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Susan Janson | University of California, San Francisco - Academia.edu
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id="ProfileCheckPaperUpdate-react-component-218a8472-c62d-4f8d-b5d4-3bed101d99c0"></div> <div class="DesignSystem"><div class="onsite-ping" id="onsite-ping"></div></div><div class="profile-user-info DesignSystem"><div class="social-profile-container"><div class="left-panel-container"><div class="user-info-component-wrapper"><div class="user-summary-cta-container"><div class="user-summary-container"><div class="social-profile-avatar-container"><img class="profile-avatar u-positionAbsolute" border="0" alt="" src="//a.academia-assets.com/images/s200_no_pic.png" /></div><div class="title-container"><h1 class="ds2-5-heading-sans-serif-sm">Susan Janson</h1><div class="affiliations-container fake-truncate js-profile-affiliations"><div><a class="u-tcGrayDarker" href="https://ucsf.academia.edu/">University of California, San Francisco</a>, <a class="u-tcGrayDarker" href="https://ucsf.academia.edu/Departments/School_of_Nursing_Department_of_Community_Health_Systems/Documents">School of Nursing, Department of Community Health Systems</a>, <span class="u-tcGrayDarker">Emerita</span></div></div></div></div><div class="sidebar-cta-container"><button class="ds2-5-button hidden profile-cta-button grow js-profile-follow-button" data-broccoli-component="user-info.follow-button" data-click-track="profile-user-info-follow-button" data-follow-user-fname="Susan" data-follow-user-id="36606272" data-follow-user-source="profile_button" data-has-google="false"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">add</span>Follow</button><button class="ds2-5-button hidden profile-cta-button grow js-profile-unfollow-button" data-broccoli-component="user-info.unfollow-button" data-click-track="profile-user-info-unfollow-button" data-unfollow-user-id="36606272"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">done</span>Following</button></div></div><div class="user-stats-container"><a><div class="stat-container js-profile-followers"><p class="label">Followers</p><p class="data">41</p></div></a><a><div class="stat-container js-profile-followees" data-broccoli-component="user-info.followees-count" data-click-track="profile-expand-user-info-following"><p class="label">Following</p><p class="data">4</p></div></a><a><div class="stat-container js-profile-coauthors" data-broccoli-component="user-info.coauthors-count" data-click-track="profile-expand-user-info-coauthors"><p class="label">Co-authors</p><p class="data">4</p></div></a><span><div class="stat-container"><p class="label"><span class="js-profile-total-view-text">Public Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="ri-section"><div class="ri-section-header"><span>Interests</span></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="36606272" href="https://www.academia.edu/Documents/in/Family_and_marital_relationship"><div 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data-props="{"color":"gray","children":["Consumer Economics"]}" data-trace="false" data-dom-id="Pill-react-component-1bae4d81-2bf1-4eb3-a327-c72ec45daa58"></div> <div id="Pill-react-component-1bae4d81-2bf1-4eb3-a327-c72ec45daa58"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="36606272" href="https://www.academia.edu/Documents/in/Minimum_Wage"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Minimum Wage"]}" data-trace="false" data-dom-id="Pill-react-component-92cbb740-9cf0-40e6-8326-7fca83ae815a"></div> <div id="Pill-react-component-92cbb740-9cf0-40e6-8326-7fca83ae815a"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="36606272" href="https://www.academia.edu/Documents/in/Locomotion"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Locomotion"]}" data-trace="false" data-dom-id="Pill-react-component-26b753c0-994e-4baa-8ac8-f1ed3ecccbc5"></div> <div id="Pill-react-component-26b753c0-994e-4baa-8ac8-f1ed3ecccbc5"></div> </a><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="36606272" href="https://www.academia.edu/Documents/in/Asthma"><div class="js-react-on-rails-component" style="display:none" data-component-name="Pill" data-props="{"color":"gray","children":["Asthma"]}" data-trace="false" data-dom-id="Pill-react-component-f72e50a4-b855-4944-9ecd-b087c4682609"></div> <div id="Pill-react-component-f72e50a4-b855-4944-9ecd-b087c4682609"></div> </a></div></div></div></div><div class="right-panel-container"><div class="user-content-wrapper"><div class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="documents-container backbone-social-profile-documents" style="width: 100%;"><div class="u-taCenter"></div><div class="profile--tab_content_container js-tab-pane tab-pane active" id="all"><div class="profile--tab_heading_container js-section-heading" data-section="Papers" id="Papers"><h3 class="profile--tab_heading_container">Papers by Susan Janson</h3></div><div class="js-work-strip profile--work_container" data-work-id="17132675"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17132675/The_Sensation_of_Pulmonary_Dyspnea_in_School_Age_Children"><img alt="Research paper thumbnail of The Sensation of Pulmonary Dyspnea in School-Age Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17132675/The_Sensation_of_Pulmonary_Dyspnea_in_School_Age_Children">The Sensation of Pulmonary Dyspnea in School-Age Children</a></div><div class="wp-workCard_item"><span>Nursing Research</span><span>, 1991</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132675"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132675"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132675; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132675]").text(description); $(".js-view-count[data-work-id=17132675]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132675; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132675']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); 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class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17132674/A_National_Survey_of_Asthma_Knowledge_and_Practices_Among_Specialists_and_Primary_Care_Physicians">A National Survey of Asthma Knowledge and Practices Among Specialists and Primary Care Physicians</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing chronic care. Approximately two-thirds of people with asthma are receiving care from a primary care clinician, such as an internist, family practitioner, nurse practitioner, or pediatrician. The other one-third of patients are obtaining treatment and ongoing care from specialists, including allergists or pulmonologists. The outcomes of asthma care are a subject of intense investigation. Many studies focus on pharmacotherapy, allergen control, and asthma education as interventions to reduce the morbidity and costs associated with asthma. Fewer studies have explored the differences in outcomes between asthmatic patients cared for by specialists compared with generalists. Even fewer have explored the practice differences between generalists and specialists that may relate to outcomes of care. With the advent of national asthma guidelines and the high prevalence of asthma seen in primary care settings, it is important to investigate the knowledge, attitudes, and practices of primary care physicians with regard to asthma.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132674"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132674"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132674; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132674]").text(description); $(".js-view-count[data-work-id=17132674]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132674; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132674']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17132674, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17132674]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17132674,"title":"A National Survey of Asthma Knowledge and Practices Among Specialists and Primary Care Physicians","translated_title":"","metadata":{"abstract":"Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing chronic care. 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The fundamental pathophysiologic component of asthma is airway narrowing, which causes airflow obstruction. Both inflammation and bronchoconstriction contribute to airway narrowing. The pathogenesis of airway inflammation in asthma and the natural history of the disease are the subject of intense research and study in many countries of the world. The mechanisms of airway inflammation are only partially understood but are the basis for the devastating symptoms that affect the quality of life of millions of people. Treatment of asthma is directed at decreasing airway inflammation to gain long-term control of the disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132673"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132673"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132673; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132673]").text(description); $(".js-view-count[data-work-id=17132673]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132673; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132673']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17132673, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17132673]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17132673,"title":"Biologic Markers of Airway Inflammation in Asthma","translated_title":"","metadata":{"abstract":"Asthma is a serious chronic disease of the airways that affects approximately 14% of the population in the United States. 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J Adv Nurs" class="work-thumbnail" src="https://attachments.academia-assets.com/42342740/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048939/Advancing_the_science_of_symptom_management_J_Adv_Nurs">Advancing the science of symptom management. J Adv Nurs</a></div><div class="wp-workCard_item"><span>Journal of Advanced Nursing</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="702e1d7fae7194e8513e2f48a3fd4172" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342740,"asset_id":17048939,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342740/download_file?st=MTczMjcxMjMyNCw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048939"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048939"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048939; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048939]").text(description); $(".js-view-count[data-work-id=17048939]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048939; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048939']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048939, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "702e1d7fae7194e8513e2f48a3fd4172" } } $('.js-work-strip[data-work-id=17048939]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048939,"title":"Advancing the science of symptom management. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048937"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048937/Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work"><img alt="Research paper thumbnail of Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048937/Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work">Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work</a></div><div class="wp-workCard_item"><span>AAOHN Journal</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The prevalence of asthma among working adults continues to rise each year. The California Departm...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and providers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048937"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048937"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048937; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048937]").text(description); $(".js-view-count[data-work-id=17048937]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048937; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048937']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048937, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048937]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048937,"title":"Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work","translated_title":"","metadata":{"abstract":"The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and providers\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.","publication_name":"AAOHN Journal"},"translated_abstract":"The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and providers\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.","internal_url":"https://www.academia.edu/17048937/Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work","translated_internal_url":"","created_at":"2015-10-20T08:14:15.267-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":22877,"name":"Occupational Medicine","url":"https://www.academia.edu/Documents/in/Occupational_Medicine"},{"id":50113,"name":"California","url":"https://www.academia.edu/Documents/in/California"},{"id":83398,"name":"Absenteeism","url":"https://www.academia.edu/Documents/in/Absenteeism"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":408219,"name":"Aftercare","url":"https://www.academia.edu/Documents/in/Aftercare"},{"id":591363,"name":"Occupational therapy services in mental health services","url":"https://www.academia.edu/Documents/in/Occupational_therapy_services_in_mental_health_services"},{"id":649460,"name":"Occupational health nursing","url":"https://www.academia.edu/Documents/in/Occupational_health_nursing"},{"id":717658,"name":"Official","url":"https://www.academia.edu/Documents/in/Official"},{"id":962276,"name":"Occupational Diseases","url":"https://www.academia.edu/Documents/in/Occupational_Diseases"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048935"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048935/Development_and_testing_of_the_Pulmonary_Functional_Status_and_Dyspnea_Questionnaire_PFSDQ_"><img alt="Research paper thumbnail of Development and testing of the Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ)" class="work-thumbnail" src="https://attachments.academia-assets.com/42342746/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048935/Development_and_testing_of_the_Pulmonary_Functional_Status_and_Dyspnea_Questionnaire_PFSDQ_">Development and testing of the Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ)</a></div><div class="wp-workCard_item"><span>Heart and Lung The Journal of Acute and Critical Care</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a6467fd8e5f32765f3d1cf1f2d8e8738" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342746,"asset_id":17048935,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342746/download_file?st=MTczMjcxMjMyNCw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048935"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048935"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048935; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048935]").text(description); $(".js-view-count[data-work-id=17048935]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048935; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048935']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048935, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048933"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma"><img alt="Research paper thumbnail of Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma">Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma</a></div><div class="wp-workCard_item"><span>Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Adherence to omalizumab is not well characterized and its association with asthma control has not...