S. spend time in family child care homes (FCCHs), where providers care for children in thei ... Full text Open Access Link to item Cite

Studying physician-adolescent patient communication in community-based practices: recruitment challenges and solutions.

Journal Article Int J Adolesc Med Health · November 13, 2015 BACKGROUND: Practice-based studies are needed to assess how physicians communicate health messages about weight to overweight/obese adolescent patients, but successful recruitment to such studies is challenging. This paper describes challenges, solutions, ... Full text Link to item Cite

Use of Rapid Influenza Testing to Reduce Antibiotic Prescriptions Among Outpatients with Influenza-Like Illness in Southern Sri Lanka.

Journal Article Am J Trop Med Hyg · November 2015 Acute respiratory tract infections (ARTIs) are a common reason for unnecessary antibiotic prescriptions worldwide. Our objective was to determine if providing access to rapid influenza test results could reduce antibiotic prescriptions for ARTIs in a resou ... Full text Link to item Cite

The Relationship of Socioeconomic and Behavioral Risk Factors With Trends of Overweight in Korea.

Journal Article J Prev Med Public Health · November 2015 OBJECTIVES: Previous studies have shown that overweight (including obesity) has increased significantly in Korea in recent decades. However, it remains unclear whether this change has been uniform among all Koreans and to what extent socioeconomic and beha ... Full text Link to item Cite

Alcohol consumption among pregnant women in Northern Tanzania 2000-2010: a registry-based study.

Journal Article BMC Pregnancy Childbirth · September 3, 2015 BACKGROUND: Alcohol can be harmful to the development of the foetus. In most developed countries, pregnant women are recommended to abstain from alcohol, however in developing countries, women are less likely to receive these recommendations. With respect ... Full text Link to item Cite

Racial Differences in Obesity-Related Risk Factors Between 2-Year-Old Children Born of Overweight Mothers.

Journal Article J Pediatr Psychol · August 2015 OBJECTIVE: Investigate racial differences in a range of obesity-related socio-behavioral risk factors in children born of obese mothers. METHODS: 142 Black and 151 White 2-year-old children and their parents were surveyed on their physical activity environ ... Full text Link to item Cite

Worksite medical home: health services use and claim costs.

Journal Article Am J Manag Care · July 1, 2015 OBJECTIVES: To examine the relationship among use of an on-site employer-provided primary care medical home, and health services use and health plan costs for inpatient and outpatient services and pharmaceuticals. STUDY DESIGN: The study was a retrospectiv ... Open Access Link to item Cite

Associations between Benzodiazepine Use and Neuropsychological Test Scores in Older Adults.

Journal Article Can J Aging · June 2015 Benzodiazepines are widely prescribed for anxiety, although use of this class of medications has been associated with dependency and cognitive changes. This article describes the study in which we investigated the relationship between the class of benzodia ... Full text Link to item Cite

Disclosure of Sexual Intercourse by Teenagers: Agreement Between Telephone Survey Responses and Annual Visit Disclosures.

Journal Article Clin Pediatr (Phila) · June 2015 BACKGROUND: Physicians can help guide teenagers in their emerging sexuality; however, teens rarely inform physicians about their sexual activity. METHODS: We audio-recorded annual visits between 365 teenagers and 49 physicians. Before the recorded visit, t ... Full text Link to item Cite

A community-based intervention increases physical activity and reduces obesity in school-age children in North Carolina.

Journal Article Child Obes · June 2015 BACKGROUND: Community-based interventions are promising approaches to obesity prevention, but few studies have prospectively evaluated them. The aim of this study was to evaluate a natural experiment—a community intervention designed to promote active livi ... Full text Open Access Link to item Cite

Perceptions of successful ageing in Sri Lankan older people: A qualitative study

Journal Article Asian Journal of Gerontology and Geriatrics · June 1, 2015 Background. This study explores the opinions and views of Sri Lankan older people about successful ageing. Methods. 30 females and 28 males aged 63 to 85 (median, 69) years recruited from 4 locations in a southern district in Sri Lanka participated in 8 fo ... Cite

Innovative bridging of the rural-urban divide: comparison of scope, safety, and impact of collaborative rural surgery camps and an urban surgical program.

Journal Article World J Surg · April 2015 BACKGROUND: In medically under-resourced regions worldwide, non-permanent surgery programs or camps have been conducted to expand access to surgical services. Surgery camp programs have been reported in rural India, primarily in the ophthalmic and obstetri ... Full text Link to item Cite

Neighborhood socioeconomic status and the prevalence of stroke and coronary heart disease in rural China: a population-based study.

Journal Article Int J Stroke · April 2015 BACKGROUND: Lower neighborhood-level socioeconomic status (SES) is associated with an increased risk of vascular disease in developed countries. AIMS: This study aims to identify village- and individual-level determinants of stroke and coronary heart disea ... Full text Link to item Cite

Extent and correlates of change in anthropometric and fitness outcomes among participants in a corporate team-based weight loss challenge in Singapore: lose to win 2009.

Journal Article Asia Pac J Public Health · March 2015 The authors describe a national corporate team-based weight loss intervention targeting groups of overweight/obese employees and assess its effectiveness. A 12-week weight loss program comprising nutrition education and physical activity sessions, enhanced ... Full text Link to item Cite

Perceived barriers to and ideas for weight control interventions in Malay homemakers: results from focus groups.

Journal Article Asia Pac J Public Health · March 2015 OBJECTIVE: To develop a better understanding of perceived barriers to and ideas for weight loss and maintenance among Malay homemakers in Singapore. METHODS: Interventions for weight management were reviewed, and 5 focus groups were conducted among overwei ... Full text Link to item Cite

Short-term trajectories of use of a caloric-monitoring mobile phone app among patients with type 2 diabetes mellitus in a primary care setting.

Journal Article J Med Internet Res · February 3, 2015 BACKGROUND: Self-management plays an important role in maintaining good control of diabetes mellitus, and mobile phone interventions have been shown to improve such self-management. The Health Promotion Board of Singapore has created a caloric-monitoring m ... Full text Link to item Cite

Association between psoriasis and leisure-time physical activity: findings from the National Health and Nutrition Examination Survey.

Journal Article J Dermatol · February 2015 Despite evidence that physical activity can reduce the cardiometabolic risk of patients with psoriasis, these patients may engage in less physical activity than those without psoriasis. The aim of this study was to examine the association of the extent of ... Full text Link to item Cite

Steps to Health employee weight management randomized control trial: short-term follow-up results.

Journal Article J Occup Environ Med · February 2015 OBJECTIVE: To present the short-term follow-up findings of the Steps to Health study, a randomized trial to evaluate the effectiveness of two employee weight management programs offered within Duke University and the Health System. METHODS: A total of 550 ... Full text Open Access Link to item Cite

Occupational risk factors for low back pain among drivers of three-wheelers in Sri Lanka.

Journal Article Int J Occup Environ Health · 2015 BACKGROUND: Approximately 5% of all households in Sri Lanka operate a three-wheeler as their primary source of income. However, very little is known about the occupational health risks associated with driving these vehicles. OBJECTIVES: The aim of this stu ... Full text Link to item Cite

Factors associated with caregiver burden among caregivers of children with cerebral palsy in Sri Lanka.

Journal Article Asia Pac J Public Health · January 2015 A cross-sectional study was conducted among 375 caregivers of children with cerebral palsy attending a tertiary care setting in Sri Lanka, to identify factors associated with caregiver burden. Caregiver burden was defined as "caregiver's response to variou ... Full text Link to item Cite

Is depression a risk factor for diabetic foot ulcers? 11-years follow-up of the Nord-Trøndelag Health Study (HUNT).

Journal Article J Diabetes Complications · 2015 AIM: To prospectively examine whether depressive symptoms increase the risk of diabetes and a diabetic foot ulcer. METHODS: The Nord-Trøndelag Health Study (HUNT) is a community-based longitudinal study. The Hospital Anxiety and Depression Scale (HADS-D su ... Full text Link to item Cite

Is there a multiplicative adverse effect of cardiovascular and kidney disease on neuropsychological measures?

Journal Article Appl Neuropsychol Adult · 2015 Increasing age is accompanied by increased incidence and comorbidity of various chronic diseases. Many of these conditions, such as cardiovascular and kidney disease, can lead to declines in cognitive functioning. A simple additive effect may be commonly a ... Full text Link to item Cite

The keys to healthy family child care homes intervention: study design and rationale.

Journal Article Contemp Clin Trials · January 2015 BACKGROUND: Obesity is a major public health problem for which early preventive interventions are needed. Large numbers of young children are enrolled in some form of child care program, making these facilities influential environments in children's develo ... Full text Open Access Link to item Cite

Treatment of chronic conditions with traditional Chinese medicine: findings from traditional Chinese medicine hospitals in Hubei, China.

Journal Article J Altern Complement Med · January 2015 OBJECTIVES: This study aimed to document clinical use of Traditional Chinese Medicine (TCM) for chronic conditions in all TCM hospitals in a Chinese province and to recommend treatments most in need of evaluation for use in community health centers. DESIGN ... Full text Link to item Cite

Depression in persons with diabetes by age and antidiabetic treatment: a cross-sectional analysis with data from the Hordaland Health Study.

Journal Article PLoS One · 2015 BACKGROUND: Persons with diabetes have increased risk of depression, however, studies addressing whether the risk varies by age and type of antidiabetic treatment have yielded conflicting results. The aim of this study was to investigate if the association ... Full text Link to item Cite

How can we better predict the risk of spontaneous miscarriage among women experiencing threatened miscarriage?

Journal Article Gynecol Endocrinol · 2015 This study seeks to establish progesterone and progesterone-induced blocking factor (PIBF) levels as predictors of subsequent completed miscarriage among women presenting with threatened miscarriage between 6 and 10 weeks of gestation. Our secondary object ... Full text Link to item Cite

Descriptive study of the psychosocial and physical environments of school in relation to violence among adolescents in the Gampaha District of Sri Lanka

Journal Article Sri Lanka Journal of Child Health · January 1, 2015 Introduction: Adolescents spend a considerable proportion of their time in school and the physical and psychosocial dimensions of schools are important for their wellbeing. Objective: To assess the psychosocial and physical environments of schools for fact ... Full text Cite

The Relationship Between the Use of a Worksite Medical Home and ED Visits or Hospitalizations

Journal Article Inquiry (United States) · January 1, 2015 Worksite medical homes may be a good model for improving employee health. The aim of this study was to compare the likelihood of being seen in the emergency department (ED) or being hospitalized by level of use (no use, occasional use, or primary care) of ... Full text Cite

Physicians Use of Inclusive Sexual Orientation Language During Teenage Annual Visits.

Journal Article LGBT health · December 2014 PurposePhysicians are encouraged to use inclusive language regarding sexuality in order to help all adolescent patients feel accepted. Non-inclusive language by physicians may influence relationships with adolescent patients, especially those with ... Full text Cite

Weight-related SMS texts promoting appropriate pregnancy weight gain: a pilot study.

Journal Article Patient Educ Couns · November 2014 OBJECTIVES: Excessive gestational weight gain (GWG) puts women and children at risk of obesity. We piloted an SMS-texting intervention to promote healthy GWG among overweight and obese women. METHODS: We recruited 35 women and randomized them in a 2:1 fash ... Full text Link to item Cite

Use of diuretics is associated with reduced risk of Alzheimer's disease: the Cache County Study.

Journal Article Neurobiol Aging · November 2014 Although the use of antihypertensive medications has been associated with reduced risk of Alzheimer's disease (AD), it remains unclear which class provides the most benefit. The Cache County Study of Memory Health and Aging is a prospective longitudinal co ... Full text Link to item Cite

Impact of offspring death on cognitive health in late life: the Cache County study.

Journal Article Am J Geriatr Psychiatry · November 2014 OBJECTIVE: Experiencing the death of a child is associated with negative short-term mental health consequences, but less is known about cognitive outcomes and whether such associations extend to late life. We tested the hypothesis that experiencing an offs ... Full text Link to item Cite

Trends in and socio-demographic factors associated with caesarean section at a Tanzanian referral hospital, 2000 to 2013.

Journal Article Int J Equity Health · October 16, 2014 BACKGROUND: Caesarean section (CS) can prevent maternal or fetal complications. Sub-Saharan Africa has the lowest CS levels in the world but large variations are seen between and within countries. The tertiary hospital, Kilimanjaro Christian Medical Centre ... Full text Link to item Cite

Weight's up? Predictors of weight-related communication during primary care visits with overweight adolescents.

Journal Article Patient Educ Couns · September 2014 OBJECTIVE: Physicians' use of Motivational Interviewing (MI) techniques when discussing weight with adolescent patients is unknown. METHODS: We coded audio-recorded encounters between 49 primary care physicians and 180 overweight adolescent patients. Durin ... Full text Link to item Cite

Contribution of generative leisure activities to cognitive function in elderly Sri Lankan adults.

Journal Article J Am Geriatr Soc · September 2014 OBJECTIVES: To examine the unique contribution of generative leisure activities, defined as activities motivated by a concern for others and a need to contribute something to the next generation. DESIGN: Cross-sectional survey. SETTING: Peri-urban and rura ... Full text Link to item Cite

Correlates of peer violence among 13- to 15-year-olds in Gampaha district schools in Sri Lanka: Findings from a comparison between violent and non-violent adolescents

Journal Article SAGE Open · August 12, 2014 Violence among adolescents in schools is a relatively new research area in South Asian countries. Limited knowledge about factors associated with peer violence hinders the design of prevention programs. This study was carried out to assess correlates of pe ... Full text Cite

Weight changes in obese adults 6-months after discontinuation of double-blind zonisamide or placebo treatment.

Journal Article Diabetes Obes Metab · August 2014 We evaluated weight changes in obese patients at 6-months after they ended participation in a 12-month randomised controlled trial in which they received daily placebo, zonisamide 200 mg or zonisamide 400 mg, in addition to lifestyle counselling. Of the or ... Full text Link to item Cite

Maternal autonomy and child health care utilization in India: results from the National Family Health Survey.

Journal Article Asia Pac J Public Health · July 2014 The objective of this study was to examine the association of maternal autonomy with preventive and curative child health care utilization in India. Data from the National Family Health Survey 2005-2006 were used to ascertain association of maternal autono ... Full text Link to item Cite

Preventing obesity in infants and toddlers in child care: results from a pilot randomized controlled trial.

Journal Article Matern Child Health J · July 2014 Few interventions have focused on very young children for obesity prevention. This study evaluated a pilot intervention to improve the nutrition and physical activity environments of child care centers serving infants and toddlers. This randomized controll ... Full text Link to item Cite

Age and gender differences in substance screening may underestimate injury severity: a study of 9793 patients at level 1 trauma center from 2006 to 2010.

Journal Article J Surg Res · May 1, 2014 BACKGROUND: Although the relationship between psychoactive substance use and injury is known, evidence remains conflicting on the impact of substance use on clinical outcomes after injury. We hypothesized that preinjury substance use would negatively impac ... Full text Link to item Cite

Caregiving expectations and challenges among elders and their adult children in Southern Sri Lanka.

Journal Article Ageing Soc · May 1, 2014 The elderly population in Sri Lanka is growing rapidly. Elders are traditionally cared for in the homes of their adult children, but the shifting socio-economic environment in Sri Lanka challenges this arrangement. This paper describes the dynamics of elde ... Full text Link to item Cite

Comorbid visual and cognitive impairment: relationship with disability status and self-rated health among older Singaporeans.

Journal Article Asia Pac J Public Health · May 2014 The objective of this study was to examine the prevalence and consequences of coexisting vision and cognitive impairments in an Asian population. Data were collected from 4508 community-dwelling Singaporeans aged 60 years and older. Cognition was assessed ... Full text Open Access Link to item Cite

Satiety responsiveness and the relationship between breastfeeding and weight status of toddlers of overweight and obese women.

Journal Article Matern Child Health J · May 2014 Numerous studies indicate an association between breastfeeding and decreased toddler adiposity. The mechanism behind this association is still unknown. One possibility is that children who are breastfed may have increased responsiveness to internal satiety ... Full text Link to item Cite

Is overweight and class I obesity associated with increased health claims costs?

Journal Article Obesity (Silver Spring) · April 2014 OBJECTIVES: Evaluate the relationship between body mass index (BMI) and health claims costs over the last decade, assess the strength and nature of the relationship between BMI and costs, and identify comorbidities that may drive any increased costs. METHO ... Full text Link to item Cite

Determining optimal gestational weight gain in a multiethnic Asian population.

Journal Article J Obstet Gynaecol Res · April 2014 AIM: To define the optimal gestational weight gain (GWG) for the multiethnic Singaporean population. METHODS: Data from 1529 live singleton deliveries was analyzed. A multinomial logistic regression analysis, with GWG as the predictor, was conducted to det ... Full text Link to item Cite

Sexuality talk during adolescent health maintenance visits.

Journal Article JAMA Pediatr · February 2014 IMPORTANCE: Physicians may be important sources of sexuality information and preventive services, and one-on-one confidential time during health maintenance visits is recommended to allow discussions of sexual development, behavior, and risk reduction. How ... Full text Link to item Cite

Diabetes-related foot ulcers and associated factors: results from the Nord-Trøndelag Health Survey (HUNT3) (2006-2008).

Journal Article J Diabetes Complications · 2014 AIM: To determine the proportion of people with diabetes reporting a history of foot ulcer and investigate associated factors and healing time in the Nord-Trøndelag Health Survey (HUNT3), Norway. METHODS: In 2006-2008, all inhabitants in Nord-Trøndelag Cou ... Full text Link to item Cite

Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk).

