OBJECTIVE The purpose of this study was to determine the effectiveness of interventions designed to improve follow-up after an abnormal Pap smear. METHODS We performed a qualitative meta-analysis of interventions designed to improve follow-up after an abnormal Pap smear and included studies that met the following criteria: randomized or concurrently controlled study design, defined outcomes, ...

One of the most difficult clinical problems facing the mental health professional is the prediction and prevention of youth suicide. Suicide is currently the third leading cause of death for young people, ages 15 to 24, in the United States. This article presents several models for understanding youth suicidal behavior including psychologic, sociologic, and biomedical explanations. It summarize...

OBJECTIVE to assess the effectiveness of patient-targeted interventions in increasing mammography use when performed outside (outreach) or inside the primary care medical setting (inreach). METHODS We performed a meta-analysis of controlled interventions to increase mammography use in patients in the United States published between 1980 and February 2001. Interventions were classified by sett...

today, the knowledge of regions’ strong and weak points and the existing gaps between regions is necessary for better planning and programming to deal with them. using such indexes as economic, sociologic, cultural, sanitary and other indexes which can be good criteria for the position and place determination of these quotients, is the main solving problem factor to achieve economic welfare, so...

Pre-clinical exposure to patients provides opportunities for medical students to display competencies which may be expressed in reflective narratives. Geriatric education experts used qualitative consensus methods to identify themes expressed in second year medical student narratives which were mapped to ACGME Core Competencies. Concept searches operationalizing these same competencies were cre...

In this issue of Pediatrics, Farrell et al1 describe research linking poverty with child maltreatment fatalities. The American Academy of Pediatrics has addressed the overall issue of the effects of poverty in a recent policy statement.2 An increasing number of reports linking ecology with outcomes for both adults and children have been published describing risk factors for overall health, brai...