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (&lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048933"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048933"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048933; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048933]").text(description); $(".js-view-count[data-work-id=17048933]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048933; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048933']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048933, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048933]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048933,"title":"Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma","translated_title":"","metadata":{"abstract":"Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (\u0026lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...","publication_date":{"day":null,"month":null,"year":2015,"errors":{}},"publication_name":"Annals of allergy, asthma \u0026 immunology : official publication of the American College of Allergy, Asthma, \u0026 Immunology"},"translated_abstract":"Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (\u0026lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...","internal_url":"https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma","translated_internal_url":"","created_at":"2015-10-20T08:14:14.162-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":1290,"name":"Immunology","url":"https://www.academia.edu/Documents/in/Immunology"},{"id":8819,"name":"Medication Adherence","url":"https://www.academia.edu/Documents/in/Medication_Adherence"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048932"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048932/A_pilot_study_to_evaluate_the_magnitude_of_association_of_the_use_of_electronic_personal_health_records_with_patient_activation_and_empowerment_in_HIV_infected_veterans"><img alt="Research paper thumbnail of A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans" class="work-thumbnail" src="https://attachments.academia-assets.com/42342750/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048932/A_pilot_study_to_evaluate_the_magnitude_of_association_of_the_use_of_electronic_personal_health_records_with_patient_activation_and_empowerment_in_HIV_infected_veterans">A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans</a></div><div class="wp-workCard_item"><span>PeerJ</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic acc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. Little is known about who uses these systems or the impact these systems will have on patient outcomes in HIV care. The health care empowerment model provides rationale for the hypothesis that knowledge from an electronic personal health record can lead to greater patient empowerment resulting in improved outcomes. The objective was to determine the patient characteristics and patient activation, empowerment, satisfaction, knowledge of their CD4, Viral Loads, and antiretroviral medication, and medication adherence outcomes associated with electronic personal health record use in Veterans living with HIV at the San Francisco VA Medical Center. The participants included HIV-Infected Veterans receiving care in a low volume HIV-clinic at the San Franci...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="35a0577cff32e146f4a341d5cb728557" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342750,"asset_id":17048932,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342750/download_file?st=MTczMjcxMjMyNCw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048932"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048932"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048932; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048932]").text(description); $(".js-view-count[data-work-id=17048932]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048932; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048932']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048932, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "35a0577cff32e146f4a341d5cb728557" } } $('.js-work-strip[data-work-id=17048932]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048932,"title":"A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans","translated_title":"","metadata":{"abstract":"The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. Little is known about who uses these systems or the impact these systems will have on patient outcomes in HIV care. The health care empowerment model provides rationale for the hypothesis that knowledge from an electronic personal health record can lead to greater patient empowerment resulting in improved outcomes. The objective was to determine the patient characteristics and patient activation, empowerment, satisfaction, knowledge of their CD4, Viral Loads, and antiretroviral medication, and medication adherence outcomes associated with electronic personal health record use in Veterans living with HIV at the San Francisco VA Medical Center. The participants included HIV-Infected Veterans receiving care in a low volume HIV-clinic at the San Franci...","publication_date":{"day":null,"month":null,"year":2015,"errors":{}},"publication_name":"PeerJ"},"translated_abstract":"The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. Little is known about who uses these systems or the impact these systems will have on patient outcomes in HIV care. The health care empowerment model provides rationale for the hypothesis that knowledge from an electronic personal health record can lead to greater patient empowerment resulting in improved outcomes. The objective was to determine the patient characteristics and patient activation, empowerment, satisfaction, knowledge of their CD4, Viral Loads, and antiretroviral medication, and medication adherence outcomes associated with electronic personal health record use in Veterans living with HIV at the San Francisco VA Medical Center. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048931"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis"><img alt="Research paper thumbnail of Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis">Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis</a></div><div class="wp-workCard_item"><span>Psychoneuroendocrinology</span><span>, 2005</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. Exogenous glucocorticoid use may impact salivary cortisol measurements, but this has not been well-studied in ambulatory settings. In this report salivary cortisol levels were used to evaluate aspects of the diurnal rhythm of cortisol secretion within an ambulatory population of patients with asthma and allergic rhinitis. 183 persons with asthma with or without concomitant rhinitis and 34 persons with rhinitis alone were asked to collect at home, two saliva samples, 30 min after awakening and 12h later. The salivary cortisol levels were quantified by enzyme immunoassay. The recent use of glucocorticoids in the study group was determined by interview and direct examination of medications. We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048931"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048931"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048931; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048931]").text(description); $(".js-view-count[data-work-id=17048931]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048931; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048931']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048931, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048931]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048931,"title":"Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis","translated_title":"","metadata":{"abstract":"The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. 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We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...","publication_date":{"day":null,"month":null,"year":2005,"errors":{}},"publication_name":"Psychoneuroendocrinology"},"translated_abstract":"The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. Exogenous glucocorticoid use may impact salivary cortisol measurements, but this has not been well-studied in ambulatory settings. In this report salivary cortisol levels were used to evaluate aspects of the diurnal rhythm of cortisol secretion within an ambulatory population of patients with asthma and allergic rhinitis. 183 persons with asthma with or without concomitant rhinitis and 34 persons with rhinitis alone were asked to collect at home, two saliva samples, 30 min after awakening and 12h later. The salivary cortisol levels were quantified by enzyme immunoassay. The recent use of glucocorticoids in the study group was determined by interview and direct examination of medications. We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...","internal_url":"https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis","translated_internal_url":"","created_at":"2015-10-20T08:14:13.018-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":3243,"name":"Nonparametric Statistics","url":"https://www.academia.edu/Documents/in/Nonparametric_Statistics"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":89121,"name":"Circadian Rhythm","url":"https://www.academia.edu/Documents/in/Circadian_Rhythm"},{"id":133761,"name":"Psychoneuroendocrinology","url":"https://www.academia.edu/Documents/in/Psychoneuroendocrinology"},{"id":344106,"name":"Saliva","url":"https://www.academia.edu/Documents/in/Saliva"},{"id":833992,"name":"Intranasal Administration","url":"https://www.academia.edu/Documents/in/Intranasal_Administration"},{"id":976842,"name":"Salivary Cortisol","url":"https://www.academia.edu/Documents/in/Salivary_Cortisol"},{"id":1293308,"name":"Glucocorticoids","url":"https://www.academia.edu/Documents/in/Glucocorticoids"},{"id":1799441,"name":"Rhinitis","url":"https://www.academia.edu/Documents/in/Rhinitis"},{"id":1901293,"name":"Salivary Glands","url":"https://www.academia.edu/Documents/in/Salivary_Glands"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048929"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult"><img alt="Research paper thumbnail of Asthma management across the life span: applications for the adult and older adult" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult">Asthma management across the life span: applications for the adult and older adult</a></div><div class="wp-workCard_item"><span>The Nursing clinics of North America</span><span>, 2003</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Asthma is one of the most common and chronic diseases of adults and creates substantial health pr...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Asthma is one of the most common and chronic diseases of adults and creates substantial health problems. The disease must be diagnosed appropriately, its severity assessed, and treatment prescribed that matches the level of severity. Patient education in self-management techniques and attention to the problems of adherence are essential for long-term management. Comorbid conditions should be suspected and treated when asthma becomes difficult to control. Asthma in the elderly is a challenging but frequent problem that requires particular attention to controlling the causes of excessive morbidity and mortality. All health care professionals have an important role in controlling this common disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048929"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048929"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048929; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048929]").text(description); $(".js-view-count[data-work-id=17048929]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048929; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048929']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048929, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048929]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048929,"title":"Asthma management across the life span: applications for the adult and older adult","translated_title":"","metadata":{"abstract":"Asthma is one of the most common and chronic diseases of adults and creates substantial health problems. 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All health care professionals have an important role in controlling this common disease.","internal_url":"https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult","translated_internal_url":"","created_at":"2015-10-20T08:14:11.892-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":806178,"name":"Older Adult","url":"https://www.academia.edu/Documents/in/Older_Adult"},{"id":1127828,"name":"Life Span","url":"https://www.academia.edu/Documents/in/Life_Span"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048928"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048928/The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume"><img alt="Research paper thumbnail of The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048928/The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume">The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume</a></div><div class="wp-workCard_item"><span>Nursing research</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">An experimental study with a crossover design was used to compare the effects of activity and bed...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. Fifteen healthy males were randomized to bed rest or activity and later completed the remaining protocol. Exercise prescription for the activity protocol and cardiovascular fitness were based on a treadmill performance test. Repeated measurements were made of subcutaneous oxygen and temperature using an optode in upper arm subcutaneous tonometers. Perfusion and PscO2 were greater during bed rest (p &lt; .05). Post hoc analysis revealed a trend toward higher heart rates and diastolic blood pressure during the activity protocol. Change in plasma volume did not differ between protocols, and cardiovascular fitness was unrelated to PscO2 or BFsc. Findings suggest that in uninjured individuals, higher levels of activity intensity reduce oxygen...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048928"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048928"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048928; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048928]").text(description); $(".js-view-count[data-work-id=17048928]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048928; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048928']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048928, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048928]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048928,"title":"The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume","translated_title":"","metadata":{"abstract":"An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. 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Findings suggest that in uninjured individuals, higher levels of activity intensity reduce oxygen...","publication_name":"Nursing research"},"translated_abstract":"An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. Fifteen healthy males were randomized to bed rest or activity and later completed the remaining protocol. Exercise prescription for the activity protocol and cardiovascular fitness were based on a treadmill performance test. Repeated measurements were made of subcutaneous oxygen and temperature using an optode in upper arm subcutaneous tonometers. Perfusion and PscO2 were greater during bed rest (p \u0026lt; .05). Post hoc analysis revealed a trend toward higher heart rates and diastolic blood pressure during the activity protocol. Change in plasma volume did not differ between protocols, and cardiovascular fitness was unrelated to PscO2 or BFsc. 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Optimizing resources with demographic predictors" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048927/Does_health_service_use_in_a_diabetes_management_program_contribute_to_health_disparities_at_a_facility_level_Optimizing_resources_with_demographic_predictors">Does health service use in a diabetes management program contribute to health disparities at a facility level? Optimizing resources with demographic predictors</a></div><div class="wp-workCard_item"><span>Population health management</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The objective of this study was to determine if demographic variation in the use of health servic...