The Experts below are selected from a list of 54834 Experts worldwide ranked by ideXlab platform
Patrick G Oconnor - One of the best experts on this subject based on the ideXlab platform.
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smoking status as a Clinical Indicator for alcohol misuse in us adults
JAMA Internal Medicine, 2007Co-Authors: Sherry A Mckee, Tracy A Falba, Jody L Sindelar, Stephanie S Omalley, Patrick G OconnorAbstract:The current National Institute on Alcoholism and Alcohol Abuse (NIAAA) Clinician’s Guide, Helping Patients Who Drink Too Much,1 not only recommends screening for alcohol use disorders, but advocates screening for less severe ‘at-risk’ or hazardous drinking. The US Preventive Services Task Force (USPSTF)2 recommends screening for alcohol misuse (which includes hazardous drinking, alcohol abuse, and alcohol dependence) and have assigned a Grade B recommendation for screening and brief inventions for hazardous alcohol consumption in primary care settings. Even though screening 3–6 and brief intervention 7,8 provided in primary care settings are effective, clinicians have low rates of adherence to the guidelines for screening for alcohol misuse9–10. Using a national sample, Edlund11 estimates that only 30% of individuals who had a primary care visit reported being screened for an alcohol or drug use problem. In contrast, physicians are much more likely to screen and apply brief interventions to address smoking behavior.12,13 Studies of physician and patient reports, and medical record review find that the majority of primary care patients are screened for smoking status (81%)14. Smoking status is more likely to be recorded in the medical chart than is drinking behavior.15,16 Studies of medical patients suggest that smoking status and alcohol misuse are highly associated, such that current smoking status may be used to help identify problem drinkers.17,21 In a sample of German medical patients, the rate of daily smoking was 47.1% in those with alcohol misuse, compared to 18.4% in the general population.20 In a sample of medical and dental patients, the rate of hazardous drinking was 20.3% in current smokers, and 11.7% in current non-smokers 21. The National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Wave I, 2001–2002)22 provides a unique opportunity to investigate the sensitivity and specificity of smoking status as an Indicator of alcohol misuse among US adults following Clinical care guidelines for the assessment of these behaviors. Current and prior smoking behavior (daily, occasional, former-smoker) was assessed, rather than nicotine dependence to be consistent with Clinical care guidelines for screening of smoking status in primary care settings.23,24 Drinking behavior was assessed according to NIAAA screening guidelines, which recommends first assessing current drinking status, then hazardous drinking status, followed by alcohol use diagnoses. Thus, the goals of this study were to use the NESARC database to answer the following questions: 1) Can smoking status (daily, occasional, former) be used to detect alcohol misuse (hazardous drinking, alcohol-related diagnoses)?; and 2) Is smoking status differentially related to alcohol misuse?
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smoking status as a Clinical Indicator for alcohol misuse in us adults
JAMA Internal Medicine, 2007Co-Authors: Sherry A Mckee, Tracy A Falba, Jody L Sindelar, Stephanie S Omalley, Patrick G OconnorAbstract:The current National Institute on Alcoholism and Alcohol Abuse (NIAAA) Clinician’s Guide, Helping Patients Who Drink Too Much,1 not only recommends screening for alcohol use disorders, but advocates screening for less severe ‘at-risk’ or hazardous drinking. The US Preventive Services Task Force (USPSTF)2 recommends screening for alcohol misuse (which includes hazardous drinking, alcohol abuse, and alcohol dependence) and have assigned a Grade B recommendation for screening and brief inventions for hazardous alcohol consumption in primary care settings. Even though screening 3–6 and brief intervention 7,8 provided in primary care settings are effective, clinicians have low rates of adherence to the guidelines for screening for alcohol misuse9–10. Using a national sample, Edlund11 estimates that only 30% of individuals who had a primary care visit reported being screened for an alcohol or drug use problem. In contrast, physicians are much more likely to screen and apply brief interventions to address smoking behavior.12,13 Studies of physician and patient reports, and medical record review find that the majority of primary care patients are screened for smoking status (81%)14. Smoking status is more likely to be recorded in the medical chart than is drinking behavior.15,16 Studies of medical patients suggest that smoking status and alcohol misuse are highly associated, such that current smoking status may be used to help identify problem drinkers.17,21 In a sample of German medical patients, the rate of daily smoking was 47.1% in those with alcohol misuse, compared to 18.4% in the general population.20 In a sample of medical and dental patients, the rate of hazardous drinking was 20.3% in current smokers, and 11.7% in current non-smokers 21. The National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Wave I, 2001–2002)22 provides a unique opportunity to investigate the sensitivity and specificity of smoking status as an Indicator of alcohol misuse among US adults following Clinical care guidelines for the assessment of these behaviors. Current and prior smoking behavior (daily, occasional, former-smoker) was assessed, rather than nicotine dependence to be consistent with Clinical care guidelines for screening of smoking status in primary care settings.23,24 Drinking behavior was assessed according to NIAAA screening guidelines, which recommends first assessing current drinking status, then hazardous drinking status, followed by alcohol use diagnoses. Thus, the goals of this study were to use the NESARC database to answer the following questions: 1) Can smoking status (daily, occasional, former) be used to detect alcohol misuse (hazardous drinking, alcohol-related diagnoses)?; and 2) Is smoking status differentially related to alcohol misuse?
