Annals of family medicine
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Annals of family medicine · Jul 2003
Review Meta AnalysisThe effectiveness of primary care-based interventions to promote breastfeeding: systematic evidence review and meta-analysis for the US Preventive Services Task Force.
We wanted to systematically review whether primary care-based interventions improve initiation and duration of breastfeeding. ⋯ Educational programs were the most effective single intervention. One woman would breast-feed for up to 3 months for every 3 to 5 women attending breastfeeding educational programs. Future research and policy should focus on translating these findings into more widespread practice in diverse primary care settings.
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Annals of family medicine · Jul 2003
Multicenter Study Comparative StudyCultural expressions of bodily awareness among chronically ill Filipino Americans.
To describe Filipino Americans' cultural traditions surrounding bodily awareness, especially how the principle of balance informs their views, and the link to self-management of chronic illness. ⋯ The ways in which Filipino Americans combine attention to the body, values of balance and harmony, and emphasis on social well-being result in heightened attention to bodily processes. Filipino Americans' emphasis on bodily awareness suggests that this particular cultural strength can be used to enhance chronic illness management. Awareness of the cultural traditions of Filipino Americans can facilitate patient education about how to manage chronic illnesses.
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Annals of family medicine · Jul 2003
Comparative StudyPatient-provider racial and ethnic concordance and parent reports of the primary care experiences of children.
Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's primary care experiences. ⋯ In contrast with studies among adults, patient-provider race/ethnicity concordance was not associated with parent reports of primary care experiences in our sample of children. It is possible that provider biases or patient expectations that contribute to disparities in care for adults are attenuated in relationships involving children.
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Annals of family medicine · May 2003
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialGlycemic control in medical inpatients with type 2 diabetes mellitus receiving sliding scale insulin regimens versus routine diabetes medications: a multicenter randomized controlled trial.
Hospitalized patients with type 2 diabetes mellitus traditionally receive insulin on a sliding-scale regimen, but the benefits of this approach are unclear. The purpose of this study was to compare the effects of the sliding scale insulin regimen with those of routine diabetes medications on hyperglycemia, hypoglycemia and length of hospitalization in diabetic patients hospitalized for other conditions. ⋯ The use of the sliding scale insulin regimen in combination with routine diabetes medications does not affect the rate of hyperglycemia, hypoglycemia or length of hospitalization in patients with type 2 diabetes mellitus hospitalized for other conditions.
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Annals of family medicine · May 2003
Randomized Controlled Trial Clinical TrialPatient education for informed decision making about prostate cancer screening: a randomized controlled trial with 1-year follow-up.
The efficacy of prostate cancer screening is uncertain, and professional organizations recommend educating patients about potential harms and benefits. We evaluated the effect of a videotape decision aid on promoting informed decision making about prostate cancer screening among primary care patients. ⋯ Decision aids for prostate cancer screening can have a long-term effect on screening behavior and appear to promote informed decision making.