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Sample records for blandt voksne patienter

  1. Personalets deltagelse i forebyggelse blandt voksne patienter i almen laegepraksis

    DEFF Research Database (Denmark)

    Hansen, Dorte Gilså; K. Rasmussen, Niels; Munck, Anders P

    2008-01-01

    INTRODUCTION: Prevention of lifestyle-related diseases and related complications represent an increasing part of daily work in general practice. In relation to selected doctor and patient characteristics we analyzed 1) the practice staff's current involvement in preventive measures, and 2......) the doctors' wishes for increased involvement. MATERIALS AND METHODS: In total, 378 out of 381 general practitioners from ten counties participating in "Audit on prevention in general practice 2004" filled in a two-page questionnaire. RESULTS: Almost all (377/378) had staff employed. More than half...... of the doctors stated that the staff performed tasks in connection with weight control, vaccination of adults, blood pressure checks, lung function tests, alcohol abuse treatment and dietary counselling. A total of 72% of the doctors wished for greater staff involvement within one or more areas, especially...

  2. Høj selvmordsrisiko blandt psykiatriske patienter

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Madsen, Trine

    2011-01-01

    Suicide rates in Denmark have declined since 1980 both in the general population and among psychiatric patients. In recent years, the number of suicides in Denmark has been rather stable with approximately 650 incidents each year. Register-based studies indicate that half of those who commit suic...... patients is previous suicide attempt. A crisis plan developed together with the patient can be helpful. Regular screening for risk of suicide should be implemented in psychiatric services....

  3. Høj selvmordsrisiko blandt psykiatriske patienter

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Madsen, Trine

    2011-01-01

    Suicide rates in Denmark have declined since 1980 both in the general population and among psychiatric patients. In recent years, the number of suicides in Denmark has been rather stable with approximately 650 incidents each year. Register-based studies indicate that half of those who commit...... suicide have had at least one psychiatric admission in the past, and the risk of suicide is approximately twentyfold increased in psychiatric patients compared to the risk in the general population with only a modest variation across diagnoses. The most important risk factor for suicide among psychiatric...... patients is previous suicide attempt. A crisis plan developed together with the patient can be helpful. Regular screening for risk of suicide should be implemented in psychiatric services....

  4. Forebyggelse af dyb venetrombose (DVT) i underekstremiteter hos voksne hospitalsindlagte patienter gennem mobilisering

    DEFF Research Database (Denmark)

    Jensen, Jonna Gintberg

    2011-01-01

    strømper, men som et veldokumenteret supplement. Metode: Et litteratur studie med det fokuserede spørgsmål: Kan tidlig mobilisering reducere forekomsten af DVT i underekstremiteterne hos voksne. Systematiske søgninger blev foretaget i: PubMed, Cochrane, Embase, Cinahl og Trip. Litteratursøgningen afdækkede...

  5. Voksne ordblindes skrivevanskeligheder

    DEFF Research Database (Denmark)

    Aarup, Julie; Gandil, Trine

    2016-01-01

    Beskrivelser af voksne ordblindes skrivevanskeligheder fylder ikke lige så meget i litteraturen som beskrivelser af ordblindes læse- og stavevanskeligheder. Men en model af kognitive processer i skrivning (Flower & Hayes 1980) kan bruges til at forstå ordblindes skrivevanskeligheder, og hvad der...

  6. ADHD - et voksende problem for voksne

    DEFF Research Database (Denmark)

    Jørgensen, Anthon Sand

    2013-01-01

    Mindst 1000.000 voksne opfylder ADHD-diagnosekriterierne, og en stor del af disse kan risikere at ende i kriminalitet, misbrug eller stå uden job......Mindst 1000.000 voksne opfylder ADHD-diagnosekriterierne, og en stor del af disse kan risikere at ende i kriminalitet, misbrug eller stå uden job...

  7. Pengespil blandt unge

    DEFF Research Database (Denmark)

    Nielsen, Connie; Heidemann, Julie

    -screeningsinstrument. SFI har tidligere på vegne af Spillemyndigheden under Skatteministeriet (Skat) undersøgt spillemønstret og omfanget af spilleproblemer for voksne i alderen 18-74 år. Til denne undersøgelse har SFI-Survey interviewet 3.814 unge i alderen 12 til 17 år pr. telefon i juli/august 2007. De unge blev...

  8. Kronisk iskaemisk hjerteinsufficiens. Revaskularisering bedrer overlevelsen blandt patienter med hibernating myocardium

    DEFF Research Database (Denmark)

    Holdgaard, Paw Chr; Nielsen, Søren Steen; Wiggers, Henrik

    2007-01-01

    imaging was performed with 99mTc-sestamibi and glucose metabolism was visualized with 18F-fluorodeoxyglucose (18F-FDG) gamma camera PET. Medical records and death certificate were reviewed retrospectively. RESULTS: 50 patients were included. We found an increased survival among patients with HIB who......INTRODUCTION: Patients with ischemic heart failure and reversible dysfunctional myocardium (Hibernating myocardium, HIB) can benefit from revascularization. These patients can be selected with nuclear methods. The purpose of this study was to describe the results of the imaging procedures...... in patients tested for HIB and relate the results to the choice of treatment and cause of death. MATERIALS AND METHODS: During a 2-year period 51 patients were referred to determine the amount of HIB. This can be determined with blood flow and metabolic imaging of the heart. Resting-myocardial perfusion...

  9. Dødelighed--selvmord og naturlig død--blandt deprimerede patienter. Relationen til depressionstype

    DEFF Research Database (Denmark)

    Hansen, P E; Wang, A G; Kragh-Sørensen, P

    1994-01-01

    . The observed mortality was significantly greater than that expected. The increased mortality was essentially due to suicides and mainly found among women. Patients scored as being nonendogenously depressed had a significantly higher suicide rate than endogenously depressed patients. The excess number......A total of 219 inpatients with a DSM-III diagnosis of major depression, (150 women and 69 men), were followed prospectively for three to ten years and mortality was recorded. The patients were previous participants in psychopharmacological multicentre trials, which were carried out for the purpose...... of comparing the antidepressant effect of newer selective serotonin reuptake inhibitors (SSRI), citalopram and paroxetine, with that of the tricyclic antidepressant drug, clomipramine. Diagnostic classification according to the Newcastle-I Scale into endogenous and nonendogenous depression was performed...

  10. En undersøgelse af livshistorier blandt patienter med skizofreni. (An examination of life stories among patients with schizophrenia)

    DEFF Research Database (Denmark)

    Holm, Tine; Bliksted, Vibeke Fuglsang; Thomsen, Dorthe Kirkegaard

    have less coherent life stories compared to healthy controls. 30 patients and 30 matched controls describe and rate up to 10 life story chapters and 3 self-defining memories (SDMs). We expect that patients will have less chronologically organized chapters and that they will rate degree of self......-continuity and causal coherence lower for both SDMs and life story chapters....

  11. En undersøgelse af livshistorier blandt patienter med skizofreni. (An examination of life stories among patients with schizophrenia)

    DEFF Research Database (Denmark)

    Holm, Tine; Bliksted, Vibeke Fuglsang; Thomsen, Dorthe Kirkegaard

    Lack of self-continuity is a defining feature in schizophrenia, which involves the experience that the past self is not meaningfully connected to the present self. Self-continuity may be established through the life story. In this study-in-progress we examine whether patients with schizophrenia...... have less coherent life stories compared to healthy controls. 30 patients and 30 matched controls describe and rate up to 10 life story chapters and 3 self-defining memories (SDMs). We expect that patients will have less chronologically organized chapters and that they will rate degree of self......-continuity and causal coherence lower for both SDMs and life story chapters....

  12. Reduktion af stress og sygefravær blandt patienter med arbejdsrelaterede belastnings- og tilpasningsreaktioner henvist til Arbejdsmedicinsk klinik

    DEFF Research Database (Denmark)

    Glasscock, David John; Carstensen, Ole; Dalgaard, Vita Ligaya Ponce

    is plagued by a number of methodological limitations. The definition of study populations is often unclear and there is a lack of studies with patients that have a clinically documented need for treatment. There is also a lack of research that evaluates interventions aimed at both the individual patient...... reactions to stress or adjustment disorders that were work related, patients were offered participation in the project, if inclusion and exclusion criteria were satisfied. Patients answered baseline questionnaires prior to initial examination. The questionnaire, which was used to measure treatment effects......, was repeated again 4 and 10 months after inclusion. Treatment effects were assessed with validated scales: Perceived stress (PSS-10), mental health (GHQ-30), sleep quality (selected items from the BNSQ), and cognitive functioning (two subscales from the CFQ). There were also items concerning sick-leave. After...

  13. Postoperativ morbiditet blandt alkoholmisbrugere

    DEFF Research Database (Denmark)

    Tønnesen, H; Petersen, K R; Højgaard, L

    1994-01-01

    mm2 vs 78, p Alcohol misusers had significantly longer bleeding times. Surgical stress responses, as assessed by changes in plasma cortisol and catecholamines, were higher among alcohol misusers (p ...Retrospective studies suggest increased postoperative morbidity among alcohol misusers. We have prospectively studied the risk associated with alcohol intake among patients undergoing surgery. We investigated 15 persons who required colorectal surgery and who were drinking at least five Danish...... drinks per day. These patients were matched for sex, nutrition, age, weight, cardio-pulmonary disease, diagnosis anesthesia, and surgery to 15 control persons who were consuming no more than two drinks daily. None of the patients showed signs of liver disease. The alcohol group developed more...

  14. Cancermorbiditet blandt alkoholmisbrugere

    DEFF Research Database (Denmark)

    Tønnesen, Hanne; Møller, Henrik; Andersen, Jens Richard

    1995-01-01

    , larynx, lung, pleura, and secondary cancer. The women had a significantly increased risk of cervical cancer (RR = 2.0). The men developed prostatic cancer significantly more frequently than expected (RR = 1.4). The relative risks of cancer of the stomach, pancreas, kidney and endocrine system were only......Data on the association between alcohol abuse and cancer morbidity are scarce in large cohorts of non-hospitalized alcoholic men an women. Of 18,368 alcohol abusers who entered an out-patient clinic in Copenhagen between 1954-1987, 18,307 were followed. Their cancer incidence was compared...... to that of the total Danish population. The overall morbidity of cancer was significantly increased among alcohol abusers. The men developed 1441 cancer cases (RR = 1.6), and the women 182 cases (RR = 1.5). Significantly increased incidences were found for cancer of the tongue, mouth, pharynx, oesophagus, liver...

  15. Voksnes regnefærdigheder/numeralitet - hvordan testes det?

    DEFF Research Database (Denmark)

    Johansen, Lene Østergaard

    2004-01-01

    Vi befinder os i en evalueringsbølge. Børn og voksnes viden og færdigheder bliver i disse år evalueret gang på gang, og resultaterne bliver sammenlignet og diskuteret nationalt og internationalt. Når et lands befolkning klarer sig dårligt i forhold til andre landes befolkninger, bliver resultater...

  16. Forekomsten af forkøleslse, snue og hoste blandt voksne danskere. Epidemiologi belyst ved DIKE's befolkningsundersøgelser

    DEFF Research Database (Denmark)

    Trier, H; Rasmussen, N K; Brønnum-Hansen, Henrik

    1991-01-01

    The occurrence of upper respiratory symptoms among adult Danes was examined by the use of data from the Danish Health and Morbidity Survey 1986-1987. In this study, 14.0 per cent of 6,672 individuals reported complaints of colds or coughs (CC) during the two-week period preceding the interview...

  17. Udbredelse og opfattelse af angst for tandbehandling blandt voksne danskere.[Prevalence and perceptions of dental anxiety among Danish adults.

    DEFF Research Database (Denmark)

    Moore, Rod; Birn, H.; Brødsgaard, I.

    1993-01-01

    English summary: This telephone survey showed that 4.2% of Danish adults over 16 years old have extreme dental anxiety and 6% have moderate fear in a sample of 565 adults from Århus (Table 1). Common perceptions as to the causes of dental fear indicated that most believed it to be due to pain......, especially from drilling and thereafter trauma or negative experiences leading to distrust of the dentist (Table 1). It was interesting to note that although up to 40% of the sample expressed some degree of fear for dentistry, 81.1% said that they know of at least two persons who have dental fear (16.2% know...... of over ten persons). The most common ways that people have been informed about dental anxiety as a problem is from other non-medical persons (56.6%), then in order: newspapers/magazines (32.7%), TV (14.2%), radio (5.8%), dentists (4.1%) and other medical personnel (2.8%). Characteristics of dental...

  18. Angst for tandbehandling. Prevalens og karakteristika blandt voksne danskere [Fear of dental treatment. Prevalence and characteristics among adult Danes

    DEFF Research Database (Denmark)

    Moore, R.; Brødsgaard, I.; Scheutz, F.

    1995-01-01

    anxiety, especially in the odontophobiia group, were years of avoidance of treatment and associated poor subjective perceptions of oral health. Logistic analyses revealed that although dental drilling was the identifying feature of dental anxiety characteristics, the drill could be symbolic for the many...

  19. Staphylococcal scalded skin syndrome hos voksne

    DEFF Research Database (Denmark)

    Mikkelsen, Carsten Sauer; Mikkelsen, Dorthe Bisgaard; Jensen, Thøger Gorm

    2010-01-01

    parts of her body. The bullae ruptured easily and left a erythematous base. The histopathological changes were characteristic for adult SSSS. The patient was well-treated with intravenous dicloxacillin, topical antibiotic and antiseptic treatment. The patient had marked thrombocytosis, but no interest...

  20. Wind interviewet til Berlingske om den stigningen opbakning til EU blandt danskerne

    DEFF Research Database (Denmark)

    Wind, Marlene

    2017-01-01

    Professor og centerleder, Marlene Wind, var tirsdag den 11. juli interviewet til Berlingske om den stigende opbakning til EU blandt danskerne. Wind forklarer blandt andet stigningen med de igangværende Brexit forhandlinger, men også at truslen fra Rusland er med til at forstærke opbakningen til EU...

  1. Organisationsudvikling og socialpædagogisk praksis i bo- og dagtilbud for voksne udviklingshæmmede

    DEFF Research Database (Denmark)

    Kofod, Kasper; Jensen, Niels Rosendal

    Bogen er en rapport over et forsknings- og udviklingsprojekt for Organisationen for Voksne Udviklingshæmmede i Ballerup Kommune, som er forløbet fra marfts 2008 til februar 2009. Rapporten er en forløbsrapport, som gør rede for processen i projektet og for de første analyser af de observerede...

  2. Udredning af knude på halsen hos voksne

    DEFF Research Database (Denmark)

    Larsen, Christian Grønhøj; Channir, Hani Ibrahim; Kiss, Katalin

    2015-01-01

    Doctors are frequently presented to patients with a neck mass, and the condition might cause diagnostic challenges. In younger adults, a neck mass can typically be explained by congenital, inflammatory or infectious causes. The highest probability of neoplasms is found in patients above 40 years ...

  3. Cochleaimplantationer hos voksne. Resultater og betydning for kommunikation og livskvalitet

    DEFF Research Database (Denmark)

    Faber, C E; Grøntved, A M

    2000-01-01

    The aim of this study was to assess the benefits and complications from cochlear implantation and to evaluate the average implant usage per day. Ten profoundly deaf adults were implanted during the period April 1994 to September 1997. The patients answered questionnaires one year or more after...... receiving their cochlear implants. The average implant usage per day was 16 hours. The patients would again opt for a cochlear implant and would recommend a cochlear implant for a deaf friend. A paired comparison showed that the implants led to statistically significant improvement in a number of factors...

  4. Afprøvning af et sundhedspædagogisk koncept målrettet voksne med psykisk sygdom i region Syddanmark – fokus på kompetenceudvikling af professionelle. Projekt ’Livsstilsguide i praksis (2015-2017)’

    DEFF Research Database (Denmark)

    Folmann Hempler, Nana; Saurbrey Pals, Regitze; Oest, Lone

    2017-01-01

    Særlig læring/særlig succes Behovsafdækningen i projektet peger på, at der er behov for at styrke professionelles kompetencer til at samarbejde med voksne med psykisk sygdom om sundhed. Nærværende projekt viser, at professionelle kan styrke samarbejdskompetencer vha. undervisning. Baggrund Voksne...

  5. Voksnes Leg

    OpenAIRE

    Hammer, Renee Louise; Plass, Jonas; Kristensen, Karin; Nielsen, Søndergaard; Frederikke, Maria; Taasti Pedersen, Lisa

    2015-01-01

    We live in a busy world where everyday life is seemingly consumed by daily duties and responsibil-ities. It seems like the average adult has completely forgotten to play. The act of playing plays a vital part in personal evolution, and is important for children and adults alike. The phenomenon known as Live Action Roleplay is one of the few instances where we see a large number of adults, actively taking part in a mutual kind of play. Roleplayers dress up in costumes and act out epic scenario...

  6. Antibiotikaresistens blandt kliniske bakterieisolater fra hunde og katte i 2013 og 2014

    DEFF Research Database (Denmark)

    Damborg, Peter Panduro

    2015-01-01

    . generationscefalosporin (indikator for extendedspektrumbeta-laktamase, ESBL) dog signifikant fra 1,7 % i 2013 til 3,8 % i 2014. Modsat faldt forekomsten af oxacillinresistente Staphylococcus pseudintermedius (indikator formethicillinresistente stammer, MRSP) fra 4,7 % i 2013 til3,0 % i 2014. Blandt begge disse vigtige...

  7. Risikofaktorer for selvmordsforsøg blandt børn og unge

    DEFF Research Database (Denmark)

    Christoffersen, Mogens

    Danske undersøgelser viser, at der er en markant overhyppighed af selvmordsforsøg og selvmordsovervejelser blandt unge, der har været udsat for vold, incest og seksuelle overgreb fra de nærmeste. Et tydeligt kendetegn har også været, at de unge har ønsket at flytte hjemmefra tidligt, at de har haft...

  8. Domsanbragte udviklingshæmmede Hvorfra - Hvorhen? I:Den socialpædagogiske indsats på et botilbud for voksne udviklingshæmmede med dom

    OpenAIRE

    Ringø, Pia

    2014-01-01

    I Domsanbragte udviklingshæmmede Hvorfra - Hvorhen?, beskrives hvordan den socialpædagogiske indsats formes af organisatoriske rammer, styringsteknologier og strukturer, der influerer på metoder, redskaber og aktiviteter i den socialpædagogiske indsats. I rapporten lægges vægt på relationen mellem det sociale botilbuds problemdefinitioner, den socialpædagogiske indsats og fremtidsperspektiver for voksne udviklingshæmmede med dom.

  9. "Sikker sex" blandt hiv-smittede heteroseksuelle par

    DEFF Research Database (Denmark)

    Weis, N M; Skinnes, L; Vesterdal, B

    1999-01-01

    To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Five...... out of 30 patients involved in a relationship (defined as living together for at least three months) used condoms inconsistently. One of these couples was still discordant. Of the remaining 27 patients without steady partners two used condoms inconsistently. The patients expressed great satisfaction...... at being given the possibility of talking about problems regarding hiv-transmission and sexuality. In conclusion a discrepancy was found between knowledge about transmission of hiv and the use of condoms among heterosexual couples. Udgivelsesdato: 1999-Jun-14...

  10. Flyttemønstre, indkomster og formuer blandt ældre personer og husholdninger

    DEFF Research Database (Denmark)

    Skak, Morten; Bloze, Gintautas

    for 85-årige kvinder er steget fra knap 6 år til noget over 6 år (+½ år). Udviklingen i forskellige sundhedsindika-torer er ikke entydig, men der er en klar forbedring af almentilstan-den og et fald i andelen med diabetes og for højt blodtryk blandt de yngre pensionister. Frekvensen for ambulante...... behandlinger og ind-læggelser på sygehuse er dog samtidig stigende for alle pensionister, og det samme gælder besøg hos tandlæger, kiropraktorer, fysio- og fodterapeuter. Efter et fald frem til sidste halvdel af 1990’erne er erhvervsfrekvensen blandt de ældre igen stigende. I 2011 var knap 10 procent af de...... påvirkede af udviklingen i ejen-domsværdierne og har således udvist fald siden boligprisernes top i 2007, men ligger dog stadig over niveauet ved indgangen til nullerne. Skævheden i formuefordelingen, der er betydelig mere udtalt end for indkomsterne, er ligeledes steget. Generelt vokser de ældres formuer...

  11. Repræsentativitet i spørgeskemaundersøgelser blandt etniske minoriteter - medborgerskabsundersøgelse

    DEFF Research Database (Denmark)

    Gorinas, Cedric; Christensen, Christiane Præstgaard

    2017-01-01

    Med udgangspunkt i medborgerskabsundersøgelsen fra 2016 har dette notat til formål at undersøge, hvad der karakteriserer de etniske grupper, som er underrepræsenterede i undersøgelsen, samt at belyse svarenes informationsgrad og foreslå metoder, som tilsigter en forbedret dataindsamling blandt et...

  12. "Sikker sex" blandt hiv-smittede heteroseksuelle par

    DEFF Research Database (Denmark)

    Weis, N M; Skinnes, L; Vesterdal, B

    1999-01-01

    To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Fiv...... at being given the possibility of talking about problems regarding hiv-transmission and sexuality. In conclusion a discrepancy was found between knowledge about transmission of hiv and the use of condoms among heterosexual couples. Udgivelsesdato: 1999-Jun-14......To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Five...... out of 30 patients involved in a relationship (defined as living together for at least three months) used condoms inconsistently. One of these couples was still discordant. Of the remaining 27 patients without steady partners two used condoms inconsistently. The patients expressed great satisfaction...

  13. Cancer blandt gigtpatienter behandlet med tumornekrosefaktor-alfa-haemmere

    DEFF Research Database (Denmark)

    Dreyer, Lene; Mellemkjaer, Lene; Hetland, Merete Lund

    2009-01-01

    INTRODUCTION: The use of anti-tumour necrosis factor (anti-TNF) therapy is increasing in the treatment of rheumatoid arthritis (RA), spondyloarthropathy, psoriasis and inflammatory bowel disease. It is being debated whether treatment of patients with rheumatic diseases with anti-TNF therapy...... is associated with an increased cancer incidence. MATERIAL AND METHODS: A descriptive study of cancer cases among 3,688 patients with rheumatic diseases who received anti-TNF therapy was performed. The patients were identified in the nationwide database DANBIO and had a total number of treatment years of 6......,092 years. All cancer cases were identified and the cancer diagnoses were subsequently confirmed by medical record review. RESULTS: A total of 30 cancers in 28 of 3,688 patients were registered in the DANBIO after initiation of anti-TNF therapy in the period from October 2000 to June 2007. Among these six...

  14. Cancer blandt gigtpatienter behandlet med tumornekrosefaktor-alfa-haemmere

    DEFF Research Database (Denmark)

    Dreyer, Lene; Mellemkjaer, Lene; Hetland, Merete Lund

    2009-01-01

    %). CONCLUSION: In our descriptive study from the nationwide database DANBIO, a total of 30 cancers were observed in 3,688 patients with rheumatic diseases within a cumulated period of treatment with anti-TNF of 6,092 years. Follow-up for anti-rheumatic and adverse effects in patients in the DANBIO database...... is associated with an increased cancer incidence. MATERIAL AND METHODS: A descriptive study of cancer cases among 3,688 patients with rheumatic diseases who received anti-TNF therapy was performed. The patients were identified in the nationwide database DANBIO and had a total number of treatment years of 6...... men and 20 women had RA, and two men had Morbus Becterew. The following cancer types were observed: malignant lymphoma 2 (7%), lung 4 (13%), plicae vocalis 2 (7%), breast 4 (13%), pancreatic 3 (10%), colorectal 2 (7%), prostate 1 (3%), malignant melanoma 3 (10%) and non-melanoma skin cancer 9 (30...

  15. "Sikker sex" blandt hiv-smittede heteroseksuelle par

    DEFF Research Database (Denmark)

    Weis, N M; Skinnes, L; Vesterdal, B

    1999-01-01

    To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Fiv...... at being given the possibility of talking about problems regarding hiv-transmission and sexuality. In conclusion a discrepancy was found between knowledge about transmission of hiv and the use of condoms among heterosexual couples. Udgivelsesdato: 1999-Jun-14......To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Five...

  16. "Sikker sex" blandt hiv-smittede heteroseksuelle par

    DEFF Research Database (Denmark)

    Weis, N M; Skinnes, L; Vesterdal, B

    1999-01-01

    To investigate the use of condoms ("safe sex") as prevention of transmission with human immuno deficiency virus (hiv) among heterosexual couples, 57 hiv-positive heterosexual patients and their partners if there was one interviewed. Forty-three of the 57 patients were heterosexually infected. Five...... at being given the possibility of talking about problems regarding hiv-transmission and sexuality. In conclusion a discrepancy was found between knowledge about transmission of hiv and the use of condoms among heterosexual couples. Udgivelsesdato: 1999-Jun-14...

  17. Cancer blandt gigtpatienter behandlet med tumornekrosefaktor-alfa-haemmere

    DEFF Research Database (Denmark)

    Dreyer, Lene; Mellemkjaer, Lene; Hetland, Merete Lund

    2009-01-01

    The use of anti-tumour necrosis factor (anti-TNF) therapy is increasing in the treatment of rheumatoid arthritis (RA), spondyloarthropathy, psoriasis and inflammatory bowel disease. It is being debated whether treatment of patients with rheumatic diseases with anti-TNF therapy is associated...... with an increased cancer incidence....

  18. Morgenmadsvaner og overvægt blandt danske skolebørn: hvilken rolle spiller socialgruppe?

    DEFF Research Database (Denmark)

    Fossar Fabritius, Kirstine; Rasmussen, Mette

    2008-01-01

    Introduktion: Forekomsten af overvægt blandt børn og unge er stigende, og i mange industrialiserede lande er overvægt mest udbredt i lave socioøkonomiske grupper. Man har i flere studier påvist, at lav morgenmadsfrekvens øger risikoen for overvægt. Det er dog ukendt, om sammenhængen er ens i alle...... skoleelever i et tilfældigt udsnit af landets skoler i 2002. Deltagerprocenten var 89,3, n = 4.824. Undersøgelsen er det sjette danske bidrag til det internationale forskningsprojekt Health Behaviour in School-aged Children. Socioøkonomisk position blev bestemt ved familiesocialgruppe og morgenmadsfrekvens...

  19. Voksne danskeres kostbevidsthed

    DEFF Research Database (Denmark)

    Osler, M; Rasmussen, N K; Brønnum-Hansen, Henrik

    1990-01-01

    By means of an interview investigation of a representative sample comprizing 4,753 adult Danes over the age of 15 years, the attempted dietary principles of the population are illustrated. 60% of the population try to avoid certain foodstuffs from the point of view of health and 75% include certain...... foodstuffs in their diets for the same reason. The persons who particularly follow the dietary recommendations made in recent years, which consist of avoiding fat and including coarse bread, vegetables and fruit in the diet are women, aged 25-44 years, individuals with high net incomes and persons living...... by approximately 10%. During the same period, the actual average diet has, however, not altered in the same positive direction. The dietary principles aimed at and which are reported here are, therefore, expression of Danes' awareness of dietary principles rather than the actual behaviour. Thus, despite optimal...

  20. Kawasakis syndrom hos voksne

    DEFF Research Database (Denmark)

    Roed, Casper; Skinhøj, Peter

    2009-01-01

    Kawasaki syndrome (KS), which is febrile systemic vasculitis complicated by coronary aneurysms, was initially described in children, but an increasing number of case-reports address adult-KS. The disease seems to be infectious of origin, but the causative agent has not been established. The debut...

  1. Avanceret genoplivning af voksne

    DEFF Research Database (Denmark)

    Lippert, Freddy K; Lauritsen, Torsten L B; Torp-Pedersen, Christian

    2008-01-01

    International and European Resuscitation Council (ERC) Guidelines for Resuscitation 2005 implicate major changes in resuscitation, including new universal treatment algorithms. This brief summary of Guidelines 2005 for advanced resuscitation of adult cardiac arrest victims is based upon the ERC...

  2. Voksne danskeres kostbevidsthed

    DEFF Research Database (Denmark)

    Osler, M; Rasmussen, N K; Brønnum-Hansen, Henrik

    1990-01-01

    in the suburbs of the capital and in the three largest Danish provincial towns. The efforts to achieve healthy dietary habits are, in addition, associated with non-smoking and moderate alcohol consumption. During the past five years, the proportion of Danes who try to alter dietary habits has increased...

  3. Dødelighed--selvmord og naturlig død--blandt deprimerede patienter. Relationen til depressionstype

    DEFF Research Database (Denmark)

    Hansen, P E; Wang, A G; Kragh-Sørensen, P

    1994-01-01

    of comparing the antidepressant effect of newer selective serotonin reuptake inhibitors (SSRI), citalopram and paroxetine, with that of the tricyclic antidepressant drug, clomipramine. Diagnostic classification according to the Newcastle-I Scale into endogenous and nonendogenous depression was performed...... of suicides in the nonendogenous group largely occurred within the first year of observation. No association was found between response to the antidepressant treatment in the trial and the suicide risk during the first three years of observation. Udgivelsesdato: 1994-Nov-28...

  4. Training health care teams in intercultural communication and patient safety

    DEFF Research Database (Denmark)

    Odgaard, Eva; Pedersen, Lise

    2017-01-01

    Patientsikkerhed gennem effektiv kommunikation Patientsikkerhed i sundhedsvæsnet afhænger blandt andre faktorer af effektiv kommunikation mellem personale og patienter og mellem sundhedspersonale indbyrdes. Effektiv kommunikation udfordres i situationer, hvor der opstår kulturelle og eller...

  5. Implementering af ny standard for forebyggelse af delir i forhold til ældre svagelige patienter > 65 år med hoftefraktur

    DEFF Research Database (Denmark)

    Bagger, Bettan; Rehder, Bente; Pedersen, Niels

    2013-01-01

    Baggrund: Pro-hip er et inter-regionalt projekt www.prohip.eu der blandt andet har til formål at evidensbasere den rehabiliterende sygepleje til hoftepatienten i forhold til indsatsområderne; ernæring, urinretention/UVI, delir og tryksår. Delirium er et hyppigt forekommende problem blandt patienter...... standard. Intentionen er således at udvikle en evidensbaseret standard eller instruks, der har til formål at opspore tidlige symptomer på konfusion og dermed forebygge udviklingen af deliriøs tilstand hos patienten med hoftefraktur. Metode: Der er udarbejdet et systematisk review med henblik på...

  6. Mikroalbuminuri er associeret med firedobbelt risiko for iskaemisk hjertesygdom blandt hypertensive

    DEFF Research Database (Denmark)

    Jensen, Jan Skov; Feldt-Rasmussen, Bo F; Strandgaard, Svend

    2002-01-01

    INTRODUCTION: The urinary excretion of albumin is positively correlated to the presence of ischaemic heart disease and atherosclerotic risk factors in subjects with arterial hypertension. The aim of this population-based, follow-up study of hypertensive patients was to assess the predictive impact...... in the hypertension clinic, and rigorous control of blood pressure and other modifiable atherosclerotic risk factors is to be recommended in hypertensive patients with microalbuminuria....... in a population of 2085 men and women aged 30-60 years. Exclusion criteria were ischaemic heart disease, diabetes mellitus, and renal or urinary tract disease. Untreated hypertension or borderline hypertension (a systolic blood pressure above 140 mmHg and/or a diastolic blood pressure above 90 mmHg) were found...

  7. Levetiden blandt personer med og uden hiv-infektion i Danmark 1995-2005

    DEFF Research Database (Denmark)

    Lohse, Nicolai; Hansen, Ann-Brit Eg; Pedersen, Gitte

    2007-01-01

    It has been difficult to measure the median survival of HIV-infected patients by comparing selected HIV samples and control groups. Data from the Danish HIV Cohort Study combined with the Central Registration System has made it possible to accurately compare the survival of HIV-infected persons...... and uninfected persons. In 2000 to 2005, the median remaining lifetime at age 25 years in the general population was 51 years and 39 years for HIV-infected persons without hepatitis C virus infection. In conclusion, persons with HIV infection have a good, albeit far from normal, life expectancy. Udgivelsesdato...

  8. Kendskab til humant papillomvirus-relateret sygdom blandt kvinder i almen praksis

    DEFF Research Database (Denmark)

    Petersen, Lone Kjeld; Vaesel, Hanne; Brønsgaard, Poul Hede

    2009-01-01

    75% of the adult population has or will become infected by one or more HPV serotypes. The purpose of the study was to investigate the level of knowledge of the cause of cervical cancer, cervical dysplasia and condylomas among women seen in Danish general practice, and to investigate the women......-39 years were included in the study. Only 1.2% of the women correctly stated HPV as the cause of cervical cancer and 0.7% stated HPV as the cause of condylomas. In all, 96.2% thought that general practitioners should actively inform their patients of prophylactic initiatives such as vaccination against...... cervical cancer. Among all women, 96.4% considered HPV-vaccination. CONCLUSION: In this population, knowledge about the cause of cervical cancer and condylomas was limited. There was a clear wish - and expectation - to be actively informed on prophylactic initiatives by the general practitioner...

  9. At spille med de voksne

    DEFF Research Database (Denmark)

    Thomsen, Kristian Raun

    2015-01-01

    of experience as a coach, player and/or talent manager in Danish and international elite football indicated that resilience, and ability to navigate between discipline and ferocity are vital factors in the pathway to senior elite football, but more importantly to remain there. In addition, the talented player...... will benefit from the ability to act in accordance with senior professional norms. Knowing your own worth, and to some extent to be able to take advantage of an extraordinary talent are regarded virtues in senior elite coaches and managers as well as among athletes that have successfully sustained senior elite...... status. Keywords: Elite football, resilience, ferocity, discipline, performance, talent...

  10. Screening af voksne for ADHD

    DEFF Research Database (Denmark)

    Obel, Carsten; Dalsgaard, Søren; Arngrim, Torben

    2009-01-01

    ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood and they are ty......ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood...... and they are typically characterized by problems with planning of work and daily life activities as well as social persistence. The Adult ADHD Self-report Scale (ASRS) can be used in general practice as an introduction to the diagnostic process of ADHD in a psychiatry setting and to evaluate the effect of treatment...

