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Mark Speechley

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Victor Roland Gordeuk; Emily Harris; Laura Lovato; Christine McLaren; Gordon McLaren; Phyliss Sholinsky; Mark Speechley; Mara Vitolins; Ronald Acton; James Barton; Sharmin Diaz; John H Eckfeldt; Paul Adams
Dietary iron intake and serum ferritin concentration in 213 patients homozygous for the HFEC282Y hemochromatosis mutation.
Hanieh Rahimi; Mark Speechley; John Costella; Tom Mara; Richard Bohay
Effectiveness of antiviral agents for the prevention of recurrent herpes labialis: a systematic review and meta-analysis.
Mark Speechley; David Alter; Helen Guo; Helen Harrison; Paul C Adams
Effect of ambiguous hemochromatosis gene test results on physician utilization.

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2012: Victor Roland Gordeuk; Emily Harris; Laura Lovato; Christine McLaren; Gordon McLaren; Phyliss Sholinsky; Mark Speechley; Mara Vitolins; Ronald Acton; James Barton; Sharmin Diaz; John H Eckfeldt; Paul Adams
Dietary iron intake and serum ferritin concentration in 213 patients homozygous for the HFEC282Y hemochromatosis mutation.
Canadian journal of gastroenterology = Journal canadien de gastroenterologie 2012;26(6):345-9.
2012: Hanieh Rahimi; Mark Speechley; John Costella; Tom Mara; Richard Bohay
Effectiveness of antiviral agents for the prevention of recurrent herpes labialis: a systematic review and meta-analysis.
Oral surgery, oral medicine, oral pathology and oral radiology 2012;113(5):618-27.
2012: Mark Speechley; David Alter; Helen Guo; Helen Harrison; Paul C Adams
Effect of ambiguous hemochromatosis gene test results on physician utilization.
Medical care 2012;50(5):394-8.
2012: Manuel Montero-Odasso; Susan W Muir; Mark Speechley
Dual-task complexity affects gait in people with mild cognitive impairment: the interplay between gait variability, dual tasking, and risk of falls.
Archives of physical medicine and rehabilitation 2012;93(2):293-9.
2012: Susan W Muir; Mark Speechley; Jennie Wells; Michael J Borrie; Karen Gopaul; Manuel Montero-Odasso
Gait assessment in mild cognitive impairment and Alzheimer's disease: the effect of dual-task challenges across the cognitive spectrum.
Gait & posture 2012;35(1):96-100.
2011: Manuel Montero-Odasso; Susan W Muir; Maggie Hall; Timothy J Doherty; Marita Kloseck; Olivier Beauchet; Mark Speechley
Gait variability is associated with frailty in community-dwelling older adults.
The journals of gerontology. Series A, Biological sciences and medical sciences 2011;66(5):568-76.
2011: A Young; S J Kim; Mark Speechley; A Huang; Greg A Knoll; G V Ramesh Prasad; D Treleaven; M Diamant; Amit X Garg
Accepting kidneys from older living donors: impact on transplant recipient outcomes.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2011;11(4):743-50.
2010: Susan W Muir; Katherine Berg; Bert Chesworth; Neil Klar; Mark Speechley
Application of a fall screening algorithm stratified fall risk but missed preventive opportunities in community-dwelling older adults: a prospective study.
Journal of geriatric physical therapy (2001) 2010;33(4):165-72.
2010: Susan W Muir; Mark Speechley
Establishing predictive validity of the Fullerton Advanced Balance scale.
Archives of physical medicine and rehabilitation 2010;91(7):1147; author reply 1147-8.
2010: Susan W Muir; Katherine Berg; Bert Chesworth; Neil Klar; Mark Speechley
Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis.
Journal of clinical epidemiology 2010;63(4):389-406.
2010: Susan W Muir; Katherine Berg; Bert Chesworth; Neil Klar; Mark Speechley
Balance impairment as a risk factor for falls in community-dwelling older adults who are high functioning: a prospective study.
