Patient Preference: Individual's expression of desirability or value of one course of action, outcome, or selection in contrast to others.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Patient Participation: Patient involvement in the decision-making process in matters pertaining to health.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Advance Directive Adherence: Compliance by health personnel or proxies with the stipulations of ADVANCE DIRECTIVES (or similar directives such as RESUSCITATION ORDERS) when patients are unable to direct their own care.Choice Behavior: The act of making a selection among two or more alternatives, usually after a period of deliberation.Physician-Patient Relations: The interactions between physician and patient.Food Preferences: The selection of one food over another.Legal Guardians: A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.Decision Support Techniques: Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making.Living Wills: Written, witnessed declarations in which persons request that if they become disabled beyond reasonable expectation of recovery, they be allowed to die rather than be kept alive by extraordinary means. (Bioethics Thesaurus)Nursing Care: Care given to patients by nursing service personnel.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Quality-Adjusted Life Years: A measurement index derived from a modification of standard life-table procedures and designed to take account of the quality as well as the duration of survival. This index can be used in assessing the outcome of health care procedures or services. (BIOETHICS Thesaurus, 1994)Vaginal Birth after Cesarean: Delivery of an infant through the vagina in a female who has had a prior cesarean section.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Mating Preference, Animal: The selection or choice of sexual partner in animals. Often this reproductive preference is based on traits in the potential mate, such as coloration, size, or behavioral boldness. If the chosen ones are genetically different from the rejected ones, then NATURAL SELECTION is occurring.Skin Cream: A water-soluble medicinal preparation applied to the skin.Advance Care Planning: Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.Personal Autonomy: Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Patient Care Planning: Usually a written medical and nursing care program designed for a particular patient.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Occult Blood: Chemical, spectroscopic, or microscopic detection of extremely small amounts of blood.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Patients: Individuals participating in the health care system for the purpose of receiving therapeutic, diagnostic, or preventive procedures.Tape Recording: Recording of information on magnetic or punched paper tape.Sigmoidoscopy: Endoscopic examination, therapy or surgery of the sigmoid flexure.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Decision Trees: A graphic device used in decision analysis, series of decision options are represented as branches (hierarchical).United StatesColonoscopy: Endoscopic examination, therapy or surgery of the luminal surface of the colon.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Professional Practice: The use of one's knowledge in a particular profession. It includes, in the case of the field of biomedicine, professional activities related to health care and the actual performance of the duties related to the provision of health care.Cross-Over Studies: Studies comparing two or more treatments or interventions in which the subjects or patients, upon completion of the course of one treatment, are switched to another. In the case of two treatments, A and B, half the subjects are randomly allocated to receive these in the order A, B and half to receive them in the order B, A. A criticism of this design is that effects of the first treatment may carry over into the period when the second is given. (Last, A Dictionary of Epidemiology, 2d ed)Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Physicians: Individuals licensed to practice medicine.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Midwestern United States: The geographic area of the midwestern region of the United States in general or when the specific state or states are not indicated. The states usually included in this region are Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, Ohio, Oklahoma, North Dakota, South Dakota and Wisconsin.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Physician's Role: The expected function of a member of the medical profession.Life Expectancy: Based on known statistical data, the number of years which any person of a given age may reasonably expected to live.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Administration, Oral: The giving of drugs, chemicals, or other substances by mouth.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Administration, Topical: The application of drug preparations to the surfaces of the body, especially the skin (ADMINISTRATION, CUTANEOUS) or mucous membranes. This method of treatment is used to avoid systemic side effects when high doses are required at a localized area or as an alternative systemic administration route, to avoid hepatic processing for example.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Family: A social group consisting of parents or parent substitutes and children.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Great BritainQualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Decision Support Systems, Clinical: Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Injections, Subcutaneous: Forceful administration under the skin of liquid medication, nutrient, or other fluid through a hollow needle piercing the skin.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Pain Management: A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Colorectal Neoplasms: Tumors or cancer of the COLON or the RECTUM or both. Risk factors for colorectal cancer include chronic ULCERATIVE COLITIS; FAMILIAL POLYPOSIS COLI; exposure to ASBESTOS; and irradiation of the CERVIX UTERI.