  11. Screening af voksne for ADHD

    DEFF Research Database (Denmark)

    Obel, Carsten; Dalsgaard, Søren; Arngrim, Torben

    2009-01-01

    ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood...... and they are typically characterized by problems with planning of work and daily life activities as well as social persistence. The Adult ADHD Self-report Scale (ASRS) can be used in general practice as an introduction to the diagnostic process of ADHD in a psychiatry setting and to evaluate the effect of treatment....... ASRS is now available in Danish and is recommended as a screener for adult ADHD. Udgivelsesdato: 2009-Jan-19...

  12. Screening af voksne for ADHD

    DEFF Research Database (Denmark)

    Obel, Carsten; Dalsgaard, Søren; Arngrim, Torben

    2009-01-01

    ADHD is a well established condition in childhood, but much less attention has been given to this diagnosis among adults. It is estimated that 2-4% of the adult population has this condition. Adults with ADHD present symptoms that differ somewhat from those presenting in childhood...... and they are typically characterized by problems with planning of work and daily life activities as well as social persistence. The Adult ADHD Self-report Scale (ASRS) can be used in general practice as an introduction to the diagnostic process of ADHD in a psychiatry setting and to evaluate the effect of treatment....... ASRS is now available in Danish and is recommended as a screener for adult ADHD. Udgivelsesdato: 2009-Jan-12...

  13. Organisk demens blandt tandteknikere

    DEFF Research Database (Denmark)

    Prescott, E; Steendahl, Ulla; Damsgaard, M T

    1989-01-01

    The preparation methylmethacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended.......The preparation methylmethacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group......, a cross-sectional questionnaire investigation was undertaken in a population consisting of 256 dental technicians and 160 opticians, all of whom were professionally active. The percentage replies for the two group were 88 and 85 respectively. The two groups do not differ from one another as regards...

  14. Organisk demens blandt tandteknikere

    DEFF Research Database (Denmark)

    Prescott, E; Steendahl, Ulla; Damsgaard, M T

    1989-01-01

    The preparation methylmethacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group...... of information and selection bias are discussed and it is concluded that this investigation confirms the hypothesis that symptoms compatible with organic dementia are commoner among dental technicians. The results raise the suspicion that MMA may cause acute and chronic damage to the central nervous system, even...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended....

  15. Depressive patienters oplevelse af at modtage ECT

    DEFF Research Database (Denmark)

    Jensen, Christine Damsbo

    Dette studie handler om, hvordan det opleves for den voksne depressive patient at gennemgå et ECT-behandlingsforløb (electroconvulsive therapy). Formålet med projektet er dels at undersøge, hvordan processen omkring ECT-behandlingen udspiller sig og dels at undersøge patienternes oplevelse......, reaktioner og tanker omkring ECT-behandlingen. Studiet bygger på den eksisterende viden om patienters oplevelse af ECT. Metoden er feltforskning med deltagende observation og etnografisk interview. Dette suppleres af to spørgeskemaer. Der blev inkluderet 8 patienter i undersøgelsen. Analysen udspringer af...... konstruktivistisk epistemiologisk vinkel. Ved en teoristyret analyse fremkom 2 overordnede temaer: Anspændthed og tryghed. Disse temaer blev behandlet i en procesorienteret forståelse af ECT-forløbet. Denne proces bestod af: Betingelser, interaktion og konsekvenser. Diskussionen er en kritisk diskussion af fund og...

  16. Danskprøver er alt for skrappe

    DEFF Research Database (Denmark)

    Kristjansdottir, Bergthora

    2015-01-01

    Voksne udlændinges dansksproglige færdigheder testes i Prøve i Dansk 1, 2 eller 3. Testresultaterne misbruges af politikere til at legitimere diskriminerende bestemmelser, der blandt andet kan begrænse aktivt medborgerskab. Danskprøverne er hvad man i teoretisk tænkning om sprogtest kalder for hi...

  17. Tracking of physical activity, physical fitness and body mass index from childhood to adolescence

    DEFF Research Database (Denmark)

    Kristensen, Peter Lund

    2007-01-01

    Kardiovaskulære sygdomme er blandt de væsentligste dødsårsager i det moderne vestlige samfund. Sygdommene observeres almindeligvis kun hos voksne, men den almene sundhedstilstand og sundhedsadfærd i barndommen anses for at spille en væsentlig rolle i udviklingen af disse sygdomme. Tidligere studi...

  18. Imaging of the urinary tract in adults; A direction for general practice. Bildediagnostikk av urinveiene hos voksne; En rettledning for allmenpraksis

    Energy Technology Data Exchange (ETDEWEB)

    Aslaksen, A.; Hunskaar, S.; Hoeisaeter, P.Aa. (Haukeland Sykehus, Bergen (Norway))

    1990-11-01

    This article discusses the indications for imaging of the urinary tract from the general practitioners' point of view. Urography should be used in the control of patients with previous attacks of ureteral colic, in patients presenting macroscopic hematuria and as a preoperative investigation prior to extracorporal shock wave lithotripsy (ESWL). Ultrasound should be chosen in patients with microscopic hematuria and non-specific abdominal pain. Computerized tomography should be used in cases with non-specific findings using urography and ultrasound. There are no indications for imaging in women with recurrent urinary tract infection, in men with benign prostatic hypertrophy and in the evaluation of hypertension. 14 refs., 5 tabs.

  19. Cerebral blood flow autoregulation in patients with acute bacterial meningitis

    DEFF Research Database (Denmark)

    Møller, Kirsten

    2001-01-01

    Ph.d. afhandlingen omhandler sammenhængen mellem hjernens blodtilførsel (CBF) og middelarterietrykket (MAP) hos patienter med akut bakteriel meningitis. Hos raske er CBF uafhængig af MAP, hvilket kaldes CBF autoregulation. Svækket autoregulation antages at øge risikoen for cerebral hypoperfusion og...... iskæmi under episoder med lavt MAP, og for cerebral hyperperfusion og vasogent ødem ved højt MAP. CBF autoregulationen undersøgtes hos tyve voksne patienter med akut bakteriel meningitis i den tidlige sygdomsfase (... meningitis, men retableres ved klinisk restitution. Autoregulationen kan endvidere delvis retableres ved akut hyperventilation. Fundene har potentiel betydning for valg af supportiv terapi hos patienter med meningitis....

  20. Fortsat tuberkuloseproblemer blandt danskere og grønlændere i Danmark og behov for styrket kontrol

    DEFF Research Database (Denmark)

    Lillebæk, Troels; Andersen, Ase Bengård; Seersholm, Niels Jørgen

    2012-01-01

    Active transmission of Mycobacterium tuberculosis (Mt) continues at surprisingly high rates in Denmark. The transmission is particularly observed in specific high risk segments of the population with social problems such as homelessness, alcohol, and/or drug abuse. The patients are infected...

  1. Fortsat tuberkuloseproblemer blandt danskere og grønlændere i Danmark og behov for styrket kontrol

    DEFF Research Database (Denmark)

    Lillebæk, Troels; Andersen, Ase Bengård; Seersholm, Niels Jørgen

    2012-01-01

    Active transmission of Mycobacterium tuberculosis (Mt) continues at surprisingly high rates in Denmark. The transmission is particularly observed in specific high risk segments of the population with social problems such as homelessness, alcohol, and/or drug abuse. The patients are infected...... with the "Danish Cluster 2" Mt outbreak strain, and the transmission is attributed to delayed diagnosis. This situation demands increased focus on early tuberculosis diagnosis, control of transmission, and improved actions calls for prioritising the prevention and control of tuberculosis politically...

  2. Self-efficacy blandt apopleksipatienter

    DEFF Research Database (Denmark)

    Kristensen, Lola Qvist ,; Pallesen, Hanne

    2017-01-01

    Baggrund Flere og flere mennesker lever med følgerne af apopleksi, herunder fysiske og kognitive vanskeligheder, som begrænser mobilitet og ADL-evne. Studier har vist, at høj self-effi cacy (oplevet handlekompetence) er associeret med bedre mobilitet og ADL-evne samtidig med at det kan fremme liv...

  3. Insulinbehandling af voksne med type 1-diabetes

    DEFF Research Database (Denmark)

    Pedersen-Bjergaard, Ulrik; Thorsteinsson, Birger

    2015-01-01

    treatment can be delivered with insulin pumps. Adjustments of insulin dosing can be rationally based on dosing algorithms. This requires frequent glucose measurements and knowledge about dietary carbohydrate content. Today, the treatment and its complexity are individualized according to needs and wishes......Whereas insulin treatment of type 1 diabetes formerly was limited by the availability of one or a few types of insulin with suboptimal pharmacokinetic properties, insulin analogues with more fitting physiological action profiles have now been developed and ultimately near-physiological insulin...

  4. Usikker effekt af influenzavaccination af raske voksne

    DEFF Research Database (Denmark)

    Pedersen, Louise Ørnskov; Lund, Katrine Bak; Nielsen, Tine Jepsen

    2012-01-01

    At some Danish workplaces, healthy employees are offered an influenza vaccination, although vaccination has not been proven to have a protective effect on healthy adults. This article gives an overview of the effect of influenza vaccination on healthy adults based on the results from the Cochrane...... review "Vaccines for preventing influenza in healthy adults" and new studies in the field of interest. These studies show a limited effect on influenza, influenza-like illness, lost workdays, physician visits and days of illness....

  5. Cochleaimplantat til døve voksne

    DEFF Research Database (Denmark)

    Wanscher, Jens Højberg; Faber, Christian Emil; Grøntved, Aksel Møller

    2006-01-01

    Form 36 questionnaire (SF-36). In the questionnaires, specific questions focused on four dimensions of the mental quality of life: vitality, social functioning, and emotional and mental health. RESULTS: Due to qualitative and quantitative deficiencies, the emotional scale was omitted. A statistically......INTRODUCTION: Our aim was to assess the effect of cochlear implant (CI) surgery on the mental quality of life in totally deaf adults using a generic type of questionnaire. MATERIALS AND METHODS: The survey comprised 40 adult CI users who answered a standard and a retrospective version of the Short...... significant improvement in the quality of life (p

  6. Fra inaktiv til regelmæssig motionsløber - en kvalitativ interviewundersøgelse af succesfuld adfærdsændring blandt motionsløbere

    DEFF Research Database (Denmark)

    Løite, Vibeke Brinkmann; Lund-Cramer, Pernille

    2014-01-01

    er baseret på filosofisk-hermeneutisk fortolkning af individuelle, semi-strukturerede interviews. Ti informanter blev selekteret strategisk blandt deltagere i forskningsprojektet DANO-RUN (7 mænd, 3 kvinder, gennemsnitsalder 41,5 år). Interviewguiden blev udarbejdet med afsæt i Theory of Planned...... Behavior (TPB) og The Transtheoretical Model (TTM). Efterfølgende kodning og analyse af interviewene blev udført i analysesoftwaren NVivo 10. Resultater: TPB: Informanterne oplevede en erfaringsbaseret ændring i affective beliefs knyttet til løbeadfærden, som medvirkede til, at intentionen for at løbe...... of change anvendtes i størst omfang på action stage, hvorimod behavioral processes of change primært anvendtes på maintenance stage. Informanterne tillagde alle forpligtigelsen overfor DANO-RUN at have afgørende motiverende betydning. Konklusion: Denne undersøgelse viste, at individuelle faktorer i form af...

  7. Anbringelser af børn

    DEFF Research Database (Denmark)

    Christensen, Else

    For ca. halvdelen af de børn, der anbringes uden for hjemmet, betegnes anbringelsens resultat som positivt. Kriteriet for et positivt resultat er blandt andet, at barnet under anbringelsen har udviklet positive relationer til en eller flere voksne på anbringelsesstedet. Anbringelsesstedets faglig...... børnene selv, med deres forældre, med sagsbehandlerne og med plejeforældre eller ansatte på de institutioner, hvor børnene er anbragt....

  8. Subjektive gener og søvnapnø blandt personer henvist til et søvncenter. En spørgeskemaundersøgelse

    DEFF Research Database (Denmark)

    Faber, C E; Grøntved, A M

    1998-01-01

    The aim of this study was to evaluate the relation between symptoms and clinical characteristics and the frequency of increased apnoea and hypopnoea activity. The study population consisted of 135 persons referred to a sleep centre. One hundred and fifteen patients (85%) completed a questionnaire...

  9. Personlige livsbarrierer blandt unge i Nuuk

    DEFF Research Database (Denmark)

    Jones, Sheila; Callesen, Mette Buhl; Pedersen, Michael Mulbjerg

    2017-01-01

    I forskning knyttes psykisk trivsel typisk til internaliserende problemer såsom angst, depression og ensomhed, hvorimod eksternaliserende problemer såsom manglende selvkontrol, impulsivitet og konfliktsøgende adfaerd ofte overses. Fælles for dem er dog, at disse problemer begraenser individets...

  10. Mobning som sundhedstrussel blandt store skoleelever

    DEFF Research Database (Denmark)

    Due, Pernille; Holstein, Bjørn Evald; Jørgensen, Per Schultz

    1999-01-01

    The objective was to analyse bullying in relation to sociodemographic factors, health, well-being, and health behaviours. The study is the 1998 Danish contribution to the international WHO-coordinated study Health Behaviour in School-aged Children. It includes 5,205 11-15 year-old students from...... a random sample of 55 schools who answered a standardized questionnaire. Twenty-five percent were bullied several times during the academic year, most frequently among the youngest students, and independent of sex; 32% bullied others, boys more frequently than girls; the frequency increased with age....... Bullying was associated with low social class. Bullying varied considerably among schools. The victims had more problems as regards health, well-being and self-esteem; they smoked and drank less than others. Those who bullied others also had more problems but to a much smaller extent than the victims...

  11. "Hvem er som jeg blandt Guder?"

    DEFF Research Database (Denmark)

    Holst, Søren

    2004-01-01

    En hymne fra Dødehavsrullerne beskriver en persons opstigning til himlen, hvor den pågældende får tildelt overmenneskelig indsigt, som giver ham autoritet til at belære sine tilhængere på jorden. Hymnen analyseres, og der foretages en kritisk gennemgang af Israel Knohls bog "The Messiah Before Je...

  12. Hindringer for friluftsliv blandt ældre

    DEFF Research Database (Denmark)

    Hansen-Møller, Jette

    2010-01-01

    Frygt for personlig sikkerhed er den største hindring for et aktivt friluftsliv - tæt fulgt af mangel på nogen, at følges med og dårligt helbred - viser internationele undersøgelser. Sådanne hindringer kan forstærkes af fysiske barrierer som lang afstand eller mangel på offentlig transport til...

  13. Differentieringsprocesser blandt ligeværdige

    DEFF Research Database (Denmark)

    Ellegaard, Tomas

    2006-01-01

    The article examines the social differentiation processses that take place in a Danish kindergarten setting among 5 years old children. Differentiation is compared with the gender and the social class of the children's families. Peer relations are found to have a crucial importance...

  14. Pardannelse blandt etniske minoriteter i Danmark

    DEFF Research Database (Denmark)

    Schmidt, Garbi; Jakobsen, Vibeke

    Hvor meget indflydelse har de etniske minoritetsunge i Danmark på, hvem de skal giftes med? I hvilken udstrækning forekommer der tvangsægteskaber? Og hvad er de unges - og deres forældres - holdninger til kærlighedsægteskabet? Denne undersøgelse viser, at etniske minoritetsunge ikke adskiller sig...

  15. Mobning som sundhedstrussel blandt store skoleelever

    DEFF Research Database (Denmark)

    Due, Pernille; Holstein, Bjørn Evald; Jørgensen, Per Schultz

    1999-01-01

    . Bullying was associated with low social class. Bullying varied considerably among schools. The victims had more problems as regards health, well-being and self-esteem; they smoked and drank less than others. Those who bullied others also had more problems but to a much smaller extent than the victims....... They had higher levels of risk behaviours such as smoking, drinking, and seat-belt avoidance, and were less satisfied with school. In conclusion, victims of bullying have a very high proportion of health problems, poor well-being and low self-esteem. To bully others is significantly associated with health...

  16. Stress blandt gymnasielærere

    DEFF Research Database (Denmark)

    Lading, Åse

    2007-01-01

    Artiklen bygger på en større undersøgelse af gymnasielæreres oplevelse af at de som noget nyt skal indgå i tværfaglige team. Kravet indgår som led i de omfattende forandringer der i disse år sker i gymnasieskolen. Artiklen argumenterer for at i modsætning til hvad man kunne forvente, skaber disse...... kan anerkende medarbejderne samt rumme og lære af forskelle og konflikter. Dette ses som et afgørende led i bestræbelserne på at reducere stress på arbejdspladsen....

  17. Kliniske retningslinjer for træning af aerob kapacitet og muskelstyrke til patienter med reumatoid artrit

    DEFF Research Database (Denmark)

    Larsen, Birgit Tine; Læssøe, Uffe; Kjær, Thomas

    Baggrund: Patienter med reumatoid artrit har en forhøjet risiko for udviklingen af cardio-vaskulære lidelser (CVD) ogtidlig død. Inflammation, smerter og generel træthed resulterer i nedsat muskelstyrke og lavt fysiskfunktions- og aktivitetsniveau hos mange af disse patienter, hvilket yderligere...... forstærker denne risiko. Formål: Gennem effektiv og sikker træning at øge RA patienters aerob kapacitet og muskel styrke for dermed atlette patienternes daglige aktiviteter. Patienter: Voksne patienter (> 18 år) med diagnosen reumatoid artrit ifølge ARA eller ACR/EULAR kriterierne,funktionsklasserne I, II og...... reumatoid artrit. Kortvarig landbaseret højintensitets træning af aerob kapacitet og muskelstyrke bør overvejes itræningen af patienter med reumatoid artrit. Længerevarende landbaseret højintensitets træning af aerob kapacitet og muskelstyrke bør overvejes itræningen af patienter med reumatoid artrit...

  18. Dannelse af nye nerveceller i den voksne hjerne

    DEFF Research Database (Denmark)

    Poulsen, Frantz Rom; Meyer, Morten; Rasmussen, Jens Zimmer

    2003-01-01

    neuroblasts (immature nerve cells) migrate toward the olfactory bulb where they differentiate into neurons. In the dentate gyrus the newly generated neurons become functionally integrated in the granule cell layer, where they are believed to be of importance to learning and memory. It is at present not known...

  19. Unge voksne på Tinder : en kvalitativ studie

    OpenAIRE

    Ottesen, Mathilde Dagsvik

    2015-01-01

    Denne studien undersøker Tinder som arena for selvpresentasjon. Gjennom kvalitative intervjuer med syv studenter mellom 20 og 30 år, har jeg søkt svar på hvordan en presenterer seg selv på Tinder, hvordan en vurderer andre brukeres selvpresentasjon, samt implikasjoner av Tinder. I samsvar med Bourdieu (1986), undersøker jeg Tinder som et sosi...

  20. Almen og praksisnær kompetenceudvikling for voksne

    DEFF Research Database (Denmark)

    Hviid, Marianne Kemeny; Keller, Hanne Dauer; Rasmussen, Annette

    Rapporten sammenfatter og diskuterer erfaringer og resultater fra forskningsdelen i projektet KOM-UD (Kompetenceudvikling i udkantsområder). Rapportens kapiteler behandler forskellige aspekter af arbejdet med praksisnær (og oftest virksomhedsrettet) almen voksenundervisning med brug af resultater...

  1. Basal genoplivning af voksne og automatisk ekstern defibrillering

    DEFF Research Database (Denmark)

    Berlac, P.A.; Lippert, F.K.; Torp-Pedersen, Christian Tobias

    2008-01-01

    The new ERC guidelines on resuscitation emphasize the importance of quality CPR. BLS should be started as early as possible. Lay rescuers should not check for a pulse, they should call for help and start chest compressions immediately. Compression depth should be 4-5 cm at a rate of 100 compressi......The new ERC guidelines on resuscitation emphasize the importance of quality CPR. BLS should be started as early as possible. Lay rescuers should not check for a pulse, they should call for help and start chest compressions immediately. Compression depth should be 4-5 cm at a rate of 100...

  2. Basal genoplivning af voksne og automatisk ekstern defibrillering

    DEFF Research Database (Denmark)

    Berlac, P.A.; Lippert, F.K.; Torp-Pedersen, Christian Tobias

    2008-01-01

    The new ERC guidelines on resuscitation emphasize the importance of quality CPR. BLS should be started as early as possible. Lay rescuers should not check for a pulse, they should call for help and start chest compressions immediately. Compression depth should be 4-5 cm at a rate of 100 compressi...... ventilations followed by a compression-ventilation ratio of 15:2. Automatic External Defibrillation should be used as early as possible Udgivelsesdato: 2008/11/17...

  3. Roman for unge - og deres voksne - fra Nick Hornby

    DEFF Research Database (Denmark)

    Haarder, Jon Helt

    2007-01-01

    Nick Hornby: SLAM. Oversat fra engelsk. af Jan Hansen. 280 sider, 249 kr. Lindhardt og Ringhof. Fire stjerner Udgivelsesdato: 071207......Nick Hornby: SLAM. Oversat fra engelsk. af Jan Hansen. 280 sider, 249 kr. Lindhardt og Ringhof. Fire stjerner Udgivelsesdato: 071207...

  4. Voksnes regnefærdigheder hvordan testes de?

    DEFF Research Database (Denmark)

    Johansen, Lene Østergaard

    2005-01-01

    trinopdelte og hvert trin kan afsluttes med en centralt stillet prøve. I mit oplæg vil jeg præsentere, hvorledes deltagerne er blevet testet for regnefærdigheder i SIALS, og hvad de er blevet testet i. Jeg vil sammenligne testen i SIALS med de nye opgavetyper, der er blevet udviklet til FVU-matematik og...... diskutere, hvad det er forskellige typer at opgaver/tests evaluerer, og hvorledes det er muligt at udvikle nye testformer, der måske i højere grad synliggør deltagernes numeralitet....

  5. Paracetamoldosering til børn--anderledes end til voksne

    DEFF Research Database (Denmark)

    Jensen, Kaspar Buus; Dalhoff, Kim P

    2005-01-01

    Paracetamol (acetaminophen) has become the most widely used antipyretic and analgesic drug for children in Denmark. However, there is a wide discrepancy between the consumption of the drug and our knowledge of children's pharmacokinetics and pharmacodynamics. Dosage, therapeutic intervals and tox...

  6. En film for børn og enfoldige voksne

    DEFF Research Database (Denmark)

    Necef, Mehmet Ümit

    2009-01-01

    Artiklen gennemgår en række anmeldelser af filmen Flugten og fremfører, at både filmen selv og de positive anmeldelser er eksempler på infantilisering og enfoldiggø-relse af anti-racismen i Danmark. Udgivelsesdato: Sept 2009...

  7. Cultural Integration of Migrant Citizens:

    DEFF Research Database (Denmark)

    Singla, Rashmi; Akora, Lydia; Panesar, Jasbir

    2006-01-01

    om deres rettigheder og pligter - både som medborgere, som forældre og som enkeltpersoner. Projektets grundlæggende begrundelse er et empowerment perspektiv, set som processer hvorigennem underprivilegerede individer og socialgrupper forbedrer deres evne til at skabe, overskue, kontrollere og...... tidsafgrænsede projekter.   På trods af forskellige dominerende fokus i de tre lande (forældre empowerment i Danmark, forbedret jobmuligheder og entreprenørskab i UK og forbedret social tilpasning i Finland) var det fælles aspekt i projektet, at de voksne kursister kunne reflektere over deres forståelse af deres...... konferencer førte til øget empowerment og forbedret socialt ansvar ikke kun blandt kursisterne, men også blandt de professionelle. Udgivelsesdato: december...

  8. Passion og (dis)engagement blandt unge i udskolingen

    DEFF Research Database (Denmark)

    Rasmussen, Maj Sofie

    (skateboarding, dans, basketball, musik og kunst & håndværk) som sit pædagogiske, ideologiske og organisatoriske omdrejningspunkt... Formålet med projektet er desuden at give et forskningsmæssigt bidrag til den aktuelle uddannelsespolitiske debat om reorganisering af udskolingen med henblik på at skabe øget...

  9. Spisevaner og sundhedsadfaerd blandt 11-15 årige

    DEFF Research Database (Denmark)

    Due, P; Holstein, B E; Ito, H

    1991-01-01

    A total of 1,671 school children aged 11, 13 and 15 years answered a questionnaire on diet, other health behaviour, social background, social network, health and life satisfaction. The proportions who ate fruit, vegetables, and rye bread every day were 77%, 64% and 94%. Moreover, 78% had fibre...... the healthy diet components but an increasing consumption of unhealthy components with increasing age. Among girls we found a decreasing consumption of both healthy and unhealthy components with increasing age. Healthy diet was associated with high social class, good health, positive life satisfaction...

  10. Stofmisbrugsbehandling blandt grønlændere i Danmark

    DEFF Research Database (Denmark)

    Baviskar, Siddhartha

    2016-01-01

    , nationalitet) - Demografiske og socioøkonomiske karakteristika (fx skole og erhvervsuddannelse, hovedindtægtskilde, boligsituation, civilstatus, børn) - Hvilke stoffer der indtages (både hovedstoffer, fx hash, metadon, heroin, amfetamin og kokain, og sidestoffer såsom alkohol) - Hvor hyppigt og hvordan...

  11. Rygning og middellevetid blandt danske maend og kvinder

    DEFF Research Database (Denmark)

    Prescott, E I; Osler, M; Hein, H O

    1999-01-01

    Studies reporting increased mortality in smokers are abundant, but only few have included large numbers of heavily smoking women. Based on three large Danish population studies we calculated median survival in smokers and never-smokers and compared the impact of smoking in men and women. Seventeen......, the impact smoking had on median survival was similar in men and women. Female inhaling heavy smokers (> or = 15 cig./day) lost 9.4 and inhaling light smokers 7.4 years in comparison with female never-smokers. Corresponding loss of life-expectancy in males was 9.2 years and 6.0 years, respectively...

  12. Tilskadekomst blandt 11-15-årige

    DEFF Research Database (Denmark)

    Holstein, B E; Due, E P

    1999-01-01

    The objective is to describe the one year incidence rate of self-reported injuries, their causes, where they happened, and their consequences within the age group 11-15 years. Four thousand and forty-six students from a random sample of 45 schools answered a standardized questionnaire about health...... and health behaviour. This report regards injuries treated by a doctor or a nurse. During one year, 28% were injured, 12% more than once; 12% needed medical treatment such as a plaster cast, stitches, surgery or staying in a hospital; 16% missed at least one full day in school. The injury incidence rate...... girls and boys. Five percent are injured at home, 5% at school, 9% are injured at a sport facility, and 4% in the street/road. Ten percent report a sports injury, 4% an injury by falling, and 3% by riding a bicycle. Most common injuries are sprain/strain/pull of a muscle (9%), broken or dislocated bone...

  13. Pengespil blandt unge i Danmark 2007-2016

    DEFF Research Database (Denmark)

    Fridberg, Torben; Birkelund, Jesper Fels

    2016-01-01

    unge, der i 2007 havde en risikabel spilleadfærd. Undersøgelsen viser, at selv om udbuddet af pengespil er blevet større, så spiller færre unge om penge i 2016 end i 2007. Den viser desuden, at der ikke er flere unge, der er i risiko for at få problemer med pengespil. Undersøgelsen er finansieret af...

  14. Selvvurderet helbred blandt unge fra etniske minoriteter i Danmark

    DEFF Research Database (Denmark)

    Bennedsen, Anne; Ibfelt, Else Helene; Hansen, Jane Lindschou

    2006-01-01

    -grade students (aged 15 to 16 years), including 264 first-generation and 391 second-generation immigrants from non-Western countries. Self-reported health and self-efficacy, defined as the belief in the ability to affect one's own health, were included in the analyses, using SPSS cross-tabulations and logistical...

  15. Strategier til rygeafvænning blandt gravide kvinder

    DEFF Research Database (Denmark)

    Wisborg, Kirsten; Obel, Carsten; Henriksen, Tine Brink

    1994-01-01

    to intervene. We reviewed the Scandinavian and English randomized controlled intervention studies directed towards smoking cessation during pregnancy. The intervention studies were classified according to the method of intervention namely antismoking advice, self-help manuals, measurements of smoking dependent...

  16. Psykisk helbred blandt asylbørn i Danmark

    DEFF Research Database (Denmark)

    Nielsen, Signe Smith; Nørredam, Marie; Christensen, Karen Louise

    2007-01-01

    INTRODUCTION: There is growing concern for the mental health of asylum-seeking children due to protracted periods of stay at asylum centres and an increasing need for psycho-social measures. The objective of this study is to survey asylum-seeking children's mental health in Denmark. MATERIALS...... AND METHODS: The population comprised all asylum-seeking children aged 4-16 years living at asylum centres run by the Danish Red Cross. In order to assess their mental health the Strengths and Difficulties Questionnaire (SDQ) was employed along with four questions from the Health Behaviour in School-Aged...

  17. Erhvervsbetinget blodeksposition blandt danske laeger--incidens og risikofaktorer

    DEFF Research Database (Denmark)

    Nelsing, S; Nielsen, T L; Brønnum-Hansen, Henrik

    1997-01-01

    ) was found in General Surgery, Neurosurgery, Obstetrics-Gynaecology and Orthopaedic Surgery (6.2-8.5 PCE/pry and 7.3-8.8 MCE/pry) followed by Anaesthesiology and Oto-rhinolaryngology (2.6-3.1 PCE/pry and 6.0-6.9 MCE/pry) and Pathology, Internal medicine, Radiology and Paediatrics (0.8-1.3 PCE/pry and 1.......3-2.9 MCE/pry). Employment as senior as compared to junior doctor was associated with a higher risk of PCE and MCE among surgeons and a higher risk of PCE in anaesthetists, but a lower risk of PCE and MCE in Internal Medicine, Radiology and Paediatrics. Only 35% adhered to the basic principles of universal...

  18. Massiv "børnedødelighed" blandt restauranter

    DEFF Research Database (Denmark)

    Hjalager, Anne-Mette

    1998-01-01

    Artiklen påviser på basis af statistik fra IDA databasen, at restauranter hvert år nedlægges og oprettes i stort tal. Artiklen diskuterer ulemper i forhold til professionalisering.......Artiklen påviser på basis af statistik fra IDA databasen, at restauranter hvert år nedlægges og oprettes i stort tal. Artiklen diskuterer ulemper i forhold til professionalisering....

  19. Blandt venner og bekendte: Udfordringer i udviklingen af NATO's partnerskabspolitik

    DEFF Research Database (Denmark)

    Schousboe, Laura Hollænder; Kristensen, Kristian Søby

    flanker gennem partnerskaber. Derfor er partnerskabspolitikken siden 2014 blevet videreudviklet pragmatisk på tre områder: kapacitetsopbygning, militær integration og politisk konsultation. Men på trods af at partnerskabsområdet har fået fornyet opmærksomhed mellem Wales og Warszawa-topmøderne, så er det...

  20. Spisevaner og sundhedsadfaerd blandt 11-15 årige

    DEFF Research Database (Denmark)

    Due, P; Holstein, B E; Ito, H

    1991-01-01

    -containing breakfast every day and 79% had a regular lunch meal every day. 26% of the children received an optimal diet containing all of these five components every day, and 19% received less than three of these components every day. The proportions who consumed five unhealthy diet components every day (candy, chips...

  1. Faktorer relateret til suicidal adfærd blandt alkoholmisbrugere

    DEFF Research Database (Denmark)

    Benjaminsen, Sigurd E.; Thomsen, Rita L T; Balsløv, Kim D.

    1998-01-01

    in the family and social circle. Significantly more attempters suffered from depressive disorder, feelings of hopelessness, anxiety attacks, agoraphobia, substance abuse or cluster B personality disorders (dissocial, impulsive, borderline, and histrionic). Also significantly more suicide attempters had...... committed crimes and received early pension. Assessment of coping showed that suicide attempters had a significantly lower tendency to make plans or to make the best of a stressful situation by growing from it They were significantly more likely to show mental disengagement, to resort to denial and drink...

  2. Spisevaner og sundhedsadfaerd blandt 11-15 årige

    DEFF Research Database (Denmark)

    Due, P; Holstein, B E; Ito, H

    1991-01-01

    A total of 1,671 school children aged 11, 13 and 15 years answered a questionnaire on diet, other health behaviour, social background, social network, health and life satisfaction. The proportions who ate fruit, vegetables, and rye bread every day were 77%, 64% and 94%. Moreover, 78% had fibre......, French fries, sausages/hamburgers, and sweet long-drinks) were 32%, 12%, 5%, 5% and 18%. 39% received at least one of these unhealthy diet components every day. There was no association between intake of healthy and intake of unhealthy diet components. We found no age differences among boys regarding...... the healthy diet components but an increasing consumption of unhealthy components with increasing age. Among girls we found a decreasing consumption of both healthy and unhealthy components with increasing age. Healthy diet was associated with high social class, good health, positive life satisfaction...

  3. Forekomst af hepatitis B og C blandt mentalt retarderede

    DEFF Research Database (Denmark)

    Lunding, S; Hansen, K S; Krogsgaard, K

    1999-01-01

    The objective of this study was to examine whether the prevalence of hepatitis C, like hepatitis B, is increased among the mentally retarded in Denmark. The prevalence of serological markers of hepatitis B and C was examined in an institution for the mentally retarded. A total of 126 out of 178....... The prevalence of serological markers for hepatitis B was high and comparable to previous studies in this population.......-HBc-positive and 30% were HBsAg-positive as compared to 32% and 3.8% respectively among others. In conclusion, hepatitis C infection seems to be uncommon among mentally retarded persons in Denmark and the risk of acquiring infection not significantly increased as compared to that of the general population...

