Raul S. Barth

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OBJECTIVE A multiple component intervention in a community health center is presented, and its effect on breast cancer screening participation by Hispanic American women between the ages of 45 and 75 years is discussed. DATA SOURCES/STUDY SETTING In 1990, data were collected through a retrospective audit (at least as far back as 1987) of community health(More)
BACKGROUND Primary care physicians are increasingly the gatekeepers to clinical preventive services including mammography utilization. Moreover, lack of physician recommendation is a major reason for patient failure to obtain screening. A study was designed to examine the attitudes, beliefs, and practices with regard to breast cancer screening as(More)
OBJECTIVE To improve breast cancer screening skills, practicing non-academic primary care physicians were offered an opportunity to participate in a one-hour private skills-assessment session with a patient instructor. Research questions included: would physicians in non-academic practice be interested in a skills course; would the course improve their(More)
In order to improve compliance with the National Cancer Institute's breast cancer screening guidelines, we developed a multifaceted intervention designed to alter physician screening practice. A pre-post test, two-community design was used. Primary care physicians in one community served as the control. Data were collected by two mailed surveys (1987 and(More)
BACKGROUND Efforts to detect breast cancer in its early stages are necessary to reduce breast cancer-associated mortality. This study evaluated the impact of a multicomponent intervention implemented between 1987 and 1990 to increase a community's utilization of breast cancer screening by women over 50 years of age. METHODS The study used a(More)
Our 3 Step Primary Care Program is apparently successful. The first year program focused on 3 types of intervention: 1. Interventions to influence reinforcing factors (i.e. finding rapport among significant community leaders) 2. Interventions to alter predisposing factors (i.e. presenting informative material in a palatable memorable form) 3. Interventions(More)
This work presents, for the first time in literature, a low-cost framework to mine data obtained from passengers smart cards, buses GPS and bus stops geolocation using Lambda Architecture approach. Operators, companies, government and passengers will use this knowledge for improving usability, comfort, and quality of transportation service. This analysis(More)
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