1. Prevalence of Prediabetes and Abdominal Obesity Among Healthy-Weight Adults: 18-Year Trend.

    Annals of Family Medicine 14(4):304 (2016) PMID 27401417 PMCID PMC4940459

    Trends in sedentary lifestyle may have influenced adult body composition and metabolic health among individuals at presumably healthy weights. This study examines the nationally representative prevalence of prediabetes and abdominal obesity among healthy-weight adults in 1988 through 2012. We an...
  2. Low Grip Strength and Prediabetes in Normal-Weight Adults.

    Journal of the American Board of Family Medicine 29(2):280 (2016) PMID 26957386

    Detection of prediabetes is an important step in diabetes prevention in primary care. Risk stratification of healthy-weight individuals for detection of prediabetes is necessary to avoid missed opportunities for diabetes prevention. Using data from the 2011 to 2012 National Health and Nutrition ...
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  3. Population characteristics, mechanisms of primary care and premature mortality in England: a cross-sectional study.

    BMJ Open 6(2):e009981 (2016) PMID 26868945 PMCID PMC4762103

    Health systems with strong primary care tend to have better population outcomes, but in many countries demand for care is growing. We sought to identify mechanisms of primary care that influence premature mortality. We developed a conceptual model of the mechanisms by which primary care influenc...
  4. Prediabetes Diagnosis and Treatment in Primary Care.

    Journal of the American Board of Family Medicine 29(2):283 (2016) PMID 26957387

    The increasing prevalence of diabetes is a major health problem. The detection and treatment of prediabetes can delay the onset of diabetes and presents an important diabetes prevention strategy. Using data from the 2012 National Ambulatory Medical Care Survey, we studied visits by adults aged ≥...
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  5. Grip Strength as a Marker of Hypertension and Diabetes in Healthy Weight Adults.

    American Journal of Preventive Medicine 49(6):850 (2015) PMID 26232901 PMCID PMC4656117

    Muscle strength may play a role in cardiometabolic disease. We examined the relationship between hand grip strength and diabetes and hypertension in a sample of healthy weight adults. In 2015, we analyzed the National Health and Nutrition Examination Survey 2011-2012 for adults aged ≥20 years wi...
  6. Family Medicine Department Chairs' Opinions Regarding Scope of Practice.

    Academic Medicine 90(12):1691 (2015) PMID 26017352

    Family physicians are trained broadly to provide the majority of health care across multiple settings; however, their scope of practice has narrowed. Department chairs' role modeling of a broad scope of practice may set the tone for faculty and trainees. In 2013, the authors surveyed family medi...
  7. Iron toxicity and its possible association with treatment of Cancer: lessons from hemoglobinopathies and rare, transfusion-dependent anemias.

    Free Radical Biology and Medicine 79:343 (2015) PMID 25463277

    Exposure to elevated levels of iron causes tissue damage and organ failure, and increases the risk of cancer. The toxicity of iron is mediated through generation of oxidants. There is also solid evidence indicating that oxidant stress plays a significant role in a variety of human disease states...
  8. Health Considerations in Regulation and Taxation of Electronic Cigarettes.

    Journal of the American Board of Family Medicine 28(6):802 (2015) PMID 26546657

    The use of electronic cigarettes (e-cigarettes) is experiencing unprecedented growth. This can be contrasted to the use of conventional cigarettes which showed a decrease among adults with the current smoker prevalence dropping from 20.9% in 2005 to 17.8% in 2013. There is some data that e-cigar...
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  9. Randomized controlled trials: a systematic review of laparoscopic surgery and simulation-based training.

    Global Journal of Health Science 7(2):310 (2015) PMID 25716408 PMCID PMC4493882

    This systematic review was conducted to analyze the impact and describe simulation-based training and the acquisition of laparoscopic surgery skills during medical school and residency programs. This systematic review focused on the published literature that used randomized controlled trials to ...
  10. Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians.

