{"title":"Health information and health risk behaviors in a sample of college students.","authors":"Andrew Scott LaJoie, S Lee Ridner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>College students often engage in behaviors that put their health at risk. In this study, 810 University of Louisville students (ages 18-24) completed an online assessment of their health risk behaviors. Additional information was collected concerning the types and sources of health information received by the students and how much trust the students had in the information sources. Results indicate that many students engage in health risk behaviors, including substance use, risky sexual activities, infrequent helmet use, and others, with little evidence to suggest that health information affects these behaviors. However, most students say they get their health information from sources that they don't particularly trust, such as friends, the media, and the internet. Health professionals and health educators are highly trusted by the students, yet among the least common providers of health information. Suggestions are made to encourage health professionals to prescribe health information sources on the internet to their college-age patients.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 2","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28026094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Re: Advocacy in action.","authors":"Micheal B Minix","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 2","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28026095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Turning 50.","authors":"Daniel W Varga","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 2","pages":"65-6"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28026096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Working for a smoke-free Kentucky.","authors":"Shawn C Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 2","pages":"45-6"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28026092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cost of care not equal to quality of care.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 2","pages":"47-8"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28026091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bee aware... of what to do.","authors":"Daniel P Garcia","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 1","pages":"23-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27965338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher A Feddock, Holly G Pursley, Kara O'Brien, Charles H Griffith, John F Wilson
{"title":"Attitudes of Kentucky women regarding mandatory reporting of intimate partner violence.","authors":"Christopher A Feddock, Holly G Pursley, Kara O'Brien, Charles H Griffith, John F Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Kentucky is one of only six states with laws mandating that intimate partner violence be reported to authorities. The purpose of this project was to understand the attitudes of women clinic patients in Kentucky regarding mandatory reporting of intimate partner violence and how these attitudes may differ by abuse status.</p><p><strong>Methods: </strong>Women presenting to an internal medicine clinic in the summer of 2003 were asked to complete an anonymous 30-item questionnaire, including personal history of abuse and their opinions about mandatory reporting of intimate partner violence to the police.</p><p><strong>Results: </strong>Surveys were completed by 238 women, of which 29% reported a history of intimate partner violence. Of abused women, 49% supported mandatory reporting of intimate partner violence to the police, compared to 61% of women without an abuse history (p = 0.05)</p><p><strong>Conclusion: </strong>Women with a history of abuse are more ambivalent about mandatory reporting of intimate partner violence to the police than women without a history of abuse.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27965337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screen out!: getting smoking out of youth-rated movies.","authors":"Cheryl Broster","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 1","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27965339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fatal latrogenic hyperphosphatemia.","authors":"Michael Caswell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27965340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Owoicho Adogwa, Julia F Costich, Raymond Hill, Svetla Slavova
{"title":"Does higher surgical volume predict better patient outcomes?","authors":"Owoicho Adogwa, Julia F Costich, Raymond Hill, Svetla Slavova","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To measure the relationship between procedural volume and quality by examining the association between hospital procedural volume and mortality in coronary artery bypass graft (CABG) and percutaneous transluminal coronary angioplasty (PTCA).</p><p><strong>Methods: </strong>A retrospective quantitative analysis was conducted of Kentucky hospital discharge database for patients who underwent CABG and PTCA from 2000 through 2005. Hospitals were classified into three categories based on annual number of procedures--low (12-249), medium (250-499), and high-volume (> or = 500) CABG and PTCA facilities. This study employed a multiple logistic regression model to compare the odds for fatal outcome for patients treated in high, medium, and low-volume facilities, while controlling for patient age, gender, admission urgency, hospital length-of-stay, case severity, and pre-existing clinical conditions.</p><p><strong>Results: </strong>From 2000 through 2005, 24 facilities performed 47,972 CABGs, while 30 facilities performed 75,869 PTCAs across the state of Kentucky. In non-emergent CABG and PTCA patients between the ages of 18 to 65 years, there was no statistically significant difference in the odds for fatal outcomes between low-, medium-, and high-volume hospitals. However, older (> or = 65 years old) emergent CABG and PTCA patients were more likely to die at high-volume and low-volume hospitals than medium-volume hospitals (odds ratio for CABG surgery--1.260 [1.004-1.580], 1.753 [1.266-2.4261, and odds ratio for PTCA--1.106 [1.207-2.163], 1.616 [1.207-2.163]).</p><p><strong>Conclusions: </strong>This study indicates that in hospital procedural volume Kentucky, is an imprecise predictor of quality as measured by CABG and PTCA outcomes, and should not be used by purchasers and policy makers as the only index of hospital quality.</p>","PeriodicalId":76673,"journal":{"name":"The Journal of the Kentucky Medical Association","volume":"107 1","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27965336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}