Browsing by Subject "physicians"
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Item An Analysis of Osteoporosis-Related Hip Fractures, Using Hospital Discharge Data(2001-12-01) Rubin, Bernard; Antonio A. Rene; Douglas Mains; Muriel MarshallThe purpose of this study is to assess whether a current physician practice may inadequately diagnose osteoporosis in a high risk population of postmenopausal women who have sustained a hip fracture. A review of all patients discharged from Texas hospitals during calendar year 1999 was analyzed, using the Public Use Data File provided through the Texas Health Care Information Council. A total of 13,628 women over the age of 55 were admitted to hospital with a fractured hip. Only 2,233, or 16.3%, of women were also coded with the diagnosis of osteoporosis (P [less than] 0.001). Forty to fifty percent of postmenopausal women have osteoporosis. Therefore, women presenting with a fragility fracture form an even more at-risk subset of the population, such that one would expect a majority of these women to carry a diagnosis of osteoporosis. Percentages of Caucasian, non-Hispanic women in each group were comparable. The age distribution in each group was comparable, implying that the coded diagnosis of osteoporosis was not related to the age of the women when admitted to the hospital. In conclusion, physicians practicing in Texas during calendar year 1999 inadequately diagnosed osteoporosis in a high risk population of postmenopausal women who were admitted to hospital with fractured hip. Future analysis of subsequent analysis databases will be able to identify whether or not continuing medical education efforts will cause physicians to diagnose osteoporosis in this high risk population more frequently.Item Assessment of Knowledge, Attitudes, and Practices Regarding Dengue among Physicians: A Web-Based Cross-Sectional Survey(MDPI, 2021-07-21) Koonisetty, Kranthi Swaroop; Aghamohammadi, Nasrin; Urmi, Tamanna; Yavasoglu, Sare Ilknur; Rahman, Md. Shahinur; Nandy, Rajesh; Haque, UbydulDengue fever is one of the most important viral infections transmitted by Aedes mosquitoes and a major cause of morbidity and mortality globally. Accurate identification of cases and treatment of dengue patients at the early stages can reduce medical complications and dengue mortality rate. This survey aims to determine the knowledge, attitude, and practices (KAP) among physicians in dengue diagnosis and treatment. This study was conducted among physicians in Turkey as one nonendemic country and Bangladesh, India, and Malaysia as three dengue-endemic countries. The dosing frequencies, maximum doses, and contraindications in dengue fever were examined. The results found that physicians from Bangladesh, India, and Malaysia have higher KAP scores in dengue diagnosis and treatment compared to physicians in Turkey. This may be due to a lack of physician's exposure to a dengue patient as Turkey is considered a nonendemic country. This assessment may help establish a guideline for intervention strategies among physicians to have successful treatment outcomes and reduce dengue mortality.Item DIFFERENCES IN HEALTH BEHAVIORS BETWEEN MEDICAL SCHOOL FACULTY AND STAFF(2014-03) Ake, Stephen; Nejtek, Vicki A.; Talari, Deepika; Lovell, Andrew J.; Filipetto, FrankThe 2012 National Gallup-Healthways survey found that physicians and nurses are healthier than other workers. However, objective data to adequately describe the health status in clinicians versus non-clinicians is lacking. We measured and compared physiological health indices and behaviors between medical school faculty and staff. Purpose (a): The 2012 National Gallup-Healthways survey using self-report phone interviews found that physicians and nurses are healthier than other workers. However, objective data to adequately describe the health status in clinicians versus non-clinicians is lacking. Here, we objectively measured and compared physiological health indices and behaviors between medical school faculty and staff. Methods (b): A prospective, cross-sectional pilot study was conducted to compare routine health and well-being between faculty and non-faculty medical school employees (n=69). Information about routine preventative health behaviors, inoculations, exercise, daily stress levels, and general life enjoyment were obtained. Subjects received $1 for completing all assessments. Data were analyzed using SPSS (version 19) and included analysis of variance to compare quantifiable variables and chi-square for categorical variables. All analyses were conducted using a 95% confidence level and an alpha level of 0.05 was used to determine statistical significance. Results (c): There were no statistically significant group differences between faculty and non-faculty staff in weekly exercise, daily stress levels, and general life enjoyment. 