Marjorie Carter

Learn More
OBJECTIVES We assessed urgent care providers' knowledge about public health reporting, guidelines, and actions for the prevention and control of pertussis; attitudes about public health reporting and population-based data; and perception of reporting practices in their clinic. METHODS We identified the 106 providers (95% are physicians) employed in 28(More)
The patient activation measure short form (PAM-13) assesses patients’ self-reported health management skills, knowledge, confidence, and motivation. We used item response theory to evaluate the psychometric properties of the PAM-13 utilized in rural settings. A Rasch partial credit model analysis was conducted on the PAM-13 instrument using a sample of 812(More)
MilitaryMisconduct andHomelessness Among USVeterans Separated FromActive Duty, 2001-2012 Misconduct-related separations from the military are associated with subsequent adverse civilian outcomes that are of substantial public health concern.1 We investigated the association between misconduct-related separations and homelessness among recently returned(More)
OBJECTIVE To develop algorithms to improve efficiency of patient phenotyping using natural language processing (NLP) on text data. Of a large number of note titles available in our database, we sought to determine those with highest yield and precision for psychosocial concepts. MATERIALS AND METHODS From a database of over 1 billion documents from US(More)
Early warning indicators to identify US Veterans at risk of homelessness are currently only inferred from administrative data. References to indicators of risk or instances of homelessness in the free text of medical notes written by Department of Veterans Affairs (VA) providers may precede formal identification of Veterans as being homeless. This(More)
Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA(More)
BACKGROUND Identifying respiratory pathogens within populations is difficult because invasive sample collection, such as with nasopharyngeal aspirate (NPA), is generally required. PCR technology could allow for non-invasive sampling methods. OBJECTIVE Evaluate the utility of non-invasive sample collection using anterior nare swabs and facial tissues for(More)
Templated boilerplate structures pose challenges to natural language processing (NLP) tools used for information extraction (IE). Routine error analyses while performing an IE task using Veterans Affairs (VA) medical records identified templates as an important cause of false positives. The baseline NLP pipeline (V3NLP) was adapted to recognize negation,(More)
CONTEXT During public health emergencies, office-based frontline clinicians are critical partners in the detection, treatment, and control of disease. Communication between public health authorities and frontline clinicians is critical, yet public health agencies, medical societies, and healthcare delivery organizations have all called for improvements. (More)
BACKGROUND Chronic multisymptom illness (CMI) may be more prevalent among female Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) deployed Veterans due to deployment-related experiences. OBJECTIVES To investigate CMI-related diagnoses among female OEF/OIF/OND Veterans. RESEARCH DESIGN We estimated the prevalence of the(More)