Mark D Heuser

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The objective of this work was to estimate the cost to the U.S. Navy for obesity-related hospital admissions by examining (1) inpatient utilization associated with obesity; (2) the rank order, probability, and total facility costs of obesity-related diagnosis-related groups (DRGs); and (3) expected inpatient expenses. The frequency and probability of(More)
OBJECTIVE To develop and validate a knee pain scale (KPS) for use with osteoarthritis (OA) of the knee. METHODS Patients with documented evidence of knee OA completed the KPS and a test battery including measures of physical functioning, physical performance, and depression. Analyses were conducted to confirm the 4-factor structure of the measure,(More)
Few estimates have been made of the extent to which the needs of caregivers are met. In addition to the inadequate capacity of services, many caregivers lack adequate financial resources, social resources, or other means to access them. Caregivers who provide services to minority or poor elderly may be particularly needy since their care receivers tend to(More)
Patterns of utilization of emergency medical services transport (EMS) by the elderly are poorly understood. We determined population-based rates of EMS utilization by the elderly and characterized utilization patterns by age, gender, race, and reason for transport. This observational, population-based study was conducted in Forsyth County, NC, a semi-urban(More)
CAP in the older adult is a complex multifactorial syndrome. Older adults are at increased risk for pneumonia and death associated with pneumonia. The prevalence and severity of risk factors for pneumonia increase with age. Although alterations in respiratory function occur with increased frequency in the elderly, immune senescence is probably the major(More)
Pharmacological doses of estrogens have been reported to increase hepatic catabolism of low-density lipoprotein (LDL) by the LDL receptor (LDL-R) pathway and to increase the concentration of mRNA for the LDL receptor. The induction of LDL-Rs by large doses of estrogen may not be relevant to the role of estrogens under physiological conditions. Furthermore,(More)
BACKGROUND Age has been proposed as a criterion for health care rationing. However, the relationship of age and other prognostic factors to in-hospital mortality in older patients is unclear. The purpose of this study was to examine the effect of age on hospital mortality for patients admitted to the intensive care unit. METHODS This historical(More)
Racial differences in correlates and use of formal home and community services and in the predictive ability of the Andersen-Newman model were examined in older African American and white, community-dwelling adults. Results show greater service use by older African Americans and suggest racial differences in the correlates of service use. Racial differences(More)
Because falls are common among the elderly and are associated with high morbidity and mortality, community surveillance has been recommended. The purpose of this study was to characterize the impact of falls among the elderly on emergency medical transport services (EMS) and to explore the potential for community surveillance of falls through the use of(More)
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