Journal of general internal medicine
-
While religious involvement is associated with improvements in health, little is known about the relationship between church participation and health care practices. ⋯ Church attendance is an important correlate of positive health care practices, especially for the most vulnerable subgroups, the uninsured and chronically ill. Community- and faith-based organizations present additional opportunities to improve the health of low-income and minority populations.
-
The Acute Physiology and Chronic Health Evaluation II (APACHE II) was developed to predict intensive-care unit (ICU) resource utilization. This study tested APACHE II's ability to predict long-term survival of patients with chronic obstructive pulmonary disease (COPD) admitted to general medical floors. ⋯ APACHE II score may be useful in predicting long-term mortality for COPD patients admitted outside the ICU.
-
Editorial Comment
Prostate cancer and race: variation in diagnosis and treatment.
-
Randomized Controlled Trial Comparative Study Clinical Trial
A randomized controlled trial comparing internet and video to facilitate patient education for men considering the prostate specific antigen test.
Little is known about the relative advantages of video versus internet-based decision aids to facilitate shared medical decision making. This study compared internet and video patient education modalities for men considering the prostate specific antigen (PSA) test. ⋯ Overall, the video was significantly more effective than the Internet in educating participants about benefits and risks of PSA screening.
-
While the association between abuse in childhood and adverse adult health outcomes is well established, this link is infrequently acknowledged in the general medical literature. This paper has 2 purposes: (1) to provide a broad overview of the research on the long-term effects of child abuse on mental and physical health including some of the potential pathways, and (2) to call for collaborative action among clinicians, psychosocial and biomedical researchers, social service agencies, criminal justice systems, insurance companies, and public policy makers to take a comprehensive approach to both preventing and dealing with the sequelae of childhood abuse.