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The objective of this study was to determine if demographic variation in the use of health service resources among type 2 diabetes patients contributes to health disparities. A prospective cohort design was used to analyze differences in health care utilization among 315 adults registered in primary care internal medicine clinics of an academic medical center. Patients were cared for by interdisciplinary teams of internal medicine residents, nurse practitioner students, and pharmacy students supervised by interdisciplinary faculty. A post hoc multivariate repeated measures analysis, using generalized estimating equation (GEE) statistical modeling, was used to determine if age, sex, race, ethnicity, marital status, primary language, and insurance predicted use of health care services (ie, primary care, acute care, emergency department [ED], hospitalization). Medicare/Medicaid-insured patients had an average of 2.49 primary care visits per month (P &lt; .0001) and 75% more ED visits (...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048927"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048927"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048927; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048927]").text(description); $(".js-view-count[data-work-id=17048927]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048927; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048927']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048927, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048927]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048927,"title":"Does health service use in a diabetes management program contribute to health disparities at a facility level? 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048925"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048925/Veteran_Affairs_Centers_of_Excellence_in_Primary_Care_Education_Transforming_nurse_practitioner_education"><img alt="Research paper thumbnail of Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education" class="work-thumbnail" src="https://attachments.academia-assets.com/42342755/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048925/Veteran_Affairs_Centers_of_Excellence_in_Primary_Care_Education_Transforming_nurse_practitioner_education">Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education</a></div><div class="wp-workCard_item"><span>Nursing Outlook</span><span>, 2014</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="2a98e7a30b98d4c5a38eb27ad33f7c8d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342755,"asset_id":17048925,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342755/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048925"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048925"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048925; 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data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048924/Where_do_leukotriene_modifiers_fit_in_asthma_management"><img alt="Research paper thumbnail of Where do leukotriene modifiers fit in asthma management?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048924/Where_do_leukotriene_modifiers_fit_in_asthma_management">Where do leukotriene modifiers fit in asthma management?</a></div><div class="wp-workCard_item"><span>The Nurse Practitioner</span><span>, 2002</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Effective asthma treatment requires long-term inflammation control. Patient adherence to corticos...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Effective asthma treatment requires long-term inflammation control. Patient adherence to corticosteroid treatment regimens remains problematic. Leukotriene modifiers, a newer drug class, add to the pharmacologic approaches to asthma management. Here, we review the role of leukotrienes in asthma pathogenesis and appropriate uses for leukotriene modifiers in asthma management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048924"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048924"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048924; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048924]").text(description); $(".js-view-count[data-work-id=17048924]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048924; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048924']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048924, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048924]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048924,"title":"Where do leukotriene modifiers fit in asthma management?","translated_title":"","metadata":{"abstract":"Effective asthma treatment requires long-term inflammation control. Patient adherence to corticosteroid treatment regimens remains problematic. Leukotriene modifiers, a newer drug class, add to the pharmacologic approaches to asthma management. Here, we review the role of leukotrienes in asthma pathogenesis and appropriate uses for leukotriene modifiers in asthma management.","publication_date":{"day":null,"month":null,"year":2002,"errors":{}},"publication_name":"The Nurse Practitioner"},"translated_abstract":"Effective asthma treatment requires long-term inflammation control. Patient adherence to corticosteroid treatment regimens remains problematic. Leukotriene modifiers, a newer drug class, add to the pharmacologic approaches to asthma management. Here, we review the role of leukotrienes in asthma pathogenesis and appropriate uses for leukotriene modifiers in asthma management.","internal_url":"https://www.academia.edu/17048924/Where_do_leukotriene_modifiers_fit_in_asthma_management","translated_internal_url":"","created_at":"2015-10-20T08:14:08.821-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Where_do_leukotriene_modifiers_fit_in_asthma_management","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child"},{"id":677382,"name":"Churg Strauss Syndrome","url":"https://www.academia.edu/Documents/in/Churg_Strauss_Syndrome"},{"id":816974,"name":"Quinolines","url":"https://www.academia.edu/Documents/in/Quinolines"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048923"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048923/Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease"><img alt="Research paper thumbnail of Effects of Treatment on Two Types of Self-Efficacy in People with Chronic Obstructive Pulmonary Disease" class="work-thumbnail" src="https://attachments.academia-assets.com/42342751/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048923/Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease">Effects of Treatment on Two Types of Self-Efficacy in People with Chronic Obstructive Pulmonary Disease</a></div><div class="wp-workCard_item"><span>Journal of Pain and Symptom Management</span><span>, 2006</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="d65ed330e182ba9c13c2db325b6e4524" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342751,"asset_id":17048923,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342751/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048923"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048923"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048923; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048923]").text(description); $(".js-view-count[data-work-id=17048923]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048923; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048923']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048923, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "d65ed330e182ba9c13c2db325b6e4524" } } $('.js-work-strip[data-work-id=17048923]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048923,"title":"Effects of Treatment on Two Types of Self-Efficacy in People with Chronic Obstructive Pulmonary Disease","translated_title":"","metadata":{"grobid_abstract":"Self-management is crucial in people with chronic diseases, and self-efficacy has been shown to impact patients' self-management. The purposes of this study were to 1) determine the effect of intervention on self-efficacy and 2) determine the relationship between domain-specific selfefficacy, walking performance, and symptom severity in patients with chronic obstructive pulmonary disease (COPD). Subjects (n ¼ 102, forced expiratory volume in 1 second % predicted 44.8 AE 14) received one of three self-management interventions. Self-efficacy for walking and managing shortness of breath, walking performance, and shortness of breath severity were measured at baseline and after intervention. Self-efficacy increased after intervention (P \u003c 0.01). Self-efficacy for walking was positively related to walking performance (P \u003c 0.05). Self-efficacy for managing shortness of breath was positively related to symptom severity (P \u003c 0.05). This study examined two types of disease-specific self-efficacy in patients with COPD and demonstrated that improving self-efficacy is an important outcome of self-management interventions. Studies in other domains of self-efficacy are needed.","publication_date":{"day":null,"month":null,"year":2006,"errors":{}},"publication_name":"Journal of Pain and Symptom Management","grobid_abstract_attachment_id":42342751},"translated_abstract":null,"internal_url":"https://www.academia.edu/17048923/Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease","translated_internal_url":"","created_at":"2015-10-20T08:14:08.483-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":42342751,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342751/thumbnails/1.jpg","file_name":"j.jpainsymman.2006.01.012.pdf20160207-22633-15fufhr","download_url":"https://www.academia.edu/attachments/42342751/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effects_of_Treatment_on_Two_Types_of_Sel.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342751/j.jpainsymman.2006.01.012-libre.pdf20160207-22633-15fufhr?1454893018=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Treatment_on_Two_Types_of_Sel.pdf\u0026Expires=1732715925\u0026Signature=LAkr5Ikatqp~XgJMHcnY~4izud1vsyIlI6jssuWtUh6DvPX65EwJSUmmXVnfUSftz0LHH4z5BdQ5eUOTaQk~dLnCfz1uXe4dXDQyRUckF~R0-bA6Wa~KSJkAx4W8fRWEy1TeLICwuUZXcedrTDfXnJWKlO86ssHPk9FJsssFGEq~1Sn4JRfZYvTj3LI2G1Ei1VO5aEE3IY7hc92oErdFJuqjZ8RkUwDIImv~O~MXoqTPxkH1dgDZhOpIlJpKlhxl4dG0RXyIxrpAAZ2itrzJigEgm3qxvddDDHQf4TA5Bmb4yzoICmif2A-Je41qWHX6qYyOXAsmzavGucaye6NylA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease","translated_slug":"","page_count":11,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[{"id":42342751,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342751/thumbnails/1.jpg","file_name":"j.jpainsymman.2006.01.012.pdf20160207-22633-15fufhr","download_url":"https://www.academia.edu/attachments/42342751/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effects_of_Treatment_on_Two_Types_of_Sel.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342751/j.jpainsymman.2006.01.012-libre.pdf20160207-22633-15fufhr?1454893018=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Treatment_on_Two_Types_of_Sel.pdf\u0026Expires=1732715925\u0026Signature=LAkr5Ikatqp~XgJMHcnY~4izud1vsyIlI6jssuWtUh6DvPX65EwJSUmmXVnfUSftz0LHH4z5BdQ5eUOTaQk~dLnCfz1uXe4dXDQyRUckF~R0-bA6Wa~KSJkAx4W8fRWEy1TeLICwuUZXcedrTDfXnJWKlO86ssHPk9FJsssFGEq~1Sn4JRfZYvTj3LI2G1Ei1VO5aEE3IY7hc92oErdFJuqjZ8RkUwDIImv~O~MXoqTPxkH1dgDZhOpIlJpKlhxl4dG0RXyIxrpAAZ2itrzJigEgm3qxvddDDHQf4TA5Bmb4yzoICmif2A-Je41qWHX6qYyOXAsmzavGucaye6NylA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":2898,"name":"Pain","url":"https://www.academia.edu/Documents/in/Pain"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome"},{"id":50581,"name":"Self Efficacy","url":"https://www.academia.edu/Documents/in/Self_Efficacy"},{"id":97269,"name":"Chronic Disease","url":"https://www.academia.edu/Documents/in/Chronic_Disease"},{"id":135185,"name":"Exercise","url":"https://www.academia.edu/Documents/in/Exercise"},{"id":164831,"name":"Dyspnea","url":"https://www.academia.edu/Documents/in/Dyspnea"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":386576,"name":"Domain Specificity","url":"https://www.academia.edu/Documents/in/Domain_Specificity"},{"id":556576,"name":"Chronic obstructive pulmonary disease","url":"https://www.academia.edu/Documents/in/Chronic_obstructive_pulmonary_disease"},{"id":613467,"name":"Intervention study","url":"https://www.academia.edu/Documents/in/Intervention_study"},{"id":1210716,"name":"Exercise Tolerance","url":"https://www.academia.edu/Documents/in/Exercise_Tolerance"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048922"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes"><img alt="Research paper thumbnail of Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes" class="work-thumbnail" src="https://attachments.academia-assets.com/42342768/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes">Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes</a></div><div class="wp-workCard_item"><span>The Journal of Cardiovascular Nursing</span><span>, 2012</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="494b57350930b65960465bbee9510dc0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342768,"asset_id":17048922,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048922"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048922"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048922; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048922]").text(description); $(".js-view-count[data-work-id=17048922]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048922; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048922']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048922, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "494b57350930b65960465bbee9510dc0" } } $('.js-work-strip[data-work-id=17048922]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048922,"title":"Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes","translated_title":"","metadata":{"grobid_abstract":"Background: Diabetes is a major cause of cardiovascular morbidity and mortality. Ethnic minorities experience a disproportionate burden of diabetes; however, few studies have critically analyzed the effectiveness of a culturally tailored diabetes intervention for these minorities. Objective: The aim of this study was to evaluate the effectiveness of a culturally tailored diabetes educational intervention (CTDEI) on glycemic control in ethnic minorities with type 2 diabetes. Method: We searched databases within PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), PsycINFO, and ProQuest for randomized controlled trials (RCTs). We performed a meta-analysis for the effect of diabetes educational intervention on glycemic control using glycosylated hemoglobin (HbA 1c ) value in ethnic minority groups with type 2 diabetes. We calculated the effect size (ES) with HbA 1c change from baseline to follow-up between control and treatment groups. Results: The 12 studies yielded 1495 participants with a mean age of 63.6 years and a mean of 68% female participants. Most studies (84%) used either group education sessions or a combination of group sessions and individual patient counseling. The duration of interventions ranged from 1 session to 12 months. The pooled ES of glycemic control in RCTs with CTDEI was j0.29 (95% confidence interval, j0.46 to j0.13) at last follow-up, indicating that ethnic minorities benefit more from CTDEI when compared with the usual care. The effect of intervention was greatest and significant when HbA 1c level was measured at 6 months (ES, j0.41; 95% confidence interval, j0.61 to j0.21). The ES also differed by each participant's baseline HbA 1c level, with lower baseline levels associated with higher ESs. Conclusions: Based on this meta-analysis, CTDEI is effective for improving glycemic control among ethnic minorities. The magnitude of effect varies based on the settings of intervention, baseline HbA 1c level, and time of HbA 1c measurement. More rigorous RCTs that examine tailored diabetes education, ethnically matched educators, and more diverse ethnic minority groups are needed to reduce health disparities in diabetes care.","publication_date":{"day":null,"month":null,"year":2012,"errors":{}},"publication_name":"The Journal of Cardiovascular Nursing","grobid_abstract_attachment_id":42342768},"translated_abstract":null,"internal_url":"https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes","translated_internal_url":"","created_at":"2015-10-20T08:14:08.097-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":42342768,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342768/thumbnails/1.jpg","file_name":"Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr.pdf","download_url":"https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effect_of_Culturally_Tailored_Diabetes_E.