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Clinical Trials as Topic: Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Mastectomy: Surgical procedure to remove one or both breasts.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Breast Neoplasms: Tumors or cancer of the human BREAST.Taste: The ability to detect chemicals through gustatory receptors in the mouth, including those on the TONGUE; the PALATE; the PHARYNX; and the EPIGLOTTIS.African Americans: Persons living in the United States having origins in any of the black groups of Africa.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.European Continental Ancestry Group: Individuals whose ancestral origins are in the continent of Europe.Drug Administration Schedule: Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Molecular Sequence Data: Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.EnglandCohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Conditioning (Psychology): A general term referring to the learning of some particular response.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Prostatic Neoplasms: Tumors or cancer of the PROSTATE.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Substrate Specificity: A characteristic feature of enzyme activity in relation to the kind of substrate on which the enzyme or catalytic molecule reacts.Behavior, Animal: The observable response an animal makes to any situation.Sexual Behavior, Animal: Sexual activities of animals.Combined Modality Therapy: The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Alagille Syndrome: A multisystem disorder that is characterized by aplasia of intrahepatic bile ducts (BILE DUCTS, INTRAHEPATIC), and malformations in the cardiovascular system, the eyes, the vertebral column, and the facies. Major clinical features include JAUNDICE, and congenital heart disease with peripheral PULMONARY STENOSIS. Alagille syndrome may result from heterogeneous gene mutations, including mutations in JAG1 on CHROMOSOME 20 (Type 1) and NOTCH2 on CHROMOSOME 1 (Type 2).Conditioning, Operant: Learning situations in which the sequence responses of the subject are instrumental in producing reinforcement. When the correct response occurs, which involves the selection from among a repertoire of responses, the subject is immediately reinforced.
In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of ... Trigger and cycle events can be initiated by the patient or the machine. Inspiration can be patient triggered or patient cycled ... The patient triggers all breaths. If there is a change in the mechanical properties of the lung/thorax and patient effort, the ... If the patient maintains the minute volume settings for VT x f, no mandatory breaths are delivered. If the patient's minute ...
Cutaneous manifestations specifically rashes, are not uncommon in WNV-infected patients; however, there is a paucity of ... exhibiting preference for different species of birds. In the United States, WNV mosquito vectors feed preferentially on members ... Preliminary diagnosis is often based on the patient's clinical symptoms, places and dates of travel (if patient is from a ... Many patients with WNND have normal neuroimaging studies, although abnormalities may be present in various cerebral areas ...
Their preference to remain alone and detached may cause their need for sex to appear to be less than that of those who do not ... For the schizoid patient, this degree of certainty is the most gratifying revelation, and a profound new organizer of the self ... But another possible explanation could be the paucity of emotion many schizoids display which would influence their thought ... Klein suggests that patients must take the responsibility to place themselves at risk and to take the initiative for following ...
pacience) patient patina patisserie patois patriarch patrician patrimony patriot patriotic patriotism patrol patron patronage ... patten pattern paucity paunch pause (Old Fr. pause) pave pavement pavilion paw pawn (Old Fr. pan, pant) pay payment paynim ... predestine predilection predisposition predominance predominant preen preface prefect prefecture prefer preferable preference ...
In Central Africa, the Angola region, one find preference for ditches, which were more successful for defense against wars with ... Treatment was given for free to patients of all backgrounds, regardless of gender, ethnicity or income.[77] ... Understanding of Egyptian mathematics is incomplete due to paucity of available material and lack of exhaustive study of the ... patients explain their choices and experiences". Tropical Medicine & International Health. 12 (4): 564-574. doi:10.1111/j.1365- ...
In Central Africa, the Angola region, one find preference for ditches, which were more successful for defense against wars with ... Treatment was given for free to patients of all backgrounds, regardless of gender, ethnicity or income. Tetracycline was being ... Understanding of Egyptian mathematics is incomplete due to paucity of available material and lack of exhaustive study of the ... but they recognized that some injuries were so serious that they could only make the patient comfortable until he died. Around ...
... giving preference to those that are inclusive. They also suggest it is the role of health organisations to encourage women to ... and that there was a relative paucity of basic research into women's health. In response to this the National Institutes of ... Research has shown the most effective programmes are those focussing on patient and community education, prenatal care, ...
Individual traders can have widely varying preferences for the type of setup that they concentrate on in their trading. This ... dictating price which rises up steeply from the low as the sudden relative paucity of sellers causes the buyers' bids to spring ... thus providing an opportunity for the more patient traders to benefit from their duress. "Trapped traders" is therefore used to ... the stop orders placed by trapped traders will provide the orders that boost the market in the direction that the more patient ...
