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1. Impact of daily cooling treatment on skin inflammation in patients with chronic venous disease

Author

Dana E. King, Teresa J. Kelechi, Margie A Prentice, Martina Mueller, and Mohan Madisetti

Subjects
Male, medicine.medical_specialty, Chronic condition, medicine.medical_treatment, Inflammation, Cryotherapy, Dermatology, Placebo, Article, Pathology and Forensic Medicine, medicine, Humans, Pathological, business.industry, Leg Ulcer, Middle Aged, Surgery, Clinical trial, Regimen, Anesthesia, Cuff, Chronic Disease, Female, medicine.symptom, business
Abstract

People with chronic venous disease are at high risk for developing venous leg ulcers. Inflammation is posited as a pathological factor for this chronic condition as evidenced by persistently elevated skin temperature. As part of a larger trial to test the effects of a cooling regimen on leg ulcer prevention, the objective of this preliminary study was to evaluate the first 30 days of intense daily cooling. Compared to a placebo control cuff, a gel cuff applied to the most severely affected lower leg skin for 30 min daily showed no statistically significant differences between temperatures taken in the home at baseline compared to those measured at the 1 month follow up visit. There were also no differences in temperatures noted between the two groups, although the temperatures in the treatment group were lower 30 min after treatment, an indication of adherence. There was no discernable decrease or increase in temperature at a given time point during the 30 day treatment period compared to the control group. It may be better to have patients monitor skin temperature on a daily basis and then apply the cuff as necessary, rather than requiring daily cooling based on baseline measurement. This "prn" approach may provide a sufficient cooling milieu to prevent escalation of inflammation and thwart ulcer occurrence or recurrence. Clinical trials registration #NCT01509599.

Published
2015

2. Publication of Research Presented at STFM and NAPCRG Conferences

Author

Kendal E. O’Hare, Mario S. Maffei, Robert E. Post, Arch G. Mainous, and Dana E. King

Subjects
medicine.medical_specialty, Evidence-Based Medicine, Primary Health Care, business.industry, media_common.quotation_subject, Primary health care, Alternative medicine, Primary care, Evidence-based medicine, Congresses as Topic, Research findings, United States, Presentation, Family medicine, Internal Medicine, Medicine, Humans, Organizational Objectives, business, Family Practice, Research dissemination, Societies, Medical, media_common, Original Research
Abstract

Presentations of research are important in the dissemination of new knowledge, but they do not reach the same audience as research published in journals. The purpose of this study was to evaluate the proportion of presentations at recent major primary care research conferences that have become published.Oral and poster presentations for completed and work-in-progress projects from the 2007 and 2008 North American Primary Care Research Group (NAPCRG) and Society of Teachers of Family Medicine (STFM) annual conferences were included in the analysis. The first presenter for each presentation was searched on PubMed, and titles and abstracts for presentations were compared for content to titles and abstracts of potential matches found on PubMed. We analyzed the proportion of presentations that were published in peer-reviewed journals, mean time to publication, and the proportions of the type of journal in which the article appeared (family medicine vs other) were analyzed.There were 1,329 presentations included in the study. Overall, 34.4% of projects presented were also published. More oral presentations (42.9%) were published than were poster presentations (25.3%) (P.001). Mean time to publication was 15.4 months. Oral presentations were published more quickly (13.7 months) than poster presentations (18.6 months) (P.001). Published reports appeared in 192 different journals. Family medicine journals accounted for 36.5% of published.More than one-third of all presentations at STFM and NAPCRG conferences were published in journals indexed in PubMed. Time to publication was comparable to that of other specialties. Fewer than 2 of every 5 reports were published are in a family medicine journal, suggesting vast breadth in family medicine research. Family medicine academicians need to refocus efforts on transforming presentations into published articles in peer-reviewed journals for broader dissemination of research findings.

Published
2013

3. Dealing with the Psychological and Spiritual Aspects of Menopause : Finding Hope in the Midlife

Author

Dana E King, Melissa Hunter, Jerri Harris, Harold G Koenig, Dana E King, Melissa Hunter, Jerri Harris, and Harold G Koenig

