Search Results
Results 201 - 250 of 866
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Uziel Yosef - - 2008
Intra-articular corticosteroid injection in juvenile idiopathic arthritis (JIA) is often associated with anxiety and pain. Recent reports advocate the use of nitrous oxide (NO), a volatile gas with analgesic, anxiolytic and sedative properties. To prospectively evaluate the effectiveness and safety of NO analgesia for intra-articular corticosteroid injection in JIA, and ...
Alemi Farrokh - - 2008
Patients give many reasons for why they have not kept up with their resolutions; research shows that many of these causal attributions are wrong. This article provides a tool to help patients sort out causes of and constraints on their behavior, in general, and exercise, in particular. Patient's diary data ...
Rivera A Joy - - 2008
The traditional approach to solving patient safety problems in healthcare is to blame the last person to touch the patient. But since the publication of To Err is Human, the call has been instead to use human factors and systems engineering methods and principles to solve patient safety problems. However, ...
Mollon Brent - - 2008
Telephone reminder systems have been used to assist in the treatment of many chronic diseases. However, it is unclear if these systems can increase medication and appointment adherence in patients with diabetes without direct patient-provider telephone contact. We tested the feasibility of using an automated telephone reminder system (ATRS) to ...
Charles Marilyn - - 2008
The therapeutic community at the Austen Riggs Center relies on patient authority to preserve the open setting. Patients' willingness to take on the challenges and responsibilities of citizenship makes it possible to work without bars or locks. Most patients arrive having been labeled "treatment resistant," a label that can connote ...
Zlatarić Dubravka Knezović - - 2008
This study aimed to analyze factors related to patients' general satisfaction with removable partial dentures (RPDs), such as esthetics, retention, speech, chewing, and comfort. A total of 103 patients with Kennedy Class I RPDs (34 to 82 years old; mean age: 63; 35 men, 68 women) assessed their satisfaction with ...
Salzwedel Cornelie - - 2008
BACKGROUND: Video-assisted patient education during the preanesthetic clinic visit is a new intervention to increase knowledge transfer to the patient regarding anesthesia procedure and risks. However, little is known about whether video-based patient education influences patient anxiety and the duration of the preanesthetic visit. METHODS: Two hundred nine consecutive patients, ...
Chan Edward - - 2008
Thirty-two male patients in gay relationships and eight family physicians were recruited from a family practice in order to determine comfort with an eight-question Gay Abuse Screening Protocol (GASP). The GASP was administered during a typical clinical encounter. After the encounter, physicians and patients each completed a 5-point Likert Scale ...
Greenfield Sheila - - 2008
Coronary heart disease patients have to learn to manage their condition to maximise quality of life and prevent recurrence or deterioration. They may develop their own informal methods of self-management in addition to the advice they receive as part of formal cardiac rehabilitation programmes. This study aimed to explore the ...
Atchison Kathryn A - - 2007
PURPOSE: Patient preferences for treatment choices may depend on patient characteristics. Using standard gamble (SG) and willingness to pay (WTP), this study compares preferences for treatment of mandibular fracture among patients in a low-income urban area. PATIENTS AND METHODS: Surveys of African-American and Hispanic adults receiving treatment at King/Drew Medical ...
Wigley R D - - 2007
The aim of this study was to remind Australasian doctors about the importance of vibration as an occupational exposure capable of causing musculoskeletal disease. This is a common problem in the northern hemisphere, but only four reports have been found in Australasian published work. Nine cases are reported together with ...
Mulhall John P - - 2007
OBJECTIVE: To survey patient satisfaction, using validated questionnaires, in a group of men with erectile dysfunction who had used and responded to both sildenafil citrate and intracavernosal injection (ICI) therapy. PATIENTS AND METHODS: In all, 300 patients on ICI therapy were mailed questionnaire packets containing a survey enquiring about the ...
Eggly Susan - - 2008
To describe the frequency, context and type of oncologists' recommendations to patients that they participate in a clinical trial and to analyze the relationship between recommendations and patients' decisions to participate. Data included 38 video recorded outpatient interactions during which 15 oncologists invited 38 patients to participate in clinical trials. ...