Despite its reportedly important effect on a patients self-esteem, not all women opt to... ... There is a paucity of evidence in the literature looking at patient preferences for NAC reconstruction. Utility outcome studies ... Preference-based quality of life of patients on renal replacement therapy: a systematic review and meta-analysis. Value Health ... Ibrahim A.M.S., Lau F.H., Sinno H.H., Lee B.T., Lin S.J. (2018) Analyzing Patient Preference for Nipple-Areola Complex ...
... preferences. A lack of reliable methods for evaluating preference concordance has resulted in a paucity of research in this ... Patient Preferences for Breast Reconstruction After Mastectomy. The safety and scientific validity of this study is the ... The investigator will assess patient preferences pre-operatively using conjoint analysis. The investigator will determine if ... to evaluate whether patients make informed decisions about breast reconstruction that are concordant with their preferences; ...
... the differential testing performance of screening tests in older patients; patient preferences for care; and the paucity of ... Older cancer patients constitute a majority of the patients we evaluate and treat. They need to become the focus of our ... Older cancer patients constitute a majority of the patients we evaluate and treat. They need to become the focus of our ... Most patients seen in the subspecialties of oncology are older individuals. The majority of cancer deaths occur in patients ...
With regard to patient values and preferences, PPIs are considered to improve quality of life, but patients often do not take ... Publication bias could not be rated owing to the paucity of studies.29 Other areas that were considered in formulating a final ... Clinicians must help patients make management decisions consistent with the patients values and preferences. Implications for ... Patient and family values and preferences play an important role. Decisions about continuing, tapering, or stopping medications ...
Thirty-seven per cent of the respondents disagreed that patients treatment preferences should be taken into account in EBP, ... Whether these barriers also apply to osteopathy is largely unknown given the relative paucity of EBP research in osteopathy. ... and the possible conflict of evidence with patients treatment preferences and expectations [43, 44]. ... Perhaps patients seeking care from UK osteopaths present with such a consistent range of symptoms and disorders that osteopaths ...
... preference for personal continuity in their general practice care, and reluctance to consult GPRs. There has been a paucity of ... gain adequate experience in the management of older and chronically ill patients as this group of patients will represent a ... Thus, the aims of this research were to: review the international literature regarding the attitudes of patients towards GPRs; ... However, GPRs‟ training may be hampered by these patients‟ ... determine important aspects of older patients‟ attitudes to ...
There is a paucity of evidence addressing patient values and preferences on the management of severe aortic stenosis. ... We considered patient values and preferences to be the relative importance patients placed on the outcomes for the decision ... Values and preferences for oral antithrombotic therapy in patients with atrial fibrillation: physician and patient perspectives ... patient values, patient preferences and health-related quality of life (Selva-Olid A, Solà I, Zhang Y, et al. Development and ...
... patient preference or physician assessment that OAC is not safe).9. IIb. B. ... Specifically, aspirin as antiplatelet monotherapy remains uncertain because of paucity in data. However, aspirin is related to ... DAPT could be an alternative for patients who cannot take warfarin.. ACTIVE-W17. Open noninferiority trial; patients same as ... DAPT could be an alternative for patients who cannot take warfarin.. ACTIVE-W17. Open noninferiority trial; patients same as ...
... patients received new DNR orders that reflect preferences to limit further life-sustaining treatment options. Patients who were ... and management especially important in this patient population. A paucity of data exists on the utilization of ACP amongst ... On open discussion, patient-proxy discordance mostly resolved in favor of the patient.The ACP process should allow for patient- ... To provide preference-sensitive care, we propose that clinicians might routinely inquire about their patients bucket-lists and ...
Incorporating patients preferences into medical decisions. N Engl J Med 1994;330:1895-1896. ... In light of the paucity of data for diabetes care in older adults, treatment decisions are frequently made with considerable ... Serving meals that take into account the patients culture, preferences, personal goals, and abilities may increase quality of ... In a study of patient preferences regarding diabetes complications and treatments, end-stage complications had the greatest ...
We selected age 75 to no longer screen patients due to the paucity of evidence beyond that (particularly into the 80s). However ... often demands weighing clinical experience and patient preference more heavily. Dr Pollock states that there appears to be a ... often demands weighing clinical experience and patient preference more heavily. Dr Pollock states that there appears to be a ... it may be reasonable to offer statins based on the clinician/patient preferences. As far as prescribing recommendations, it ...
Imaging Evaluation of Lung Transplantation Patients: A Time and Etiology-based Approach to High-resolution Computed Tomography ... BackgroundThere is a paucity of data evaluating antibiotic use in anterior skull ‐base surgery (ASBS). The goal of this study ... Outcomes included practitioner preference regarding intraoperative and postoperative antibiotic use, practice location and ... Therapeutic endobronchial resection of a benign tumor in a patient with cystic fibrosis ...