Journal Article J Am Board Fam Med · 2014 OBJECTIVE: Primary care providers should counsel overweight patients to lose weight. Rates of self-reported, weight-related counseling vary, perhaps because of self-report bias. We assessed the accuracy and congruence of weight-related discussions among pa ... Full text Link to item Cite

Projecting the number of older singaporeans with activity of daily living limitations requiring human assistance through 2030.

Journal Article Ann Acad Med Singap · January 2014 INTRODUCTION: In the context of rapid population ageing and the increase in number of activity of daily living (ADL) limitations with age, the number of older persons requiring human assistance in Singapore is likely to grow. To promote informed planning f ... Open Access Link to item Cite

Development of the Sri Lankan early teenagers' violence inventory: an instrument to measure peer violence in schools.

Journal Article Biomed Res Int · 2014 This study was designed to develop an inventory to measure peer violence among early teens (13-15 years of age) in schools in Sri Lanka. Development of SLETVI was carried out in two phases. In phase I, development of an operational definition for peer viol ... Full text Link to item Cite

Trajectories of depressive symptoms over 2 years postpartum among overweight or obese women.

Journal Article Womens Health Issues · 2014 BACKGROUND: Although depressive symptoms are common postpartum, few studies have followed women beyond 12 months postpartum to investigate changes in the number and severity of these symptoms over time, especially in overweight and obese women. Using two c ... Full text Link to item Cite

Older person behavioral and psychological symptoms (BPS) and functional limitations mediate the association between older person cognitive impairment and depressive symptoms in the caregiver.

Journal Article Arch Gerontol Geriatr · 2014 We assess for the mediation of the association between older person cognitive impairment and caregiver depressive symptoms through older person BPS and functional limitations, and whether the mediation varies by caregiver-older person relationship (spouse/ ... Full text Open Access Link to item Cite

Risk factors and midwife-reported reasons for episiotomy in women undergoing normal vaginal delivery.

Journal Article Arch Gynecol Obstet · December 2013 PURPOSE: In Singapore, a developed Asian nation, a relatively high proportion of women undergo episiotomy. We assess risk factors and midwife-reported reasons for episiotomy among women undergoing normal vaginal deliveries (NVDs) conducted by midwives and ... Full text Link to item Cite

Teen CHAT: Development and utilization of a web-based intervention to improve physician communication with adolescents about healthy weight.

Journal Article Patient Educ Couns · December 2013 OBJECTIVE: To describe the theoretical basis, use, and satisfaction with Teen CHAT, an online educational intervention designed to improve physician-adolescent communication about healthy weight. METHODS: Routine health maintenance encounters between pedia ... Full text Link to item Cite

Under reporting of road traffic injuries in the district of Kandy, Sri Lanka.

Journal Article BMJ Open · November 8, 2013 OBJECTIVES: To conduct a community survey to estimate the degree to which road traffic injuries (RTIs) are under reported and to compare the characteristics of RTI reported to the police to those not reported. DESIGN: A cross-sectional population-based stu ... Full text Link to item Cite

Diet quality of overweight and obese mothers and their preschool children.

Journal Article J Acad Nutr Diet · November 2013 BACKGROUND: Children of obese parents are more likely to become obese than children of normal-weight parents. However, there is little information regarding the diet intakes of children of obese parents. OBJECTIVE: Our objective was to determine the diet q ... Full text Link to item Cite

Trends in racial disparities in pancreatic cancer surgery.

Journal Article J Gastrointest Surg · November 2013 OBJECTIVES: We tested three hypotheses: (1) blacks with pancreatic cancer are recommended surgical resection less often than whites; (2) when recommended surgical resection, blacks refuse surgery more often than whites; and lastly, (3) racial differences i ... Full text Link to item Cite

The effect of the home environment on physical activity and dietary intake in preschool children.

Journal Article Int J Obes (Lond) · October 2013 BACKGROUND: The effects of the home environment on child health behaviors related to obesity are unclear. PURPOSE: To examine the role of the home physical activity (PA) and food environment on corresponding outcomes in young children, and assess maternal ... Full text Open Access Link to item Cite

Use of and attitudes toward tobacco and alcohol among adults in southern Sri Lanka.

Journal Article Southeast Asian J Trop Med Public Health · September 2013 The adverse health effects of tobacco and alcohol are well known. Alcohol consumption is increasing in Sri Lanka, but few population studies have been conducted. The objective of this study was to document tobacco and alcohol consumption levels among adult ... Link to item Cite

The assistant medical officer in Sri Lanka: mid-level health worker in decline.

Journal Article J Interprof Care · September 2013 The history of Assistant Medical Officers (AMOs) in Sri Lanka can be traced back to the 1860s. Their training from the beginning followed an allopathic, 'evidence based' model. AMOs have played a key role in rural and peripheral health care, through staffi ... Full text Link to item Cite

Young adult weight trajectories through midlife by body mass category.

Journal Article Obesity (Silver Spring) · September 2013 OBJECTIVE: To estimate the expected weight gain through midlife for those in a given BMI category in young adulthood. DESIGN AND METHODS: Group-based trajectory modeling and National Longitudinal Survey of Youth 1979 data from 1990 to 2008 were used to qua ... Full text Link to item Cite

Health impacts of caregiving for older adults with functional limitations: results from the Singapore survey on informal caregiving.

Journal Article J Aging Health · September 2013 OBJECTIVE: To estimate the health impact, in terms of depression, self-rated health, and health services utilization, of providing care to older adults (75+) requiring human assistance in at least one activity of daily living (ADL) limitation. METHOD: Data ... Full text Link to item Cite

Stressful life events and cognitive decline in late life: moderation by education and age. The Cache County Study.

Journal Article Int J Geriatr Psychiatry · August 2013 OBJECTIVE: Stressful life events (SLE) have been associated with increased dementia risk, but their association with cognitive decline has been inconsistent. In a longitudinal population-based study of older individuals, we examined the association between ... Full text Link to item Cite

What factors influence midwives' decision to perform or avoid episiotomies? A focus group study.

Journal Article Midwifery · August 2013 OBJECTIVE: to explore midwives' reasons for performing or avoiding episiotomies and motivation to change episiotomy practice in a large tertiary maternity hospital. DESIGN: using purposive sampling, three focus groups were conducted to achieve theme satura ... Full text Link to item Cite

A prospective study of risk factors for first trimester miscarriage in Asian women with threatened miscarriage.

Journal Article Singapore Med J · August 2013 INTRODUCTION: The present study aimed to assess the demographic, socioeconomic, medical and lifestyle factors associated with the progression of a threatened miscarriage to a complete miscarriage in the first trimester. METHODS: A prospective cohort study ... Full text Link to item Cite

The steps to health employee weight management randomized control trial: rationale, design and baseline characteristics.

Journal Article Contemp Clin Trials · July 2013 BACKGROUND: The workplace can be an important setting for addressing obesity. An increasing number of employers offer weight management programs. PURPOSE: Present the design, rationale and baseline characteristics of the Steps to Health study (STH), a rand ... Full text Link to item Cite

Does support from foreign domestic workers decrease the negative impact of informal caregiving? Results from Singapore survey on informal caregiving.

Journal Article J Gerontol B Psychol Sci Soc Sci · July 2013 OBJECTIVES: To assess the instrumental support from a foreign domestic worker (FDW) as a moderator of the association of 4 types of impairments (physical function, memory, behavior, and mood) among older persons (OPs) with caregiving-related outcomes among ... Full text Link to item Cite

Baseline disability in activities of daily living predicts dementia risk even after controlling for baseline global cognitive ability and depressive symptoms.

Journal Article Int J Geriatr Psychiatry · June 2013 OBJECTIVES: Late-life disability in activities of daily living (ADL) is theorized to be driven by underlying cognitive and/or physical impairment, interacting with psychological and environmental factors. Although we expect that cognitive deficits would ex ... Full text Link to item Cite

The application of comorbidity indices to predict early postoperative outcomes after laparoscopic Roux-en-Y gastric bypass: a nationwide comparative analysis of over 70,000 cases.

Journal Article Obes Surg · May 2013 BACKGROUND: Patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) often have substantial comorbidities, which must be taken into account to appropriately assess expected postoperative outcomes. The Charlson/Deyo and Elixhauser indices are widel ... Full text Link to item Cite

Predictors and adverse outcomes of inadequate or excessive gestational weight gain in an Asian population.

Journal Article J Obstet Gynaecol Res · May 2013 AIM: The aim of this study was to assess maternal characteristics as predictors of inadequate or excessive gestational weight gain (GWG) and to characterize maternal and neonatal outcomes associated with inadequate or excessive GWG in Asian women. MATERIAL ... Full text Link to item Cite

Parental obesity moderates the relationship between childhood appetitive traits and weight.

Journal Article Obesity (Silver Spring) · April 2013 OBJECTIVE: In this study, the independent and combined associations between childhood appetitive traits and parental obesity on weight gain from 0 to 24 months and body mass index (BMI) z-score at 24 months in a diverse community-based sample of dual paren ... Full text Link to item Cite

High risks for adverse outcomes after gastric bypass surgery following failed gastric banding: a population-based trend analysis of the United States.

Journal Article Ann Surg · February 2013 OBJECTIVES: The objectives of this investigation were to (1) compare short-term outcomes for patients undergoing primary gastric bypass surgery with those who had gastric bypass procedures performed as a rescue procedure after failed gastric banding and (2 ... Full text Link to item Cite

Racial differences among patients undergoing laparoscopic gastric bypass surgery: a population-based trend analysis from 2002 to 2008.

Journal Article Obes Surg · February 2013 BACKGROUND: Laparoscopic gastric bypass surgery (LGBS) has become the most widely used bariatric procedure due to its beneficial long-term outcomes for patients with morbid obesity. However, it is unclear whether racial differences in admission for LGBS ha ... Full text Link to item Cite

Chikungunya as a cause of acute febrile illness in southern Sri Lanka.

Journal Article PLoS One · 2013 BACKGROUND: Chikungunya virus (CHIKV) re-emerged in Sri Lanka in late 2006 after a 40-year hiatus. We sought to identify and characterize acute chikungunya infection (CHIK) in patients presenting with acute undifferentiated febrile illness in unstudied rur ... Full text Open Access Link to item Cite

The effect of the home environment on physical activity and dietary intake in preschool children

Journal Article International Journal of Obesity · 2013 Background:The effects of the home environment on child health behaviors related to obesity are unclear.Purpose:To examine the role of the home physical activity (PA) and food environment on corresponding outcomes in young children, and assess maternal edu ... Full text Cite

Variation in and correlates of body mass status of older singaporean men and women: results from a national survey.

Journal Article Asia Pac J Public Health · January 2013 Featured Publication This study describes the body mass status of older (≥60 years) Singaporeans, using the international and Asian body mass index (BMI) classifications, assesses sociodemographic correlates of BMI, underweight, obesity, and "high-risk" BMI (≥27.5 kg/m(2)), an ... Full text Link to item Cite

Body mass trajectories through midlife among adults with class I obesity.

Journal Article Surg Obes Relat Dis · 2013 BACKGROUND: Little is known about the body mass trajectories for adults with class I obesity. Our objective was to map the body mass trajectories through midlife for young adults with class I obesity in the United States. METHODS: Data from the National Lo ... Full text Link to item Cite

Diet quality and weight change among overweight and obese postpartum women enrolled in a behavioral intervention program.

Journal Article J Acad Nutr Diet · January 2013 BACKGROUND: Postpartum weight retention is a risk factor for long-term weight gain. Encouraging new mothers to consume a healthy diet may result in weight loss. OBJECTIVE: To assess predictors of diet quality during the early postpartum period; to determin ... Full text Link to item Cite

Life-course socioeconomic status and obesity among older Singaporean Chinese men and women.

Journal Article J Gerontol B Psychol Sci Soc Sci · January 2013 OBJECTIVES: To elucidate the association between life-course socioeconomic status (SES) and obesity among older (aged 60 and older) Singaporean Chinese men and women. METHODS: Data from the Social Isolation, Health and Lifestyles Survey (single-stage strat ... Full text Link to item Cite

Do high-risk preschoolers or overweight mothers meet AAP-recommended behavioral goals for reducing obesity?

Journal Article Acad Pediatr · 2013 BACKGROUND: The American Academy of Pediatrics (AAP) has issued specific behavioral recommendations to prevent obesity. It is unclear how often high-risk preschoolers and overweight mothers meet recommended behavior goals and whether meeting these goals is ... Full text Link to item Cite

Changes in physical activity among postpartum overweight and obese women: results from the KAN-DO Study.

Journal Article Women Health · 2013 Few studies have assessed physical activity at multiple time points in the postpartum period or used both self-reported and objective measures of assessment. The purpose of this study was to describe physical activity and sedentary behavior at two time poi ... Full text Link to item Cite

Health issues of female foreign domestic workers: a systematic review of the scientific and gray literature.

Journal Article Int J Occup Environ Health · 2013 BACKGROUND: Although the number of female foreign domestic workers (FDWs) is increasing worldwide, little is known about their health issues. OBJECTIVE: To systematically review the literature on health issues of female FDWs to ascertain the problems studi ... Full text Link to item Cite

Sexual functioning and obesity: a review.

Journal Article Obesity (Silver Spring) · December 2012 Featured Publication We review the literature on the relationship between obesity and sexual functioning. Eleven population-based studies, 20 cross-sectional non-population-based studies, and 16 weight loss studies are reviewed. The consistency of findings suggests that the re ... Full text Link to item Cite

Predictors of attrition from a clinical pediatric obesity treatment program.

Journal Article Clin Pediatr (Phila) · December 2012 OBJECTIVE: To assess the predictors of attrition from a clinical pediatric obesity treatment program. METHODS: We evaluated 2- through 20-year-old patients first seen at the Duke University Healthy Lifestyles Program between October 2006 and December 2008. ... Full text Link to item Cite

The economic impact of road traffic injuries on households in Kandy, Sri Lanka

Conference Injury Prevention · October 2012 BackgroundIn Sri Lanka, road traffic injuries (RTIs) kill one person every 4 h. RTI can cause serious economic difficulties for families. Although public sector healthcare is free in Sri Lanka, the household costs ... Full text Cite

The incidence of road traffic inuries in Kandy, Sri Lanka

Conference Injury Prevention · October 2012 BackgroundRoad traffic injuries (RTIs) are a major public health problem worldwide; in Sri Lanka RTI cause six fatalities daily. Traffic police records are the only available National data and are plagued with und ... Full text Cite

Measuring the effect of policy interventions at the population level: some methodological concerns.

Journal Article Health Econ · October 2012 Featured Publication Health policy evaluations estimate the response of population aggregate outcomes to interventions. However, clarity on the form of the expected causal relationship, the parameter identification strategy, and the mode of hypothesis testing is required to ov ... Full text Link to item Cite

Can physicians accurately predict which patients will lose weight, improve nutrition and increase physical activity?

Journal Article Fam Pract · October 2012 Featured Publication BACKGROUND: Physician counselling may help patients increase physical activity, improve nutrition and lose weight. However, physicians have low outcome expectations that patients will change. The aims are to describe the accuracy of physicians' outcome exp ... Full text Link to item Cite

Parent-focused change to prevent obesity in preschoolers: results from the KAN-DO study.

Journal Article Prev Med · September 2012 Featured Publication OBJECTIVE: The study presents the immediate post-intervention results of Kids and Adults Now - Defeat Obesity!, a randomized controlled trial to enhance healthy lifestyle behaviors in mother-preschooler (2-5 years old) dyads in North Carolina (2007-2011). ... Full text Link to item Cite

Depressive symptoms among informal caregivers of older adults: insights from the Singapore Survey on Informal Caregiving.

Journal Article Int Psychogeriatr · August 2012 BACKGROUND: This paper determines care recipient and caregiver characteristics and caregiving dimensions - associated with depression among caregivers of older adults, using path analysis and assesses whether the identified path model differs between spous ... Full text Open Access Link to item Cite

Parenting styles and body mass index trajectories from adolescence to adulthood.

Journal Article Health Psychol · July 2012 OBJECTIVE: Parenting styles such as authoritarian, disengaged, or permissive are thought to be associated with greater adolescent obesity risk than an authoritative style. This study assessed the relationship between parenting styles and changes in body ma ... Full text Link to item Cite

Worse outcomes in patients undergoing urgent surgery for left-sided diverticulitis admitted on weekends vs weekdays: a population-based study of 31 832 patients.

Journal Article Arch Surg · July 2012 Featured Publication HYPOTHESIS: Among patients undergoing urgent surgery for left-sided diverticulitis, those admitted on weekends vs weekdays have higher rates of Hartmann procedure and adverse outcomes. DESIGN: Analysis of data from the Nationwide Inpatient Sample between J ... Full text Link to item Cite

Laparoscopic appendectomy outcomes on the weekend and during the week are no different: a national study of 151,774 patients.

Journal Article World J Surg · July 2012 Featured Publication BACKGROUND: The "weekend effect" is defined as increased morbidity and mortality for patients admitted on weekends compared with weekdays. It has been observed for several diseases, including myocardial infarction and renal insufficiency; however, it has n ... Full text Link to item Cite

Predictors of and health services utilization related to depressive symptoms among elderly Koreans.

Journal Article Soc Sci Med · July 2012 While the prevalence, comorbidity, risk profile and health care utilization for late-life depression have been described for many Western countries, much less is known about the recent epidemiology of late-life depression in East Asian countries such as Ko ... Full text Link to item Cite

Factors associated with prenatal folic acid and iron supplementation among 21,889 pregnant women in Northern Tanzania: a cross-sectional hospital-based study.

