Stanley Paul Azen

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CONTEXT Guidelines advise that all adults undergo coronary heart disease (CHD) risk assessment to guide preventive treatment intensity. Although the Framingham Risk Score (FRS) is often recommended for this, it has been suggested that risk assessment may be improved by additional tests such as coronary artery calcium scoring (CACS). OBJECTIVES To(More)
Type 2 diabetes frequently results from progressive failure of pancreatic beta-cell function in the presence of chronic insulin resistance. We tested whether chronic amelioration of insulin resistance would preserve pancreatic beta-cell function and delay or prevent the onset of type 2 diabetes in high-risk Hispanic women. Women with previous gestational(More)
CONTEXT Preventive health programs may mitigate against the health risks of older adulthood. OBJECTIVE To evaluate the effectiveness of preventive occupational therapy (OT) services specifically tailored for multiethnic, independent-living older adults. Design.-A randomized controlled trial. SETTING Two government subsidized apartment complexes for(More)
OBJECTIVE To study differences in the attitudes of elderly subjects from different ethnic groups toward disclosure of the diagnosis and prognosis of a terminal illness and toward end-of-life decision making. DESIGN Survey. SETTING Thirty-one senior citizen centers within Los Angeles County, California. RESPONDENTS A stratified quota sample of 200(More)
With a clinical goniometer, we measured the arcs of active motion of the shoulder, elbow, forearm, wrist, hip, knee, ankle, and foot in 109 normal male subjects ranging in age from eighteen months to fifty-four years old. The normal limits were determined for subjects who were one to nineteen years old and for those who were twenty to fifty-four years old.(More)
OBJECTIVE To evaluate the immediate and long-term effects of 2 upper-extremity rehabilitation approaches for stroke compared with standard care in participants stratified by stroke severity. DESIGN Nonblinded, randomized controlled trial (baseline, postintervention, 9mo) design. SETTING Inpatient rehabilitation hospital and outpatient clinic. (More)
BACKGROUND When people with stroke recover gait speed, they report improved function and reduced disability. However, the minimal amount of change in gait speed that is clinically meaningful and associated with an important difference in function for people poststroke has not been determined. OBJECTIVE The purpose of this study was to determine the(More)
BACKGROUND AND PURPOSE A phase II, single-blinded, randomized clinical trial was conducted to determine the effects of combined task-specific and lower-extremity (LE) strength training to improve walking ability after stroke. SUBJECTS The participants were 80 adults who were ambulatory 4 months to 5 years after a unilateral stroke. METHOD The exercise(More)
BACKGROUND Locomotor training, including the use of body-weight support in treadmill stepping, is a physical therapy intervention used to improve recovery of the ability to walk after stroke. The effectiveness and appropriate timing of this intervention have not been established. METHODS We stratified 408 participants who had had a stroke 2 months earlier(More)
BACKGROUND Although observational studies suggest that estrogen replacement therapy (ERT) reduces cardiovascular morbidity and mortality in postmenopausal women, use of unopposed ERT for prevention of coronary heart disease in healthy postmenopausal women remains untested. OBJECTIVE To determine the effects of unopposed ERT on the progression of(More)