Parent and patient preferences must be sought and joint decisions made. These guidelines will be published on the BSPGHAN Web ... There is a paucity of paediatric trials of high methodological quality to provide a comprehensive evidence-based document. Thus ... Manage patients with IC the same as patients with UC. Re-evaluate periodically because the histological picture and/or disease ... There is no role for maintenance steroids for patients with CD in remission. For patients who are steroid dependent, every ...
The choice between IPC and pleurodesis should be based on patient preference and local resource availability. ... The literature on the efficacy of treatment for pleural effusions is difficult to interpret because of the paucity of ... Dyspnea in Patients With Advanced Cancer Added text to state that a randomized placebo-controlled trial of 432 patients failed ... Go to Patient Version Cancer patients often have comorbid medical problems in addition to their underlying malignant disorders ...
Values and preferences. On the basis of the panel members experience with patients, input from the 2 patient partners on the ... 7 Given the anticipated paucity of evidence from studies enrolling patients with COVID-19, the recommendations hinge on both ... In this context, when any benefit is very uncertain, our inferences regarding patient values and preferences dictate a weak ... Because we anticipated a paucity of direct evidence from studies of patients with COVID-19, we summarized related indirect ...
Of the 151 study patients, 52 (34.4%) were female and 99 (65.6%) male. Their mean±sd age was 35.4±13.5 yrs. All of the patients ... However, the paucity of cases with extrapulmonary TB limits statistical analysis of these data for a possible association ... between organ preference and host TLR2 allele (table 2⇑). It is of note, however, that the GA (three cases) and AA (one case) ... Patients not providing conclusive evidence for the diagnosis of TB disease or who had an additional disease such as acquired ...
Given the paucity of research on patients experiences with eConsult, not to mention clinician-patient communication about ... Less attention has been focused on patients opinions. We set out to understand patient perspectives and preferences for ... Our goal was to introduce the concept of eConsult and assess patients reactions and preferences for eConsult decision making ... Our premise was that assessing patients reactions to the idea of eConsult, and ascertaining preferences for involvement in ...
... and weighing those benefits and harms in relation to the patients values and preferences. ... there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the ... Cervical cancer screening may be stopped after 65 years of age if the patient has an adequate history of negative screening ... heterogeneous nature of the older population, cancer screening in these patients should not be based on age alone. Studies ...
Moreover, we were not able to seek systematically patient views and preferences. Following this first round of recommendations ... Due to a paucity of strong data for several management issues, the development of review criteria for monitoring and/or audit ... Nevertheless, repeat renal biopsies pose a risk to the patient and may not be feasible for all patients. There is some evidence ... B-cell depletion in the treatment of patients with systemic lupus erythematosus: a longitudinal analysis of 24 patients. ...
13 The guideline concludes that due to the paucity of data the optimal choice of HCP attire for inpatient care remains ... Preferences and importance for types of attire also varied, with older patients indicating more preference for white coats, ... Fourth, we could not elicit why patients harboured the preferences they held. Future work may wish to engage patients to ... Variations in opinions and preferences of physician attire across different patient groups. Preferences for physician attire in ...
This recommendation is based on very low-quality evidence but places a high value on patient preferences for analgesia. If ... there exists a relative paucity of data concerning optimal pain management for patients with blunt thoracic trauma. ... This recommendation is based on very low-quality evidence but places a high value on patient preferences for analgesia. There ... Twenty-one patients were enrolled in each group. Patients in the systemic opioid group had more rib fractures (4.4 vs. 3.4; p ...
Rural patients also tended to be sicker at the time of LT than patients from urban areas, with increased proportion of Status 1 ... Provider preferences for triggers to transfer to adult care diverge widely between age, milestones and comorbidities. Overall, ... Transition practices vary widely, but a paucity of data makes determination of best practices difficult. We describe North ... Rural status of patients may impact health before and after pediatric LT. We used UI codes published by the USDA to stratify ...
The decision in graft choice was made based on patient preference. Data was collected on patient age, gender, duration of ... However, there is a paucity of clinical studies comparing the efficacy of osteochondral autograft and allograft plug ... Twenty-three patients with autograft and 15 patients with allograft were included with mean follow-up of 24 months. There were ... A retrospective analysis comparing patients treated with autograft or allograft plug was performed. All patients were given the ...
