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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 ...
Hicks Lanis L - - 2003
We collected data on patient satisfaction with the use of teledermatology services. During a 27-month study, a single dermatologist saw a total of 321 patients via telemedicine. The patients completed 483 surveys, although not all questions were answered on all surveys. There was a high level of satisfaction among patients ...
Benson Keith J - - 2003
Value is becoming a topic of interest to 3 key players in the healthcare field-patients, payers, and providers. This article examines various value definitions and puts forth a composite value definition incorporating cost, quality, and worth elements. A value triad is created to demonstrate how value can be a linking ...
Spalding Nichola Jane - - 2003
Pre-operative education is widely used by occupational therapists all over the world to help patients prepare for their impending surgery and post-operative needs. The purpose of this research was to gain understanding of how the pre-operative education process is beneficial in reducing anxiety for patients awaiting a total hip replacement ...
Keshavjee K - - 2003
Managing Type 1 Diabetes Mellitus is a challenging feat especially for young patients. It is a tedious and demanding disease which requires painful self-monitoring and injections multiple times per day. Many patients are unable to achieve good blood sugar control, in spite of strong evidence that good control leads to ...
Walters Barbara A - - 2003
This poster presentation will demonstrate the value to practices of providing online interactive communication tools to their patients by presenting Dartmouth-Hitchcock's successful implementation of "Patient Online". This tool extends our clinical and administrative functions directly to patients using a personal web site product that supports HIPAA compliant clinical communication, patient ...
Landi William - - 2003
Today's healthcare organizations have both an ethical and legal responsibility for protecting patient privacy. However, the HIPAA privacy rule allows for the release of de-identified patient data for certain purposes. Secure encryption technology can be used to encrypt patient identified data so only the owners of the original data can ...
Finkelstein J - - 2003
We developed the Home Automated Telemanagement (HAT) system for patients on oral anticoagulation therapy. It consists of a home unit, HAT server, and clinician unit. Patients at home use a palmtop or a laptop connected with a prothrombin time (PT) monitor. Each HAT session consists of self-testing, feedback, and educational ...
Cimino James J - - 2002
As health records evolve into electronic form, increasing demand is being made to provide patients with access to them. We sought to study the character and impact of such access to determine how patients use such records, what cognitive effects it has on them, and how it affects their relationship ...
Morgan Julie D - - 2002
OBJECTIVE: To determine the economic implications of sending an educational letter to patients, aimed at reducing long-term BDZ prescribing. METHOD: Letters were sent to 242 patients from 2 general medical practices. BDZ usage and costs were compared in the years before and after intervention using numbers of defined daily dosages ...
Fernandes Dellano D - - 2002
BACKGROUND: Little is known about the characteristics of patients attending diabetes education centres (DECs). To address this knowledge gap, we examined the clinical characteristics of patients referred to a centralized urban DEC. METHODS: Using a clinically detailed patient registry, we studied the profiles of 1459 patients seen in an urban ...
Demling J H - - 2002
OBJECTIVES: We investigated to what extent psychiatric inpatients consult Heilpraktiker, i.e. non-academically trained providers of complementary and alternative medicine (CAM), which diagnostic and therapeutic methods Heilpraktiker employ, how patients assess Heilpraictikers' professional competence, CAM in general and issues of satisfaction for those who have had experience with Heilpraktiker. DESIGN: Four ...
Guruge Sepali - - 2002
Patient education is an integral part of nursing practice. Since the 1960s many primary studies and several meta-analyses have been conducted to assess the effectiveness of education for patients undergoing surgery. Although these studies demonstrate that preoperative teaching is beneficial to the "average" patient, they have paid little attention to ...
Donker G A - - 2002
BACKGROUND: On 4 October 1992, an El Al Boeing 747-F cargo aeroplane crashed on two apartment buildings in Amsterdam. Thirty-nine residents on the ground and the four crew members of the plane died. In the years after, a gradually increasing number of people attributed physical signs and symptoms to their ...
de Roos Kees-Peter - - 2002
BACKGROUND: Ambulatory phlebectomy is an accepted therapy for varicose veins of the ankle and foot region. Although most phlebologists regard this therapy highly, little is known about patient satisfaction. OBJECTIVE: To investigate patient satisfaction and complaints as reported by the patient after ambulatory phlebectomy for varicose veins in the ankle ...
Alexander Linda - - 2002
Genital herpes simplex virus infections are widespread throughout the world and are characterized by stigma, myth, and anxiety by patients and the public but are perceived as trivial by most physicians. Surveys in the United States, Europe, Australia, and South Africa have measured the unfavorable effect of genital herpes on ...
Bray J K - - 2002
We investigated the attitudes of 96 patients and 163 anaesthetists to the need for obtaining informed consent before specialist airway techniques. Participants were asked to score six questions using a numerical scale, as to whether they thought consent was necessary before specific procedures, particularly in relation to fibreoptic intubation used ...
