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Results 401 - 450 of 897
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Mark Karen E - - 2004
BACKGROUND: Little is known about the epidemiology of gonorrhea in the United States, except for basic demographics of reported cases. Knowing the proportion of reported gonorrhea cases identified through screening, the diagnostic test used, and patient behavioral risk factors might help to better explain changes in gonorrhea rates over time. ...
DiMatteo M Robin - - 2004
BACKGROUND: The literature on patient adherence to treatment includes hundreds of empirical studies. A comprehensive examination of the findings requires the organization and quantification that is possible with meta-analysis. OBJECTIVES: The goals of this research are retrieval, compilation, and averaging of adherence rates in all published empirical studies from 1948 ...
Passalacqua Rodolfo - - 2004
BACKGROUND: The objective of the current study was to determine the influence of media information on the opinions and feelings of patients with cancer and to measure the factors that affected the decision-making process and physician-patient communication. METHODS: The study consisted of a sequence of 2 nationwide surveys across the ...
Minkin Mary Jane - - 2004
There are many areas in the practice of gynecology that can lead to malpractice lawsuits for a practitioner who is not careful, even if he or she practices good medicine. Potential risks include failure to diagnose cancer, not following up with patients, failure to thoroughly check test results, and not ...
Thomas R - - 2004
The benefits of providing accurate and culturally sensitive information for patients are now undisputable and information strategies are generally being adopted nationally. Measuring their benefits and adapting strategies to local needs is now a new challenge. Although questionnaires to measure global satisfaction are available, no concise tool has previously existed ...
Ichikura Takashi - - 2004
BACKGROUND: The Japanese Gastric Cancer Association's (JGCA's) Gastric cancer treatment guidelines for doctors' reference and the guidelines (GLs) for popular use were both published in 2001. The purpose of this study was to know whether or not it is useful for patients to read the GLs for popular use. METHODS: ...
Petrusa Emil R - - 2004
PURPOSE: The purpose of this article is to summarize this author's view on "where we are" with standardized patient-based assessments of clinical performance and to offer three directions for further research and development. SUMMARY: The push for more objective outcome data has fueled proliferation of the most researched innovation in ...
Zarakovitis Konstantinos - - 2004
In the Greek pilot of the e-Vital project, remote telemedicine services are provided to chronic cardiac and pulmonary patients who are not confined to a hospital (i.e. receiving home/ambulatory health care) with the aim of exploring the dynamics of interactive continuous chronic patient monitoring, particularly focusing on the impact on ...
Giere W - - 2004
OBJECTIVES: This paper must fulfill three different tasks: First, to introduce the topic "Electronic Patient Information -- Pioneers and MuchMore", second, to introduce the invited authors of the symposium, and third, to serve as the author's academic farewell lecture as professor emeritus. RESULTS: The electronic patient record, with all its ...
Montori Victor M - - 2004
Evidence-based medicine is the judicious, conscientious, and explicit use of the best available evidence from clinical research in making clinical decisions. This definition recognizes a hierarchy of evidence that arranges study designs by their susceptibility to bias. The top of the hierarchy includes n-of-1 trials, systematic reviews of randomized trials, ...
Hermansen-Kobulnicky Carol J - - 2004
OBJECTIVES: To present an adverse effect monitoring tool with theoretical, practical, and data-supported explanation and justification for use in pharmacy practice for the purpose of building patient-pharmacist partnerships and improving medication-management outcomes. DESIGN: Randomized pretest-posttest experimental design. SETTING: Ambulatory patients in three multidisciplinary cancer clinics. PATIENTS: 74 patients who were ...
Chaudhry Farah - - 2004
There is a trend in the United Kingdom (UK) towards using out-of-hours cover to replace Saturday surgeries. This study asks patients their views about alternative cover. Seventy-five questionnaires were collected from 125 patients attending Saturday surgery sessions (response rate = 60%) over 6 weeks. Sixty-four (85.3%) patients felt they needed ...