Juikun Chiang - One of the best experts on this subject based on the ideXlab platform.
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lipid accumulation product a simple and accurate index for predicting metabolic syndrome in taiwanese people aged 50 and over
BMC Cardiovascular Disorders, 2012Co-Authors: Juikun Chiang, Malcolm KooAbstract:Lipid accumulation product (LAP) has been advocated as a simple Clinical Indicator of metabolic syndrome (MS). However, no studies have evaluated the accuracy of LAP in predicting MS in Taiwanese adults. The aim of our investigation was to use LAP to predict MS in Taiwanese adults. Taiwanese adults aged 50 years and over (n = 513) were recruited from a physical examination center at a regional hospital in southern Taiwan. MS was defined according to the MS criteria for Taiwanese people. LAP was calculated as (waist circumference [cm] − 65) × (triglyceride concentration [mM]) for men, and (waist circumference [cm] − 58) × (triglyceride concentration [mM]) for women. Simple logistic regression and receiver-operating characteristic (ROC) analyses were conducted. The prevalence of MS was 19.5 and 21.5% for males and females, respectively. LAP showed the highest prediction accuracy among adiposity measures with an area under the ROC curve (AUC) of 0.901. This was significantly higher than the adiposity measure of waist-to-height ratio (AUC = 0.813). LAP was a simple and accurate predictor of MS in Taiwanese people aged 50 years and over. LAP had significantly higher predictability than other adiposity measures tested.
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lipid accumulation product a simple and accurate index for predicting metabolic syndrome in taiwanese people aged 50 and over
BMC Cardiovascular Disorders, 2012Co-Authors: Juikun Chiang, Malcolm KooAbstract:Background: Lipid accumulation product (LAP) has been advocated as a simple Clinical Indicator of metabolic syndrome (MS). However, no studies have evaluated the accuracy of LAP in predicting MS in Taiwanese adults. The aim of our investigation was to use LAP to predict MS in Taiwanese adults. Methods: Taiwanese adults aged 50 years and over (n=513) were recruited from a physical examination center at a regional hospital in southern Taiwan. MS was defined according to the MS criteria for Taiwanese people. LAP was calculated as (waist circumference [cm] −65) × (triglyceride concentration [mM]) for men, and (waist circumference [cm] −58) × (triglyceride concentration [mM]) for women. Simple logistic regression and receiver-operating characteristic (ROC) analyses were conducted. Results: The prevalence of MS was 19.5 and 21.5% for males and females, respectively. LAP showed the highest prediction accuracy among adiposity measures with an area under the ROC curve (AUC) of 0.901. This was significantly higher than the adiposity measure of waist-to-height ratio (AUC=0.813). Conclusions: LAP was a simple and accurate predictor of MS in Taiwanese people aged 50 years and over. LAP had significantly higher predictability than other adiposity measures tested.