Journal Article BMC Public Health · June 26, 2012 Featured Publication BACKGROUND: Folate and iron deficiency during pregnancy are risk factors for anaemia, preterm delivery, and low birth weight, and may contribute to poor neonatal health and increased maternal mortality. The World Health Organization recommends supplementat ... Full text Link to item Cite

Predictors of latent tuberculosis treatment initiation and completion at a U.S. public health clinic: a prospective cohort study.

Journal Article BMC Public Health · June 21, 2012 Featured Publication BACKGROUND: Treatment of latent tuberculosis infection (LTBI) is a key component in U.S. tuberculosis control, assisted by recent improvements in LTBI diagnostics and therapeutic regimens. Effectiveness of LTBI therapy, however, is limited by patients' wil ... Full text Open Access Link to item Cite

Unsuspected rickettsioses among patients with acute febrile illness, Sri Lanka, 2007.

Journal Article Emerg Infect Dis · May 2012 Featured Publication We studied rickettsioses in southern Sri Lanka. Of 883 febrile patients with paired serum samples, 156 (17.7%) had acute rickettsioses; rickettsioses were unsuspected at presentation. Additionally, 342 (38.7%) had exposure to spotted fever and/or typhus gr ... Full text Link to item Cite

The influence of physician communication style on overweight patients' perceptions of length of encounter and physician being rushed.

Journal Article Fam Med · March 2012 Featured Publication BACKGROUND AND OBJECTIVES: Little is known about how patients and physicians perceive time and the extent to which they perceive the physician being rushed during encounters. One aim of this paper is to examine whether patient and physician characteristics ... Link to item Cite

Predictors of postpartum weight change among overweight and obese women: results from the Active Mothers Postpartum study.

Journal Article J Womens Health (Larchmt) · February 2012 Featured Publication BACKGROUND: The postpartum period may be critical for the development of midlife obesity. Identifying factors associated with postpartum weight change could aid in targeting women for healthy lifestyle interventions. METHODS: Data from Active Mothers Postp ... Full text Link to item Cite

Cholecystectomy concomitant with laparoscopic gastric bypass: a trend analysis of the nationwide inpatient sample from 2001 to 2008.

Journal Article Obes Surg · February 2012 Featured Publication BACKGROUND: Gallstone formation is common in obese patients, particularly during rapid weight loss. Whether a concomitant cholecystectomy should be performed during laparoscopic gastric bypass surgery is still contentious. We aimed to analyze trends in con ... Full text Link to item Cite

Unsuspected dengue and acute febrile illness in rural and semi-urban southern Sri Lanka.

Journal Article Emerg Infect Dis · February 2012 Featured Publication Dengue virus (DENV), a globally emerging cause of undifferentiated fever, has been documented in the heavily urbanized western coast of Sri Lanka since the 1960s. New areas of Sri Lanka are now being affected, and the reported number and severity of cases ... Full text Link to item Cite

Prevalence, correlates and perceived causes of limitations in activities of daily living among older Singaporeans.

Journal Article Aging Clin Exp Res · February 2012 Featured Publication AIMS: To describe the prevalence of limitations in Activities of Daily Living (ADL) among older Singaporeans, examine the association of ADL limitations with various self-reported health conditions, assess perceived causes of ADL limitations, and compare p ... Full text Link to item Cite

Does PACS improve diagnostic accuracy in chest radiograph interpretations in clinical practice?

Journal Article Eur J Radiol · January 2012 Featured Publication OBJECTIVES: To assess the impact of a Picture Archiving and Communication System (PACS) on the diagnostic accuracy of the interpretation of chest radiology examinations in a "real life" radiology setting. MATERIALS AND METHODS: During a period before PACS ... Full text Link to item Cite

Validity of proxy-reported weight for older adults.

Journal Article J Am Geriatr Soc · January 2012 Featured Publication Full text Link to item Cite

Musculoskeletal symptoms among female garment factory workers in Sri Lanka.

Journal Article Int J Occup Environ Health · 2012 OBJECTIVES: To assess the prevalence of musculoskeletal symptoms and their association with sociodemographic risk factors among female garment factory workers in Sri Lanka. METHODS: 1058 randomly selected female garment factory workers employed in the free ... Full text Link to item Cite

Validity and reliability of the Caregiver Reaction Assessment scale among primary informal caregivers for older persons in Singapore.

Journal Article Aging Ment Health · 2012 Previous studies evaluating the validity and reliability of the Caregiver Reaction Assessment (CRA) scale (24 items; five subscales: schedule, health, finances, family support, and esteem) in different countries are not fully congruent. This article assess ... Full text Link to item Cite

Unsuspected rickettsioses among patients with acute febrile Illness, Sri Lanka, 2007

Journal Article Emerging Infectious Diseases · 2012 We studied rickettsioses in southern Sri Lanka. Of 883 febrile patients with paired serum samples, 156 (17.7%) had acute rickettsioses; rickettsioses were unsuspected at presentation. Additionally, 342 (38.7%) had exposure to spotted fever and/or typhus gr ... Full text Cite

Effects of counseling techniques on patients' weight-related attitudes and behaviors in a primary care clinic.

Journal Article Patient Educ Couns · December 2011 Featured Publication OBJECTIVE: Examine primary care physicians' use of counseling techniques when treating overweight and obese patients and the association with mediators of behavior change as well as change in nutrition, exercise, and weight loss attempts. METHODS: We audio ... Full text Link to item Cite

Predictors of weight loss communication in primary care encounters.

Journal Article Patient Educ Couns · December 2011 Featured Publication OBJECTIVE: Evidence suggests that physicians' use of motivational interviewing (MI) techniques helps patients lose weight. We assessed patient, physician, relationship, and systems predictors of length of weight-loss discussions and whether physicians' use ... Full text Link to item Cite

Self reported pain severity among multiethnic older Singaporeans: does adjusting for reporting heterogeneity matter?

Journal Article Eur J Pain · November 2011 Featured Publication The objective of this paper is to test and correct for systematic differences in reporting of pain severity among older adults by age, gender, ethnic group and socio-economic status using anchoring vignettes. Data from a national survey of community-dwelli ... Full text Link to item Cite

Correlates of sedentary time and physical activity among preschool-aged children.

Journal Article Prev Chronic Dis · November 2011 Featured Publication INTRODUCTION: Few studies have examined the correlates of objectively measured amounts of sedentary time and physical activity in young children. We evaluated the demographic, biological, behavioral, social, and environmental correlates of the amount of se ... Open Access Link to item Cite

Unmet social support for healthy behaviors among overweight and obese postpartum women: results from the Active Mothers Postpartum Study.

Journal Article J Womens Health (Larchmt) · November 2011 Featured Publication BACKGROUND: In the United States, about two thirds of women of reproductive age are overweight or obese. Postpartum is a transitional period. Life changes during this time can put mothers under high levels of stress when interpersonal support is inadequate ... Full text Link to item Cite

Early parental death and remarriage of widowed parents as risk factors for Alzheimer disease: the Cache County study.

Journal Article Am J Geriatr Psychiatry · September 2011 Featured Publication OBJECTIVES: Early parental death is associated with lifelong tendencies toward depression and chronic stress. We tested the hypothesis that early parental death is associated with higher risk for Alzheimer disease (AD) in offspring. DESIGN: A population-ba ... Full text Link to item Cite

Postpartum physical activity in overweight and obese women.

Journal Article J Phys Act Health · September 2011 Featured Publication BACKGROUND: Low physical activity (PA) during the postpartum period is associated with weight retention. While patterns of PA have been examined in normal weight women during this period, little is known about PA among overweight and obese women. The aim o ... Full text Link to item Cite

Cognitive associations of benzodiazepine use in older adults

Journal Article INTERNATIONAL PSYCHOGERIATRICS · September 1, 2011 Link to item Cite

Living arrangements, social networks and depressive symptoms among older men and women in Singapore.

Journal Article Int J Geriatr Psychiatry · June 2011 Featured Publication OBJECTIVES: To examine the association of living arrangements and social networks outside the household with depressive symptoms among older men and women, ascertain if these relationships differ between older men and women, and investigate whether the ass ... Full text Link to item Cite

Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.

Journal Article Int J Obes (Lond) · June 2011 Featured Publication OBJECTIVE: To examine the associations between attention-deficit/hyperactivity disorder (ADHD) symptoms, obesity and hypertension in young adults in a large population-based cohort. DESIGN, SETTING AND PARTICIPANTS: The study population consisted of 15,197 ... Full text Open Access Link to item Cite

Longitudinal adherence to fecal occult blood testing impacts colorectal cancer screening quality.

Journal Article Am J Gastroenterol · June 2011 Featured Publication OBJECTIVES: Existing cross-sectional quality measures for colorectal cancer (CRC) screening do not assess longitudinal adherence and thus may overestimate the quality of care. Our goal was to evaluate the adherence to repeated yearly fecal occult blood tes ... Full text Link to item Cite

Kids and adults now! Defeat Obesity (KAN-DO): rationale, design and baseline characteristics.

Journal Article Contemp Clin Trials · May 2011 Featured Publication BACKGROUND: Prevention of childhood obesity is a public health priority. Parents influence a child's weight by modeling healthy behaviors, controlling food availability and activity opportunities, and appropriate feeding practices. Thus interventions shoul ... Full text Link to item Cite

Correlates of limitations in activities of daily living and mobility among community-dwelling older Singaporeans

Journal Article Ageing and Society · May 1, 2011 Most research on activity limitations has focused on the association between chronic health conditions and activity limitations and given little attention to their social and financial implications. In this paper, we study the correlates of limitations in ... Full text Cite

Predictors of breastfeeding in overweight and obese women: data from Active Mothers Postpartum (AMP).

Journal Article Matern Child Health J · April 2011 Featured Publication Excess maternal weight has been negatively associated with breastfeeding. We examined correlates of breastfeeding initiation and intensity in a racially diverse sample of overweight and obese women. This paper presents a secondary analysis of data from 450 ... Full text Link to item Cite

Impact of Comorbid Cognitive and Vision Impairment on Disability and Self-Rated Health

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2011 Link to item Cite

Weight-loss talks: what works (and what doesn't).

Journal Article J Fam Pract · April 2011 BACKGROUND: In primary care encounters, it is unknown whether physician advice on weight-related matters leads to patient weight loss. To examine this issue, we analyzed physician weight loss advice and measured corresponding changes in patients' dietary i ... Link to item Cite

Do the five A's work when physicians counsel about weight loss?

Journal Article Fam Med · March 2011 Featured Publication BACKGROUND AND OBJECTIVES: More than two thirds of Americans are overweight or obese. Physician counseling may help patients lose weight; however, physicians perceive these discussions as somewhat futile and time-consuming. An effective and efficient tool ... Link to item Cite

Marriage, Widowhood and Divorce: Affects on Dementia Risk

Conference AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY · March 1, 2011 Link to item Cite

Body mass trajectories through adulthood: results from the National Longitudinal Survey of Youth 1979 Cohort (1981-2006).

Journal Article Int J Epidemiol · February 2011 Featured Publication BACKGROUND: Most studies describing change in body mass through adulthood model an 'average' trajectory bearing the same functional form in the underlying population. Latent-class growth modelling has revealed the presence of several underlying body mass/o ... Full text Link to item Cite

Comparison of dietary intake of overweight postpartum mothers practicing breastfeeding or formula feeding.

Journal Article J Am Diet Assoc · January 2011 Featured Publication BACKGROUND: Weight gain in the postpartum period is a risk factor for long-term obesity. Investigations of dietary intake among lactating and nonlactating overweight women might identify nutritional concerns specific to this population. OBJECTIVE: To compa ... Full text Link to item Cite

Incremental contribution of reported previous head injury to the prediction of diagnosis and cognitive functioning in older adults.

Journal Article Brain Inj · 2011 Featured Publication BACKGROUND: Severe brain injuries may be a risk factor for the development of dementia in later life. Less severe incidents with relatively short or even no loss of consciousness may not carry the same prognosis. OBJECTIVES: This study used data from the f ... Full text Link to item Cite

Sexual functioning in obese adults enrolling in a weight loss study.

Journal Article J Sex Marital Ther · 2011 Featured Publication The authors assessed sexual functioning among treatment-seeking obese men (n = 91) and women (n = 134) using the comprehensive validated Sexual Functioning Questionnaire. Scores were lower for women than for men, indicating reduced sexual functioning. Men' ... Full text Link to item Cite

Latex allergy symptoms among health care workers: results from a university health and safety surveillance system.

Journal Article Int J Occup Environ Health · 2011 Featured Publication We sought to describe risk factors for latex glove allergy symptoms among health care workers by combining data from an active clinical surveillance program and a comprehensive occupational health surveillance system. A total of 4,584 employers completed a ... Full text Link to item Cite

Risk factors for lower extremity amputation among patients with diabetes in Singapore.

Journal Article J Diabetes Complications · 2011 Featured Publication BACKGROUND: Among other risk factors, renal disease and ethnicity have been associated with diabetic lower extremity amputation (LEA) in Western populations. However, little is known about risk factors for LEA among Asian patients. OBJECTIVE: The objective ... Full text Link to item Cite

Fifteen Dimensions of Health among Community-Dwelling Older Singaporeans.

Journal Article Curr Gerontol Geriatr Res · 2011 Featured Publication This paper aims to present a broad perspective of health of older Singaporeans spanning 15 health dimensions and study the association between self-rated health (SRH) and other health dimensions. Using data from a survey of 5000 Singaporeans (≥60 years), S ... Full text Link to item Cite

Physician empathy and listening: associations with patient satisfaction and autonomy.

Journal Article J Am Board Fam Med · 2011 Featured Publication PURPOSE: Motivational Interviewing (MI) is used to help patients change their behaviors. We sought to determine if physician use of specific MI techniques increases patient satisfaction with the physician and perceived autonomy. METHODS: We audio-recorded ... Full text Link to item Cite

Predicting Latent Tuberculosis Treatment Initiation And Completion At A Public Health Clinic

Journal Article AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE · January 1, 2011 Link to item Cite

Effect of breast-feeding on weight retention at 3 and 6 months postpartum: data from the North Carolina WIC Programme.

Journal Article Public Health Nutr · December 2010 Featured Publication OBJECTIVE: Pregnancy-related weight retention can contribute to obesity, and breast-feeding may facilitate postpartum weight loss. We investigated the effect of breast-feeding on postpartum weight retention. DESIGN: A retrospective follow-up study of weigh ... Full text Link to item Cite

Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore.

Journal Article Hypertens Res · December 2010 Featured Publication A comprehensive picture of the management of hypertension in the increasing elderly population in Singapore is lacking. In this study, we assess the prevalence and correlates of hypertension and of awareness, treatment and control of hypertension among 449 ... Full text Link to item Cite

Effect of breastfeeding on weight retention from one pregnancy to the next: results from the North Carolina WIC program.

Journal Article Prev Med · November 2010 Featured Publication OBJECTIVES: Pregnancy-related weight retention can contribute to obesity, and breastfeeding may facilitate postpartum weight loss. We investigated the effect of breastfeeding on long-term postpartum weight retention. METHODS: Using data from the North Caro ... Full text Link to item Cite

Physician communication techniques and weight loss in adults: Project CHAT.

Journal Article Am J Prev Med · October 2010 Featured Publication BACKGROUND: Physicians are encouraged to counsel overweight and obese patients to lose weight. PURPOSE: It was examined whether discussing weight and use of motivational interviewing techniques (e.g., collaborating, reflective listening) while discussing w ... Full text Link to item Cite

FIFTEEN DIMENSIONS OF HEALTH AMONG ELDERLY SINGAPOREANS

Journal Article GERONTOLOGIST · October 1, 2010 Link to item Cite

Does improved access to diagnostic imaging results reduce hospital length of stay? A retrospective study.

Journal Article BMC Health Serv Res · September 6, 2010 Featured Publication BACKGROUND: One year after the introduction of Information and Communication Technology (ICT) to support diagnostic imaging at our hospital, clinicians had faster and better access to radiology reports and images; direct access to Computed Tomography (CT) ... Full text Open Access Link to item Cite

Gestational weight gain in consecutive pregnancies.

Journal Article Am J Obstet Gynecol · September 2010 Featured Publication OBJECTIVE: The purpose of this study was to examine the association between gestational weight gain (GWG) in a woman's first and second pregnancies. STUDY DESIGN: We conducted a retrospective observational cohort study of 27,771 women with their first and ... Full text Link to item Cite

Obesity and receipt of clinical preventive services in veterans.

Journal Article Obesity (Silver Spring) · September 2010 Featured Publication Although obese individuals utilize health care at higher rates than their normal weight counterparts, they may be less likely to receive certain preventive services. We conducted a retrospective cohort study of veterans with visits to 136 national Veterans ... Full text Link to item Cite

Occupational exposure to pesticides increases the risk of incident AD: the Cache County study.

Journal Article Neurology · May 11, 2010 Featured Publication BACKGROUND: Commonly used organophosphate and organochlorine pesticides inhibit acetylcholinesterase at synapses in the somatic, autonomic, and central nervous systems and may therefore have lasting effects on the nervous system. Few studies have examined ... Full text Link to item Cite

Validity and reliability of the expectations regarding aging (ERA-12) instrument among middle-aged Singaporeans.

Journal Article Ann Acad Med Singap · May 2010 Featured Publication INTRODUCTION: The 12-item Expectations Regarding Aging (ERA-12) instrument measures expectations that individuals have about how their health and cognitive function will be when they age. To date, primarily assessed among older adults in Western settings, ... Link to item Cite

Greater risk of dementia when spouse has dementia? The Cache County study.