Bass Pat F PF - - 2002
PURPOSE: To determine whether residents could identify patients with poor literacy skills based on clinical interactions during a continuity clinic visit. The authors hypothesized residents would overestimate patients' literacy abilities and fail to recognize many patients at risk for poor literacy. METHOD: The Rapid Estimate of Adult Literacy in Medicine-Revised ...
Ayoub A F - - 2002
Fourteen patients or their immediate family were interviewed about their experiences of having either unilateral or bilateral external distraction osteogenesis of the mandible. The patients showed a high level of co-operation with treatment. Six of the 14 patients required repeat distractions, and had been informed and accepted that this was ...
Benhamou Dan - - 2002
PURPOSE: Early feeding is well tolerated after Cesarean delivery. However, patient wellbeing and nurses' attitudes toward implementation of early feeding have rarely been investigated. METHODS: A quality-assurance program of 18 months duration was implemented because evaluation of traditional practice demonstrated significant deficiencies (phase I). Drinking was then allowed within one ...
Chumbley Gillian M - - 2002
AIMS OF THE STUDY: To formulate and evaluate an information leaflet for patients using patient-controlled analgesia (PCA), incorporating information thought to be important by patients. RATIONALE: The benefit of current information leaflets, written by professionals, has not been studied and their value to patients is unknown. BACKGROUND: Previous studies have ...
Tandon M - - 2002
PURPOSE: Many patients use complementary/alternative medicine (CAM) for their health problems especially where long-term treatment is required. Epilepsy is the most prevalent neurological disorder requiring long-term treatment and compliance. The purpose of the study was to establish the pattern of use of CAM in epileptic patients. METHODS: 1000 patients with ...
Brown Rhonda F - - 2002
BACKGROUND: Patients vary widely in their preferences and capacity for participation in medical decision-making. This study aimed to document oncologist responses to more extreme presentations and identify helpful and unhelpful strategies for clinicians. PATIENTS AND METHODS: A trained actor played the role of a patient with early stage breast cancer ...
Johnson Paul E - - 2002
We propose an explanation for variation in disease outcomes based on patient adaptation to the conditions of chronic disease. We develop a model of patient adaptation using the example of Type 2 diabetes mellitus and assumptions about the process entailed in transforming self-care behaviors of compliance with treatment, compliance with ...
Thoonen Bart P A - - 2002
This paper studies the effects of patient education, tailored to individual needs of patients as part of an asthma self-management program. A tailored education program was designed which took into account individual information needs of patients by using a feedback instrument. Totally 98 steroid dependent asthmatics entered the tailored education ...
Carter Alix J E - - 2002
OBJECTIVES: Administration of intravenous (IV) dextrose to hypoglycemic patients is delegated to advanced care paramedics in Ontario. Following a quality assurance review, which revealed that 47% of patients refused transport after receiving IV dextrose, the authors studied whether such patients seek additional medical care in the three days following the ...
Muraine M - - 2002
In many countries the number of corneal donations is far too low to graft all patients on waiting lists within reasonable time. The aim of this study was to define specifically what practical changes are to be implemented to fully meet corneal graft demand. The list of potential donors drawn ...
Bascom Paul B - - 2002
Studies of dying patients have shown that about half would like the option of physician-assisted suicide (PAS) to be available for possible future use. Those percentages decrease significantly with each step patients take toward action. Studies show that although about 10% of patients seriously consider PAS, only 1% of dying ...
Tattersall Martin H N - - 2002
Patients with cancer are known to value consultation audio tapes as an information aid and frequently accept the offer to tape record their consultations with oncologists. Systematic reviews have shown that providing patients with an audio tape of their consultations improves how much information they remember. In surveys, many Australian ...
Selhub Eva M - - 2002
Primary care physicians are often taxed by patient complaints that do not seem to have a clear etiology, nor do the patients improve despite good medications and expensive procedures. Current studies show that stress or distress may have a significant effect on the onset, the course, and the management of ...
Melchart Dieter - - 2002
BACKGROUND AND OBJECTIVES: Patient preferences play an important role when choosing between different treatment options and may have an influence on outcome. We performed a study to investigate (1) to what extent patients make use of the offer to receive acupuncture as a pretreatment for gastroscopy, (2) whether this is ...
Pawlikowska T R B - - 2002
BACKGROUND: Primary health care reform is underpinned by a move towards patient-centred holistic care. This pilot study uses the Patient Enablement Instrument (PEI) to assess outcome at a fundamental level: that of the patient and their doctor at consultation. OBJECTIVES: Our aim was to assess the evaluative potential of the ...
- - 2002
It can be tough getting patients to take their medicines as prescribed, particularly when there are side-effects or other barriers involved. To get around this problem, Roche decided to develop a DM approach to guide patients taking the organization's new weight-loss agent, XENICAL. In place now for 15 months, the ...
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