Cynthia M Ripsin

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OBJECTIVES To test the a priori hypothesis that consumption of oats will lower the blood total cholesterol level and to assess modifiers and confounders of this association. DATA SOURCES A computerized literature (MEDLINE) search and the Quaker Oats Co identified published and unpublished trials as of March 1991. Raw data were requested for all trials. (More)
Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, reduced-calorie diet; aggressive management of cardiovascular risk factors (i.e.,(More)
OBJECTIVES To characterize the degree of disparity between physicians' perceptions of older patients' medication regimen and patients' perceptions of their regimen. DESIGN Prospective observational. Physicians and patients were blinded at index visit; after, trained medical students made home visits, collecting information about medications that was(More)
BACKGROUND Despite animal and metabolic ward studies that support the benefit of oat bran as a useful dietary supplement for the lowering of cholesterol, there have been few controlled studies on free-living subjects that have convincingly demonstrated this benefit. METHODS This is a report of a randomized, controlled, blinded clinical trial with a(More)
Two hundred one male and female subjects, aged 20 to 70 years, with elevated low-density lipoprotein cholesterol values (in the 75th to 95th percentiles), participated in a randomized, controlled, double-blind study using a new form of niacin (Enduracin), which employs a wax-matrix vehicle for sustained release. Four niacin treatment groups (daily doses of(More)
BACKGROUND Over the past decade, while physician home visiting has continued to decline, the home care industry has been experiencing dramatic growth. In response, several major physician organizations have been encouraging increased physician education and involvement in home care and urging related health policy changes. This study provides the first(More)
OBJECTIVES To examine the extent to which diabetes codes that increase reimbursement (tier comorbidities) under the prospective payment system are related to length of stay and functional outcomes in stroke rehabilitation. DESIGN Secondary data analysis. SETTING Inpatient rehabilitation facilities (N=864) across the United States. PARTICIPANTS(More)
OBJECTIVE Compare lipid response, side effect profile and toxicity of younger (less than 50 years) versus older (50 to 70 years) hypercholesterolemic subjects taking wax-matrix sustained-release niacin (Endur-acin). STUDY DESIGN An 8-week randomized double-blind placebo controlled trial. SETTING General community. PARTICIPANTS Volunteers from(More)
BACKGROUND Previous studies have demonstrated the lipid-lowering potential of wax-matrix controlled-release forms of nicotinic acid, but questions have been raised about the risks associated with long-term use. This report describes a 38-week trial that was designed as a follow-up to a shorter 16-week clinical trial of wax-matrix controlled-release niacin.(More)
OBJECTIVES To determine the efficacy of the American Heart Association Step-One Diet for lowering blood lipid levels and to assess its nutritional adequacy in younger (< 50 years old) and older (> or = 50 years old) subgroups. STUDY DESIGN A prospective cohort study; 383 subjects were instructed in the American Heart Association Step-One Diet. Adherence(More)