  4. Tilskadekomst blandt 11-15-årige

    DEFF Research Database (Denmark)

    Holstein, B E; Due, E P

    1999-01-01

    girls and boys. Five percent are injured at home, 5% at school, 9% are injured at a sport facility, and 4% in the street/road. Ten percent report a sports injury, 4% an injury by falling, and 3% by riding a bicycle. Most common injuries are sprain/strain/pull of a muscle (9%), broken or dislocated bone...... increases with age among boys but not among girls. The proportion with more than one injury increases by age among girls but not boys. The proportion who receive hospital treatment is higher among boys than girls. The proportion who stay home from school because of the injury increases with age among both...

  5. Spisevaner og sundhedsadfaerd blandt 11-15 årige

    DEFF Research Database (Denmark)

    Due, P; Holstein, B E; Ito, H

    1991-01-01

    A total of 1,671 school children aged 11, 13 and 15 years answered a questionnaire on diet, other health behaviour, social background, social network, health and life satisfaction. The proportions who ate fruit, vegetables, and rye bread every day were 77%, 64% and 94%. Moreover, 78% had fibre...

  6. Stress håndtering og forebyggelse blandt sygeplejersker

    DEFF Research Database (Denmark)

    Vishnivetz, Berta

    2000-01-01

    on the participants descriptions of their own experiences and process of mastering their daily stress, both at work and at home. At first, the participants described stress as a process and as a state in which they experienced an interruption of the interaction, the relation and communication between them (each......This pilot study sought to find out the efficacy and effectiveness of a new combination of two therapeutic techniques in the research field of stress management and prevention: Eutony Psychophysical Education and Multimodal therapy. 31 nurses from a public Danish Hospital in Copenhagen participated...... individual) and the world around them. This interruption was the main characteristic of stress experience by this group. The recovering and re-establishing of this connection, relation or harmony between the subject and the environment was experienced and achieved mainly through conscious body work (Eutony...

  7. Hydatidecyster i thorax. En vigtig differentialdiagnose til tuberkulose blandt indvandrere

    DEFF Research Database (Denmark)

    Bygbjerg, I C; Jensen, F; Hviid, L B

    2000-01-01

    into the thoracic muscle is described in a young immigrant from Morocco to Europe (Denmark). Hydatid cyst is an important differential diagnosis from tuberculosis in immigrants from areas with endemic echinococcosis and tuberculosis, such as North Africa and the Middle East. Udgivelsesdato: 2000-Nov-13...

  8. Menarkalderen blandt skolepiger i Odense. Falder menarkalderen fortsat i Danmark?

    DEFF Research Database (Denmark)

    Boldsen, J L; Jeune, B; Bach-Rasmussen, K L

    1993-01-01

    at the menarche was found to be the same throughout the municipality (13.27 years; 95% confidence limit 13.20-13.35). The variations were found to be significantly differentiated by the type of school district. The variations were low in the suburbs and in the surrounding rural districts, higher in the inner city...

  9. Monitorering af fysisk aktivitetsniveau (MOAN) hos indlagte patienter på geriatrisk afdeling - forsøgsprotokol

    DEFF Research Database (Denmark)

    Villumsen, Morten; Jørgensen, Martin Grønbech; Andreasen, Jane

    genvinder disse igen.(1) Der er desuden god dokumentation for at også ældre patienter med demens kan forbedre funktionsniveau ved træning.(2) Særligt styrketræning af underekstremiteterne med høj intensitet, har vist sig at være effektivt. Hvilket blandt andet har kunnet registreres med ”Timed up and go...... udskrivelse? 2. At undersøge hvilken betydning tiden stående/gående har for ændringen i Barthel Index under indlæggelsen. Metode: Undersøgelsen gennemføres som et observationssstudie af aktivitetsniveau fra indlæggelse til udskrivelse for patienter indlagt på geriatrisk afdeling Aalborg sygehus. Timed up...... and Go (TUG), rejse-sætte sig testen og Barthel score registreres for alle patienter ved indlæggelse og udskrivelse. Øvrige oplysninger vedrørende alder, køn, vægt, højde, demens, depression, årsag til indlæggelse, boligform, og pårørende indhentes fra journalen. Primær outcome for undersøgelsen er den...

  10. Institutioner og bostøttetilbud for voksne med vidtgående handicap

    DEFF Research Database (Denmark)

    Gottschalk, Georg; Buch Hansen, C.; Nicolajsen, E.

    I de senere år der sket en udvikling af institutioner og bofællesskaber for udviklingshæmmede, sindslidende og fysisk handicappede. Tilsammen dækker tilbuddene hele skalaen fra den meget specialiserede institution til bostøtteformer, hvor de pågældende personer bor spredt i egne lejligheder med e...

  11. Matematikvanskeligheder i inkluderende undervisning for børn, unge og voksne

    DEFF Research Database (Denmark)

    Lindenskov, Lena

    2006-01-01

    Two international trends are presented by some central documents as they constitute important general frames for understanding and coping with students in mathematics difficulty: A trend towards a political focus on math-containing competence for all, which stresses the need to further work...... in research and practice. And a trend towards political and economical interest in inclusive schools, which challenges thinking on normality and organisation and where concept of inclusion need to be given a mathematical dimension. The article suggests a model for conceptualising mathematics difficulties...

  12. Aktivitetsidentitet: Betydning for tilknytning til arbejdsmarkedet for voksne mennesker med misbrugsproblematikker

    DEFF Research Database (Denmark)

    Skaarup, Line; Kristensen, Hanne Kaae

    2017-01-01

    undersøgelsesmetode. Til dataanalysen anvendes en fænomenologisk hermeneutisk tolkningsmetode inspireret af den franske filosof Paul Ricoeur. Konklusion: Undersøgelsens resultater indikerer, at der eksisterer et dynamisk forhold mellem aktivitetsidentitet og arbejdsmarkedstilknytning. Resultatet af undersøgelsen...

  13. Måltidsvaner for voksne med kort uddannelse 2005-2008

    DEFF Research Database (Denmark)

    Christensen, Lene Møller; Kørup, Karsten; Trolle, Ellen

    tre hovedmåltider og tre mellemmåltider samt hverdag/weekend. Resultaterne vises for mænd og kvinder separat og samlet. Rapporten er baseret på data fra Den nationale undersøgelse af danskernes kostvaner og fysiske aktivitet indsamlet i 2005-2008. I alt 537 mænd og 535 kvinder i alderen 20-75 år...

  14. Samspill mellom barn og voksne ved måltidet. Muligheter for medlæring?

    Directory of Open Access Journals (Sweden)

    Berit Bae

    2009-03-01

    Full Text Available I denne artikkelen rettes oppmerksomheten mot samspill og ikke-intendert læring, dvs. aspekter ved
    den erfarte læreplanen, basert på samspill ved måltidet. Det som analyseres er medlæring, dvs. prosesser som er
    innbakt i og foregår sammen med andre aktiviteter. Empirisk sett tar framstillingen utgangspunkt i en mikroana-
    lytisk undersøkelse av dialoger mellom førskolelærer og barn i to barnehager i Oslo, hvor samspill i tre ulike situ-
    asjoner, derav måltidet, ble videofilmet med jevne mellomrom i løpet av et år. Ut fra analyse av videomaterialet
    ble det utviklet to kategorier for å skille mellom samspill av ulik kvalitet, nemlig romslige og trange mønstre (Bae,
    2004, 2005, 2007. I denne artikkelen vil framstillingen bli begrenset til romslige mønstre. Problemstillingen som
    drøftes er: Hvilke medlæringsmuligheter inneholder romslige samspill for de barna som er aktivt involvert, og for
    de som observerer samspillet? Fortolkende analyser viser at i tillegg til det som har kommet fram i tidligere forsk-
    ning om kunnskap om ernæring, gode spisevaner og bordskikk etc., kan måltidet også romme medlæringsmulig-
    heter om samtaleferdigheter og samarbeide rundt praktiske ting. Uten at dette blir eksplisitt fokusert, så innehol-
    der måltidet også muligheter for læring angående verdsetting av forskjellighet og mangfold, samt det å vise soli-
    daritet i forhold til andre.

  15. Samspill mellom barn og voksne ved måltidet. Muligheter for medlæring?

    Directory of Open Access Journals (Sweden)

    Berit Bae

    2009-03-01

    Full Text Available I denne artikkelen rettes oppmerksomheten mot samspill og ikke-intendert læring, dvs. aspekter ved den erfarte læreplanen, basert på samspill ved måltidet. Det som analyseres er medlæring, dvs. prosesser som er innbakt i og foregår sammen med andre aktiviteter. Empirisk sett tar framstillingen utgangspunkt i en mikroanalytisk undersøkelse av dialoger mellom førskolelærer og barn i to barnehager i Oslo, hvor samspill i tre ulike situasjoner, derav måltidet, ble videofilmet med jevne mellomrom i løpet av et år. Ut fra analyse av videomaterialet ble det utviklet to kategorier for å skille mellom samspill av ulik kvalitet, nemlig romslige og trange mønstre (Bae, 2004, 2005, 2007. I denne artikkelen vil framstillingen bli begrenset til romslige mønstre. Problemstillingen som drøftes er: Hvilke medlæringsmuligheter inneholder romslige samspill for de barna som er aktivt involvert, og for de som observerer samspillet? Fortolkende analyser viser at i tillegg til det som har kommet fram i tidligere forskning om kunnskap om ernæring, gode spisevaner og bordskikk etc., kan måltidet også romme medlæringsmuligheter om samtaleferdigheter og samarbeide rundt praktiske ting. Uten at dette blir eksplisitt fokusert, så inneholder måltidet også muligheter for læring angående verdsetting av forskjellighet og mangfold, samt det å vise solidaritet i forhold til andre.

  16. Bør man straffe unge voksne med fængsel?

    OpenAIRE

    Augustinus, Cecilie Kaltoft; Andersen, Lise Lund; Madsen, Ida Josefine; Hansen, Johanne Ahlquist; Jepsen, Katrine Yvan Bojsen

    2017-01-01

    This study examines prison as a method of punishment and questions whether this punishment should be imposed on adolescent. We question this due to the fact that prison is the punishment that results in the highest rates of recidivism. Recidivism is especially evident among individuals in the age group 20-25 and that made us wonder, what separates this age group from the rest? Therefore this study consists of a psychological part to help us examine how prison affects adolescents and how this ...

  17. Supervision som undervisningsform i voksenspecialundervisningen

    DEFF Research Database (Denmark)

    Kristensen, René

    2000-01-01

    Supervision som undervisningsform i voksenspecialundervisningen. Procesarbejde i undervisning af voksne.......Supervision som undervisningsform i voksenspecialundervisningen. Procesarbejde i undervisning af voksne....

  18. Measurement properties of the Danish version of the Illness Perception Questionnaire

    DEFF Research Database (Denmark)

    Hvidberg, Line; Flytkjaer Jensen, Line; Fischer Pedersen A, A

    2014-01-01

    symptomer. En konfirmatorisk faktoranalyse viste, at den danske modificerede version af IPQ-R ikke var fuldstændig kompatibel med den originale faktorstruktur. Ved hjælp af en eksplorativ faktoranalyse fandtes dog en faktorstruktur, der lignede den originale. Konklusionen blev, at den modificerede udgave af...... IPQ-R kan anvendes til at undersøge symptomforestillinger blandt danske patienter med tarmkræft, dog skal blandt andet skalaerne omhandlende kontrol anvendes med forbehold....

  19. 3D gait analysis of lower extremity muscle group power in healthy subjects and subacute stroke patients, and task-specific gait interventions in early stroke rehabilitation

    DEFF Research Database (Denmark)

    Brincks, John

    2010-01-01

    Denne ph.d. afhandling omhandler 3D ganganalyse af raske og apopleksipatienter. Formålet med afhandlingen var at estimere referenceværdier for power i et udvalg af underekstremitetens muskelgrupper, samt at estimere ændringer i muskelgruppers power, når ganghastigheden øges blandt raske og apople...

  20. Behandling af diabetisk ketoacidose hos voksne på medicinske afdelinger i Danmark. Behov for nationale retningslinjer?

    DEFF Research Database (Denmark)

    Henriksen, Otto Mølby; Røder, Michael Einar; Svendsen, Ole Lander

    2007-01-01

    This study examines variations in treatment routines for diabetic ketoacidosis (DKA) in Denmark. All departments of internal medicine in Denmark managing DKA were invited to complete a questionnaire. 88% replied. The study shows significant variations in management routines of DKA in Denmark...

  1. Medical appropriateness of adult calls to Danish out-of-hours primary care

    DEFF Research Database (Denmark)

    Nørøxe, Karen Busk; Huibers, Linda; Moth, Grete

    2017-01-01

    Lægevagten har til formål at hjælpe patienter ved pludselig opstået eller forværret sygdom, der ikke kan vente til egen læge åbner. Vi fandt alligevel, at omkring hvert fjerde opkald til lægevagten fra voksne patienter burde have været henvendt til egen læge i dagtiden ─ bedømt af de vagtlæger, d...

  2. Dødelighed og dødsårsager blandt danske laeger 1973-1992

    DEFF Research Database (Denmark)

    Juel, K; Mosbech, Johannes; Hansen, Eva Støttrup

    1997-01-01

    population. A significant lower mortality was seen for male medical specialists compared to general practitioners. A gender-difference was seen among the youngest doctors with the female doctors suffering a considerably higher mortality than the male doctors did. Both sexes showed SMR below unity for cancer......, circulatory diseases and other natural causes. Mortality due to lung cancer was particularly low. The suicide mortality was increased for both sexes, in particular because of an increased number of suicides by poisoning. Compared with the general population the doctors' mortality was low, but the mortality......This study examines mortality rates of Danish doctors and describes pattern and causes of death for the period 1973-1992. The study comprises 21,943 medical doctors, 6012 of whom were women. At the end of 1992 there were 2387 recorded deaths. The doctors had lower mortality rates than the general...

  3. Viden og holdning til tobaksproblemet blandt danske laeger, sygeplejersker og jordemødre 1989

    DEFF Research Database (Denmark)

    Graff, V; Madsen, Mette; Nielsen, P E

    1990-01-01

    In an investigation including 2,233 Danish doctors, nurses and midwives between 72 and 96% replied that they found definite proof of connections between smoking and the diseases: cancer of the lung, cardiac infarction and chronic bronchitis. The highest percentages were found among doctors and...... hospitals and places of work for health staff should be free from smoke, so that none of the staff smoked at work. Half of the doctors and 3/4 of the nurses and midwives replied that they received insufficient teaching about the deleterious effects of tobacco smoking on health. All of the participants were...

  4. Arbejdsforholdenes betydning for førtidspensionering. En case-kontrolundersøgelse blandt specialarbejdere

    DEFF Research Database (Denmark)

    Hasle, H; Jeune, B

    1989-01-01

    by means of a case-control design. The case group consisted of 581 unskilled workers who received the middle or highest disability pension. The control group consisted of 1,550 age-matched unskilled workers. Disability pensioners had commenced work at a young age significantly more frequently. They had...... been exposed to physically strenuous work, too rapid a tempo and a long series of unpleasant working conditions. In addition, disability pensioners had frequently experienced periods of unemployment. No differences were observed as regards piece work, shift work or the number of places of employment...

  5. Rygevaner blandt 11-15-årige, 1984-1994

    DEFF Research Database (Denmark)

    Due, E P; Holstein, B E

    1997-01-01

    The objectives are to describe smoking habits among 11-15-year olds in Denmark in the period 1984-1994 and to describe the association between smoking and social background factors. The article reports data about children at the age of 11, 13 and 15 years from four cross-sectional studies in 1984...... smoke every day is 0%, 1%, 3%, 4%, 17%, and 11%. In conclusion, smoking habits among children changed considerably from the 1950's to 1980's. The smoking habits have not changed much since the 1980's apart from a slight delay in first smoking-experience. Udgivelsesdato: 1997-Feb-17...

  6. Rygemønstret blandt drenge og piger i de danske skoleklasser

    DEFF Research Database (Denmark)

    Rasmussen, Mette; Damsgaard, Mogens T; Due, Eva Pernille

    2002-01-01

    in School-Aged Children. A standardised questionnaire was applied. This study included ninety school classes at grade nine (1515 students) from a random sample of schools in Denmark. The outcome measure was the proportion of male and female smokers in the school classes. RESULTS: The proportion of male...... and female smokers within the school classes did not correlate. For both boys and girls there was a high variation in the proportion of smokers between the school classes. DISCUSSION: The smoking-related social processes that exist in the school classes probably operate in a sex-differentiated manner....... The effect of the classroom environment on the students' smoking behaviour must be considered differently for boys and girls. Udgivelsesdato: 2002-Dec-2...

  7. Viden og holdning til tobaksproblemet blandt danske laeger, sygeplejersker og jordemødre 1989

    DEFF Research Database (Denmark)

    Graff, V; Madsen, Mette; Nielsen, P E

    1990-01-01

    hospitals and places of work for health staff should be free from smoke, so that none of the staff smoked at work. Half of the doctors and 3/4 of the nurses and midwives replied that they received insufficient teaching about the deleterious effects of tobacco smoking on health. All of the participants were...

  8. Forgiftningsdødsfald blandt narkomaner i Fyns Amt i 1995 og 1996

    DEFF Research Database (Denmark)

    Simonsen, Kirsten Wiese; Andersen, Lis Sahl; Jensen, Britt Toftgård

    1999-01-01

    ) are discussed. The study included 47 drug addicts. Median age was 34, age span: 20-43. The main cause of death was poisoning by heroin. In 28% of the drug addicts cocaine was detected and in 13% amphetamine. About half had used benzodiazepines. Few were employees, most were criminals and eight were homeless...

  9. Forgiftningsdødsfald blandt narkomaner i Fyns Amt i 1993

    DEFF Research Database (Denmark)

    Jensen, Britt Toftgård; Simonsen, Kirsten Wiese; Rasmussen, Christian

    1995-01-01

    . The greater part of the deaths were caused by heroin, which is found in different concentrations in the illegal market. Five of the dead persons had just been released from prison and three people had just left 24-hour care centers when they were found dead. Co-operation between the various, treating...

  10. Migrationsnarrativer: Fortællinger om den gode slægtning blandt vestindiske kvinder

    Directory of Open Access Journals (Sweden)

    Karen Fog Olwig

    2010-12-01

    Since the abolishment of slavery during the middle of the nineteenth century, the Caribbean has been characterized by a strong migration tradition. Research on Caribbean migration has shown that this tradition has been nourished by narrativesof the successful return migrant, who moves back home rich in money and material goods. In this article I will argue that this is a ‘male’ narrative emphasizing the importance of achieving social and economic mobility through migration.Through life story interviews with female return migrants on the Caribbean island of Nevis, this article points to the existence of a complementary ‘female’ narrative revolving around the good relative who migrates to help the family left behind. In this narrative a successful return is not measured by material gain, but rather by the extent to which support has been sent to the family and the respect this engenders in the local community. The analysis shows that, while the twonarratives of return are gendered, individuals may draw on both, depending on their particular experiences abroad and the specific aspects of their life story they are recounting. The narratives therefore should not be viewed as factual accountsof migration, but rather as culturally specific modes of representation that give meaning and purpose to individual lives. Nevertheless, the narratives shape individuals’understandings and practices of migration, and they therefore play an important role in actual migration processes.

  11. Organisk demens blandt tandteknikere. En tvaersnitundersøgelse af tandteknikere med optikere som kontrolgruppe

    DEFF Research Database (Denmark)

    Prescott, E; Steendahl, Ulla; Damsgaard, M T

    1989-01-01

    The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended.......The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group......, a cross-sectional questionnaire investigation was undertaken in a population consisting of 256 dental technicians and 160 opticians, all of whom were professionally active. The percentage replies for the two groups were 88 and 85 respectively. The two groups do not differ from one another as regards...

  12. Kok, køn og krop: mediekokke og maskuliniteter blandt kokkedrenge på erhvervsskolen

    DEFF Research Database (Denmark)

    Steno, Anne Mia; Friche, Nanna

    2013-01-01

    Interessen for mad, råvarer og gastronomi er stor i disse år. Forskning peger på, at kokkefagets brede popularitet i offentligheden virker til at tiltrække elever til uddannelsen. Mediekokke bliver forbilleder, og de unge vil gerne lære at lave den smarte mad, som de spiser på byens cafeer (Møberg...

  13. Metylmetakrylat og organisk demens. En dosis-respons-analyse blandt tandteknikere og optikere

    DEFF Research Database (Denmark)

    Steendahl, U; Prescott, E; Damsgaard, M T

    1992-01-01

    The substance methylmethacrylate (MMA) is an organic solvent which is employed inter alii for prostheses which is suspected of being neurotoxic. With the object of illustrating whether there is a connection between exposure to MMA and symptoms of organic dementia, a cross-sectional investigation...... on the basis of 13 questions concerning chronic symptoms is compared with the life exposure and the age. A statistically significant increase in the index was found with exposure to MMA, although not for the oldest age group. The pattern symptoms, presence of bias and other forms of exposure are discussed....... It is concluded that this investigation confirms the hypothesis that symptoms of organic dementia have a connection the exposure to MMA. The results support the presumption that MMA causes acute and chronic damage to the central nervous system even with exposure below the safety limits. It is recommended...

  14. Organisk demens blandt tandteknikere. En tvaersnitundersøgelse af tandteknikere med optikere som kontrolgruppe

    DEFF Research Database (Denmark)

    Prescott, E; Steendahl, Ulla; Damsgaard, M T

    1989-01-01

    The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group...... of information and selection bias are discussed and it is concluded that this investigation confirms the hypothesis that symptoms compatible with organic dementia are commoner among dental technicians. The results raise the suspicion that MMA may cause acute and chronic damage to the central nervous system, even...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended....

  15. Påvisning af rotavirusinfektioner blandt danske småbørn

    DEFF Research Database (Denmark)

    Nielsen, Nete Munk; Paerregaard, Anders; Fischer, Thea Kølsen

    2010-01-01

    Rotavirus (RV) is the most frequent causative agent of severe diarrhoea in infants and young children worldwide, also in Denmark. However, the actual number of diagnosed RV cases among Danish children is unknown. If a new RV-vaccine is to be introduced in Denmark, updated data on RV disease burden...

  16. Metylmetakrylat og organisk demens. En dosis-respons-analyse blandt tandteknikere og optikere

    DEFF Research Database (Denmark)

    Steendahl, U; Prescott, E; Damsgaard, M T

    1992-01-01

    into consideration in the analysis. The results show a statistically significant increase in the prevalence of the chronic symptoms on increasing exposure. Where the acute symptoms are concerned, the connection is not statistically significant, but a tendency is observed. A chronic symptom index constructed....... It is concluded that this investigation confirms the hypothesis that symptoms of organic dementia have a connection the exposure to MMA. The results support the presumption that MMA causes acute and chronic damage to the central nervous system even with exposure below the safety limits. It is recommended......The substance methylmethacrylate (MMA) is an organic solvent which is employed inter alii for prostheses which is suspected of being neurotoxic. With the object of illustrating whether there is a connection between exposure to MMA and symptoms of organic dementia, a cross-sectional investigation...

  17. Rygevaner blandt 11-15-årige, 1984-1994

    DEFF Research Database (Denmark)

    Due, E P; Holstein, B E

    1997-01-01

    The objectives are to describe smoking habits among 11-15-year olds in Denmark in the period 1984-1994 and to describe the association between smoking and social background factors. The article reports data about children at the age of 11, 13 and 15 years from four cross-sectional studies in 1984......-1985, 1988, 1991 and 1994 (n = 678, 1667, 1860 and 4046) based on stratified random samples of schools. Data were collected by standardized questionnaires. Median age for first smoking experience changed from approx 12 years in 1984-1985 to approx. 14 years in 1994. The proportion of smokers among 15 year......-olds is almost unchanged from 1984 to 1994. In 1994, the proportion of smokers is respectively 2% and 4% among 11 year-old girls and boys, 16% and 11% among 13 year-old girls and boys, and 33% and 25% among 15 year-old girls and boys. The proportion of girls and boys in the three age groups respectively who...

  18. Tv- og videokiggeri blandt 11-15 årige--et socialmedicinsk perspektiv

    DEFF Research Database (Denmark)

    Holstein, B E; Due, P; Ito, H

    1991-01-01

    A material of 1,671 schoolchildren replied to a questionnaire about health, time spent watching television, the demographic and social situation, social network, and life satisfaction. These pupils spend two hours daily watching television and one tenth of this time is spent on video programmes. 48......% of the children spend 0-10 hours weekly watching television, 35% 11-27 hours, 15% 28-37 hours and 3% more than 37 hours. Boys spend more time watching television than girls, younger pupils more than older and children from lower social classes more than children from higher social classes. The time spent watching...... television increases with increasing degree of urbanisation. Children who spend many hours watching television have more problems in life satisfaction, health and social network compared with children who spend a few hours watching television. Udgivelsesdato: 1991-Jun-3...

  19. Mikrokimærisme og kræft blandt kvinder

    DEFF Research Database (Denmark)

    Hansen, Katrine Pedersbæk; Kamper-Jørgensen, Mads

    2017-01-01

    Ifølge græsk mytologi var Kimære en uhyrlig hybridmellem en løvinde, en slange og en ged. I moderne videnskab betegner en kimære en organisme, der består af celler eller organer med forskelligt ophav. Mikrokimærisme betegner en tilstand, hvor der i en vært eksisterer små mængder af celler, som...

  20. Parallelle verdener. Magisk og rituel praksis blandt moderne hekse i Danmark.

    Directory of Open Access Journals (Sweden)

    Anne Mia Steno

    2012-05-01

    Full Text Available Parallel Worlds - Magical Practice Among Modern Witches in DenmarkThe purpose of the present article is to make a contribution to an understanding of what it means to be a witch in Denmark today. The article thus reviews the extent of the magical circle in Denmark and highlights special characteristics of the modern witch. The magical practice of the witches is elucidated and  analysed through a ritual case, since the very magical practice appears to be characteristic of the witches and defines them in contrast to other similar new religious groups and communities.The article advocates an analytical approach to magic; rather than studying magic as a symbol of something else, for instance as a way of handling uncertainty in difficult times, magical practice should be seen as an emic concept, and the way in which the witches exist in and understand this world. In this  context, the understanding of the existence of two parallel universes is important: the profane and the magic universe, since it is the movements of the witches across the two that make magic possible and explain it. In continuation of this the questions are asked: What do the witches use the magic for, and how is magical practice meaningful in a wider social context? The article argues that the motivations and the subtle shades of the magical practice are overlooked if the analysis does not include the above questions and approach, and it underlines the importance of physicality in the magical practice.

  1. Parallelle verdener. Magisk og rituel praksis blandt moderne hekse i Danmark.

    Directory of Open Access Journals (Sweden)

    Anne Mia Steno

    2012-05-01

    Full Text Available Parallel Worlds - Magical Practice Among Modern Witches in Denmark The purpose of the present article is to make a contribution to an understanding of what it means to be a witch in Denmark today. The article thus reviews the extent of the magical circle in Denmark and highlights special characteristics of the modern witch. The magical practice of the witches is elucidated and  analysed through a ritual case, since the very magical practice appears to be characteristic of the witches and defines them in contrast to other similar new religious groups and communities. The article advocates an analytical approach to magic; rather than studying magic as a symbol of something else, for instance as a way of handling uncertainty in difficult times, magical practice should be seen as an emic concept, and the way in which the witches exist in and understand this world. In this  context, the understanding of the existence of two parallel universes is important: the profane and the magic universe, since it is the movements of the witches across the two that make magic possible and explain it. In continuation of this the questions are asked: What do the witches use the magic for, and how is magical practice meaningful in a wider social context? The article argues that the motivations and the subtle shades of the magical practice are overlooked if the analysis does not include the above questions and approach, and it underlines the importance of physicality in the magical practice.

  2. Entreprenørskab og vækst blandt akademikere i Norden

    DEFF Research Database (Denmark)

    Mønsted, Mette; Edqvist, Charles; Gabrielsson, Jonas

    of entrepreneurs in Norway. In the report we focus on entrepreneurs and growth entrepreneurs with a tertiary education. In Denmark we define tertiary education as a university master degree, based on five years of university study. In Norway we define tertiary education as a master degree or equivalent, based......Education and a highly educated staff is a growth factor in companies and in this report we will highlight the characteristics of companies established by academics and which factors are crucial for these companies to grow. A special focus has been whether academics organise their companies...... in a particular way – a way that we may expect will become more common in our knowledge society. Comparing the three Nordic countries has been challenging. In spite of the differences of size between the three Nordic countries the number of entrepreneurs is remarkably similar, with a slight overweight...

  3. Aendringer i immunstatus blandt nydiagnosticerede hiv-inficerede i Danmark 1995-2005

    DEFF Research Database (Denmark)

    Høegh, Simon; Lohse, Nicolai; Hansen, Ann-Brit Eg

    2008-01-01

    INTRODUCTION: The incidence of new HIV diagnoses in Denmark has remained stable since 1991, but it has increased among the subgroup of homosexual men in recent years. This may reflect an actual increase in newly infected, e.g. as a result of increased risk behaviour, or it may reflect increased HIV....... MATERIALS AND METHODS: Observational study based on the Danish HIV Cohort Study, which includes all adults seen at Danish HIV clinics since 1995. RESULTS: From 2000 to 2004 the number of newly-infected homosexual men increased (from 69 to 123), particularly in persons under 30 years (from 5 to 42......). The median CD4 cell count at the time of diagnosis increased in this group (median 19.1 cells/microL per year [95% CI: 3.7-11.3]), while it remained stable among heterosexually infected. The number of newly-diagnosed homosexually infected under 30 years with a CD4 cell count over 400 cells/microL increased...

  4. Dårlig trivsel blandt hospitalsbehandlede 0-2-årige børn

    DEFF Research Database (Denmark)

    Olsen, Else Marie; Johannsen, Trine Holm; Moltesen, Bodil

    2002-01-01

    Failure to thrive, defined as insufficient weight gain according to age, is a well-known condition among infants and toddlers. The aim of the study was to investigate the prevalence of diagnosed failure to thrive and possible comorbidity in hospitalised 0-2 year-old children in the County...

  5. Organisk demens blandt tandteknikere. En tvaersnitundersøgelse af tandteknikere med optikere som kontrolgruppe

    DEFF Research Database (Denmark)

    Prescott, E; Steendahl, Ulla; Damsgaard, M T

    1989-01-01

    The preparation methyl metacrylate (MMA) an organic solvent which is employed inter alii in the production of prostheses, is regarded as neurotoxic. With the object of illustrating to what extent dental technicians have symptoms compatible with organic dementia as compared with a control group, a...... after very slight exposure. Revision of the occupational environment of dental technicians, including the current hygienic limits for MMA, is recommended....

  6. Selvskadende adfærd blandt børn og unge

    DEFF Research Database (Denmark)

    Søgaard, Lisa Eilenberg; Christensen, Cathrine Lundgaard; Bilenberg, Niels

    2009-01-01

    The present paper is a review of recent research on the prevalence of deliberate self-harm (DSH) in a non-clinical background population of adolescents during the period 2002-2008. Cutting and overdosing are the most common methods used, and the majority of adolescents engaging in DSH are girls. ...

  7. Prevalence of sexual desire and satisfaction among patients with screen-detected diabetes and impact of intensive multifactorial treatment

    DEFF Research Database (Denmark)

    Pedersen, Mette Bjerggaard; Giraldi, Annamaria; Kristensen, Ellids

    2015-01-01

    Seksuallivet er vigtigt for vores livskvalitet. Blandt mænd og kvinder, der har haft type 2 diabetes i lang tid, er seksuelle problemer hyppige. I ADDITION-studiet om tidlig opsporing og intensiv behandling af type 2-diabetes i almen praksis blev patienterne stillet forskellige spørgsmål om deres...... seksualitet ved 5-års opfølgningsundersøgelsen. Disse spørgsmål dannede baggrund for vores undersøgelse, som viser, at seksuelle problemer også er hyppige blandt mænd og kvinder med diabetes opdaget tidligt i deres sygdomsforløb. Omkring halvdelen af kvinderne og en fjerdedel af mændene i studiet oplevede...

  8. Social opdrift - social arv

    DEFF Research Database (Denmark)

    Ejrnæs, Morten; Gabrielsen, G.; Nørrung, Per

    "Social opdrift - social arv" stiller på flere måder spørgsmål ved begrebet social arv. Bogen konkluderer blandt andet, at langt de fleste børn, der opvokser i en socialt belastet familie, bliver velfungerende voksne. Professionelle, der møder socialt belastede familier, har derfor et stort ansvar....... Naturligvis skal der tages hånd om udsatte børn, men det kræver samtidig stor opmærksomhed at sørge for, at fokuseringen på den sociale arv ikke tager overhånd, så det bliver en selvopfyldende profeti."Social opdrift - social" arv viser, hvordan forskningsresultater er blevet fremlagt på en måde, som har...... medvirket til at skabe en skæv opfattelse af, at forældrenes problemer er hovedårsag til børns sociale problemer. I selvstændige analyser vises, hvordan data, der normalt bruges som "bevis" for den sociale arvs betydning, tydeligt illustrerer, at det er en undtagelse, at børn får sociale problemer af samme...

  9. Sociale medier og eksistentiel lindring

    DEFF Research Database (Denmark)

    Holm, Victor Wille; Boelsbjerg, Hanne Bess

    2017-01-01

    Denne artikel udforsker brugen af sociale medier blandt palliative patienter som lindring for eksistentiel smerte. Gennem inddragelse af en case peger artiklen på, at den pludselige kropslig dysfunktion skaber eksistentiel smerte, og sociale medier diskuteres som lindring herfor. Der argumenteres...

  10. Alternativ behandling og kræft

    DEFF Research Database (Denmark)

    Lunde, Anita; Johannessen, Helle

    2010-01-01

    Baggrund: Interessen for komplementær og alternativ behandling (KAB) er stadig stigende, og der kan dokumenteres et større forbrug af KAB blandt kræftpatienter. Patienter anvender primært KAB som supplement til deres konventionelle behandling, og mange så gerne KAB som en integreret praksis. Fler...