Murray Scott A - - 2004
BACKGROUND: We set out to explore whether patients with life-threatening illnesses and their informal carers consider they experience significant spiritual needs, in the context of their overall needs, how spiritual concerns might vary by illness group and over the course of the illness, and how patients and their carers think ...
Farkas Henriette - - 2003
The Hungarian HAE Center was established in 1994, in Budapest. Assignments of the Center include diagnostic work-up of patients with angioedema; developing national guidelines for the recognition, treatment of patients with HAE; maintaining the registry, patient education, supply patients with info-card and C1-INH concentrate, follow-up of patients, telephone 'hot-line' service, ...
Pras Elisabeth - - 2003
OBJECTIVE: After pelvic radiotherapy for gynecological cancer, changes in the vaginal epithelium might influence sexual arousal and satisfaction, leading to dyspareunia and relational problems. The aim of the study was to determine the feasibility of vaginal plethysmography in order to measure physical late effects of this therapy on sexual function. ...
Moholkar Kirti - - 2003
Unstable fractures of the distal radius can be stabilised with Kirschner wires. The K wires need to be removed after five to six weeks. The authors surveyed 100 consecutive patients with distal radial fractures treated with percutaneous Kirschner wires that were left buried under the skin. Group A had 50 ...
Shurnas Paul S PS Idaho Foot and Ankle Fellowship, Boise, ID, - - 2003
To determine the number of risks a patient can recall from the informed consent process prior to surgery and if recall can be improved with a visual aid and to assess patient satisfaction with the informed consent process utilized. Randomly selected patients, from all patients requiring forefoot surgery, were randomly ...
Salmon Peter - - 2003
The discourse of the patient as an active agent in managing illness and health care has become very important in medicine. It is seen in the significance attached to patient empowerment and participation, and in the burgeoning research into patients' coping with illness. The discourse cannot be fully understood from ...
Phungrassami Temsak - - 2003
Although radiotherapy usually implies a cancer diagnosis, no available study has been reported as to what proportion of Thai patients treated with radiotherapy know their diagnosis and how they want related information revealed. We questioned 106 patients in order to determine the proportion who knew their cancer diagnosis, and interviewed ...
Hellmann E A - - 2003
BACKGROUND: Genetic testing for factor (F)V Leiden is widely performed in an effort to prevent thrombosis-related morbidity. The implications of a positive test for patients' health perception and the extent of patients' understanding of results are not known. OBJECTIVES: This study examined patient experience of genetic testing for FV Leiden. ...
Aragon Stephen J - - 2003
The Primary Provider Theory holds that patient satisfaction occurs at the nexus of provider power and patient expectations. More specifically, patient satisfaction is principally the function of an underlying network of interrelated satisfaction constructs--satisfaction with the primary provider, waiting for the provider, and satisfaction with the provider's assistant(s). Hierarchically linked ...
Eide Hilde - - 2003
The aim of this study was to identify the relationship between content during the different phases of the consultation and overall patient satisfaction with regular follow-up consultations at a cancer outpatient clinic. Thirty-six consultations were analysed with Roter Interaction Analysis System (RIAS). In the statistical analysis, timed events of the ...
Hsieh Jason B - - 2003
BACKGROUND AND AIMS: Non-pharmacological therapies are an important component of treatment for osteoarthritis (OA), but they may be under-used. This study examined the prevalence of self-reported use of common non-pharmacological therapies, as well as patient and physician-related predictors of use. METHODS: Subjects included 205 veterans who completed a survey regarding ...
Quinn Chris - - 2003
The National Patient Safety Agency (NPSA) has sponsored a project to detect the root causes of problems with infusion devices and to identify ways of preventing errors. It is piloting a number of solutions in six trusts after a project that included a survey of patient views discovered the need ...
Kressin Nancy R - - 2003
We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. Relatively low rates of agreement (approximately 60%) between data sources were largely the result of administrative data from patients whose race/ethnicity was ...