Physical therapy 2010;90(3):338-47.
2010: Susan W Muir; Katherine Berg; Bert M Chesworth; Neil Klar; Mark Speechley
Modifiable Risk Factors Identify People Who Transition from Non-fallers to Fallers in Community-Dwelling Older Adults: A Prospective Study.
Physiotherapy Canada. Physiothérapie Canada 2010;62(4):358-67.
2010: Laura L Zettler; Mark Speechley; Norine C Foley; Katherine Salter; Robert Teasell
A scale for distinguishing efficacy from effectiveness was adapted and applied to stroke rehabilitation studies.
Journal of clinical epidemiology 2010;63(1):11-8.
2009: Mark Speechley; James C Barton; Leah Passmore; Helen Harrison; David M Reboussin; Emily L Harris; Charles A Rivers; Margaret Fadojutimi-Akinsiku; Lari Wenzel; Sharmin Diaz
Potential nonresponse bias in a clinical examination after initial screening using iron phenotyping and HFE genotyping in the hemochromatosis and iron overload screening study.
Genetic testing and molecular biomarkers 2009;13(6):721-8.
2009: Robert Teasell; Norine C Foley; Katherine Salter; Sanjit K Bhogal; Jeffrey William Jutai; Mark Speechley
Evidence-Based Review of Stroke Rehabilitation: executive summary, 12th edition.
Topics in stroke rehabilitation 2009;16(6):463-88.
2009: Aleksandra A Zecevic; Alan W Salmoni; John H Lewko; Anthony A Vandervoort; Mark Speechley
Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.
The Gerontologist 2009;49(5):685-96.
2009: Dawn P Gill; Guang Yong Zou; Gareth R Jones; Mark Speechley
Comparison of regression models for the analysis of fall risk factors in older veterans.
Annals of epidemiology 2009;19(8):523-30.
2009: Norine C Foley; Laura Zettler; Katherine L Salter; Sanjit K Bhogal; Robert W Teasell; Mark Speechley
In a review of stroke rehabilitation studies, concealed allocation was under reported.
Journal of clinical epidemiology 2009;62(7):766-70.
2009: Caitlin A Brandon; Dawn P Gill; Mark Speechley; Jason Gilliland; Gareth R Jones
Physical activity levels of older community-dwelling adults are influenced by summer weather variables.
Applied physiology, nutrition, and metabolism = Physiologie appliquée, nutrition et métabolisme 2009;34(2):182-90.
2009: Richard Crilly; Mark Speechley; Tom J Overend; Rob Mackenzie; Sylvia Simon; Shirra Cremer
Evaluation of a care pathway in the initiation of calcium and vitamin D treatment of patients after hip fracture.
Canadian journal on aging = La revue canadienne du vieillissement 2009;28(1):21-6.
2009: Anna M Chudyk; Jeffrey William Jutai; Robert J Petrella; Mark Speechley
Systematic review of hip fracture rehabilitation practices in the elderly.
Archives of physical medicine and rehabilitation 2009;90(2):246-62.
2009: Mathew A Plant; Christopher G Scilley; Mark Speechley
Single-stage immediate breast reconstruction using a skin-sparing incision and definitive saline implants compared with a two-stage reconstruction using tissue expansion plus implants.
The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique 2009;17(4):117-23.
2009: Manuel Montero-Odasso; Jennie L Wells; Michael J Borrie; Mark Speechley
Can cognitive enhancers reduce the risk of falls in older people with mild cognitive impairment? A protocol for a randomised controlled double blind trial.
BMC neurology 2009;9():42.
2009: Monidipa Dasgupta; Darryl B Rolfson; Paul Stolee; Michael J Borrie; Mark Speechley
Frailty is associated with postoperative complications in older adults with medical problems.
Archives of gerontology and geriatrics 2009;48(1):78-83.