  11. Association of GPs' risk attitudes, level of empathy, and burnout status with PSA testing in primary care

    DEFF Research Database (Denmark)

    Pedersen, Anette F; Carlsen, Anders H; Vedsted, Peter

    2015-01-01

    Denne artikel undersøger, om variationen i raten af PSA-tests mellem alment praktiserende læger kan forklares af psykologiske faktorer som f.eks. lægens risikovillighed. Resultaterne viser, at lægens risikovillighed influerer på raten af PSA-tests. Forfatterne finder blandt andet, at patienter, s...

  12. Socialmedicinsk undersøgelse blandt aeldre i ti EF-lande. Bortfaldsanalyse i en spørgeskemabaseret undersøgelse blandt privatboende 70-95-årige i fire danske kommuner

    DEFF Research Database (Denmark)

    Holst, E; Holstein, B E

    1990-01-01

    and the remaining 14% did not respond. The response rate was highest among the younger persons and lowest the age group 85-89. The response rate was higher in the metropolitan area and the rural area, lower in the urban area. The response rate was not associated with gender. In one commune, the non-respondents were...... approached for personal interviewing and 60% of this group were interviewed. In this commune, personal interviewing increased the response rate from 68 to 78%. Respondents to the postal questionnaire and respondents to the personal interview were compared regarding 228 variables and were shown to be alike......Sixty-nine percent of a random sample of 1,835 non-institutionalised elderly 70-95 year old persons in four Danish communes answered a mailed questionnaire on their health and social situation. However, 17% replied that they did not want to or could not manage to answer the questionnaire...

  13. Med troen som fællesnævner – fællesskab blandt unge i Indre Mission

    Directory of Open Access Journals (Sweden)

    Tina Wilchen Christensen

    2010-12-01

    Full Text Available Artiklen vil belyse de mekanismer, der ligger til grund for et velfungerende fællesskab i en af Indre Missions ungdomsforeninger i Århus. Troen har på forskellige måder en central position i fællesskabet, og denne artikel vil argumentere for de unges tro som en social identitet, idet deres habitus synes at have en afgørende betydning for den og deres oplevelse af det religiøst funderede fællesskab. Artiklenvil også belyse, hvordan Biblen og dens fortællinger udgør den fortolkningsramme, som de unge er opvokset med og forstår livet igennem. Artiklen viser desuden den rolle, det kollektive samvær spiller i de unges konstruktion af Gud og egen identitet som kristen.Faith as common ground- community feeling among young evangelicals in DenmarkThe aim of this article is to demonstrate the mechanisms that underlie a youth association in the so-called Home Mission, a branch of the Evangelical Lutheran Church of Denmark. It is the result of anthropological research focusing on the sense of community among members aged between 15 and 27. In a number of ways faith plays a central role in the community, and the main argument of the article is that the young people's faith constitutes a social identity, since their habitus seems to have a decisive impact on their experience of the faith-based community. The article further demonstrates how the Bible and its narratives form the framework of interpretation with which the young people have grown up, and which, in their present life as adults, continues to mould their understanding and view of life, as well as the role that collective interaction plays in the young people's construction of God and their own identity as Christians. A core argument in the article is that faith is a socialization into a structure which results in all participants having the same frame of reference and therefore experiencing a strong feeling of community with one another within this particular wing of the Church of Denmark. 

  14. Bliv klogere på Mycoplasma bovis - Beslægtethed blandt de danske stammer: Afsløret

    DEFF Research Database (Denmark)

    Kokotovic, Branko

    .bovis) som oftest findes i forbindelse med mastitis, lunge- og ledbetændelse. Tidligere undersøgelser har rapporteret M. bovis forbundet med op til 52 % af mastitis tilfælde (1) og op til 36 % af kalvedødeligheden på grund af luftvejsinfektioner (2, 3). Der findes ikke præcise, nyere beregninger over...... konsekvenser af M. bovis relateret sygdomme, men det anses, at infektionen hvert år globalt set pålægger en økonomisk byrde til kvægbruget i en multimillion skala (3). M. bovis blev for første gang påvist i Danmark i 1981 og gennem 1980’erne har bakterien forårsaget store udbrud af mastitis (4, 5). I de...... følgende årtier blev bakterien isoleret sporadisk fra mange forskellige kvægbesætninger, men på trods en tilsyneladende stigende forekomst i 1990’erne (6), blev der ikke registret omfattende sundhedsmæssige problemer som følge af M. bovis smitte. Siden 2011 er M. bovis dog kommet i fokus igen på grund af...

  15. Praevalensen afhud- og slimhindesymptomer blandt gartnere der omgås Ficus benjamina (stuebirk) og Hedera helix (vedbend). Et tvaersnitsstudie

    DEFF Research Database (Denmark)

    Jørs, Erik

    2003-01-01

    Allergic and toxic initiative symptoms from skin, eyes and respiratory tract are well known among gardeners This study reports the prevalence of these symptoms among gardeners working with Ficus Benjamina (Fb) and Hedera helix (Hh).......Allergic and toxic initiative symptoms from skin, eyes and respiratory tract are well known among gardeners This study reports the prevalence of these symptoms among gardeners working with Ficus Benjamina (Fb) and Hedera helix (Hh)....

  16. Udviklingen i energisk fysisk aktivitet og fysisk inaktivitet blandt 11-15-årige 1988-2002

    DEFF Research Database (Denmark)

    Holstein, Bjørn E; Henriksen, Pia Elena; Krølner, Rikke

    2007-01-01

    The increasing prevalence of overweight and obesity among children and adolescents suggests a need to study the development in main predictors of obesity, like eating habits and physical activity. The objective was to describe self-reported vigorous physical activity versus physical inactivity...

  17. Samhørighed, interaktion og vidensdeling blandt studerende - Erfaringer fra et ikt-pædagogisk udviklingsprojekt

    DEFF Research Database (Denmark)

    Davidsen, Jacob; Ryberg, Thomas

    2016-01-01

    af Facebook og Moodle, som skulle give de studerende oplevelser og erfaringer med, hvordan de kan bruge og finde inspiration i hinandens arbejde ved at deltage i et online fællesskab sammen med underviserne. Projektet viser, at underviserne spiller en central rolle i udviklingen af online...... at studerende i vid udstrækning anvender sociale netværkssteder, såsom Facebook, i forbindelse med deres studieliv til faglige, men i særdeleshed sociale aktiviteter. Det betyder, at vi som undervisere har et begrænset indblik i, hvad de studerende kommunikerer om og har af problemstillinger i deres studieliv......, hvilket er problematisk i forhold til at udvikle et fagligt fællesskab og forankringspunkt. Det skyldes endvidere, at brugen af det institutionelle system Moodle er begrænset til envejskommunikation fra underviser til studerende. Formålet med udviklingsprojektet var således at skabe et tredje rum imellem...

  18. Udviklingen i energisk fysisk aktivitet og fysisk inaktivitet blandt 11-15-årige 1988-2002

    DEFF Research Database (Denmark)

    Holstein, Bjørn E; Henriksen, Pia Elena; Krølner, Rikke

    2007-01-01

    INTRODUCTION: The increasing prevalence of overweight and obesity among children and adolescents suggests a need to study the development in main predictors of obesity, like eating habits and physical activity. The objective was to describe self-reported vigorous physical activity versus physical...... inactivity among children and adolescents over a period of 14 years, 1988-2002. MATERIAL AND METHODS: The study population was the Health Behaviour in School-aged Children (HBSC) study among nationally representative samples of 11, 13 and 15 year old students in 1988, 1991, 1994, 1998, and 2002. The data...... collection used the standardised HBSC questionnaire which included items about vigorous physical activity (VPA) outside school hours per week. We defined physically inactivity as 0 hours of VPA per week and high activity as at least 7 hours of VPA per week. RESULTS: The prevalence of high activity was higher...

  19. Praenatal diagnostik af døvhed blandt foraeldre til cochlear-implanterede børn

    DEFF Research Database (Denmark)

    Thorsen, Anne; Devantier, Louise; Ovesen, Therese

    2009-01-01

    INTRODUCTION: Hearing loss affects 1.5 of newborns in Denmark. New research estimates that genetic factors account for 60% of hearing loss present at birth or in early childhood. The growing knowledge of the genetic causes of hearing loss provides new potential in the diagnostic process, either......, audiologic testing was implemented in Denmark in 2004. In future, screening for hearing loss would benefit from the addition of molecular genetic testing to detect late-onset hearing loss. Udgivelsesdato: 2009-Apr-20...... as prenatal diagnostics (PND) by means of placenta biopsy or amniocentesis or as a supplement to the existing audiologic screening. The purpose of this study was to shed light on the attitude towards PND among the parents of 22 children who received a cochlear implant in the cochlear implant centre of Western...

  20. Opvækstvilkårenes betydning for førtidspensionering. En case-kontrolundersøgelse blandt specialarbejdere

    DEFF Research Database (Denmark)

    Hasle, H; Jeune, B

    1989-01-01

    The significance of the conditions in childhood and adolescence for awarding of disability pension is illustrated by means of a case-control design with persons matched according to age, sex and type of work. The group investigated consisted of 581 general male workers who received middle...... or highest disability pension and 1,550 control persons. No significant differences were found between the case and control group as regards the occupation of the father, unemployment of the father, illness or disability pension in the parents, economical problems during childhood, growing up in the parental...... home and growing up in rural or urban surroundings. Disability pensioners had more frequently had schooling for less than seven years. These results cannot confirm the conclusions from previous investigations which are associated with bias in the form of socioeconomical differences between the group...

  1. CIT-AWARE-09 - En undersøgelse af it-sikkerhed blandt borgerne i Danmark

    DEFF Research Database (Denmark)

    Sharp, Robin

    Forskningsråd. Undersøgelsen blev udført som en anonym, webbaseret spørgeskemaundersøgelse, hvor der blev stillet spørgsmål inden for 8 tekniske områder: Generelt kendskab til it-sikkerhed, Datasikring, Adgangskoder, Virus og andet ondskabsfuldt programmel, E-mail, Download, E-banking og ehandel og...

  2. Psykisk arbejdsmiljø blandt yngre laeger på onkologiske afdelinger. Et spørgeskemabaseret tvaersnitsstudie

    DEFF Research Database (Denmark)

    Wieclaw, Joanna; Paludan, Merete; Rosenkilde, Mikael

    2008-01-01

    INTRODUCTION: Employees in departments of oncology in Denmark are faced with the public's expectations of increased productivity and quality. Understaffing is a serious obstacle to the fulfillment of these expectations. In 2006, the psychosocial work environment was examined among junior physicians...... and predictability at work, the assessment of the psychosocial work environment is significantly poorer. There is considerable inter-departmental variation. The junior physicians call for more staff, a higher prioritization of education, and an improved psychosocial work environment. CONCLUSION: Despite...

  3. Samhørighed, interaktion og vidensdeling blandt studerende - erfaringer fra et IKT-pædagogisk udviklingsprojekt

    Directory of Open Access Journals (Sweden)

    Jacob Davidsen

    2016-10-01

    Full Text Available I artiklen beskriver vi erfaringer fra et projekt på Aalborg Universitet (AAU, hvor forfatterne designede et forløb med Google+ communities for at skabe øget samhørighed, interaktion og vidensdeling mellem studerende på 1. semester på studiet Kommunikation og Digitale Medier (KDM. Studier viser, at studerende i vid udstrækning anvender sociale netværkssteder, såsom Facebook, i forbindelse med deres studieliv til faglige, men i særdeleshed sociale aktiviteter. Det betyder, at vi som undervisere har et begrænset indblik i, hvad de studerende kommunikerer om og har af problemstillinger i deres studieliv, hvilket er problematisk i forhold til at udvikle et fagligt fællesskab og forankringspunkt. Det skyldes endvidere, at brugen af det institutionelle system Moodle er begrænset til envejskommunikation fra underviser til studerende. Formålet med udviklingsprojektet var således at skabe et tredje rum imellem Facebook og Moodle, som skulle give de studerende oplevelser og erfaringer med, hvordan de kan bruge og finde inspiration i hinandens arbejde ved at deltage i et online-fællesskab sammen med underviserne. Projektet viser, at underviserne spiller en central rolle i udviklingen af online-fællesskabet, men samtidig, at nogle af forløbets aktiviteter har haft positiv indflydelse på de studerendes samhørighed, interaktion og vidensdeling gennem forløbet. In this paper, we share experiences from a project at Aalborg University (AAU, in which the authors designed a course using Google + Communities for the first semester of the Communication and Digital Media programme. In this programme Google + Communities was used to nurture both an academic and social community among the students, through encouraging interaction and knowledge sharing. Studies show that students prefer to use Facebook for academic and social purposes. As a consequence, teachers have minimal insight into the challenges facing students, which is problematic when trying to create and support an academic community. Moreover, it is problematic that the institutional system Moodle primarily is used by the teachers to push information in the direction of the students. Thus, we wanted to design a third space that would fit in-between Facebook and Moodle, and which would allow the students to experience the benefits of participating in an online community with fellow students and teachers. The project shows that teachers are crucial in developing and maintaining the online community. But there was also evidence that some of the online activities encouraged students to interact and share knowledge and fostered a sense of community.

  4. Data study of death rate and cancer incidence among Thule workers, 2005; Registerundersoegelse af doedelighed og kraeftforekomst blandt Thulearbejdere, 2005

    Energy Technology Data Exchange (ETDEWEB)

    Juel, K. [Statens Insti. for Folkesundhed, Copenhagen (Denmark); Engholm, G.; Storm, H. [Kraeftens Bekaempelse, Copenhagen (Denmark)

    2005-12-01

    January 21st, 1968, an American B52 bomber with nuclear weapons aboard crashed close to the Thule air-base in Greenland. In 1986 suspicions arose that there might be increased disease incidences and death rate among the employees at the base that were involved in the clearing operations. During 1986 - 1995, several health studies were made of the Thule workers. These studies of death rate, cancer, hospitalization, and fertility did not show any differences between the Thule workers from the clearing operations and those not involved in the clearing. The present study shows no difference in total death rate among the clearing workers compared to other workers. The same results were found for cancer mortality, circulatory diseases, pulmonary diseases, natural causes, and accidents. As the previous studies showed, the present study shows that there were a slightly less number of suicides among the clearing workers. The data analyses show with great certainty that the Thule workers as a group do not have a great excessive mortality or an increased cancer incidence caused by the aircraft crash. Thus, the present results fall in line with the previous investigations. (ln)

  5. Udviklingen i energisk fysisk aktivitet og fysisk inaktivitet blandt 11-15-årige 1988-2002

    DEFF Research Database (Denmark)

    Holstein, Bjørn E; Henriksen, Pia Elena; Krølner, Rikke

    2007-01-01

    INTRODUCTION: The increasing prevalence of overweight and obesity among children and adolescents suggests a need to study the development in main predictors of obesity, like eating habits and physical activity. The objective was to describe self-reported vigorous physical activity versus physical...... inactivity among children and adolescents over a period of 14 years, 1988-2002. MATERIAL AND METHODS: The study population was the Health Behaviour in School-aged Children (HBSC) study among nationally representative samples of 11, 13 and 15 year old students in 1988, 1991, 1994, 1998, and 2002. The data...... among boys than girls and increased by age. The prevalence of physically inactive students increased from 1988 to 2002, especially among the 15 year olds. The proportion of students with high activity decreased from 1988 to 2002, especially among the 15 year olds. CONCLUSION: A large proportion...

  6. Prædiktorer for rygeophør i en national repræsentativ stikprøve af voksne danskere

    DEFF Research Database (Denmark)

    Zimmermann, Esther; Ekholm, Ola; Juel, Knud

    2006-01-01

    INTRODUCTION: Smoking is the largest modifiable risk factor for early death in Denmark, and reduction of the number of smokers is a high-priority health goal. The aim of this study was to investigate the importance of tobacco consumption and social position on smoking cessation in a representative...... sample of the Danish population. This had not previously been done in Denmark. MATERIALS AND METHODS: The data were derived from the Danish Health and Morbidity Surveys of 1994 and 2000. The study population consisted of persons between 25 and 64 years of age who smoked in 1994 and who were re...

  7. Patient satisfaction

    Directory of Open Access Journals (Sweden)

    Bhanu Prakash

    2010-01-01

    Full Text Available Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. Patient satisfaction is thus a proxy but a very effective indicator to measure the success of doctors and hospitals. This article discusses as to how to ensure patient satisfaction in dermatological practice.

  8. Patient satisfaction.

    Science.gov (United States)

    Prakash, Bhanu

    2010-09-01

    Patient satisfaction is an important and commonly used indicator for measuring the quality in health care. Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. Patient satisfaction is thus a proxy but a very effective indicator to measure the success of doctors and hospitals. This article discusses as to how to ensure patient satisfaction in dermatological practice.

  9. Patient opinion

    DEFF Research Database (Denmark)

    Zurita, Laura; Nøhr, Christian

    2004-01-01

    The paper is based upon a case study and aims to provide information abouit patients values and communication that will be useful in the design of more patient friendly health system.......The paper is based upon a case study and aims to provide information abouit patients values and communication that will be useful in the design of more patient friendly health system....

  10. Patient safety

    African Journals Online (AJOL)

    The casual observer may think that the topic of this article refers to the security available to minimise personal violence and theft, sadly speaking of a local bias. However, it refers to measures and systems that have to be put in place to minimise medical error and patient harm. The patient safety movement is now 13 years.

  11. Patient management.

    Science.gov (United States)

    Guptill, Lynn

    2015-03-01

    Hospital-associated infections, including those caused by zoonotic agents, represent an increasing concern in veterinary practice. Veterinarians and hospital staff are obligated and expected to provide education about and protection from transmission of pathogens among animal patients and between animal patients and human beings (eg, veterinary staff, volunteers, owners) who come into contact with infected animals. Patient management involves assessing risks of pathogen transmission, identification of animals either suspected of or proved to be infected with a transmissible infectious disease agent, and the implementation of measures that minimize the likelihood of transmission of the infectious agent. Copyright © 2015 Elsevier Inc. All rights reserved.

  12. Patient empowerment

    DEFF Research Database (Denmark)

    Eskildsen, Nanna Bjerg; Joergensen, Clara Ruebner; Thomsen, Thora Grothe

    2017-01-01

    Background There is an increased attention to and demand for patient empowerment in cancer treatment and follow-up programmes. Patient empowerment has been defined as feeling in control of or having mastery in relation to cancer and cancer care. This calls for properly developed questionnaires...... assessing empowerment from the user perspective. The aim of this review was to identify questionnaires and sub-scales measuring empowerment and manifestations of empowerment among cancer patients. Materials and methods We conducted a systematic search of the PubMed, PsycINFO and CINAHL databases....... Empowerment and multiple search terms associated with empowerment were included. We included peer-reviewed articles published in English, which described questionnaires measuring empowerment or manifestations of empowerment in a cancer setting. In addition, the questionnaire had to be a patient...

  13. chemotherapy patients

    Directory of Open Access Journals (Sweden)

    Katarzyna Augustyniuk

    2016-02-01

    Full Text Available Background . Complementary and alternative medicine (CAM practices for cancer have become popular among oncology patients. An increasing interest in alternative medicine can be explained by the inefficiency of conventional treatment, dissatisfaction with treating patients like objects, and the will to use all available treatment methods. Objectives . The authors assessed how often patients use CAM methods, and which of them are most popular. Material and methods . The study was conducted in Military Hospital no. 109 and the Independent Public Clinical Hospital no. 1 in Szczecin among 100 chemotherapy patients. This survey-based study was performed using an original questionnaire. Results. Most respondents (68% did not use alternative methods to fight the disease. The most popular treatment methods were: herbal medicine (50%, alternative medicine preparations (38% and diet (25%, and the least common: hypnosis (3% and aromatherapy (3%. Analyzed sociodemographic factors had no effects on a choice of a CAM method. Patients obtained information about CAM methods mainly from the Internet (40%, medical staff (37% and literature (31%. Conclusions . 1. Using CAM by patients receiving chemotherapy for neoplasms is quite a common phenomenon. 2. CAM were more often chosen by women. Neither the duration of the disease nor sociodemographic data had effects on making the decision to use CAM methods. 3. The most popular CAM were: herbal medicine, alternative medicine preparations, and diet. 4. Cancer patients should receive special support from nurses and doctors as well as other members of the therapeutic team. Oncology patients should never be left on their own so that they were forced to seek help and support in therapies unconfirmed by scientific investigation.

  14. Denmark. Alcohol, Drugs and Tobacco Programme

    DEFF Research Database (Denmark)

    Barfod, S.; Saunders, J.; Wutzke, S.

    1998-01-01

    Artiklen omtaler de danske resultater af en spørgeskemaundersøgelse blandt praktiserende læger i 16 lande. Af de 304 besvarelser angiver 91%, at de højst behandler 2 patienter om måneden for alkoholproblemer. Læger med erfaring i alkoholbehandling, og læger, der arbejder mest, spørger oftere dere...

  15. Do we need to change our understanding of anticipatory grief in caregivers?

    DEFF Research Database (Denmark)

    Nielsen, Mette Kjaergaard; Neergaard, Mette Asbjoern; Jensen, Anders Bonde

    2016-01-01

    Sorgsymptomer under sygdomsforløbet blandt pårørende til terminalt syge patienter har været forbundet med både forværret og forbedret sorgreaktion efter dødsfaldet. Dette systematiske review viste, at pårørende med svær grad af sorgsymptomer før patientens død har øget risiko for at udvikle alvor...

  16. Kvalitet i almen praksis?

    DEFF Research Database (Denmark)

    Lippert, Maria Laura; Dyhr, Lise

    2015-01-01

    Artiklen beskriver en undersøgelse, der afdækkede, hvad der kan ske med læge-patient-samtalen, når der i kvalitetssikringsøjemed popper små skærmbilleder op med spørgsmål på lægens PC, der præsenterer faste standarder for indhold og forløb. Konsultationer blandt læger, som anvendte og udfyldte...

  17. Understanding the inverse care law

    DEFF Research Database (Denmark)

    Pedersen, Anette Fischer; Vedsted, Peter

    2014-01-01

    Udbrændthed er et stigende problem blandt alment praktiserende læger i Danmark. Dette studie viser, at alment praktiserende læger med en stor andel af socialt udsatte patienter på deres liste har større risiko for at være udbrændte sammenlignet med alment praktiserende læger med en lille andel af...

  18. [Patients' rights].

    Science.gov (United States)

    Bert, Giorgio; Morello, Enrico; Quadrino, Silvana

    2018-02-01

    Forty years have passed since the publication of the "Patients' Rights Charter" (included in a separate section at the end of the work: "Patients' rights: a critical guide to understanding and usage of civil hospital facilities"), but it still remains remarkably topical. We here provide an analysis of the original Charter (1975) taking into consideration the changes that have occurred in sensitivity to gender, cultural as well as socioeconomic differences, the right to body privacy and to continuity of care, the key role of general practitioners, the reciprocal relations in the information and decision-making processes with shared diagnostic and therapeutic pathways and active patient participation, which mandates that adequate education in communication and care strategies be provided to all caregivers.

  19. Patient Roadmap

    Science.gov (United States)

    ... anything to deserve this. Find ways to increase relaxation. Patients often report that their tinnitus is less burdensome when they are relaxed. Find the activities and behaviors that best help you relax: exercise, yoga, meditation, soothing music, anything that helps you be calm and content. ...

  20. Radioactive patients

    Energy Technology Data Exchange (ETDEWEB)

    Mountford, P.J.; Coakley, A.J. (Kent and Canterbury Hospital (UK))

    1989-06-10

    A brief article considers the risks to others from patients who have been given radiopharmaceuticals for diagnostic or therapeutic reasons. Greater risks come from giving {sup 131}I therapeutically than {sup 99}Tc diagnostically. The interpretation of the Ionising Radiations Regulations 1985 for clinical applications is also briefly discussed. (UK).

  1. diabetic patients

    Directory of Open Access Journals (Sweden)

    Mehraban Falahati

    2016-09-01

    candiduria and female gender, high FBS and urine glucose, uncontrolled diabetes (HbA1c ≥8, and acidic urine pH (P<0.05. Conclusion: Considering the high incidence rate of candiduria in diabetic patients, control of diabetes, predisposing factors, and causal relationships between diabetes and candiduria should be highlighted.

  2. Anafylaksi efter bi- eller hvepsestik i Region Syddanmark i perioden 2008-2011

    DEFF Research Database (Denmark)

    Oropeza, Athamaica Ruiz; Mikkelsen, Søren; Bindslev-Jensen, Carsten

    intramuskulær adrenalin (64 % ifølge Sampson’s skala og 76 % ifølge Muraro’s). Af de 38 patienter der blev set i Odense fik 66 % intravenøs (IV) binyrebarkhormon, 63 % IV antihistamin og 5 % IV adrenalin (blandt dem med moderat til svær anafylaksi fik op til 77 % IV binyrebarkhormon og op til 82 % IV...... antihistamin). Blandt de 55 patienter i resten af Region Syddanmark fik 80 % IV binyrebarkhormon, 78 % IV antihistamin og 7 % IV adrenalin (blandt dem med moderat til svær anafylaksi fik op til 94 % IV binyrebarkhormon og op til 90 %, IV antihistamin). Af dem der fik IV adrenalin havde 2 ud af 2 tidligere fået...... intramuskulær adrenalin i Odense-området og 1 ud af 4 i resten af Region Syddanmark. Konklusion: Over 50 % af de reporterede tilfælde af allergi efter bi- og hvepsestik kunne gradueres som moderat til svær anafylaksi. Lang de fleste fik behandling med IV binyrebarkhormon og antihistamin, men kun omkring 50 % af...

  3. Patients' views on electronic patient information leaflets.

    Science.gov (United States)

    Hammar, Tora; Nilsson, Anna-Lena; Hovstadius, Bo

    2016-01-01

    Information in society and in health care is currently undergoing a transition from paper to digital formats, and the main source of information will probably be electronic in the future. To explore patients' use and perceptions of the patient information leaflet included in the medication package, and their attitude towards a transition to an electronic version. The data was collected during October to November 2014 among individuals in South-Eastern Sweden, using a questionnaire (n=406, response rate 78%) and interviews (n=15). The questionnaire showed that the majority of the respondents (52%) occasionally read the patient information leaflet, 37% always read it, and 11% never read it. Almost half of the patients (41%) were positive towards reading the patient information leaflet electronically while 32% were hesitant and 26% neutral. A majority of the patients would request to get the patient information leaflet printed at the pharmacy if it was not included in the package. There were differences in attitude related to age and gender. The interviews showed that patients had mixed views on a transition to an electronic patient information leaflet. The patients perceived several positive aspects with an electronic patient information leaflet but were concerned about elderly patients. Although many were positive towards reading the patient information leaflet electronically, the majority prefer the patient information leaflet in paper form. Providing appropriate and useful eHealth services for patients to access the patient information leaflet electronically, along with education, could prepare patients for a transition to electronic patient information leaflet.

  4. Acute care patients discuss the patient role in patient safety.

    Science.gov (United States)

    Rathert, Cheryl; Huddleston, Nicole; Pak, Youngju

    2011-01-01

    Patient safety has been a highly researched topic in health care since the year 2000. One strategy for improving patient safety has been to encourage patients to take an active role in their safety during their health care experiences. However, little research has shed light on how patients view their roles. This study attempted to address this deficit by inductively exploring the results of a qualitative study in which patients reported their ideas about what they believe their roles should be. Patients with an overnight stay in the previous 90 days at one of three hospitals were surveyed using a mailing methodology. Of 1,040 respondents, 491 provided an open-ended response regarding what they believe the patient role should be. Qualitative analysis found several prominent themes. The largest proportion of responses (23%) suggested that patients should follow instructions given by care providers. Other prominent themes were that patients should ask questions and become informed about their conditions and treatments, and many implied that they should expect competent care. Our results suggest that patients believe they should be able to trust that they are being provided competent care, as opposed to assuming a leadership role in their safety. Our results suggest that engaging patients in safety efforts may be complex, requiring a variety of strategies. Managers must provide environments conducive to staff and patient interactions to support patients in this effort. Different types of patients may require different engagement strategies.

  5. Communicating with patients

    Science.gov (United States)

    ... to be able to assess patient needs and communicate clearly. The success of patient education depends largely ... PA: Elsevier Saunders; 2016:chap 14. Falvo DR. Communicating effectively in patient teaching: enhancing patient adherence. In: ...

  6. Patients' preferences for patient-centered communication

    DEFF Research Database (Denmark)

    Lau, Sofie Rosenlund; Christensen, Søren Troels; Andreasen T., Jesper

    2013-01-01

    To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone.......To investigate patients' preferences for patient-centered communication (PCC) in the encounter with healthcare professionals in an outpatient department in rural Sierra Leone....

  7. Dyrkning af jatropha blandt småbønder i Mozambique - En strategi til reduceret CO2-udledning og lokal udvikling?

    DEFF Research Database (Denmark)

    Rasmussen, Laura Vang

    2010-01-01

    I Cabo Delgado-regionen i det nordlige Mozambique er småbønder inden for de sidste tre år begyndt at dyrke biobrændselsafgrøden jatropha. Bønderne har plantet jatrophatræer som hække langs de eksisterende majsmarker. Da dyrkningen af jatropha anses for en strategi til at skabe lokal udvikling i...... området, ønsker bønderne imidlertid at ekspandere deres areal med jatropha.Ekspansionen af jatropha-arealet vil med al sandsynlighed ske ved, at bønderne omlægger eksisterende skovarealer til jatropha. Dette kan dog have omfattende negative konsekvenser for miljøet, idet en skovrydning vil medføre øget CO...

  8. Motionsvaner blandt skoleelever. Landsdækkende socialmedicinsk undersøgelse af 1,671 11-15 årige

    DEFF Research Database (Denmark)

    Holstein, B E; Ito, H; Due, P

    1990-01-01

    sufficient to make them breathless or sweat. Boys did more physical exercise than girls irrespective of the measurement of exercise. The most important motives for physical exercise were to improve health, to get in good shape, to have fun, and to make new friends. More than 90% of the children intended...... was 57%; 37% did some physical exercise in their leisure time sufficient to make them breathless or sweat at least four times a week; 43% at least four hours a week. Two thirds were active members of a sports club. A minority of 8% did not carry out any physical exercise during their leisure time...... to do physical exercise at the age of 20. High intensity of physical activity was associated with high social class, strong social integration in the peer group, easy contact with parents and friends, physical exercise among parents and best friends, high degree of life satisfaction, and good health...

  9. Stress og frugtbarhed. En forløbsundersøgelse blandt par, som forsøger at blive gravide for første gang

    DEFF Research Database (Denmark)

    Hjøllund, Niels Henrik; Jensen, Tina Kold; Bonde, Jens Peter

    2000-01-01

    of information on distress from termination of birth control until pregnancy for a maximum of six menstrual cycles. The analyses included 1,475 menstrual cycles, and mental distress was measured in each cycle by the General Health Questionnaire (GHQ). Urine samples from each period of vaginal bleeding were...... of distress was almost exclusively found among women with long menstrual cycles (OR 0.1; 95% CI 0.01-0.4 and OR 0.9; 0.5-1.4 for women with cycles > or = 35 and cycles, but was based...... on a small number of observations. It is concluded that psychological distress may be a risk factor for reduced fertility in women with long menstrual cycles....

  10. Sammenhaenge mellem risikoadfaerd for spiseforstyrrelser og Short Form-36 samt selvoplevet stress blandt 16-29-årige danske kvinder

    DEFF Research Database (Denmark)

    Waaddegaard, Mette; Davidsen, Michael; Kjøller, Mette

    2009-01-01

    cross sectional survey of 16-29-year old women and was part of the Danish Health Interview Survey 2005. After the personal interviews, 487 returned the questionnaires, with a response rate of 53.3%. Participants responded to RiBED-8, a screening instrument for identification of risk behaviour for eating...

  11. Stress og frugtbarhed. En forløbsundersøgelse blandt par, som forsøger at blive gravide for første gang

    DEFF Research Database (Denmark)

    Hjøllund, N H; Jensen, T K; Bonde, J P

    2000-01-01

    of information on distress from termination of birth control until pregnancy for a maximum of six menstrual cycles. The analyses included 1,475 menstrual cycles, and mental distress was measured in each cycle by the General Health Questionnaire (GHQ). Urine samples from each period of vaginal bleeding were...... of distress was almost exclusively found among women with long menstrual cycles (OR 0.1; 95% CI 0.01-0.4 and OR 0.9; 0.5-1.4 for women with cycles > or = 35 and ... on a small number of observations. It is concluded that psychological distress may be a risk factor for reduced fertility in women with long menstrual cycles....

  12. Postoperativ mortalitet ved kolecystektomi. Opgørelse vedrørende samtlige kolecystektomier blandt kvinder i Danmark i perioden 1977-1981

    DEFF Research Database (Denmark)

    Bredesen, J; Jørgensen, T; Andersen, T F

    1994-01-01

    rate (0.2%) similar to women who had a simple hysterectomy, but significantly higher than in the general female population. High age, acute admission, admission to hospital in the three months prior to the index admission, the number of discharge diagnoses, and the geographical region were......This paper assesses the risk of dying within thirty days of admission among 13,854 women who had a cholecystectomy performed as the principal operation during the period 1977-81. The overall crude mortality rate was 1.2%. Women who had a simple elective cholecystectomy performed had a mortality...... significantly associated with increased mortality. The higher mortality associated with exploration of the common bile duct disappeared when number of discharge diagnoses was taken into account. As regards early mortality, it is concluded that simple elective cholecystectomy is a safe procedure before the age...

  13. Sammenhaenge mellem risikoadfaerd for spiseforstyrrelser og Short Form-36 samt selvoplevet stress blandt 16-29-årige danske kvinder

    DEFF Research Database (Denmark)

    Waadegaard, Mette; Davidsen, Michael; Kjøller, Mette

    2009-01-01

    INTRODUCTION: To improve the early identification of eating disorders the study tested whether women with risk behaviour for eating disorders have lower health-related life quality and more perceived stress than women without risk behaviour. MATERIAL AND METHODS: The study was a representative...... disorders and also to SF-36 and Perceived Stress Scale (PSS). RESULTS: Women with risk behaviour for eating disorders have a lower score on all subscales of SF-36 than women without risk behaviour. The differences are significant for the subscales for mental health, vitality, social function and general...... health. They also have a higher mean score on PSS than women without risk behaviour. CONCLUSION: Women with risk behaviour for eating disorders have lower mental health-related life quality than women without risk behaviour. They also experience daily life as more unpredictable, stressful and difficult...

