Theodore W. Marcy

University of Vermont

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David A. Kaminsky

University of Vermont

John J. Marini

University of Minnesota

Alexander B. Adams

Hennepin County Medical Center

Gerald S. Davis

Commonwealth Medical College

William C. Burke

Dartmouth–Hitchcock Medical Center

Richard N. Shiffman

Agency for Healthcare Research and Quality

Sue A. Ravenscraft

University of Minnesota

Charles G. Irvin

University of Vermont

George Nakos

University General Hospital Attikon

Avi Nahum

Regions Hospital

Cooperative Institutions

University of Vermont

Harvard University

University of Vermont Medical Center

University of Colorado Denver

Massachusetts General Hospital

University of California, San Francisco

University of Colorado Anschutz Medical Campus

University of Colorado Health

Johns Hopkins University

Pulmonary and Critical Care Associates

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RADON AWARENESS AND MITIGATION IN VERMONT: A PUBLIC HEALTH SURVEY

Health Physics (2007)

Erik Riesenfeld Theodore W. Marcy Kyndaron Reinier Joan A. Mongeon Craig W. Trumbo

Radon exposure is associated with an increased incidence of lung cancer, and elevated levels may be found in as many as 1 out of 15 homes. The U.S. EPA recommends testing homes for radon and mitigating over the advisory level of 4 picocuries per liter (4 pCi L(-1), or 148 Bq m(-3)). A sample population from a list of Vermont residents who had tested their residence for radon through the Vermont Department of Health and who had elevated levels were mailed a survey to assess demographic characteristics, knowledge about radon, mitigation rates, types of mitigation, as well as barriers to mitigation. The response rate was 63%. Forty-three percent of respondents mitigated. Roughly half were not completely knowledgeable of radon based upon the ability to associate radon exposure with lung cancer risk. Reasons not to mitigate radon levels in homes were cost and lack of concern over elevated levels. A multivariate logistic regression analysis revealed factors associated with mitigating: an education level of college or higher (p = 0.02), concern that a high radon level would affect real estate value (p = 0.04), and home age less than 10 y (p = 0.05). In summary, less than half of Vermonters with elevated radon levels participating in the Department of Health program mitigated. We identify factors associated with radon mitigation that may lead to improved radon education and mitigation practice.

10.1097/01.hp.0000254862.50407.4a

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Citations (19)

Evidence for a Defect in Vitamin D Metabolism in a Patient with Incomplete Fanconi Syndrome*

The Journal of Clinical Endocrinology & Metabolism (1984)

Daniel T. Baran Theodore W. Marcy

A patient with incomplete Fanconi syndrome (no metabolic acidosis) presented with muscle weakness and biochemical and radiographic evidence of osteomalacia. Despite hypophosphatemia and increased PTH levels, circulating concentrations of 1,25-dihydroxyvitamin D were inappropriately low. Treatment with the vitamin D metabolite and hydrochlorothiazide was attended by enhanced calcium and phosphorus balance. Impaired vitamin D metabolism may play a role in the pathogenesis of osteomalacia in the Fanconi syndrome.

Osteomalacia

Hypophosphatemia

Fanconi syndrome

Muscle weakness

10.1210/jcem-59-5-998

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Citations (14)

Approaches to Achieving Universal Health Care in the United States

American Journal of Respiratory and Critical Care Medicine (2009)

Lee K. Brown Theodore W. Marcy Dana G. Kissner Ivor S. Douglas

10.1164/rccm.200906-0880ed

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COPD and Smoking Cessation Motivation

CHEST Journal (2004)

David A. Kaminsky Theodore W. Marcy

10.1378/chest.125.5.1958

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Citations (3)

Anatomy of the Respiratory System

CRC Press eBooks (1999)

Theodore W. Marcy Gerald S. Davis

To understand respiratory system disorders, one first must have an appreciation of the normal respiratory system, its functions, and how its anatomy serves those functions. To those who specialize in pulmonary medicine, one of its attractions is how these principles illuminate what we observe daily in patients. This chapter is an introduction to the function and anatomy of the respiratory system. Space constraints dictate that this chapter be a very brief overview. However, concepts mentioned here are further expanded in the chap ters that immediately follow on respiratory muscles and control of ventilation, airflow, gas exchange, and host defense. They are then echoed in the chapters on diagnostic evaluation, specific disorders, and common therapies. Excellent chapters or monographs on anatomy and physiology are listed at the end of the chapter.

10.1201/9781482276756-4

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Knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease by primary care physicians

Respiratory Medicine COPD Update (2006)

David A. Kaminsky Theodore W. Marcy M. Bachand Charles G. Irvin

Spirometer

Reimbursement

10.1016/j.rmedu.2006.03.016

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Citations (92)

Discontinuation of Mechanical Ventilation