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342768/Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr-libre.pdf?1454893019=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Culturally_Tailored_Diabetes_E.pdf\u0026Expires=1732715925\u0026Signature=gWmZQJuzf3EoLUG2XmnoTllt8LU8N-tQ5ikbG0cVCwpsZ0x8AqsES2OacnlVrX2arDmVn5Uzs~xcen9oY32mA1PcvH2FQhFihWcb~xY9KHM2UA2mSf2y2Fsk4B1eo5BMRwOCz0AlNMywRBmSFndRstxN-OoHU2HwfOszH1LOpGcnhcXo~sidb-Qc9hCEiDKEOGpsBNKUrFy8HzFWM13ZX6ys8MvulBdIPedYBUMo0fPZ~iD98Gk9EX4MCVTmHOLU9~~wdRsMuYuRzA37HQB0uAQedYzTIygWwy1HO-8HkZWUebRoSZTZDGJihkh7edTU~0Y2szA7K-gDlmjGDS6wNQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes","translated_slug":"","page_count":14,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[{"id":42342768,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342768/thumbnails/1.jpg","file_name":"Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr.pdf","download_url":"https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effect_of_Culturally_Tailored_Diabetes_E.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342768/Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr-libre.pdf?1454893019=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Culturally_Tailored_Diabetes_E.pdf\u0026Expires=1732715925\u0026Signature=gWmZQJuzf3EoLUG2XmnoTllt8LU8N-tQ5ikbG0cVCwpsZ0x8AqsES2OacnlVrX2arDmVn5Uzs~xcen9oY32mA1PcvH2FQhFihWcb~xY9KHM2UA2mSf2y2Fsk4B1eo5BMRwOCz0AlNMywRBmSFndRstxN-OoHU2HwfOszH1LOpGcnhcXo~sidb-Qc9hCEiDKEOGpsBNKUrFy8HzFWM13ZX6ys8MvulBdIPedYBUMo0fPZ~iD98Gk9EX4MCVTmHOLU9~~wdRsMuYuRzA37HQB0uAQedYzTIygWwy1HO-8HkZWUebRoSZTZDGJihkh7edTU~0Y2szA7K-gDlmjGDS6wNQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":70596,"name":"Minority Groups","url":"https://www.academia.edu/Documents/in/Minority_Groups"},{"id":915951,"name":"Type 2 Diabetes Mellitus","url":"https://www.academia.edu/Documents/in/Type_2_Diabetes_Mellitus"}],"urls":[{"id":6540095,"url":"https://www.researchgate.net/profile/Soohyun_Nam/publication/51483902_Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes_A_Meta-analysis/links/54c8fc570cf238bb7d0eb502.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048921"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience"><img alt="Research paper thumbnail of Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience">Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2010</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To describe what adult patients with asthma report about their experiences with their own self-ma...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048921"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048921"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048921; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048921]").text(description); $(".js-view-count[data-work-id=17048921]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048921; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048921']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048921, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048921]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048921,"title":"Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience","translated_title":"","metadata":{"abstract":"To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.","publication_date":{"day":null,"month":null,"year":2010,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.","internal_url":"https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience","translated_internal_url":"","created_at":"2015-10-20T08:14:07.581-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care"},{"id":8819,"name":"Medication Adherence","url":"https://www.academia.edu/Documents/in/Medication_Adherence"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":11758,"name":"Health insurance","url":"https://www.academia.edu/Documents/in/Health_insurance"},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity"},{"id":57928,"name":"Travel","url":"https://www.academia.edu/Documents/in/Travel"},{"id":97252,"name":"Comprehension","url":"https://www.academia.edu/Documents/in/Comprehension"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult"},{"id":219123,"name":"Ethnic Groups","url":"https://www.academia.edu/Documents/in/Ethnic_Groups"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":693934,"name":"Communication barriers","url":"https://www.academia.edu/Documents/in/Communication_barriers"},{"id":1034177,"name":"Continuity of Patient Care","url":"https://www.academia.edu/Documents/in/Continuity_of_Patient_Care"},{"id":1153482,"name":"Cooperative Behavior","url":"https://www.academia.edu/Documents/in/Cooperative_Behavior"},{"id":1261825,"name":"Medication Errors","url":"https://www.academia.edu/Documents/in/Medication_Errors"},{"id":2345130,"name":"Socioeconomic Factors","url":"https://www.academia.edu/Documents/in/Socioeconomic_Factors"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048919"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management"><img alt="Research paper thumbnail of Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management">Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The objective of this work was to describe the incidence of chronic breathing problems, particula...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor&amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048919"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048919"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048919; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048919]").text(description); $(".js-view-count[data-work-id=17048919]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048919; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048919']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048919, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048919]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048919,"title":"Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management","translated_title":"","metadata":{"abstract":"The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor\u0026amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.","publication_date":{"day":null,"month":null,"year":2000,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor\u0026amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.","internal_url":"https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management","translated_internal_url":"","created_at":"2015-10-20T08:14:07.019-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":867,"name":"Perception","url":"https://www.academia.edu/Documents/in/Perception"},{"id":7470,"name":"Quality of life","url":"https://www.academia.edu/Documents/in/Quality_of_life"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":44529,"name":"Activities of Daily Living","url":"https://www.academia.edu/Documents/in/Activities_of_Daily_Living"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289330,"name":"Prevalence","url":"https://www.academia.edu/Documents/in/Prevalence"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"},{"id":1819399,"name":"Case Control Studies","url":"https://www.academia.edu/Documents/in/Case_Control_Studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048917"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective"><img alt="Research paper thumbnail of Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective">Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 1998</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Increased morbidity and mortality due to asthma suggested the need to investigate whether persons...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to &amp;quot;tough it out&amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048917"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048917"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048917; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048917]").text(description); $(".js-view-count[data-work-id=17048917]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048917; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048917']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048917, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048917]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048917,"title":"Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective","translated_title":"","metadata":{"abstract":"Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to \u0026amp;quot;tough it out\u0026amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.","publication_date":{"day":null,"month":null,"year":1998,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to \u0026amp;quot;tough it out\u0026amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.","internal_url":"https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective","translated_internal_url":"","created_at":"2015-10-20T08:14:06.084-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":8942,"name":"Treatment","url":"https://www.academia.edu/Documents/in/Treatment"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":56429,"name":"Crisis","url":"https://www.academia.edu/Documents/in/Crisis"},{"id":95322,"name":"Behavior Therapy","url":"https://www.academia.edu/Documents/in/Behavior_Therapy"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":413195,"name":"Time Factors","url":"https://www.academia.edu/Documents/in/Time_Factors"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":489188,"name":"Emergencies","url":"https://www.academia.edu/Documents/in/Emergencies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="3797847" id="papers"><div class="js-work-strip profile--work_container" data-work-id="17132675"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17132675/The_Sensation_of_Pulmonary_Dyspnea_in_School_Age_Children"><img alt="Research paper thumbnail of The Sensation of Pulmonary Dyspnea in School-Age Children" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17132675/The_Sensation_of_Pulmonary_Dyspnea_in_School_Age_Children">The Sensation of Pulmonary Dyspnea in School-Age Children</a></div><div class="wp-workCard_item"><span>Nursing Research</span><span>, 1991</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132675"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132675"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132675; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132675]").text(description); $(".js-view-count[data-work-id=17132675]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132675; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132675']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17132675, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17132674"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17132674/A_National_Survey_of_Asthma_Knowledge_and_Practices_Among_Specialists_and_Primary_Care_Physicians"><img alt="Research paper thumbnail of A National Survey of Asthma Knowledge and Practices Among Specialists and Primary Care Physicians" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17132674/A_National_Survey_of_Asthma_Knowledge_and_Practices_Among_Specialists_and_Primary_Care_Physicians">A National Survey of Asthma Knowledge and Practices Among Specialists and Primary Care Physicians</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2004</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing chronic care. Approximately two-thirds of people with asthma are receiving care from a primary care clinician, such as an internist, family practitioner, nurse practitioner, or pediatrician. The other one-third of patients are obtaining treatment and ongoing care from specialists, including allergists or pulmonologists. The outcomes of asthma care are a subject of intense investigation. Many studies focus on pharmacotherapy, allergen control, and asthma education as interventions to reduce the morbidity and costs associated with asthma. Fewer studies have explored the differences in outcomes between asthmatic patients cared for by specialists compared with generalists. Even fewer have explored the practice differences between generalists and specialists that may relate to outcomes of care. With the advent of national asthma guidelines and the high prevalence of asthma seen in primary care settings, it is important to investigate the knowledge, attitudes, and practices of primary care physicians with regard to asthma.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132674"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132674"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132674; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132674]").text(description); $(".js-view-count[data-work-id=17132674]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132674; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132674']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17132674, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17132674]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17132674,"title":"A National Survey of Asthma Knowledge and Practices Among Specialists and Primary Care Physicians","translated_title":"","metadata":{"abstract":"Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing chronic care. Approximately two-thirds of people with asthma are receiving care from a primary care clinician, such as an internist, family practitioner, nurse practitioner, or pediatrician. The other one-third of patients are obtaining treatment and ongoing care from specialists, including allergists or pulmonologists. The outcomes of asthma care are a subject of intense investigation. Many studies focus on pharmacotherapy, allergen control, and asthma education as interventions to reduce the morbidity and costs associated with asthma. Fewer studies have explored the differences in outcomes between asthmatic patients cared for by specialists compared with generalists. Even fewer have explored the practice differences between generalists and specialists that may relate to outcomes of care. With the advent of national asthma guidelines and the high prevalence of asthma seen in primary care settings, it is important to investigate the knowledge, attitudes, and practices of primary care physicians with regard to asthma.","publication_date":{"day":null,"month":null,"year":2004,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"Asthma is a chronic disorder that causes significant morbidity and mortality and requires ongoing chronic care. Approximately two-thirds of people with asthma are receiving care from a primary care clinician, such as an internist, family practitioner, nurse practitioner, or pediatrician. The other one-third of patients are obtaining treatment and ongoing care from specialists, including allergists or pulmonologists. The outcomes of asthma care are a subject of intense investigation. Many studies focus on pharmacotherapy, allergen control, and asthma education as interventions to reduce the morbidity and costs associated with asthma. Fewer studies have explored the differences in outcomes between asthmatic patients cared for by specialists compared with generalists. Even fewer have explored the practice differences between generalists and specialists that may relate to outcomes of care. With the advent of national asthma guidelines and the high prevalence of asthma seen in primary care settings, it is important to investigate the knowledge, attitudes, and practices of primary care physicians with regard to asthma.","internal_url":"https://www.academia.edu/17132674/A_National_Survey_of_Asthma_Knowledge_and_Practices_Among_Specialists_and_Primary_Care_Physicians","translated_internal_url":"","created_at":"2015-10-21T16:50:55.309-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"A_National_Survey_of_Asthma_Knowledge_and_Practices_Among_Specialists_and_Primary_Care_Physicians","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care"},{"id":8974,"name":"Quality of Mental Health Care","url":"https://www.academia.edu/Documents/in/Quality_of_Mental_Health_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":201844,"name":"Specialization","url":"https://www.academia.edu/Documents/in/Specialization"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence"}],"urls":[{"id":5964798,"url":"http://www.informaworld.com/openurl?genre=article\u0026doi=10.1081/JAS-120026093\u0026magic=crossref%7C%7CD404A21C5BB053405B1A640AFFD44AE3"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17132673"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17132673/Biologic_Markers_of_Airway_Inflammation_in_Asthma"><img alt="Research paper thumbnail of Biologic Markers of Airway Inflammation in Asthma" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17132673/Biologic_Markers_of_Airway_Inflammation_in_Asthma">Biologic Markers of Airway Inflammation in Asthma</a></div><div class="wp-workCard_item"><span>AACN Clinical Issues: Advanced Practice in Acute & Critical Care</span><span>, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Asthma is a serious chronic disease of the airways that affects approximately 14% of the populati...