Preventive medicine
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Preventive medicine · Nov 1995
CommentBarriers to providing nutrition counseling by physicians: a survey of primary care practitioners.
Previous surveys have shown that there is a disparity between physicians' beliefs about the importance of diet and nutrition in health maintenance and disease prevention and the actual delivery of nutrition counseling. The primary objective of this study was to assess the current attitudes, practice behavior, and barriers to the delivery of nutrition counseling by primary care physicians. ⋯ This survey suggests that multiple barriers exist that prevent the primary care practitioner from providing dietary counseling. A multifaceted approach will be needed to change physician counseling behavior.
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Preventive medicine · Nov 1995
Universal precautions training of preclinical students: impact on knowledge, attitudes, and compliance.
Little information exists regarding the impact of universal precautions training programs on preclinical students' knowledge, attitudes, and behavior. ⋯ This program is effective in increasing students' knowledge of universal precautions. Training favorably affects students' willingness to care for HIV-positive patients and their assessed risk of developing occupational bloodborne infection.
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Preventive medicine · Nov 1995
Comparative StudyThe emergence of clinically abnormal levels of cardiovascular disease risk factor variables among young adults: the Bogalusa Heart Study.
The Bogalusa Heart Study, a long-term epidemiologic investigation of the early natural history of atherosclerosis, was conducted for the first time in 1973-1974 on children from birth through the age of 14 in a biracial (black-white) population. ⋯ Early identification of adverse levels of cardiovascular disease risk factors defined by clinical experience should help to predict and prevent future cardiovascular disease morbidity and mortality.
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Preventive medicine · Sep 1995
Randomized Controlled Trial Clinical TrialThe tribal tobacco policy project: working with Northwest Indian tribes on smoking policies.
This article reports on the objectives, study design, intervention methods, baseline results, and process data from a trial involving 39 Northwest Indian tribes. ⋯ There is good potential for tobacco policy interventions with Indian tribes. Consultation processes and products, such as policy guidebooks, that are sensitive to traditional uses of tobacco and to differences among tribes can help to modify policies to reduce exposure of tribal members to environmental tobacco smoke.