Journal Article J Am Geriatr Soc · May 2010 Featured Publication OBJECTIVES: To examine the effects of caring for a spouse with dementia on the caregiver's risk for incident dementia. DESIGN: Population-based study of incident dementia in spouses of persons with dementia. SETTING: Rural county in northern Utah. PARTICIP ... Full text Link to item Cite

Prevalence and correlates of clinically significant depressive symptoms among elderly people in Sri Lanka: findings from a national survey.

Journal Article Int Psychogeriatr · March 2010 Featured Publication BACKGROUND: Elderly Sri Lankans (11.2% of the nation's population) have witnessed many years of ethnic conflict, a destructive tsunami and increasing emigration of young adults. However, very little is known about the prevalence and correlates of depressio ... Full text Open Access Link to item Cite

The effect of body mass on health-related quality of life among Singaporean adolescents: results from the SCORM study.

Journal Article Qual Life Res · March 2010 Featured Publication PURPOSE: To investigate the relationship between body mass and health-related quality of life (HRQOL) among Singaporean adolescents. Variation in this relationship by age, gender and ethnicity, and association of HRQOL with change in body mass over time an ... Full text Link to item Cite

Adult children caring for their elderly parents results from a national survey of ageing in srilanka

Journal Article Asian Population Studies · March 1, 2010 Sri Lanka is the fastest ageing South Asian population. Using data from the Sri Lanka Aging Survey 2006, this paper documents the health of adult child caregivers and their elderly parents, nature of care provided, areas of caregiver concern, factors assoc ... Full text Cite

Introducing PACS to the late majority. A longitudinal study.

Journal Article J Digit Imaging · February 2010 Featured Publication The purpose of this study was to study whether the benefits from introducing a picture archiving and communication systems (PACS) reported by innovators and early adopters also can be achieved by a hospital belonging to the "late majority" and to see wheth ... Full text Link to item Cite

Body image and body satisfaction differ by race in overweight postpartum mothers.

Journal Article J Womens Health (Larchmt) · February 2010 Featured Publication BACKGROUND: Body image (BI) and body satisfaction may be important in understanding weight loss behaviors, particularly during the postpartum period. We assessed these constructs among African American and white overweight postpartum women. METHODS: The sa ... Full text Open Access Link to item Cite

Multiparity is associated with high motivation to change diet among overweight and obese postpartum women.

Journal Article Womens Health Issues · 2010 Featured Publication BACKGROUND: Pregnancy is associated with weight gain and obesity. The aim of this study was to identify the effect of parity and other factors on motivation to change diet to lose weight in a cohort of overweight and obese postpartum women. STUDY DESIGN: A ... Full text Link to item Cite

Is stroke history reliably reported by elderly with cognitive impairment? A community-based study.

Journal Article Neuroepidemiology · 2010 Featured Publication BACKGROUND/AIMS: Self-reported history of stroke has been questioned in the elderly due to the high prevalence of cognitive impairment. We tested the validity of response to a stroke questionnaire versus clinical diagnosis of stroke among elderly people wi ... Full text Link to item Cite

Minimal difference between aerobic and progressive resistance exercise on metabolic profile and fitness in older adults with diabetes mellitus: a randomised trial.

Journal Article J Physiother · 2010 Featured Publication QUESTION: Is progressive resistance training as effective as aerobic training of similar duration in sedentary older adults with diabetes mellitus? DESIGN: A randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis. PAR ... Full text Link to item Cite

Certificate course in outcomes research.

Journal Article Med Teach · January 2010 Featured Publication Link to item Cite

History of foot ulcer increases mortality among individuals with diabetes: ten-year follow-up of the Nord-Trøndelag Health Study, Norway.

Journal Article Diabetes Care · December 2009 Featured Publication OBJECTIVE: To compare mortality rates for individuals with diabetes with and without a history of foot ulcer (HFU) and with that for the nondiabetic population. RESEARCH DESIGN AND METHODS: This population-based study included 155 diabetic individuals with ... Full text Link to item Cite

549: Gestational weight gain in consecutive pregnancies

Conference American Journal of Obstetrics and Gynecology · December 2009 Full text Cite

Occurrence and correlates of postpartum depression in overweight and obese women: results from the active mothers postpartum (AMP) study.

Journal Article Matern Child Health J · November 2009 Featured Publication OBJECTIVE: Postpartum depression (PPD) is a significant concern for new mothers and their infants, as well as the health professionals who care for them. Obesity may be a risk factor for depression, and therefore, for PPD specifically. We examined the occu ... Full text Link to item Cite

Contraceptive use by obese women 1 year postpartum.

Journal Article Contraception · November 2009 Featured Publication BACKGROUND: Obese women have higher rates of pregnancy complications, making the prevention of unintended pregnancies in this group of particular importance. STUDY DESIGN: We performed a secondary analysis of data from Active Mothers Postpartum (AMP), a ra ... Full text Link to item Cite

Caregiver-recipient closeness and symptom progression in Alzheimer disease. The Cache County Dementia Progression Study.

Journal Article J Gerontol B Psychol Sci Soc Sci · September 2009 Featured Publication Applying Rusbult's investment model of dyadic relationships, we examined the effect of caregiver-care recipient relationship closeness (RC) on cognitive and functional decline in Alzheimer's disease. After diagnosis, 167 participants completed up to six vi ... Full text Link to item Cite

Food advertising during children's television in Canada and the UK.

Journal Article Arch Dis Child · September 2009 Featured Publication BACKGROUND: Television advertisements for less healthy foods are thought to contribute to overweight and obesity in children. In the UK, new regulations on television food advertising to children came into effect in April 2007. These prohibit advertisement ... Full text Link to item Cite

Active Mothers Postpartum: a randomized controlled weight-loss intervention trial.

Journal Article Am J Prev Med · September 2009 Featured Publication BACKGROUND: Pregnancy may contribute to overweight and obesity. PURPOSE: The primary objective of Active Mothers Postpartum was to promote a reduction in BMI through 24-months postpartum via sustainable lifestyle changes. DESIGN: Behavioral intervention RC ... Full text Link to item Cite

The association between history of diabetic foot ulcer, perceived health and psychological distress: the Nord-Trøndelag Health Study.

Journal Article BMC Endocr Disord · August 25, 2009 Featured Publication BACKGROUND: While the adverse impact of a history of a foot ulcer on physical health among persons with diabetes is well known, little is known about the association between foot ulcer, perceived health and psychological distress. Results from various stud ... Full text Link to item Cite

Barriers to adopting a healthy lifestyle: insight from postpartum women.

Journal Article BMC Res Notes · August 17, 2009 Featured Publication BACKGROUND: Postpartum weight retention can contribute to obesity. There may be unique barriers to weight loss in this period. FINDINGS: Cases are presented for three postpartum women who declined to participate in a postpartum weight loss intervention.Des ... Full text Link to item Cite

Reproductive and family planning history, knowledge, and needs: a community survey of low-income women in Beijing, China.

Journal Article BMC Womens Health · August 10, 2009 Featured Publication BACKGROUND: The reproductive health status of China's low-income urban women is believed to be poor. Therefore, understanding their reproductive history and needs and improving services provision is very important. However, few studies have been done to as ... Full text Link to item Cite

Changes in food advertisements during 'prime-time' television from 1991 to 2006 in the UK and Canada.

Journal Article Br J Nutr · August 2009 Featured Publication Food advertisements on mainstream television have received less research attention than those on children's television. Little is known about how television food advertisements vary internationally or if there have been changes over recent years. We descri ... Full text Link to item Cite

Thirteen dimensions of health in elderly Sri Lankans: results from a National Sri Lanka Aging Survey.

Journal Article J Am Geriatr Soc · August 2009 Featured Publication OBJECTIVES: To explore age and sex differences in distribution of 13 health dimensions with a focus on self-rated health (SRH) and the association between SRH and other health dimensions in elderly Sri Lankans. DESIGN: Sri Lanka Aging Survey, a nationally ... Full text Link to item Cite

Neighborhood environment and self-rated health among adults in Southern Sri Lanka.

Journal Article Int J Environ Res Public Health · August 2009 Featured Publication The prevalence of different neighborhood environmental stressors and associations between the stressors and self-rated health are described in a representative sample of 2,077 individuals, aged 18-85 years, in southern Sri Lanka. Mosquito menace (69.4%), s ... Full text Link to item Cite

Primary care physicians' discussions of weight-related topics with overweight and obese adolescents: results from the Teen CHAT Pilot study.

Journal Article J Adolesc Health · August 2009 Featured Publication Physicians should counsel overweight adolescents about nutrition and exercise. We audio recorded 30 physician-adolescent encounters. Female, older, normal-weight physicians and pediatricians were more Motivational Interviewing (MI) adherent. When physician ... Full text Link to item Cite

An internet-based weight loss intervention initiated by a newspaper.

Journal Article Prev Chronic Dis · July 2009 Featured Publication BACKGROUND: An estimated two-thirds of North Carolina residents are overweight or obese. Mass media, such as newspapers and the Internet, can be used to broadly convey health messages for weight loss. CONTEXT: Newspapers have traditionally been a primary s ... Link to item Cite

Family physicians as team leaders: "time" to share the care.

Journal Article Prev Chronic Dis · April 2009 Featured Publication A major contributor to shortfalls in delivery of recommended health care services is lack of physician time. On the basis of recommendations from national clinical care guidelines for preventive services and chronic disease management, and including the ti ... Link to item Cite

Prevalence and correlates of physical and emotional abuse among late adolescents.

Journal Article Ceylon Med J · March 2009 Featured Publication OBJECTIVES: To estimate the prevalence of physical and emotional abuse reported by late adolescent school children in southern Sri Lanka, and to identify demographic and behavioural correlates of such abuse. METHOD: A cross-sectional survey was administere ... Full text Link to item Cite

Do clinicians read our reports? Integrating the radiology information system with the electronic patient record: experiences from the first 2 years.

Journal Article Eur Radiol · January 2009 Featured Publication This study aimed to determine how clinicians adapted to and utilized new routines for accessing radiology reports after the integration of an electronic patient record (EPR) with a radiology information system (RIS). Activity-related data describing the av ... Full text Link to item Cite

The accuracy of Medicare claims as an epidemiological tool: the case of dementia revisited.

Journal Article J Alzheimers Dis · 2009 Featured Publication Our study estimates the sensitivity and specificity of Medicare claims to identify clinically-diagnosed dementia, and documents how errors in dementia assessment affect dementia cost estimates. We compared Medicare claims from 1993-2005 to clinical dementi ... Full text Link to item Cite

Prevalence and correlates of sexual abuse reported by late adolescent school children in Sri Lanka.

Journal Article Int J Adolesc Med Health · 2009 Featured Publication UNLABELLED: Despite emerging evidence that child sexual abuse (CSA) is a significant health problem in Sri Lanka, few studies have been undertaken to understand the scope and associated factors of CSA. OBJECTIVE: To identify the prevalence of and psycho-be ... Full text Link to item Cite

Neuropsychological performance in advanced age: influences of demographic factors and Apolipoprotein E: findings from the Cache County Memory Study.

Journal Article Clin Neuropsychol · January 2009 Featured Publication The Cache County Study of Memory in Aging (CCMS) is an epidemiological study of Alzheimer's disease (AD), mild cognitive disorders, and aging in a population of exceptionally long-lived individuals (7th to 11th decade). Observation of population members wi ... Full text Link to item Cite

LOWER URINARY TRACT SYMPTOMS AND QUALITY OF LIFE IN NORWEGIAN MEN: THE HUNT STUDY

Journal Article NEUROUROLOGY AND URODYNAMICS · January 1, 2009 Link to item Cite

Estimated time spent on preventive services by primary care physicians.

Journal Article BMC Health Serv Res · December 1, 2008 Featured Publication BACKGROUND: Delivery of preventive health services in primary care is lacking. One of the main barriers is lack of time. We estimated the amount of time primary care physicians spend on important preventive health services. METHODS: We analyzed a large dat ... Full text Link to item Cite

Active Mothers Postpartum (AMP): rationale, design, and baseline characteristics.

Journal Article J Womens Health (Larchmt) · December 2008 Featured Publication BACKGROUND: Pregnancy and the postpartum period have been suggested as important contributors to overweight and obesity among women. This paper presents the design, rationale, and baseline participant characteristics of a randomized controlled intervention ... Full text Link to item Cite

No advantage of A beta 42-lowering NSAIDs for prevention of Alzheimer dementia in six pooled cohort studies.

Journal Article Neurology · June 10, 2008 Featured Publication INTRODUCTION: Observational studies show reduced incidence of Alzheimer dementia (AD) in users of nonsteroidal anti-inflammatory drugs (NSAIDs). One hypothesis holds that the subset of NSAIDs known as selective A beta(42)-lowering agents (SALAs) is respons ... Full text Link to item Cite

Regularity of preventive foot care in persons with diabetes: results from the Nord-Trøndelag Health Study.

Journal Article Res Nurs Health · June 2008 Featured Publication The purpose of the present study was to examine the regularity of preventive care for persons with diabetes in the Nord-Trøndelag Health Study to identify associated demographic, lifestyle, and disease-related factors. Among 1,972 persons with diabetes, 1, ... Full text Link to item Cite

Neuropsychological performance in advanced age: Influences of Demographic factors and Apolipoprotein E: Findings from the Cache County Memory Study.

Journal Article The Clinical neuropsychologist · June 2008 The Cache County Study of Memory in Aging (CCMS) is an epidemiological study of Alzheimer's disease (AD), mild cognitive disorders, and aging in a population of exceptionally long-lived individuals (7th to 11th decade). Observation of population members wi ... Cite

Association of preterm birth with long-term survival, reproduction, and next-generation preterm birth.

Journal Article JAMA · March 26, 2008 Featured Publication CONTEXT: Preterm birth is a major cause of infant morbidity and mortality. Less is known about long-term health among persons born preterm. OBJECTIVE: To determine the long-term effects of preterm birth on survival, reproduction, and next-generation preter ... Full text Link to item Cite

Identifying trajectories of depressive symptoms for women caring for their husbands with dementia.

Journal Article J Am Geriatr Soc · February 2008 Featured Publication OBJECTIVES: To use an innovative statistical method, Latent Class Trajectory Analysis (LCTA), to identify and describe subgroups (called trajectories) of caregiver depressive symptoms in a national sample of wives providing informal care for their husbands ... Full text Link to item Cite

Identification of dementia: agreement among national survey data, medicare claims, and death certificates.

Journal Article Health Serv Res · February 2008 Featured Publication OBJECTIVE: To estimate the proportion of seniors with dementia from three independent data sources and their agreement. DATA SOURCES: The longitudinal Asset and Health Dynamics among the Oldest Old (AHEAD) study (n=7,974), Medicare claims, and death certif ... Full text Link to item Cite

Point and 5-year period prevalence of neuropsychiatric symptoms in dementia: the Cache County Study.

Journal Article Int J Geriatr Psychiatry · February 2008 BACKGROUND: Neuropsychiatric symptoms are nearly universal in dementia, yet little is known about their longitudinal course in the community. OBJECTIVE: To estimate point and 5-year period prevalence of neuropsychiatric symptoms in an incident sample of 40 ... Full text Link to item Cite

Joint effect of stroke and APOE 4 on dementia risk: the Canadian Study of Health and Aging.

Journal Article Neurology · January 1, 2008 Featured Publication BACKGROUND: Although stroke and APOE 4 are independent risk factors for dementia, their combined effect remains uncertain. We assessed their joint effect on dementia risk. METHODS: Subjects participated in Phases 1 and 2 of the Canadian Study of Health and ... Full text Link to item Cite

Improvements in sexual quality of life after moderate weight loss.

Journal Article Int J Impot Res · 2008 Featured Publication We evaluated changes in sexual quality of life as they relate to weight loss over a 2-year period in individuals undergoing weight loss treatment. Six dimensions of sexual quality of life were measured using items from the Impact of Weight on Quality of Li ... Full text Link to item Cite

History of and factors associated with diabetic foot ulcers in Norway: the Nord-Trøndelag Health Study.

Journal Article Scand J Public Health · January 2008 Featured Publication AIMS: To determine the proportion of people with diabetes mellitus reporting a history of foot ulcer and to investigate factors associated with this adverse outcome. METHODS: All inhabitants aged 20 years and older residing in a large geographic region wer ... Full text Link to item Cite

The impact of the Tsunami on hospitalizations at the tertiary care hospital in the Southern Province of Sri Lanka.

Journal Article Am J Disaster Med · 2008 Featured Publication OBJECTIVE: Sri Lanka's human, physical, social, and economic resources suffered a massive impact after the tsunami of December 26, 2004. To assist in preparing for future disasters, the authors sought to characterize the pattern of hospitalizations from th ... Link to item Cite

Tuberculosis knowledge, attitudes, and beliefs among North Carolinians at increased risk of infection.

Journal Article N C Med J · 2008 Featured Publication OBJECTIVE: The purpose of this study was to capture and describe knowledge, attitudes, and beliefs about tuberculosis (TB) among persons at high risk for TB infection. METHODS: We conducted 11 focus groups in 3 different populations at high risk for TB inf ... Link to item Cite

The effect of spousal caregiving and bereavement on depressive symptoms.

Journal Article Aging Ment Health · January 2008 Featured Publication The objective of the study was to determine whether spousal caregiving and bereavement increases caregiver depressive symptoms. We followed 1,967 community-dwelling elderly couples from the 1993 Health and Retirement Study (HRS) until 2002 (five bi-annual ... Full text Link to item Cite

Trajectories of caregiving time provided by wives to their husbands with dementia.

