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Biomedical subjects

H P Wetzler

Publications and source records attributed to H P Wetzler.

At least 19 recordsLinked to original sources
PubMed2000

Linking pharmacy and laboratory data to assess the appropriateness of care in patients with diabetes.

OBJECTIVE: To use pharmacy and laboratory data to assess diabetes care within a medical group and between medical groups and to determine dispensing patterns and the extent to which providers change therapy based on HbA1c results. RESEARCH DESIGN AND METHODS: Participating groups submitted 1 year of data for continuously enrolled patients. Required data included date of birth, all diabetes-specific prescriptions (oral hypoglycemic agents and insulin), date of prescription, National Drug Code, all HbA1c values, lower and upper normal limits, and date of testing. RESULTS: Few changes in therapy were noted despite the large percentages of patients with suboptimal control. Nearly 90% of the patients treated with medications received a monotherapy regimen involving one of three therapeutic agents: sulfonylureas, metformin, or insulin. More than three-fourths of the patients remained on the same therapy during the observation period despite the fact that 27% of these patients had HbA1c values > or = 8%. Nearly one-fifth (18%) of patients had an HbA1c level of > or = 8% and no further testing for at least 90 days after the "actionable" HbA1C result was obtained. Furthermore, 54% of patients with actionable HbA1c results did not have a change in therapy initiated after the result was available. CONCLUSIONS: The American Diabetes Association recommendations to act on HbA1c values > or = 8% and to follow up regularly on patients found to be in suboptimal control do not appear to be applied in a consistent manner based on the pharmacy and laboratory data analyzed in this sample.

Aged↗
PubMed1989

Birth order, psychological well-being, and social supports in young adults.

Enduring aspects of childhood family structure that reflect emotional and interpersonal ties throughout development are assumed to affect the psychological well-being and social relatedness of the mature individual. This study examined one facet of family structure--birth order--and its effects on psychological well-being (PWB) and social networks in young adult high school graduates 17 to 23 years old (N = 2886; male = 76%, female = 24%). PWB was measured as an overall score with positive feelings and negative feelings subscores. First-born males scored greater on the negative feelings subscale of PWB, and male later borns had higher total psychological well-being. No differences were found for females. First borns and later borns did not differ in positive feelings or social relatedness. Further study is needed on the relationship of birth order and social relatedness in young adults, particularly females.

Adolescent↗
PubMed1989

Aerobic capacity of Polish soldiers.

Performances on 1.5-mile and 12-minute runs were used to compare aerobic fitness in groups of Polish, Austrian, and U.S. male military members. The Polish soldiers achieved better times than either the Americans or the Austrians, and both Polish and Austrians logged better times than the Americans, a possible indication of better fitness. Non-smokers performed better than smokers. Since coronary heart disease (CHD) is the leading non-accidental cause of death in the U.S. Armed Forces, higher levels of physical fitness may decrease the incidence of CHD in the U.S. military. A healthy lifestyle and motivation seem to have positive effects on physical fitness.

Adult↗
PubMed1988

A positive association between physical health practices and psychological well-being.

The association between psychological well-being (PWB) and health practices (HP) has not been explored. PWB is associated with age, income, education, and physical health. Physical health has been shown to relate to seven HP: sleep, physical exercise, breakfast, snacking, relative body weight, smoking, and alcohol consumption. The purpose of this study was to investigate the relationship between PWB and these seven physical health practices. Data were obtained from a cross-sectional health survey of 6320 persons. PWB was measured as an overall score, with positive feelings and negative feelings as subscores. Each of the three PWB measures was related to favorable health practices. The clinical significance of this relationship remains to be determined. In addition, PWB was noted to improve with age. Although one cannot infer causal relations from cross-sectional data, physical health practices may be important mediators of the mind-body interaction.

Adult↗
PubMed1987

Preadolescent friendships recalled by the young adult.

Recall of a preadolescent chumship was studied in two groups of young adults of different socioeconomic status. In both groups a preadolescent chum of the same sex was the norm (65.7% to 71.4%). For a substantial minority (3.4% to 11.4%), a chum of the opposite sex was reported.

Adolescent↗
PubMed1985

Self-reported physical health practices and health care utilization: findings from the National Health Interview Survey.

Cross-sectional physical health practice and health care utilization data from the 1977 National Health Interview Survey were analyzed. After adjusting for the effects of age, sex, race, income, education, and marital status, there were significant relationships between hours of sleep and both doctor visits and hospital days; increased physical activity was associated with fewer doctor visits. Prospective intervention studies are needed to determine whether changes in health practices will lead to decreased utilization.

Adult↗
PubMed1985

Health practices in United States Air Force personnel compared to United States adult civilians.

Seven physical health practices have been found to be related to both physical health and mortality in cross-sectional and longitudinal studies. The practices include adequate rest, sufficient exercise, eating breakfast, no snacking, maintaining a reasonable body weight, no smoking, and use of alcohol in moderation. The purpose of this study was to describe physical health practices in the United States Air Force (USAF) and to compare them to those in the US adult population. In 1977 the USAF conducted a Health Survey that included questions concerning the seven physical health practices, and the National Center for Health Statistic's Health Interview Survey included a Health Practices Supplement. The results indicated a lower level of breakfast eating and more snacking in the USAF compared to other U.S. adults, but the difference may have been due to the relatively younger age distribution in the USAF. Air Force members reported sleeping less, and the females and older persons in both populations reported less physical activity. Air Force females reported drinking more than other females, but there appeared to be less heavy drinking in the USAF. Cigarette smoking in the USAF was slightly higher. The validity of self-reported health practice data is of considerable importance in these studies. However, there is no reason to suspect meaningful differences in reporting between the USAF and US populations.

Aerospace Medicine↗