In fact, patients older than 65 years bear a disproportionate burden of cancer as well as increased prevalence of medical ... Cancer patients often have comorbid medical problems in addition to their underlying malignant disorders. ... The choice between IPC and pleurodesis should be based on patient preference and local resource availability. ... The literature on the efficacy of treatment for pleural effusions is difficult to interpret because of the paucity of ...
23 Given that there is a paucity on data on patient preferences on regional anesthesia, more research in this field is needed, ... Katz, JN Patient preferences and health disparities.. JAMA. (2001). 286 1506-9 [Article] [PubMed] ... Although few studies have linked patient preferences to observed differences in care,32 there is some evidence on the role of ... However, patient attitudes and preference might play an undervalued and underappreciated role in the choice of regional ...
  • Abstract: Objective: The aim of this study was to examine the current prevalence of major depression and anxiety disorders in patients with euthyroid Hashimoto's thyroiditis (HT) and euthyroid goiter.Method: The study sample was formed by consecutive 51 and 45 patients who were admitted to the endocrinology outpatient clinic and diagnosed with euthyroid HT and endemic/nonendemic goiter, respectively, and 68 healthy controls. (
  • Abstract: Objective: This study investigates the prevalence of lithium use, monitoring practice and associated effects on renal function in a large UK community sample.Method: A large population-based renal function database was cross-referenced with a general practitioner database of 404, 673 patients. (
  • Abstract: Objective: We aimed to determine Axis I psychiatric disorders in women with hyperemesis gravidarum (HG) and to follow up the course of psychiatric disorder and its association with nausea and vomiting (NV) during pregnancy.Methods: The study sample was composed of 47 patients with HG. (
  • Patient involvement in eConsult outreach and education efforts could help to enhance the model's effectiveness and acceptability. (
  • In this context, this study was done to compare the effectiveness of ILESI on pain relief and functional improvement when given at a level of maximum stenosis versus at nearby less stenotic levels in patients of LCS. (
  • Narrative syntheses of patient preferences and resource-implication literature informed recommendations. (
  • There is a paucity of literature regarding the optimal intervertebral level of ILESI that can lead to enhanced relief in symptoms and disability. (
  • Current literature offers little to guide rheumatologists and surgeons on how to manage medications in the perioperative period for patients undergoing elective arthroplasty, said Dr. Springer. (
  • We reviewed literature on improving patient and/or caregiver end-of-life care experiences. (
  • Within clean elective foot and ankle surgery the accepted rate of SSI quoted in the literature ranges between 0.26 to 2% [ 11 ] and the latest National Institute for Health and Clinical Excellence (NICE) guidelines for SSI state at least 5% of patients will suffer a postoperative infection following surgery [ 2 ]. (
  • Furthermore, this review will determine if the literature supports substituting Traumeel for Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and corticosteroids or if adding Traumeel to NSAID and corticosteroid treatment protocols benefits patients with inflammation. (
  • The literature supports Traumeel as an effective alternative to NSAIDS and corticosteroids in preventing stomatitis for patients undergoing chemotherapy. (
  • The purpose of this comprehensive literature review is to present and critique publications written about Traumeel's use for treating patients with a variety of inflammatory conditions. (
  • The literature search revealed a paucity of quality research, which limits the scope of this review. (
  • The choice of these patch materials is empirical and based on surgeon preference, and except for a few studies comparing unfixed pericardium with glutaraldehyde-fixed pericardium,, there is a paucity of literature in this field. (
  • It is used as adjunct to rehabilitation and can bring symptomatic and functional improvement in patients of spinal canal stenosis, and thus, reducing the need of surgery. (
  • Eligible patients were aged 18-65 years, had symptomatic multiple myeloma stage 1-3 according to the International Staging System (ISS), measurable disease (serum M protein >10 g/L or urine M protein >200 mg in 24 h or abnormal free light chain [FLC] ratio with involved FLC >100 mg/L, or proven plasmacytoma by biopsy), and WHO performance status grade 0-2 (grade 3 was allowed if secondary to myeloma). (
  • We aimed to determine the baseline patient activation measure (PAM) among Spanish-speaking (SP) and English-speaking (ES) pediatric IBD patients and parents, and to describe the feasibility and efficacy of a novel peer-group education symposium designed to enhance patient activation as measured with the PAM.Two separate half-day educational symposia in either Spanish or English were presented and moderated by 2 native Spanish-speaking physicians. (
  • The article on cholesterol abnormalities by Lockman and colleagues in the March 15, 2005, issue of American Family Physician does not address the uncertain efficacy of statins for the primary prevention of cardiovascular disease in women and older patients. (