Mattie Angela S - - 2007
On July 29, 2005, President Bush signed into law the Patient Safety and Quality Improvement Act. This long-awaited bill came after considerable debate in the Senate and the House that focused on patient safety highlighted by the Institute of Medicine's (IOM's) report, To Err Is Human. The IOM report brought ...
Kitamura Toshi - - 2007
PURPOSE OF REVIEW: To search the literature on conceptual and assessment issues of patient capacity. RECENT FINDINGS: Current literature shows that many instruments have been developed in the last decade to measure patient capacity. Although these measures provide a rank-ordered scale of capacity, they cannot categorize patients into competent and ...
Baril Patrice - - 2007
Preoperative patient fasting is an essential element of the patient preparation process, but patients may be fasting for excessive lengths of time. Investigators at one facility used semi-structured interviews to explore the knowledge and beliefs of patients, nurses, and anesthesia care providers regarding the practice of preoperative patient fasting. Findings ...
Hess Rachel - - 2007
The University of Pittsburgh Medical Center (UPMC) has implemented a personal health record grounded in the Chronic Care Model, UPMC HealthTrak, to assist patients with diabetes self-management. UPMC HealthTrak is based in the physician office and connects the patient, physician, and electronic medical record (EMR). Its functionalities include secure, electronic ...
Weiss Steven J - - 2007
OBJECTIVE: Emergency department (ED) overcrowding has been quantified with a scale that reflects the degree of overcrowding (National ED Overcrowding Scale, or NEDOCS) in general academic EDs. However, validity of the 5-question NEDOCS scale has not been established for a pediatric ED. Our primary objectives were to validate the NEDOCS ...
Kukla Rebecca - - 2007
The way patients make health care decisions is much more complicated than is often recognized. Patient autonomy allows both that patients will sometimes defer to clinicians and that they should sometimes be active inquirers, ready to question their clinicians and do some independent research. At the same time, patients' active ...
Roland Lincoln - - 2007
Radiofrequency ablation of the great saphenous vein has become increasingly popular for its decreased morbidity and greater patient satisfaction as compared with conventional saphenous vein stripping. Because of the relative simplicity and safety of this procedure and fueled by changes in reimbursement, endovenous radiofrequency ablation is now most often performed ...
Burke Francis M - - 2007
The objective of this study was to analyse pattern of referral to Restorative Dentistry Consultation Clinics in a Dental Teaching Hospital. Patient demographic details and referral information were collected on new patient clinics. The majority of patients were female (62.1%). The greatest proportion of patients, 41.6%, was referred from the ...
Neuner B B Department of Anaesthesiology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, - - 2007
This cross-sectional investigation studied the association between substance use and patients' desire for autonomy in medical decision making (MDM) in two trauma settings. A total of 102 patients (age 42.7 +/- 17.4 years, 70.6% male) admitted to an orthopaedic service in Warsaw, Poland, and 1009 injured patients (age 34.6 +/- ...
Ralston James D - - 2007
This study sought to describe the evolution, use, and user satisfaction of a patient Web site providing a shared medical record between patients and health professionals at Group Health Cooperative, a mixed-model health care financing and delivery organization based in Seattle, Washington. This study used a retrospective, serial, cross-sectional study ...
Payer Juraj - - 2008
BACKGROUND: Therapeutic adherence determines the efficacy of treatments in the clinical practice. Especially in chronic asymptomatic diseases large differences exist between therapeutic success in clinical studies and clinical practice. The treatment of osteoporosis using bisphosphonates is considerably influenced by the low adherence of patients due to the complicated drug application. ...
McCormack James P - - 2007
OBJECTIVE: To determine the degree to which current Canadian clinical practice guidelines (CPGs) for common chronic conditions (ie, diabetes, dyslipidemias, hypertension, and osteoporosis) discuss the importance of patients' values and preferences in therapeutic decision making, and provide quantitative information that would allow for comprehensive shared informed decision making. DESIGN: Retrospective, ...