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predicting insulin resistance using the triglyceride to high density lipoprotein cholesterol ratio in taiwanese adults
Cardiovascular Diabetology, 2011Co-Authors: Juikun Chiang, Jiunnkae ChangAbstract:Background The triglyceride to high-density lipoprotein cholesterol ratio (TG/HDL-C) has been advocated as a simple Clinical Indicator of insulin resistance. Thresholds of TG/HDL-C appeared to depend on ethnicity. However, no studies have specifically compared the accuracy of TG/HDL-C with and without other Clinical and demographic factors in predicting insulin resistance in Taiwanese adults. The aim of the present investigation was to use TG/HDL-C and other Clinical available factors to predict insulin resistance in Taiwanese adults.
Sherry A Mckee - One of the best experts on this subject based on the ideXlab platform.
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smoking status as a Clinical Indicator for alcohol misuse in us adults
JAMA Internal Medicine, 2007Co-Authors: Sherry A Mckee, Tracy A Falba, Jody L Sindelar, Stephanie S Omalley, Patrick G OconnorAbstract:The current National Institute on Alcoholism and Alcohol Abuse (NIAAA) Clinician’s Guide, Helping Patients Who Drink Too Much,1 not only recommends screening for alcohol use disorders, but advocates screening for less severe ‘at-risk’ or hazardous drinking. The US Preventive Services Task Force (USPSTF)2 recommends screening for alcohol misuse (which includes hazardous drinking, alcohol abuse, and alcohol dependence) and have assigned a Grade B recommendation for screening and brief inventions for hazardous alcohol consumption in primary care settings. Even though screening 3–6 and brief intervention 7,8 provided in primary care settings are effective, clinicians have low rates of adherence to the guidelines for screening for alcohol misuse9–10. Using a national sample, Edlund11 estimates that only 30% of individuals who had a primary care visit reported being screened for an alcohol or drug use problem. In contrast, physicians are much more likely to screen and apply brief interventions to address smoking behavior.12,13 Studies of physician and patient reports, and medical record review find that the majority of primary care patients are screened for smoking status (81%)14. Smoking status is more likely to be recorded in the medical chart than is drinking behavior.15,16 Studies of medical patients suggest that smoking status and alcohol misuse are highly associated, such that current smoking status may be used to help identify problem drinkers.17,21 In a sample of German medical patients, the rate of daily smoking was 47.1% in those with alcohol misuse, compared to 18.4% in the general population.20 In a sample of medical and dental patients, the rate of hazardous drinking was 20.3% in current smokers, and 11.7% in current non-smokers 21. The National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Wave I, 2001–2002)22 provides a unique opportunity to investigate the sensitivity and specificity of smoking status as an Indicator of alcohol misuse among US adults following Clinical care guidelines for the assessment of these behaviors. Current and prior smoking behavior (daily, occasional, former-smoker) was assessed, rather than nicotine dependence to be consistent with Clinical care guidelines for screening of smoking status in primary care settings.23,24 Drinking behavior was assessed according to NIAAA screening guidelines, which recommends first assessing current drinking status, then hazardous drinking status, followed by alcohol use diagnoses. Thus, the goals of this study were to use the NESARC database to answer the following questions: 1) Can smoking status (daily, occasional, former) be used to detect alcohol misuse (hazardous drinking, alcohol-related diagnoses)?; and 2) Is smoking status differentially related to alcohol misuse?