  • In this study, we compared the efficacy of ILESI on pain relief and functional improvement when given at the level of maximum stenosis versus at nearby less stenotic levels in patients of lumbar canal stenosis. (
  • Interlaminar epidural steroid injection (ILESI) is commonly performed nonsurgical intervention in patients with lumbar spinal stenosis. (
  • This study will examine patients' decisions about reconstruction and the effects of reconstruction on quality of life and body image. (
  • Little is known about the quality of breast reconstruction decisions, defined as the extent to which decisions are informed and concordant with patients' preferences. (
  • and Aim 3: to assess the effects of breast reconstruction on quality of life and body image and the potential modification of those effects by preference concordance. (
  • The investigator will use the Decision Quality Instrument which includes knowledge questions to assess patient understanding of breast reconstruction. (
  • When reported, we examined correlations between preferences and objective (eg, ejection fraction) or subjective (eg, health-related quality of life) measures of health. (
  • Lung transplantation is an established therapeutic option for patients with irreversible end-stage pulmonary disease limiting life expectancy and quality of life. (
  • The morbidity and impact on quality of life of these patients can be very severe. (
  • 1,2 Hyperpigmentation on exposed areas such as the face can be a source of cosmetic concern for patients, that can negatively impact quality of life (QOL). (
  • 27 In patients with massive PE, systemic thrombolytic therapy has been shown to reduce mortality, 28 decrease the risk of developing CTEPH and improve quality of life. (
  • Mission: To enhance the health of our communities and promote the practice of medicine by advocating for quality, ethical health care, strong physician-patient relationships, and for personal and professional well-being for physicians. (
  • From the perspective of seriously ill, hospitalised elderly patients and their family members, effective communication and decision-making and open relationships with their healthcare providers are central to their construct of quality of end-of-life (EOL) care. (
  • Patients with atrial fibrillation are at increased risk of having a cardioembolic stroke. (
  • The use of oral anticoagulation is now well established to prevent strokes in patients with atrial fibrillation and a CHA 2 DS 2 -VASc (congestive heart failure, hypertension, age ≥75 years [2 points], diabetes mellitus, prior stroke/transient ischemic attack or thromboembolism [2 points], vascular disease, age 65 to 74 years, and sex category) score of greater than 1, beyond sex. (
  • Overall, aspirin is found to play a limited role in the prevention of stroke in patients with atrial fibrillation and is associated with a similar risk of hemorrhagic events compared with anticoagulants. (
  • 2 Patients with atrial fibrillation have a 5-fold increased risk of ischemic stroke. (
  • The rate of stroke varies between 2 to 10 per 100 patient-years without antithrombotic therapy. (
  • The choice among the novel oral anticoagulants depends on their different pharmacokinetic profile, patients' stroke and bleeding risk, comorbidities, drug tolerability and costs and, finally, patients' preferences (2). (
  • I realized on reflection that the womans sexual preference as an intracavernous pressure observed after injection of vasoactive agents to numb the area and provide additional length for optimal pump positioning in advance a man may demonstrate prolonged peripheral and autonomic testing procedure, since it was highly possible now that all of these arguments, the authors experience, the iss provides abundant links to the duration of 1114 years (p (
  • One AF subgroup in which the prognostic benefits of ablation are known is patients with concomitant heart failure with reduced ejection fraction: ablation results in significantly lower mortality and hospitalisation for worsening heart failure, compared with medical therapy. (
  • The International Cooperative Pulmonary Embolism Registry (ICOPER) demonstrated 90-day mortality rates of 58.3% in patients with massive PE versus 15.1% in sub-massive PE. (
  • 32,33 In contemporary practice, catheter-based endovascular therapy for acute PE can be considered in patients where there is a clear contraindication to full dose thrombolytic therapy or when risk stratification in a patient with stable hemodynamics indicates an increased likelihood of morbidity and mortality. (
  • Il s'agit d'un sondage transversal mené en ligne auprès des néphrologues pratiquant dans les unités pédiatriques des centres hospitaliers universitaires dans tout le Canada. (
  • Electronic consultation (eConsult) involves an asynchronous exchange of clinical information and patient care recommendations via a shared electronic health record or web-based platform. (
  • Participants A convenience sample of patients receiving care in dermatology, infectious diseases and neurology ambulatory clinics of the University Hospital Zurich participated in a paper-based survey. (
  • For example, compared with younger patients, respondents ≥65 years of age more often reported that physician dress was both important to them and influenced how happy they were with their care (p=0.047 and p=0.001, respectively). (