2008: Gordon D McLaren; Christine E McLaren; Paul C Adams; James C Barton; David M Reboussin; Victor Roland Gordeuk; Ronald T Acton; Emily L Harris; Mark Speechley; Phyliss Sholinsky; Fitzroy W Dawkins; Beverly M Snively; Thomas M. Vogt; John H Eckfeldt
Clinical manifestations of hemochromatosis in HFE C282Y homozygotes identified by screening.
Canadian journal of gastroenterology = Journal canadien de gastroenterologie 2008;22(11):923-30.
2008: Renata Villela; Nadine Dimnik; Anita Ray; John Howard; Larry Stitt; Mark Speechley
Medical students' attitudes about cosmetic pesticides before and after an ecosystem health seminar: a pilot study.
EcoHealth 2008;5(3):275-7.
2008: Victor Roland Gordeuk; David M Reboussin; Christine E McLaren; James C Barton; Ronald T Acton; Gordon D McLaren; Emily L Harris; Jacob A. Reiss; Paul C Adams; Mark Speechley; Pradyumna D Phatak; Phyliss Sholinsky; John H Eckfeldt; Wen-Pin Chen; Leah Passmore; Fitzroy W Dawkins
Serum ferritin concentrations and body iron stores in a multicenter, multiethnic primary-care population.
American journal of hematology 2008;83(8):618-26.
2008: Dawn P Gill; Gareth R Jones; Guang Yong Zou; Mark Speechley
The Phone-FITT: a brief physical activity interview for older adults.
Journal of aging and physical activity 2008;16(3):292-315.
2008: Susan W Muir; Katherine Berg; Bert Chesworth; Mark Speechley
Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: a prospective study.
Physical therapy 2008;88(4):449-59.
2008: Amanda L Terry; Bert M Chesworth; Paul Stolee; Robert B Bourne; Mark Speechley
Joint replacement recipients' post-surgery views about health information privacy and registry participation.
Health policy (Amsterdam, Netherlands) 2008;85(3):293-304.
2008: Dawn P Gill; Guang Yong Zou; Gareth R Jones; Mark Speechley
Injurious falls are associated with lower household but higher recreational physical activities in community-dwelling older male veterans.
Gerontology 2008;54(2):106-15.
2007: Gordon Jm Bargh; Jeffrey S Hoch; Stephen W Hwang; Mark Speechley; Barbara M Willey; Allison McGeer
Group A streptococcal carriage among residents of an urban homeless shelter.
The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie médicale / AMMI Canada 2007;18(5):316-7.
2007: Robert Teasell; Nestor A Bayona; Shawn Marshall; Nora Cullen; Mark Bayley; Josie Chundamala; James Villamere; David Mackie; Laura Rees; Cheryl Hartridge; Corbin Lippert; Maureen Hilditch; Penny Welch-West; Margaret Weiser; Connie Ferri; Pat McCabe; Anna McCormick; Jo-Anne Aubut; Paul Comper; Katherine Salter; Robert van Reekum; David Collins; Norine C Foley; Jozef Nowak; Jeffrey William Jutai; Mark Speechley; Chelsea Hellings; Linh Tu
A systematic review of the rehabilitation of moderate to severe acquired brain injuries.
Brain injury : [BI] 2007;21(2):107-12.
2007: Samantha Wells; Mark Speechley; John J Koval; Kathryn Graham
Gender differences in the relationship between heavy episodic drinking, social roles, and alcohol-related aggression in a U.S. sample of late adolescent and young adult drinkers.
The American journal of drug and alcohol abuse 2007;33(1):21-9.
2006: Norine C Foley; Sanjit K Bhogal; Robert Teasell; Yves Bureau; Mark Speechley
Estimates of quality and reliability with the physiotherapy evidence-based database scale to assess the methodology of randomized controlled trials of pharmacological and nonpharmacological interventions.
Physical therapy 2006;86(6):817-24.
2006: Aleksandra A Zecevic; Alan W Salmoni; Mark Speechley; Anthony A Vandervoort
Defining a fall and reasons for falling: comparisons among the views of seniors, health care providers, and the research literature.
