Pennsylvania

Publication Title: 
Nursing Research

BACKGROUND: Incarcerated women share a disproportionate burden of mental illness. Although psychotropic medications are available to women in prison, adjunctive treatment modalities, such as Iyengar yoga, may increase psychological well-being.

Author(s): 
Harner, Holly
Hanlon, Alexandra L.
Garfinkel, Marian
Publication Title: 
The Journal of Family Practice

BACKGROUND: Physicians rarely question patients about their religious beliefs. This lack of inquiry may be contrary to patients' wishes and detrimental to patient care. This study examines whether patients want physicians to discuss religious beliefs with them. METHODS: Two hundred three family practice adult inpatients at two hospitals were interviewed regarding their views on the relationship between religion and health. RESULTS: Many patients expressed positive attitudes toward physician involvement in spiritual issues.

Author(s): 
King, D. E.
Bushwick, B.
Publication Title: 
Journal of emergency nursing: JEN: official publication of the Emergency Department Nurses Association

INTRODUCTION: High rates of complementary and alternative medicine (CAM) use are well documented in the general population without clear clinical benefits. Published studies examining prevalence and patterns of CAM use in emergency patients, however, are limited. The objectives of this study were to describe the prevalence and patterns of CAM use in urban ED patients. METHODS: This was a descriptive study of a convenience sample of 174 patients presenting to the emergency department of a level I, urban, Catholic, tertiary teaching center, with an annual ED census of 43,000.

Author(s): 
Rolniak, Susan
Browning, Laura
Macleod, Bruce A.
Cockley, Pamela
Publication Title: 
Journal of emergency nursing: JEN: official publication of the Emergency Department Nurses Association

INTRODUCTION: High rates of complementary and alternative medicine (CAM) use are well documented in the general population without clear clinical benefits. Published studies examining prevalence and patterns of CAM use in emergency patients, however, are limited. The objectives of this study were to describe the prevalence and patterns of CAM use in urban ED patients. METHODS: This was a descriptive study of a convenience sample of 174 patients presenting to the emergency department of a level I, urban, Catholic, tertiary teaching center, with an annual ED census of 43,000.

Author(s): 
Rolniak, Susan
Browning, Laura
Macleod, Bruce A.
Cockley, Pamela
Publication Title: 
Journal of Cross-Cultural Gerontology

This study used data from in-depth interviews collected from 88 African American and White men and women aged 65 years and older who reside in Allegheny County, Pennsylvania. The purpose of this study was to understand the role of spirituality in the self-management of chronic illness among this population. Thematic content analysis addressed two specific questions: (1) how do older adults use spirituality to help manage their chronic illness, and (2) are there any racial differences in the use of spirituality.

Author(s): 
Harvey, Idethia S.
Silverman, Myrna
Publication Title: 
International journal of infectious diseases: IJID: official publication of the International Society for Infectious Diseases

BACKGROUND: Treatment rates for hepatitis C virus (HCV) have not been compared directly between HCV mono-infected and HCV-HIV co-infected patients in academic center settings. METHODS: We prospectively enrolled consecutive mono-infected and co-infected subjects at three academic centers in the USA. Clinical and laboratory data were gathered through interviews and medical records. Logistic regression analysis was used to determine the factors associated with treatment prescription for HCV.

Author(s): 
Butt, Adeel A.
Tsevat, Joel
Leonard, Anthony C.
Shaikh, Obaid S.
McMahon, Deborah
Khan, Uzma A.
Dorey-Stein, Zachariah
Lo Re, Vincent
Publication Title: 
Journal of Palliative Medicine

Abstract Background: Cancer causes significant symptom burden and diminished quality of life. Despite the expansion of supportive and palliative care services (SPCS), little is known about rates of utilization and barriers to access to these services among oncology outpatients. METHODS: We performed a cross-sectional survey in three outpatient medical oncology clinics. Patients with a diagnosis of breast, lung, or gastrointestinal (GI) cancer and a Karnofsky score of ≥60 were included. Patients reported their use of SPCS and any perceived barriers.

Author(s): 
Kumar, Pallavi
Casarett, David
Corcoran, Amy
Desai, Krupali
Li, Qing
Chen, Jinbo
Langer, Corey
Mao, Jun J.
Publication Title: 
Family Medicine

BACKGROUND AND OBJECTIVES: There has been an increasing awareness of the use of alternative medicine and its effect on health care in the United States. However, no previous study has looked at its use among primary care patients in a rural setting. We conducted this study to determine the patterns of use of alternative medicine in this population. METHODS: A questionnaire was distributed to 750 adult patients in a family practice clinic in northern Pennsylvania. RESULTS: Our response rate was 88% (664/750).

Author(s): 
del Mundo, Winfred F. B.
Shepherd, William C.
Marose, Thomas D.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVES: The prevalence of complementary and alternative medicine (CAM) use among women in the United States is high. Little is known about how CAM use may differ based on sexual orientation. Study aims were to measure the prevalence of CAM use in a community sample of women, explore differences in CAM use patterns by sexual orientation, and identify correlates of CAM use. DESIGN/SUBJECTS: Analyses were based on women (Total N = 879; n = 479 lesbians) enrolled in the Epidemiologic STudy of HEalth Risk in Women (ESTHER) Project, a cross-sectional heart-disease risk-factor study.

Author(s): 
Smith, Helen A.
Matthews, Alicia
Markovic, Nina
Youk, Ada
Danielson, Michelle E.
Talbott, Evelyn O.
Publication Title: 
Spine

STUDY DESIGN: The administrative database maintained by the National Council on Compensation Insurance (United States) was used to compare health care use and indemnity costs within the natural history of work-related low back pain disability. OBJECTIVES: To determine the relative costs of health care services and indemnity at different phases of work disability. SUMMARY OF BACKGROUND DATA: Existing studies have compared total costs along the work disability continuum.

Author(s): 
Williams, D. A.
Feuerstein, M.
Durbin, D.
Pezzullo, J.

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