1
40
7
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
347–350
Issue
7
Volume
87
Dublin Core
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Title
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A biopsychosocial profile of the geriatric population who frequently visit the emergency department.
Publisher
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Ohio medicine : journal of the Ohio State Medical Association
Date
A point or period of time associated with an event in the lifecycle of the resource
1991
1991-07
Subject
The topic of the resource
Female; Humans; Male; Retrospective Studies; Sex Factors; African Americans; Ohio/epidemiology; European Continental Ancestry Group; Demography; *Aged/psychology; Marriage; Emergency Service; Hospital/*statistics & numerical data
Creator
An entity primarily responsible for making the resource
Brokaw M; Zaraa A S
Description
An account of the resource
Over the last two decades the emergency department has become the primary source of health care for a large segment of the population. While this practice is discouraged by ED staff and primary care providers, it is an unfortunate reality. Recent literature has examined the use of the ED from many different angles. Areas investigated include various demographics (age, sex, race, etc.), method of payment, presenting complaint, and availability of primary care. Repeated inappropriate use of ED services by individuals (the so called "frequent fliers") has also attracted attention. The interest in this sub-population of patients is presumably due to the prevalence as well as the excessive costs of this behavior. In the present study a retrospective chart review was used to establish the biopsychosocial profiles of geriatric patients identified as being frequently seen in the emergency department for non-urgent conditions. Even though only 11% of the US population is age 65 or older, the elderly in America consume 30% of the health care resources, and in the next 20 years that figure is expected to climb to 50% (1). Demographics, ED presentation, diagnosis, and treatment as well as past medical history were collected. The objectives of the study were to identify these elderly frequent fliers and determine what could be the reasons behind the inappropriate use of emergency department resources by these patients. The average age of the sample was 74. The marital status of the sample was as follows: 42.4% widowed, 27.2% married, 15% divorced, and 18.5% single. Over half (52.6%) of those patients were brought to the ED by ambulance. The most common presenting complaint was chest pain (20.8%), followed by somatic complaints (18.9%), GI (16.1%), dyspnea (13.7%), and change in mental status (12.8%). The most prevalent ED diagnosis was psychiatric (18.4%) in nature. The other diagnoses were somatic (16.6%), GI (11.8%), and pulmonary (10.9%). 88.5% of the sample reported to have a primary care physician. However, 45% of the ED visits occurred between 9 AM and 5 PM at a time when a physician should have been available. The admission rate for this sample was 21.9%, which is half what has been found in the "normal" elderly, as reported by McDonald and Abrahams.
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Aged/psychology
1991
African Americans
Brokaw M
Demography
Emergency Service
European Continental Ancestry Group
Female
Hospital/*statistics & numerical data
Humans
Male
Marriage
Ohio medicine : journal of the Ohio State Medical Association
Ohio/epidemiology
Retrospective Studies
Sex Factors
Zaraa A S
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/geront/gnx129</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
338-338
Issue
2
Volume
59
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Title
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Advance Care Planning in Skilled Nursing Facilities: A Multisite Examination of Professional Judgments
Publisher
An entity responsible for making the resource available
The Gerontologist
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Subject
The topic of the resource
Advance directives; African Americans; CONFIDENCE intervals; Gerontology And Geriatrics; Judgments; Nurses; Nursing; Quality of care; Quality of life; Race; Racism; Research design; Residential segregation; Rural areas; Rural education; Rural urban differences; Segregation; Social science research; Social workers; Urban education
Creator
An entity primarily responsible for making the resource