Schneider Sandra M - - 2003
STUDY OBJECTIVE: This is a pilot study designed to assess the feasibility of a point prevalence study to assess the degree of crowding in hospital emergency departments (EDs). In addition, we sought to measure the degree of physical crowding and personnel shortage in our sample. METHODS: A mail survey was ...
Perron Noelle Junod - - 2003
BACKGROUND: Recognizing patient expectation is considered as an important objective for primary care physicians. A number of studies suggest that failure to identify patient expectations can lead to patient dissatisfaction with care, lack of compliance and inappropriate use of medical resources. It has been suggested that identifying patient expectations in ...
Rees Elizabeth - - 2003
To develop a process of advance consent to enable research to be undertaken in patients in the terminal phase. Feasibility study of an advance consent process to support a randomised controlled trial of two antimuscarinic drugs (hyoscine hydrobromide and glycopyrronium bromide) in the management of noisy respirations associated with retained ...
Metz James M - - 2003
PURPOSE: Studies describing the use of the Internet by radiation oncology patients are lacking. This multi-institutional study of cancer patients presenting to academic (AC), community (CO), and veterans (VA) radiation oncology centers was designed to analyze the use of the Internet, demographic factors related to utilization, and barriers to access ...
Cock Josephine - - 2003
OBJECTIVE: To explore whether patients relearning to walk after acquired brain injury and showing cognitive-motor interference were aware of divided attention difficulty; whether their perceptions concurred with those of treating staff. DESIGN: Patients and neurophysiotherapists (from rehabilitation and disabled wards) completed questionnaires. Factor analyses were applied to responses. Correlations between ...
McClure Philip - - 2003
The purpose of this article was to illustrate a limited search for evidence and its application in the context of a patient with CTS. The search was by no means exhaustive, as it was performed and interpreted in less than an hour. My conclusions are not definitive because my evidence ...
Stevenson Fiona A - - 2003
Despite rhetoric about increasing partnership in the consultation, shared decision making (SDM) is not necessarily happening in practice. As patient involvement in decision making cannot be achieved without general practitioners' (GPs) co-operation, attention to their concerns is essential. Previous research has used simulated patients to explore this area. Here, data ...
Poduval Rajiv D - - 2003
Elevated serum phosphorus (P) and calcium-P product (CaXP) are associated with cardiac mortality in dialysis patients. A CaXP <55 is considered acceptable by most authorities. Because nutrition practices can modulate CaXP, we designed a survey to study the impact of the patients' levels of education and disease awareness on their ...
Golden Patricia Jost - - 2003
In the field of therapeutic apheresis, thrombotic thrombocytopenic purpura (TTP) makes up a large percentage of the conditions treated by plasma exchange. The implementation of plasma exchange in the treatment of TTP has been shown to reduce the mortality rate for this group of patients significantly. Apheresis operators see many ...
Brouns F - - 2003
AIM: We reviewed 100 patients referred with soft tissue sarcoma between May 1999 to determine doctor- and patient-related delay. METHODS: Patient delay is defined as longer than one month from first symptoms till doctor's visit, doctor delay as longer than one month from first visit till definitive diagnosis. Sixty-eight patients ...
Hall Judith A - - 2003
This article presents reflections on, and suggestions for, research on provider-patient communication. These include: (1) the need for more precise causal analysis, (2) considerations when doing moderator analysis, (3) the need to study values concordance between providers and patients, (4) the relative neglect of studying provider attitudes, emotions, and characteristics, ...
Brokelman R B G - - 2003
We compared patient satisfaction with surgeon satisfaction after total hip arthroplasty (THA) in a group of 193 patients (200 THAs, mean follow-up six years) using a visual analogue scale (VAS), and two objective and two subjective scoring systems. We also determined the survival rate with different endpoints. For the 121 ...
- - 2003
One Albuquerque, NM, ED's staff were quarantined after exposure to a suspected severe acute respiratory syndrome (SARS) patient, which underscores the importance of reducing risks of transmission. Reduce the number of contacts by isolating patients immediately. Triage nurses should have quick access to N-95 respirators. Ask security to screen all ...