  14. Motionsvaner blandt skoleelever. Landsdækkende socialmedicinsk undersøgelse af 1,671 11-15 årige

    DEFF Research Database (Denmark)

    Holstein, B E; Ito, H; Due, P

    1990-01-01

    to do physical exercise at the age of 20. High intensity of physical activity was associated with high social class, strong social integration in the peer group, easy contact with parents and friends, physical exercise among parents and best friends, high degree of life satisfaction, and good health...... sufficient to make them breathless or sweat. Boys did more physical exercise than girls irrespective of the measurement of exercise. The most important motives for physical exercise were to improve health, to get in good shape, to have fun, and to make new friends. More than 90% of the children intended...

  15. Alvorlige personskader ved færdselsuheld med indregistrerede motorkøretøjer blandt indbyggere i Odense Kommune 1990-1999

    DEFF Research Database (Denmark)

    Faergemann, Christian; Larsen, Lars Binderup

    2002-01-01

    INTRODUCTION: Since 1990, the number of persons treated at the Odense University Hospital for injuries following road traffic with registered motor vehicles has increased. In this study we wanted to examine if the increase included an increase in more severe injuries. MATERIAL AND METHODS......: The study included all inhabitants in the Municipality of Odense treated at the Odense University Hospital for more severe injuries (MAIS > or = 3) following road traffic accidents as drivers or passengers in registered motor vehicles during the period January 1st 1990 to December 31st 1999. RESULTS: 241...... severe injuries following road traffic accidents with registered motor vehicles was constant during the period. Accidents involving young men and single accidents were dominating. Prophylactic measures should be aimed at this type of road users....

  16. Sammenhaenge mellem risikoadfaerd for spiseforstyrrelser og Short Form-36 samt selvoplevet stress blandt 16-29-årige danske kvinder

    DEFF Research Database (Denmark)

    Waaddegaard, Mette; Davidsen, Michael; Kjøller, Mette

    2009-01-01

    cross sectional survey of 16-29-year old women and was part of the Danish Health Interview Survey 2005. After the personal interviews, 487 returned the questionnaires, with a response rate of 53.3%. Participants responded to RiBED-8, a screening instrument for identification of risk behaviour for eating......INTRODUCTION: To improve the early identification of eating disorders the study tested whether women with risk behaviour for eating disorders have lower health-related life quality and more perceived stress than women without risk behaviour. MATERIAL AND METHODS: The study was a representative...... disorders and also to SF-36 and Perceived Stress Scale (PSS). RESULTS: Women with risk behaviour for eating disorders have a lower score on all subscales of SF-36 than women without risk behaviour. The differences are significant for the subscales for mental health, vitality, social function and general...

  17. Rygevaner blandt 11-15 årige i 1988. Undersøgelse af rygevaner og deres sammenhaeng med sociale baggrundsfaktorer, helbred, trivsel og socialt netvaerk

    DEFF Research Database (Denmark)

    Holstein, B E; Ito, H; Due, P

    1990-01-01

    A total of 1,671 schoolchildren aged 11, 13 and 15 years answered an anonymous questionnaire in 1988 on their social backgrounds, social networks, health, life satisfaction and health behaviour. The proportions who had tried to smoke were 24%, 51%, and 66% in the three age groups; the proportions...

  18. Rygevaner blandt 11-15 årige i 1988. Undersøgelse af rygevaner og deres sammenhaeng med sociale baggrundsfaktorer, helbred, trivsel og socialt netvaerk

    DEFF Research Database (Denmark)

    Holstein, B E; Ito, H; Due, P

    1990-01-01

    A total of 1,671 schoolchildren aged 11, 13 and 15 years answered an anonymous questionnaire in 1988 on their social backgrounds, social networks, health, life satisfaction and health behaviour. The proportions who had tried to smoke were 24%, 51%, and 66% in the three age groups; the proportions...... and by the number of smokers at home. Smoking was associated with poor health, fatigue, school tiredness, school performance below the average, frequent contacts with friends outside school and at night, difficulties in discussion with parents, ease in discussions with friends, and with having close friends...

  19. Udvikling og initial validering af et web-baseret spørgeskema til identifikation af prædiktorer for usikker sex blandt unge danskere

    DEFF Research Database (Denmark)

    Jørgensen, Marianne Johansson

    respondenternes alkoholindtagelse hele livet samt det sidste år, og en høj floor effekt for det item, der relaterede sig til alkoholindtagelsen den sidste måned. Både Rosenbergs Self-esteem skala og kondom Self-efficacy skalaerne viste god intern overensstemmelse (α>0,8), og spørgeskemaets test...

  20. Stress og frugtbarhed. En forløbsundersøgelse blandt par, som forsøger at blive gravide for første gang

    DEFF Research Database (Denmark)

    Hjøllund, N H; Jensen, T K; Bonde, J P

    2000-01-01

    Mental distress has often been suggested as a cause of unexplained infertility. However, the causal direction may well be from infertility to distress, and prospective data are needed. We therefore followed 393 couples, who were planning their first pregnancy, with prospective collection of infor......Mental distress has often been suggested as a cause of unexplained infertility. However, the causal direction may well be from infertility to distress, and prospective data are needed. We therefore followed 393 couples, who were planning their first pregnancy, with prospective collection...

  1. 150 km/t på en grusvej

    DEFF Research Database (Denmark)

    Lorentsen, Annette; Niemann, Kim

    I takt med vidensøkonomiens udbredelse og den stigende samfundsmæssige fokus på læring og kompetenceudvikling øges behovet for indsigt i erhvervsaktive voksnes deltagelse i efter/videreuddannelse. Voksne studerende kan ikke længere blot marginaliseres som ‘non traditional students’. Det er de ble...

  2. Forskning i musikterapi - posttraumatisk stressbelastning (PTSD)

    DEFF Research Database (Denmark)

    Beck, Bolette Daniels; Mumm, Helle

    2015-01-01

    Denne artikel præsenterer videnskabelige undersøgelser af musikterapi med mennesker, der har fået diagnosen PTSD. Der er forskningsmæssig evidens for at musikterapi kan reducere symptomer på posttraumatisk stress hos børn, unge og voksne. Undersøgelser af musikterapi med voksne med posttraumatisk...

  3. Patient notes

    Directory of Open Access Journals (Sweden)

    Pádraig Ó Tuama

    2017-05-01

    Full Text Available Here’s the thing. While I have my asthma under control and my sleeping is no worse than usual, I am still near the uaigh. That’s the word for grave in Irish, and it’s also part of the word for loneliness. I’m near one or the other, or both. There was a time when my health was the only thing I talked about, and my friends from that time ask me now, and I remember that that was the person I was; when health was a fear, because pain was my first language. But what’s really bothering me is the way I use the possessive when it comes to my asthma, my insomnia, my thinning hair, my symptoms. It makes me think I think I am these things. Am I? I wilt therefore I am? If they are me, where will I go if I lose them? I remember when I learned the word ontology – the study of the nature of being. If I am sad, is sad me? If sad is me then what happens when someone treats my sadness? If we were all speaking Irish we would say that sadness is on me. But we’re not. Because when I was five I asked where English came from and my parents introduced me to stair. If we all spoke Irish we would say stair instead of history. But we speak English, mostly, and so stair is relegated to something we use to get up or down, never a story. Did you know that I carry my people’s history in my bones? People didn’t believe me when I said that but then scientists wrote about it, and discovered what was already there — inherited in the blood, the bones, the DNA, the genomes, the chromosomes, like thinning curly hair, like weak lungs, like poetry, like insomnia — and it’s all the rage now, that codified stairstory inside us. Once when I was waiting on a trolley I kept on trying to get up even though I knew I’d fall down. So they put an orderly to mind me. Well, he was there to restrain me, but I didn’t mind. He was young and eager to be seen to be good with patients. I asked him how long his shift had been and he said it was his first. After a bit of this

  4. Achieving patient satisfaction: resolving patient complaints.

    Science.gov (United States)

    Oxler, K F

    1997-07-01

    Patients demand to be active participants on and partners with the health care team to design their care regimen. Patients bring unique perceptions and expectations and use these to evaluate service quality and satisfaction. If customer satisfaction is not achieved and a patient complaint results, staff must have the skills to respond and launch a service recovery program. Service recovery, when done with style and panache, can retain loyal customers. Achieving patient satisfaction and resolving patient complaints require commitment from top leadership and commitment from providers to dedicate the time to understand their patients' needs.

  5. Patient-centred Prevention among PAD Patients

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann

    2015-01-01

    of a patient-centred prevention programme aimed at PAD patients, which includes medical treatment as well as individual nurse-led lifestyle-oriented conversations (inspired by psychological theory and methods such as Motivational Interviewing). Method: The findings are based on four months ethnographic field...... study at two vascular clinics in the period 2009-10 including ethnographic interviews with health professionals and patients. Results: The paper shows that the preventive programme’s patient-centred approach and ambition to ensure patient autonomy is challenged by patients involved in the programme....... The paper shows that the programme’s attempt to facilitate that patients make their “own” decision is challenged by patients who understand the preventive programme in relational terms and even demand more intervention from the professionals in terms of expert advice, involvement, and discipline. Conclusion...

  6. Patient-centered Radiology.

    Science.gov (United States)

    Itri, Jason N

    2015-10-01

    Patient-centered care (ie, care organized around the patient) is a model in which health care providers partner with patients and families to identify and satisfy patients' needs and preferences. In this model, providers respect patients' values and preferences, address their emotional and social needs, and involve them and their families in decision making. Radiologists have traditionally been characterized as "doctor-to-doctor" consultants who are distanced from patients and work within a culture that does not value patient centeredness. As medicine becomes more patient driven and the trajectory of health care is toward increasing patient self-reliance, radiologists must change the perception that they are merely consultants and become more active participants in patient care by embracing greater patient interaction. The traditional business model for radiology practices, which devalues interaction between patients and radiologists, must be transformed into a patient-centered model in which radiologists are reintegrated into direct patient care and imaging processes are reorganized around patients' needs and preferences. Expanding radiology's core assets to include direct patient care may be the most effective deterrent to the threat of commoditization. As the assault on the growth of Medicare spending continues, with medical imaging as a highly visible target, radiologists must adapt to the changing landscape by focusing on their most important consumer: the patient. This may yield substantial benefits in the form of improved quality and patient safety, reduced costs, higher-value care, improved patient outcomes, and greater patient and provider satisfaction. © RSNA, 2015.

  7. En undersøgelse af socialpædagogisk arbejde med udeboende voksne udviklingshæmmede i tilknytning til et bofællesskab, med udgangspunkt i et brugerperspektiv

    DEFF Research Database (Denmark)

    Thygesen, Ruth Hauerberg

    as “being their own choice” to receive it. The inhabitants in the house-share were to some extent seen as adequate companionship for various activities (travel etc.), as an alternative to loneliness. Yet some clients would rather spend more time with somebody more in alignment with their own age and level...

  8. Patient Assessment File (PAF)

    Data.gov (United States)

    Department of Veterans Affairs — The Patient Assessment File (PAF) database compiles the results of the Patient Assessment Instrument (PAI) questionnaire filled out for intermediate care Veterans...

  9. Transfer Out Patient Not Abandon The Patient

    Directory of Open Access Journals (Sweden)

    Deepak Gupta

    2015-12-01

    Full Text Available Physician-patient relationship is unique in some aspects and not-so-unique in other aspects when compared to other human interactions. Until-unless for the sake of health promotional activities, this relationship is almost always conceived in the times of human sufferings and consequently culminated when those sufferings have subsided as well as sought out happiness has ensued/been achieved. However, not all physician-patient relationships follow the normal course and/or meet the natural ends. These abnormal relationships are not inconsequential in terms of numbers and/or their effects (short-term and long term on both patients and physicians. Every country has its own baggage in the wake of why, how and what about these abnormal ends to physician-patient relationships; however, the most common causes are the patients’ inability to pay their medical bills, the conflicting goals of physicians and their patients in regards to patients’ sufferings’ management and finally the behavioral issues (patients’ and/or physicians’ interfering these relationships. Irrespective of any cause, the physicians should never forget that the patient can always discharge their physicians and discontinue their relationship with their physicians without any reason (until unless the physicians deem those patients either incapable/non-consentable to do so and/or potential threat to their own personal safety or other people’s safety. Contrarily, physicians can also discharge patients from their care but cannot abandon these patients (1-3 which mean that physicians have to ensure their discharged patients either are referred to or have sought another physician within appropriate time frame post-relationship-discontinuation. Each country has their own medico-legal liabilities that vary in terms of penalties imposed; however, irrespective of the feared legal concerns, the physicians should not forget that ethical essence of medicine is the art of healing that

  10. Adequate doctor - patient communication

    Directory of Open Access Journals (Sweden)

    Janković Slobodan

    2013-01-01

    Full Text Available Communication process gives to physician necessary information for establishing diagnosis and prescribing therapy, and helps to a patient to gain confidence in his doctor and the prescribed treatment. The communication between doctor and his patient is enhanced by the following: openness and conscientiousness of the physician, serious approach to the patient, participation of the patient in decision-making, advanced age and higher education of the patient. On the other hand, communication is less efficient if the doctor has longer employment status, if he/her avoids disclosure of all relevant information to the patient, if he/her is emotionally separated from the patient, if the time for an encounter is limited, if the patient is passive and with unrealistic expectations, and if the doctor is expressing himself/herself unclearly. In order to improve communication with patients, doctors should follow these recommendations: keeping eye contact with a patient, releasing tension from his/her body language, taking detailed patient history with active listening and without interrupting of a patient, speaking clearly and slowly, using language understandable to a patient, treating patients with equality, disclosing all relevant information to the patient and sharing decisionmaking with the patient. Adequate communication between doctor and patient always brings better treatment outcomes.

  11. Dentist-Patient Relationship

    Directory of Open Access Journals (Sweden)

    Gheorghe Raftu

    2016-01-01

    In the dentist-patient relationship confidence comes from the assurance that personal information(belonging to the patient will remain confidential; this is in the interest of the patient and the patient'sautonomy is recognized. There were presented several behavioral types which can lead to a physicianpatientrelationship, based on trust.

  12. A good patient?

    DEFF Research Database (Denmark)

    Campbell, Catherine; Scott, Kerry; Skovdal, Morten

    2015-01-01

    Background: While patient-provider interactions are commonly understood as mutually constructed relationships,the role of patient behaviour, participation in interactions, and characteristics, particularly ideals surrounding notionsof ‘good’ and ‘bad’ patients, are under-examined. This article......, physical cleanliness, honesty, gratitude and lifestyle adaptations (taking pills correctly andcoming to the clinic when told). As healthcare workers may decide to punish patients who do not live up the‘good patient persona’, many patients seek to perform within the confines of the ‘good patient persona...

  13. Ergonomics and patient handling.

    Science.gov (United States)

    McCoskey, Kelsey L

    2007-11-01

    This study aimed to describe patient-handling demands in inpatient units during a 24-hour period at a military health care facility. A 1-day total population survey described the diverse nature and impact of patient-handling tasks relative to a variety of nursing care units, patient characteristics, and transfer equipment. Productivity baselines were established based on patient dependency, physical exertion, type of transfer, and time spent performing the transfer. Descriptions of the physiological effect of transfers on staff based on patient, transfer, and staff characteristics were developed. Nursing staff response to surveys demonstrated how patient-handling demands are impacted by the staff's physical exertion and level of patient dependency. The findings of this study describe the types of transfers occurring in these inpatient units and the physical exertion and time requirements for these transfers. This description may guide selection of the most appropriate and cost-effective patient-handling equipment required for specific units and patients.

  14. National Patient Safety Foundation

    Science.gov (United States)

    ... News Member Testimonials Lifetime Members Stand Up for Patient Safety Welcome Stand Up Members Stand Up e-News ... PLS Webcast Archives Stand Up Templates and Logos Patient Safety Coalition Coalition Overview Coalition Member Roster Members-Only ...

  15. Organizing Patient Involvement

    DEFF Research Database (Denmark)

    Brehm Johansen, Mette

    Patient involvement has become a part of the political agenda in Danish healthcare. Patients are to be involved not only in questions and decisions relating to their own treatment and care – to involve patients in quality improvement has also become a political expectation of quality work in Danish...... hospitals. During the last 25 years, patient involvement and quality improvement have become connected in Danish healthcare policy. However, the ideal of involving patients in quality improvement is described in very general terms and with only few specific expectations of how it is to be carried out...... in practice, as I show in the thesis. In the patient involvement literature, the difficulties of getting patient involvement in quality improvement to have in an impact on the planning and development of healthcare services is, for example, ascribed to conceptual vagueness of patient involvement, differences...

  16. Praying for patients.

    Science.gov (United States)

    Sutton, Julie; Macey, Nicola

    2017-01-04

    I feel sad for the nurse who was sacked for praying for a patient. Whatever happened to freedom of speech? What is wrong with offering to pray with patients? I pray this nurse finds a job where people appreciate her.

  17. Repositioning the Patient:

    Science.gov (United States)

    Mold, Alex

    2013-01-01

    Summary This article explores how and why the patient came to be repositioned as a political actor within British health care during the 1960s and 1970s. Focusing on the role played by patient organizations, it is suggested that the repositioning of the patient needs to be seen in the light of growing demands for greater patient autonomy and the application of consumerist principles to health. Examining the activities of two patient groups—the National Association for the Welfare of Children in Hospital (NAWCH) and the Patients Association (PA)—indicates that while such groups undoubtedly placed more emphasis on individual autonomy, collective concerns did not entirely fall away. The voices of patients, as well as the patient, continued to matter within British health care. PMID:23811711

  18. Patient Safety Culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg

    Patient safety is highly prioritised in the Danish health care system, never the less, patients are still exposed to risk and harmed every day. Implementation of a patient safety culture has been suggested an effective mean to protect patients against adverse events. Working strategically...... with assessment and development of the patient safety culture is in early days in Denmark. It depends upon valid, reliable and effective methods. The patient safety culture represents a wide range of social phenomena permeating the way of life in a health care. In essence, the safety culture is an aggregation...... of health care professional’s behaviour, habits, norms, values, and basic assumptions related to patient care; it is the way things are done. The patient safety culture guides the motivation, commitment to and know-how of the safety management, and how all members of a work place interact. This thesis...

  19. Learning from patients

    DEFF Research Database (Denmark)

    Henriksen, Ann-Helen; Ringsted, Charlotte

    2011-01-01

    Prior research on the use of patients as teachers has focused on testing the effectiveness of this practice and exploring its benefits for students. However, very little is known about the added value of patient teaching and how it relates to patient-centred learning. The aim of this study...

  20. Anaesthesia for trauma patients

    African Journals Online (AJOL)

    in trauma patients can be used. However, some modifications have been made to adapt it to unstable trauma patients, where reawakening the patient is not an option because of the need for emergency airway control (Figure 3).4. Anaesthetists working in high-volume trauma centers should determine their own algorithm, ...

  1. Remote Patient Management for Home Dialysis Patients

    Directory of Open Access Journals (Sweden)

    Eric L. Wallace

    2017-11-01

    Full Text Available Remote patient management (RPM offers renal health care providers and patients with end-stage kidney disease opportunities to embrace home dialysis therapies with greater confidence and the potential to obtain better clinical outcomes. Barriers and evidence required to increase adoption of RPM by the nephrology community need to be clearly defined. Ten health care providers from specialties including nephrology, cardiology, pediatrics, epidemiology, nursing, and health informatics with experience in home dialysis and the use of RPM systems gathered in Vienna, Austria to discuss opportunities for, barriers to, and system requirements of RPM as it applies to the home dialysis patient. Although improved outcomes and cost-effectiveness of RPM have been demonstrated in patients with diabetes mellitus and heart disease, only observational data on RPM have been gathered in patients on dialysis. The current review focused on RPM systems currently in use, on how RPM should be integrated into future care, and on the evidence needed for optimized implementation to improve clinical and economic outcomes. Randomized controlled trials and/or large observational studies could inform the most effective and economical use of RPM in home dialysis. These studies are needed to establish the value of existing and/or future RPM models among patients, policy makers, and health care providers.

  2. Learning the Patient's Story.

    Science.gov (United States)

    Ragan, Sandra L; Kanter, Elisa

    2017-12-01

    To provide a brief history on narrative medicine and highlight its importance in providing quality patient care. Explains narrative medicine using published, peer-reviewed literature and highlights some of the literary, medical, sociological, and communication perspectives that contributed to the narrative medicine movement. A commitment to the patient-provider relationship and knowing the patient's story is a critical aspect in providing quality cancer care. Teaching oncology nurses skills that are grounded in narrative medicine will improve health care by increasing the nurses' knowledge of their patients and strengthening the nurse-patient relationship. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients...... and nine females were selected for qualitative interviews. The analysis involved a phenomenological hermeneutic analytical three-stage method. Findings The personal experience of waiting expresses itself in patients' interactions and behaviour that communicate an emplotted message of waiting. The most...

  4. Displacing the patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous target groups to which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents......This analysis is based on an empirical study of a Danish hospital‟s communication programme entitled: 'The Perspective of the Patient'. The paper explores how strategic documents of the programme organize the communication work through situated displacements of the patient. Based on methodological...... an information-pursuing patient figure making it possible to streamline the organization's care orientation on market conditions. In contrast to a dichotomy of care and market as mutually exclusive (Mol 2008), care and market appear to be intertwined in political patient figures through which the organization...

  5. Displacing the patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    2014-01-01

    is not only about disease treatment, but also about ‘information treatment’ for the purpose of increasing patient satisfaction at the hospital. The goal of patient satisfaction addresses both a care-oriented approach to the patient and also deploys market perceptions of patients as homogeneous target groups......Over the past decade, patient communication has become a strategic priority in Danish public hospitals: communication is a focal point of policies, plans and daily work practices. Hospitals today create communication strategies and build communication departments to improve communication...... with patients. However, in the existing studies of strategic communication in the hospital sector, the patient’s role in the organizational work has yet to be explored. This paper draws on a major case study of a communication programme entitled 'The Perspective of the Patient', conducted at a public hospital...

  6. Music for Hemodialysis patients

    DEFF Research Database (Denmark)

    Gross, B; Ketema Wassie, F; Agnholt, Hanne

    by alarms given by the machine during dialysis. The musical genre used in the study was well suited for patients undergoing first-time dialysis, as 80% (n=16) of the patients were pleased with the music. Although this is only a preliminary study with a limited number of patients, it shows an indication......Music for hemodialysis patients Background Patients starting a new regimen of dialysis often experience anxiety and other psychological disturbances. They struggle with the unknown situation, feelings of uncertainty and on top of that, a high level of sophisticated technological equipment. Music...... is known from literature to influence and dampen anxiety and tension and has been used for millennia in the treatment of illness. Here we report a study on the influence of music on patients undergoing dialysis and whether music has a potential for lowering discomfort in patients during first-time dialysis...

  7. Depression in Cancer Patients

    Directory of Open Access Journals (Sweden)

    Beyhan Bag

    2014-06-01

    Full Text Available It is not enough to consider treatment and care depression in the oncology that is the most common psychiatric illness in cancer patient affects of cancer treatment and the patient`s quality of life negatively, which is determined through researches in the field. With development of psycho-oncology it has been demonstrated to establish an important link between the cancer patient`s treatment as well as psycho-social support for the patient and psychiatric treatment and care for the if it is needed. With this connection between them it has been proposed to use of bio-psycho-social-model in cancer patient to improve their care. To achieve this goal, it is expected from medical personnel to realize patients psychosocial need und if he/she has a psychiatric disorders or syndromes. For the medical personnel that work in oncology services, it is inevitable to organize in order to raise the awareness of depression in the cancer patients. In the present study, it is focused on raising the awareness of depression in cancer patient for the medical personnel. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2014; 6(2.000: 186-198

  8. Understanding patient experience

    DEFF Research Database (Denmark)

    Andersen, Tariq O.; Andersen, Pernille R. D.; Kornum, Anders C.

    2017-01-01

    , safety) arise from getting feedback on symptoms and from continuous and comforting interaction with clinicians. With this paper, we aim to sensitise UX researchers and designers of patient-centred e-health by proposing three UX dimensions: connectedness, comprehension, and compassion.......The term 'patient experience' is currently part of a global discourse on ways to improve healthcare. This study empirically explores what patient experience is in cardiac remote monitoring and considers the implications for user experience (UX). Through interviews around the deployment of a mobile...... app that enables patients to collaborate with clinicians, we unpack experiences in six themes and present narratives of patients' lifeworlds. We find that patients' emotions are grounded in negative feelings (uncertainty, anxiety, loss of hope) and that positive experiences (relief, reassurance...

  9. Displacing the Patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    as an affective care recipient, as a citizen with rights and as an individual need-oriented user on the one hand. On the other hand, the goal of patient satisfaction also deploys market perceptions of patients as homogeneous target groups to which information can be standardised. In the latter (market orientation......The analysis is based on an empirical study of a hospital’s communication strategy entitled: 'The Perspective of the Patient'. The paper asks how the strategy organizes communication work as situated displacements of the patient. Based on methodological elements from situational analysis (Clarke......), the patient is also a resource for organizational development and a customer with consumer behavior. Overall, the strategy presents an information-pursuing patient figure making it possible to streamline the organization's care orientation on market conditions. In contrast to Annemarie Mol’s dichotomy of care...

  10. Displacing the Patient

    DEFF Research Database (Denmark)

    Pors, Anja Svejgaard

    as an affective care recipient, as a citizen with rights and as an individual need-oriented user on the one hand. On the other hand, the goal of patient satisfaction also deploys market perceptions of patients as homogeneous target groups to which information can be standardised. In the latter (market orientation......), the patient is also a resource for organizational development and a customer with consumer behavior. Overall, the strategy presents an information-pursuing patient figure making it possible to streamline the organization's care orientation on market conditions. In contrast to Annemarie Mol’s dichotomy of care......The analysis is based on an empirical study of a hospital’s communication strategy entitled: 'The Perspective of the Patient'. The paper asks how the strategy organizes communication work as situated displacements of the patient. Based on methodological elements from situational analysis (Clarke...

  11. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process......-oriented patient approach that incorporates patients' narratives as an integral and ethical part of the care and treatment....

  12. Patient tracking system

    International Nuclear Information System (INIS)

    Chapman, L.J.; Hakimi, R.; Salehi, D.; McCord, T.; Zionczkowski, B.; Churchill, R.

    1987-01-01

    This exhibit describes computer applications in monitoring patient tracking in radiology and the collection of management information (technologist productivity, patient waiting times, repeat rate, room utilization) and quality assurance information. An analysis of the reports that assist in determining staffing levels, training needs, and patient scheduling is presented. The system is designed to require minimal information input and maximal information output to assist radiologists, quality assurance coordinators, and management personnel in departmental operations

  13. Patient-Ventilator Dyssynchrony

    Directory of Open Access Journals (Sweden)

    Elvira-Markela Antonogiannaki

    2017-11-01

    Full Text Available In mechanically ventilated patients, assisted mechanical ventilation (MV is employed early, following the acute phase of critical illness, in order to eliminate the detrimental effects of controlled MV, most notably the development of ventilator-induced diaphragmatic dysfunction. Nevertheless, the benefits of assisted MV are often counteracted by the development of patient-ventilator dyssynchrony. Patient-ventilator dyssynchrony occurs when either the initiation and/or termination of mechanical breath is not in time agreement with the initiation and termination of neural inspiration, respectively, or if the magnitude of mechanical assist does not respond to the patient’s respiratory demand. As patient-ventilator dyssynchrony has been associated with several adverse effects and can adversely influence patient outcome, every effort should be made to recognize and correct this occurrence at bedside. To detect patient-ventilator dyssynchronies, the physician should assess patient comfort and carefully inspect the pressure- and flow-time waveforms, available on the ventilator screen of all modern ventilators. Modern ventilators offer several modifiable settings to improve patient-ventilator interaction. New proportional modes of ventilation are also very helpful in improving patient-ventilator interaction.

  14. Nurse-patient collaboration

    DEFF Research Database (Denmark)

    Sørensen, Dorthe; Frederiksen, Kirsten; Groefte, Thorbjoern

    2013-01-01

    a huge challenge. Nurse-patient collaboration may be vital for treatment tolerance and success. A better understanding of how nurses and patients collaborate during non-invasive ventilation may therefore contribute to improvement in treatment success. Design: A constant comparative classical grounded...... theory. Method: The data comprised sessions of qualitative participant observation during the treatment of 21 patients with non-invasive ventilation that included informal conversations with the nurses and semi-structured interviews with 11 patients after treatment completion. Data were collected...

  15. Patients Are Our Teachers

    Directory of Open Access Journals (Sweden)

    Robert E. Becker

    2018-04-01

    Full Text Available In the patient-physician encounter, physicians hone their skills while alleviating the patient’s suffering. Both benefit. Leaning on the work of Hippocrates, Darwin, and William Osler, the authors sketch out the case for honoring patients as indispensable teachers of the art and science of medicine. They argue that this tradition of Hippocratic medicine both anticipates modern precision medicine and reawakens a focus on public health medicine, each a benefit to the patients and communities served by physicians. A community that compromises the learning relationship of physician to patient and population undermines quality of care.

  16. Patients' Perception on Communication Between Patients and ...

    African Journals Online (AJOL)

    Less than half (42.2%) of those interviewed felt they received adequate information about the nature of their ailment from the health workers and about half (54.9%) felt doctors spent enough time to explain this to them. Educational level of patients tends to influence communication. This study confirmed communication gap ...

  17. Patients' thoughts on patient- retained medical records

    African Journals Online (AJOL)

    was also thought to motivate the patients to act on the advice given, and the records also served as a reminder to take their ... to use it and to standardise the information that is recorded; and health planners should be motivated to implement .... Table I: Combined list of themes identified and quotations supporting them.

  18. Withholding truth from patients.

    LENUS (Irish Health Repository)

    O'Sullivan, Elizabeth

    2012-01-31

    The issue of whether patients should always be told the truth regarding their diagnosis and prognosis has afforded much debate in healthcare literature. This article examines telling the truth from an ethical perspective. It puts forward arguments for and against being honest with patients, using a clinical example to illustrate each point.

  19. [Communication with intubated patients].

    Science.gov (United States)

    Ben-Ami-Lozover, S; Benbassat, J

    1996-06-16

    For critically ill patients on assisted respiration caring behavior is particularly important. In this paper we review the literature on patient satisfaction with medical care and with their communication with the nursing staff. Communication skills of staff of intensive respiratory care units were studied by direct observation, debriefing of hospitalized patients and by interview of discharged patients. Direct observation showed that nurses spent only a small proportion of their time talking to patients. The interactions dealt with technical rather than emotional matters and consisted mostly of negative and discouraging comments rather than positive and supporting messages. Debriefing of hospitalized intubated patients revealed a high degree of overall satisfaction with care on the one hand, and complaints of communication problems, anxiety and anger on the other. Lastly, interviews with discharged patients revealed that as many as a quarter of those who could remember their hospitalization reported feelings of anxiety, anger, distrust in the staff and difficulty in communication. These findings suggest that the nursing staff needs improved communication skills. There is evidence that the judicious use of communication techniques may improve patient satisfaction, reduce anxiety and reduce duration of treatment.

  20. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    Every year millions of patients worldwide suffer injury or death due to unsafe care, thus improving patient safety is both a national and international priority. A developmental project involving University College Zealand and clinical partners in the region focused upon the improvement of patient...... safety by optimizing the theory-practice connection with respect to the development of students’ competencies and the reporting of clinical errors. Population: 2nd year nursing students at University College Zealand (N: 56). Informed consent and full anonymity. Aims: - To increase patient safety...... by raising student awareness with respect to the role of the reporting of clinical errors and thus increase patient safety - To prepare a structured and systematical teaching program Methodology: an explorative, longitudinal study - Identification of students’ self-evaluated knowledge, skills and competences...

  1. [Depression in cancer patients].

    Science.gov (United States)

    Sperner-Unterweger, Barbara

    2015-08-01

    Cancer patients often suffer from major depression or depressive syndromes. Although it is well known that depressive symptoms can appear at any time during the course of an oncological disease, certain periods for instance time after diagnosis carry a higher risk. Reported prevalence rates differ widely (up to 60%), reflecting also diagnostic difficulties. Oncologists recognize depression in their patients only in 15 to 50% and the percentage of patients who receive adequate therapy is even lower. Consequently, this leads to a reduced quality of life. Furthermore, impaired compliance/adherence and consequently a poorer prognosis of the oncological disease are discussed in this context. It should be also emphasized, that concomitant depression increases the risk of suicide in cancer patients. Although the number of clinical trials using either psychotherapy or antidepressant medication for the therapy of depression in cancer patients is limited, good therapeutic options are available.

  2. [Physiotherapy of cancer patients].

    Science.gov (United States)

    Gomez, Izabella; Szekanecz, Éva; Szekanecz, Zoltán; Bender, Tamás

    2016-07-01

    Physiotherapy of cancer patients is one of the most controversial issues in our country. Malignant diseases are firstly mentioned as a contraindication of physiotherapy. Until now, physiotherapy was not suggested (or only in limited accessibility) for those patients who had malignant disease in medical history. International medical practice was less restrictive in managing this topic. The development of imaging techniques put this question in a new light. On the basis of evidence, the majority of articles have reported beneficial effects of physiotherapy in cancer patients, and only few articles mentioned it as harmful. Of course, each patient requires an individual assessment, however, if we exclude the possibility of tumor recurrence and metastasis, most of physiotherapy procedures can be used safely. One of the aims of this review is to support the physicians' decisions when to prescribe treatments, in such a way, that more patients could receive physiotherapy. Orv. Hetil., 2016, 157(31), 1224-1231.