Baughman Kristin R; Ludwick PhD R N-B C C N S F A A N Ruth; Jarjoura PhD David; Kropp BS Denise; Shenoy BS Vimal
Description
An account of the resource
Background and Objectives Lack of advance care planning (ACP) may increase hospitalizations and impact the quality of life for skilled nursing facility (SNF) residents, especially African American residents who may be less likely to receive ACP discussions. We examined the professional judgments of SNF providers to see if race of SNF residents and providers, and risk for hospitalization for residents influenced professional judgments as to when ACP was needed and feelings of responsibility for ensuring ACP discussions Research Design and Methods Nurses and social workers (n = 350) within 29 urban SNFs completed surveys and rated vignettes describing eight typical SNF residents. Linear mixed modeling was used to examine factors that impacted ratings of need for ACP and responsibility for ensuring ACP. Results Neither the race of the provider, resident, nor the interaction of the two were associated with either outcome variable. In contrast, providers rated (on a 9-point scale) residents at high risk for hospitalization as more in need of ACP (estimate = 0.86, confidence interval [CI] 0.65, 1.07) and felt more responsible for ensuring ACP (estimate = 0.60, CI 0.42, 0.78) Discussion and Implications Research on ACP is continuing to evolve and these results show the primacy of disease trajectory variables on providers' judgments about ACP. Differences between providers indicate a need for stronger policies and education. Further, research comparing rural, suburban, and urban SNFs is needed to explore possible forms of structural racism such as residential and SNF segregation.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">10.1093/geront/gnx129</a>
2019
Advance Directives
African Americans
Baughman Kristin R
Confidence Intervals
Department of Family & Community Medicine
Gerontology And Geriatrics
Jarjoura PhD David
Judgments
Kropp BS Denise
Ludwick PhD R N-B C C N S F A A N Ruth
NEOMED College of Medicine
nurses
Nursing
Quality of care
Quality of Life
Race
RACISM
Research Design
Residential segregation
Rural Areas
Rural education
Rural urban differences
Segregation
September 2019 Update
Shenoy BS Vimal
Social science research
social workers
The Gerontologist
Urban education
-
Hyperlink
A link, or reference, to another resource on the Internet.
URL
https://doi.org/10.3122/jabfm.2022.01.210168
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Ethnic Equity Implications in the Management of Pseudofolliculitis Barbae
Creator
An entity primarily responsible for making the resource
Divya Sharma
Yoseph Dalia
Tejesh S Patel
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Description
An account of the resource
One major issue facing the health care system in the United States is the disparity in health care management of diseases that affect minority patient populations. Pseudofolliculitis barbae (PFB) is very common in Black men. It presents as skin-colored to erythematous, follicular or perifollicular papules and pustules predominantly on the neck and chin. The most definitive treatment for PFB is cessation of close shaving. However, many Black men are forced to comply with "clean-shaven" policies in the workforce. For those who are able to obtain medical waivers, there is significant time and costs associated with this, especially if they must wait to receive this waiver from a dermatologist. If primary care providers are able to identify the disease and spread awareness of its legitimacy, it may be easier for patients to receive the necessary waivers and may encourage employers to reflect on the ethnic equity of this practice. Our professional support can help reduce stigma and lead to improvements in the physical and psychological health of this historically mistreated population.
Source
A related resource from which the described resource is derived
J Am Board Fam Med
. 2022 Jan-Feb;35(1):173-174. doi: 10.3122/jabfm.2022.01.210168.
Language
A language of the resource
English
2022
Access to Health Care
African Americans
Hair Diseases
Health equity
Humanities
Primary Health Care
Pseudofolliculitis Barbae
Workforce.
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/1520-6629(200101)29:1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/1520-6629(200101)29:1<1::aid-jcop1>3.0.co;2-n</a>
Pages
1–17
Issue
1
Volume
29
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Life stressors, mastery, and perceived partner engagement in HIV-Risk behavior.