Subjects
Spirituality, Menopause--Psychological aspects
Abstract

Turn menopause and midlife into a positive experienceDealing with the Psychological and Spiritual Aspects of Menopause examines the emotional toll of menopause, offering help for the worry, anxiety, stress, and depression women can face during the midlife years. Instead of focusing on estrogen, hormones, and osteoporosis, the book shares up-to-date research findings on the link between spiritual and emotional health. Women from different backgrounds and spiritual traditions will find hope in the healing power of the mind/body/spirit connection as they gain a healthy perspective of the changes taking place and restore balance to their lives.Dealing with the Psychological and Spiritual Aspects of Menopause goes beyond the traditional medical approach to examine ways women can make peace with the changes they face at midlife. This unique book informs, empowers, and enlightens women about the opportunities for personal and spiritual growth during menopause, offering strategies for exercise, meditation, prayer, and counseling. The authors offer a new perspective on menopause that offers hope in the face of the stress, worry, hot flashes, and often-overwhelming responsibilities women face at the midlife. This book demonstrates that women can do more than just make it through menopause. The authors show that menopause can become a positive experience for women as they discover new avenues for finding peace and hope to sustain them through the challenges of mid-lifeand beyond. Dealing with the Psychological and Spiritual Aspects of Menopause examines alternative aspects of menopause, including: dealing with emotional loss on top of physical and psychological changes moods, attitudes, and depression the benefits of counseling and group support exercise as a treatment for anxiety and depression the work experience spiritual issues special challenges of the perimenopausal period and much more! Dealing with the Psychological and Spiritual Aspects of Menopause is a vital resource for physicians, counselors, therapists, and psychologists, and especially for the women they treat.

Published
2005

4. Inflammatory Markers and Exercise: Differences Related to Exercise Type.

Author

DANA E. KING, PETER CAREK, ARCH G. MAINOUS III, and WILLIAM S. PEARSON

Subjects
*EXERCISE, *INFLAMMATION, *BIOMARKERS, *FIBRINOGEN
Abstract

KING, D. E., P. CAREK, A. G. MAINOUS III, and W. S. PEARSON. Inflammatory Markers and Exercise: Differences Related to Exercise Type. Med. Sci. Sports Exerc., Vol. 35, No. 4, pp. 575-581, 2003.PURPOSETo examine the relationship between elevated inflammatory markers (CRP, fibrinogen, and white blood cell levels) and various forms of exercise for the adult U.S. population while controlling for factors that might influence the relationship.METHODSAn analysis of the adults age 17 and over who participated in the National Health and Nutrition Examination Survey (NHANES) III was conducted. The main goal of the analysis was to determine whether exercise type was associated with systemic markers of inflammation. Bivariate statistics using chi-square to evaluate different types of exercise according to the presence of elevated and nonelevated inflammatory markers was initially performed. In addition, multivariate models were constructed using each type of exercise activity as the predictor variable and each inflammatory marker as the dependent variable.RESULTSA total of 4072 people were included in the analysis. In bivariate analyses, compared with nonexercisers in a specific exercise type, a significant lower likelihood of elevated inflammatory markers was found among regular participants in jogging, swimming, cycling, aerobic dancing, calisthenics, and weight lifting but not for gardening. After controlling for possible confounding factors including age, race, sex, body mass index, smoking, and health status in logistic regression analysis, only regular participants in jogging and aerobic dancing remained significantly less likely to have elevated cardiovascular markers.CONCLUSIONSThe results of this study indicate that some forms of physical activity are associated with a lower likelihood of elevation of inflammatory markers, although we cannot exclude the possibility that differences may be due to exercise intensity or duration. Future research should be directed toward further exploration of the effects of different types of exercise activity on inflammatory markers and the role of exercise in the prevention of cardiovascular disease. [ABSTRACT FROM AUTHOR]

Published
2003
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5. Faith, Spirituality, and Medicine : Toward the Making of the Healing Practitioner

Author

Dana E King, Harold G Koenig, Dana E King, and Harold G Koenig

Subjects
Physician and patient, Medicine--Religious aspects, Medical education
Abstract

Understand and make use of the connections between health and religion to improve your practice!Research points to a clear link between people's religious beliefs and practices and their health. These developments have ushered in a new era in health care, in which meaning and purpose stand alongside biology as vital factors in health outcomes. Now the gap is closing between medicine and religion, as evidenced by the more than 60 US medical school courses now being given in spirituality, religion, and medicine, including courses at major teaching centers such as Harvard, Johns Hopkins, Brown, Case-Western, and others.Faith, Spirituality, and Medicine: Toward the Making of the Healing Practitioner promotes the integration of spirituality into medical care by exploring the connection between patient health and traditional religious beliefs and practices. This useful guide emphasizes basic, easily understood principles that will help health professionals apply current research findings linking religion, spirituality, and health. Faith, Spirituality, and Medicine does not advocate any particular set of beliefs or evangelize as it helps you integrate spiritual care into the care of patients by showing you how to: take a patient's spiritual history correlate religious beliefs with health beliefs address the individual spiritual needs of your patients choose a course of treatment that is in agreement with the religious belief of the patient incorporate appropriate clergy into treatment plans Faith, Spirituality, and Medicine describes a biopsychosocial-spiritual model that emphasizes the need to view patients not simply as biological creatures, but as physical, psychological, social, and spiritual beings if they are to be effectively treated and healed as whole persons.

Published
2000

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