  3. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise

    Introduction: A thorough review of qualitative studies has revealed that telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. Thus, it has been the aim of this qualitative literature review to investigate what it feels like to be a b......Introduction: A thorough review of qualitative studies has revealed that telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. Thus, it has been the aim of this qualitative literature review to investigate what it feels like...... the back patient the narrative must be complemented by a different perspective that includes the issue of ethical responsibility. It is therefore also a question of adopting certain norms as binding; to be bound by obligation or loyalty. Thus, the literature review argues for a more process......-oriented patient approach that incorporates patients' narratives as an integral and ethical part of the care and treatment....

  4. [Arrhythmias in pediatric patients].

    Science.gov (United States)

    Bauersfeld, U; Pfammatter, J P

    2004-04-01

    Arrhythmias in children occur frequently as isolated phenomena, however, may also represent comorbidities of congenital heart disease. Therefore electrophysiologic assessments must include morphologic and hemodynamic evaluations. Besides the arrhythmias commonly seen in adults children present with arrhythmias unique to pediatric patients. Antiarrhythmic therapy depends on patient age, expected natural history of the arrhythmia and possible congenital heart disease. As in adult patients in addition to antiarrhythmic drug therapy radiofrequency catheter ablation is a preferred definitive treatment especially in patients with supraventricular tachycardias. Bradycardias can be successfully treated with pacing systems which can already be implanted in the newborn period. As antiarrhythmic treatment in pediatric patients may be very complex a referral to a pediatric cardiology center is recommended.

  5. Patient Delay in Colorectal Cancer Patients

    DEFF Research Database (Denmark)

    Pedersen, Anette Fischer; Hansen, Rikke P; Vedsted, Peter

    2013-01-01

    Blødning fra endetarmen ses normalt som et alarmsymptom på kolorektalkræft. Alligevel vælger mange patienter at lade være med at opsøge lægen. Denne artikel ser nærmere på sammenhængen mellem et alarmsymptom (rektal blødning), forsinkelser i patientforløbet og tanker om kræft. Resultaterne viser,...

  6. Patient data confidentiality and patient rights.

    Science.gov (United States)

    Sadan, B

    2001-06-01

    There has been a recent trend to gather and record more comprehensive and more detailed personal medical information in computerized databases. Retrieval and access are much easier from electronic records than from hard copies stored in the archives of care-providing institutions. The Institute of Medicine voiced concern that these developments raised numerous problematic issues, the most disturbing of which is a much more widespread and systematic violation of privacy via what they called 'authorized abuse', i.e. authorized users abusing their access privileges. Other worries stemmed from the sharing of patient information among different entities. Multitudes of organizations receive information about patients' health records, often without their knowledge or consent. These include care providers, insurers, pharmacists, employers, life insurance companies and marketing firms. This article addresses the issues of medical data ownership and some health data-recording problems to which we propose co-ownership and co-documentation as part of the solution. We believe that a cooperative approach will help to maintain greater accuracy of personal medical data, written in language that can be shared and understood by the consumers and not one couched in terminology understandable only to professional personnel and to delegate the power to the patient to decide when and to whom to give authorization for its use by a third party and for research.

  7. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    Every year millions of patients worldwide suffer injury or death due to unsafe care, thus improving patient safety is both a national and international priority. A developmental project involving University College Zealand and clinical partners in the region focused upon the improvement of patient...... with respect to the prevention of clinical errors - Theoretical teaching intervention - Evaluation of effects of theoretical teaching intervention following the intervention and after 1 year - Quantitative and qualitative data collected in both the educational and clinical settings using a before and after...

  8. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium

    (Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...

  9. Woe patient is purple

    Directory of Open Access Journals (Sweden)

    Hatice Dogan

    2014-08-01

    Conclusion: Traumatic asphyxia is a clinical condition caused by blunt thoracoabdominal trauma, and with good trauma management patients can be discharged with less mortality and morbidity. [Cukurova Med J 2014; 39(4.000: 914-917

  10. USU Patient Simulation Center

    Data.gov (United States)

    Federal Laboratory Consortium — he National Capital Area (NCA) Medical Simulation Center is a state-of-the-art training facility located near the main USU campus. It uses simulated patients (i.e.,...

  11. Identitetskonstruktioner af patienter

    DEFF Research Database (Denmark)

    Lassen, Inger; Ottesen, Aase Marie; Strunck, Jeanne

    2015-01-01

    This paper focuses on patient identity in the Danish Health Act. Traditionally, the ideology of the welfare state has been based on equality and solidarity and the state has so far been responsible for the provision of health care services. Recent research suggests, however, that the implementation...... of New Public Management affects the welfare model and creates increasing inequality among citizens. These developments make it relevant to study how underlying ideologies may affect the construction of patient identity and health in the Danish welfare system. This would imply studying the role...... of identity at societal level, and in this paper we therefore ask whether the Danish Health Act constructs persons in need of care as vulnerable patients or as empowered citizens in line with recommendations by policy makers. The question we ask is whether the construction of patient identity in the Danish...

  12. Issues in patient compliance.

    Science.gov (United States)

    Murphy, J; Coster, G

    1997-12-01

    Patient compliance refers to the willingness and ability of an individual to follow health-related advice, to take medication as prescribed, to attend scheduled clinic appointments and to complete recommended investigations. It is a major health issue, with outcomes related to levels of morbidity, mortality and cost utilisation. Poor compliance has been reported as the most common cause of nonresponse to medication, with evidence to show that patients who adhere to treatment recommendations have better health outcomes than those who do not adhere, even when taking a placebo. Evidence-based practice guidelines, founded on clinical, behavioural and educational concepts, provide a means of measuring outcomes related to health status, patient satisfaction and cost-benefit issues, and may help to ensure that responsibility for compliance is shared between the clinician and the patient.

  13. Patient survey (HCAHPS) - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...

  14. Tinnitus Patient Navigator

    Science.gov (United States)

    ... Cure About Us Initiatives News & Events Professional Resources Tinnitus Patient Navigator Want to get started on the ... unique and may require a different treatment workflow. Tinnitus Health-Care Providers If you, or someone you ...

  15. Positioning devices for patients

    International Nuclear Information System (INIS)

    Heavens, M.

    1981-01-01

    It has been suggested that it is very important to position patients reproducibly at different stages of radiotherapy treatment planning and treatment, or similar procedures. Devices have been described for positioning a patient's upper and lower thorax. This invention provides reproducible positioning for a female patient's breasts, for example in planning treatment of and treating breast tumours. The patient is placed prone, using for example an upper thorax device. A support device is placed central to and beneath her breasts to partially displace them outwards. The device may be triangular in section with one apex contacting the chest wall at the sternum. Restraining straps may be provided to hold the breasts against the support device. Means may be provided to take a healthy breast from the path of radiation through the tumour. (author)

  16. Sygepleje til trakeostomerede patienter

    DEFF Research Database (Denmark)

    Christensen, Dorthe Wiinholdt; Richard, René; Rydahl Hansen, Susan

    2016-01-01

    Der er ikke enighed om principperne bag plejen af trakeostomerede patienter, når de er i risiko for dysfagi og silent aspiration. Uenigheden har ført til udarbejdelse af en klinisk retningslinje med evidensbaserede anbefalinger....

  17. Lejringsskader hos rygopererede patienter

    DEFF Research Database (Denmark)

    Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens

    2009-01-01

    after surgery using a structured guide RESULTS: In all, 33 patients had nerve injuries one year after surgery, among these 18 patients had nerve injuries located to the upper extremities. CONCLUSION: A possible association between the duration of the prone position and positioning injuries emerged......, but there was no connection between nerve injuries located to the upper extremities and the predisposing factors. Nerve injuries in arms/hands influence daily living. Future studies are needed to investigate predisposing factors such as high body mass index and body build, and guidelines for positioning are recommended......INTRODUCTION: The aim of this study was to answer the questions: Which kind of positioning injuries occurred in anaesthetized orthopaedic patients undergoing spine surgery who were prone-positioned for more than two hours? What was the incidence of positioning injuries? Which patients were...

  18. Patient satisfaction constructs.

    Science.gov (United States)

    Rahman, Muhammad Sabbir; Osmangani, Aahad M

    2015-01-01

    The purpose of this paper is to examine the five-factor structure of patients' satisfaction constructs toward private healthcare service providers. This research is a cross-sectional study. A questionnaire-based survey was conducted with previous and current Bangladeshi patients. Exploratory factor analysis was employed to extract the underlying constructs. Five underlying dimensions that play a significant role in structuring the satisfaction perceived by Bangladeshi private healthcare patients are identified in this study. Practical implications - The main contribution of this study is identifying the dimensions of satisfaction perceived by Bangladeshi patients regarding private healthcare service providers. Healthcare managers adopt the five identified underlying construct items in their business practices to improve their respective healthcare efficiency while ensuring overall customer satisfaction.

  19. Participating in patient education

    DEFF Research Database (Denmark)

    Kristiansen, Tine Mechlenborg; Antoft, Rasmus

    2015-01-01

    The paper builds on previous ethnographic research in Denmark focusing on the significance of participating in a locally developed patient education programme for everyday life (Kristiansen et.al. 2015). It presents a secondary analysis. Group based patient education can be understood as a health...... point is applied in order to illustrate two central status passages taking place at the locally developed patient education programme: 1) The status passage from novice to an experienced person with chronic illness, and 2) The transformation from adolescence to adulthood living with a chronic illness...... studies within the field of patient education and how it can enhance our understanding of the social practices at play and the identity transitions occurring as a result of the chronic illness itself and the participation at the programme. Further we reflect on potential practical implications of our...

  20. JALFHCC - Patient Registration Service

    Data.gov (United States)

    Department of Veterans Affairs — The Captain James A. Lovell Federal Health Care Center (JALFHCC) Patient Registration Service supports the operation of the first VA/Navy Federal Health Care Center...

  1. Patient Treatment File (PTF)

    Data.gov (United States)

    Department of Veterans Affairs — This database is part of the National Medical Information System (NMIS). The Patient Treatment File (PTF) contains a record for each inpatient care episode provided...

  2. Polypharmacy in Osteoporosis Patients

    OpenAIRE

    Yavuz Ali Karahan; Aynur Başaran; Banu Ordahan; Pelin Yıldırım; Seher Küçüksaraç; Süleyman Oktar; Neslihan Soran; Gözde Türkoğlu; Levent Tekin,; Savaş Karpuz

    2015-01-01

    Objective: In this study, it was aimed to determine the rates of multiple drug use in the patients with osteoporosis as well as the use of drugs affecting bone metabolism and balance. Materials and Methods: We included outpatients from Physical Medicine and Rehabilitation Policlinics diagnosed with primary or secondary osteoporosis between January 2014 and May 2014. Written consent of the participants was obtained. Data of the first 1000 patients who agreed to participate in the s...

  3. Depression in hemodialysis patients

    International Nuclear Information System (INIS)

    Anees, M.; Barki, H.; Masood, M.

    2008-01-01

    To measure the frequency of depression and its risk factors in patients under going hemodialysis. It is a cross-sectional prospective study conducted at Hemodialysis unit of Shalamar Hospital and Shaikh Zayed Hospital, Lahore from 1/sup st/ January 2006 to 30/sup th/ April 2006. All patients getting regular hemodialysis for more than three months were included. Beck's Depression Inventory- II (BDI-II; adapted in Urdu) was administered on all the patients who were able to read or understand it. Blood sample were drawn at the same time for routine hematological, biochemical parameters and viral markers (Anti HCV and HbsAg). Diagnosis was made as per Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM IV) for correlation of psychological variables with clinical, hematological and biochemical parameters. Eighty nine patients were enrolled which included fifty two (58.4%) were male and seventy seven (86.5%) were married. Major causes of renal failure were diabetes, hypertension and chronic glomerulonephrotis. Duration of dialysis was from 03 to 49 months with mean of 19.64 +- 11.7 months. Severity of depression was categorized in to mild, moderate and severe on the basis of BDI score. Majority of the patients fifty (56.1%) were moderately to severely depressed and there was no gender difference in the prevalence of depression. Majority of patients undergoing hemodialysis were depressed. Major risk factors for depression were marital status, illiteracy, number of children, socioeconomic factors, gender, hypertension and hypoalbuminemia. Patients with anemia, hyponatremia and hyperkalemia had suicidal tendency. Patients with hepatitis C and disturbed liver function have strong correlation with psychological parameters. (author)

  4. Anxiety in cancer patients

    OpenAIRE

    Stark, D P H; House, A

    2000-01-01

    Anxiety is common in cancer patient populations, and must often initially be recognized and managed by cancer care professionals. This article reviews the recent oncology and mental health literature on anxiety. The aim is to help those involved in cancer patient care who are not specialists in mental health to understand the nature of anxiety, and discriminate morbid from normal anxiety. We review recent research into the association of anxiety with events during diagnosis and management of ...

  5. White coat, patient gown.

    Science.gov (United States)

    Wellbery, Caroline; Chan, Melissa

    2014-12-01

    Much has been written about the symbolic function of the white coat: its implications of purity, its representation of authority and professionalism, and its role in consolidating a medical hierarchy. By contrast, the medical literature has paid almost no attention to the patient gown. In this article, we argue that in order to understand the full implications of the white coat in the doctor-patient relationship, we must also take into account patients' dress, and even undress. We explore contemporary artistic images of white coat and patient gown in order to reveal the power differential in the doctor-patient relationship. Artistic representations capture some of the cultural ambivalence surrounding the use of the white coat, which confers professional status on its wearer, while undermining his or her personal identity. At the other end of the sartorial spectrum, hospital gowns also strip wearers of their identity, but add to this an experience of vulnerability. Although compelling reasons for continuing to wear the white coat in circumscribed settings persist, physicians should be mindful of its hierarchical implications. Ample room remains for improving patients' privacy and dignity by updating the hospital gown. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Patients for patient safety in China: a cross sectional study.

    Science.gov (United States)

    Zhang, Qiongwen; Li, Yulin; Li, Jing; Mao, Xuanyue; Zhang, Lijuan; Ying, Qinghua; Wei, Xin; Shang, Lili; Zhang, Mingming

    2012-02-01

    To investigate the baseline status of patients' awareness, knowledge, and attitudes to patient safety in China, and to determine the factors that influence patients' involvement in patient safety. We conducted a cross sectional survey using questionnaires adapted from recent studies on patient safety from outside China. The items included medical errors, infection, medication safety, and other aspects of patient safety. The questionnaire included 17 items and 5 domains. The survey was conducted between Jan. 2009 and Dec. 2010 involving 1000 patients from ten grade-A hospitals in seven provinces or cities in China. Most patients from the surgery departments completed the questionnaires voluntarily and anonymously. Five reviewers independently input the data into Microsoft Excel 2003, and the data were double-checked. Data were analyzed using SPSS 15.0 software for differences in the perceptions and attitudes of patients toward patient safety among different genders, ages, and regions. We distributed 1000 questionnaires and collected 959 completed questionnaires (response rate: 96%). Among the respondents, 58% of patients did not know what medical error is. Sixty-five percent of patients wanted disclosure of all medical errors. After errors occurred, 58% of patients wanted explanations of all possible harms that had resulted. Among 187 patients who had experienced medical errors, 83% of patients had sought appropriate legal action. About 52% of patients understood hospital infection, but 28% patients did not know that infections could occur in hospital. Seventy-eight percent of patients thought that medical staff should wash their hands before examining patients. More than half of the patients (68%) were willing to remind the staff of hygiene if they saw unsanitary conditions in a health clinic. Only 14% of patients knew the side effects of medications that they took. The majority of patients surveyed expressed willingness to contribute to patient safety, but their

  7. Mit sprog - mit arbejde - mit liv

    DEFF Research Database (Denmark)

    Pedersen, Michael Svendsen

    2006-01-01

    Med inspiration fra et økologisk perspektiv på sproglæring diskuteres mulighederne for videreudvikling af en kommunikativ pædagogik inden for arbejdspladsrelateret undervisning i dansk som andetsprog for voksne....

  8. Forældre skal lære at forstå YouTube

    DEFF Research Database (Denmark)

    Johansen, Stine Liv

    2016-01-01

    Mange voksne synes måske, at YouTube er et ligegyldigt medie. Men børn kan lære utroligt mange ting på YouTube. Derfor er det vigtigt, at de voksne også lærer at forstå internetfænomenet, skriver forsker.......Mange voksne synes måske, at YouTube er et ligegyldigt medie. Men børn kan lære utroligt mange ting på YouTube. Derfor er det vigtigt, at de voksne også lærer at forstå internetfænomenet, skriver forsker....

  9. Cachexia Syndrome, anorexia patient

    International Nuclear Information System (INIS)

    Roldán, G.; Musé, I.

    2004-01-01

    Introduction: Two thirds of patients (ptes) cancer present slimming recognized a negative prognostic factor. Anorexia cachexia syndrome (SCA) results from the interaction of multiple factors and causes death of 22% of these patients. Nutritional support produces a moderate recovery weight without affecting the underlying metabolic disorders. Objectives: Conduct a review of current knowledge of the underlying pathophysiology and management the cachexia-anorexia syndrome in cancer patients. Designing indications possible policy interventions in the management of these patients. Method: Performed an a literature review on SCA. Conclusions: We identify patients at risk for early implementation of non-pharmacological measures preventive. The control side effects to treatment oncospecific with particular attention to the need for antiemetics, laxatives / antidiarrheal control dental and proper pain management is fundamental. Keep track enteral is a priority. In those with swallowing disorders or dysphagia, nasogastric feeding tube should be considered early. Indications for gastrostomy / jejunostomy and total parenteral nutrition (TPN) are very limited. The NPT is a complementary treatment maneuver a temporary and reversible complication, in order to prevent deterioration

  10. [Patient blood management].

    Science.gov (United States)

    Folléa, G

    2016-11-01

    In a context of regular review of transfusion practice, the aim of this review is to present an update of the scientific basis of the so-called "patient blood management" (PBM), the state of its development in Europe, and possible ways to progress its development further in France. Analysis and synthesis of the data from scientific literature on the scientific basis of PBM (methods, indications, efficacy, risks, efficiency). PBM appears as an evidence-based, patient centred, multidisciplinary approach, aiming to optimise the care of patients who might need transfusion and, consequently, the use of blood products. PBM is based on three pillars: optimise the patient's own blood supplies, minimise blood loss, optimise patient's tolerance of anaemia. Available scientific evidence can be considered as sufficient to consider PBM guidelines and practices as an indispensable complement to the transfusion medicine guidelines and practices. Several countries have launched PBM programmes (alternatives to allogeneic transfusion and optimisation of the use of blood components). Although current French national transfusion guidelines contain some PBM measures, PBM programmes should be further developed in France, primarily for medical reasons. Possible ways, using the existing basis having proved to be effective, are proposed to further develop PBM in France, as a complement to transfusion medicine, with the participation of involved stakeholders, including experts from relevant medical specialties, both at local and national levels. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  11. Patient-centred outcomes research: perspectives of patient stakeholders.

    Science.gov (United States)

    Chhatre, Sumedha; Gallo, Joseph J; Wittink, Marsha; Schwartz, J Sanford; Jayadevappa, Ravishankar

    2017-11-01

    To elicit patient stakeholders' experience and perspectives about patient-centred care. Qualitative. A large urban healthcare system. Four patient stakeholders who are prostate cancer survivors. Experience and perspectives of patient stakeholders regarding patient-centred care and treatment decisions. Our patient stakeholders represented a diverse socio-demographic group. The patient stakeholders identified engagement and dialogue with physicians as crucial elements of patient-centred care model. The degree of patient-centred care was observed to be dependent on the situations. High severity conditions warranted a higher level of patient involvement, compared to mild conditions. They agreed that patient-centred care should not mean that patients can demand inappropriate treatments. An important attribute of patient-centred outcomes research model is the involvement of stakeholders. However, we have limited knowledge about the experience of patient stakeholders in patient-centred outcomes research. Our study indicates that patient stakeholders offer a unique perspective as researchers and policy-makers aim to precisely define patient-centred research and care.

  12. Patient satisfaction with cataract surgery

    Directory of Open Access Journals (Sweden)

    Wasfi Ehab I

    2008-10-01

    Full Text Available Abstract Introduction Measuring the patient satisfaction is a very important issue that will help very much in improving the service provided to patients and improve the level of satisfaction. Aim To evaluate patient satisfaction with the cataract surgery service and identify any areas for improvement, determination of patient satisfaction with referral, out-patient consultation, pre-assessment clinic, surgery and post-operative care, also to report patients' comments relating to improvement in service provision. Methodology A retrospective study was undertaken for 150 patients underwent cataract surgery at Barrow General Hospital, UK, the survey sample was by postal questionnaires. We collected our data from the theatre lists for a period of 4 month. Results This study included 150 patients; the response rate was (72% 108 patients, Most patients were referred from their general practitioner 86.1%, 93 (86.1% patients were happy with the time interval from seeing their GP to eye clinic. In the eye out patient department many factors significantly affected the level of patient satisfaction, in general the more information provided for the patient the more the satisfaction. Conclusion Patient satisfaction is on important health outcome old understanding both the domains of satisfaction as well as their relative importance to patients is necessary to improve the overall quality of patient care. Meeting the doctor, presenting all relevant information and giving printed information are very important factors in improving the patient's satisfaction with cataract surgery.

  13. Pas godt på hinanden

    DEFF Research Database (Denmark)

    Trillingsgaard, Tea; Due Madsen, Annette; Marcussen, Søren

    At få et barn sammen er for de fleste par meget betydningsfuldt. At dele glæden over barnet kan give nye følelser af sammenhold og samhørighed mellem de voksne. De fleste forventer også, at forældreskabet bliver en fælles rejse, der bygger bro mellem de voksne. Men undersøgelser har vist, at glæd...

  14. Voice of Users

    DEFF Research Database (Denmark)

    Jessing, Carla Tønder; Vilhjàlmsdóttir, Island, Gudbjörg; Dofradóttir, Island, Andrea G.

    En undersøgelse i de fem nordiske lande af voksnes udbytte af vejledning og deres involvering i vejledningsproces og -ydelser. Undersøgelsen er gennemført vhja. fokusgruppeinterviews og elektronisk surveyundersøgelse.......En undersøgelse i de fem nordiske lande af voksnes udbytte af vejledning og deres involvering i vejledningsproces og -ydelser. Undersøgelsen er gennemført vhja. fokusgruppeinterviews og elektronisk surveyundersøgelse....

  15. Erfaringer fra pilotprojekt om fangst, mærkning og telemetri på harer, 2014

    DEFF Research Database (Denmark)

    Sunde, Peter; Haugaard, Lars

    mærkningaf voksne harer og VHF-mærkning af harekillinger. I gennemgangsfælderfangedes i løbet af 1216 fældedøgn 13 voksne harer, hvoraf syv blev GPS-mærket.GPS-halsbåndene påvirkede efter alt at dømme ikke harernes adfærd eller vitalitet.Hvert GPS-halsbånd gav > 3600 GPS-positioner, hvoraf 88 % h...

  16. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions.

    Science.gov (United States)

    Bishop, Andrea C; Macdonald, Marilyn

    2017-06-01

    The risk associated with receiving health care has called for an increased focus on the role of patients in helping to improve safety. Recent research has highlighted that patient involvement in patient safety practices may be influenced by patient perceptions of patient safety practices and the perceptions of their health care providers. The objective of this research was to describe patient involvement in patient safety practices by exploring patient and nursing staff perceptions of safety. Qualitative focus groups were conducted with a convenience sample of nursing staff and patients who had previously completed a patient safety survey in 2 tertiary hospital sites in Eastern Canada. Six focus groups (June 2011 to January 2012) were conducted and analyzed using inductive thematic analysis. Four themes were identified: (1) wanting control, (2) feeling connected, (3) encountering roadblocks, and (4) sharing responsibility for safety. Both patient and nursing staff participants highlighted the importance of building a personal connection as a precursor to ensuring that patients are involved in their care and safety. However, perceptions of provider stress and nursing staff workload often reduced the ability of the nursing staff and patient participants to connect with one another and promote involvement. Current strategies aimed at increasing patient awareness of patient safety may not be enough. The findings suggest that providing the context for interaction to occur between nursing staff and patients as well as targeted interventions aimed at increasing patient control may be needed to ensure patient involvement in patient safety.

  17. Patient Belief in Miracles

    DEFF Research Database (Denmark)

    Hvidt, Niels Christian

    2011-01-01

    Faith and hope in divine healing figure in most religious traditions. This chapter looks at faith in healing miracles and explores how following that faith may involve both risks and advantages. On the one hand, it may imply a risk by camouflaging a deferring attitude as when patients decline...... medical treatment on the basis of their belief in Divine intervention. On the other hand, faith in miracles forms an important part of a well-integrated religiosity by inspiring hope and so helping patients to find meaning and initiative in situations in which they might otherwise be tempted to give up....... Against the backdrop of such considerations, the chapter provides recommendations for health professionals and relatives as how to handle patient belief in miracles in practice....

  18. Psychiatric patient and anaesthesia

    Directory of Open Access Journals (Sweden)

    Joginder Pal Attri

    2012-01-01

    Full Text Available Many patients with psychiatric illnesses are prescribed long-term drug treatment, and the anaesthesiologist must be aware of potential interactions with anaesthetic agents. Psychotropic drugs often given in combination with each other or with other non-psychiatric drugs generally exert profound effects on the central and peripheral neurotransmitter and ionic mechanisms. Hence, prior intake of these drugs is an important consideration in the management of the patient about to undergo anaesthesia and surgery. This article highlights the effects of anaesthetics on patients taking antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors and lithium carbonate. The risk that should be considered in the perioperative period are the extent of surgery, the patient′s physical state, anaesthesia, the direct and indirect effects of psychotropics, risk of withdrawal symptoms and risk of psychiatric recurrence and relapse.

  19. Robotherapy with Dementia Patients

    Directory of Open Access Journals (Sweden)

    Francisco Martín

    2013-01-01

    Full Text Available Humanoids have increasingly become the focus of attention in robotics research in recent years, especially in service and personal assistance robotics. This paper presents the application developed for humanoid robots in the therapy of dementia patients as a cognitive stimulation tool. The behaviour of the robot during the therapy sessions is visually programmed in a session script that allows music to play, physical movements (dancing, exercises, etc., speech synthesis and interaction with the human monitor. The application includes the control software on board the robot and some tools like the visual script generator or a monitor to supervise the robot behaviour during the sessions. The robot application's impact on the patient's health has been studied. Experiments with real patients have been performed in collaboration with a centre of research in neurodegenerative diseases. Initial results show a slight or mild improvement in neuropsychiatric symptoms over other traditional therapy methods.

  20. Acknowledging the back patient

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup Jørgensen, Lene; Norlyk, Annelise

    , Silkeborg Regional Hospital, Regional Hospital Central Jutland, Silkeborg, Denmark 2. Health, Section for Nursing, Aarhus University, Aarhus, Denmark 3. University of Southern Denmark & Vejle Sygehus, Vejle, Denmark keywords:Back Patient, Narrative, Biomedical, Marginalisation, Self-Identity, Ethical......#296 Acknowledging The Back Patient. A Thematic Synthesis Of Qualitative Research. A Systematic Literature Review. Janne Brammer Damsgaard1, Lene Bastrup Jørgensen1, Annelise Norlyk2, Regner Birkelund3 1. Health, Section for Nursing, Aarhus University & Research Unit, Elective Surgery Centre....... Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. But selfhood cannot be reduced to narrative identity since the identity of the self is only fully revealed the moment we include the ethical dimension including certain norms...

  1. [Amyloidosis in hemodialysis patients].

    Science.gov (United States)

    Bardin, T; Zingraff, J; Benoît, J; Kuntz, D; Drüeke, T

    1987-05-16

    Amyloidosis in long-term haemodialysis patients mainly involves the osteo-articular system. It is held responsible for carpal tunnel syndrome, chronic arthralgia and various types of arthropathy, chronic synovitis and tenosynovitis, haemarthrosis, subacute polyarthritis and destructive arthropathies of the limbs and spine. Radiologically, amyloidosis may appear as bone cavities, particularly visible in the hips and wrists. Its frequency increases with the duration of haemodialysis. Biochemically, amyloidosis consists of beta 2-microglobulin (beta 2-M). This protein accumulates in uraemic patients under dialysis and seems to play a major role in the pathogenesis of amyloid deposits. The accumulation is due to renal impairment, being maximum in anuric patients. However, the unsatisfactory clearance of beta 2-M by dialysis methods also contributes to its retention: the production and elimination of beta 2-M seems to vary according to the extrarenal clearing technique. These data suggest that improvements in clearing techniques will eventually prevent dialysis amyloidosis.

  2. Teleophthalmology: improving patient outcomes?

    Directory of Open Access Journals (Sweden)

    Sreelatha OK

    2016-02-01

    Full Text Available Omana Kesary Sreelatha,1 Sathyamangalam VenkataSubbu Ramesh2 1Ophthalmology Department, Sultan Qaboos University Hospital, Muscat, Oman; 2Department of Optometry, School of Allied Health Sciences, Manipal University, Manipal, India Abstract: Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP. Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR, glaucoma, age-related macular degeneration (ARMD, and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time

  3. The elderly patients' dignity

    DEFF Research Database (Denmark)

    Høy, Bente; Hall, E.O.C.; Wagner, L.

    2007-01-01

    This study shows how care providers in hospital practice perceive the elderly patient's dignity as a core value in health promoting care towards the elderly. Fifteen focus group interviews were conducted with care providers who told about their nursing practice experience. The interviews were...... analysed using a phenomenological hermeneutical approach. The results disclose that when caring for the elderly patient's health potential, care providers saw dignity as the core value of health. Dignity was found to capture three themes: autonomy, identity, and worthiness. These themes reflect...

  4. Patient support systems

    International Nuclear Information System (INIS)

    Braden, A.B.; McBride, T.R.; Styblo, D.J.; Taylor, S.K.; Richey, J.B.

    1979-01-01

    A patient support system for use in computerized tomography (CT) is described. The system is particularly useful for CT scanning of the brain and also of the abdominal area. The support system consists of two moveable tables which may be translated into position for X-ray scanning of the patient's body and which may be translated incrementally and automatically to obtain scans at adjacent locations. For use with brain scans, the second table is replaced by a detachable restraint assembly which is described in detail. The support system is so designed that only a small volume of low density material will intercept the X-ray beam. (UK)

  5. Handover of patients

    DEFF Research Database (Denmark)

    Jensen, S M; Lippert, A; Ostergaard, D

    2013-01-01

    . Giving and taking over responsibility is an important issue. The handover of patients to the ED has the potential to be improved. Cultural issues and a lack of professional recognition of handover importance need to be approached. Multidisciplinary training in combination with a structured tool may have......Handover has major implications for patient care. The handover process between ambulance and emergency department (ED) staff has been sparsely investigated. The purpose of this paper is, based on a literature review, to identify and elaborate on the major factors influencing the ambulance to ED...

  6. Using Patient Portals to Increase Engagement in Patients with Cancer.

    Science.gov (United States)

    Rodriguez, Elizabeth S

    2018-04-03

    To review patient portals which serve as a tool for patient engagement by increasing access to electronic health care information and expanding ways to communicate with health care providers. Reviews of the literature and first-hand experience. Meaningful Use requirements propelled the design and development of patient portals in recent years. Patient engagement in oncology can improve quality of life and outcomes. Oncology nurses facilitate patient adoption of patient portals and support usage. Patient education helps manage communication expectations and understanding of online medical information. Copyright © 2018 Elsevier Inc. All rights reserved.

  7. The relation between patient education, patient empowerment and patient satisfaction: A cross-sectional-comparison study.

    Science.gov (United States)

    Yeh, Mei-Yu; Wu, Shu-Chen; Tung, Tao-Hsin

    2018-02-01

    Patient empowerment is a paradigm of clinical practice. The goal of patient empowerment is to lead patients' health and wellbeing. The aim of this study is to evaluate the relation between patient education, patient empowerment and patient satisfaction based on multi-hospital cross-sectional study design in Taiwan. In this cross-sectional survey, 609 inpatients in four teaching hospitals in northern Taiwan from August 2009 to July 2010 were recruited. Data were collected using Chinese version of the Patient Perceptions of Empowerment Scale (PPES), Sufficiency of Patient Education Questionnaire (SPEQ) and Patient Satisfaction Questionnaire (PSQ). The multiple linear regression model was used to assess the independent effects of relevant factors on patient empowerment after controlling for the covariates. The overall mean empowerment scores was 44.80±5.94. There was a significant difference between the total scores and four dimensions of patient empowerment at different hospitals (t=5.44, p≤0.01). Sufficient patient education (β=0.568, 95%CI: 0.486-0.649) and patient satisfaction (β=0.317, 95%CI: 0.259-0.375) could significantly predict patient empowerment based on the multiple linear regression analysis, with a total variance was 54.4%. In conclusion, both sufficient patient education and patient satisfaction were positively related to patient empowerment. Hospitals in Taiwan should try to improve their patients' active involvement toward empowerment. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Depression in CADASIL patients

    Directory of Open Access Journals (Sweden)

    Lačković Maja

    2014-01-01

    Full Text Available Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL is a hereditary neurological disease accompanied by recurrent ischemic events, characterized by the presence of psychiatric disorders. The aim of this study was to examine the occurrence of depression and its severity among patients with CADASIL. Sixteen patients with diffuse white matter changes on MRI and clinical signs suggesting CADASIL were included in the study. Definitive diagnosis of CADASIL was obtained by electron microscopic analysis of skin biopsies. Testing of the patients’ affective status was primarily devoted to detecting depression. Electron microscopic examinations of all skin biopsies revealed numerous granular osmiophilic material (GOM deposits embedded into the basal lamina around altered or degenerated vascular smooth muscle cells (VSMCs. Clinical symptoms of depression were present in a great number of examined CADASIL patients. The frequency of depression was higher than previously reported. Psychiatric disturbances might also represent the onset of CADASIL, especially in young patients, and should be evaluated by differential diagnosis. [Projekat Ministarstva nauke Republike Srbije, br. 41002

  9. Public and patient involvement.

    Science.gov (United States)

    2003-09-01

    Public and patient involvement in the NHS is one of the new Department of Health mantras, and one source of useful information you can pass on to service users is the Consumers in NHS Research website at www.conres.co.uk/dat.htm.