Huffstutter Joseph - - 2007
OBJECTIVE: To examine the impact of an electronic data capture system on patient satisfaction and patient-physician interactions in a rheumatology clinical setting. Study design: In this multicenter study, 1079 patients with rheumatoid arthritis completed questionnaires quarterly about their health and satisfaction with care using a computer. At 6 months, 901 ...
Jones Miren - - 2007
BACKGROUND: Cardiac rehabilitation (CR) has been shown to improve prognosis and function following an acute myocardial infarction or revascularization. However, participation in CR programmes is low and adherence is poor. OBJECTIVE: To explore patients' reasons for non-participation in or non-adherence to a home- or hospital-based CR programme. METHODS: Individual semi-structured ...
Aujoulat Isabelle - - 2007
Although self-determination is a key issue in empowerment, the perspective of patients on their experience of empowerment has been poorly investigated. The authors have attempted to understand better what the process of empowerment means to patients by investigating the situations and feelings of powerlessness from which a process of empowerment ...
Steedman N M - - 2007
Patients who may have been at risk of sexually transmitted infections should receive information on the infections for which they are being tested, and how and when they can receive their results. In August 2005, we installed a novel 24-hour computer-facilitated telephone results system in our department and an audit ...
van de Sande Marloes - - 2007
To investigate if there is a relationship between patients' perceived diabetes education and their glycaemic control. Two hundred and forty-seven diabetic (both DM 1 and DM 2) patients who were treated for diabetes in a primary nurse led health care clinic in South Africa were analyzed. Patients were interviewed, and ...
Payne Katherine K The North West Genetics Knowledge Park (NOWGEN), Manchester, UK. - - 2007
To explore genetics professionals' and patients' views about which outcome domains are most appropriate to measure the patient benefits of using a clinical genetics service. A postal Delphi survey was sent to: 115 consultant geneticists; 162 genetic counsellors; 156 support group representatives; 106 patients. The survey contained 19 outcome domains ...
Bramness Jørgen G - - 2007
BACKGROUND: Opioid maintained patients report high levels of anxiety, but the use of benzodiazepines among these patients has been associated with negative outcomes such as increased risk of overdose and death and poorer retention in programmes. Previous research has used interview or urine analysis to assess benzodiazepine use. In this ...
Cheung Angela - - 2007
PURPOSE: Preadmission clinics provide a limited timeframe in which patients can discuss the risks and benefits of various forms of anesthesia. We hypothesized that the provision of a patient information booklet would clarify and reinforce salient perioperative topics related to anesthesia. METHODS: A prospective study was carried out in two ...
Sambandam Senthil Nathan - - 2007
PURPOSE: This study was designed to ascertain the quality of patient information available on the World Wide Web on the topic of knee arthroscopy. METHODS: For the purpose of quality analysis, we used a pool of 232 search results obtained from 7 different search engines. We used a modified assessment ...
Casey R G - - 2007
BACKGROUND: Out-patient non-attendance leads to inefficiency and patient morbidity. AIMS AND METHODS: A phone survey of urology out-patient non-attenders over 1-month was performed to determine reasons for non-attendance, to identify patients who could be discharged, and the manner in which patients want reminders. RESULTS: Seventy-six non-attenders were contacted. Fourteen were ...
Blane Caroline E - - 2007
OBJECTIVE: The purpose of our study was to document the hidden costs in achieving high recall patient compliance from an off-site screening mammography program. MATERIALS AND METHODS: This study was approved by our institutional review board. At our institution, no patient was placed in final BI-RADS assessment category 3, 4, ...
- - 2007
A survey demonstrates that not all patients will perceive the care they receive in the same manner. Learning facts like these about your customers will help you improve your patient satisfaction efforts. Young adult patients are the least likely to be satisfied and do not understand the necessity of long ...
Francken Anne Brecht - - 2007
BACKGROUND: The value of follow-up surveillance for patients with cutaneous melanoma remains uncertain. In this prospective study the frequency of detection of first melanoma recurrence (FMR) by patient or doctor was analyzed to assist in the future design of evidence-based follow-up guidelines. METHODS: Patients who had a recurrence of a ...
