Patient Population This retrospective review of medical records was conducted in a community health clinic in the Southwest Region of Los Angeles County, and was approved by the Institutional Review Board of Human Investigations. The median household income for the region was approximately $29,501 (1995 LAC/DHS Data Collection and Analysis). The ethnic distribution of this [...]

Continue reading " PROVIDER PRACTICE, OVERWEIGHT AND ASSOCIATED RISK VARIABLES: METHODS "

Overweight among children and adolescents in the United States is now the most common nutritional health problem, and continues as an upward trend in the current decade. National Health and Nutrition Examination Surveys (NHANES) III, the Bogalusa Heart Study, and baseline data from the National Heart, Lung and Blood Institute’s Growth and Health Study show [...]

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We found that among Medicaid children in a managed care program, who were assigned to a primary care case manager physician, up-to-date immunization rates at 18 months were still low. Age appropriate immunization rates were even lower. The temporal patterns of immunizations indicated that compliance with the immunization schedule faltered after the second month of [...]

Continue reading " TIMELINESS OF IMMUNIZATIONS OF CHILDREN IN A MEDICAID PRIMARY: DISCUSSION "

Among the 5,598 children studied, most were African-American (73.4%), approximately one-half were male (51%), and most mothers were in the 20 years and over age group. The designated primary care providers included public health providers (9.3%), and private providers (90.7%). Private providers included family practitioners (10.7%), pediatricians (78.3%), and other specialists. Of the 5,598 children, [...]

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Rates of immunization for 5,598 children who were moved from fee-for-service care to a newly implemented primary care case management managed care program were reviewed in 1995 as part of the Quality Assessment and Improvement Project for Medicaid Managed Care in Virginia. Managed care was implemented for Virginia’s Medicaid population through a staged geographic approach. [...]

Continue reading " TIMELINESS OF IMMUNIZATIONS OF CHILDREN IN A MEDICAID PRIMARY: METHODS "

INTRODUCTION Although childhood immunization is a primary disease prevention strategy, children, especially low-income children, often do not receive their vaccinations on time. Up to 40% of two-year-olds do not receive their immunizations at age-appropriate intervals. During the last two decades, sporadic outbreaks of measles in the U.S. affected thousands of children and the number of [...]

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Our data suggest that, independent of other risk factors, black race is linked to the occurrence of BV/intermediate vaginal flora. Race is also independently associated with an absence of H202+ lactobacilli and the presence of G. vaginalis, M. hominis, Gram negative pigmented or non-pigmented anaerobic rods, and Mobiluncus morphotypes from the vagina, as well as [...]

Continue reading " CAN KNOWN RISK FACTORS EXPLAIN RACIAL: DISCUSSION "