1
40
3
-
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
61–66
Issue
2
Volume
5
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
Confronting the communication gap between conventional and alternative medicine: a survey of physicians' attitudes.
Publisher
An entity responsible for making the resource available
Alternative therapies in health and medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-03
Subject
The topic of the resource
Adult; Female; Humans; Male; Middle Aged; Ohio; *Attitude of Health Personnel; Surveys and Questionnaires; *Physician-Patient Relations; *Complementary Therapies; *Physicians
Creator
An entity primarily responsible for making the resource
Crock R D; Jarjoura D; Polen A; Rutecki G W
Description
An account of the resource
CONTEXT: An estimated 60 million Americans use some from of complementary and alternative medicine, though approximately 70% do not tell their physicians about this use. Open communication between conventional medical providers and patients in this area is therefore lacking. OBJECTIVE: To explore the dynamics that could potentially contribute to communication breakdown between physicians and patients over the use of alternative therapies. DESIGN: Mail-in, self-administered questionnaire. PARTICIPANTS: 96 practitioners in primary care and medical subspecialties representing the local county medical society, Stark county, Ohio. MAIN OUTCOME MEASURES: Data were obtained on the following: (1) physicians' level of familiarity with 23 different alternative therapies, (2) the question of whether physicians used the therapies themselves, (3) physicians' assessment of the potential benefits and harm of each therapy, and (4) physicians' response to the prospect of their patients using these therapies. RESULTS: Respondents reported the use of myriad alternative therapies. Only 28%, however, referred patients for alternative therapies. The physicians demonstrated clear preferences for specific therapies (i.e., when asked about benefits, familiarity, and reactions to patient use, they responded differently depending on the therapy). Indication that the doctor-patient relationship might be terminated as a result of alternative therapy use was more common among subspecialists than among primary care practitioners. CONCLUSIONS: Overall, physicians demonstrated an open attitude toward alternative therapies. This finding indicates that patients should disclose their use of alternative therapies to their doctors. Increased referral to alternative healthcare providers may require both ongoing peer-reviewed studies of efficacy and increased physician access to information concerning therapies that have undergone definitive study.
Rights
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).
*Attitude of Health Personnel
*Complementary Therapies
*Physician-Patient Relations
*Physicians
1999
Adult
Alternative therapies in health and medicine
Crock R D
Female
Humans
Jarjoura D
Male
Middle Aged
Ohio
Polen A
Rutecki G W
Surveys and Questionnaires
-
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
61–66
Issue
2
Volume
5
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
Confronting the communication gap between conventional and alternative medicine: a survey of physicians' attitudes.
Publisher
An entity responsible for making the resource available
Alternative Therapies in Health & Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-03
Subject
The topic of the resource
Adult; Female; Male; Human; Questionnaires; Descriptive Statistics; P-Value; Repeated Measures; Middle Age; Internal Consistency; T-Tests; Physician Attitudes; Alternative Therapies – Psychosocial Factors
Creator
An entity primarily responsible for making the resource
Crock R D; Jarjoura D; Polen A; Rutecki G W
Rights
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).
1999
Adult
Alternative Therapies – Psychosocial Factors
Alternative Therapies in Health & Medicine
Crock R D
Descriptive Statistics
Female
Human
Internal Consistency
Jarjoura D
Male
Middle Age
P-Value
Physician Attitudes
Polen A
Questionnaires
Repeated Measures
Rutecki G W
T-Tests
-
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/10.1001/archinte.163.17.2079" target="_blank" rel="noreferrer noopener">http://doi.org/10.1001/archinte.163.17.2079</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
2079-2084
Issue
17
Volume
163
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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
One-day Quadruple Therapy Compared With 7-day Triple Therapy For Helicobacter Pylori Infection
Publisher
An entity responsible for making the resource available
Archives of Internal Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-09
Subject
The topic of the resource
clarithromycin; cure; duodenal-ulcer disease; eradication; follow-up; General & Internal Medicine; nonulcer dyspepsia; peptic-ulcer; proton-pump inhibitor; term; united-states; urea breath test
Creator
An entity primarily responsible for making the resource
Lara L F; Cisneros G; Gurney M; Van Ness M; Jarjoura D; Moauro B; Polen A; Rutecki G; Whittier F
Description
An account of the resource
Background: Eradication of Helicobacter pylori infection has had an impact on the treatment and recurrence rates of peptic ulcer disease and malignancies such as mucosa-associated lymphoid tissue lymphoma. Treatment options are cumbersome, expensive, and associated with side effects. Methods: Randomized, prospective, open-labeled equivalence trial with a parallel-group design to compare eradication rates of H pylori with a 1-day, 4-drug regimen with a 7-day, 3-drug regimen. A total of 160 patients with dyspepsia and a Glasgow Dyspepsia Severity Score of at least 3 had a urea breath test labeled with carbon 14. Patients who tested positive were randomized to 1 of the 2 study groups. The study was designed to test the therapeutic equivalence of 1-day and 7-day regimens based on the percentage of H pylori eradication in each group at 5 weeks. Results: The 1-day treatment group (n = 80) had a slightly higher eradication percentage (95%) than the 7-day group (90%). The possible inferiority of the 1-day treatment relative to the 7-day treatment, a 15% difference in the number of patients whose infection was not eradicated at 5 weeks, was rejected (P < .001; 90% confidence interval, 2.7%-11%). Both groups demonstrated a mean decrease of 7.5 points in the Glasgow Dyspepsia Severity Score. The 2 groups showed no significant differences in side effects. Patients whose treatment failed (4 in the 1-day treatment group and 7 in the 7-day treatment group) were retreated for 10 days. One patient from the 7-day treatment group still tested positive after the second treatment. Conclusions: The 1-day treatment proved to be statistically similar to the 7-day treatment for the eradication of H pylori in patients with dyspepsia and a positive urea breath test. Further evaluation will be necessary to determine whether the 1-day regimen is adequate for patients with peptic ulcer disease, mucosa-associated lymphoid tissue lymphoma, or gastric adenocarcinoma.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/archinte.163.17.2079" target="_blank" rel="noreferrer noopener">10.1001/archinte.163.17.2079</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2003
Archives of internal medicine
Cisneros G
clarithromycin
cure
Department of Internal Medicine
duodenal-ulcer disease
eradication
Follow-up
General & Internal Medicine
Gurney M
Jarjoura D
Journal Article or Conference Abstract Publication
Lara L F
Moauro B
NEOMED College of Medicine
nonulcer dyspepsia
peptic-ulcer
Polen A
proton-pump inhibitor
Rutecki G
term
united-states
urea breath test
Van Ness M
Whittier F