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Full-Text Articles in Life Sciences

Trends In Aids-Defining And Non-Aids-Defining Malignancies Among Hiv-Infected Patients: 1989-2002, Roger Bedimo, Ray Y. Chen, Neil A. Accortt, James L. Raper, Carol Linn, Jeroan J. Allison, John Dubay, Michael S. Saag, Craig J. Hoesley Oct 2004

Trends In Aids-Defining And Non-Aids-Defining Malignancies Among Hiv-Infected Patients: 1989-2002, Roger Bedimo, Ray Y. Chen, Neil A. Accortt, James L. Raper, Carol Linn, Jeroan J. Allison, John Dubay, Michael S. Saag, Craig J. Hoesley

Population and Quantitative Health Sciences Publications

In a comparison of rates of acquired immunodeficiency syndrome (AIDS)-defining malignancies (ADMs) for 1989-1996 versus 1997-2002, we found a decrease in ADMs (rate ratio, 0.31; P<.0001) and a significant increase in non-AIDS-defining malignancies (non-ADMs; rate ratio, 10.87; P<.0002). The mean CD4 cell count was lower among patients with ADMs than among those with non-ADMs. A longer duration of survival during highly active antiretroviral therapy might explain the increasing incidence of non-ADMs.


Using Email Reminders To Engage Physicians In An Internet-Based Cme Intervention, Maziar Abdolrasulnia, Blanche C. Collins, Linda L. Casebeer, Terry C. Wall, Claire M. Spettell, Midge N. Ray, Norman W. Weissman, Jeroan J. Allison Sep 2004

Using Email Reminders To Engage Physicians In An Internet-Based Cme Intervention, Maziar Abdolrasulnia, Blanche C. Collins, Linda L. Casebeer, Terry C. Wall, Claire M. Spettell, Midge N. Ray, Norman W. Weissman, Jeroan J. Allison

Population and Quantitative Health Sciences Publications

BACKGROUND: Engaging practicing physicians in educational strategies that reinforce guideline adoption and improve the quality of healthcare may be difficult. Push technologies such as email offer new opportunities to engage physicians in online educational reinforcing strategies. The objectives are to investigate 1) the effectiveness of email announcements in engaging recruited community-based primary care physicians in an online guideline reinforcement strategy designed to promote Chlamydia screening, 2) the characteristics of physicians who respond to email announcements, as well as 3) how quickly and when they respond to email announcements.

METHODS: Over a 45-week period, 445 recruited physicians received up to 33 ...


Reconsidering The Psychometrics Of Quality Of Life Assessment In Light Of Response Shift And Appraisal, Carolyn E. Schwartz, Bruce D. Rapkin Mar 2004

Reconsidering The Psychometrics Of Quality Of Life Assessment In Light Of Response Shift And Appraisal, Carolyn E. Schwartz, Bruce D. Rapkin

Open Access Articles

The increasing evidence for response shift phenomena in quality of life (QOL) assessment points to the necessity to reconsider both the measurement model and the application of psychometric analyses. The proposed psychometric model posits that the QOL true score is always contingent upon parameters of the appraisal process. This new model calls into question existing methods for establishing the reliability and validity of QOL assessment tools and suggests several new approaches for describing the psychometric properties of these scales. Recommendations for integrating the assessment of appraisal into QOL research and clinical practice are discussed.


Toward A Theoretical Model Of Quality-Of-Life Appraisal: Implications Of Findings From Studies Of Response Shift, Bruce D. Rapkin, Carolyn E. Schwartz Mar 2004

Toward A Theoretical Model Of Quality-Of-Life Appraisal: Implications Of Findings From Studies Of Response Shift, Bruce D. Rapkin, Carolyn E. Schwartz

Open Access Articles

Mounting evidence for response shifts in quality of life (QOL) appraisal indicates the need to include direct measurement of the appraisal process itself as a necessary part of QOL assessment. We propose that directly assessing QOL appraisal processes will not only improve our ability to interpret QOL scores in the traditional sense, but will also yield a deeper understanding of the appraisal process in the attribution of and divergence in meaning. The published evidence for response shift is reviewed, and an assessment paradigm is proposed that includes the explicit measurement of QOL appraisal process parameters: 1) induction of a frame ...