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We agree with Drs. La Regina and del Prato that problems in medicine can be approached from a variety of perspectives , although some basic directions should be shared by physicians working in different fields. There is no doubt that arterial hypertension is today a diagnosis that rarely leads to hospitalisation. There are however occasions char-acterised(More)
OBJECTIVES Emergency departments (EDs) rarely screen for older driving safety. The Trail-Making Test B (TMT-B) is a neuropsychological test that may predict ability to drive. We sought to examine the driving patterns of older ED patients and the feasibility of screening patients in the ED using the TMT-B. METHODS At a single ED at a tertiary care center,(More)
STUDY OBJECTIVE Epidemiologic studies of injury morbidity have relied primarily on data from emergency departments (EDs) and hospital admissions. We seek to assess the incidences and characteristics of acute injuries treated at EDs and other ambulatory care settings. METHODS Using data from the 2002 National Health Care Survey on initial visits for acute(More)
The association between home firearms and the likelihood and nature of suicidal thoughts and plans was examined using the Second Injury Control and Risk Survey, a 2001-2003 representative telephone survey of U.S. households. Of 9,483 respondents, 7.4% reported past-year suicidal thoughts, 21.3% with a plan. Similar proportions of those with and without a(More)
OBJECTIVES To assess whether resident physicians (MDs) could complete a death certificate for elderly patients with injury-related fatalities and whether their abilities were related to training or other factors. SETTING A large tertiary teaching hospital in Boston, Massachusetts. PARTICIPANTS Three hundred thirty-six MDs. DESIGN Through an anonymous(More)
Providers in an urban emergency department (ED) responded to a confidential, online survey assessing their beliefs and practices with respect to reducing a suicidal person's access to lethal means of suicide. 26% of respondents (37% of ED nurses, 23% of ED physicians, and 9% of psychiatrists) believed that all of the jumpers from the Golden Gate Bridge(More)
OBJECTIVES To describe older adults' opinions about driving cessation and driver retesting. METHODS Older adult (≥ 65 years) patients visiting the emergency department or geriatric clinic at a university hospital completed a confidential survey regarding attitudes toward driving tests and restrictions. RESULTS The response rate was 50% (N = 169). The(More)
BACKGROUND Admissions for AIDS-related illnesses decreased soon after the introduction of highly active antiretroviral therapy (HAART), but it is unclear if the trends have continued in the current HAART era. An understanding of healthcare utilization patterns is important for optimization of care and resource allocation. We examined the diagnoses for(More)
OBJECTIVES To determine what effect driving cessation may have on subsequent health and well-being in older adults. DESIGN Systematic review of the evidence in the research literature on the consequences of driving cessation in older adults. SETTING Community. PARTICIPANTS Drivers aged 55 and older. MEASUREMENTS Studies pertinent to the health(More)
BACKGROUND Discussions about driving cessation are difficult. "Advance driving directives" (ADDs), like advance directives for end-of-life care, would allow drivers to designate someone to help make driving decisions for them in the future. It is not known if older drivers support the concept of ADDs. DESIGN AND METHODS Cross-sectional study of a(More)