  10. Fibromyalgia Patient Handbook

    Science.gov (United States)

    Fibromyalgia: The Information and the Care You Deserve PATIENT HANDBOOK e Fibromyalgia: You Need the Facts Fibromyalgia (fi’bro-mi-al’je- ) affects more than ... occur in men as well. 1 People with fibromyalgia may experience the following symptoms: 2 • Chronic, widespread ...

  11. MRSA Information for Patients

    Science.gov (United States)

    ... have a fever. Top of Page Can My Friends and Family Get MRSA When They Visit Me? The chance of getting MRSA while visiting a patient with MRSA is very low. To decrease the chance of getting MRSA your family and friends should: Clean their hands before they enter your ...

  12. Inappropriate requests from patients

    African Journals Online (AJOL)

    Patients occasionally request interventions that doctors are reluctant to provide. Some of these requests are plainly inap- propriate — requests for actions that are illegal, for instance, or for interventions that are clearly and uncontroversially inef- fective. But other requests are more diffi- cult. At issue are ethical questions ...

  13. [Healthcare patient loyalty].

    Science.gov (United States)

    Ameri, Cinzia; Fiorini, Fulvio

    2016-01-01

    If the "old economy" preached standardization of products/services in order to reduce costs, the "new economy" is based on the recognition of the needs and the management of information. It is aimed at providing better and more usable services. One scenario is a national health service with regional management but based on competition between hospitals/companies.This led to a different handling of the user/patient, which has become the center of the health system: marketing seeks to retain the patient, trying to push a client-patient to not change their healthcare service provider. In costs terms, it is more economical to retain a customer rather than acquire a new one: a satisfied customer is also the best sounding board for each company. Customer equity is the management of relations with patients which can result in a greater customer value: it is possible to recognize an equity of the value, of the brand and of the report. Loyalty uses various marketing activities (basic, responsive, responsible, proactive and collaborative): each hospital/company chooses different actions depending on how many resources it plans to invest in loyalty.

  14. Do patients initiate therapy?

    DEFF Research Database (Denmark)

    Thengilsdóttir, G; Pottegård, Anton; Linnet, K

    2015-01-01

    BACKGROUND: Primary non-adherence occurs when a drug has been prescribed but the patient fails to have it dispensed at the pharmacy. AIMS: To assess primary non-adherence to statins and antidepressants in Iceland, the association of demographic factors with primary non-adherence, and the time fro...

  15. Assemblages of Patient Safety

    DEFF Research Database (Denmark)

    Balatsas Lekkas, Angelos

    2016-01-01

    This thesis identifies how design processes emerge during the use of devices in healthcare, by attending to assemblages where contingencies of risk and harm co-exist with the contribution of healthcare professionals to the safe care of patients. With support from the field of Science and Technology...

  16. Nigerian obstetric patients

    African Journals Online (AJOL)

    extension of the head at the atlanto-occipital joint. Repeated induction was carried out with thiopentone and suxamethonium for those patients that were difficult to intubate. A single operator using a Macintosh #4 blade performed laryngoscopy and best view obtained (external laryngeal pressure was not applied) using the ...

  17. Patients' and healthcare workers' perceptions of a patient safety advisory.

    Science.gov (United States)

    Schwappach, David L B; Frank, Olga; Koppenberg, Joachim; Müller, Beat; Wasserfallen, Jean-Blaise

    2011-12-01

    To assess patients' and healthcare workers' (hcw) attitudes and experiences with a patient safety advisory, to investigate predictors for patients' safety-related behaviors and determinants for staff support for the advisory. Cross-sectional surveys of patients (n= 1053) and hcw (n= 275). Three Swiss hospitals. Patients who received the safety advisory and hcw caring for these patients. Patient safety advisory disseminated to patients at the study hospitals. Attitudes towards and experiences with the advisory. Hcw support for the intervention and patients' intentions to apply the recommendations were modelled using regression analyses. Patients (95%) and hcw (78%) agreed that hospitals should educate patients how to prevent errors. Hcw and patients' evaluations of the safety advisory were positive and followed a similar pattern. Patients' intentions to engage in safety were significantly predicted by behavioral control, subjective norms, attitudes, safety behaviors during hospitalization and experiences with taking action. Hcw support for the campaign was predicted by rating of the advisory (Odds ratio (OR) 3.4, confidence interval (CI) 1.8-6.1, Ppatients (OR 1.9, CI 1.1-3.3, P= 0.034) and experience of unpleasant situations (OR 0.6, CI 0.4-1.0, P= 0.035). The safety advisory was well accepted by patients and hcw. To be successful, the advisory should be accompanied by measures that target norms and barriers in patients, and support staff in dealing with difficult situations.

  18. Cancer patients' evaluation of communication

    DEFF Research Database (Denmark)

    Ross, Lone; Petersen, Morten Aagaard; Johnsen, Anna Thit

    2013-01-01

    The aims of this study were to assess how communication with health care staff is perceived by Danish cancer patients and to characterise those patients who report problems in communication.......The aims of this study were to assess how communication with health care staff is perceived by Danish cancer patients and to characterise those patients who report problems in communication....

  19. OF STROKE PATIENTS IN IBADAN.

    African Journals Online (AJOL)

    206 patients clinically diagnosed as stroke/cerebrovascular accidents(CVA) were investigated using computerized tomography. (CT) scan. 19 patients (9%) had normal scan, While 20(9.7%) patients had other lesions including atrophy and tumours. Of the l67(l8.l%) patients proven to have suffered a cerebro~vascular ...

  20. Unge og gambling

    DEFF Research Database (Denmark)

    Nielsen, Jens Christian; Sørensen, Niels Ulrik; Wittendorff, Nina

    Rapporten offentliggør resultaterne af den første videnskabelige undersøgelse af pengespil blandt unge danskere mellem 12 og 17 år. Den beskæftiger sig med tre områder 1) Pengespiladfærd blandt unge, 2) Problemspiladfærd blandt unge og 3) Sammenhænge mellem unges risikoadfærd og trivsel samt dere...

  1. "Patient care in radiology"

    DEFF Research Database (Denmark)

    Bro Brask, Kirsten; Birkelund, Regner

    2014-01-01

    The aim of this study was to research how the staff experience care expressed during the brief encounter with the patients in a diagnostic imaging department. This was a qualitative study with a phenomenological and hermeneutical frame of reference. The data were collected using field observations...... and semistructured interviews and analyzed according to the guidelines for meaning condensation by Giorgi. The imaging staff found that care is expressed in an administrative, an instrumental, and a compassionate sense. The imaging staff perceived care in a way that clearly differs from the traditional perception...... of care understood as the close relations between people. In their self-understanding, the staff found that care not only comprised the relational aspect but also that it was already delivered during the preparatory phases before the actual meeting with the patient and up until the image...

  2. Caregivers of Schizophrenia Patients

    Directory of Open Access Journals (Sweden)

    Kerime Bademli

    2013-08-01

    Full Text Available Most schizophrenia patients live with their families and therefore the mental illnesses adversely affects family members as well as the patients. Family members often experience a number of challenges in providing care. They have been reported to have certain emotional difficulties such as anxiety, depression, shame, sense of guilt, fear, helplessness, uneasiness, distress, despair, anger and sense of loss. Family members have to cope with such complications on their own in most cases. However, in some cases, family members may fail to deal with such emotional strains and experience psychological problems. It is considered to be highly important to identify challenges anddifficulties that family members may encounter and implement effective measures.

  3. Right patient, Right blood

    DEFF Research Database (Denmark)

    Selberg, Hanne; Madsen, Trine Stougaard

    2014-01-01

    : The objective of the current study was to test workshops focusing on procedures of safe blood transfusion by combining theory and practice, integrating current guidelines on safe blood transfusion and hereby help students to better recognize and handle errors and adverse reactions. Methods: 372 third year......Right patient, Right Blood Simulation based training in blood transfusion practice in nursing education Background: In spite of strict checking procedures to handling transfusion of blood severe adverse reactions are likely to happen and the major cause of morbidity occurs to be liable to human...... errors. Nursing students have limited possibility to practice safe blood transfusion during clinical placements. We introduced simulation-based workshops to reinforce safe transfusion practice and thus increase patient safety but equally important to bridge the gap between theory and practice. Objectives...

  4. Teleophthalmology: improving patient outcomes?

    Science.gov (United States)

    Sreelatha, Omana Kesary; Ramesh, Sathyamangalam VenkataSubbu

    2016-01-01

    Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes. PMID:26929592

  5. Mental patients in prisons

    OpenAIRE

    ARBOLEDA-FLÓREZ, JULIO

    2009-01-01

    Mental conditions usually affect cognitive, emotional and volitional aspects and functions of the personality, which are also functions of interest in law, as they are essential at the time of adjudicating guilt, labeling the accused a criminal, and proffering a sentence. A relationship between mental illness and criminality has, thus, been described and given as one of the reasons for the large number of mental patients in prisons. Whether this relationship is one of causality or one that fl...

  6. Pneumonia in neutropenic patients

    Energy Technology Data Exchange (ETDEWEB)

    Heussel, C.P. [Department of Radiology, Johannes Gutenberg University, Langenbeckstrasse 1, 55131, Mainz (Germany); Kauczor, H.U. [Department of Radiology, Division Innovative Cancer Diagnostics and Therapy, German Cancer Research Centre, Heidelberg (Germany); Ullmann, A.J. [Department of Medicine, Johannes Gutenberg University, Langenbeckstrasse 1, 55131, Mainz (Germany)

    2004-02-01

    Radiologists have a special role in the management of neutropenic patients. The appropriate investigational technique, frequently targeted differential diagnosis, and the special needs of these patients, need to be understood. Early detection of a focus is the major goal in febrile neutropenic patients. As pneumonia is the most common focus, chest imaging is a special radiological task. The sensitivity of chest X-ray, especially in supine position, is known to be low; therefore, the very sensitive high-resolution CT (HRCT) became gold standard in neutropenic hosts and will probably be replaced by thin-section multislice CT (MSCT) in the near future. Costs of high-resolution CT are low in comparison to antibiotics. An infiltrate needs to be localised, so that a physician can utilise this information as a guidance for invasive procedures for further microbiological work-up. The radiological characterisation of infiltrates gives a first and rapid hint to differentiate between different sorts of infectious (typical bacterial, atypical bacterial, fungal) and non-infectious aetiologies. Follow-up investigations need careful interpretation according to disease and concomitant treatment. Due to an increased incidence of fungal infiltrates even with appropriate therapy, follow-up of an infiltrate must use further parameters in addition to lesion size. Temporary exclusion of infectious involvement of the lung with high accuracy remains of special interest for clinicians. (orig.)

  7. "The impatient patient".

    Science.gov (United States)

    Bos, Lodewijk; Carroll, Denis; Marsh, Andy

    2008-01-01

    Modern Healthcare Systems that have embraced ICT and Internet technologies (referred to as Health 1.0) are evolving towards self management but from a clinical knowledge perspective. In contrast, from a user experience perspective, and using the latest web 2.0 technologies, the developing healthcare social networking communities (referred to as Health 2.0) are evolving towards becoming online medical portals. The growing Grand Challenge for healthcare is therefore: how will health care services (Health 1.0) work together with user-generated health care (Health 2.0) in a consumer market place delivering self management services for a healthier lifestyle and medical compliance. What is foreseen is that the self care information tool of the future will be a combination between the patient's observation record and the Internet, with the doctor and the patient positioned together at the intersection but not having to pay attention to the technology. This article deals with various aspects related to this Grand Challenge like the paradigm shift towards a needs-led and consumer-oriented healthcare, the role, supply and quality of information and the changing doctor-patient relationship.

  8. [Coping in transplantated patients].

    Science.gov (United States)

    Telles-Correia, Diogo; Mega, Inês; Barbosa, António; Barroso, Eduardo; Monteiro, Estela

    2008-01-01

    The theoretical model of coping mechanisms (CM), is based on a discussion between it's main determinant factors: individual and situational (related to the 2 approaches of coping: dispositional and constitutional). Actually the most used classification of CM is based on the division of CM in two main dimensions: coping focused on emotions and coping focused on problem resolution. It is essential that classification methods of CM have in consideration the coexistence of stable dispositional elements with a situational variability. Some instruments to evaluate CM are introduced, based on different theories. Coping can influence health threw different mechanisms (neuroendocrine system, health threatening behaviours and adherence) and is included in two of the more important theoretical models applied to health (Moos & Schafer's and Leventhal's). Based on a systematic literature review we concluded that the most prevalent CM in pre transplantation period are acceptance, active coping, seeking support, and the less used are self-blame and avoidance. In post transplantation period the more prevalent CM continue to be active coping and seeking support associated to confrontation, selfconfidence, religion and coping focused in the problem. Evasive, emotive and fatalistic CM are associated to less control sensed by patients. Confrontation is associated to a better quality of life and avoidance to a reduction of quality of life and higher depression levels and denial to non-adherence increase. Control sensed by patients, CM related to the expression of emotions and denial change threw clinical evolution of transplanted patients.

  9. Diabetic patients: Psychological aspects.

    Science.gov (United States)

    Adili, Fatemeh; Larijani, Bagher; Haghighatpanah, Mohammadreza

    2006-11-01

    This study was undertaken to consider the psychological aspect of diabetes with regard to improving clinical outcomes. The review was limited to literature reports on the causes, solutions, and treatments of some common psychological problems known to complicate diabetes management. A literature search was undertaken using Pub-Med, CINAHL, Proquest, Elsevier, Blackwell Synergy, Ovid, Ebsco, Rose net, and Google websites, including studies published in English journals between 1995 and 2006. Therefore about 88 articles were selected based on the inclusion criteria. In earlier studies, relatively little empirical research was found to substantiate the effect of psychological counseling in complicated diabetes. The greatest deficits were seen in areas of mental health, self-esteem parent impact, and family cohesion. There were some different factors, which influence the psychological aspect of diabetic patients, such as age, gender, place of living, familial and social support, motivation, energy, life satisfaction, and lifestyle. There are various types of solutions for coping with the psychological problems in diabetic clients. The most essential solution lies in educating the patients and healthcare providers on the subject. Before initiating each educational intervention, a thorough assessment would be crucial. Treatment plans may benefit from cognitive behavior therapy (CBT), behavior family therapy, improving family communication, problem-solving skills, and providing motivation for diabetic patients. Moreover, it seems that the close collaboration between diabetologists and psychologists would be fruitful.

  10. Acrylamid i fødevarer

    DEFF Research Database (Denmark)

    Granby, Kit; Frandsen, H.; Kaack, K.

    2004-01-01

    Foreløbige resultater af et forskningssamarbejde mellem blandt andre DFVF, Fødevareindustrien og Levnedsmiddelcentret viser muligheder for at reducere acrylamidindholdet i fremstillingsprocesser og under forbrugertilberedning....

  11. Communication with patients and colleagues

    DEFF Research Database (Denmark)

    Nørgaard, Birgitte

    2012-01-01

    Although patient-centred communication has provided a focus point in health care for many years, patient surveys continuously reveal serious communication problems as experienced by patients, due to poor communication. Likewise, poor inter-collegial communication can cause problems for both health...... care staff and patients. So, knowing that patient-centred communication and good inter-collegial communication is for the benefit of both health professionals and patients, the relevance of improving health care professionals' communication skills and investigating the effect on both professionals...

  12. Patients' Satisfaction With Surgical Out Patient Services At The Delta ...

    African Journals Online (AJOL)

    TNHJOURNALPH

    management of hospitals to make necessary changes that will once again bring back the confidence of our patients and help to sustain it. The aim of this study is to assess the level of satisfaction of patients attending the surgical out-patient department of the Delta State. University Teaching Hospital, Oghara and.

  13. Patients' thoughts on patient-retained medical records | Norden ...

    African Journals Online (AJOL)

    Background: Patient-retained cards and, later, patient-retained booklets were introduced in an effort to improve continuity of care in a primary care setting at Tzaneen Clinic in the Greater Tzaneen Municipality of Limpopo Province, South Africa. Previously, the only continuity was maintained through a clinic-retained patient ...

  14. Cancer patients' coping styles and doctor-patient communication

    NARCIS (Netherlands)

    Ong, L. M.; Visser, M. R.; van Zuuren, F. J.; Rietbroek, R. C.; Lammes, F. B.; de Haes, J. C.

    1999-01-01

    Monitoring and blunting styles have become relevant concepts regarding their potential impact on patients' and doctors' behaviors. The present study aimed at investigating the relation between cancer patients' coping styles and doctor-patient communication and global affect. Coping styles were

  15. Patients' Satisfaction With Surgical Out Patient Services At The Delta ...

    African Journals Online (AJOL)

    Introduction Patient satisfaction refers to the extent of the patient's experience compared to his expectations. Over the years, patients are getting more aware of their rights with increasing expectations. With more efficient and well equipped private hospitals springing up and the recent upsurge of medical tourism, the need for ...

  16. Patterns of Physician-Patient Communication Associated with Patient Satisfaction.

    Science.gov (United States)

    Williams, M. Lee; Clampitt, Phillip G.

    Using data drawn from ten initial physician/patient interviews, an original category system was employed to analyze patterns of physician/patient communication. Static analysis, interaction analysis, and Markov chain analysis were used to discover the underlying communication patterns associated with patient satisfaction. Results revealed that…

  17. Patient satisfaction after receiving dental treatment among patients ...

    African Journals Online (AJOL)

    Background: Patient satisfaction is one of the indicators of the quality of care. Therefore it is one of the tools for evaluating the quality of care. Aim: To determine patient satisfaction after receiving dental treatment among patients attending public dental clinics in Dar-Es-Salaam. Material and methods: Five public dental clinics ...

  18. Perception of patients accessing out- patient pharmacy on the ...

    African Journals Online (AJOL)

    Conclusion: Patients' overall perception of pharmacy services was above average. There is need for improvement in the quality of services, especially in the availability of essential drugs at competitive prices and provision of adequate counselling and drug information services to patients. Keywords: Patient satisfaction, ...

  19. Patient satisfaction and positive patient outcomes in ambulatory anesthesia

    Directory of Open Access Journals (Sweden)

    Shah U

    2015-04-01

    Full Text Available Ushma Shah, David T Wong, Jean Wong Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada Abstract: Most surgeries in North America are performed on an ambulatory basis, reducing health care costs and increasing patient comfort. Patient satisfaction is an important outcome indicator of the quality of health care services incorporated by the American Society of Anesthesiologists (ASA. Patient satisfaction is a complex concept that is influenced by multiple factors. A patient's viewpoint and knowledge plays an influential role in patient satisfaction with ambulatory surgery. Medical optimization and psychological preparation of the patient plays a pivotal role in the success of ambulatory surgery. Postoperative pain, nausea, and vomiting are the most important symptoms for the patient and can be addressed by multimodal drug regimens. Shared decision making, patient–provider relationship, communication, and continuity of care form the main pillars of patient satisfaction. Various psychometrically developed instruments are available to measure patient satisfaction, such as the Iowa Satisfaction with Anesthesia Scale and Evaluation du Vecu de I'Anesthesie Generale, but none have been developed specifically for ambulatory surgery. The ASA has made recommendations for data collection for patient satisfaction surveys and emphasized the importance of reporting the data to the Anesthesia Quality Institute. Future research is warranted to develop a validated tool to measure patient satisfaction in ambulatory surgery. Keywords: patient, satisfaction, anesthesia, outcomes, questionnaire, perspectives

  20. Patient related factors for optimal blood pressure control in patients ...

    African Journals Online (AJOL)

    Background: Patient related factors hindering optimal blood pressure (BP) control in patients with hypertension are unclear. Objectives: To investigate the barriers to optimal hypertension management. Methods: A survey on the awareness and management of hypertension was conducted in 556 patients (365 males, mean ...

  1. [Visceral leishmaniasis in immunocompromised patients].

    Science.gov (United States)

    Ramos, A; Portero, J L; Gazapo, T; Yebra, M; Portero, F; Martín, T

    1998-06-01

    Most patients who developed visceral leishmaniasis (VL) in our country are ímmunocompromised (IC) host, frequently HIV-infected patients. One objective was to know if there were differences about the clinical manifestations, diagnostic tests or prognosis in IC patients who were infected or not with HIV (HIV+ and HIV-, respectively). Also we wonder if some features were associated with death during the initial episodes of VL. We studied 16 IC patients with VL, 9 were VIH+ and 7 were VIH-. Most frequently observed findings were fever (94%), splenomegaly (81%), hepatomegaly (69%), and constitutional syndrome (50%). HIV+ patients had symptoms during a lapse of time (70 +/- 78 days) larger than the VIH- cases had (17 +/- 12 days, p VIH patients). Seven patients (44%, 4 VIH- and 3 VIH+) died during the initial episode of VL. Nine patients (66%) who survived to it were followed-up during 68 +/- 49 months. Seven patients (4 VIH+ and 3 VIH-) showed several relapses (2.5 +/- 1.6 relapses/patient) through the follow-up. The patients who died during the initial episode had more frequently (p CD4+ lymphocyte counts in HIV+ patients were lower in patients who died during the initial episode of VL (19 +/- 15/mm) than in survivors (108 +/- 67/mm3, p = 0.07).

  2. Patient participation in patient safety still missing: Patient safety experts' views.

    Science.gov (United States)

    Sahlström, Merja; Partanen, Pirjo; Rathert, Cheryl; Turunen, Hannele

    2016-10-01

    The aim of this study was to elicit patient safety experts' views of patient participation in promoting patient safety. Data were collected between September and December in 2014 via an electronic semi-structured questionnaire and interviews with Finnish patient safety experts (n = 21), then analysed using inductive content analysis. Patient safety experts regarded patients as having a crucial role in promoting patient safety. They generally deemed the level of patient safety as 'acceptable' in their organizations, but reported that patient participation in their own safety varied, and did not always meet national standards. Management of patient safety incidents differed between organizations. Experts also suggested that patient safety training should be increased in both basic and continuing education programmes for healthcare professionals. Patient participation in patient safety is still lacking in clinical practice and systematic actions are needed to create a safety culture in which patients are seen as equal partners in the promotion of high-quality and safe care. © 2016 John Wiley & Sons Australia, Ltd.

  3. Patient Profile in Dermatology

    Directory of Open Access Journals (Sweden)

    Esra Adışen

    2008-10-01

    Full Text Available Background and Design: Skin diseases are among the most prevalent problems in medical practice. Dermatologists have become active, not only in treatment of skin diseases, but also for the cosmetic and surgical procedures. The purpose of this study was to evaluate the profiles of patients visiting outpatient dermatology clinic of an university hospital and a private dermatologist’s office located in Ankara. Material and Method: The study comprised 5952 patients in each group. Age, gender, diagnosis, and the places they live, were all recorded. Results: There were 3778 women and 2174 men with a mean age of 37.8±15.9 years (6 months-81 years in private visit group, and 3570 women and 2382 men with a mean age of 37.9±18.6 years (1-100 years in hospital visit group. The most common cause for visiting dermatologist’s office was acne. It was fungal diseases for hospital visits. Women with fungal disease, alopecia, nail disorders, urticaria, psychocutaneous dermatoses, bacterial infections, and men with fungal disease, acne, alopecia, urticaria, nail disorders, preferred hospitals over private offices. Both women and men with benign and malignant tumors, nevi, pigmentation disorders, preferred private office over hospital. Men with syphilis, genital herpes, anogenital verruca preferred mainly private offices. Visits to dermatologist’s office for cosmetic procedures constituted only 4% of overall visits.Conclusion: Our finding underscores the fact that medical or clinical dermatology continues to be the focus of most dermatology practices. Apart from cosmetic procedures, the main difference between patient profiles visiting private offices and hospitals is observed in sexually transmitted diseases. (Turkderm 2008; 42: 82-6

  4. Polypharmacy in Osteoporosis Patients

    Directory of Open Access Journals (Sweden)

    Yavuz Ali Karahan

    2015-04-01

    Full Text Available Objective: In this study, it was aimed to determine the rates of multiple drug use in the patients with osteoporosis as well as the use of drugs affecting bone metabolism and balance. Materials and Methods: We included outpatients from Physical Medicine and Rehabilitation Policlinics diagnosed with primary or secondary osteoporosis between January 2014 and May 2014. Written consent of the participants was obtained. Data of the first 1000 patients who agreed to participate in the study were evaluated. Data regarding age, history, drugs currently being used and newly initiated were recorded. The drugs that affect bone metabolism were determined. The drugs that heva side effects including dizziness, somnolence, distractibility, decrease in the visual acuity, orthostatic hypotension and ototoxicity and were recorded because these can cause a balance disorder. Results: In this study, 64% of the participants were on five or more drugs. The most commonly used drugs were analgesics (65.4%, antihypertensives (52.6%, and drugs for digestive system (37.3%. We found that 65.5% of the participants were using drugs that may have side effects on bone metabolism and 93.7% were using drugs that may have side effects on balance. Conclusion: Multi-drug use and drug interactions should be considered during the treatment of osteoporosis and the drugs used should be recorded. Drugs that affect bone metabolism should only be used over the short term. Also, patients should be informed about side effects that might affect visuality, somatosensorial system and vestibular system and their daily activities should be regulated. (Turkish Journal of Osteoporosis 2015;21: 5-9

  5. Readmissions of medical patients

    DEFF Research Database (Denmark)

    Cooksley, T.; Nanayakkara, P. W. B.; Nickel, C. H.

    2016-01-01

    of readmission but have not been validated in international populations. AIM: To perform an external independent validation of the HOSPITAL and LACE scores. DESIGN: An unplanned secondary cohort study. METHODS: Patients admitted to the medical admission unit at the Hospital of South West Jutland (10...... power of both scores decreased with increasing age. CONCLUSION: Readmissions are a complex phenomenon with not only medical conditions contributing but also system, cultural and environmental factors exerting a significant influence. It is possible that the heterogeneity of the population and health...

  6. Rehabilitation of cancer patients.

    Directory of Open Access Journals (Sweden)

    Pandey M

    2001-01-01

    Full Text Available With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

  7. Thyroid Disease in the Older Patient

    Science.gov (United States)

    ... Older Patients and Thyroid Disease Older Patients and Thyroid Disease DEFINITION: WHAT DO THE FOLLOWING PATIENTS OVER THE ... Nodules in Children and Adolescents Older Patients and Thyroid Disease Resources Older Patients and Thyroid Disease Brochure PDF ...

  8. Patient Safety Threat - Syringe Reuse

    Science.gov (United States)

    ... to Prevent HAIs HICPAC One & Only Campaign A Patient Safety Threat – Syringe Reuse Recommend on Facebook Tweet Share Compartir Important ... due to syringe reuse by your healthcare provider. Patients need to be aware of a very serious ...

  9. The Patient's Concerns in Psychotherapy

    Science.gov (United States)

    Orlinsky, David E.; and others

    1970-01-01

    Analyses of reports of patients' problematic concerns indicated, among other things, that patients and therapists generally agreed when concerns were present or absent in therapy session, but differed in interpretive emphasis. (CK)

  10. Terminally ill patients as customers: the patient's perspective.

    Science.gov (United States)

    Seibel, Katharina; Valeo, Sara Celestina; Xander, Carola; Adami, Sandra; Duerk, Thorsten; Becker, Gerhild

    2014-01-01

    Consumerism in health care defines patients as self-determined, rational customers. Yet, it is questionable whether vulnerable patients, such as the terminally ill, also fulfill these criteria. Vulnerable contexts and the patient's perspective on being a customer remain relatively unexplored. The present study addresses this research gap by analyzing terminally ill patients' views on being customers. To explore the ways in which patients in palliative care refer to themselves as patients/customers, and how the patients' concepts of self-determination are related to their attitudes toward the patient/customer role. Qualitative interviews were conducted. Data were analyzed in three steps: narrative analysis, thematic content analysis, and typology construction. Researchers recruited 25 patients via the Department of Palliative Care, University Medical Center Freiburg, Germany. In many ways, palliative patients contradict the image of a self-determined customer. The palliative patient role is characterized by the concept of relational self-determination rather than an unrestricted self-determination. Self-attribution as a customer still occurs when positively associated with a person-centered, individualized treatment. Thus, the customer and patient role overlap within the palliative care setting because of the focus on the individual. The idealized customer role cannot be arbitrarily applied to all medical fields. Palliative patients are dependent on the physician, regardless of whether the customer or patient role is preferred. Hence, self-determination must be understood in relational terms, and physicians must recognize their crucial role in promoting patients' self-determination in the context of shared decision-making.

  11. Obstructive Uropathy in Sudanese Patients

    OpenAIRE

    El Imam M; Omran M; Nugud F; Elsabiq M; Saad K; TAHA O

    2006-01-01

    In this paper we describe the causes, patterns of presentation, and management of obstructive uropathy in Sudanese patients in a retrospective multi-center audit. All patients who presented with obstructive uropathy during 2005 were included in this study. All of the patients were subjected to serial investigations including imaging and tests of renal function. Diversion, stenting, and/or definitive surgery were performed in order to relieve the obstruction. Five hundred twenty patients were ...

  12. The laboratory and patient safety.

    Science.gov (United States)

    Wagar, Elizabeth A; Yuan, Shan

    2007-12-01

    Laboratory data are used extensively in patient care; consequently, laboratory errors have a tremendous impact on patient safety. Clinical laboratories were early leaders in efforts to minimize medical errors and improve patient safety. These efforts continue in many areas, including patient and specimen identification, laboratory result notification, and assistance in laboratory data interpretation. Emerging ideas on identifying and reducing laboratory errors, as well as specific strategies are reviewed and discussed with examples.

  13. Polysomnographic findings in craniopharyngioma patients

    DEFF Research Database (Denmark)

    Pickering, Line; Klose, Marianne; Feldt-Rasmussen, Ulla

    2017-01-01

    evaluated with sleep questionnaires including the Epworth Sleepiness Scale, polysomnography, and a multiple sleep latency test (MSLT). Five patients and eight controls had lumbar puncture performed to determine hypocretin-1 levels. RESULTS: Patients tended to feel sleepier than control individuals...... periods during the daytime. Four patients had fragmented sleep pattern. With the MSLT, four patients and two controls had mean sleep latency of hypocretin-1 levels...

  14. The physician-patient relationship revisited: the patient's view.

    Science.gov (United States)

    Schneider, Udo; Ulrich, Volker

    2008-12-01

    The importance of the physician-patient relationship for the health care market is beyond controversy. Recent work emphasizes a two-sided asymmetric information relationship between physician and patient. In contrast to most work looking only at the physician's perspective, our paper concentrates on the patient's view. Estimation results support the hypotheses that physician consultation and health relevant behavior are not stochastically independent. In the recursive bivariate probit model, patient's health relevant behavior has a significant influence on the probability of a physician visit. This means that health care demand and not only the contact decision is determined by both, patient and physician.

  15. Confidentiality and the adolescent patient

    African Journals Online (AJOL)

    the patient's explicit authorisation.1. Without assurances of confidentiality patients may be unwilling to give doctors the information they need to provide good care. This article examines the scope and limits of confidentiality in the case of ado- lescent patients. Suggestions that adolescents should be allowed to make medical ...

  16. Turning patients over in bed

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000426.htm Turning patients over in bed To use the sharing features on this page, ... Patient The following steps should be followed when turning a patient: If you can, raise the bed to a level that reduces back strain for ...

  17. Mirroring patients – or not

    DEFF Research Database (Denmark)

    Davidsen, Annette Sofie; Fosgerau, Christina Fogtmann

    2015-01-01

    and acoustic features of speech. GPs mirrored their patients more than psychiatrists in all modalities and were more flexible in their interactional behaviour. Psychiatrists seemed more static, regardless of the emotionality displayed by patients. Implicitly mirroring and attuning to patients could signify...

  18. [Student patient relationship from the patient's point of view].

    Science.gov (United States)

    Beca, Juan Pablo; Browne, Francisca; Valdebenito, Carolina; Bataszew, Alexander; Martínez, María José

    2006-08-01

    Patients are becoming increasingly active in their relationship with medical professionals. Their relationship with medical students needing to learn clinical skills, may be specially problematic if patients are not willing to accept their involvement in the medical team. To examine patient's perceptions of their relation with medical students and their agreement to let students be part of the treating team. Qualitative study using taped semi-structured interviews addressed to inpatients from one public and one private hospital in Chile. Both groups of patients acknowledged that students dedicated more time to them, but they expressed their preference to limit student's participation to clinical history taking and physical examination. They also expected them to be observers rather than actors. Patients from the private hospital emphasized that only one student per instructor should participate in their care. Patients from the public hospital were more compliant about student's participation. The right to refuse students' involvement in their care was clearly known by all patients from the private system and by most patients from the public hospital. Patients in Chilean public and private hospitals were in general positive regarding student's participation in their care. Students' clinical practice ought to strictly respect patients's rights, and patients should be considered volunteers who generously agree to cooperate with the education of medical students.

  19. Adoption, psykiske lidelser og kriminalitet blandt 15-27 årige. En landsomfattende sammenlignelig registerbaseret undersøgelse af adopterede og af stedbørn sammenlignet med ikke-adopterede i Danmark

    DEFF Research Database (Denmark)

    Laubjerg, Merete; Petersson, Birgit

    2010-01-01

    adopterede > 12 mdr. samt stedbørn har 3-4 gange højere risiko. Derimod er 'oprindelse' en risikofaktor for kriminalitet for internationalt adopterede og for indvandrere. Alder ved adoption, kontakt til psykiatrien og 'bor ikke hos forælder' er risiko for dom og recidiv. Drenge får i langt højere grad end...

  20. Arbejdsmiljøseminarer som et redskab til at skabe motivation, ansvarlighed og ejerskab til arbejdet omkring forebyggelse af ulykker i små-, mellemstore og store virksomheder, såvel blandt ansatte som deres ledere

    DEFF Research Database (Denmark)

    Pedersen, Louise; Kines, Pete

    2009-01-01

    af arbejdsulykker. Vellykkede arbejdsmiljøseminarer kan være en metode til skabe motivation, ansvarlighed og ejerskab samt at mindske den modstand, der kan være imod forandringerne. Med andre ord at arbejde med nogle af de processer, som kan være svære at få indblik i og overskud til at arbejde med i...

