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Biomedical subjects

J Froom

Publications and source records attributed to J Froom.

At least 73 records · Page 4Linked to original sources
PubMed1980

The genogram.

The genogram is presented as a technique to record both genetic and interpersonal family-household data. Working with model patients, and using standard instructions and symbols, family medicine residents elicited and recorded an average of 83 percent of available information items during interviews that lasted an average of 16 minutes. Interpretation of data derived from genograms written by other physicians was achieved with a high degree of accuracy (91 to 96 percent correct answers to 25 questions on each of three family-households). The genogram appears to be a practical instrument to record and retrieve family-household data, but its wide application will require standardization of both the technique of recording and the symbols employed.

Family Characteristics↗
PubMed1980

The spectrum of otitis media in family practice.

Individual and family factors which relate to acute purulent otitis media were investigated in a family practice population. In a practice with more than 11,000 patients, 442 persons had 527 episodes of otitis media during a one-year period. More than 20 percent of the cases occurred in patients of age 15 years and over, but the case rate per year for this group was 11 cases per 1,000 as opposed to 109.7 cases per 1,000 for patients under the age of 15 years. Twenty percent of young children had two or more episodes during the year as compared with five percent for adults. Females had more multiple episodes than did males. The incidence of multiple cases in families is greater than would be expected if cases were distributed randomly (P less than 0.05). However, significantly fewer families with three or more children reported cases of otitis media as compared with smaller families (P less than 0.05).

Adolescent↗
PubMed1980

The spectrum of urinary tract infections in family practice.

Urinary tract infections are among the most frequently encountered health problems in patients of family physicians. The diagnosis requires the demonstration of more than 100,000 bacterial colonies per milliliter in a freshly voided urine specimen. Dysuria, proteinuria, and pyuria are unreliable diagnostic criteria. The pathogenesis is uncertain although vaginal colonization with enteric bacteria, voluntary avoidance of urination, and sexual intercourse are contributing causes. Vesicoureteral reflux is related to recurrent infection but a causal relationship has not been established. Urinary tract infection in children is related to decreased renal growth and kidney scars, but therapy of the infections does not prevent kidney damage. Infections disappear spontaneously in up to 40 percent of adult women. Bacteriuria in pregnancy, however, is related to low birth weight in infants and increased perinatal mortality. Asymptomatic bacteriuria need not be diagnosed or treated except in pregnant women. For symptomatic infections, short-term antibiotic therapy is as effective as long-term therapy. Prophylactic antibiotics and therapy by modification of behavior using a multifaceted regimen can reduce the frequency of recurrent infection.

Adult↗
PubMed1980

Use of the international classification of health problems in primary care (ICHPPC-2) for reimbursement.

ICHPPC-2 is an international classification developed for use by primary care physicians. It is an official modification of ICD-9 and consists of only 362 diagnostic titles, which are directly comparable to arbitrarily selected ICD-9 rubrics. In the United States, third party reimbursement requires physicians to provide coded diagnostic information. These authors have arbitrarily assigned those code numbers from ICD-9-CM that are most likely representative of the type of health problems encountered by family physicians and therefore most appropriate for billing purposes where an ICD-9-CM code is required.

Diagnosis↗
PubMed1978

Practice profiles in evaluating the clinical experience of family medicine trainees.

A practice profile is a compilation of information allowing definition and evaluation of any of several parameters of health-care delivery. Prerequisites for development of profiles presented in this report include: suitable classification of health problems; patient demographic data; identification of individual and groups of health-care providers; and definition of the practice or study population. Details are given for two profiles: the assigned patient and the diagnostic workload profiles. Single profiles are purely descriptive but, when evaluated by appropriate peer comparison, may form the basis for a more dynamic process--that of improvement and change. Possible applications of practice profiles are discussed.

Ambulatory Care↗
PubMed1977

A conversion code from the RCGP to the ICHPPC classification system.

Faculty members from four family medicine training programs participated in the production of a definitive conversion of the Royal College of General Practitioners Classification of Diseases as modified for use with problem-oriented medical records (RCGP) to the International Classification of Health Problems for Primary Care (ICHPPC). The method used to produce the conversion and the several problems encountered are described. A detailed translation with the appropriate ICHPPC equivalent for each RCGP diagnostic title and code number is provided.

Disease↗
PubMed1977

An integrated medical record and data system for primary care. Part 6: a decade of problem-oriented medical records: a reassessment.

The Problem-Oriented Record (POR) has had a profound effect upon the medical community. Since its introduction not quite ten years ago, POR has gained remarkable acceptance. A short review of the relatively brief history of POR is given and various facets of its use are outlined as guidelines for more critical reappraisal of its merits. The fact, however, that POR is currently taught in a majority of medical schools and used in ever increasing numbers of hospitals is highly indicative of eventual conversion of all medical recoreds to POR format.

Diagnosis↗
PubMed1977

Lead screening by family physicians.

Blood lead level tests, by the finger-prick micromethod, were given to 333 children in a primary care practice. On initial testing, 18.6 percent of children had lead levels between 30 and 39 microng/100 ml and ten percent had lead levels of 40 microng/100 ml or greater. In the latter group, only 2.7 percent had levels in that range when retested with venous blood samples. Socioeconomic status, as determined by census tract residence, correlated with evidence of undue lead absorption. Of the children tested from socioeconomic Group I (I is highest), 3.4 percent were affected, as opposed to 60.0 percent of the children residing in Group V census tracts.

Child, Preschool↗