Journal Article Alzheimer Dis Assoc Disord · 2008 Featured Publication Spouses are often the first providers of informal care when their partners develop dementia. We used The National Longitudinal Caregiver Study (NLCS, 4 annual surveys, 1999 to 2002) and identified 3 distinct longitudinal patterns (trajectory classes) of to ... Full text Link to item Cite

Determinants of obesity in an urban township of South Africa

Journal Article South African Journal of Clinical Nutrition · January 1, 2008 Objective: To estimate the prevalence of overweight and obesity, and identity factors associated with Body Mass Index (BMI) and waist circumference (WC) among adults residing in an urban township in South Africa. Design: Cross-sectional study. Setting: Kha ... Full text Cite

Empathy goes a long way in weight loss discussions.

Journal Article J Fam Pract · December 2007 Featured Publication PURPOSE: This study explores how weight-related topics are discussed between physicians and their overweight and obese female patients. METHODS: We surveyed and audio-recorded preventive health and chronic care visits with 25 overweight and obese female pa ... Link to item Cite

Missing in action: care by physician assistants and nurse practitioners in national health surveys.

Journal Article Health Serv Res · October 2007 Featured Publication OBJECTIVE: To assess applicability of national health survey data for generalizable research on outpatient care by physician assistants (PAs) and nurse practitioners (NPs). DATA SOURCES: Methodology descriptions and 2003 data files from the National Ambula ... Full text Link to item Cite

Changing the organization of health care.

Journal Article JAMA · July 18, 2007 Featured Publication Full text Link to item Cite

Autopsy-confirmed Alzheimer's disease versus clinically diagnosed Alzheimer's disease in the Cache County Study on Memory and Aging: a comparison of quantitative MRI and neuropsychological findings.

Journal Article J Clin Exp Neuropsychol · July 2007 Atrophy of specific, regional, and generalized brain structures occurs as a result of the Alzheimer's disease (AD) process. Comparing AD patients with histopathological confirmation of the disease at autopsy to those without autopsy but who were clinically ... Full text Link to item Cite

Obesity and workers' compensation: results from the Duke Health and Safety Surveillance System.

Journal Article Arch Intern Med · April 23, 2007 Featured Publication BACKGROUND: Obese individuals have increased morbidity and use of health services. Less is known about the effect of obesity on workers' compensation. The objective of this study was to determine the relationship between body mass index (BMI) (calculated a ... Full text Link to item Cite

Racial disparities in diabetes a century ago: evidence from the pension files of US Civil War veterans.

Journal Article Soc Sci Med · April 2007 Featured Publication Using a comprehensive database constructed from the pension files of US Civil War veterans, we explore characteristics and occurrence of type 2 diabetes among older black and white males, living circa 1900. We find that rates of diagnosed diabetes were muc ... Full text Link to item Cite

Affective mental health and the risk of fracture in the Canadian study of health-and aging.

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2007 Link to item Cite

Predicting antipsychotic use in children.

Journal Article Psychopharmacol Bull · 2007 Featured Publication UNLABELLED: Psychotropic medications are increasingly being used by children and adolescents. In an earlier report, we noted that boys were receiving atypical antipsychotics more frequently than were girls, (70% of the claims). Since diagnosis was not avai ... Link to item Cite

Physicians' beliefs about discussing obesity: results from focus groups.

Journal Article Am J Health Promot · 2007 Featured Publication PURPOSE: Physicians are expected to discuss weight loss with overweight and obese patients. Physicians' beliefs, outcome expectancies, and strategies for addressing weight with patients have not been examined. DESIGN: Two focus groups of family physicians ... Full text Link to item Cite

Use of email in a family practice setting: opportunities and challenges in patient- and physician-initiated communication.

Journal Article BMC Med · August 15, 2006 Featured Publication BACKGROUND: Electronic mail (email) has the potential to improve communication between physicians and patients. METHODS: We conducted two research studies in a family practice setting: 1) a brief, anonymous patient survey of a convenience sample to determi ... Full text Link to item Cite

Tuberculosis knowledge and attitudes among physicians who treat young children in North Carolina, USA.

Journal Article Int J Tuberc Lung Dis · July 2006 Featured Publication SETTING: North Carolina, USA. OBJECTIVE: To understand physicians' knowledge and attitudes toward the treatment of young children with latent tuberculosis infection (LTBI) in a low-incidence region. DESIGN: Cross-sectional survey of 525 pediatricians and 5 ... Link to item Cite

The reciprocal risks of stroke and cognitive impairment in an elderly population.

Journal Article Alzheimers Dement · July 2006 Featured Publication BACKGROUND: Stroke, dementia, and cognitive impairment no dementia (CIND) pose major threats to the elderly but have rarely been studied together in the same population. We aimed to compare the relative frequencies of stroke, CIND, and dementia in an elder ... Full text Link to item Cite

A population-based study of the association between coronary artery bypass graft surgery (CABG) and cognitive decline: the Cache County study.

Journal Article Int J Geriatr Psychiatry · June 2006 BACKGROUND: The relationship between coronary artery bypass graft (CABG) surgery and cognitive decline remains uncertain, in particular with regard to whether there is delayed cognitive decline associated with this procedure. METHODS: This was a population ... Full text Link to item Cite

A longitudinal study of the relationship between health behavior risk factors and dependence in activities of daily living.

Journal Article J Prev Med Public Health · May 2006 Featured Publication OBJECTIVES: The purpose of this study was to shed further light on the effect of modifiable health behavior risk factors on dependence in activities of daily living, defined in a multidimensional fashion. METHODS: The study participants were 10,278 middle ... Link to item Cite

Alternative models for academic family practices.

Journal Article BMC Health Serv Res · March 20, 2006 Featured Publication BACKGROUND: The Future of Family Medicine Report calls for a fundamental redesign of the American family physician workplace. At the same time, academic family practices are under economic pressure. Most family medicine departments do not have self-support ... Full text Link to item Cite

Obesity and sexual quality of life.

Journal Article Obesity (Silver Spring) · March 2006 Featured Publication OBJECTIVES: Reduced sexual quality of life is a frequently reported yet rarely studied consequence of obesity. The objectives of this study were to 1) examine the prevalence of sexual quality-of-life difficulties in obese individuals and 2) investigate the ... Full text Link to item Cite

Ten dimensions of health and their relationships with overall self-reported health and survival in a predominately religiously active elderly population: the cache county memory study.

Journal Article J Am Geriatr Soc · February 2006 Featured Publication OBJECTIVES: To document the extent of healthy aging along 10 different dimensions in a population known for its longevity. DESIGN: A cohort study with baseline measures of overall self-reported health and health along 10 specific dimensions; analyses inves ... Full text Link to item Cite

Couples' reports of support for smoking cessation predicting women's late pregnancy cessation.

Journal Article Am J Health Promot · 2006 Featured Publication PURPOSE: Although social support has been linked to smoking cessation, no studies have examined whether social support predicts women's late pregnancy cessation. Further, few have included reports from both support recipients and providers. DESIGN: Longitu ... Full text Link to item Cite

Problem-based learning of research skills.

Journal Article J Electrocardiol · January 2006 Featured Publication PURPOSE: To determine whether a short-term, problem-based educational intervention leads to increased research activity among health care practitioners. SUBJECTS AND METHODS: Participant's success was evaluated as a composite of 2 outcomes. These were (1) ... Full text Link to item Cite

Long term effects of prematurity: Results from the medical birth registry of Norway

Conference American Journal of Obstetrics and Gynecology · December 2005 Full text Cite

Associations between obesity and receipt of screening mammography, Papanicolaou tests, and influenza vaccination: results from the Health and Retirement Study (HRS) and the Asset and Health Dynamics Among the Oldest Old (AHEAD) Study.

Journal Article Am J Public Health · September 2005 Featured Publication OBJECTIVES: Obese Americans, who receive more care for chronic diseases, may receive fewer preventive services. We evaluated the association between body mass index (BMI) and receipt of screening mammography and Papanicolaou tests among middle-aged women a ... Full text Link to item Cite

Population-based study of medical comorbidity in early dementia and "cognitive impairment, no dementia (CIND)": association with functional and cognitive impairment: The Cache County Study.

Journal Article Am J Geriatr Psychiatry · August 2005 Featured Publication OBJECTIVE: Authors investigated medical comorbidity in persons with dementia and "Cognitive Impairment, No Dementia" (CIND). METHODS: The Cache County Study is an ongoing population-based study of the epidemiology of dementia, the risk factors for conversi ... Full text Link to item Cite

The prevalence and correlates of urinary tract symptoms in Norwegian men: the HUNT study.

Journal Article BJU Int · July 2005 Featured Publication OBJECTIVES: To estimate the prevalence of lower urinary tract symptoms (LUTS) by severity (using the International Prostate Symptom Score, IPSS) in a population-based study of men aged > or = 20 years, and to assess the association between putative risk fa ... Full text Link to item Cite

Identification of VaD and AD prodromes: the Cache County Study.

Journal Article Alzheimers Dement · July 2005 Featured Publication BACKGROUND: It is unclear whether vascular dementia (VaD) has a cognitive prodrome, akin to the mild cognitive impairment (MCI) prodrome to Alzheimer's dementia (AD). To evaluate whether VaD has a cognitive prodrome, and if it can be differentiated from pr ... Full text Link to item Cite

The impact of own and spouse's urinary incontinence on depressive symptoms.

Journal Article Soc Sci Med · June 2005 Featured Publication This study investigated the impact of own and spouse's urinary incontinence on depressive symptoms. Attention was paid to the possibility that gender and caregiving might be important factors in understanding significant effects. We used negative binomial ... Full text Link to item Cite

Atypical antipsychotic drugs and diabetes mellitus in a large outpatient population: a retrospective cohort study.

Journal Article Pharmacoepidemiol Drug Saf · June 2005 Featured Publication PURPOSE: Previous research has suggested an association between use of atypical antipsychotics and onset of diabetes mellitus. We sought to compare the incidence of new onset diabetes among patients receiving atypical antipsychotics, traditional antipsycho ... Full text Link to item Cite

Do seniors understand their risk of moving to a nursing home?

Journal Article Health Serv Res · June 2005 Featured Publication OBJECTIVE: To determine whether seniors understand their risk of moving to a nursing home. Data Sources. We used longitudinal data from the Asset and Health Dynamics Among the Oldest Old (AHEAD) database. AHEAD is a nationally representative survey (n=8,20 ... Full text Link to item Cite

Prevalence of atypical antipsychotic drug use among commercially insured youths in the United States.

Journal Article Arch Pediatr Adolesc Med · April 2005 Featured Publication BACKGROUND: Use of atypical antipsychotic medications in pediatric populations is increasing. Although previous studies have presented data by age or sex, none has documented sex-specific prevalence by age group. OBJECTIVE: To estimate the 1-year prevalenc ... Full text Link to item Cite

Effectiveness of case-based on-line learning of evidence-based practice guidelines.

Journal Article Fam Med · February 2005 Featured Publication BACKGROUND: Traditional continuing medical education (CME) has not been successful in improving physicians'practice. This project evaluated the use of e-mail to deliver evidence-based moderated case discussions to family physicians. METHODS: In a randomize ... Link to item Cite

Body Mass Index (BMI), BMI change and mortality in community-dwelling seniors without dementia.

Journal Article J Nutr Health Aging · 2005 Featured Publication UNLABELLED: Recently Canada adopted the World Health Organization's (WHO)Weight Classification system for Body Mass Index (BMI). To date, there has been minimal investigation on the predictive ability of BMI on mortality in seniors. This study investigates ... Link to item Cite

Prevalence and predictors of depression in elderly Canadians: The Canadian Study of Health and Aging.

Journal Article Chronic Dis Can · 2005 Featured Publication Depression in elderly Canadians is an important but often unrecognized public health problem. Numerous studies have examined depression in the general community, but studies of depression in the elderly have generally been small and limited. The Canadian S ... Link to item Cite

Re-utilization outcomes and costs of minor acute illness treated at family physician offices, walk-in clinics, and emergency departments.

Journal Article Can Fam Physician · January 2005 Featured Publication OBJECTIVE: To examine factors associated with re-utilization of health services and to estimate and compare costs of treatment for minor acute illnesses in family physicians' offices (FPOs), walk-in clinics (WICs), and emergency departments (EDs). DESIGN: ... Link to item Cite

Is there time for management of patients with chronic diseases in primary care?

Journal Article Ann Fam Med · 2005 Featured Publication PURPOSE: Despite the availability of national practice guidelines, many patients fail to receive recommended chronic disease care. Physician time constraints in primary care are likely one cause. METHODS: We applied guideline recommendations for 10 common ... Full text Link to item Cite

Reproducibility of self-reported pap test utilization in middle-aged African-American women.

Journal Article Ethn Dis · 2005 Featured Publication Both clinicians who perform Pap tests and prescribe re-screens and public health officials, who periodically evaluate the success of Pap test screening programs, often depend on women to self-report their most recent Pap test. However, reliability of self- ... Link to item Cite

The effects of nutrition-related factors on four-year mortality among a biracial sample of community-dwelling elders in the North Carolina piedmont.

Journal Article J Nutr Elder · 2005 Featured Publication The purpose of this epidemiological study was to estimate mortality risk associated with poor diet quality (consumption of five food groups), extremes of body mass index (BMI), waist circumference, and impaired food-related activities of daily living among ... Full text Link to item Cite

A population study of Alzheimer's disease: findings from the Cache County Study on Memory, Health, and Aging.

Journal Article Care Manag J · 2005 There are several population-based studies of aging, memory, and dementia being conducted worldwide. Of these, the Cache County Study on Memory, Health and Aging is noteworthy for its large number of "oldest-old" members. This study, which has been followi ... Full text Link to item Cite

Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System.

Journal Article Am J Ind Med · December 2004 Featured Publication BACKGROUND: Health care workers (HCWs) are at risk of exposures to human blood and body fluids (BBF). Needlestick injuries and splashes place HCWs at risk for numerous blood-borne infections including human immunodeficiency virus (HIV), hepatitis B (HBV), ... Full text Link to item Cite

Obesity and sexual quality of life

Conference OBESITY RESEARCH · October 1, 2004 Link to item Cite

Inappropriate prescribing for elderly Americans in a large outpatient population.

Journal Article Arch Intern Med · August 9, 2004 Featured Publication BACKGROUND: We sought to determine the extent of potentially inappropriate outpatient prescribing for elderly patients, as defined by the Beers revised list of drugs to be avoided in elderly populations. METHODS: We conducted a retrospective cohort study u ... Full text Link to item Cite

The effect of smoking on years of healthy life (YHL) lost among middle-aged and older Americans.

Journal Article Health Serv Res · June 2004 Featured Publication OBJECTIVE: To estimate the effects of smoking on quality of life over time, using the Years of Healthy Life (YHL) construct. DATA SOURCES/STUDY SETTING: The Health and Retirement Study (HRS) survey (N=12,652) of persons 50 to 60 years old and the Asset and ... Full text Link to item Cite

Does binge eating disorder impact weight-related quality of life?

Journal Article Obes Res · June 2004 Featured Publication OBJECTIVES: To determine whether binge eating disorder (BED) impacts weight-related quality of life in obese individuals seeking weight loss treatment and to investigate the role of psychological symptoms, BMI, and demographic variables in the relationship ... Full text Link to item Cite

An integrated comprehensive occupational surveillance system for health care workers.

Journal Article Am J Ind Med · June 2004 Featured Publication BACKGROUND: Workers in the health care industry may be exposed to a variety of work-related stressors including infectious, chemical, and physical agents; ergonomic hazards; psychological hazards; and workplace violence. Many of these hazards lack surveill ... Full text Link to item Cite

Nutritional risk predicts quality of life in elderly community-living Canadians.

Journal Article J Gerontol A Biol Sci Med Sci · January 2004 Featured Publication BACKGROUND: Although nutrition parameters have been linked to quality of life (QOL), few studies have determined if nutritional risk predicts changes in QOL over time in older adults. METHODS: 367 frail older adults were recruited from 23 service agencies ... Full text Link to item Cite

A 10-year follow-up of urinary and fecal incontinence among the oldest old in the community: the Canadian Study of Health and Aging.

Journal Article Can J Aging · 2004 Featured Publication Urinary incontinence is common in the elderly. The epidemiology of fecal and double (urinary and fecal) incontinence is less known. The Canadian Study of Health and Aging (CSHA) is a national study of elderly living in the community at baseline (n = 8,949) ... Full text Link to item Cite

Predictors and sequelae of fractures in the elderly: the Canadian Study of Health and Aging (CSHA).

Journal Article Can J Aging · 2004 Featured Publication The objective of this study was to describe the incidence, type, risk factors, and sequelae of fractures experienced by community-dwelling elderly Canadians. Data are from the Canadian Study of Health and Aging (CSHA), a longitudinal cohort study, collecte ... Link to item Cite

A problem-based approach to teaching outcomes research in family medicine residency.

Journal Article Fam Med · 2004 Featured Publication OBJECTIVE: This study's objective was to introduce research concepts and skills in family medicine residency through a problem-based course. METHODS: Eight third-year residents per year in 3 academic years participated. Groups of two-three were presented w ... Link to item Cite

Number of children associated with obesity in middle-aged women and men: results from the health and retirement study.