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Asthma is a serious chronic disease of the airways that affects approximately 14% of the population in the United States. The fundamental pathophysiologic component of asthma is airway narrowing, which causes airflow obstruction. Both inflammation and bronchoconstriction contribute to airway narrowing. The pathogenesis of airway inflammation in asthma and the natural history of the disease are the subject of intense research and study in many countries of the world. The mechanisms of airway inflammation are only partially understood but are the basis for the devastating symptoms that affect the quality of life of millions of people. Treatment of asthma is directed at decreasing airway inflammation to gain long-term control of the disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17132673"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17132673"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17132673; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17132673]").text(description); $(".js-view-count[data-work-id=17132673]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17132673; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17132673']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17132673, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17132673]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17132673,"title":"Biologic Markers of Airway Inflammation in Asthma","translated_title":"","metadata":{"abstract":"Asthma is a serious chronic disease of the airways that affects approximately 14% of the population in the United States. The fundamental pathophysiologic component of asthma is airway narrowing, which causes airflow obstruction. Both inflammation and bronchoconstriction contribute to airway narrowing. The pathogenesis of airway inflammation in asthma and the natural history of the disease are the subject of intense research and study in many countries of the world. The mechanisms of airway inflammation are only partially understood but are the basis for the devastating symptoms that affect the quality of life of millions of people. Treatment of asthma is directed at decreasing airway inflammation to gain long-term control of the disease.","publication_date":{"day":null,"month":null,"year":2000,"errors":{}},"publication_name":"AACN Clinical Issues: Advanced Practice in Acute \u0026 Critical Care"},"translated_abstract":"Asthma is a serious chronic disease of the airways that affects approximately 14% of the population in the United States. The fundamental pathophysiologic component of asthma is airway narrowing, which causes airflow obstruction. Both inflammation and bronchoconstriction contribute to airway narrowing. The pathogenesis of airway inflammation in asthma and the natural history of the disease are the subject of intense research and study in many countries of the world. The mechanisms of airway inflammation are only partially understood but are the basis for the devastating symptoms that affect the quality of life of millions of people. Treatment of asthma is directed at decreasing airway inflammation to gain long-term control of the disease.","internal_url":"https://www.academia.edu/17132673/Biologic_Markers_of_Airway_Inflammation_in_Asthma","translated_internal_url":"","created_at":"2015-10-21T16:50:55.203-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Biologic_Markers_of_Airway_Inflammation_in_Asthma","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":111112,"name":"Pneumonia","url":"https://www.academia.edu/Documents/in/Pneumonia"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":568482,"name":"Biological markers","url":"https://www.academia.edu/Documents/in/Biological_markers"},{"id":724400,"name":"Sputum","url":"https://www.academia.edu/Documents/in/Sputum"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048939"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048939/Advancing_the_science_of_symptom_management_J_Adv_Nurs"><img alt="Research paper thumbnail of Advancing the science of symptom management. J Adv Nurs" class="work-thumbnail" src="https://attachments.academia-assets.com/42342740/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048939/Advancing_the_science_of_symptom_management_J_Adv_Nurs">Advancing the science of symptom management. J Adv Nurs</a></div><div class="wp-workCard_item"><span>Journal of Advanced Nursing</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="702e1d7fae7194e8513e2f48a3fd4172" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342740,"asset_id":17048939,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342740/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNCw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048939"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048939"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048939; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048939]").text(description); $(".js-view-count[data-work-id=17048939]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048939; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048939']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048939, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "702e1d7fae7194e8513e2f48a3fd4172" } } $('.js-work-strip[data-work-id=17048939]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048939,"title":"Advancing the science of symptom management. J Adv Nurs","translated_title":"","metadata":{"grobid_abstract":"0 0 1 ) D . ( 2 0 0 1 ) Journal of Advanced Nursing 33(5), 668±676 Advancing the science of symptom management Abstract. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048937"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048937/Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work"><img alt="Research paper thumbnail of Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048937/Processes_of_care_for_individuals_with_work_related_asthma_treatment_characteristics_and_impact_of_asthma_on_work">Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work</a></div><div class="wp-workCard_item"><span>AAOHN Journal</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The prevalence of asthma among working adults continues to rise each year. The California Departm...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). Using a cross-sectional, descriptive, comparative design, additional interviews were conducted and medical records were reviewed to explore workers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; and providers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; perceptions of follow up care. Two cohorts were compared: workers with WRA who belonged to a large, single HMO (n = 79) and workers with WRA who underwent follow up outside this HMO (n = 76). The interview asked about providers seen, tests ordered, and the impact of asthma on work. The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048937"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048937"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048937; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048937]").text(description); $(".js-view-count[data-work-id=17048937]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048937; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048937']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048937, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048937]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048937,"title":"Processes of care for individuals with work related asthma: treatment characteristics and impact of asthma on work","translated_title":"","metadata":{"abstract":"The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). 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The HMO clients were significantly more likely than the non-HMO clients to see occupational medicine specialists (p = .004) and have pulmonary function testing (p = .049) during initial treatment. Twenty-four percent of clients currently working reported missed workdays caused by asthma in the past 6 months. The findings indicate management of WRA varies by health care system in California.","publication_name":"AAOHN Journal"},"translated_abstract":"The prevalence of asthma among working adults continues to rise each year. The California Department of Health Services conducts surveillance of work related asthma (WRA) to classify each work related exposure using Doctor\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s First Reports of Occupational Illness and Injury (DFRs). 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048933"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma"><img alt="Research paper thumbnail of Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma">Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma</a></div><div class="wp-workCard_item"><span>Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Adherence to omalizumab is not well characterized and its association with asthma control has not...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (&lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048933"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048933"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048933; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048933]").text(description); $(".js-view-count[data-work-id=17048933]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048933; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048933']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048933, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048933]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048933,"title":"Omalizumab adherence in an observational study of patients with moderate to severe allergic asthma","translated_title":"","metadata":{"abstract":"Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (\u0026lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...","publication_date":{"day":null,"month":null,"year":2015,"errors":{}},"publication_name":"Annals of allergy, asthma \u0026 immunology : official publication of the American College of Allergy, Asthma, \u0026 Immunology"},"translated_abstract":"Adherence to omalizumab is not well characterized and its association with asthma control has not been well established. To evaluate adherence in patients initiating omalizumab in the Epidemiologic Study of Xolair (omalizumab): Evaluating Clinical Effectiveness and Long-term Safety in Patients with Moderate to Severe Asthma (EXCELS) observational study. Adherence was assessed over 5 years using the proportion of patients who missed any dose, rates of doses missed, and proportions of patients with good (\u0026lt;10% doses missed) or poor (≥30% doses missed) adherence. Multivariable analyses identified independent predictors of good adherence. Associations between adherence and asthma control were assessed using the minimum important difference for the Asthma Control Test at various time points. A total of 289 patients newly initiated on omalizumab completed 5 years of EXCELS. Of these, 83.0% on the 2-week dosing regimen (n = 152) and 65.0% on the 4-week dosing regimen (n = 137) missed at ...","internal_url":"https://www.academia.edu/17048933/Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma","translated_internal_url":"","created_at":"2015-10-20T08:14:14.162-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Omalizumab_adherence_in_an_observational_study_of_patients_with_moderate_to_severe_allergic_asthma","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":1290,"name":"Immunology","url":"https://www.academia.edu/Documents/in/Immunology"},{"id":8819,"name":"Medication Adherence","url":"https://www.academia.edu/Documents/in/Medication_Adherence"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":62112,"name":"Prospective studies","url":"https://www.academia.edu/Documents/in/Prospective_studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048932"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048932/A_pilot_study_to_evaluate_the_magnitude_of_association_of_the_use_of_electronic_personal_health_records_with_patient_activation_and_empowerment_in_HIV_infected_veterans"><img alt="Research paper thumbnail of A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans" class="work-thumbnail" src="https://attachments.academia-assets.com/42342750/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048932/A_pilot_study_to_evaluate_the_magnitude_of_association_of_the_use_of_electronic_personal_health_records_with_patient_activation_and_empowerment_in_HIV_infected_veterans">A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans</a></div><div class="wp-workCard_item"><span>PeerJ</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic acc...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. Little is known about who uses these systems or the impact these systems will have on patient outcomes in HIV care. The health care empowerment model provides rationale for the hypothesis that knowledge from an electronic personal health record can lead to greater patient empowerment resulting in improved outcomes. The objective was to determine the patient characteristics and patient activation, empowerment, satisfaction, knowledge of their CD4, Viral Loads, and antiretroviral medication, and medication adherence outcomes associated with electronic personal health record use in Veterans living with HIV at the San Francisco VA Medical Center. The participants included HIV-Infected Veterans receiving care in a low volume HIV-clinic at the San Franci...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="35a0577cff32e146f4a341d5cb728557" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342750,"asset_id":17048932,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342750/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNCw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048932"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048932"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048932; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048932]").text(description); $(".js-view-count[data-work-id=17048932]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048932; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048932']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048932, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "35a0577cff32e146f4a341d5cb728557" } } $('.js-work-strip[data-work-id=17048932]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048932,"title":"A pilot study to evaluate the magnitude of association of the use of electronic personal health records with patient activation and empowerment in HIV-infected veterans","translated_title":"","metadata":{"abstract":"The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. 