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Biomedical subjects

A Kellerman

Publications and source records attributed to A Kellerman.

5 recordsLinked to original sources
PubMed1999

Firearm ownership among female physicians in the United States.

BACKGROUND: Physicians have been called upon to counsel patients about firearm safety, but the personal prevalence of firearm ownership among physicians is poorly established. METHODS: We examined responses to the question "Do you keep a gun/firearm in your home?" from the Women Physicians' Health Study, a nationally representative survey of US female physicians (n = 4,501). RESULTS: Among female physicians, 16.5% reported having a firearm in their homes. Those who were older, married, practicing in a rural region, and residing in the South Central or Mountain states were more likely to report having a firearm in the home. Emergency medicine specialists, Protestants, physicians reporting a history of depression, and those on call more than six times per month were also more likely to report keeping a firearm in their home. Female physicians residing on the East Coast, Hindus, and Jews were least likely to report keeping a firearm in the home. CONCLUSIONS: In the United States, the proportion of female physicians who report having a firearm in the home was about half that reported by other women and one third that reported by men. This observation may have important implications for encouraging female physicians to counsel their patients about firearm ownership and storage.

Adult↗
PubMed1995

The impact of nursing home transfer policies at the end of life on a public acute care hospital.

OBJECTIVES: To determine whether nursing homes transferred their terminal care patients to one public hospital, and if so, the impact of these transfers on nursing home and hospital mortality rates. DESIGN: A retrospective cohort study using both Medicare claims and hospital data to construct a mortality prediction model, as well as a cross-sectional descriptive comparison of state nursing home mortality rates. SETTING: A public hospital, one of 32 hospitals designated as overall mortality outliers for each of the first three Medicare mortality reports. PARTICIPANTS: Patients (n = 1235) included in the index hospital's 1988 Medicare mortality report; nursing homes (n = 289) included in state data on 1988 nursing home mortality rates. MEASUREMENTS AND RESULTS: Patients transferred from nursing homes to the index hospital were nearly twice as likely to die as the hospital's other Medicare patients in univariate (P = .0001) as well as multivariate analysis (OR = 1.68, 95% CI = 1.17 - 2.40). Terminal care admissions accounted for 33.9% of deaths from nursing homes but only 16.2% of other deaths (P = .009). The 1988 death/discharge rate at one of two nursing homes responsible for nearly all transfers was 15.2%, less than half the state average. Yet it contributed 59.3% of nursing home deaths and 22.7% of terminal care patients to the hospital. The hospital's 20.0% 1988 Medicare mortality rate was just above the expected range. CONCLUSIONS: Two nursing homes transferred terminal care to a single hospital. This resulted in a lower-than-average mortality rate for one of the nursing homes and a higher-than-expected Medicare mortality for the hospital. Without these end-of-life transfers, the hospital's Medicare mortality rate would have been within the expected range.

Age Factors↗
PubMed1986

Multi-sectoral urban growth in space and time: an empirical approach.

"This paper compares the distribution of growth of several economic sectors in an attempt to trace and analyse their spatiotemporal sequence of decentralization. The paper applies a polynomial regression model capable of dealing with detailed spatiotemporal series. The application of the model to the urban field of Philadelphia [Pennsylvania] shows population to be the farthest spread followed by manufacturing industries. Despite, or probably because of, their extensive spread, both sectors display low levels of growth." In addition to population and manufacturing, the patterns of growth in retail and wholesale trade, services, and the provision of financial, insurance, and real estate services are examined for the period 1960-1980. (summary in FRE, GER)

Americas↗