  • Limited English proficiency (LEP) among patients and primary care providers has been shown to be a predictor for worse health across disease states. (
  • Anesthetic Care for Orthopedic Patients:Is There a Potential for Differences in Care? (
  • Decisions about care at the end of life are among the most personal and deeply considered our patients make. (
  • The form enables patients to make informed choices about end-of-life care protocols and to formalize them in a way that authorizes health care providers to act in accordance with those choices. (
  • Legal instruments such as Living Wills and Health Care Powers of Attorney already play a role in informing physicians and other health care providers about the level and type of care desired in situations when the patient no longer can make or communicate decisions. (
  • In Greenville, four other long term care facilities use the same form as a tool to better communicate with patients upon admission to Pitt County Memorial Hospital. (
  • According to Dr. Nancy C. Lee, HHS Deputy Assistant Secretary for Health and federal officer for the CFS Advisory Committee (CFSAC), it is particularly important that their findings and recommendations reach people in the health care profession who have patients that have not yet been diagnosed. (
  • It was also vital for all CFS/ME patients to have access to health care providers who were able to "at least suspect the diagnosis. (
  • This is a desperate situation for so many, and my hope is that this study will be a major step in improving the clinical care and lives of these patients. (
  • Most respondents care for advanced CKD patients in a multidisciplinary clinic (86 %) and no centers have a formal policy on timing of dialysis initiation. (
  • Doctors, particularly general practitioners, play a significant role in assisting patients to create advance care plans. (
  • When medically indicated, these documents are important tools to promote congruence between end-of-life care and patient's personal preferences. (
  • Health practitioners have become more familiar and confident in their ability, to use these documents, to make decisions during end-of-life care that support patients' preferences [ 3 ]. (
  • As location of death is unpredictable, general practitioners remain central to ensuring advance care plans and end-of-life care are aligned with patient preferences where medically indicated and appropriate [ 12 ]. (
  • The NHS End of Life Care strategy recommends open conversations between healthcare professionals and patients as the end of life approaches [ 9 , 13 ]. (
  • and patients are likely to die whilst on aggressive treatments and in intensive care unit settings. (
  • In shared decision making, health care professionals and patients collaborate in making health-related choices. (
  • This process is based on autonomy and constitutes one to the elements of patient-centered care. (
  • Preferences for end-of-life care and decision-making among older and seriously ill inpatients: a cross-sectional study. (
  • Mental health-which is inseparable from physical health-is well within the realm of primary care, yet an interdisciplinary approach is often needed to fully care for patients facing mental health problems. (
  • Many patients are at risk of receiving inappropriate end-of-life care. (
  • 3 We found that there was very little effective communication between the patient/family and members of the healthcare team about goals of care. (
  • For their patients with inflammatory arthritis, rheumatologists and orthopedic surgeons must weigh the possibility of increasing the risks of postoperative infection, one of the top causes of joint implant failure for patients who continue anti-rheumatic drugs through the perioperative period, against an increased risk of flare if anti-rheumatic drugs are stopped prior to the procedure. (
  • To address this dilemma, the ACR and the American Association of Hip and Knee Surgeons (AAHKS) have collaborated to draft a new guideline, Perioperative Management of Anti-Rheumatic Medications in Patients with Rheumatic Diseases Undergoing Elective Total Hip or Knee Arthroplasty. (
  • This doesn't replace any of the perioperative management or optimization of the patient. (
  • Yet the patient panelists felt the perioperative flare was a much more controlled risk than an infection," said Dr. Goodman. (
  • Given the magnitude of the dissection and the potential for significant perioperative fluid shifts, patients are carefully evaluated to determine their ability to withstand the planned operation. (
  • Radiotherapy and chemotherapy was reported in 9.5 and 16.8 % of patients, respectively. (
  • We aimed to assess the predictive and prognostic values of excision repair cross-complementation 1 (ERCC1) in identifying appropriate patients who may potentially benefit from adjuvant chemotherapy for bladder cancer. (
  • ERCC1 expression was analyzed in 57 patients treated with adjuvant gemcitabine plus cisplatin chemotherapy and 36 who were not treated. (
  • Among patients with completely resected transitional cell carcinoma of the bladder, those with ERCC1-negative tumors seemed to benefit more from adjuvant gemcitabine plus cisplatin chemotherapy than those with ERCC1-positive tumors. (
  • To assess the predictive and prognostic value of ERCC1 and to define the subgroup of patients who are most likely to benefit from adjuvant chemotherapy, patients classified by history of adjuvant chemotherapy were analyzed. (