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The participants included HIV-Infected Veterans receiving care in a low volume HIV-clinic at the San Franci...","publication_date":{"day":null,"month":null,"year":2015,"errors":{}},"publication_name":"PeerJ"},"translated_abstract":"The HITECH Act signed into law in 2009 requires hospitals to provide patients with electronic access to their health information through an electronic personal health record (ePHR) in order to receive Medicare/Medicaid incentive payments. Little is known about who uses these systems or the impact these systems will have on patient outcomes in HIV care. The health care empowerment model provides rationale for the hypothesis that knowledge from an electronic personal health record can lead to greater patient empowerment resulting in improved outcomes. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048931"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis"><img alt="Research paper thumbnail of Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis">Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis</a></div><div class="wp-workCard_item"><span>Psychoneuroendocrinology</span><span>, 2005</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. Exogenous glucocorticoid use may impact salivary cortisol measurements, but this has not been well-studied in ambulatory settings. In this report salivary cortisol levels were used to evaluate aspects of the diurnal rhythm of cortisol secretion within an ambulatory population of patients with asthma and allergic rhinitis. 183 persons with asthma with or without concomitant rhinitis and 34 persons with rhinitis alone were asked to collect at home, two saliva samples, 30 min after awakening and 12h later. The salivary cortisol levels were quantified by enzyme immunoassay. The recent use of glucocorticoids in the study group was determined by interview and direct examination of medications. We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048931"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048931"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048931; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048931]").text(description); $(".js-view-count[data-work-id=17048931]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048931; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048931']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048931, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048931]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048931,"title":"Impact of exogenous glucocorticoid use on salivary cortisol measurements among adults with asthma and rhinitis","translated_title":"","metadata":{"abstract":"The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. 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We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...","publication_date":{"day":null,"month":null,"year":2005,"errors":{}},"publication_name":"Psychoneuroendocrinology"},"translated_abstract":"The diurnal rhythm of cortisol secretion in chronic disease can reflect the interactions between exogenous and endogenous factors. Exogenous glucocorticoid use may impact salivary cortisol measurements, but this has not been well-studied in ambulatory settings. In this report salivary cortisol levels were used to evaluate aspects of the diurnal rhythm of cortisol secretion within an ambulatory population of patients with asthma and allergic rhinitis. 183 persons with asthma with or without concomitant rhinitis and 34 persons with rhinitis alone were asked to collect at home, two saliva samples, 30 min after awakening and 12h later. The salivary cortisol levels were quantified by enzyme immunoassay. The recent use of glucocorticoids in the study group was determined by interview and direct examination of medications. We report that the median salivary cortisol levels 30 min post-awakening significantly differed by exogenous steroid status: no glucocorticoid use (n = 91), 10.1 nmol/l;...","internal_url":"https://www.academia.edu/17048931/Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis","translated_internal_url":"","created_at":"2015-10-20T08:14:13.018-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Impact_of_exogenous_glucocorticoid_use_on_salivary_cortisol_measurements_among_adults_with_asthma_and_rhinitis","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":3243,"name":"Nonparametric Statistics","url":"https://www.academia.edu/Documents/in/Nonparametric_Statistics"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":89121,"name":"Circadian Rhythm","url":"https://www.academia.edu/Documents/in/Circadian_Rhythm"},{"id":133761,"name":"Psychoneuroendocrinology","url":"https://www.academia.edu/Documents/in/Psychoneuroendocrinology"},{"id":344106,"name":"Saliva","url":"https://www.academia.edu/Documents/in/Saliva"},{"id":833992,"name":"Intranasal Administration","url":"https://www.academia.edu/Documents/in/Intranasal_Administration"},{"id":976842,"name":"Salivary Cortisol","url":"https://www.academia.edu/Documents/in/Salivary_Cortisol"},{"id":1293308,"name":"Glucocorticoids","url":"https://www.academia.edu/Documents/in/Glucocorticoids"},{"id":1799441,"name":"Rhinitis","url":"https://www.academia.edu/Documents/in/Rhinitis"},{"id":1901293,"name":"Salivary Glands","url":"https://www.academia.edu/Documents/in/Salivary_Glands"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048929"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult"><img alt="Research paper thumbnail of Asthma management across the life span: applications for the adult and older adult" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult">Asthma management across the life span: applications for the adult and older adult</a></div><div class="wp-workCard_item"><span>The Nursing clinics of North America</span><span>, 2003</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Asthma is one of the most common and chronic diseases of adults and creates substantial health pr...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Asthma is one of the most common and chronic diseases of adults and creates substantial health problems. The disease must be diagnosed appropriately, its severity assessed, and treatment prescribed that matches the level of severity. Patient education in self-management techniques and attention to the problems of adherence are essential for long-term management. Comorbid conditions should be suspected and treated when asthma becomes difficult to control. Asthma in the elderly is a challenging but frequent problem that requires particular attention to controlling the causes of excessive morbidity and mortality. All health care professionals have an important role in controlling this common disease.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048929"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048929"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048929; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048929]").text(description); $(".js-view-count[data-work-id=17048929]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048929; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048929']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048929, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048929]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048929,"title":"Asthma management across the life span: applications for the adult and older adult","translated_title":"","metadata":{"abstract":"Asthma is one of the most common and chronic diseases of adults and creates substantial health problems. The disease must be diagnosed appropriately, its severity assessed, and treatment prescribed that matches the level of severity. Patient education in self-management techniques and attention to the problems of adherence are essential for long-term management. Comorbid conditions should be suspected and treated when asthma becomes difficult to control. Asthma in the elderly is a challenging but frequent problem that requires particular attention to controlling the causes of excessive morbidity and mortality. All health care professionals have an important role in controlling this common disease.","publication_date":{"day":null,"month":null,"year":2003,"errors":{}},"publication_name":"The Nursing clinics of North America"},"translated_abstract":"Asthma is one of the most common and chronic diseases of adults and creates substantial health problems. The disease must be diagnosed appropriately, its severity assessed, and treatment prescribed that matches the level of severity. Patient education in self-management techniques and attention to the problems of adherence are essential for long-term management. Comorbid conditions should be suspected and treated when asthma becomes difficult to control. Asthma in the elderly is a challenging but frequent problem that requires particular attention to controlling the causes of excessive morbidity and mortality. All health care professionals have an important role in controlling this common disease.","internal_url":"https://www.academia.edu/17048929/Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult","translated_internal_url":"","created_at":"2015-10-20T08:14:11.892-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Asthma_management_across_the_life_span_applications_for_the_adult_and_older_adult","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":806178,"name":"Older Adult","url":"https://www.academia.edu/Documents/in/Older_Adult"},{"id":1127828,"name":"Life Span","url":"https://www.academia.edu/Documents/in/Life_Span"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048928"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048928/The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume"><img alt="Research paper thumbnail of The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048928/The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume">The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume</a></div><div class="wp-workCard_item"><span>Nursing research</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">An experimental study with a crossover design was used to compare the effects of activity and bed...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. Fifteen healthy males were randomized to bed rest or activity and later completed the remaining protocol. Exercise prescription for the activity protocol and cardiovascular fitness were based on a treadmill performance test. Repeated measurements were made of subcutaneous oxygen and temperature using an optode in upper arm subcutaneous tonometers. Perfusion and PscO2 were greater during bed rest (p &lt; .05). Post hoc analysis revealed a trend toward higher heart rates and diastolic blood pressure during the activity protocol. Change in plasma volume did not differ between protocols, and cardiovascular fitness was unrelated to PscO2 or BFsc. Findings suggest that in uninjured individuals, higher levels of activity intensity reduce oxygen...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048928"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048928"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048928; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048928]").text(description); $(".js-view-count[data-work-id=17048928]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048928; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048928']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048928, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048928]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048928,"title":"The effects of activity and bed rest on tissue oxygen tension, perfusion, and plasma volume","translated_title":"","metadata":{"abstract":"An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. Fifteen healthy males were randomized to bed rest or activity and later completed the remaining protocol. Exercise prescription for the activity protocol and cardiovascular fitness were based on a treadmill performance test. Repeated measurements were made of subcutaneous oxygen and temperature using an optode in upper arm subcutaneous tonometers. Perfusion and PscO2 were greater during bed rest (p \u0026lt; .05). Post hoc analysis revealed a trend toward higher heart rates and diastolic blood pressure during the activity protocol. Change in plasma volume did not differ between protocols, and cardiovascular fitness was unrelated to PscO2 or BFsc. Findings suggest that in uninjured individuals, higher levels of activity intensity reduce oxygen...","publication_name":"Nursing research"},"translated_abstract":"An experimental study with a crossover design was used to compare the effects of activity and bed rest on subcutaneous oxygen (PscO2), perfusion (BFsc), and plasma volume, and to explore the relationship of cardiovascular fitness to these variables. Fifteen healthy males were randomized to bed rest or activity and later completed the remaining protocol. Exercise prescription for the activity protocol and cardiovascular fitness were based on a treadmill performance test. Repeated measurements were made of subcutaneous oxygen and temperature using an optode in upper arm subcutaneous tonometers. Perfusion and PscO2 were greater during bed rest (p \u0026lt; .05). Post hoc analysis revealed a trend toward higher heart rates and diastolic blood pressure during the activity protocol. Change in plasma volume did not differ between protocols, and cardiovascular fitness was unrelated to PscO2 or BFsc. Findings suggest that in uninjured individuals, higher levels of activity intensity reduce oxygen...","internal_url":"https://www.academia.edu/17048928/The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume","translated_internal_url":"","created_at":"2015-10-20T08:14:11.154-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"The_effects_of_activity_and_bed_rest_on_tissue_oxygen_tension_perfusion_and_plasma_volume","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":88321,"name":"Blood Pressure","url":"https://www.academia.edu/Documents/in/Blood_Pressure"},{"id":131298,"name":"Heart rate","url":"https://www.academia.edu/Documents/in/Heart_rate"},{"id":135185,"name":"Exercise","url":"https://www.academia.edu/Documents/in/Exercise"},{"id":268784,"name":"Physical Fitness","url":"https://www.academia.edu/Documents/in/Physical_Fitness"},{"id":380825,"name":"Oxygen","url":"https://www.academia.edu/Documents/in/Oxygen"},{"id":465839,"name":"Bed Rest","url":"https://www.academia.edu/Documents/in/Bed_Rest"},{"id":876966,"name":"Blood gas analysis","url":"https://www.academia.edu/Documents/in/Blood_gas_analysis"},{"id":1146831,"name":"Exercise Test","url":"https://www.academia.edu/Documents/in/Exercise_Test"},{"id":1193624,"name":"Oxygen Consumption","url":"https://www.academia.edu/Documents/in/Oxygen_Consumption"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048927"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048927/Does_health_service_use_in_a_diabetes_management_program_contribute_to_health_disparities_at_a_facility_level_Optimizing_resources_with_demographic_predictors"><img alt="Research paper thumbnail of Does health service use in a diabetes management program contribute to health disparities at a facility level? Optimizing resources with demographic predictors" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048927/Does_health_service_use_in_a_diabetes_management_program_contribute_to_health_disparities_at_a_facility_level_Optimizing_resources_with_demographic_predictors">Does health service use in a diabetes management program contribute to health disparities at a facility level? Optimizing resources with demographic predictors</a></div><div class="wp-workCard_item"><span>Population health management</span><span>, 2009</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The objective of this study was to determine if demographic variation in the use of health servic...