2011
Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth
Steffenson AE, Pettifor AE, Seage GR, Rees HV, Cleary PD. Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth. Sexually Transmitted Diseases 2011, 38: 459-466. PMID: 21258268, PMCID: PMC3763704, DOI: 10.1097/olq.0b013e3182080860.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHuman immunodeficiency virus (HIV) riskSpread of HIVPrevalence of concurrencyConsistent condom useOlder South AfricansConcurrent sexual partnershipsHIV infectionImmunodeficiency virusMedian lengthRelationship power imbalancesMultivariate analysisCondom useSexual networksPrevention effortsSexual partnershipsAttitudes/behaviorsTransactional sexMonthsWomenExperienced youthMenPrevalenceVirus riskMultiple partners
2001
Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool
Horowitz L, Wang P, Koocher G, Burr B, Smith M, Klavon S, Cleary P. Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool. Pediatrics 2001, 107: 1133-1137. PMID: 11331698, DOI: 10.1542/peds.107.5.1133.Peer-Reviewed Original ResearchConceptsNegative predictive valueBrief screening toolScreening toolC-statisticHealth cliniciansPredictive valuePediatric mental health patientsSuicide riskCriterion standard assessmentPediatric emergency departmentCurrent suicidal behaviorMental health patientsEmergency department staffMental health cliniciansQuality improvement initiativesPositive predictive valueCross-sectional surveyMental health concernsClinical characteristicsPediatric EDEmergency departmentPsychiatric reasonsAdolescent patientsHealth patientsTriage nurses
1999
Use of hormone replacement therapy by postmenopausal women in the United States.
Keating N, Cleary P, Rossi A, Zaslavsky A, Ayanian J. Use of hormone replacement therapy by postmenopausal women in the United States. Annals Of Internal Medicine 1999, 130: 545-53. PMID: 10189323, DOI: 10.7326/0003-4819-130-7-199904060-00002.Peer-Reviewed Original ResearchConceptsHormone replacement therapyUse of HRTPostmenopausal womenReplacement therapyNational population-based cohortCardiac risk factorsPostmenopausal women 50Population-based cohortCurrent useRandom-digit telephone surveyYears of ageHRT useClinical factorsDiabetes mellitusWomen 50Multivariable analysisRisk factorsCardiovascular diseaseSociodemographic factorsTherapySociodemographic variationWomenTelephone surveyCohortProbability samplePerceived Risks of Heart Disease and Cancer Among Cigarette Smokers
Ayanian J, Cleary P. Perceived Risks of Heart Disease and Cancer Among Cigarette Smokers. JAMA 1999, 281: 1019-1021. PMID: 10086437, DOI: 10.1001/jama.281.11.1019.Peer-Reviewed Original ResearchConceptsMyocardial infarctionCurrent smokersHeart diseaseHeavy smokersSmoking-related health risksRisk of MIModifiable risk factorsPublic health professionalsPersonal riskLight smokersClinical factorsCigarette smokersCigarette smokingSmoking cessationMost smokersRisk factorsCardiovascular diseaseFamily historyPreventable deathsSmokers' perceptionsSmokersSelf-administered surveyHealth professionalsMultivariate analysisCancer
1995
Predictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measuresPrognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis
Chertow G, Christiansen C, Cleary P, Munro C, Lazarus J. Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis. JAMA Internal Medicine 1995, 155: 1505-1511. PMID: 7605152, DOI: 10.1001/archinte.1995.00430140075007.Peer-Reviewed Original ResearchConceptsAcute renal failureHospital mortalityRenal failureIll patientsMechanical ventilationAcute Renal Failure Requiring DialysisIntensive care unit technologyMultivariate logistic regression analysisCritically Ill PatientsHospital mortality rateHigh-risk patientsOrgan system failureIntensive care unitLogistic regression analysisOminous conditionUnderlying malignancyHospital dischargeConsecutive patientsCare unitComorbid conditionsLaboratory variablesEarly mortalityPrognostic stratificationMedical recordsProspective validation
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonths
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic useDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluation
1991
Behavior changes after notification of HIV infection.