Journal Article J Womens Health (Larchmt) · 2004 Featured Publication OBJECTIVE: To study associations between number of children and obesity in middle-aged women and men. METHODS: In the Health and Retirement Study, a national survey of households, we tested the association between increasing number of children and obesity ... Full text Link to item Cite

Racial differences in influenza vaccination among older Americans 1996-2000: longitudinal analysis of the Health and Retirement Study (HRS) and the Asset and Health Dynamics Among the Oldest Old (AHEAD) survey

Journal Article BMC public health · December 16, 2003 BACKGROUND: Influenza is a common and serious public health problem among the elderly. The influenza vaccine is safe and effective. METHODS: The purpose of the study was to determine whether frequencies of receipt vary by race, age group, gender, and time ... Cite

Racial differences in influenza vaccination among older Americans 1996-2000: longitudinal analysis of the Health and Retirement Study (HRS) and the Asset and Health Dynamics Among the Oldest Old (AHEAD) survey.

Journal Article BMC Public Health · December 16, 2003 Featured Publication BACKGROUND: Influenza is a common and serious public health problem among the elderly. The influenza vaccine is safe and effective. METHODS: The purpose of the study was to determine whether frequencies of receipt vary by race, age group, gender, and time ... Full text Link to item Cite

Obesity-specific quality of life and binge eating disorder

Conference OBESITY RESEARCH · September 1, 2003 Link to item Cite

Evaluation of an infrared/radiofrequency equipment-tracking system in a tertiary care hospital.

Journal Article J Med Syst · August 2003 Featured Publication Optimal management of assets in large hospitals is important to both cost control and patient care. A prospective controlled evaluation was conducted to determine whether an asset-tracking system using combined radiofrequency and infrared signals could inc ... Full text Link to item Cite

Whose satisfaction? Three of the authors respond

Journal Article CANADIAN MEDICAL ASSOCIATION JOURNAL · July 8, 2003 Link to item Cite

Whose satisfaction?

Journal Article CMAJ · July 8, 2003 Link to item Cite

Patient satisfaction and quality of care in walk-in clinics, family practices and emergency departments: the Ontario Walk-In Clinic Study.

Journal Article CMAJ · April 15, 2003 Featured Publication BACKGROUND: Although walk-in clinics are an increasingly common feature of Ontario's health care system, the quality of care they provide is the subject of continuing debate. In this study we examined differences in patient satisfaction and quality of care ... Link to item Cite

Primary care: is there enough time for prevention?

Journal Article Am J Public Health · April 2003 Featured Publication OBJECTIVES: We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS: We used published and estimated times per service to determine the physician time r ... Full text Link to item Cite

Interest in healthy diet and physical activity interventions peripartum among female partners of active duty military.

Journal Article Mil Med · April 2003 Featured Publication Overweight and obesity among soldiers and their dependents have increased over the last decade, mirroring rates in the general population. In general, few programs that result in sustained weight loss have been evaluated, although effective interventions c ... Link to item Cite

Reply

Journal Article Arthritis Care & Research · February 15, 2003 Full text Cite

Comment on the "fibromyalgia" label: more cons than pros.

Journal Article Arthritis Rheum · February 15, 2003 Full text Link to item Cite

Prescription of QT-prolonging drugs in a cohort of about 5 million outpatients.

Journal Article Am J Med · February 1, 2003 Featured Publication Many drugs prolong the QT interval and increase the risk of torsade de pointes. Concurrent use of two or more of these drugs can further increase the risk, but the prevalence of concurrent prescription of QT-prolonging drugs is not known. Using the adminis ... Full text Link to item Cite

Hypertension in the Parsi community of Bombay: a study on prevalence, awareness and compliance to treatment.

Journal Article BMC Public Health · January 6, 2003 BACKGROUND: Uncontrolled hypertension (HT) is an established risk factor for the development of vascular diseases. Prevalence varies in different communities and no such study has been conducted in the Parsi community living in Bombay, India. The objective ... Full text Link to item Cite

Screening mammography and Pap tests among older American women 1996-2000: results from the Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD).

Journal Article Ann Fam Med · 2003 Featured Publication BACKGROUND: We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS: This coho ... Full text Link to item Cite

Nutritional risk and time to death; predictive validity of SCREEN (Seniors in the Community Risk Evaluation for Eating and Nutrition).

Journal Article J Nutr Health Aging · 2003 Featured Publication BACKGROUND: Undernutrition in community-living seniors is common and has the potential to adversely influence health outcomes. Nutritional risk screening tools can help identify seniors at risk, but few have predicted health outcomes. METHODS: Seniors were ... Link to item Cite

Comparing the characteristics and attitudes of physicians in different primary care settings: The Ontario Walk-in Clinic Study.

Journal Article Fam Pract · December 2002 Featured Publication BACKGROUND: In Canada, walk-in clinics (WICs) are a focus for debate about access to and the costs and quality of primary care. While WICs may offer patients easier access through longer hours and shorter waits, it has been argued that they may also lead t ... Full text Link to item Cite

Patterns and health effects of caring for people with dementia: the impact of changing cognitive and residential status.

Journal Article Gerontologist · October 2002 PURPOSE: To link changes over 5 years in the health, vital and residential status of very elderly people to changes in their family caregivers' health. DESIGN AND METHODS: Canadian population-based, longitudinal study including community and institutional ... Full text Link to item Cite

Does the label "fibromyalgia" alter health status, function, and health service utilization? A prospective, within-group comparison in a community cohort of adults with chronic widespread pain.

Journal Article Arthritis Rheum · June 15, 2002 Featured Publication OBJECTIVE: To determine if assigning the label of fibromyalgia (FM) to individuals with chronic widespread pain has a significant effect on long-term health status, function, and health service utilization. METHODS: In the London Fibromyalgia Epidemiology ... Full text Link to item Cite

Patient-reported frequency of taking aspirin in a population with coronary artery disease.

Journal Article Am J Cardiol · May 1, 2002 Featured Publication Despite the established benefits of antiplatelet agents in coronary artery disease (CAD), many appropriate patients are not receiving them. We investigated the prevalence of and factors associated with aspirin use and nonuse within a large referral populat ... Full text Link to item Cite

The role of smoking and other modifiable lifestyle risk factors in maintaining and restoring lower body mobility in middle-aged and older Americans: results from the HRS and AHEAD. Health and Retirement Study. Asset and Health Dynamics Among the Oldest Old.

Journal Article J Am Geriatr Soc · April 2002 Featured Publication OBJECTIVES: To analyze the effect of smoking, smoking cessation, and other modifiable risk factors on mobility in middle-aged and older Americans. DESIGN: Panel study; secondary data analysis. SETTING: United States (national sample). PARTICIPANTS: The Hea ... Full text Link to item Cite

Walk-in clinics: patient expectations and family physician availability.

Journal Article Fam Pract · April 2002 Featured Publication BACKGROUND: For over two decades, there has been controversy over the role and impact of walk-in clinics on primary health care. This study evaluates the providers' perspective on this topic. OBJECTIVE: The purpose of this qualitative study was to explore ... Full text Link to item Cite

Underuse of aspirin in a referral population with documented coronary artery disease.

Journal Article Am J Cardiol · March 15, 2002 Featured Publication Despite substantial evidence that antiplatelet therapy saves lives and reduces adverse events in patients with coronary artery disease (CAD), use of the most widely available and lowest cost antiplatelet agent, aspirin, continues to be disappointingly low. ... Full text Link to item Cite

A longitudinal study of the effects of tobacco smoking and other modifiable risk factors on ill health in middle-aged and old Americans: results from the Health and Retirement Study and Asset and Health Dynamics among the Oldest Old survey.

Journal Article Prev Med · March 2002 Featured Publication BACKGROUND: While the effects of smoking and other modifiable risk factors on mortality and specific diseases are well established, their effects on ill health more generally are less known. Using two national, longitudinal surveys, the objective of this s ... Full text Link to item Cite

Walk-in clinics in Ontario. An atmosphere of tension.

Journal Article Can Fam Physician · March 2002 Featured Publication OBJECTIVE: To explore family practice (FP), emergency department (ED), and walk-in clinic (WIC) physicians' perceptions and experiences regarding the effect of walk-in clinics on Ontario's health care system. DESIGN: Qualitative method of focus groups. SET ... Link to item Cite

Chronic widespread musculoskeletal pain with or without fibromyalgia: psychological distress in a representative community adult sample.

Journal Article J Rheumatol · March 2002 Featured Publication OBJECTIVE: To estimate the severity of depression, anxiety, and other symptoms of psychological distress in a representative general population sample of fibromyalgia (FM) cases (FC) compared to pain controls (PC), and to identify strong correlates of depr ... Link to item Cite

Beyond memory impairment: cognitive changes in Alzheimer's disease.

Journal Article Arch Clin Neuropsychol · February 2002 Featured Publication In addition to memory impairment, deficits in other cognitive processes are common in the advanced stages of Alzheimer's disease (AD). The diagnosis of AD does not consider the relative prevalence of deficits in cognitive areas other than memory. We report ... Full text Link to item Cite

Predictors and incidence of urinary incontinence in elderly Canadians with and without dementia - A five-year follow up: The Canadian Study of Health and Aging

Journal Article Canadian Journal on Aging · January 1, 2002 Based on the national Canadian Study of Health and Aging, the objective of this study was to determine the importance of socio-demographic and medical factors, cognitive and functional status as predictors of the development of urinary incontinence, and to ... Full text Cite

Pain and pain-related interference with function in older Canadians: the Canadian Study of Health and Aging.

Journal Article Disabil Rehabil · October 15, 2001 Featured Publication PURPOSE: The effect that pain has on everyday physical and psychological functioning in the older population is not well understood. The main objective of this study was to describe the extent of pain and pain-related disability in the Canadian population ... Full text Link to item Cite

The effect of middle- and old-age body mass index on short-term mortality in older people.

Journal Article J Am Geriatr Soc · October 2001 Featured Publication OBJECTIVES: To determine the effect of body mass index (BMI) at old age and at age 50 on short-term survival among persons age 65 and older. DESIGN: Cross-sectional, using the 4,791 respondents to the community interview of the 1994 National Long Term Care ... Full text Link to item Cite

Current practice of abdominal fascial closure: a survey of Ontario general surgeons.

Journal Article Can J Surg · October 2001 Featured Publication OBJECTIVES: To determine the current practice of abdominal fascial closure among provincial general surgeons. The primary objective was to determine the proportion of surgeons choosing absorbable versus nonabsorbable sutures. Secondary objectives included ... Link to item Cite

Progression of impairment in patients with vascular cognitive impairment without dementia.

Journal Article Neurology · August 28, 2001 Featured Publication Little is known about progression, short of dementia, in vascular cognitive impairment. In the Canadian Study of Health and Aging, 149 participants (79.3 +/- 6.7 years; 61% women) were found to have vascular cognitive impairment, no dementia (CIND). After ... Full text Link to item Cite

A reevaluation of the duration of survival after the onset of dementia.

Journal Article N Engl J Med · April 12, 2001 Featured Publication BACKGROUND: Dementia shortens life expectancy; estimates of median survival after the onset of dementia have ranged from 5 to 9.3 years. Previous studies of people with existing dementia, however, may have underestimated the deleterious effects of dementia ... Full text Link to item Cite

Small-group CME using e-mail discussions. Can it work?

Journal Article Can Fam Physician · March 2001 Featured Publication PROBLEM BEING ADDRESSED: Traditional continuing medical education (CME) approaches do not work well in changing physicians' behaviour, but some promising strategies and technologies might help. Our program sought to meld small-group learning with an Intern ... Link to item Cite

IVF births and pregnancies: an exploration of two methods of assessment using life-table analysis.

Journal Article J Assist Reprod Genet · February 2001 Featured Publication PURPOSE: Our purpose was to explore two methods of expressing the performance of IVF programs. METHODS: Using life-table methods, hazard and cure rates and a "monthly fecundability rate" were calculated for an Ontario IVF clinic. The rates were evaluated f ... Full text Link to item Cite

Health services utilization after induced abortions in Ontario: a comparison between community clinics and hospitals.

Journal Article Am J Med Qual · 2001 Featured Publication The purpose of this study was to compare postabortion health services utilization of hospital abortion patients with community clinic abortion patients using administrative databases. The study was a retrospective cohort study. The study group consisted of ... Full text Link to item Cite

An examination of the hypothesis that left-handers die earlier: the Canadian Study of Health and Aging.

Journal Article Laterality · January 2001 Featured Publication The present paper is a prospective examination, using data from the Canadian Study of Health and Aging (CSHA-1 and CSHA-2), of the hypothesis that self-reported left-handers die earlier than right-handers. Persons over age 65 receiving a clinical evaluatio ... Full text Link to item Cite

Disability and frailty among elderly Canadians: a comparison of six surveys.

Journal Article Int Psychogeriatr · 2001 The first wave of the Canadian Study of Health and Aging (CSHA) constituted a large health survey of a representative sample of elderly Canadians. Other Canadian surveys from the same era provided equivalent figures, and the present report compares the res ... Full text Link to item Cite

A general population study of fibromyalgia tender points in noninstitutionalized adults with chronic widespread pain.

Journal Article J Rheumatol · November 2000 Featured Publication OBJECTIVE: To assess the distribution and predictive ability of fibromyalgia (FM) tender points (TP) in adults with chronic widespread pain. METHODS: Using published classification criteria, we confirmed 100 FM cases and 76 controls with widespread pain no ... Link to item Cite

Toward a more meaningful in vitro fertilization success rate.

Journal Article J Assist Reprod Genet · October 2000 Featured Publication PURPOSE: The objective was to explore the variability in in vitro fertilization (IVF) success rates. METHODS: Published success rates from IVF clinics in North America were investigated to establish types of biases and potential inaccuracies. RESULTS: Succ ... Full text Link to item Cite

The incidence of dementia in Canada

Journal Article Neurology · July 12, 2000 Full text Cite

The search for an ideal method of abdominal fascial closure: a meta-analysis.

Journal Article Ann Surg · March 2000 Featured Publication BACKGROUND AND OBJECTIVE: The ideal suture for abdominal fascial closure has yet to be determined. Surgical practice continues to rely largely on tradition rather than high-quality level I evidence. The authors conducted a systematic review and meta-analys ... Full text Link to item Cite

Complementary/alternative medicine: comparing the view of medical students with students in other health care professions.

Journal Article Fam Med · March 2000 Featured Publication OBJECTIVE: We compared the opinions, knowledge, and attitudes of final-year medical, physiotherapy, occupational therapy, nursing, and pharmacy students about complementary/alternative medicine (CAM). METHODS: A cross-sectional study questionnaire (n = 442 ... Link to item Cite

Perspectives on posttraumatic fibromyalgia: a random survey of Canadian general practitioners, orthopedists, physiatrists, and rheumatologists.

Journal Article J Rheumatol · March 2000 Featured Publication OBJECTIVE: To determine which factors physicians consider important in patients with chronic generalized posttraumatic pain. METHODS: Using physician membership directories, random samples of 287 Canadian general practitioners, 160 orthopedists, 160 physia ... Link to item Cite

Predictors of loss of residual renal function among new dialysis patients.

Journal Article J Am Soc Nephrol · March 2000 Featured Publication Residual renal function (RRF) in end-stage renal disease is clinically important as it contributes to adequacy of dialysis, quality of life, and mortality. This study was conducted to determine the predictors of RRF loss in a national random sample of pati ... Full text Link to item Cite

Graduate education in nursing leadership through distance technologies: the Canada-Norway Nursing Connection.

Journal Article J Nurs Educ · February 2000 Featured Publication The Canada-Norway Nursing Connection was a collaborative project designed to provide an international educational experience for graduate students in nursing via distance technology. Computer-conferencing and video-teleconferencing were used to address nur ... Full text Link to item Cite

Correlates of dysphoria in Canadian seniors: the Canadian Study of Health and Aging.

Journal Article Can J Public Health · 2000 Featured Publication OBJECTIVE: To examine the correlates of dysphoria in elderly Canadians. METHOD: Randomly sampled elderly underwent screening in 1992 (CSHA-1) and in 1997 (CSHA-2). Community-living subjects without dementia at CSHA-1 were re-interviewed at CSHA-2 (n = 5234 ... Full text Link to item Cite

Do nutrition indicators predict death in elderly Canadians with cognitive impairment?

Journal Article Can J Public Health · 2000 Featured Publication This study describes the independent association between nutritional risk and death in older adults diagnosed with cognitive impairment. Canadian Study of Health and Aging participants who completed a clinical exam and were diagnosed with cognitive impairm ... Full text Link to item Cite

A comparison of methods for measuring socio-economic status by occupation or postal area.

Journal Article Chronic Dis Can · 2000 Featured Publication Seven methods of estimating socio-economic status (SES) were compared, including four based on data specific to individuals (Blishen, Pineo-Porter, British Registrar General, Hollingshead) and three based on the average characteristics of the postal code a ... Link to item Cite

Co-existence of chronic fatigue syndrome with fibromyalgia syndrome in the general population. A controlled study.

Journal Article Scand J Rheumatol · 2000 Featured Publication OBJECTIVE: To determine the proportion of adults with fibromyalgia syndrome (FMS) in the general population who also meet the 1988 Centre for Disease Control (CDC) criteria for chronic fatigue syndrome (CFS). METHODS: Seventy-four FMS cases were compared w ... Full text Link to item Cite

Comparative health systems: international collaborative education using the internet.

Journal Article Med Educ · January 2000 Featured Publication Between January and June 1998, postgraduate and undergraduate students from seven centres participated in a discussion of suicide from a public health perspective, using a listserver on the Internet. Most contributions were in English but a few were in Spa ... Full text Link to item Cite

Patient satisfaction as an indicator of quality care in independent health facilities: developing and assessing a tool to enhance public accountability.

Journal Article Am J Med Qual · 2000 Featured Publication The objective of this research was to examine the performance of a brief patient survey about quality of care received in community-based diagnostic and therapeutic facilities. The survey was administered to patients in 44 facilities that were also schedul ... Full text Link to item Cite

Predictors of five-year mortality in older Canadians: the Canadian Study of Health and Aging.