Albrecht Terrance L - - 2003
Communication between patients and physicians likely mediates traditional patient and physician predispositions in determining patient outcomes, including perceptions and decision making. However, the extent to which a mediating effect occurs is unclear. The purpose of this essay is to outline the need for conceptualizing more holistic models of consumer-provider interaction ...
Shai Iris - - 2003
BACKGROUND: The long-term usefulness of vertical banded gastroplasty (VBG) in achieving weight loss is controversial, and adverse effects related to the procedure may attenuate patient satisfaction. Our objective was to evaluate patient satisfaction, and to identify parameters that are related to such satisfaction, 3 to10 years after VBG. METHODS: All ...
Preston P W - - 2003
BACKGROUND: Laser hair removal (LHR) is a widely used treatment for unwanted hair. AIM: To determine patient satisfaction with LHR. METHODS: The clinic offered LHR by long pulse ruby, alexandrite and Nd:YAG. Patients attending the LHR clinic completed a patient satisfaction questionnaire. Satisfaction with LHR treatment was recorded on a ...
Williams Barbara F - - 2003
BACKGROUND: Anxiety, fear, pain, and treatment with morphine might compromise the ability of patients to comprehend information about, and give informed consent for, participation in clinical trials. We aimed to assess whether patients with acute myocardial infarction could understand written and verbal information and whether they were competent to give ...
Bong Jan L - - 2003
BACKGROUND: Shave excision is a simple and quick procedure that is widely used for removal of benign naevi. Limited published data are available on patient acceptability of this procedure or its potential cosmetic outcomes. OBJECTIVES: To assess the patient's satisfaction with the procedure, to assess the risk of recurrence, and ...
Cranor Carole W - - 2003
To assess short-term clinical, economic, and humanistic outcomes of pharmaceutical care services (PCS) for patients with diabetes in community pharmacies. Intention-to-treat, pre-post cohort-with-comparison group study. Twelve community pharmacies in Asheville, N.C. Eighty-five patients with diabetes who were employees, dependents, or retirees from two self-insured employers; community pharmacists who completed a ...
Steinke Elaine E - - 2003
Sexual concerns of patients after an implantable cardioverter defibrillator (ICD) exist, but are not well understood. This study explored sexual concerns and educational needs of those living with an ICD and their partners. Study results suggest a need for written patient education tools specific to sexual issues for patients and ...
Helft Paul R - - 2003
PURPOSE: Americans are turning more and more frequently to the Internet to obtain health information. The specific effects on patients, doctors, and the clinical encounter are not well known. METHODS: A brief mail survey was sent to a systematic sample of 5% of medical oncologists and hematologist/oncologists listed in the ...
Malone Chris - - 2003
There is strong emphasis in the literature on the importance of the provision of high quality information to patients before invasive fertility treatments such as in vitro fertilization and intracytoplasmic sperm injection. The introduction and development of a structured information evening for patients has facilitated the provision of such information, ...
Kumar Satinder - - 2003
To understand why general practitioners prescribe antibiotics for some cases of sore throat and to explore the factors that influence their prescribing. Grounded theory interview study. General practice. 40 general practitioners: 25 in the maximum variety sample and 15 in the theoretical sample. General practitioners are uncertain which patients will ...
De Las Cuevas Carlos - - 2003
A telepsychiatry service, using ISDN videoconferencing, was established to provide psychiatric consultations for the population of El Hierro, the most westerly of the Canary Islands. During the first year of routine operation, a total of 40 patients had 40 initial and 126 follow-up teleconsultations. The main reason for the consultation ...
Scholl Juliann C - - 2003
Humor within the health care setting apparently can serve to facilitate positive patient-provider interactions and to create a patient-centered environment. This article provides an ethnographic account of patient-provider interactions held during therapeutic activity sessions within a hospital unit (MIRTH) designed to promote therapeutic humor. This study's findings suggest that humor ...
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