The Gerontologist 2006;46(3):367-76.
2006: Samantha Wells; Kathryn Graham; Mark Speechley; John J Koval
Do predisposing and family background characteristics modify or confound the relationship between drinking frequency and alcohol-related aggression? A study of late adolescent and young adult drinkers.
Addictive behaviors 2006;31(4):661-75.
2005: Rosemary Martino; Norine C Foley; Sanjit K Bhogal; Nicholas E Diamant; Mark Speechley; Robert Teasell
Dysphagia after stroke: incidence, diagnosis, and pulmonary complications.
Stroke; a journal of cerebral circulation 2005;36(12):2756-63.
2005: Samantha Wells; Kathryn Graham; Mark Speechley; John J Koval
Drinking patterns, drinking contexts and alcohol-related aggression among late adolescent and young adult drinkers.
Addiction (Abingdon, England) 2005;100(7):933-44.
2005: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad scale in stroke rehabilitation literature.
Journal of clinical epidemiology 2005;58(7):668-73.
2005: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
Heterocyclics and selective serotonin reuptake inhibitors in the treatment and prevention of poststroke depression.
Journal of the American Geriatrics Society 2005;53(6):1051-7.
2005: Robert J Petrella; Mark Speechley; Peter W Kleinstiver; Terry Ruddy
Impact of a social marketing media campaign on public awareness of hypertension.
American journal of hypertension 2005;18(2 Pt 1):270-5.
2005: Mark Speechley; Shannon Belfry; Michael J Borrie; Krista Bray Jenkyn; Richard Crilly; Dawn P Gill; Sarena McLean; Paul Stolee; Anthony A Vandervoort; Gareth R Jones
Risk factors for falling among community-dwelling veterans and their caregivers.
Canadian journal on aging = La revue canadienne du vieillissement 2005;24(3):261-74.
2004: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
Lesion location and poststroke depression: systematic review of the methodological limitations in the literature.
Stroke; a journal of cerebral circulation 2004;35(3):794-802.
2003: John F Kramer; Mark Speechley; Robert Bourne; Cecil H Rorabeck; Margaret Vaz
Comparison of clinic- and home-based rehabilitation programs after total knee arthroplasty.
Clinical orthopaedics and related research 2003;(410):225-34.
2003: Sanjit K Bhogal; Robert Teasell; Mark Speechley
Intensity of aphasia therapy, impact on recovery.
Stroke; a journal of cerebral circulation 2003;34(4):987-93.
2003: Patricia Morley-Forster; Alexander J Clark; Mark Speechley; Dwight Moulin
Attitudes toward opioid use for chronic pain: a Canadian physician survey.
Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur 2003;8(4):189-94.
2003: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
Community reintegration after stroke.
Topics in stroke rehabilitation 2003;10(2):107-29.
2003: Jeffrey William Jutai; Sanjit K Bhogal; Norine C Foley; Mark Bayley; Robert Teasell; Mark Speechley
Treatment of visual perceptual disorders post stroke.
Topics in stroke rehabilitation 2003;10(2):77-106.
2003: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
Rehabilitation of aphasia: more is better.
Topics in stroke rehabilitation 2003;10(2):66-76.
2003: Robert Teasell; Sanjit K Bhogal; Norine C Foley; Mark Speechley
Gait retraining post stroke.
Topics in stroke rehabilitation 2003;10(2):34-65.
2003: Robert Teasell; Norine C Foley; Sanjit K Bhogal; Mark Speechley
Early supported discharge in stroke rehabilitation.
Topics in stroke rehabilitation 2003;10(2):19-33.
2003: Norine C Foley; Robert Teasell; Sanjit K Bhogal; Timothy Doherty; Mark Speechley
The efficacy of stroke rehabilitation: a qualitative review.
Topics in stroke rehabilitation 2003;10(2):1-18.
2003: Robert Teasell; Norine C Foley; Sanjit K Bhogal; Mark Speechley
An evidence-based review of stroke rehabilitation.