Baker Michael S - - 2007
How do we train for the entire spectrum of potential emergency and crisis scenarios? Will we suddenly face large numbers of combat casualties, an earthquake, a plane crash, an industrial explosion, or a terrorist bombing? The daily routine can suddenly be complicated by large numbers of patients, exceeding the ability ...
Hemphill Robin R - - 2007
OBJECTIVES: To determine whether patients felt that the show Trauma: Life in the ER has primarily educational or entertainment value. To determine if people felt that this show violated privacy. METHODS: Survey in an academic emergency department. Subjects were asked to participate in an initial survey, then asked to watch ...
Jallow Amadou - - 2007
OBJECTIVE: This study has three main objectives (1) to identify the major problems or difficulties pharmacy staff in Sweden experience regarding pharmacy care of patients receiving antiretroviral therapy, (2) to identify the perceptions of pharmacy staff regarding what are patient-related concerns with antiretroviral therapy and (3) to compare the extent ...
Bittle Mark J - - 2007
BACKGROUND: Proper patient identification is a major factor affecting patient safety in any health care organization. METHODS: An interdisciplinary team, using three Plan-Do-Study-Act (PDSA) cycles, reviewed the incidence of patient misidentifications resulting from registration process errors. Retrospective and prospective data were collected to determine the incidence among inpatients and outpatients. ...
Delany Clare M - - 2007
QUESTION: How do physiotherapists working in private practice understand and interpret the meaning and significance of informed consent in everyday clinical practice? DESIGN: Qualitative study using semi-structured interviews. PARTICIPANTS: Seventeen physiotherapists purposefully recruited from metropolitan private practices where treatment was on a one-on-one basis. RESULTS: Therapists defined informed consent as ...
Wang Steven Q - - 2007
The damaging impact of cutaneous melanoma on individuals and society is apparent. As dermatologists, we are in a unique position to help each patient on a personal level and make contributions with sweeping effects on a societal level. On an individual level, the successful care of each patient involves accurate ...
Asadoorian Joanna - - 2007
OVERVIEW: A cost-effective way of improving patient outcomes is adopting preventive practices known to be effective. As "front-line" providers of dental health services and information, dental hygienists are an important catalyst for the implementation of evidence-based preventive practices - such as the twice-daily use of antimicrobial mouthrinses - in the ...
Gebhardt Mark C - - 2007
A few studies indicate that race- and culture-related differences exist among patients with bone tumors. However, there is little information regarding sarcomas. Existing studies indicate that, in the United States, race and cultural background may not significantly affect the survival rate of patients with sarcoma. As we learn more, however, ...
Buzaglo Joanne S - - 2007
BACKGROUND: We previously reported that doctor-patient communication in the cancer context may be suboptimal. We therefore developed measures to assess patient communication preferences and established feasibility of an Internet-based intervention to improve communication. METHODS: Cancer patients completed an Internet-based survey about communication preferences, with a summary provided to the physician ...
Oladipo Abi - - 2007
OBJECTIVE: To assess the impact of preclinic appointment telephone contact with prospective patients on colposcopic clinic default rates. MATERIALS AND METHODS: All women attending the Cornwall Colposcopy Service in Truro, UK, between July and October 2003, were recruited and randomly assigned into two groups. The patients in one group (group ...
Burkhart Craig G - - 2007
BACKGROUND: Concerns have arisen over the development of antibiotic-resistant organisms due to the prolonged use of oral and topical antibiotics in acne vulgaris. We have previously demonstrated that benzoyl peroxide used in consort with a chemical with an accessible tertiary amine, such as an allylamine, increases radical activity and biological ...
Triola Marc M - - 2007
Virtual Patients are computer-based simulations of a clinical encounter where the user plays the role of a healthcare provider while receiving in-context instruction. This unique pedagogical approach enables active case-based learning for learners. Academic institutions around the world have developed high-quality virtual patients using many different authoring and playback technologies. ...
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