  • Vaginal brachytherapy versus pel- vic visible beam radiotherapy inasmuch as patients with endometrial carci- noma of high-intermediate jeopardize (PORTEC-2): an open-label, non-inferiority, randomised trial. (
  • Parent and patient preferences must be sought and joint decisions made. (
  • The unique circumstances of each patient should be taken into account by the responsible physician regarding decisions on any specific therapy. (
  • Understanding patients' values for precision oncology under conditions of uncertainty can be used to inform priority-setting decisions. (
  • Background In the hospital setting, inadequate engagement between healthcare professionals and seriously ill patients and their families regarding end-of-life decisions is common. (
  • Participants were introduced to the eConsult model, considered its potential benefits and drawbacks, judged the acceptability of a hypothetical copay, and expressed their preferences for future involvement in eConsult decision making and communication. (
  • Un sondage accessible par le web, auquel les participants répondaient de façon anonyme, a été distribué aux spécialistes canadiens pratiquant en néphrologie pédiatrique. (
  • Participants watched one of three videotaped scenarios of simulated patient-physician discussions of complementary and alternative medicine (CAM). (
  • To help ensure those wishes are followed, the North Carolina Medical Society led efforts to create a new form that allows patients to clearly communicate their prefer-ences regarding such interventions as CPR, artificial nutrition, hydra-tion and transfer to a hospital. (
  • Discrete choice experiments (DCEs) are attribute-driven experimental techniques used to elicit stakeholders' preferences to support the design and implementation of policy interventions. (
  • DCEs are an attribute-driven quantitative technique used to elicit stated preferences for new products and interventions that are yet to be introduced into the market [ 8 - 11 ]. (
  • Shortcomings of inhaled antibiotic treatments for Pseudomonas aeruginosa infection in patients with cystic fibrosis (CF) include poor drug penetration, inactivation by sputum, poor efficiency due to protective biofilm, and short residence in the lung. (
  • Dyspnea is a common symptom of certain cancers such as lung cancer and is also common in patients with numerous advanced cancers. (
  • Patients with comparable degrees of functional lung impairment and disease burden may describe varying intensities of dyspnea. (
  • 4 ] Breathlessness was a complaint at presentation in 60% of 289 patients with lung cancer. (
  • Thus, patients with visceral metastases (liver, lung, etc.) detected prior to or during operations are not eligible. (
  • The en-bloc specimen is completely mobilized, revealing the left lung, the tracheal bifurcation and the pericardium. (
  • This is the third of a series of five articles describing the GRADE approach to developing and presenting recommendations for management of patients. (
  • Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. (
  • PHC facilities should also have adequate access to equipment and health promotion materials needed for patients with NCDs or related risk factors. (
  • It is important that both doctors and patients are supported to use connected electronic health records to ensure that documents are readily available to healthcare staff when they are required. (
  • In general, only a few DCEs, none of which are from LMICs, have elicited community preferences for a health insurance product as an intervention in its entirety [ 23 - 30 ]. (
  • Lifestyle changes such as lack of regular exercise, consumption of a high fat diet, and breast feeding habits are reported as some important risk factors among Malaysian breast cancer patients [ 6 ]. (
  • Novel findings of physician attire preference and impact with patients in Swiss context. (
  • Patients who are being considered for management of localized prostate cancer with radical prostatectomy should be informed of the potential for adverse pathologic findings that portend a higher risk of cancer recurrence and that these findings may suggest a potential benefit of additional therapy after surgery. (
  • Some units the type of wound infection in your blood, our kidneys produce a intrarenal infusion of these cells torban it is not essential for final maturation and nh distal rta with corneal calcii cation shayakul and alper s l rauscher f j rodriguez puyol d phenotypic conversions in renal biopsies from patients with negative nitrogen balance because covert weight loss myalgia a flu shot or advice is available for transplantation. (
  • Gonococcal septic arthritis usually occurs as part of the syndrome of disseminated gonococcal infection, in which patients have some combination of urethritis, tenosynovitis, septic arthritis, and a hemorrhagic and pustular rash. (
  • If you look at the five-year survival rate for a patient who develops a periprosthetic joint infection, their risk of death five years after that infection is actually higher than that of the five most common cancers in the United States. (
  • These patients strongly prioritized infection prevention over flare risk, said Dr. Goodman. (
  • Head and neck cancers are not uncommon at Bugando Medical Centre and show a trend towards a relative young age at diagnosis and the majority of patients present late with advanced stage cancer. (