- Blood Pressure and Hypertension Studies
- Medical Malpractice and Liability Issues
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Hormonal Regulation and Hypertension
- Lipoproteins and Cardiovascular Health
- Obesity and Health Practices
- Mental Health Treatment and Access
- Older Adults Driving Studies
- Dementia and Cognitive Impairment Research
- Sodium Intake and Health
- Heart Rate Variability and Autonomic Control
- Pharmaceutical studies and practices
- Simulation-Based Education in Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Healthcare cost, quality, practices
- Mobile Health and mHealth Applications
- Healthcare Quality and Management
- Health Literacy and Information Accessibility
- Statistical Methods in Clinical Trials
- Blood properties and coagulation
- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Frailty in Older Adults
- Diabetes, Cardiovascular Risks, and Lipoproteins
University of Iowa
1998-2019
University of Iowa Hospitals and Clinics
2006
Veterans Health Administration
2006
Cal Humanities
1999
American Academy of Family Physicians
1999
Oregon Health & Science University
1999
Weatherford College
1999
University of Minnesota
1995
Low-dose thiazide-type diuretics are recommended as initial therapy for most hypertensive patients. Chlorthalidone has significantly reduced stroke and cardiovascular end points in several landmark trials; however, hydrochlorothiazide remains favored practice. Most clinicians assume that the drugs interchangeable, but their antihypertensive effects at lower doses have not been directly compared. We conducted a randomized, single-blinded, 8-week active treatment, crossover study comparing...
To diagnose hypertension, multiple blood pressure (BP) measurements are recommended. We randomized patients into three groups: EMR–only (patients recorded BP in an electronic medical record [EMR] web portal), EMR + reminders were sent text message to their the EMR), and bi–directional messaging a asking them respond with current BP). Subjects asked complete 14 measurements. Automated messages each patient reminder groups twice daily. Among 121 patients, those group reported full more often...
Changes in the health care environment have placed a greater responsibility on psychiatrists to deliver basic primary services. The study assessed baseline knowledge and attitudes about clinical preventive medical services among psychiatric faculty residents at tertiary center.Residents psychiatry general internal medicine completed structured questionnaire, including 20 case scenarios, that their of services, concerning delivery those beliefs effectiveness changing patients' behavior....
Abstract The authors examined whether using home BP measurements collected via a custom‐built bi‐directional‐texting platform incorporated into patients’ electronic medical records would lead to treatment calibration and improved management. Patients were randomized either the intervention group based on reminders reported bi‐directional texting, or control group, with measurement reporting standard practice (eg, phone, record portal) instructed return 7 morning evening measurements....
Gradual age-related cognitive deteriorations are common and hypothesised to be partially attributable declines in information-processing speed. The Iowa Healthy Active Minds Study will evaluate the efficacy effectiveness of a computerised visual processing speed training programme (Road Tour, Posit Science Corporation, San Francisco, California).Using 3:3:4:4 ratio within two age strata (50-64 vs ≥ 65 years old), 681 men women attending family care clinics were randomised four treatment...
Objectives: Insufficient attention has been given to how information from computer-based clinical case simulations is presented, collected, and scored. Research needed on best design such acquire valid performance assessment data that can act as useful feedback for educational applications. This report describes a study of new simulation format with features aimed at improving both its formative function. Methods: Case software (LabCAPS) was developed target highly focused well-defined...
A low level of high-density lipoprotein cholesterol (HDL-C) is an important and common risk factor for coronary heart disease. Cross-sectional studies uncontrolled clinical trials have suggested that phenytoin can significantly raise HDL-C levels. This study was undertaken to determine whether levels in men with HDL-C. Ninety-two currently receiving outpatient care at a Veterans Affairs medical center baseline < or = 1.16 mmol/L (45 mg/dL) were recruited participate this randomized,...
Ely, John W.; Dawson, Jeffrey D.; Young, Paul R.; Doebbeling, Bradley N.; Goerdt, Christopher J.; Elder, Nancy C.; Olick, Robert S. Author Information