Learn More
BACKGROUND Low dietary folate intake is associated with several neoplasias, but reports are inconsistent for breast cancer. Additionally, the association of folate with breast cancer estrogen receptor (ER) status is not well established. OBJECTIVE To determine if dietary intakes of folate, B-vitamins (B2, B6, B12) and methionine are associated with breast(More)
BACKGROUND Chronic diseases affect 52% of Americans and consume 86% of health care costs. A small portion of patients consume most health care resources and costs. More intensive patient management strategies, such as case management, are usually more effective at improving health outcomes, but are also more expensive. To use limited resources efficiently,(More)
Pruritus is a common symptom in systemic sclerosis (SSc), an autoimmune disease which causes fibrosis and vasculopathy in skin, lung, and gastrointestinal tract (GIT). Unfortunately, pruritus has limited treatment options in this disease. Pilot trials of low-dose naltrexone hydrochloride (LDN) for pruritus, pain, and quality of life (QOL) in other GIT(More)
BACKGROUND Bodyweight related measures (weight, height, BMI, abdominal circumference) are extremely important for clinical care, research and quality improvement. These and other vitals signs data are frequently missing from structured tables of electronic health records. However they are often recorded as text within clinical notes. In this project we(More)
Participant observation techniques were employed in a high school setting to document the friendship patterns of 32 mildly learning handicapped and 32 nonhandicapped adolescents. Three features of friendship were examined: intimacy, empathy, and stability over time. Handicapped adolescents were found to have fewer friendships than did their nonhandicapped(More)
OBJECTIVE To measure change in patient activation and self-efficacy in individuals with phenylketonuria (PKU) before and after a 6-month phone-based motivational interviewing (MI) intervention and determine the feasibility of implementing dietary counseling for PKU using an MI approach. METHODS Participants (n = 31) included preadolescents (7-12 years),(More)
Chronic kidney disease (CKD) affects about 10% of the population worldwide. Millions of people die prematurely from CKD each year. Dietary restrictions can slow the progression of CKD and improve outcomes. In recent years, introduction of new technologies has enabled patients to better manage their own dietary intake and health. Several dietary management(More)
Background: Chronic diseases affect 52% of Americans and consume 86% of healthcare costs. A small portion of patients consume most healthcare resources and costs. More intensive patient management strategies such as case management are usually more effective at improving health outcomes, but are also more expensive. To efficiently use limited resources,(More)
BACKGROUND Electronic medical records (EMR) provide an ideal opportunity for the detection, diagnosis, and management of systemic sclerosis (SSc) patients within the Veterans Health Administration (VHA). The objective of this project was to use informatics to identify potential SSc patients in the VHA that were on prednisone, in order to inform an outreach(More)
Epidemiologic studies have identified a number of lifestyle factors, e.g. diet, obesity, and use of certain medications, which affect risk of colon cancer. However, the magnitude and significance of risk factor-disease associations differ among studies. We propose that population trends of changing prevalence of risk factors explains some of the variability(More)
  • 1