Charissa J Hogeboom

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Anal cancer may be preceded by anal squamous intraepithelial lesions (ASIL), but the natural history of ASIL is poorly understood. In this report, we characterize the 2-year incidence and progression of low-grade SIL (LSIL) and high-grade SIL (HSIL) in a cohort study in 346 HIV-positive and 262 HIV-negative homosexual or bisexual men. Subjects were studied(More)
Anal squamous intraepithelial lesions (ASIL) are common in homosexual and bisexual men, and high-grade ASIL (HSIL) in particular may represent an anal cancer precursor. Cervical cytology is a useful screening tool for detection of cervical HSIL to prevent cervical cancer. To assess anal cytology as a screening tool for anal disease, we compared anal(More)
PURPOSE The incidence of anal cancer is increased in men with a history of anal receptive intercourse. Analogous to cervical cancer, whose precursor is cervical high-grade squamous intraepithelial lesion (HSIL), anal cancer may be preceded by anal HSIL. Although not yet proven, detection, follow-up, and treatment of HSIL may prevent development of anal(More)
OBJECTIVES To assess interrater reliability of Traditional Chinese Medicine (TCM) diagnosis and treatment of chronic low back pain. DESIGN Under a Latin square design, six TCM acupuncturists evaluated the same six patients on the same day. SETTING Northwest Institute of Acupuncture and Oriental Medicine, Seattle, Washington. INTERVENTIONS Assessment(More)
BACKGROUND Chronic back pain is a major public health problem and the primary reason patients seek acupuncture treatment. Therefore, an objective assessment of acupuncture efficacy is critical for making informed decisions about its appropriate role for patients with this common condition. This study addresses methodological shortcomings that have plagued(More)
The selection of appropriate treatments in clinical trials of acupuncture requires understanding how acupuncturists diagnose and treat specific conditions. We examined the Traditional Chinese Medical (TCM) diagnoses and treatments for patients with chronic low-back pain using two separate sets of treatment records. Information from more than 150 initial(More)
OBJECTIVE To evaluate a simulated acupuncture technique for use in randomized controlled trials assessing the efficacy of acupuncture for low-back pain. SETTING The clinic of an accredited acupuncture college in Seattle, Washington. SUBJECTS Acupuncture-naïve enrollees of Group Health Cooperative who had visited their primary care provider with a(More)
OBJECTIVE To compare anal cytology prepared via conventional methods and the ThinPrep processor. STUDY DESIGN Cells from the anal canal were collected using a moistened swab. One hundred thirty-six samples were collected from 133 gay or bisexual men; 102 were human immunodeficiency virus seropositive. A conventional smear was prepared and fixed in 95%(More)
BACKGROUND The study was designed to estimate reduction in adult stature induced by megavoltage radiation therapy (RT) of the spine in children treated for Wilms tumor and to ascertain whether the dose reduction in successive National Wilms Tumor Study Group (NWTSG) trials has mitigated late effects of RT in these children. PROCEDURE Effects of RT dose,(More)
OBJECTIVES This survey was undertaken to learn how Traditional Chinese Medicine acupuncturists' diagnose and treat patients with chronic low back pain in order to develop a standardized treatment for a clinical trial of that condition. DESIGN We surveyed a randomly selected group of 56 acupuncturists in Washington State, USA about styles of acupuncture(More)