1
40
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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/10.3122/jabfm.2012.03.080138" target="_blank" rel="noreferrer noopener">http://doi.org/10.3122/jabfm.2012.03.080138</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).
Pages
300-307
Issue
3
Volume
25
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Dublin Core
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Title
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Pain And Depression In A Cohort Of Underserved, Community-dwelling Primary Care Patients
Publisher
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Journal of the American Board of Family Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-05
Subject
The topic of the resource
anxiety; association; Community Medicine; comorbidity; depression; diagnostic-tests; disorders; General & Internal Medicine; Headache; life; Medically Underserved Area; Mental Health; methodology; operating characteristic curves; Pain; physical symptoms; Population Register; prevalence
Creator
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Janosky J E; South-Paul J E; Lin C J
Description
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Purpose: Almost 17% of the US population exhibits a major depressive disorder in their lifetimes. Prevalence data show that whites experience depression earlier than African Americans, and women have a higher prevalence than men. Less is known regarding depression among underserved minority populations. The goal of our study was to examine the relationship of depression and associated self-reported conditions in participants enrolled in a community-based research registry, a substantial number of whom were underrepresented minorities. Methods: This study used a research registry of community members who had expressed interest in participating in health education projects conducted by the Center for Primary Care Community-Based Research. The patients received care at 10 family health centers. Participants were surveyed regarding family history of depression/anxiety and associated symptoms. Descriptive analyses, univariate analyses, and logistic regressions were used. Results: The population (N = 2421) included women (72.2%), African Americans (54.9%), and reported good or very good general health (68.9%). Comorbid pain was found, with headache as the predominant complaint. Compared with nonwhites, whites had a significantly higher prevalence of current depression (26.3% vs. 23.8%; P = .01), current anxiety (25.5% vs. 16.6%), and current headache (14.2% vs. 11.2%). Whites also had a higher prevalence of a family history of depression (38.4% vs. 32.1%) and anxiety (8.9% vs. 7.7%) and of taking depression (22.4% vs. 14.8%) and anxiety (15.8% vs. 7.8%) medications. However, nonwhites had a higher prevalence of leg pain (18.8% vs. 14.9%) but a lower prevalence of headache (11.2% vs. 14.2%). Conclusions: Pain was common in patients with comorbid behavioral conditions. Headache was more common in whites, whereas leg pain was more common in nonwhites. Physicians should screen for depression and anxiety in patients with headache and other pain symptoms. (J Am Board Fam Med 2012;25:300-307.)
Identifier
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<a href="http://doi.org/10.3122/jabfm.2012.03.080138" target="_blank" rel="noreferrer noopener">10.3122/jabfm.2012.03.080138</a>
Format
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Journal Article or Conference Abstract Publication
2012
Anxiety
association
Community Medicine
Comorbidity
Depression
diagnostic-tests
disorders
General & Internal Medicine
Headache
Janosky J E
Journal Article or Conference Abstract Publication
Journal of the American Board of Family Medicine
life
Lin C J
Medically Underserved Area
Mental Health
methodology
operating characteristic curves
Pain
physical symptoms
Population Register
Prevalence
South-Paul J E
-
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/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.annemergmed.2018.12.005</a>
Pages
500–510
Issue
5
Volume
73
ISSN
0196-0644
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<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>
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
Prevalence of Pulmonary Embolism Among Emergency Department Patients With Syncope: A Multicenter Prospective Cohort Study
Publisher
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Annals of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-05
Subject
The topic of the resource
Emergency Medicine; guidelines; diagnostic-tests; yield; risk-stratification; short-term
Creator
An entity primarily responsible for making the resource
Thiruganasambandamoorthy V; Sivilotti M L A; Rowe B H; McRae A D; Mukarram M; Malveau S; Yagapen A N; Sun B C; Nemnom M J; Huang L; Taljaard M; Gaudet S; Kim S M; Adler D H; Bastani A; Baugh C W; Caterino J M; Clark C L; Diercks D B; Hollander J E; Nicks B A; Nishijima D K; Shah M N; Stiffler K A; Wilber S T; Storrow A B; North Amer Syncope Consortium
Description
An account of the resource
Study objective: The prevalence of pulmonary embolism among patients with syncope is understudied. In accordance with a recent study with an exceptionally high pulmonary embolism prevalence, some advocate evaluating all syncope patients for pulmonary embolism, including those with another clear cause for their syncope. We seek to evaluate the pulmonary embolism prevalence among emergency department (ED) patients with syncope. Methods: We combined data from 2 large prospective studies enrolling adults with syncope from 17 EDs in Canada and the United States. Each study collected the results of pulmonary embolism-related investigations (ie, D-dimer, ventilation-perfusion scan, or computed tomography [CT] pulmonary angiography) and 30-day adjudicated outcomes: pulmonary embolism or nonpulmonary embolism outcome (arrhythmia, myocardial infarction, serious hemorrhage, and death). Results: Of the 9,374 patients enrolled, 9,091 (97.0%; median age 66 years, 51.9% women) with 30-day follow-up were analyzed: 547 (6.0%) were evaluated for pulmonary embolism (278 [3.1%] had D-dimer, 39 [0.4%] had ventilation-perfusion scan, and 347 [3.8%] had CT pulmonary angiography). Overall, 874 patients (9.6%) experienced 30-day serious outcomes: 818 patients (9.0%) with nonpulmonary embolism serious outcomes and 56 (prevalence 0.6%; 95% confidence interval 0.5% to 0.8%) with pulmonary embolism (including 8 [0.2%] out of 3521 patients diagnosed during the index hospitalization and 7 [0.1%] diagnosed after the index visit). Eighty-six patients (0.9%) died, and 4 deaths (0.04%) were related to pulmonary embolism. Only 11 patients (0.1%) with a nonpulmonary embolism serious condition had a concomitant pulmonary embolism. Conclusion: The prevalence of pulmonary embolism is very low among ED patients with syncope, including those hospitalized after syncope. Although an underlying pulmonary embolism may cause syncope, clinicians should be cautious about indiscriminate investigations for pulmonary embolism.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.annemergmed.2018.12.005" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2018.12.005</a>
Rights
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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).
2019
Adler D H
Annals of emergency medicine
Bastani A
Baugh C W
Caterino J M
Clark C L
Department of Emergency Medicine
diagnostic-tests
Diercks D B
Emergency Medicine
Gaudet S
guidelines
Hollander J E
Huang L
June 2019 Update
Kim S M
Malveau S
McRae A D
Mukarram M
Nemnom M J
NEOMED College of Medicine
Nicks B A
Nishijima D K
North Amer Syncope Consortium
risk-stratification
Rowe B H
Shah M N
short-term
Sivilotti M L A
Stiffler K A
Storrow A B
Sun B C
Taljaard M
Thiruganasambandamoorthy V
Wilber S T
Yagapen A N
Yield