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G E Fryer

Publications and source records attributed to G E Fryer.

81 records · Page 5Linked to original sources
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Recognizing and reporting dental violence: a survey of dental practitioners.

A survey was sent to 1,000 Colorado dentists to evaluate their recognition and reporting of child, elder, and spouse abuse. Approximately 40% of the dentists returned the survey. In answering questions about suspected and reported cases of child abuse, 29% of the respondents indicated that they had suspected at least one of their patients to be a victim of child abuse, while 14% of the respondents had actually reported at least one case. Only 7% of the responding dentists had ever suspected a case of elder abuse, while just over 1% indicated that they had reported at least one suspected elder abuse case to authorities. When asked about their recognition and reporting of spouse abuse, 30% of the responding practitioners had suspected at least one case, while only 3% had ever actually reported a case to authorities. The overwhelming majority of responding dentists indicated that they needed to know more about child, elder, and spouse abuse.

Adult↗
PubMedDate not supplied

Reversal of central benzodiazepine effects by intravenous flumazenil.

The purpose of this study was to determine the efficacy of flumazenil in safely expediting patient recovery from benzodiazepine sedation. This double-blind, randomized, placebo-controlled study involved 30 patients who received conscious sedation induced by intravenous midazolam given for a dental surgical procedure. Patients who received flumazenil were rated significantly more alert than were placebo-treated patients at 5 and 15 min following test drug administration. They also had significantly superior scores on the digital symbol substitution test and on tests in a comprehensive modified neurological examination 5 min after receiving flumazenil. Group differences were not as impressive on recall and recognition tests. However, flumazenil patients scored somewhat more favorably than the placebo group patients in identifying simple objects they had been shown during the observation period following surgery. Flumazenil appears to be a promising drug for reversing midazolam conscious sedation.

Adult↗
PubMedDate not supplied

Programming for preventing sexual abuse and abduction: what does it mean when it works?

Many kinds of educational programs and other approaches to teaching children about the dangers of sexual abuse and abduction by strangers can have the "side effect" of creating new anxieties in the children. The program described in this article is effective without introducing negative, anxiety-producing stories, examples, and other warnings.

Accident Prevention↗
PubMedDate not supplied

Age/sex registries in primary care research.

Age/sex registries have been examined as a method of estimating the number of individuals served by a primary care practice. These data can be used in estimating disease frequency from primary care encounter data. The experience with age/sex registries in the Ambulatory Sentinel Practice Network (ASPN) has identified three major sources of error when registry data are used to estimate disease rates: (1) studies using medical encounter data exclude those individuals who do not seek medical care, (2) visitation is not random and is a function of variables in addition to disease incidence, and (3) encounter data from primary care practices are incomplete due to reporting problems and patient-initiated visits to other health care providers. Despite these limitations, age/sex registries can provide a practical tool for estimating disease rates in appropriate settings, assessing the generalizability of results, and assessing the feasibility of studies in practice based research. Further research about age/sex registries is needed to improve disease rate estimation as well as to better define methods. An age/sex registry enumerates a population by age and sex categories. Such a registry of the patients cared for by a medical practice represents a useful tool for practice based research. This paper briefly reviews the background of age/sex registries in North America, describes the experience of the Ambulatory Sentinel Practice Network with age/sex registries, identifies problems in using age/sex registries to provide denominator data for disease frequency estimation, and explores other uses for age/sex registry data.

Adolescent↗
PubMedDate not supplied

Use of cooperative health statistics system physician data in small area manpower needs assessment: the case of rural Colorado.

Maldistribution with respect of medical practice location and specialty continues to present barriers to quality care for many Americans. Residents of rural communities in Colorado often lack access to health care services appropriate in number and nature to their needs. A valid determination of the severity of inaccessibility of medical care is a prerequisite to effective programming for alleviating the problem. Any such needs assessment must be predicated on the use of a reliable, detailed physician manpower data base. Physician data used in evaluating the adequacy of health care delivery systems serving small or sparsely populated rural areas have traditionally proved inadequate, causing loss of credibility in the findings derived from those efforts. A concerted attempt was made in rural Colorado to establish a physician inventory for identifying health manpower shortage areas and assessing the degree of medical underservice. This undertaking was organized and directed by staff members of the Statewide Educational Activities for Rural Colorado's Health (SEARCH) program, the area health education center program of the University of Colorado Health Sciences Center. Cooperative Health Statistics Systems (CHSS) physician data, collected in an annual survey conducted by the Colorado Department of Health, were determined to be exceptionally accurate in describing the physician manpower practicing in the State's federally designated medically underserved counties. CHSS proved to be an outstanding source of physician data upon which small area manpower needs assessment can be based for the purpose of designating medically underserved or health manpower shortage areas.

Colorado↗