    Anemia 2015:853835 (2015) PMID 25793124 PMCID PMC4352517

    Objective. Sickle cell disease (SCD) is a disease that requires a significant degree of medical intervention, and family physicians are one potential provider of care for patients who do not have access to specialists. The extent to which family physicians are comfortable with the treatment of a...
  11. The impact of chelation therapy on survival in transfusional iron overload: a meta-analysis of myelodysplastic syndrome.

    British Journal of Haematology 167(5):720 (2014) PMID 25048454

  12. Use of aspirin for primary and secondary cardiovascular disease prevention in the United States, 2011-2012.

    Journal of the American Heart Association Cardi... 3(4) (2014) PMID 25023071 PMCID PMC4310388

    Aspirin use has been shown to be an effective tool in cardiovascular disease (CVD) prevention among high-risk patients. The patient-reported physician recommendation for aspirin as preventive therapy among high- and low-risk patients is unknown. We conducted an analysis of the National Health an...
  13. Comparison of traditional and nontraditional weight loss methods: an analysis of the national health and nutrition examination survey.

    Southern Medical Journal 107(7):410 (2014) PMID 25010580

    To evaluate the real-world use of various weight loss techniques and to compare the effectiveness of nontraditional methods with diet and exercise in helping nongeriatric adults lose weight. A cross-sectional analysis of the 2005-2010 National Health and Nutrition Examination Survey was performe...
  14. Are specific residency program characteristics associated with the pass rate of graduates on the ABFM certification examination?

    Family medicine 46(5):360 (2014) PMID 24915479

    Board certification has become an accepted measure of physician quality. The effect of both non-curricular and curricular residency program characteristics on certification rates has not been previously studied. The purpose of this study is to evaluate the effect of various program characteristi...
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  15. Chlamydia pneumoniae and progression of subclinical atherosclerosis.

    European Journal of Preventive Cardiology 21(5):559 (2014) PMID 23253746

    Cross-sectional investigation between presence of antibodies and coronary artery calcification (CAC) in past studies has shown no relationship, but progression over time has not been investigated. The objective of this study was to determine the relationship between presence of Chlamydia pneumon...
  16. Family medicine residency program directors' plans to incorporate maintenance of certification into residency training: a CERA survey.

    Family medicine 46(4):299 (2014) PMID 24788428

    Participation in Maintenance of Certification for Family Physicians (MC-FP) is now a requirement for residents to take the American Board of Family Medicine (ABFM) certification examination. The objective of this study was to determine baseline use of MC-FP products prior to this requirement and...
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  17. Elevated transferrin saturation, health-related quality of life and telomere length.

    BioMetals 27(1):135 (2014) PMID 24337410 PMCID PMC4034347

    We sought to examine the relationship between elevated transferrin saturation (TS) and measures of health status (telomere length and patient-reported health-related quality of life) to assess whether elevated TS is associated with negative patient outcomes beyond increased risk for morbidity an...
  18. Physicians should declare financial incentives for recruiting minority ethnic patients into clinical trials.

    British Medical Journal (Abstracts) 348:g2985 (2014) PMID 24806316 PMCID PMC4707709

  19. Prediabetes, elevated iron and all-cause mortality: a cohort study.

    BMJ Open 4(12):e006491 (2014) PMID 25500370 PMCID PMC4265136

    Data have indicated low to non-existent increased mortality risk for individuals with prediabetes, but it is unclear if the risk is increased when the patient has elevated iron markers. Our purpose was to examine the mortality risk among adults with prediabetes in the context of coexisting eleva...
  20. Prevalence of prediabetes in England from 2003 to 2011: population-based, cross-sectional study.

    BMJ Open 4(6):e005002 (2014) PMID 24913327 PMCID PMC4054625

    Prediabetes is a high-risk state for developing diabetes and associated complications. The purpose of this paper was to report trends in prevalence of prediabetes for individuals aged 16 and older in England without previously diagnosed diabetes. Data collected by the Health Survey for England (...