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smoking status as a Clinical Indicator for alcohol misuse in us adults
JAMA Internal Medicine, 2007Co-Authors: Sherry A Mckee, Tracy A Falba, Jody L Sindelar, Stephanie S Omalley, Patrick G OconnorAbstract:The current National Institute on Alcoholism and Alcohol Abuse (NIAAA) Clinician’s Guide, Helping Patients Who Drink Too Much,1 not only recommends screening for alcohol use disorders, but advocates screening for less severe ‘at-risk’ or hazardous drinking. The US Preventive Services Task Force (USPSTF)2 recommends screening for alcohol misuse (which includes hazardous drinking, alcohol abuse, and alcohol dependence) and have assigned a Grade B recommendation for screening and brief inventions for hazardous alcohol consumption in primary care settings. Even though screening 3–6 and brief intervention 7,8 provided in primary care settings are effective, clinicians have low rates of adherence to the guidelines for screening for alcohol misuse9–10. Using a national sample, Edlund11 estimates that only 30% of individuals who had a primary care visit reported being screened for an alcohol or drug use problem. In contrast, physicians are much more likely to screen and apply brief interventions to address smoking behavior.12,13 Studies of physician and patient reports, and medical record review find that the majority of primary care patients are screened for smoking status (81%)14. Smoking status is more likely to be recorded in the medical chart than is drinking behavior.15,16 Studies of medical patients suggest that smoking status and alcohol misuse are highly associated, such that current smoking status may be used to help identify problem drinkers.17,21 In a sample of German medical patients, the rate of daily smoking was 47.1% in those with alcohol misuse, compared to 18.4% in the general population.20 In a sample of medical and dental patients, the rate of hazardous drinking was 20.3% in current smokers, and 11.7% in current non-smokers 21. The National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Wave I, 2001–2002)22 provides a unique opportunity to investigate the sensitivity and specificity of smoking status as an Indicator of alcohol misuse among US adults following Clinical care guidelines for the assessment of these behaviors. Current and prior smoking behavior (daily, occasional, former-smoker) was assessed, rather than nicotine dependence to be consistent with Clinical care guidelines for screening of smoking status in primary care settings.23,24 Drinking behavior was assessed according to NIAAA screening guidelines, which recommends first assessing current drinking status, then hazardous drinking status, followed by alcohol use diagnoses. Thus, the goals of this study were to use the NESARC database to answer the following questions: 1) Can smoking status (daily, occasional, former) be used to detect alcohol misuse (hazardous drinking, alcohol-related diagnoses)?; and 2) Is smoking status differentially related to alcohol misuse?
Jiunnkae Chang - One of the best experts on this subject based on the ideXlab platform.
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predicting insulin resistance using the triglyceride to high density lipoprotein cholesterol ratio in taiwanese adults
Cardiovascular Diabetology, 2011Co-Authors: Juikun Chiang, Jiunnkae ChangAbstract:Background The triglyceride to high-density lipoprotein cholesterol ratio (TG/HDL-C) has been advocated as a simple Clinical Indicator of insulin resistance. Thresholds of TG/HDL-C appeared to depend on ethnicity. However, no studies have specifically compared the accuracy of TG/HDL-C with and without other Clinical and demographic factors in predicting insulin resistance in Taiwanese adults. The aim of the present investigation was to use TG/HDL-C and other Clinical available factors to predict insulin resistance in Taiwanese adults.
William B Kannel - One of the best experts on this subject based on the ideXlab platform.
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usefulness of the triglyceride high density lipoprotein versus the cholesterol high density lipoprotein ratio for predicting insulin resistance and cardiometabolic risk from the framingham offspring cohort
American Journal of Cardiology, 2008Co-Authors: William B Kannel, Ramachandran S Vasan, Michelle J Keyes, Lisa M Sullivan, Sander J RobinsAbstract:Increased triglycerides (TG) and decreased high-density lipoprotein (HDL) cholesterol are key metabolic abnormalities in patients with insulin resistance (IR) states, including diabetes mellitus. The TG/HDL cholesterol ratio was advocated as a simple Clinical Indicator of IR, but studies yielded inconsistent results. The total cholesterol/HDL cholesterol ratio was widely used to assess lipid atherogenesis, but its utility for assessing IR or its associated coronary heart disease (CHD) risk was unknown. TG/HDL cholesterol and total cholesterol/HDL cholesterol ratios were related to IR (top quartile of the homeostasis model assessment-IR) in 3,014 patients (mean age 54 years; 55% women). Logistic regression was used to construct receiver-operator characteristic curves for predicting IR, with lipid ratios as predictors. Multivariable Cox regression was used to evaluate whether adjusting for lipid ratios attenuated the association of IR with CHD. Cross sectionally, age- and gender-adjusted correlations of IR were 0.46 with TG/HDL cholesterol ratio and 0.38 with total/HDL cholesterol ratio. IR prevalence increased across tertiles of lipid ratios (p