Topics in stroke rehabilitation 2003;10(1):29-58.
2003: Sanjit K Bhogal; Robert Teasell; Norine C Foley; Mark Speechley
Quality of the stroke rehabilitation research.
Topics in stroke rehabilitation 2003;10(1):8-28.
2003: Norine C Foley; Robert Teasell; Sanjit K Bhogal; Mark Speechley
Stroke Rehabilitation Evidence-Based Review: methodology.
Topics in stroke rehabilitation 2003;10(1):1-7.
2002: Kevin P White; Warren R Nielson; Manfred Harth; Truls Ostbye; Mark Speechley
Does the label "fibromyalgia" alter health status, function, and health service utilization? A prospective, within-group comparison in a community cohort of adults with chronic widespread pain.
Arthritis and rheumatism 2002;47(3):260-5.
2002: Michael J Borrie; Mary Bawden; Mark Speechley; Marita Kloseck
Interventions led by nurse continence advisers in the management of urinary incontinence: a randomized controlled trial.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 2002;166(10):1267-73.
2002: John P Wojcik; Mark Speechley; Ann E Kertesz; Subrata Chakrabarti; Paul C Adams
Natural history of C282Y homozygotes for hemochromatosis.
Canadian journal of gastroenterology = Journal canadien de gastroenterologie 2002;16(5):297-302.
2002: Kevin P White; Warren R Nielson; Manfred Harth; Truls Ostbye; Mark Speechley
Chronic widespread musculoskeletal pain with or without fibromyalgia: psychological distress in a representative community adult sample.
The Journal of rheumatology 2002;29(3):588-94.
2002: Dwight Moulin; Alexander J Clark; Mark Speechley; Patricia Morley-Forster
Chronic pain in Canada--prevalence, treatment, impact and the role of opioid analgesia.
Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur 2002;7(4):179-84.
2001: Bert M Chesworth; Mark Speechley; K Hartford; Richard Crilly
Home care after hip fracture in a health planning region.
Canadian journal of public health. Revue canadienne de santé publique 2001;92(5):380-4.
2001: John F Kramer; P Potter; Karen Harburn; Mark Speechley; Gary Rollman
An upper body musculoskeletal assessment instrument for patients with work-related musculoskeletal disorders: a pilot study.
Journal of hand therapy : official journal of the American Society of Hand Therapists 2001;14(2):115-21.
2000: Kevin P White; Manfred Harth; Mark Speechley; Truls Ostbye
A general population study of fibromyalgia tender points in noninstitutionalized adults with chronic widespread pain.
The Journal of rheumatology 2000;27(11):2677-82.
2000: Kevin P White; Truls Ostbye; Manfred Harth; Warren R Nielson; Mark Speechley; Robert Teasell; Robert Bourne
Perspectives on posttraumatic fibromyalgia: a random survey of Canadian general practitioners, orthopedists, physiatrists, and rheumatologists.
The Journal of rheumatology 2000;27(3):790-6.
2000: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
Co-existence of chronic fatigue syndrome with fibromyalgia syndrome in the general population. A controlled study.
Scandinavian journal of rheumatology 2000;29(1):44-51.
1999: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls.
The Journal of rheumatology 1999;26(7):1577-85.
1999: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
The London Fibromyalgia Epidemiology Study: the prevalence of fibromyalgia syndrome in London, Ontario.
The Journal of rheumatology 1999;26(7):1570-6.
1999: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
The London Fibromyalgia Epidemiology Study: direct health care costs of fibromyalgia syndrome in London, Canada.
The Journal of rheumatology 1999;26(4):885-9.
1999: Kevin P White; Manfred Harth; Mark Speechley; Truls Ostbye
Testing an instrument to screen for fibromyalgia syndrome in general population studies: the London Fibromyalgia Epidemiology Study Screening Questionnaire.
The Journal of rheumatology 1999;26(4):880-4.