Publisher
An entity responsible for making the resource available
Journal of Community Psychology
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-01
Subject
The topic of the resource
RISK-taking behavior; AFRICAN Americans; ETHNIC groups; EUROPEAN Americans; HIV infections; HUMAN sexuality; MAN-woman relationships; PHYSIOLOGICAL stress
Creator
An entity primarily responsible for making the resource
Jackson Tomara D; Hobfoll Stevan E; Jackson Anita P; Lavin Justin
Description
An account of the resource
The relationships among level of personal mastery, economic stress, number of sexual partners, pregnancy status, and perceived partner engagement in HIV-risk behaviors (i.e., intravenous drug use, imprisonment, and sex with other partners) were studied in a sample of 1069 single, inner-city women. African American and European Americans were equally represented. We predicted that greater economic stress, a lower sense of personal mastery, and more sexual partners would be associated with greater perceptions of partner engagement in HIV-risk behavior. We also predicted that personal mastery would serve as a moderating variable in the presence of life stressors (e.g., being pregnant, having multiple sexual partners). The findings supported the hypotheses. Women with more economic stress, multiple sexual partners, and lower personal mastery reported higher perceived partner engagement in HIV-risk behavior than women with lower economic stress, one sexual partner, and higher personal mastery. Personal mastery had a greater impact for women with multiple sexual partners and for those who were pregnant. These findings were qualified by women's ethnicity. © 2001 John Wiley & Sons, Inc. [ABSTRACT FROM AUTHOR]
Identifier
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<a href="http://doi.org/10.1002/1520-6629(200101)29:1" target="_blank" rel="noreferrer noopener">10.1002/1520-6629(200101)29:1<1::aid-jcop1>3.0.co;2-n</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2001
African Americans
Ethnic Groups
EUROPEAN Americans
HIV Infections
Hobfoll Stevan E
HUMAN sexuality
Jackson Anita P
Jackson Tomara D
Journal of Community Psychology
Lavin Justin
MAN-woman relationships
PHYSIOLOGICAL stress
RISK-taking behavior
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/acr.24018" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/acr.24018</a>
Pages
1196-1204
Issue
9
Volume
72
ISSN
2151-4658
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Update Year & Number
September 2020 List
NEOMED College
NEOMED College of Medicine Student
NEOMED Department
NEOMED Student Publications
Dublin Core
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Title
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Racial differences in performance-based function and potential explanatory factors among individuals with knee osteoarthritis.
Publisher
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Arthritis Care & Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-09
Subject
The topic of the resource
Female; Humans; Male; Aged; Middle Aged; Socioeconomic Factors; Pain Measurement; African Americans; Body Mass Index; European Continental Ancestry Group; Exercise Test; Knee Joint/physiopathology; Osteoarthritis Knee/physiopathology; Physical Functional Performance
Creator
An entity primarily responsible for making the resource
Flowers PPE;Schwartz TA;Arbeeva L;Golightly YM;Pathak A;Cooke J;Gupta JJ;Callahan LF;Goode AP;Corsi M;Huffman KM;Allen KD
Description
An account of the resource
Objective: In individuals with knee osteoarthritis (OA), self-reported physical function is poorer in African Americans than in whites, but whether this difference holds true for objective assessments is unclear. The purpose of this study was to examine racial differences in performance-based physical function as well as potential underlying factors contributing to these racial differences.; Methods: Participants with knee OA from a randomized controlled trial completed the 2-minute step test (2MST), timed-up-and-go (TUG), and 30-second chair stand (30s-CST) at baseline. Race differences in performance-based function were assessed by logistic regression. Separate models were adjusted for sets of demographic, socioeconomic, psychological health, and physical health variables.; Results: In individuals with knee OA (n = 322; 72% women, 22% African American, mean ± SD age 66 ± 11 years, mean ± SD body mass index 31 ± 8 kg/m 2 ), African Americans (versus whites) had greater unadjusted odds of poorer function (30s-CST odds ratio [OR] 2.79 [95% confidence interval (95% CI) 1.65-4.72], 2MST OR 2.37 [95% CI 1.40-4.03], and TUG OR 3.71 [95% CI 2.16-6.36]). Relationships were maintained when adjusted for demographic and psychological health covariates, but they were either partially attenuated or nonsignificant when adjusted for physical health and socioeconomic covariates.; Conclusion: African American adults with knee OA had poorer unadjusted performance-based function than whites. Physical health and socioeconomic characteristics diminished these differences, emphasizing the fact that these factors may be important to consider in mitigating racial disparities in function. (© 2019, American College of Rheumatology.)
Identifier
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<a href="http://doi.org/10.1002/acr.24018" target="_blank" rel="noreferrer noopener">10.1002/acr.24018</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
African Americans
Aged
Allen KD
Arbeeva L
Arthritis Care & Research
Body Mass Index
Callahan LF
Cooke J
Corsi M
European Continental Ancestry Group
Exercise Test
Female
Flowers PPE
Golightly YM
Goode AP
Gupta JJ
Huffman KM
Humans
journalArticle
Knee Joint/physiopathology
Male
Middle Aged
NEOMED College of Medicine Student
NEOMED Student Publications
Osteoarthritis Knee/physiopathology
Pain Measurement
Pathak A
Physical Functional Performance
Schwartz TA
September 2020 List
Socioeconomic Factors
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/cup.13903" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/cup.13903</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
ISSN
1600-0560 0303-6987
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1111/cup.13903" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1111/cup.13903</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
October 2020 List
NEOMED College
NEOMED College of Medicine Student
NEOMED Department
NEOMED Student Publications
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Spitz nevi in african americans: A retrospective chart review of 11 patients.