Journal Article J Am Geriatr Soc · October 1999 Featured Publication OBJECTIVE: Based on the Canadian Study of Health and Aging (CSHA), to determine the importance of cognitive status, sociodemographic factors, functional status, and other health related factors as predictors of 5-year overall mortality in older Canadians. ... Full text Link to item Cite

A decade of doctoral research in nutrition.

Journal Article J Am Diet Assoc · September 1999 Featured Publication OBJECTIVE: To describe North American dissertation research in human nutrition from 1986 through 1995. DESIGN: A census collection. SUBJECTS/SETTING: The unit of observation was the dissertation abstract submitted to Dissertation Abstracts International fo ... Full text Link to item Cite

Depression in a community sample of adult fibromyalgia (FM) cases.

Journal Article ARTHRITIS AND RHEUMATISM · September 1, 1999 Link to item Cite

Anxiety in a community sample of adult fibromyalgia (FM) cases.

Journal Article ARTHRITIS AND RHEUMATISM · September 1, 1999 Link to item Cite

An international, collaborative electronic elective course for medical students: Economic and cultural aspects of pharmaceuticals

Journal Article Medical Teacher · September 1, 1999 Reform of the medical curriculum is occurring around the world. Two recurring themes are an emphasis on introducing a broader perspective on health and the need to impart knowledge and skills in new information technology. Groups of medical students from C ... Full text Cite

Mortality in elderly Canadians with and without dementia: a 5-year follow-up.

Journal Article Neurology · August 11, 1999 Featured Publication OBJECTIVES: Based on the national Canadian Study of Health and Aging (CSHA), to compare 5-year overall mortality and causes of death in elderly with and without dementia. To determine how frequently dementia was mentioned on the death certificate. METHODS: ... Full text Link to item Cite

The London Fibromyalgia Epidemiology Study: the prevalence of fibromyalgia syndrome in London, Ontario.

Journal Article J Rheumatol · July 1999 Featured Publication OBJECTIVE: To estimate the point prevalence of fibromyalgia syndrome (FM) among noninstitutionalized Canadian adults; and to assess the effect of demographic variables on the odds of having FM. METHODS: A screening questionnaire was administered via teleph ... Link to item Cite

The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls.

Journal Article J Rheumatol · July 1999 Featured Publication OBJECTIVE: To identify demographic and clinical features that distinguish fibromyalgia (FM) from other chronic widespread pain. METHODS: We identified 100 confirmed FM cases, 76 widespread pain controls, and 135 general controls in a random community surve ... Link to item Cite

Potential underreporting of energy intake in the Ontario Health Survey and its relationship with nutrient and food intakes.

Journal Article Eur J Epidemiol · July 1999 Featured Publication This study investigated potential underreporting of energy intake in the 1990 Ontario Health Survey (OHS). Underreporting was higher in overweight individuals, Asian-born individuals, and respondents from urban areas. Intakes of underreporters were slightl ... Full text Link to item Cite

Teaching clinical trials electronically

Journal Article Medical Teacher · July 1, 1999 This article discusses the development, delivery and evaluation of an electronic extramural course, 'Fundamentals of Clinical Trials', a CME course designed to reach physicians and health care researchers without easy access to a local university. Ten week ... Full text Cite

Testing an instrument to screen for fibromyalgia syndrome in general population studies: the London Fibromyalgia Epidemiology Study Screening Questionnaire.

Journal Article J Rheumatol · April 1999 Featured Publication OBJECTIVE: To develop and test an instrument to screen for fibromyalgia syndrome (FM) in general population surveys. METHODS: We designed a questionnaire with 4 pain and 2 fatigue items. A positive screen was defined 2 ways: (1) positive responses to all 4 ... Link to item Cite

The London Fibromyalgia Epidemiology Study: direct health care costs of fibromyalgia syndrome in London, Canada.

Journal Article J Rheumatol · April 1999 Featured Publication OBJECTIVE: To estimate direct health care costs associated with fibromyalgia (FM) within a representative community sample. METHODS: A random sample of 3395 noninstitutionalized adults was screened for widespread pain. Individuals screening positive were e ... Link to item Cite

Feasibility of client reports to measure treatment outcome in schizophrenia.

Journal Article Can J Psychiatry · February 1999 Featured Publication Link to item Cite

Time since immigration and excess body weight.

Journal Article Can J Public Health · 1999 Featured Publication OBJECTIVES: To examine the relationship between time since immigration and excess body weight. METHODS: Secondary data analysis of a cross-sectional survey of 19,600 Canadians. RESULTS: The prevalence of excess weight (BMI > 25) increases with time since i ... Full text Link to item Cite

Comparing self-reported function and work disability in 100 community cases of fibromyalgia syndrome versus controls in London, Ontario: the London Fibromyalgia Epidemiology Study.

Journal Article Arthritis Rheum · January 1999 Featured Publication OBJECTIVE: To compare function and disability in fibromyalgia syndrome (FMS) cases in the community versus controls, and to identify variables predicting poor function and disability. METHODS: We identified 100 FMS cases, 76 pain controls, and 135 general ... Full text Link to item Cite

Plasma exchange in rapidly progressive renal failure due to multiple myeloma. A retrospective case series.

Journal Article Am J Nephrol · 1999 Featured Publication BACKGROUND/AIMS: To evaluate the effect of plasma exchange on renal function in patients with rapidly progressive renal failure secondary to multiple myeloma. METHODS: The study was done through a retrospective chart review using a standardized form at a t ... Full text Link to item Cite

Activity limitation and food intake in community-living seniors

Journal Article Canadian Journal on Aging · January 1, 1999 The purpose of this study was to determine the extent to which functional ability was associated with dietary intake in community-living seniors with some activity limitation. In this cross-sectional survey, 145 seniors were recruited from 15 recreation, d ... Full text Cite

Risk factors associated with food intake in community-dwelling seniors with some activity limitation

Journal Article JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1, 1998 Link to item Cite

[Electronic house call].

Journal Article Tidsskr Nor Laegeforen · August 20, 1998 Featured Publication Telemedicine technology will soon be widely available in physicians' surgeries and patients' homes. In this article we discuss the broader implications of its widespread use among physicians, patients, and society as a whole, focusing on the main vehicle o ... Link to item Cite

The electronic home visit: The consequences of telemedicine consultations

Journal Article Tidsskrift for den Norske Laegeforening · August 20, 1998 Telemedicine technology will soon be widely available in physicians' surgeries and patients' homes. In this article we discuss the broader implications of its widespread use among physicians, patients, and society as a whole, focusing on the main vehicle o ... Cite

The electronic house call - In reply

Journal Article ARCHIVES OF FAMILY MEDICINE · May 1, 1998 Link to item Cite

Learning about clinical trials: The Western multicentre, randomized, double-blind, placebo-controlled clinical trial on the effect of caffeine on alertness and cardiovascular parameters

Journal Article Medical Teacher · March 1, 1998 With an increased emphasis on evidence-based medicine, teaching epidemiology and biostatistics to medical students is becoming increasingly important. This article discusses the development and implementation of a procedure for demonstrating the principles ... Full text Cite

Successful computer-based learning center.

Journal Article Acad Med · January 1998 Featured Publication Full text Link to item Cite

Place of birth and dietary intake in Ontario. I. Energy, fat, cholesterol, carbohydrate, fiber, and alcohol.

Journal Article Preventive medicine · January 1998 Featured Publication BackgroundThe importance of dietary intake in the prevention of major health problems is acknowledged. Because of the impact of culture on food intake, this study investigated the relationship between place of birth and nutrient intake in Ontario, ... Full text Cite

Place of birth and dietary intake in Ontario. II. Protein and selected micronutrients.

Journal Article Prev Med · 1998 Featured Publication BACKGROUND: Because of the importance of dietary intake on health, this study investigated the relationship between place of birth and nutrient intake in Ontario, using cross-sectional data from the 1990 Ontario Health Survey. METHODS: Adults (age = 18) we ... Full text Link to item Cite

The electronic home visit: The consequences of telemedicine consultations

Journal Article Tidsskrift for den Norske Laegeforening · 1998 Telemedicine technology will soon be widely available in physicians' surgeries and patients' homes. In this article we discuss the broader implications of its widespread use among physicians, patients, and society as a whole, focusing on the main vehicle o ... Cite

The effect of different diagnostic criteria on the prevalence of dementia.

Journal Article N Engl J Med · December 4, 1997 Featured Publication BACKGROUND: There are several widely used sets of criteria for the diagnosis of dementia, but little is known about their degree of agreement and their effects on estimates of the prevalence of dementia. METHODS: We examined 1879 men and women 65 years of ... Full text Link to item Cite

Food intake of immigrants and non-immigrants in Ontario: Food group comparison with the recommendations of the 1992 Canada's food guide to healthy eating

Journal Article Canadian Journal of Dietetic Practice and Research · December 1, 1997 This study investigated the relationship between place of birth and the likelihood of meeting the recommendations of the 1992 Canada's Food Guide to Healthy Eating (CFG) using data from the 1990 Ontario Health Survey. Respondents aged 18 years and over (n= ... Cite

Throw that epidemiologist out of the emergency room! Using the television series ER as a vehicle for teaching methodologists about medical issues.

Journal Article J Clin Epidemiol · October 1997 Featured Publication BACKGROUND: Epidemiology and biostatistics graduate students have diverse backgrounds, but many have little prior training in medicine or biology. This lack of content knowledge in future health researchers has recently been raised as a concern. METHODS: A ... Full text Link to item Cite

Health behaviours and socio-economic status in Ontario, Canada.

Journal Article Eur J Epidemiol · September 1997 Featured Publication Data from the 1990 Ontario Health Survey were used to investigate the association of socioeconomic status with the likelihood of meeting current recommendations for four health behaviours (smoking, fat intake, alcohol consumption, and physical activity lev ... Full text Link to item Cite

A new primary care rostering and capitation system in Norway: lessons for Canada?

Journal Article CMAJ · July 1, 1997 Featured Publication Providing every patient with a personal primary care physician or, from the physician's perspective, establishing a stable roster or list of patients is currently being actively debated in Canada. Norway's system of primary care medicine, similar to Canada ... Link to item Cite

Neonatal male circumcision after delisting in Ontario. Survey of new parents.

Journal Article Can Fam Physician · July 1997 Featured Publication OBJECTIVE: To determine the prevalence of neonatal circumcision immediately following delisting of the procedure in Ontario and to examine parents' knowledge, attitudes, and behaviours regarding circumcision. DESIGN: Cross-sectional survey. SETTING: Perina ... Link to item Cite

Food intake of immigrants and non-immigrants in Ontario: Food group comparison with the recommendations of the 1992 Canada's Food Guide to Healthy Eating

Journal Article Journal of the Canadian Dietetic Association-Revue de l'Association Canadie · June 1, 1997 This study investigated the relationship between place of birth and the likelihood of meeting the recommendations of the 1992 Canada's Food Guide to Healthy Eating (CFG) using data from the 1990 Ontario Health Survey. Respondents aged 18 years and over (n= ... Cite

Hospitalization and case-fatality rates for subarachnoid hemorrhage in Canada from 1982 through 1991. The Canadian Collaborative Study Group of Stroke Hospitalizations.

Journal Article Stroke · April 1997 Featured Publication BACKGROUND AND PURPOSE: Subarachnoid hemorrhage (SAH) has a different epidemiological profile from other types of stroke and a different etiology. Although there has been a general decline in overall stroke incidence since the 1950s, secular trends for SAH ... Full text Link to item Cite

Post-term birth: risk factors and outcomes in a 10-year cohort of Norwegian births.

Journal Article Obstetrics and gynecology · April 1997 Featured Publication ObjectiveTo identify factors associated with post-term birth and factors associated with adverse outcomes in post-term births.MethodsThe sample was a 10-year cohort (1978-1987) of term (n = 379,445) and post-term (n = 65,796) births from ... Full text Cite

Introducing a module for laboratory test order entry and reporting of results at a hospital ward: an evaluation study using a multi-method approach.

Journal Article J Med Syst · April 1997 Featured Publication The medical record system DocuLive EPR was installed at a "typical" ward at the Central Hospital of Akershus. Modules for laboratory order entry and reporting of results were evaluated prospectively using several information sources (hospital information s ... Full text Link to item Cite

Reported activities of daily living: agreement between elderly subjects with and without dementia and their caregivers.

Journal Article Age Ageing · March 1997 Featured Publication OBJECTIVES: to determine how accurately information on disability provided by a caregiver (proxy respondent) reflected the opinion of subjects themselves, and if this agreement varied by severity of dementia or relationship of the caregiver to the subject. ... Full text Link to item Cite

A randomized controlled trial to compare the efficacy of cyclical parathyroid hormone versus cyclical parathyroid hormone and sequential calcitonin to improve bone mass in postmenopausal women with osteoporosis.

Journal Article J Clin Endocrinol Metab · February 1997 Featured Publication Short cycles of human (h) PTH-(1-34) may have an anabolic effect to increase bone mass in patients with osteoporosis. As PTH also stimulates bone resorption, it is theoretically possible to enhance the anabolic effects of PTH by using a sequential antireso ... Full text Link to item Cite

[The relationship between place of birth and certain health characteristics in Ontario].

Journal Article Can J Public Health · 1997 Featured Publication The relationship between place of birth and some health characteristics of the population of Ontario was investigated using data from the 1990 Ontario Health Survey. Adult respondents were categorized according to their region, sub-region, and country of b ... Full text Link to item Cite

Predictors of dietary intake in Ontario seniors.

Journal Article Can J Public Health · 1997 Featured Publication This study determined the independent association of 24 risk factors with dietary intake in community-living seniors. The study sample was 5,073 seniors for whom complete data were available from the 1990 Ontario Health Survey. Risk factors were items comp ... Full text Link to item Cite

Small area variation in low birthweight: looking beyond socioeconomic predictors.

Journal Article Can J Public Health · 1997 Featured Publication The main objectives of this study were to determine the geographic distribution of low birthweight rates in London. Ontario and to identify small areas within the city that have low birthweight rates not adequately explained by the areas' socioeconomic cha ... Full text Link to item Cite

The electronic house call. Consequences of telemedicine consultations for physicians, patients, and society.

Journal Article Arch Fam Med · 1997 Featured Publication Within the next 10 years, telemedicine technology is likely to become widely available in physicians' offices and patients' homes. Rather than describing the technology of telemedicine, we discuss the implications of its widespread use among physicians, pa ... Full text Link to item Cite

User fees for health services. Norwegian perspective on copayments.

Journal Article Can Fam Physician · November 1996 Featured Publication Link to item Cite

Fibromyalgia (FMS) in a random community sample of 100 FMS cases

Journal Article ARTHRITIS AND RHEUMATISM · September 1, 1996 Link to item Cite

Hospitalization and case-fatality rates for stroke in Canada from 1982 through 1991. The Canadian Collaborative Study Group of Stroke Hospitalizations.

Journal Article Stroke · July 1996 Featured Publication BACKGROUND AND PURPOSE: The purpose of this study was to estimate rates of hospitalization and in-hospital case-fatality for cerebral infarction and intracerebral hemorrhage in Canada and to describe variation in rates by age, sex, and calendar period. MET ... Full text Link to item Cite

[Educating future physicians for Ontario--eight roles of physicians].

Journal Article Tidsskr Nor Laegeforen · March 20, 1996 Featured Publication Link to item Cite

Introducing problem-based learning into a traditional undergraduate medical curriculum.

Journal Article Natl Med J India · 1996 Featured Publication Problem-based learning (PBL) has been introduced into the undergraduate curricula in most Canadian medical schools. In the University of Western Ontario model, we set aside 20% of time to PBL in the first two years of the programme and the rest for didacti ... Link to item Cite

Educating future physicians for Ontario--eight roles of physicians

Journal Article Tidsskrift for den Norske laegeforening · January 1, 1996 Cite

Development of public health training in Hungary--an exercise in international co-operation.

Journal Article J Public Health Med · December 1995 Featured Publication Following the fall of Communism, the countries of Central and Eastern Europe have been restructuring their health systems. Restructured medical education is vital to, and has been supported by, the European Union TEMPUS (Trans-European Mobility Scheme for ... Link to item Cite

The electronic medical-student exchange: a low-cost alternative to overseas electives.

Journal Article CMAJ · November 1, 1995 Featured Publication The authors report on an international collaboration that uses the Internet for medical education. In addition to introducing the students to electronic communication, the project aims to further international collaboration and understanding and to emphasi ... Link to item Cite

Neuropsychological test performance of specific diagnostic groups in the Canadian Study of Health and Aging (CSHA).

Journal Article J Clin Exp Neuropsychol · October 1995 Featured Publication An overview of specific neuropsychological data from the Canadian Study of Health and Aging is presented. Variables of interest were diagnosis (no cognitive impairment, cognitive loss without dementia, and dementia), language of test administration (French ... Full text Link to item Cite

Electronic resources on population health for a PBL curriculum.

Journal Article Acad Med · September 1995 Featured Publication Full text Link to item Cite

Environmental exposures in elderly Canadians with Parkinson's disease.

Journal Article Can J Neurol Sci · August 1995 Featured Publication BACKGROUND: Etiologic hypotheses for Parkinson's disease have implicated environmental factors, genetic factors, or a combination of the two. METHODS: Data from a survey of elderly Canadians (n = 10,263) with regard to their history of Parkinson's disease ... Full text Link to item Cite

Correlates of body mass index in the 1990 Ontario Health Survey.

