Health literacy is a set of knowledge and skills that enables individuals to obtain, communicate, process understand information, services make appropriate health decisions successfully navigate the care system. important quality cancer survivorship patient self-management their disease.We examined among survivors, using data from 2016 Behavioral Risk Factor Surveillance System. We compared across various demographic socioeconomic groups estimated adjusted odds in favor low for these...

In Brief Objectives The activity of matrix Gla-protein (MGP), a potent inhibitor vascular calcification, is dependent on carboxylation using vitamin K as co-factor. animals, low intake total has been shown to accelerate calcification via the MGP mechanism. This led hypothesis that levels dietary may be risk factor for accelerated in humans due decreased activity. Additionally, some authors have suggested current recommended daily values might insufficient fully inhibit aim this study was...

Patients seen in sleep clinics have been reported to a high prevalence of mental disorders, but there is no recommended method for screening. We sought assess the using validated screening instrument, among referrals clinic and determine whether referred patients with disorders were less likely an underlying diagnosis sleep-disordered breathing.Consecutive adult new at tertiary care center invited participate this cross-sectional assessment disorders. All screened Primary Care Evaluation...

Financial distress among persons with multimorbidity is an important topic which has been inadequately addressed to date.We examined the extent of financial multimorbidity, using data from 2017 Behavioral Risk Factor Surveillance System (BRFSS).Cross-sectional, population-based study.Adults ages ≥ 18 years multimorbidity.Low income and selected social determinants health that are indicators distress.Multimorbidity was more common those a household less than $15,000 per year (P < 0.001) who...

Numerous studies have evaluated the association between antioxidants and coronary atherosclerosis but been limited by its study among individuals with advanced atherosclerosis. The authors studied 865 consecutive patients, 39–45 years of age, without known artery disease presenting for a periodic physical examination. Antioxidant intake was assessed Block Dietary Questionnaire, identified measuring calcification using electron beam computed tomography. mean age 42 (±2), 83% were male,...

Background: To determine the number of adult clinic patients seen for type 2 diabetes mellitus (T2DM) at an academic medical center and to examine characteristics those who had or not registered a web portal. Methods: Electronic records were reviewed identify portal registration by treated T2DM age, sex, race Hispanic ethnicity, service (General Internal Medicine, Endocrinology). Results: A total 1,401 with in General Medicine Endocrinology outpatient clinics. Less than one third (32%) Women...

The 325th Field Surgical Team (FST), a US Army trauma surgical group, was deployed to Afghanistan during Operation Enduring Freedom. Unlike civilian centers, complete registries are lacking from the FST care model.A registry created using commercially available relational database. Data entry done handheld personal data organizer (PDA).In 82 days, 125 patients were evaluated and treated. mean age 23 +/- 11.69 85 (68%) local Afghan nationals. Most transported by helicopter (83; 66%);...

The objective of this study was to adapt the National Diabetes Prevention Program (N-DPP) into a pragmatic tool for primary care settings by using daily text messaging deliver all N-DPP content, supplemented Fitbit technology provide behavioral strategies typically delivered personnel in traditional programs. Test mobile health (mHealth), technology-based adaptation (DPPFit) patients with prediabetes remote intervention based on 16 core sessions DPP.A pilot pre/post survey analysis aggregate...

Increasing efforts have been made in primary care settings to screen for a broad array of social determinants health including inadequate food and nutrition, lack education, unemployment, housing, refer patients community resources. Core tenets include integration with resources.In the course designing randomized controlled trial effectiveness intervention aimed at adult, at-risk, African American clinic patients, our research team developed logic model assist evaluation intervention.In this...

The aim of this prospective study was to assess the role generalized anxiety disorder in comfort nonsedated, average-risk screening sigmoidoscopy.Patients were asked complete a questionnaire before undergoing colon cancer with nonsedated sigmoidoscopy. included demographic information and series Likert-based visual analog scales designed patient comfort, procedural symptom severity, satisfaction. Primary Care Evaluation Mental Disorders used for disorder. Comfort levels postprocedural...

An increasing number of studies have examined the use information technology to improve diabetes care and patient self-management. The goal current study was determine veterans seen for at a large medical center in southeastern region U.S. examine whether they had registered VA's My HealtheVet web portal according selected characteristics.Existing records were reviewed including registration by treated (ICD-10 code type 2 diabetes) Charlie Norwood VAMC. Number outpatient clinic patients who...

Background The notion of anytime, anyplace communication is characteristic the current generation learners. Such communications have facilitated growth and integration a blended or hybrid learning platform in multiple educational settings. However, there are limited reports on use an clinical inpatient medical education. Objective setting high-demand rotation ideal for collaborative software, this expected to positively influence purpose study evaluate students’ residents’ experiences with...

In trauma patients surviving their initial injuries, infectious complications and multiple organ failure represent the major causes of death after first 72 hours. Critically injured frequently have bacteria recoverable simultaneously from culture sites; clinical significance this event is unknown. The objective study was to identify association between growth patterns site cultures mortality among critically patients.We performed a retrospective chart review collecting demographic medical...

Objectives: To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation 2004 work-hour restrictions. Methods: Mixed methods study resident ratings medicine (Period 1: 1994–1996, n = 250 Period 2: 2007–2009, 152). Residents evaluated 17 attending characteristics. The top 25% “overall” were classified as “highly rated.” Two free-text questions included “What was your attending's best characteristic?” “How could improve?” coded in...

Colorectal cancer is the third leading cause of in United States. Surveillance colonoscopy has been shown to reduce colorectal risk. Medical institutions have implemented polyp tracking and notification programs (registries) ensure adequate surveillance.To assess effectiveness a registry program initiated January 2006 on surveillance completion rate adherence guidelines.Retrospective record review beneficiaries with an adenomatous between 2004 2007, expected repeat 2007 2012. Records were...

There are limited studies that explore the rate of existent uncontrolled hypertension versus a significant white-coat effect. Likewise, few have described physician's response to results an ambulatory blood pressure monitoring (ABPM) study.To determine percentage treated hypertensive patients referred for ABPM based on discrepant office and home pressures who had achieved goal degree effect in these patients.Medical records 222 consecutive were reviewed. Patients without clinic visit since...