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Biomedical subjects

J Goldhagen

Publications and source records attributed to J Goldhagen.

6 recordsLinked to original sources
PubMed1996

Computer reminders improve on-time immunization rates.

OBJECTIVES: This study examines the effectiveness of computer-generated telephone reminders in improving infants receiving on-time immunizations. A computer called parents at home, reminded them of their child's visit, and asked if they could keep the appointment. If parents either canceled or failed to honor the appointment, the computer called back a few days later and asked them to reschedule. METHODS: A medical assistant recruited 124 consecutive mothers to receive automated computer reminders. These mothers' infants were younger than 6 months, were being seen at an outpatient clinic for a first visit, and were patients of three attending physicians and three nurse practitioners. These infants were compared to 89 infants from the same clinic, in the same age range, who were being seen for the first time during the same period by the same providers but not contacted by the medical assistant. Subjects were selected from mothers who brought their infants for their first visit in an outpatient urban clinic that serves predominantly minority clients. A research assistant reviewed patients' medical records and collected the infants' birthday, mothers' age, race, source of payments, and the immunization record of the infants. Immunization was considered to be late if, at the time of the first visit, it was more than 30 days past due for any of the recommended immunizations of the American Academy of Pediatrics, except for Hepatitis B vaccine which was not recommended at the time of the study. The dependent variable was on-time immunization. The independent variables were age of the mother at baseline, age of the child at baseline, and membership in either the comparison or the experimental group. Chi-square tests and logistic regression were used to analyze the data. RESULTS: The participation rate for appointments for the experimental group was 82%, as compared to a 69% overall participation rate for the clinic providers. The on-time immunization rate for experimental subjects was 67.8%, whereas the comparison group had an on-time immunization rate of 43.4% (differences were significant at alpha levels less than 0.01). CONCLUSIONS: Computerized reminders sent to the parents led to an increase in participation rate at the clinic and an increase in on-time immunization for their infants.

Adult↗
PubMed1992

Attitude of medical students to future practice characteristics.

In November 1990, 14.5% of the 271 medical students of the Gonder College of Medical Science (G.C.M.S.), Gonder, Ethiopia, were of peasant background. Only 10.2% of the 271 expressed willingness to serve for more than two years in the rural areas after graduation, and, of those not willing, a higher proportion (15.5%) were from the main towns than from rural areas (1.2%). Specialty choice of senior students showed obstetrics-gynaecology, other specialties such as dermatology, internal medicine and surgery as the most preferred career goals. In addition, 67.2% of the students agreed that there is a greater need for physicians in rural than urban settings, agreement being six times more frequent by Clinical Year I students than interns (referent group). Among twelve personal and professional variables suggested, continuing education, schools for children, and private practice were considered better in urban than in rural areas. The study has important implications for medical education.

Adult↗
PubMed1989

Anthrax in Ethiopia.

Twenty-seven patients with cutaneous anthrax were identified over a three-year period at Gondar College of Medical Sciences in North Central Ethiopia. Nine patients who delayed seeking medical care presented with severe symptoms and three patients died. Eighteen patients were clustered within four families in which an attack rate of 32% occurred. Ninety-three percent of patients could trace their disease to exposure to the products of a specific diseased animal. Characteristics of anthrax in Ethiopia include a known exposure to diseased animals, occurrence within families, frequent treatment by local healers, and high morbidity and mortality.

Adolescent↗
PubMed1981

Teenage pregnancy in perspective.

In an effort to provide the clinician with suggestions for preventive and remedial approaches to adolescent pregnancy, the nature, medical, social, economic, and psychological aspects of the problem are reviewed and discussed. While the rate of adolescent pregnancy is declining, there are more than 560,000 deliveries to teenagers annually. Medical risks are significantly diminished by early and comprehensive prenatal care. The major complications continue to be social and economic. Lower I.Q.s in offspring of adolescent mothers have been reported. Failure to complete high school significantly increases the risk of unemployment, trapping the premature parent and her offspring in a web of poverty. A lack of a sense of future and viable alternatives may legitimize the option of motherhood in the minds of many adolescent girls. Furthermore, an ignorance and a denial of sexuality combined with the developmental imperatives of experimentation and rebellion place the adolescent at high risk for pregnancy.

Adolescent↗