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The objective of this study was to determine if demographic variation in the use of health service resources among type 2 diabetes patients contributes to health disparities. A prospective cohort design was used to analyze differences in health care utilization among 315 adults registered in primary care internal medicine clinics of an academic medical center. Patients were cared for by interdisciplinary teams of internal medicine residents, nurse practitioner students, and pharmacy students supervised by interdisciplinary faculty. A post hoc multivariate repeated measures analysis, using generalized estimating equation (GEE) statistical modeling, was used to determine if age, sex, race, ethnicity, marital status, primary language, and insurance predicted use of health care services (ie, primary care, acute care, emergency department [ED], hospitalization). Medicare/Medicaid-insured patients had an average of 2.49 primary care visits per month (P &lt; .0001) and 75% more ED visits (...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048927"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048927"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048927; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048927]").text(description); $(".js-view-count[data-work-id=17048927]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048927; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048927']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048927, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048927]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048927,"title":"Does health service use in a diabetes management program contribute to health disparities at a facility level? Optimizing resources with demographic predictors","translated_title":"","metadata":{"abstract":"The objective of this study was to determine if demographic variation in the use of health service resources among type 2 diabetes patients contributes to health disparities. A prospective cohort design was used to analyze differences in health care utilization among 315 adults registered in primary care internal medicine clinics of an academic medical center. Patients were cared for by interdisciplinary teams of internal medicine residents, nurse practitioner students, and pharmacy students supervised by interdisciplinary faculty. A post hoc multivariate repeated measures analysis, using generalized estimating equation (GEE) statistical modeling, was used to determine if age, sex, race, ethnicity, marital status, primary language, and insurance predicted use of health care services (ie, primary care, acute care, emergency department [ED], hospitalization). Medicare/Medicaid-insured patients had an average of 2.49 primary care visits per month (P \u0026lt; .0001) and 75% more ED visits (...","publication_date":{"day":null,"month":null,"year":2009,"errors":{}},"publication_name":"Population health management"},"translated_abstract":"The objective of this study was to determine if demographic variation in the use of health service resources among type 2 diabetes patients contributes to health disparities. A prospective cohort design was used to analyze differences in health care utilization among 315 adults registered in primary care internal medicine clinics of an academic medical center. Patients were cared for by interdisciplinary teams of internal medicine residents, nurse practitioner students, and pharmacy students supervised by interdisciplinary faculty. A post hoc multivariate repeated measures analysis, using generalized estimating equation (GEE) statistical modeling, was used to determine if age, sex, race, ethnicity, marital status, primary language, and insurance predicted use of health care services (ie, primary care, acute care, emergency department [ED], hospitalization). 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The purpose of this article is to define faculty practice, discuss the goals of faculty practice, and outline different models of implementation. Case examples from the University of California San Francisco, School of Nursing will illustrate different models of faculty practice. Through an understanding of faculty practice and various structural models, it is anticipated that nursing faculty and clinical partners will have familiar terminology and a common framework from which to evaluate strengths and limitations of different faculty practice arrangements. F aculty practice(s) associated with schools of nursing can be defined and structured in many different ways. The purpose of this article is to define faculty practice, discuss the goals of faculty practice, and outline different models of implementation. Case examples from the University of California San Francisco (UCSF), School of Nursing will illustrate different models of faculty practice. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048925"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048925/Veteran_Affairs_Centers_of_Excellence_in_Primary_Care_Education_Transforming_nurse_practitioner_education"><img alt="Research paper thumbnail of Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education" class="work-thumbnail" src="https://attachments.academia-assets.com/42342755/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048925/Veteran_Affairs_Centers_of_Excellence_in_Primary_Care_Education_Transforming_nurse_practitioner_education">Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education</a></div><div class="wp-workCard_item"><span>Nursing Outlook</span><span>, 2014</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="2a98e7a30b98d4c5a38eb27ad33f7c8d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342755,"asset_id":17048925,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342755/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048925"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048925"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048925; 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data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048924/Where_do_leukotriene_modifiers_fit_in_asthma_management"><img alt="Research paper thumbnail of Where do leukotriene modifiers fit in asthma management?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048924/Where_do_leukotriene_modifiers_fit_in_asthma_management">Where do leukotriene modifiers fit in asthma management?</a></div><div class="wp-workCard_item"><span>The Nurse Practitioner</span><span>, 2002</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Effective asthma treatment requires long-term inflammation control. Patient adherence to corticos...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Effective asthma treatment requires long-term inflammation control. Patient adherence to corticosteroid treatment regimens remains problematic. Leukotriene modifiers, a newer drug class, add to the pharmacologic approaches to asthma management. Here, we review the role of leukotrienes in asthma pathogenesis and appropriate uses for leukotriene modifiers in asthma management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048924"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048924"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048924; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048924]").text(description); $(".js-view-count[data-work-id=17048924]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048924; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048924']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048924, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048924]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048924,"title":"Where do leukotriene modifiers fit in asthma management?","translated_title":"","metadata":{"abstract":"Effective asthma treatment requires long-term inflammation control. 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The purposes of this study were to 1) determine the effect of intervention on self-efficacy and 2) determine the relationship between domain-specific selfefficacy, walking performance, and symptom severity in patients with chronic obstructive pulmonary disease (COPD). Subjects (n ¼ 102, forced expiratory volume in 1 second % predicted 44.8 AE 14) received one of three self-management interventions. Self-efficacy for walking and managing shortness of breath, walking performance, and shortness of breath severity were measured at baseline and after intervention. Self-efficacy increased after intervention (P \u003c 0.01). Self-efficacy for walking was positively related to walking performance (P \u003c 0.05). Self-efficacy for managing shortness of breath was positively related to symptom severity (P \u003c 0.05). 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Studies in other domains of self-efficacy are needed.","publication_date":{"day":null,"month":null,"year":2006,"errors":{}},"publication_name":"Journal of Pain and Symptom Management","grobid_abstract_attachment_id":42342751},"translated_abstract":null,"internal_url":"https://www.academia.edu/17048923/Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease","translated_internal_url":"","created_at":"2015-10-20T08:14:08.483-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":42342751,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342751/thumbnails/1.jpg","file_name":"j.jpainsymman.2006.01.012.pdf20160207-22633-15fufhr","download_url":"https://www.academia.edu/attachments/42342751/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effects_of_Treatment_on_Two_Types_of_Sel.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342751/j.jpainsymman.2006.01.012-libre.pdf20160207-22633-15fufhr?1454893018=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Treatment_on_Two_Types_of_Sel.pdf\u0026Expires=1732715925\u0026Signature=LAkr5Ikatqp~XgJMHcnY~4izud1vsyIlI6jssuWtUh6DvPX65EwJSUmmXVnfUSftz0LHH4z5BdQ5eUOTaQk~dLnCfz1uXe4dXDQyRUckF~R0-bA6Wa~KSJkAx4W8fRWEy1TeLICwuUZXcedrTDfXnJWKlO86ssHPk9FJsssFGEq~1Sn4JRfZYvTj3LI2G1Ei1VO5aEE3IY7hc92oErdFJuqjZ8RkUwDIImv~O~MXoqTPxkH1dgDZhOpIlJpKlhxl4dG0RXyIxrpAAZ2itrzJigEgm3qxvddDDHQf4TA5Bmb4yzoICmif2A-Je41qWHX6qYyOXAsmzavGucaye6NylA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effects_of_Treatment_on_Two_Types_of_Self_Efficacy_in_People_with_Chronic_Obstructive_Pulmonary_Disease","translated_slug":"","page_count":11,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[{"id":42342751,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342751/thumbnails/1.jpg","file_name":"j.jpainsymman.2006.01.012.pdf20160207-22633-15fufhr","download_url":"https://www.academia.edu/attachments/42342751/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effects_of_Treatment_on_Two_Types_of_Sel.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342751/j.jpainsymman.2006.01.012-libre.pdf20160207-22633-15fufhr?1454893018=\u0026response-content-disposition=attachment%3B+filename%3DEffects_of_Treatment_on_Two_Types_of_Sel.pdf\u0026Expires=1732715925\u0026Signature=LAkr5Ikatqp~XgJMHcnY~4izud1vsyIlI6jssuWtUh6DvPX65EwJSUmmXVnfUSftz0LHH4z5BdQ5eUOTaQk~dLnCfz1uXe4dXDQyRUckF~R0-bA6Wa~KSJkAx4W8fRWEy1TeLICwuUZXcedrTDfXnJWKlO86ssHPk9FJsssFGEq~1Sn4JRfZYvTj3LI2G1Ei1VO5aEE3IY7hc92oErdFJuqjZ8RkUwDIImv~O~MXoqTPxkH1dgDZhOpIlJpKlhxl4dG0RXyIxrpAAZ2itrzJigEgm3qxvddDDHQf4TA5Bmb4yzoICmif2A-Je41qWHX6qYyOXAsmzavGucaye6NylA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":2898,"name":"Pain","url":"https://www.academia.edu/Documents/in/Pain"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome"},{"id":50581,"name":"Self Efficacy","url":"https://www.academia.edu/Documents/in/Self_Efficacy"},{"id":97269,"name":"Chronic Disease","url":"https://www.academia.edu/Documents/in/Chronic_Disease"},{"id":135185,"name":"Exercise","url":"https://www.academia.edu/Documents/in/Exercise"},{"id":164831,"name":"Dyspnea","url":"https://www.academia.edu/Documents/in/Dyspnea"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":386576,"name":"Domain Specificity","url":"https://www.academia.edu/Documents/in/Domain_Specificity"},{"id":556576,"name":"Chronic obstructive pulmonary disease","url":"https://www.academia.edu/Documents/in/Chronic_obstructive_pulmonary_disease"},{"id":613467,"name":"Intervention study","url":"https://www.academia.edu/Documents/in/Intervention_study"},{"id":1210716,"name":"Exercise Tolerance","url":"https://www.academia.edu/Documents/in/Exercise_Tolerance"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048922"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes"><img alt="Research paper thumbnail of Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes" class="work-thumbnail" src="https://attachments.academia-assets.com/42342768/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes">Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes</a></div><div class="wp-workCard_item"><span>The Journal of Cardiovascular Nursing</span><span>, 2012</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="494b57350930b65960465bbee9510dc0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":42342768,"asset_id":17048922,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048922"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048922"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048922; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048922]").text(description); $(".js-view-count[data-work-id=17048922]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048922; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048922']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048922, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "494b57350930b65960465bbee9510dc0" } } $('.js-work-strip[data-work-id=17048922]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048922,"title":"Effect of Culturally Tailored Diabetes Education in Ethnic Minorities With Type 2 Diabetes","translated_title":"","metadata":{"grobid_abstract":"Background: Diabetes is a major cause of cardiovascular morbidity and mortality. Ethnic minorities experience a disproportionate burden of diabetes; however, few studies have critically analyzed the effectiveness of a culturally tailored diabetes intervention for these minorities. Objective: The aim of this study was to evaluate the effectiveness of a culturally tailored diabetes educational intervention (CTDEI) on glycemic control in ethnic minorities with type 2 diabetes. Method: We searched databases within PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), PsycINFO, and ProQuest for randomized controlled trials (RCTs). We performed a meta-analysis for the effect of diabetes educational intervention on glycemic control using glycosylated hemoglobin (HbA 1c ) value in ethnic minority groups with type 2 diabetes. We calculated the effect size (ES) with HbA 1c change from baseline to follow-up between control and treatment groups. Results: The 12 studies yielded 1495 participants with a mean age of 63.6 years and a mean of 68% female participants. Most studies (84%) used either group education sessions or a combination of group sessions and individual patient counseling. The duration of interventions ranged from 1 session to 12 months. The pooled ES of glycemic control in RCTs with CTDEI was j0.29 (95% confidence interval, j0.46 to j0.13) at last follow-up, indicating that ethnic minorities benefit more from CTDEI when compared with the usual care. The effect of intervention was greatest and significant when HbA 1c level was measured at 6 months (ES, j0.41; 95% confidence interval, j0.61 to j0.21). The ES also differed by each participant's baseline HbA 1c level, with lower baseline levels associated with higher ESs. Conclusions: Based on this meta-analysis, CTDEI is effective for improving glycemic control among ethnic minorities. The magnitude of effect varies based on the settings of intervention, baseline HbA 1c level, and time of HbA 1c measurement. More rigorous RCTs that examine tailored diabetes education, ethnically matched educators, and more diverse ethnic minority groups are needed to reduce health disparities in diabetes care.","publication_date":{"day":null,"month":null,"year":2012,"errors":{}},"publication_name":"The Journal of Cardiovascular Nursing","grobid_abstract_attachment_id":42342768},"translated_abstract":null,"internal_url":"https://www.academia.edu/17048922/Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes","translated_internal_url":"","created_at":"2015-10-20T08:14:08.097-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":42342768,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342768/thumbnails/1.jpg","file_name":"Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr.pdf","download_url":"https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effect_of_Culturally_Tailored_Diabetes_E.