Journal Article CMAJ · June 1, 1995 Featured Publication OBJECTIVES: To determine the average body mass index (BMI) and the prevalence of overweight and obesity among people aged 20 to 64 years, to identify sociodemographic, lifestyle and health variables that correlate with overweight and obesity, and, through ... Link to item Cite

Fibromyalgia in rheumatology practice: a survey of Canadian rheumatologists.

Journal Article J Rheumatol · April 1995 Featured Publication OBJECTIVE: To determine the perceived proportion of fibromyalgia (FMS) among new consultations in rheumatology practices relative to other rheumatologic disorders. METHODS: We conducted a cross sectional random mail survey of 100 Canadian rheumatologists. ... Link to item Cite

Sex of editor in medical journals.

Journal Article Lancet · March 11, 1995 Featured Publication Full text Link to item Cite

NET ECONOMIC COSTS OF DEMENTIA IN CANADA (VOL 151, PG 1457, 1994)

Journal Article CANADIAN MEDICAL ASSOCIATION JOURNAL · January 15, 1995 Link to item Cite

Correction: Net economic costs of dementia in Canada (Canadian Medical Association Journal (1994) 151 (1457-1464))

Journal Article CMAJ. Canadian Medical Association Journal · January 1, 1995 Cite

PATTERNS OF CARING FOR PEOPLE WITH DEMENTIA IN CANADA

Journal Article CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT · December 1, 1994 Link to item Cite

The role of Canada in public health education and health promotion in Hungary

Journal Article Canadian Journal of Public Health · December 1, 1994 The economy of Hungary is undergoing a major transition. The prevalence of behavioural and environmental risk factors is high. The population's health status is among the worst in Europe, and has declined in recent years. The Prussian-style curriculum in t ... Cite

Net economic costs of dementia in Canada.

Journal Article CMAJ · November 15, 1994 Featured Publication OBJECTIVE: To estimate the net economic costs of dementia in Canada in 1991 by comparing costs related to elderly patients with dementia with those related to elderly people without dementia. DESIGN: Cost-of-illness study. DATA SOURCES: Most of the data an ... Link to item Cite

TEACHING PUBLIC-HEALTH AND PROMOTING HEALTH IN HUNGARY - THE ROLE OF CANADA

Journal Article CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE · November 1, 1994 Link to item Cite

The Canadian Study of Health and Aging: risk factors for Alzheimer's disease in Canada.

Journal Article Neurology · November 1994 OBJECTIVE: To study risk factors for Alzheimer's disease (AD) based on data from the Canadian Study of Health and Aging. DESIGN: Population-based case-control study. SETTING: Communities and institutions in 10 Canadian provinces. PARTICIPANTS: Two hundred ... Full text Link to item Cite

Detection of Carotid Stenosis by Physicial Examination

Journal Article JAMA: The Journal of the American Medical Association · June 22, 1994 Full text Cite

NEUROPSYCHOLOGICAL DATA PROM THE CANADIAN STUDY OF HEALTH AND AGING (CSHA) - AN OVERVIEW

Journal Article CANADIAN PSYCHOLOGY-PSYCHOLOGIE CANADIENNE · June 1, 1994 Link to item Cite

Canadian study of health and aging: study methods and prevalence of dementia.

Journal Article CMAJ · March 15, 1994 OBJECTIVE: To estimate the prevalence of dementia and its subtypes by sex and age group for five regions of Canada. DESIGN: Prevalence survey. SETTING: Community and institutional settings in Canada, excluding those in the two territories, Indian reserves ... Link to item Cite

[Problem-based learning--a cautious approach].

Journal Article Nord Med · 1994 Featured Publication Most medical schools in Canada have, over the last few years, introduced Problem Based Learning (PBL) into their undergraduate curricula. In contrast to some other schools which have radically transformed their entire curricula, the University of Western O ... Link to item Cite

[Public health education and health promotion in Hungary: the role of Canada. The TEMPUS consortium for a New Public Health in Hungary].

Journal Article Can J Public Health · 1994 Featured Publication The economy of Hungary is undergoing a major transition. The prevalence of behavioural and environmental risk factors is high. The population's health status is among the worst in Europe, and has declined in recent years. The Prussian-style curriculum in t ... Link to item Cite

The role of Canada in public health education and health promotion in Hungary

Journal Article Canadian Journal of Public Health · 1994 The economy of Hungary is undergoing a major transition. The prevalence of behavioural and environmental risk factors is high. The population's health status is among the worst in Europe, and has declined in recent years. The Prussian-style curriculum in t ... Cite

Problem-based learning--a cautious approach

Journal Article Nordisk medicin · January 1, 1994 Most medical schools in Canada have, over the last few years, introduced Problem Based Learning (PBL) into their undergraduate curricula. In contrast to some other schools which have radically transformed their entire curricula, the University of Western O ... Cite

Does This Patient Have a Clinically Important Carotid Bruit?

Journal Article JAMA: The Journal of the American Medical Association · December 15, 1993 Full text Cite

Operation Belarus: an enquiry into the status of paediatric dentistry.

Journal Article Int J Paediatr Dent · December 1993 Featured Publication Full text Link to item Cite

Food and nutrition in Canadian 'prime time' television commercials

Journal Article Canadian Journal of Public Health · December 1, 1993 Television is, arguably, the most influential mass medium and 'prime time' viewing attracts the largest audiences. To assess the type, number and nutritional content of foods advertised on TV, commercial breaks during 'prime time' (7:00 to 11:00 p.m.) on f ... Cite

Initial nonfunction in cadaveric renal transplantation.

Journal Article Can J Surg · April 1993 Featured Publication Patients who receive a kidney transplant that does not function immediately have more complications and decreased graft survival than patients whose allografts function immediately. To determine the causes of initial nonfunction (INF), the authors reviewed ... Link to item Cite

An evaluation of several biochemical markers for bone formation and resorption in a protocol utilizing cyclical parathyroid hormone and calcitonin therapy for osteoporosis.

Journal Article J Clin Invest · March 1993 Featured Publication Female patients (n = 20) with osteoporosis, aged 66 +/- 5 yr were studied during a 24-h infusion of parathyroid hormone (PTH [1-34]) at a rate of 0.5 IU equivalents/kg.h, and then during a 28-d period of subcutaneous injections, at a dose of 800 IU equival ... Full text Link to item Cite

Health work force planning in the 90s, Part II: Enough in the right place at the right time?

Journal Article Healthc Manage Forum · 1993 Featured Publication The focus of this discussion has been on achieving a distribution of health care professionals that meets the objective of making health services available to the total population. The need for a systematic approach to planning, not only for the health car ... Full text Link to item Cite

An early 'clinical trial' as a teaching exercise: the Book of Daniel 1.1-15 (1.1-20).

Journal Article Med Educ · January 1993 Featured Publication This article discusses a very early clinical trial from the Old Testament. One of Daniel's and his companions' tribulations in Babylonia is explicated within the framework of the modern clinical trial. Even if many, or maybe even most, guidelines for good ... Full text Link to item Cite

Food and nutrition in Canadian "prime time" television commercials.

Journal Article Can J Public Health · 1993 Featured Publication Television is, arguably, the most influential mass medium and "prime time" viewing attracts the largest audiences. To assess the type, number and nutritional content of foods advertised on TV, commercial breaks during "prime time" (7:00 to 11:00 p.m.) on f ... Link to item Cite

Work force planning in the 90s, Part I: Efficiency, economy and political will--the need for a new approach.

Journal Article Healthc Manage Forum · 1993 Featured Publication Critical to health services management in today's economic climate is efficient utilization of our costly and sometimes limited supply of health care professionals. This two-part article gives an overview of current issues in health care work force plannin ... Full text Link to item Cite

Computer communication for international collaboration in education in public health. The TEMPUS Consortium for a New Public Health in Hungary.

Conference Ann N Y Acad Sci · December 17, 1992 Computer conferencing using the Canadian system CoSy is presented, and three related projects are discussed. 1. An extramural university course in epidemiology and medical statistics was taught using CoSy. Computer conferencing can be a useful vehicle for ... Full text Link to item Cite

Family medicine education in Canada.

Journal Article Nord Med · 1992 Featured Publication Within the sphere of health and welfare, Canada has more in common with the Scandinavian countries than with the United States. This article describes and discusses the unique role of the College of Family Physicians of Canada and the education and trainin ... Link to item Cite

The Oregon formula: a better method of allocating health care resources.

Journal Article Nord Med · 1992 Featured Publication In Oregon, an important new mechanism for prioritizing health care resources is about to be introduced. It is based on a relatively simple cost/benefit formula, the best of available scientific knowledge as well as public opinion and sentiment. The formula ... Link to item Cite

Teaching statistics to health professionals: the legal analogy.

Journal Article Med Teach · 1992 Featured Publication Despite the importance of statistical concepts to health professionals, the teaching of statistics to students from this field has generally been unrewarding. We feel that a few central concepts are crucial to all statistical thinking and that, for most he ... Full text Link to item Cite

The crack cocaine problem. A warning from North America.

Journal Article Nord Med · 1992 Featured Publication This article describes crack cocaine and its adverse clinical and public health effects. Although crack cocaine does not yet constitute a major drug problem in the Nordic countries, heed should be paid to North America where crack cocaine has developed int ... Link to item Cite

COMPUTER-COMMUNICATION FOR INTERNATIONAL COLLABORATION IN EDUCATION IN PUBLIC-HEALTH

Journal Article ANNALS OF THE NEW YORK ACADEMY OF SCIENCES-SERIES · 1992 Cite

[Central health indicators for municipalities and countries. Examples from the USA].

Journal Article Tidsskr Nor Laegeforen · August 30, 1991 Featured Publication Link to item Cite

Central health indicators for municipalities and countries. Examples from the USA

Journal Article Tidsskrift for den Norske Laegeforening · August 30, 1991 Cite

The importance of class I and class II HLA in cadaveric renal transplantation.

Journal Article Clin Invest Med · April 1991 Featured Publication The importance of avoiding mismatches (MM) at Class I and Class II HLA antigens in cyclosporine-treated renal allograft patients is controversial. In order to assess the role of HLA, 200 consecutive cadaveric renal allografts over a 4-year period were anal ... Link to item Cite

Establishing an international computer network for research and teaching in public health and epidemiology.

Journal Article Eur J Epidemiol · January 1991 Featured Publication Most universities and major research institutions in North America, Western Europe and around the Pacific are connected via computer communication networks. The authors have used these networks' accessible, low cost, electronic mail system to develop a net ... Full text Link to item Cite

[A national database for information on disease prevention and health promotion in the USA].

Journal Article Tidsskr Nor Laegeforen · November 20, 1990 Featured Publication Link to item Cite

A national database for information on disease prevention and health promotion in the USA

Journal Article Tidsskrift for den Norske Laegeforening · November 20, 1990 Cite

[Medical expert systems. What are they and how should we organize our efforts?].

Journal Article Tidsskr Nor Laegeforen · October 20, 1989 Featured Publication Medical expert systems have been developed for more than 20 years, in particular in the United States. Most existing systems are prototypes, and only a few commercial systems are available. The prototypes are generally limited in scope or functions (and ha ... Link to item Cite

Medical expert systems. What are they and how should we organize our efforts?

Journal Article Tidsskrift for den Norske Laegeforening · October 20, 1989 Medical expert systems have been developed for more than 20 years, in particular in the United States. Most existing systems are prototypes, and only a few commercial systems are available. The prototypes are generally limited in scope or functions (and ha ... Cite

A follow-up study of three hepatitis B virus markers in personnel from the Canadian Armed Forces.

Journal Article Mil Med · October 1989 Featured Publication Prevalence rates for three hepatitis B virus (HBV) markers in two groups of personnel within the Canadian Armed forces (1848 incoming recruits and 210 crew members from a destroyer) were determined. Blood specimens for analysis were provided twice. The ini ... Link to item Cite

FERTILITY REGULATION AND THE PUBLIC-HEALTH - SELECTED PAPERS OF TIETZE,CHRISTOPHER - TIETZE,SL, LINCOLN,R

Journal Article CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE · September 1, 1989 Link to item Cite

Type 2 (non-insulin-dependent) diabetes mellitus, migration and westernisation: the Tokelau Island Migrant Study.

Journal Article Diabetologia · August 1989 Featured Publication The migration of Tokelauans from a traditional atoll in the Pacific to urban New Zealand is associated with an increased prevalence and incidence of Type 2 (non-insulin-dependent) diabetes mellitus over the period 1968-1982. During the same period, a lesse ... Full text Link to item Cite

[Health services in Canada and Norway. Looked at from the psychiatric point of view].

Journal Article Tidsskr Nor Laegeforen · May 20, 1989 Featured Publication Link to item Cite

Health services in Canada and Norway. Looked at from the psychiatric point of view

Journal Article Tidsskrift for den Norske Laegeforening · May 20, 1989 Cite

An 'electronic' extramural course in epidemiology and medical statistics.

Journal Article Int J Epidemiol · March 1989 Featured Publication This article describes an extramural university course in epidemiology and medical statistics taught using a computer conferencing system, microcomputers and data communications. Computer conferencing was shown to be a powerful, yet quite easily mastered, ... Full text Link to item Cite

[Computer systems for general practitioners. Status and development].

Journal Article Tidsskr Nor Laegeforen · February 28, 1989 Featured Publication Patient-administrative systems are becoming increasingly accepted in general practice. The market is now more mature than before. Many physicians are now purchasing computer systems for general practice the second time. Due to national characteristics of t ... Link to item Cite

[Electronic information bank for health services in Norway].

Journal Article Tidsskr Nor Laegeforen · February 28, 1989 Featured Publication This article proposes the establishment of a central, on-line information bank for the Norwegian health services. The article discusses the potential content and functions of the information bank. It is concluded that, in addition to increasing the availab ... Link to item Cite

Electronic information bank for health services in Norway

Journal Article Tidsskrift for den Norske Laegeforening · February 28, 1989 This article proposes the establishment of a central, on-line information bank for the Norwegian health services. The article discusses the potential content and functions of the information bank. It is concluded that, in addition to increasing the availab ... Cite

Computer systems for general practitioners. Status and development

Journal Article Tidsskrift for den Norske Laegeforening · February 28, 1989 Patient-administrative systems are becoming increasingly accepted in general practice. The market is now more mature than before. Many physicians are now purchasing computer systems for general practice the second time. Due to national characteristics of t ... Cite

[Access to North American online libraries and networks from a medical practice].

Journal Article Tidsskr Nor Laegeforen · January 30, 1989 Featured Publication This article gives an overview of North American electronic networks and on-line databanks containing medical and health-related information. It discusses costs and benefits for physicians and other health care personnel. The article concludes with practic ... Link to item Cite

Access to North American online libraries and networks from a medical practice

Journal Article Tidsskrift for den Norske Laegeforening · January 30, 1989 This article gives an overview of North American electronic networks and on-line databanks containing medical and health-related information. It discusses costs and benefits for physicians and other health care personnel. The article concludes with practic ... Cite

Electronic communication with colleagues overseas.

Journal Article N Z Med J · March 23, 1988 Featured Publication Link to item Cite

[International collaborative research via computer communication].

Journal Article Nord Med · 1988 Featured Publication Link to item Cite

Initiating community self-help: a model for public health workers.

Journal Article Can J Public Health · 1988 Featured Publication Link to item Cite

FAMNET: The Use of an Electronic Mail System in Canadian Academic Family Medicine.

Journal Article Can Fam Physician · January 1988 Featured Publication The major Canadian universities are connected via a computer communications network called `Netnorth'. We have used Netnorth's accessible, low-cost, electronic mail system to develop a network of academic Family Medicine users (Famnet). We then tested Famn ... Link to item Cite

Health care in Canada and Norway. From a psychiatric perspective

Journal Article Nova Scotia Medical Journal · January 1, 1988 Cite

International collaborative research via computer communication

Journal Article Nordisk medicin · January 1, 1988 Cite

Migration and gout: the Tokelau Island migrant study.

Journal Article Br Med J (Clin Res Ed) · August 22, 1987 Featured Publication The prevalence and 14 year incidence of clinical gout and its precursors were investigated in the Polynesian population of Tokelauans living in the Pacific basin, non-migrant Tokelauans living in their isolated atoll homeland being compared with migrant To ... Full text Link to item Cite

[Health and health care in New Zealand].

Journal Article Tidsskr Nor Laegeforen · May 20, 1987 Featured Publication Link to item Cite

Health and health care in New Zealand

Journal Article Tidsskrift for den Norske Laegeforening · May 20, 1987 Cite

The development of a mental health information system.

Journal Article N Z Med J · May 13, 1987 Featured Publication Link to item Cite

GOUT AND MIGRATION

Journal Article COMMUNITY HEALTH STUDIES · January 1, 1986 Link to item Cite

[Freetext retrieval. A powerful ADP-tool even within medicine].

Journal Article Tidsskr Nor Laegeforen · May 10, 1985 Featured Publication Link to item Cite

[ADP-based drug information. The Felles catalog in a freetext system].

Journal Article Tidsskr Nor Laegeforen · May 10, 1985 Featured Publication Link to item Cite

ADP-based drug information. The Felles catalog in a freetext system

Journal Article Tidsskrift for den Norske Laegeforening · May 10, 1985 Cite

Freetext retrieval. A powerful EDPP-tool in medicine

Journal Article Tidsskrift for den Norske Laegeforening · January 1, 1985 Cite

Computerised drug formulation. Felleskatalogen in a freetext retrieval system

Journal Article Tidsskrift for den Norske Laegeforening · January 1, 1985 Cite

Electronic data processing in the health administration: Development tendency

Journal Article Norvegica Pharmaceutica Acta · January 1, 1984 Cite