Michel A Ibrahim

Learn More
OBJECTIVE To examine organizational features of Veterans Affairs (VA) primary care programs hypothesized to be associated with better diabetes control, as indicated by hemoglobin A1C (HbA1C) levels. STUDY DESIGN Cross-sectional cohort. METHODS We established a cohort of 224 221 diabetic patients using the VA Diabetes Registry and Dataset and VA(More)
As the initial step in a five-year project to improve control of high blood pressure in Edgecombe County, North Carolina, a survey was conducted in 1980 to determine the prevalence of hypertension and to identify factors which might constitute barriers to the use of medical care by hypertensives. This report summarizes the findings for the 539 hypertensives(More)
Head hair samples were taken from 110 mothers and their newborns at delivery and analyzed for cadmium and lead content. Positive association for cadmium content, but not lead, was found between mothers and newborns. Correlation between the two metals was observed in the babies' hair. Lead levels in the mothers' hair were higher in mothers of parity three or(More)
BACKGROUND Drug provision within the German statutory health insurance system has undergone several reforms, including the introduction of drug macrobudgets in 1993. OBJECTIVE The objective of this study was to investigate the extent to which statutorily (SHI) and fully privately (PHI) health-insured patients were provided with new medication recommended(More)
Competency-based education for public health professionals has been recommended by the Institute of Medicine. The Association of Schools of Public Health has developed a set of academic core competencies that it recommends that all Master of Public Health (MPH) students should possess prior to graduation. This article discusses the processes and reasoning(More)
To guide the planning of a multifacetted hypertension control program in Edgecombe County, North Carolina, a baseline survey of a stratified (by township) random sample of 1,000 households was conducted. All adults (greater than or equal to 18 years) were interviewed and had their blood pressures (BP) measured. Five hundred thirty-nine individuals, 27 per(More)