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342768/Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr-libre.pdf?1454893019=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Culturally_Tailored_Diabetes_E.pdf\u0026Expires=1732715925\u0026Signature=gWmZQJuzf3EoLUG2XmnoTllt8LU8N-tQ5ikbG0cVCwpsZ0x8AqsES2OacnlVrX2arDmVn5Uzs~xcen9oY32mA1PcvH2FQhFihWcb~xY9KHM2UA2mSf2y2Fsk4B1eo5BMRwOCz0AlNMywRBmSFndRstxN-OoHU2HwfOszH1LOpGcnhcXo~sidb-Qc9hCEiDKEOGpsBNKUrFy8HzFWM13ZX6ys8MvulBdIPedYBUMo0fPZ~iD98Gk9EX4MCVTmHOLU9~~wdRsMuYuRzA37HQB0uAQedYzTIygWwy1HO-8HkZWUebRoSZTZDGJihkh7edTU~0Y2szA7K-gDlmjGDS6wNQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes","translated_slug":"","page_count":14,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[{"id":42342768,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/42342768/thumbnails/1.jpg","file_name":"Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr.pdf","download_url":"https://www.academia.edu/attachments/42342768/download_file?st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&st=MTczMjcxMjMyNSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Effect_of_Culturally_Tailored_Diabetes_E.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/42342768/Effect_of_Culturally_Tailored_Diabetes_E20160207-22620-1oilpqr-libre.pdf?1454893019=\u0026response-content-disposition=attachment%3B+filename%3DEffect_of_Culturally_Tailored_Diabetes_E.pdf\u0026Expires=1732715925\u0026Signature=gWmZQJuzf3EoLUG2XmnoTllt8LU8N-tQ5ikbG0cVCwpsZ0x8AqsES2OacnlVrX2arDmVn5Uzs~xcen9oY32mA1PcvH2FQhFihWcb~xY9KHM2UA2mSf2y2Fsk4B1eo5BMRwOCz0AlNMywRBmSFndRstxN-OoHU2HwfOszH1LOpGcnhcXo~sidb-Qc9hCEiDKEOGpsBNKUrFy8HzFWM13ZX6ys8MvulBdIPedYBUMo0fPZ~iD98Gk9EX4MCVTmHOLU9~~wdRsMuYuRzA37HQB0uAQedYzTIygWwy1HO-8HkZWUebRoSZTZDGJihkh7edTU~0Y2szA7K-gDlmjGDS6wNQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":70596,"name":"Minority Groups","url":"https://www.academia.edu/Documents/in/Minority_Groups"},{"id":915951,"name":"Type 2 Diabetes Mellitus","url":"https://www.academia.edu/Documents/in/Type_2_Diabetes_Mellitus"}],"urls":[{"id":6540095,"url":"https://www.researchgate.net/profile/Soohyun_Nam/publication/51483902_Effect_of_Culturally_Tailored_Diabetes_Education_in_Ethnic_Minorities_With_Type_2_Diabetes_A_Meta-analysis/links/54c8fc570cf238bb7d0eb502.pdf"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048921"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience"><img alt="Research paper thumbnail of Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience">Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2010</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To describe what adult patients with asthma report about their experiences with their own self-ma...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048921"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048921"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048921; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048921]").text(description); $(".js-view-count[data-work-id=17048921]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048921; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048921']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048921, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048921]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048921,"title":"Barriers to Patient-Clinician Collaboration in Asthma Management: The Patient Experience","translated_title":"","metadata":{"abstract":"To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.","publication_date":{"day":null,"month":null,"year":2010,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"To describe what adult patients with asthma report about their experiences with their own self-management behavior and working with their clinicians to control asthma. The study sample consisted of 104 patients with persistent asthma participating in a clinical trial on asthma monitoring. All subjects were seen by primary care clinicians of a large, academic medical center. This qualitative post hoc analysis examined the views of adults with asthma about their asthma-related health care. Patients attended monthly visits as part of their study participation, during which data were derived from semistructured interviews. All patients included in this analysis participated in the study for 1 year. At the end of study participation, patients were asked to complete an evaluation of their clinician\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s communication behavior. All study clinicians were also asked to complete a self-evaluation of their own communication behavior. Five major themes of barriers to successful self-management were identified, including personal constraints, social constraints, communication failures, medication issues, and health care system barriers to collaboration with their clinicians. Patients most frequently reported lack of communication surrounding issues relating to day-to-day management of asthma (31%) and home management of asthma (24%). Clinicians generally rated themselves well for consistency in showing nonverbal attentiveness (89%) and maintaining interactive conversations (93%). However, only 30% of clinicians reported consistency in helping patients make decisions about asthma management and only 33% of clinicians reported consistency in tailoring medication schedules to the patient\u0026amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s routines. These findings emphasize the difficulties of establishing and maintaining a therapeutic partnership between patients and clinicians. The results underscore the need for system-wide interventions that promote the success of a therapeutic patient-clinician relationship in order to achieve long-term success in chronic disease management.","internal_url":"https://www.academia.edu/17048921/Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience","translated_internal_url":"","created_at":"2015-10-20T08:14:07.581-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Barriers_to_Patient_Clinician_Collaboration_in_Asthma_Management_The_Patient_Experience","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":2974,"name":"Primary Health Care","url":"https://www.academia.edu/Documents/in/Primary_Health_Care"},{"id":8819,"name":"Medication Adherence","url":"https://www.academia.edu/Documents/in/Medication_Adherence"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":11758,"name":"Health insurance","url":"https://www.academia.edu/Documents/in/Health_insurance"},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity"},{"id":57928,"name":"Travel","url":"https://www.academia.edu/Documents/in/Travel"},{"id":97252,"name":"Comprehension","url":"https://www.academia.edu/Documents/in/Comprehension"},{"id":133057,"name":"Young Adult","url":"https://www.academia.edu/Documents/in/Young_Adult"},{"id":219123,"name":"Ethnic Groups","url":"https://www.academia.edu/Documents/in/Ethnic_Groups"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":693934,"name":"Communication barriers","url":"https://www.academia.edu/Documents/in/Communication_barriers"},{"id":1034177,"name":"Continuity of Patient Care","url":"https://www.academia.edu/Documents/in/Continuity_of_Patient_Care"},{"id":1153482,"name":"Cooperative Behavior","url":"https://www.academia.edu/Documents/in/Cooperative_Behavior"},{"id":1261825,"name":"Medication Errors","url":"https://www.academia.edu/Documents/in/Medication_Errors"},{"id":2345130,"name":"Socioeconomic Factors","url":"https://www.academia.edu/Documents/in/Socioeconomic_Factors"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048919"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management"><img alt="Research paper thumbnail of Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management">Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 2000</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The objective of this work was to describe the incidence of chronic breathing problems, particula...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor&amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048919"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048919"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048919; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048919]").text(description); $(".js-view-count[data-work-id=17048919]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048919; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048919']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048919, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048919]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048919,"title":"Patients' Perceptions of Asthma Control and Impact on Attitudes and Self-Management","translated_title":"","metadata":{"abstract":"The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor\u0026amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.","publication_date":{"day":null,"month":null,"year":2000,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"The objective of this work was to describe the incidence of chronic breathing problems, particularly asthma-related breathing problems, in a cross-section of the United States population and to assess the perceived impact of these problems on daily living. An initial screening survey was used in a nationwide panel of 30,000 households; an in-depth follow-up questionnaire was sent to a random sample of respondents who reported a breathing problem. A sample (n = 2,685) of respondents who reported persistent cough, shortness of breath, or wheezing within the previous 2 years were sent a newly developed questionnaire. A subsample (n = 723) of respondents reported a primary diagnosis of asthma and of these, 59.4% were female and 90.2% were white. Their mean age was 37.4 years. Respondents (n = 723) characterized their level of perceived asthma control as completely controlled, well controlled, somewhat controlled, or poorly/not controlled. At least 31% of those with a perception of some control and 59% of those with a perception of poor/no control reported their breathing problems had increased in the last year. Those who perceived their asthma-related breathing problems as poorly controlled reported significantly greater symptom frequency, activity restriction, fears and concerns about their breathing difficulties, less helpful coping strategies, and less confidence in their doctor\u0026amp;#39;s ability to care for them. Responses to many of the questions indicated that the worst levels of disease control were associated with poorer quality of life and a more negative perception of the disease and its effects on daily living. A significant portion of the U.S. population appears to suffer from chronic breathing problems; this requires confirmation and further exploration to reduce the potential mortality and morbidity due to asthma in the United States.","internal_url":"https://www.academia.edu/17048919/Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management","translated_internal_url":"","created_at":"2015-10-20T08:14:07.019-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Patients_Perceptions_of_Asthma_Control_and_Impact_on_Attitudes_and_Self_Management","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":867,"name":"Perception","url":"https://www.academia.edu/Documents/in/Perception"},{"id":7470,"name":"Quality of life","url":"https://www.academia.edu/Documents/in/Quality_of_life"},{"id":9590,"name":"Self Care","url":"https://www.academia.edu/Documents/in/Self_Care"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":44529,"name":"Activities of Daily Living","url":"https://www.academia.edu/Documents/in/Activities_of_Daily_Living"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289330,"name":"Prevalence","url":"https://www.academia.edu/Documents/in/Prevalence"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies"},{"id":1819399,"name":"Case Control Studies","url":"https://www.academia.edu/Documents/in/Case_Control_Studies"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="17048917"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective"><img alt="Research paper thumbnail of Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective">Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective</a></div><div class="wp-workCard_item"><span>Journal of Asthma</span><span>, 1998</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Increased morbidity and mortality due to asthma suggested the need to investigate whether persons...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to &amp;quot;tough it out&amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="17048917"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="17048917"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17048917; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17048917]").text(description); $(".js-view-count[data-work-id=17048917]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17048917; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='17048917']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 17048917, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=17048917]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":17048917,"title":"Reasons for Delay in Seeking Treatment for Acute Asthma: The Patient's Perspective","translated_title":"","metadata":{"abstract":"Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to \u0026amp;quot;tough it out\u0026amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.","publication_date":{"day":null,"month":null,"year":1998,"errors":{}},"publication_name":"Journal of Asthma"},"translated_abstract":"Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to \u0026amp;quot;tough it out\u0026amp;quot; alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.","internal_url":"https://www.academia.edu/17048917/Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective","translated_internal_url":"","created_at":"2015-10-20T08:14:06.084-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":36606272,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[],"slug":"Reasons_for_Delay_in_Seeking_Treatment_for_Acute_Asthma_The_Patients_Perspective","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":36606272,"first_name":"Susan","middle_initials":null,"last_name":"Janson","page_name":"SusanJanson","domain_name":"ucsf","created_at":"2015-10-20T08:06:22.105-07:00","display_name":"Susan Janson","url":"https://ucsf.academia.edu/SusanJanson"},"attachments":[],"research_interests":[{"id":8942,"name":"Treatment","url":"https://www.academia.edu/Documents/in/Treatment"},{"id":9968,"name":"Asthma","url":"https://www.academia.edu/Documents/in/Asthma"},{"id":56429,"name":"Crisis","url":"https://www.academia.edu/Documents/in/Crisis"},{"id":95322,"name":"Behavior Therapy","url":"https://www.academia.edu/Documents/in/Behavior_Therapy"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":413195,"name":"Time Factors","url":"https://www.academia.edu/Documents/in/Time_Factors"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":489188,"name":"Emergencies","url":"https://www.academia.edu/Documents/in/Emergencies"}],"urls":[]}, dispatcherData: dispatcherData }); 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