Cleary P, Van Devanter N, Rogers T, Singer E, Shipton-Levy R, Steilen M, Stuart A, Avorn J, Pindyck J. Behavior changes after notification of HIV infection. American Journal Of Public Health 1991, 81: 1586-90. PMID: 1746654, PMCID: PMC1405297, DOI: 10.2105/ajph.81.12.1586.Peer-Reviewed Original ResearchConceptsHIV infectionBlood donorsHIV-positive blood donorsNew York Blood CenterSexual behaviorShort-term behaviour changeUnsafe sexual behaviorHigh-risk behaviorsUnsafe sexual activityBehavior changeMedical historyScreening programDrug useMedical examinationBlood centersInfectionSexual activityWeeksParticipantsQuestionnaireHIVDonorsNursesVisitsPsychological characteristicsTrends in sociodemographic and behavioral characteristics of HIV antibody-positive blood donors.
Cleary P, Van Devanter N, Rogers T, Singer E, Avorn J, Pindyck J. Trends in sociodemographic and behavioral characteristics of HIV antibody-positive blood donors. AIDS Education And Prevention 1991, 3: 60-71. PMID: 2036292.Peer-Reviewed Original ResearchConceptsSeropositive donorsBlood screeningRisk factorsDrug usersSexual contactIntravenous drug usersNew York Blood CenterProportion of menProportion reporting useHIV antibodiesBlood donorsReporting useSociodemographic characteristicsBlood centersStudy periodHIVMenGreater increaseAntibodiesDrugsSexDonorsScreeningTransfusionEvaluation study
1990
A GROUP INTERVENTION MODEL FOR INDIVIDUALS TESTING POSITIVE FOR HIV ANTIBODY
Levy R, Tendler C, VanDevanter N, Cleary P. A GROUP INTERVENTION MODEL FOR INDIVIDUALS TESTING POSITIVE FOR HIV ANTIBODY. American Journal Of Orthopsychiatry 1990, 60: 452-459. PMID: 2382696, DOI: 10.1037/h0079192.Peer-Reviewed Original Research
1988
Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients
Levkoff S, Safran C, Cleary P, Gallop J, Phillips R. Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients. Journal Of The American Geriatrics Society 1988, 36: 1099-1104. PMID: 3192888, DOI: 10.1111/j.1532-5415.1988.tb04396.x.Peer-Reviewed Original ResearchConceptsUrinary tract infectionLow serum albuminTract infectionsHospital stayRisk factorsElevated white blood cell countWhite blood cell countRisk of deliriumDiagnosis of deliriumBlood cell countCases of deliriumMajor teaching hospitalHospital mortalityDischarge diagnosisHospital chargesSame hospitalTeaching hospitalDeliriumFactors AssociatedPatientsCell countAdmissionInfectionSerum albuminStaySociodemographic and behavioral characteristics of HIV antibody-positive blood donors.
Cleary P, Singer E, Rogers T, Avorn J, Van Devanter N, Soumerai S, Perry S, Pindyck J. Sociodemographic and behavioral characteristics of HIV antibody-positive blood donors. American Journal Of Public Health 1988, 78: 953-7. PMID: 3389433, PMCID: PMC1349859, DOI: 10.2105/ajph.78.8.953.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusRisk factorsBlood donorsMajor risk factorRisk of infectionWestern blot testSeropositive donorsImmunodeficiency syndromeImmunodeficiency virusStudy populationEtiologic agentBlot testStudy participantsLack of awarenessBehavioral characteristicsSupport programsDonorsSubjectsParticipantsHigh levelsSyndromeInfectionAntibodiesWomen
1987
Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital
Phillips R, Safran C, Cleary P, Delbanco T. Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital. Journal Of General Internal Medicine 1987, 2: 400-405. PMID: 3694300, DOI: 10.1007/bf02596366.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesForecastingHospitals, TeachingHumansPatient DischargePatient ReadmissionRisk FactorsConceptsEmergency readmissionRenal diseaseTeaching hospitalAcute care teaching hospitalGreater hospital chargesDays of dischargeRisk factor profileElevated anion gapAvailable clinical dataMedical servicesReadmitted patientsLonger hospitalizationPatient demographicsPrior admissionClinical factorsHeart failureDischarge diagnosisHospital chargesRelative riskClinical dataAnion gapReadmissionReduced riskPatientsFactor profile