Publisher
An entity responsible for making the resource available
Journal of Cutaneous Pathology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10-16
Subject
The topic of the resource
African Americans; nevi; nevus; Spitz; Spitzoid
Creator
An entity primarily responsible for making the resource
Farid YI;Honda KS
Description
An account of the resource
BACKGROUND: Spitz nevi are benign melanocytic neoplasms that typically present as rapidly growing solitary lesions on the head, neck, or lower extremities. Very rare reports have been described in African Americans. METHODS: A single-institution 29-year retrospective review of African American patients diagnosed with Spitz nevi was thoroughly analyzed in order to characterize these rare clinical and histopathologic presentations. RESULTS: Eleven African Americans with spitzoid lesions were identified. Seven (64%) cases were in pediatric patients and nine (82%) were in females. Most lesions were hyperpigmented (73%) and elevated (82%). Six (55%) were compound Spitz nevi, three (27%) were dermal Spitz nevi, and two (18%) were junctional Spitz nevi. Two lesions had more than one atypical feature. Histopathologically, common features were symmetry, sharp circumscription, pagetoid spread (55%) with most being centrally, predominance of epithelioid cells (64%), Kamino bodies (45%), slight pigmentation (46%), maturation of dermal component with depth, and lack of subcutaneous fat involvement or ulceration. Excision was performed on all patients and there were no recurrences although follow-up was limited. CONCLUSION: Awareness of the possibility and various presentations of Spitz nevi in African Americans will help prevent misdiagnosis.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/cup.13903" target="_blank" rel="noreferrer noopener">10.1111/cup.13903</a>
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
African Americans
Farid YI
Honda KS
Journal of cutaneous pathology
journalArticle
NEOMED College of Medicine Student
NEOMED Student Publications
nevi
Nevus
October 2020 List
Spitz
Spitzoid
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1037/0278-6133.15.4.293" target="_blank" rel="noreferrer noopener">http://doi.org/10.1037/0278-6133.15.4.293</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
293-297
Issue
4
Volume
15
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Weight, self-esteem, ethnicity, and depressive symptomatology during pregnancy among inner-city women
Publisher
An entity responsible for making the resource available
Health Psychology
Date
A point or period of time associated with an event in the lifecycle of the resource
1996
1996-07
Subject
The topic of the resource
pregnancy; African Americans; depression; obesity; self-esteem; Psychology; weight; black-women; body-image; dysphoria; postpartum; white
Creator
An entity primarily responsible for making the resource
Cameron R P; Grabill C M; Hobfoll S E; Crowther J H; Ritter C; Lavin J
Description
An account of the resource
The relationship of weight and self-esteem to depressive symptomatology was examined among 36 African American and 96 European American pregnant inner-city women. Lower self-esteem and higher deviations from medically ideal weight predicted increased dysphoria during the 3rd trimester for European American women, but only lower self-esteem predicted increased dysphoria for African American women. These results support the hypothesis that African Americans are less likely than European Americans to experience negative psychological repercussions of greater weight. Consistent with findings among nonpregnant middle-class samples, these results extend the association between heavier weight and increased risk for psychological distress to pregnant women of European American descent.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1037/0278-6133.15.4.293" target="_blank" rel="noreferrer noopener">10.1037/0278-6133.15.4.293</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
1996
African Americans
black-women
body-image
Cameron R P
Crowther J H
Department of Family & Community Medicine
Depression
dysphoria
Grabill C M
Health Psychology
Hobfoll S E
Journal Article or Conference Abstract Publication
Lavin J
NEOMED College of Medicine
Obesity
postpartum
Pregnancy
Psychology
Ritter C
self-esteem
weight
white