1999: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
Comparing self-reported function and work disability in 100 community cases of fibromyalgia syndrome versus controls in London, Ontario: the London Fibromyalgia Epidemiology Study.
Arthritis and rheumatism 1999;42(1):76-83.
1998: Trevor B Birmingham; John F Kramer; Mark Speechley; Bert M Chesworth; joy macdermid
Measurement variability and sincerity of effort: clinical utility of isokinetic strength coefficient of variation scores.
Ergonomics 1998;41(6):853-63.
1997: M R Tassone; Mark Speechley
Geographical challenges for physical therapy continuing education: preferences and influences.
Physical therapy 1997;77(3):285-95.
1996: Paul C Adams; Mark Speechley
The effect of arthritis on the quality of life in hereditary hemochromatosis.
The Journal of rheumatology 1996;23(4):707-10.
1996: Mark Speechley; D W Johnston
Some evidence from Ontario, Canada, of a reversal in the dental caries decline.
Caries research 1996;30(6):423-7.
1995: Truls Ostbye; Joceline Pomerleau; Mark Speechley; L L Pederson; K N Speechley
Correlates of body mass index in the 1990 Ontario Health Survey.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1995;152(11):1811-7.
1995: Kevin P White; Mark Speechley; Manfred Harth; Truls Ostbye
Fibromyalgia in rheumatology practice: a survey of Canadian rheumatologists.
The Journal of rheumatology 1995;22(4):722-6.
1995: Mark Speechley; S McNair; A Leffley; M Bass
Identifying patients with hypercholesterolemia. More than one blood sample is needed.
Canadian family physician Médecin de famille canadien 1995;41():240-5.
1994: Mark Speechley; W W Weston; G L Dickie; V Orr
Self-assessed competence: before and after residency.
Canadian family physician Médecin de famille canadien 1994;40():459-64.
1993: Mark Speechley; G L Dickie; W W Weston; V Orr
Changes in residents' self-assessed competences during a two-year family practice program.
Academic medicine : journal of the Association of American Medical Colleges 1993;68(2):163-5.
1993: Mark Speechley
The last great health disciplines turf war, 1990-2020.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 1993;148(1):77-80.
1992: R G Stephens; S L Kogon; Mark Speechley; W J Dunn
A critical view of the rationale for routine, initial and periodic radiographic surveys.
Journal (Canadian Dental Association) 1992;58(10):825-8, 831-2, 835-7.
1992: S Noh; Z Wu; Mark Speechley; V Kaspar
Depression in Korean immigrants in Canada. II. Correlates of gender, work, and marriage.
The Journal of nervous and mental disease 1992;180(9):578-82.
1992: S Noh; Mark Speechley; V Kaspar; Z Wu
Depression in Korean immigrants in Canada. I. Method of the study and prevalence of depression.
The Journal of nervous and mental disease 1992;180(9):573-7.
1992: D Morrow; D P Wood; Mark Speechley
Clinical effect of subgingival chlorhexidine irrigation on gingivitis in adolescent orthodontic patients.
American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 1992;101(5):408-13.
1992: Truls Ostbye; Mark Speechley
The Oregon formula: a better method of allocating health care resources.
Nordisk medicin 1992;107(3):92-5.
1991: Paul C Adams; Mark Speechley; A E Kertesz
Long-term survival analysis in hereditary hemochromatosis.
Gastroenterology 1991;101(2):368-72.
1991: Mark Speechley; K M Stavraky
The adequacy of suicide statistics for use in epidemiology and public health.
Canadian journal of public health. Revue canadienne de santé publique 1991;82(1):38-42.
1991: Mark Speechley; Mary E Tinetti
Falls and injuries in frail and vigorous community elderly persons.
Journal of the American Geriatrics Society 1991;39(1):46-52.
1989: L C Wolf; S Noh; Sandra Fisman; Mark Speechley
Psychological effects of parenting stress on parents of autistic children.
Journal of autism and developmental disorders 1989;19(1):157-66.