OBJECTIVE The growing importance of electronic medical records (EMRs) to healthcare systems is evident, yet the debate concerning their impact on patient-provider communication during encounters remains unresolved. For this study, we hypothesize that providers' use of the EMR will improve patient-provider communication concerning self-care during the medical encounter. DESIGN Cross-sectional,...

The possible cosmological e ects of primordial non{adiabatic uctuations in the matter{gravity quantum system are explored. In particular, both the metric and a scalar matter eld are expanded around their homogeneous values and the corrections induced on the scalar eld uctuation spectrum by the non{adiabatic terms are perturbatively estimated. Finally, results of a preliminary numerical simulati...

We develop the idea that, in quantum gravity where the horizon uctuates, a black hole should have a discrete mass spectrum with concomitant line emission. Simple arguments x the spacing of the lines, which should be broad but unblended. Assuming uniformity of the matrix elements for quantum transitions between near levels, we work out the probabilities for the emission of a speciied series of q...

Peter Anninos, Richard H. Price, Jorge Pullin, Edward Seidel, and Wai-Mo Suen 1 National Center for Supercomputing Applications, Beckman Institute, 405 N. Mathews Ave., Urbana, IL, 61801 2 Department of Physics, University of Illinois, Urbana, IL 61801 3 Department of Physics, University of Utah, Salt Lake City, UT 84112-1195 4 Center for Gravitational Physics and Geometry, Department of Physic...

Treating Vasomotor Symptoms Although 85 percent of perimenopausal women have vasomotor symptoms (hot flushes), only one half of these women find them disturbing. Twenty percent of women will experience symptoms for less than one year, but approximately 50 percent of women may experience symptoms for five years or more. Conventional estrogen therapy is effective in controlling symptoms in more t...

The objective of this study was twofold: (1) to document the prevalence of depression and anxiety in patients with moderate or severe chronic obstructive pulmonary disease; and (2) to determine whether the presence of depression or anxiety adversely affected the functional capabilities of the patient as reflected by the distance he could walk in 12 minutes. Forty-five patients with an FEV1 less...

The possible cosmological eeects of primordial non{adiabatic uctua-tions in the matter{gravity quantum system are explored. In particular, both the metric and a scalar matter eld are expanded around their homogeneous values and the corrections induced on the scalar eld uctua-tion spectrum by the non{adiabatic terms are perturbatively estimated. Finally, results of a preliminary numerical simula...

BACKGROUND The prevalence of monoclonal gammopathy of undetermined significance (MGUS), a premalignant plasma-cell disorder, among persons 50 years of age or older has not been accurately determined. We used sensitive laboratory techniques to ascertain the prevalence of MGUS in a large population in a well-defined geographic area. METHODS We identified all living residents of Olmsted County, ...