53% of staff exercised > 3 times/week than 25% of the faculty (p = 0.009). Based on the total population, 24% of combined faculty and staff did not receive a flu shot during the past 12-months (p = 0.026). More concerning was 25% of faculty and 78.6% of staff had not been TB tested in the past year. Significant differences emerged in faculty reporting higher levels of daily stress (p = 0.048), and lower overall levels of general life enjoyment than in non-faculty staff (p = 0.023). Conclusions (d): These data suggest that medical school faculty do not have better health outcomes or behaviors than non-faculty staff. Conversely, staff are significantly happier in life, exercise more often, and report less daily stress than faculty members. The data suggest that while faculty may take good care of others, they seem to put themselves at a higher risk for poor health outcomes. Further investigation is warranted.Item Hormone Replacement Therapy: Investigating Language Barriers(2002-04-26) Gamber, Mark A.; Muriel Marshall; Gilbert Ramirez; Janice KneblHormone Replacement Therapy: Investigating Language Barriers. Mark Gamber, BA, BS; Muriel Marhsall, DO, DrPH; Gilbert Ramirez, DrPH, Janice Knebl, DO; Karen Godwin, PhD; Hector Balzacar, PhD; Craig Whiting, DO. Objective: To investigate the relationship between the language spoken (Spanish or English) by the Hispanic patient when talking to their doctor and the patient’s use of HRT. Design: Retrospective chart review. Setting: Northside Family Practice clinic, UNTHSC in Ft. Worth, Texas. 102 postmenopausal Hispanic women. Measurement: HRT use, Spanish or English speaking, natural or surgical menopause. Results: A total of 102 postmenopausal Hispanic females met the inclusion criteria for chart review. The mean age of English speakers is 66.7 years old. The mean age of the Spanish speakers is 64.93 years old. 54% (55) spoke Spanish at their clinic visit and 46% (47) spoke English. Of the 55 Spanish speakers, 36% had at some point used HRT while 64% had never used HRT. Of the 47 English speakers, 49% had at some point used HRT while 51% had never used HRT. There is not a significant difference (p=0.20) when comparing language spoken by the patient at the clinic visit and whether they are prescribed HRT. Conclusion: While a significant difference was not found between the two groups, a greater percentage of English speaker (48%) than Spanish speaking (36%) Hispanic females are prescribed HRT in this study. In fact, when adjusted for age, English speakers were 1.88 times more likely to have used HRT than Spanish speakers. Based on the apparent need to bridge the language barrier between physicians and patients over issues important as menopause and HRT, more research is needed in this area. Key Words: Hormone Replacement Therapy, Hispanic, Women. University of North Texas Health Science Center; Ft. Worth, Texas (MG, MM, GR, JK, KG, HB, CW) Address correspondence and reprint requests to Mark Gamber c/o Dr. Muriel Marshall, University of North Texas Health Science Center; 3500 Camp Bowie Blvd; Fort Worth, Texas 76107. 817-735-2440; 817-735-2137 (fax). mgamber@hotmail.com. Word Count: 1311. Number of Tables: 1. Number of References: 16. Date of Submittal: 4/26/02.Item Obstacles Associated with Physician Referral of Patients into Clinical Trials(2017-05-01) Torrez, Nick; Hodge, Lisa M.; Mathew, Stephen O.; Jung, Marianna E.Understanding the safety and efficacy of potential new medications relies on evidence gained through the participation of subjects in clinical drug trials. Many clinical trial sites struggle with recruitment of suitable participants which can delay the progress of drug development. Physicians can play a significant role in influencing patients to enter into a clinical trial, however many physicians due not utilize their unique position to facilitate the recruitment of patients into clinical trials, which may help to advance medical science and improve future treatment options. The lack of participation by physicians in the referral of patients into clinical trials (Crosson et al. 2001; Daugherty C, 1995; Jenkins and Fallowfield, 2000; Lara et al., 2001) can potentially be explained by various obstacles. We propose that these obstacles may be issues such as time, lack of knowledge about clinical trials, lack of clinical trials suitable for patients, language barriers, conflict of interest, communication with local investigators, and trust in medical researchers.