  1. Caring for Latino patients.

    Science.gov (United States)

    Juckett, Gregory

    2013-01-01

    Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in quality of health care for these patients. These barriers include language, lack of insurance, different cultural beliefs, and in some cases, illegal immigration status, mistrust, and illiteracy. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. Latinos have disproportionately higher rates of obesity and diabetes mellitus. Other health problems include stress, neurocysticercosis, and tuberculosis. It is important to explore the use of alternative therapies and belief in traditional folk illnesses, recognizing that health beliefs are dependent on education, socioeconomic status, and degree of acculturation. Many-but not all-folk and herbal treatments can be safely accommodated with conventional therapy. Physicians must be sensitive to Latino cultural values of simpatia (kindness), personalismo (relationship), respeto (respect), and modestia (modesty). The LEARN technique can facilitate cross-cultural interviews. Some cultural barriers may be overcome by using the "teach back" technique to ensure that directions are correctly understood and by creating a welcoming health care environment for Latino patients.

  2. Sleep in obese patients

    Directory of Open Access Journals (Sweden)

    Natalya Victorova Strueva

    2014-08-01

    Full Text Available Objectives: The aim of the study was to investigate the influence of duration and individual characteristics of sleep and chronotype on body weight, eating behavior, anxiety, depression, life quality, metabolic and hormonal parameters of obese patients. Materials and methods: 200 patients with primary obesity were studied: 83 men and 117 women at age from 18 to 61 years old, median age 41,5 years [31,0; 50,0]; body weight 107 kg [94; 128,5], waist circumference 112 cm [102; 124]; neck circumference 41 cm [38; 46], body mass index (BMI 36,9 [32,8; 42,3]. Results: We found an association between sleep duration, chronotype and the emotional eating. Significant sleep reduction (to less than 6 hours was associated with high level of anxiety, depression, emotional eating and insomnia. Younger age, early onset and shorter duration of obesity and brisk weight gain during last is connected to the evening chronotype. The emotional eating associated with hypersomnolence in the absence of statistically significant increase of anxiety and depression in individuals with evening chronotype. Sleep duration and chronotype have no significant effect on the body weight, metabolic, hormonal parameters and the dynamics of body. weight after 7±1 months of treatment of obesity.

  3. Effects of the Smartphone Application "Safe Patients" on Knowledge of Patient Safety Issues Among Surgical Patients.

    Science.gov (United States)

    Cho, Sumi; Lee, Eunjoo

    2017-12-01

    Recently, the patient's role in preventing adverse events has been emphasized. Patients who are more knowledgeable about safety issues are more likely to engage in safety initiatives. Therefore, nurses need to develop techniques and tools that increase patients' knowledge in preventing adverse events. For this reason, an educational smartphone application for patient safety called "Safe Patients" was developed through an iterative process involving a literature review, expert consultations, and pilot testing of the application. To determine the effect of "Safe Patients," it was implemented for patients in surgical units in a tertiary hospital in South Korea. The change in patients' knowledge about patient safety was measured using seven true/false questions developed in this study. A one-group pretest and posttest design was used, and a total of 123 of 190 possible participants were tested. The percentage of correct answers significantly increased from 64.5% to 75.8% (P Patients" application. This study demonstrated that the application "Safe Patients" could effectively improve patients' knowledge of safety issues. This will ultimately empower patients to engage in safe practices and prevent adverse events related to surgery.

  4. Emerging versions of patient involvement with Patient Reported Outcomes

    DEFF Research Database (Denmark)

    Langstrup, Henriette

    It is a central argument in the growing Danish PRO-arena, that a large-scale collection of PRO from patients in the Danish Healthcare system will pave the way for more genuine patient involvement in clinical decision-making, quality management and governance of the health services. In this paper I...... discuss how patient involvement is being (re)configured when increasingly connected to national visions of participatory healthcare. A central discussion centers on ‘meaningful use’ of patient-generated data promoting patients’ expectations and experiences as a criterion for how to proceed...... with the national use of PRO. But how do assumptions of what constitutes meaning for patients interact with the kinds of roles that patients are expected to take on with PROtools? What forms of participation are assumed to be meaningful and thus good and which are not? In sketching emerging versions of patient...

  5. Patient Reported Outcomes in Preoperative and Postoperative Patients with Hypospadias.

    Science.gov (United States)

    Keays, Melise A; Starke, Nathan; Lee, Simon C; Bernstein, Ira; Snodgrass, Warren T; Bush, Nicol C

    2016-04-01

    Current outcome tools for hypospadias have limited focus on the caregiver or patient perspective of important patient centered outcomes. In this study we collaborated with patients, caregivers, and lay and medical experts to develop and pilot a patient reported outcome measure for hypospadias. We developed a patient reported outcome measure based on systematic review of the literature and focus group input. The patient reported outcome measure was piloted in caregivers for boys younger than 8 years and in patients older than 8 years who presented for urology consultation before meeting with the surgeon. Patients were classified with uncorrected hypospadias, successful repair or failed repair based on the presence or absence of complications (fistula, diverticulum, meatal stenosis/stricture, greater than 30-degree recurrent curvature, glans dehiscence and/or skin reoperation). A patient reported outcome measure was developed and administered to 347 patients and/or caregivers-proxies, including 105 uncorrected cases, 162 successful repair cases and 80 failed cases. Satisfaction with appearance was highest in those with successful hypospadias repair compared to failed repair and uncorrected hypospadias (93% vs 77% and 67%, respectively). Voiding symptoms such as spraying or a deviated stream were highest in failed and uncorrected cases (39% and 37%, respectively). Overall dissatisfaction with voiding was highest for uncorrected hypospadias and failed repair compared to successful cases (54% and 47%, respectively, vs 15%). The evaluation of patient and caregiver-proxy reported outcomes in preoperative and postoperative patients with hypospadias allows for the quantification of benefits derived from hypospadias repair and may ultimately represent the gold standard outcome measure for hypospadias. This pilot study identified preliminary patient centered themes and demonstrated the feasibility of administering hypospadias patient reported outcome measures in clinical

  6. Pulmonary metastasectomy in pediatric patients.

    Science.gov (United States)

    Erginel, Basak; Gun Soysal, Feryal; Keskin, Erbug; Kebudi, Rejin; Celik, Alaaddin; Salman, Tansu

    2016-02-02

    This study aims to evaluate the outcomes of pulmonary metastasectomy resections in pediatric patients. We retrospectively reviewed the medical records of 43 children who were operated on in the Pediatric Surgery Clinic between January 1988 and 2014. Forty-three children (26 boys; 17 girls; mean age 10±4.24 years, range 6 months-18 years) who underwent pulmonary metastasectomy resection were included in the study. The patients were evaluated based on age, gender, history of disease, surgical procedures, complications, duration of hospitalization, duration of chest tube placement, and procedure outcome. Indications for pediatric resections were oncological. Metastasis was secondary to Wilms' tumor in 14 patients, osteosarcoma in 7 patients, Ewing's sarcoma in 5 patients, rhabdomyosarcoma in 5 patients, lymphoma in 3 patients, hepatoblastoma in 2 patients, and other tumors in 7 patients. A total of 59 thoracotomies were performed. Approaches utilized included unilateral posterolateral thoracotomy (n=33), bilateral posterolateral thoracotomy (n=8), and sternotomy (n=2). Wedge resection was the procedure of choice (n=44). In selected cases, 11 segmentectomies, 3 lobectomies, and 1 pneumonectomy were performed. There was no perioperative mortality. One patient suffered prolonged air leak and three patients from fever. All patients received chemotherapy. Radiotherapy was administered to 16 patients (37.2%). Of those 16 patients, 7 had Wilms' tumor, 6 had Ewing's sarcoma/PNET, and 3 were rhabdomyosarcoma patients. During a median follow-up of 3 years, the overall survival was 74.4%. Multidisciplinary treatment involving pediatric oncologists, surgeons, and radiation oncologists is necessary to obtain positive results in children who have pulmonary metastases of oncological diseases. Wedge resection is a suitable option for children because less lung tissue is resected.

  7. Patients experience of source isolation

    DEFF Research Database (Denmark)

    Johansen, Kamilla; Pedersen, Didde; Kragbak, Nina

    2014-01-01

    Patients´ experience of source isolation - a literature review Title: Patients experience of source isolation – a literature review Authors: Nina Kragbak*, Didde Pedersen*, Kamilla Johansen* and Peter E. Jensen** *students, **lecturer, bachelor in science and Ph.D., at VIA University College....... Physical environment: Some patients felt lonely and imprison, while other patients enjoyed time alone and not having to worry about other patients. A view to the life outside the physical boundaries of the isolation helped to avoid boredom. Importance of relatives: Relatives were a major source of comfort...

  8. Delirium hos kritisk syge patienter

    DEFF Research Database (Denmark)

    Strøm, Thomas; Pande-Rolfsen, Guri; Hagen, Christine

    2009-01-01

    Interest in and the quantity of publications on delirium in critically ill patients have grown increasingly over the last decade. Critically ill patients have traditionally been sedated to facilitate mechanical ventilation. This practice impeded the recognition of delirium in the critically ill...... patients, and consequently the disorder was underdiagnosed. Delirium in the critically ill patients is associated with increased morbidity and mortality. Less sedation, guided by protocols with daily wake up trials, and validated delirium scoring systems, have improved the opportunities to diagnose...... and monitor delirium in the critically ill patients. Udgivelsesdato: 2009-Oct-19...

  9. Obstructive Uropathy in Sudanese Patients

    Directory of Open Access Journals (Sweden)

    El Imam M

    2006-01-01

    Full Text Available In this paper we describe the causes, patterns of presentation, and management of obstructive uropathy in Sudanese patients in a retrospective multi-center audit. All patients who presented with obstructive uropathy during 2005 were included in this study. All of the patients were subjected to serial investigations including imaging and tests of renal function. Diversion, stenting, and/or definitive surgery were performed in order to relieve the obstruction. Five hundred twenty patients were diagnosed with obstructive uropathy during this period; 345 (66% patients presented with chronic obstruction and 175 (34% with acute obstruction. Of the study patients, 210 (40% presented with significant renal impairment; 50 (23% of them required emergent dialysis. The patterns of clinical presentation of the obstructed patients included pain at the site of obstruction in 48%, lower urinary tract symptoms in 42%, urine retention in 36.5%, mass effect in 22%, and anuria in 4%. Patients in the pediatric age group constituted 4% of the total. The common causative factors of obstruction included congenital urethral valves, pelvi-ureteral junction obstruction, urolithiasis, and iatrogenic trauma, especially in the obstetric practice. Renal function was completely recovered with early management in 100% of patients with acute obstruction and was stabilized in 90% of patients with chronic obstruction. Four patients were diagnosed with end-stage renal failure; two of them were transplanted. The mortality rate in this study was less than 0.3%.

  10. Obstructive uropathy in Sudanese patients.

    Science.gov (United States)

    El Imam, M; Omran, M; Nugud, F; Elsabiq, M; Saad, K; Taha, O

    2006-09-01

    In this paper we describe the causes, patterns of presentation, and management of obstructive uropathy in Sudanese patients in a retrospective multi-center audit. All patients who presented with obstructive uropathy during 2005 were included in this study. All of the patients were subjected to serial investigations including imaging and tests of renal function. Diversion, stenting, and/or definitive surgery were performed in order to relieve the obstruction. Five hundred twenty patients were diagnosed with obstructive uropathy during this period; 345 (66%) patients presented with chronic obstruction and 175 (34%) with acute obstruction. Of the study patients, 210 (40%) presented with significant renal impairment; 50 (23%) of them required emergent dialysis. The patterns of clinical presentation of the obstructed patients included pain at the site of obstruction in 48%, lower urinary tract symptoms in 42%, urine retention in 36.5%, mass effect in 22%, and anuria in 4%. Patients in the pediatric age group constituted 4% of the total. The common causative factors of obstruction included congenital urethral valves, pelvi-ureteral junction obstruction, urolithiasis, and iatrogenic trauma, especially in the obstetric practice. Renal function was completely recovered with early management in 100% of patients with acute obstruction and was stabilized in 90% of patients with chronic obstruction. Four patients were diagnosed with end-stage renal failure; two of them were transplanted. The mortality rate in this study was less than 0.3%.

  11. Polysomnographic findings in craniopharyngioma patients.

    Science.gov (United States)

    Pickering, Line; Klose, Marianne; Feldt-Rasmussen, Ulla; Jennum, Poul

    2017-12-01

    The purpose of this study is to evaluate whether damage to the hypothalamus due to craniopharyngioma or consequent surgery may involve the sleep-wake regulatory system, resulting in sleep disturbances and sleepiness. Seven craniopharyngioma patients and 10 healthy controls were evaluated with sleep questionnaires including the Epworth Sleepiness Scale, polysomnography, and a multiple sleep latency test (MSLT). Five patients and eight controls had lumbar puncture performed to determine hypocretin-1 levels. Patients tended to feel sleepier than control individuals of the same age (p = 0.09). No subjects had symptoms of hypnagogic hallucinations, sleep paralyses, or cataplexies. Four patients and one control had periodic leg movements (PLMs). One patient had fragmented sleep pattern, rapid eye movement (REM) sleep without atonia, and PLMs. One patient had short sleep periods during the daytime. Four patients had fragmented sleep pattern. With the MSLT, four patients and two controls had mean sleep latency of sleep periods, respectively. All subjects showed normal hypocretin-1 levels. Four patients had electrophysiological findings indicative of central hypersomnia including one patient meeting the criteria of narcolepsy. The sleep-wake regulatory system may be involved in craniopharyngioma patients.

  12. Effective communication with the patient

    Directory of Open Access Journals (Sweden)

    R. Booker

    2005-12-01

    Full Text Available The chronic and slowly progressive nature of chronic obstructive pulmonary disease (COPD can create difficulties in effective communication between healthcare provider and patient. Such barriers, which include the personal beliefs of both caregiver and patient, need to be understood and addressed if the aims of the consultation are to be met. Patients with COPD may feel guilty, depressed and angry about their condition. Many patients with COPD are elderly and/or from lower socio-economic groups, both of which pose challenges to the caregiver, as does the stigma the disease carries, which stems from its strong link with smoking. Humanity, respect and people orientation are vital to good communication with COPD patients. Physicians and nurses should try to avoid patient misunderstanding and uncertainty, involve the patient in decision-making and achieve a shared understanding (concordance, as well as encourage the patient to accept responsibility for the actions agreed. This should improve management decisions made by healthcare professionals and ensure a more satisfied patient. Greater patient satisfaction may improve concordance and so bring about better patient outcomes.

  13. [Communication preferences of oncology patients].

    Science.gov (United States)

    Farin, Erik; Baumann, W

    2014-11-01

    After testing the psychometric properties of a new questionnaire that measures patient preferences for patient-physician communication (KOPRA questionnaire), the communication preferences of cancer patients were described. In order to do this, the preferences were differentiated according to sociodemographic subgroups and a comparison was made to the preferences of patients with chronic back pain and chronic ischaemic heart disease. N=1,635 patients from 31 medical oncology practices were surveyed. For the KOPRA questionnaire, reliability, unidimensionality, and fit to the Rasch model were tested. Hierarchical models were used to conduct subgroup analyses and comparisons with other diseases. The psychometric properties of the KOPRA are satisfactory to good. For patients, the 4 communication domains (patient participation and patient orientation, effective and open communication, emotionally supportive communication, communication about personal circumstances) measured by the KOPRA questionnaire are equally important. Women generally have higher expectations of the physician's communicative behaviour. Affective communication is considerably more important for cancer patients than for back pain or cardiac patients. The KOPRA questionnaire is well suited for examining the communication preferences of cancer patients. In general, physician behaviour associated with high scores in all 4 KOPRA dimensions is optimal. Especially in cases where the 4 communication aspects conflict with each other, the physician's communication style should be individualised. © Georg Thieme Verlag KG Stuttgart · New York.

  14. PULMONARY TUBERCULOMAS IN DIABETES PATIENTS

    Directory of Open Access Journals (Sweden)

    O. G. Komissаrovа

    2017-01-01

    Full Text Available 59 destructive pulmonary tuberculosis patients were examined. 27 of them suffered from tuberculosis with concurrent type 1 diabetes, and 21 had type 2 diabetes. The comparison group included 11 tuberculosis patients with no diabetes. It was found out that tuberculomas in case of concurrent diabetes (both type 1 and type 2 differed from the ones in the patients with no diabetes. The patients with concurrent diabetes more often had multiple tuberculomas, unlike the patients without it. And the intensity of the disease was much higher in tuberculosis patients with this concurrent condition. It was confirmed by the destruction in tuberculomas and a positive result of sputum test, as the more intensive intoxication symptoms and abnormalities in the general blood count. Analysis of rates of systemic inflammation response also proved the higher intensity of the disease in case of tuberculomas in the patients with concurrent diabetes which was documented by the confidently higher level of acute phase reactants.

  15. Patienters vurdering af medicinpakningernes indlaegssedler

    DEFF Research Database (Denmark)

    Horwitz, Anna; Reuther, Lene; Andersen, Stig Ejdrup

    2009-01-01

    effects had made them stop taking their medicine. Future studies should bring into focus the reason for medication adherence, how written information can be made easier to read, comprehensive and correct without contributing to anxiety and non-adherence. Udgivelsesdato: 2009-Feb......INTRODUCTION: The objective was to investigate patients' perception of patient information leaflets, including their readability, comprehensibility and their impact on adherence. MATERIAL AND METHODS: A 14-item questionnaire was prepared and answered by unselected patients in a general practice...... in Copenhagen. RESULTS: A total of 111 patients were included. Eighty-eight patients (79%) always or often read the patient information leaflets. Among these, 77% attached importance to adverse effects. A mere 13% attached importance to all leaflet information. In all, 21% never or rarely read patient...

  16. Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy.

    Science.gov (United States)

    Makhni, Eric C; Higgins, John D; Hamamoto, Jason T; Cole, Brian J; Romeo, Anthony A; Verma, Nikhil N

    2017-11-01

    To determine the patient compliance in completing electronically administered patient-reported outcome (PRO) scores following shoulder arthroscopy, and to determine if dedicated research assistants improve patient compliance. Patients undergoing arthroscopic shoulder surgery from January 1, 2014, to December 31, 2014, were prospectively enrolled into an electronic data collection system with retrospective review of compliance data. A total of 143 patients were included in this study; 406 patients were excluded (for any or all of the following reasons, such as incomplete follow-up, inaccessibility to the order sets, and inability to complete the order sets). All patients were assigned an order set of PROs through an electronic reporting system, with order sets to be completed prior to surgery, as well as 6 and 12 months postoperatively. Compliance rates of form completion were documented. Patients who underwent arthroscopic anterior and/or posterior stabilization were excluded. The average age of the patients was 53.1 years, ranging from 20 to 83. Compliance of form completion was highest preoperatively (76%), and then dropped subsequently at 6 months postoperatively (57%) and 12 months postoperatively (45%). Use of research assistants improved compliance by approximately 20% at each time point. No differences were found according to patient gender and age group. Of those completing forms, a majority completed forms at home or elsewhere prior to returning to the office for the clinic visit. Electronic administration of PRO may decrease the amount of time required in the office setting for PRO completion by patients. This may be mutually beneficial to providers and patients. It is unclear if an electronic system improves patient compliance in voluntary completion PRO. Compliance rates at final follow-up remain a concern if data are to be used for establishing quality or outcome metrics. Level IV, case series. Copyright © 2017 Arthroscopy Association of North

  17. Patient caries risk assessment

    DEFF Research Database (Denmark)

    Twetman, Svante; Fontana, Margherita

    2009-01-01

    for prediction purposes, as measured until now in the literature, is at best questionable in schoolchildren, adolescents and adults. That is not to say these additional factors should not be assessed to help understand the strength of their associations with the disease experience in a particular patient...... they are targeted. Multiple reviews and systematic reviews are available in the literature on this topic. This chapter focusses primarily on results of reviews based on longitudinal studies required to establish the accuracy of caries risk assessment. These findings demonstrate that there is a strong body...... of evidence to support that caries experience is still, unfortunately, the single best predictor for future caries development. In young children, prediction models which include a variety of risk factors seem to increase the accuracy of the prediction, while the usefulness of additional risk factors...

  18. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium

    per day in four weeks followed by four weeks of 1200 kcal daily) resulted in approximately 12 kg median weight loss, which primarily consisted of fat mass (≈66%). There was a significant difference between groups in regards to changes in weight, hip and waist circumference. The intervention group...... risk screening on their rounds, and register the data in the laboratory report. • Investigate the effect of weight loss induced by low energy diet on physical status in obese moderate-to-severe heart failure patients, and to assess the effect on cardiovascular risk factors. To meet these objectives......, height, recent weight loss and/or recent loss of energy intake, or registration of disease severity, disagreed with data registered in other places in the medical record. The most common fault was vi a too low total score in the nutritional risk screening, which a failure to supply nutritional support...

  19. Prosthesis-patient mismatch

    Directory of Open Access Journals (Sweden)

    Philippe Pibarot

    2011-04-01

    Full Text Available Prosthesis-patient mismatch (PPM is present when the effective orifice area of the inserted prosthetic valve is too small in relation to body size. Its main hemodynamic consequence is to generate higher than expected gradients through normally functioning prosthetic valves. The purpose of this review is to present an update on the present state of knowledge with regards to diagnosis, prognosis and prevention of PPM. PPM is a frequent occurrence (20%–70% of aortic valve replacements that has been shown to be associated with worse hemodynamics, less regression of left ventricular hypertrophy, more cardiac events, and lower survival. Moreover, as opposed to most other risk factors, PPM can largely be prevented by using a prospective strategy at the time of operation.

  20. Spirituality in adolescent patients.

    Science.gov (United States)

    Weaver, Meaghann S; Wratchford, Dale

    2017-07-01

    Adolescence, the transition between childhood and adulthood, represents a time of rapid biological, neurocognitive, and psychosocial changes. These changes have important implications for the development and evolution of adolescent spirituality, particularly for adolescents with chronic or life-limiting illnesses. To contribute positively to adolescent spiritual formation, palliative care teams benefit from understanding the normative changes expected to occur during adolescence. This paper provides a narrative review of adolescent spirituality while recognizing the role of religious, familial, and cultural influences on spiritual development during the teenage years. By giving explicit attention to the contextual norms surrounding adolescence and still recognizing each adolescent-aged patient as unique, palliative care teams can help adolescents transition toward meaningful and sustainable spiritual growth. This paper reviews the clinical and research implications relevant to integrating adolescent spiritual health as part of comprehensive palliative care.

  1. Genital reconstruction in exstrophy patients

    Directory of Open Access Journals (Sweden)

    R B Nerli

    2012-01-01

    Full Text Available Introduction: Surgery for bladder exstrophy has been evolving over the last four to five decades. Because survival has become almost universal, the focus has changed in the exstrophy-epispadias complex to improving quality of life. The most prevalent problem in the long-term function of exstrophy patients is the sexual activity of the adolescent and adult males. The penis in exstrophy patients appears short because of marked congenital deficiency of anterior corporal tissue. Many patients approach for genital reconstruction to improve cosmesis as well as to correct chordee. We report our series of male patients seeking genital reconstruction following exstrophy repair in the past. Materials and Methods: Fourteen adolescent/adult male patients attended urology services during the period January 2000-December 2009 seeking genital reconstruction following exstrophy repair in the past. Results: Three patients underwent epispadias repair, four patients had chordee correction with cosmetic excision of skin tags and seven patients underwent chordee correction with penile lengthening. All patients reported satisfaction in the answered questionnaire. Patients undergoing penile lengthening by partial corporal dissection achieved a mean increase in length of 1.614 ± 0.279 cm dorsally and 1.543 ± 0.230 cm ventrally. The satisfactory rate assessed by the Short Form-36 (SF-36 showed that irrespective of the different genital reconstructive procedures done, the patients were satisfied with cosmetic and functional outcome. Conclusions: Surgical procedures have transformed the management in these patients with bladder exstrophy. Bladders can be safely placed within the pelvis, with most patients achieving urinary continence and cosmetically acceptable external genitalia. Genital reconstruction in the form of correction of chordee, excision of ugly skin tags and lengthening of penis can be performed to give the patients a satisfactory cosmetic and functional

  2. Lack of Patient-Clinician Concordance in Cancer Patients: Its Relation With Patient Variables.

    Science.gov (United States)

    Chandwani, Kavita D; Zhao, Fengmin; Morrow, Gary R; Deshields, Teresa L; Minasian, Lori M; Manola, Judith; Fisch, Michael J

    2017-06-01

    Patients with cancer are bothered by its diagnosis, treatment, and associated uncertainty. Lack of concordance (LOC) of patients' reporting of their symptoms and quality of life (QOL) with that of their clinicians has been observed in cancer care. However, information regarding the reporting of patients' bother due to aspects of cancer experience and their clinicians' assessment is lacking. The objective was to describe cancer patients' bother due to aspects of their disease experience and explore the concordance (LOC) or a lack thereof between patients' and clinicians' reporting of patients' bother and factors associated with it. Data from a prospective study of cancer patients' symptoms were analyzed. LOC was defined as any discrepancy between patient-clinician pairs in reporting patients' bother due to disease, cancer treatment, comorbidity, and side effects of symptom management. The relation of LOC to patients' QOL and distress was also explored. Of the 2597 patients analyzed, a perfect concordance was observed in 37%-42%. Clinicians underestimated the severity of bother in 62%-76% of discordant cases. LOC was significantly associated with patient-reported distress and poor QOL. Referral for symptom management was associated with the clinician's rating of patients' bother, and LOC was associated with likelihood of poor compliance with recommendations for symptom management. Majority of clinicians tended to underestimate cancer patients' bother, and this was associated with poor QOL of cancer patients and their distress. Future studies should examine the LOC and its correlates to confirm the results of this study. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  3. Nursing student-patient relationship: experiences of students and patients.

    Science.gov (United States)

    Suikkala, Arja; Leino-Kilpi, Helena

    2005-07-01

    This study dealt with nursing students' and patients' experiences of their relationship. Qualitative data were collected conducting semi-structured interviews with 30 nursing students and 30 patients on medical wards in Finland. The results, analysed using inductive content analysis, revealed student-patient relationships of three types: mechanistic, authoritative and facilitative relationships. Factors promoting or impeding the relationship were divided into student-related factors, patient-related factors, length of time together and atmosphere during activity and were found to influence the type and quality of the relationship. The findings also indicate that the relationship has many positive consequences for both students and patients. The results of the study have implications for nursing, pointing out the important role of both staff nurses and nurse educators in supporting students' learning about individualised patient-centred care.

  4. Prescription Opioid Analgesics: Promoting Patient Safety with Better Patient Education.

    Science.gov (United States)

    Costello, Margaret

    2015-11-01

    Patients expect and deserve adequate postoperative pain relief. Opioid analgesics are widely used and effective in controlling postoperative pain, but their use poses risks that many patients don't understand and that all too often result in adverse outcomes. Inappropriate and often dangerous use of prescription medication has increased sharply in the past two decades in the United States. Patients and caregivers must have an adequate understanding of safe use, storage, and disposal of opioids to prevent adverse drug events in patients and others. Nurses play a key role in providing this patient education. This article provides a case study that highlights the risks and important aspects of opioid medication use in the postoperative patient.

  5. Student patient relationship from the patient's point of view

    OpenAIRE

    Beca, Juan Pablo; Browne L, Francisca; Valdebenito, Carolina; Bataszew, Alexander; Martinez, Maria Jose

    2006-01-01

    Patients are becoming increasingly, active in their relationship with medical professionals. Their relationship with medical students needing to learn clinical skills, may be specially problematic if patients are not willing to accept their involvement in the medical team. Aim: To examine patient's perceptions if their relation with medical students and their agreement to let students be part of the treating team. Material and Methods: Qualitative study using taped semi-structured interviews ...

  6. DIMENSION OF PATIENT SAFETY CULTURE

    Directory of Open Access Journals (Sweden)

    Haerawati Idris

    2017-03-01

    Full Text Available Background: Patient safety is a serious public health issue. Several studies reported security problems in healthcare systems in various countries. The impacts were varied, starting from mild pain, disability, death, and also high cost of service. This study attempted to review the culture of patient safety from several studies and to identify factors that influence them. Methods: This study was conducted with systematic mapping studies related to patient safety culture. There were 40 research articles were evaluated from various online sources that related from Pubmed, MEDLINE, web of science, and google scholar. It was conducted by entering keywords which appropriate to the topic, such as culture of patient safety and factors that influenced them. The obtained results were then analyzed and discussed to produce conclusions. Results: Adverse events were common problems. Healthcare employees had roles in creating safe and high quality services. One of them was through implementation of a culture of patient safety. There were several factors which support a culture of patient safety, namely leadership, teamwork, patient care, evidence-based, communication, learning, just, and patient-centered. Conclusions: Patient safety has not yet become a culture in health care. Adverse events are like an iceberg phenomenon. Efforts to develop factors which support a culture of patient safety need to be encouraged by health care provider organizations.

  7. [Electroconvulsive therapy in nonconsenting patients].

    Science.gov (United States)

    Besse, M; Methfessel, I; Wiltfang, J; Zilles, D

    2017-01-01

    Electroconvulsive therapy (ECT) is a potent and successful method for the treatment of severe psychiatric disorders. Severe depressive and psychotic disorders may lead to legal incapacity and inability to consent. In Germany, administration of ECT against the patient's will is feasible under certain constellations and is regulated under the terms of the guardianship law. This article outlines the prevalence, effectiveness and tolerability of ECT when applied in nonconsenting patients. Case report and literature review. The literature on ECT as a treatment in nonconsenting patients is relatively sparse. In 2008 the prevalence in Germany was less than 0.5 % of all patients receiving ECT. Case reports and case series suggest a good and equal level of effectiveness when compared to consenting patients. In the course of treatment the majority of patients consented to receive further ECT and retrospectively judged ECT as helpful. The use of ECT is a highly effective treatment in severe psychiatric disorders even when administered as treatment in nonconsenting patients. It can be lifesaving and lead to a rapid improvement of symptoms and relief from severe suffering also from the patients' perspective. Thus, it seems unethical not to consider ECT as a treatment against the nonautonomous will of legally incompetent patients in individual cases. Nevertheless, physicians should always seek to obtain the patients' consent as soon as possible for both legal and ethical reasons.

  8. Patient's rights charter in Iran.

    Directory of Open Access Journals (Sweden)

    Alireza Parsapoor

    2014-01-01

    Full Text Available Given the importance of patient's rights in healthcare, special attention has been given to the concept of patient's rights by the Ministry of Health and Medical Education in Iran. Iranian patient's rights charter has been compiled with a novel and comprehensive approach. This charter aims to elucidate rights of recipients of health services as well as observing ethical standards in medicine. This paper presents the Iranian patient's rights charter. Based on a study done from 2007 to 2009, the charter has been finalized through an extensive consultation involving all stakeholders, patients, physicians, nurses, lawyers, patient associations and health policy makers. The developed charter was adopted by the Ministry of Health in December 2009. Iranian patient's rights charter has been formulated in the framework of 5 chapters and 37 articles including vision and an explanatory note. The five chapters concern right to receiving appropriate services, right to access desired and enough information, right to choose and decide freely about receiving healthcare, right to privacy and confidentiality, and finally right to access an efficient system of dealing with complaints which have been explained in 14, 9, 7, 4 and 3 articles, respectively.  The paper concludes that, adopting the patient's rights charter is a valuable measure to meet patient's rights; however, a serious challenge is how to implement and acculturate observing patient's rights in practice in our healthcare system in Iran.

  9. Creating the ideal patient experience.

    Science.gov (United States)

    Purcărea, Th.V

    2016-01-01

    Healthcare industry continues to evolve under conditions of intense competition in approaching health prevention, protection, and promotion. Therefore, healthcare providers are challenged to always ensure better patient experience, winning patients' satisfaction, and loyalty and remain competitive on today's healthcare market. Healthcare markets bring together professionals and their patients into real collaborative relationships, which empower patients to contribute to the healthcare improvement. Within this competitive landscape, which is also characterized by digital health tools boosting patients' awareness and controlling their own health, medical providers need to be perceived as skilled and trustworthy in relying on patients' needs, expectations, and sacrifices are required in order to obtain the promised benefits. Moreover, while constantly providing a holistic assessment of the healthcare services' and experience attributes, acting on feedback and reaching healthcare service excellence, providing a better understanding of all the touch points with their patients and improving the quality and consistency of all these touch points, all these are achieved by employees, who are truly connected to the healthcare business. Today, patients are systematically becoming aware of the diversity of their choices, being increasingly involved in making better healthcare choices, and, so, more and more innovative products are introduced, targeting new patient segments. Findings from the last three years have shown that patients may achieve better outcomes due to the stakeholders' commitment to innovation within the context of the big-data revolution, by building new values.

  10. Reading deficiencies in older patients.

    Science.gov (United States)

    Jackson, R H; Davis, T C; Murphy, P; Bairnsfather, L E; George, R B

    1994-08-01

    To participate effectively in their health care, older patients often are expected to read a wide variety of materials, including written instructions, brochures, and consent forms. This study quantitates the reading ability of older patients and compares it to that of younger patients. Two hundred seventy-two patients 30 and older were selected from five outpatient clinics at a public teaching hospital and tested for objective reading ability using the Peabody Individual Achievement Test--Revised. The 76 patients 60 and older read significantly worse (grade level 2.9) than the 196 patients younger than 60 (grade level 5.8) (P < 0.0001). Older patients also completed significantly fewer years of school than younger patients (7.3 years versus 10.6 years). Analysis of variance for age categories 30-44, 45-59, 60-74, and 75 and older confirmed declining reading ability and educational status with advancing age. Multiple regression analysis helped show that an equation could be derived to predict reading ability from age, educational status, race, and sex, but the coefficient of determination was so low (r2 = 0.39) that it cannot be considered clinically useful for individual patients. In this study, older patients read significantly worse than younger patients, and a formula that combines age, race, sex, and educational status cannot reliably predict reading ability for individual patients. Most older patients read on a level so low that they cannot be expected to read most commonly used written materials. Routine testing of reading ability may allow more appropriate design and use of written materials.

  11. Respiratory failure in elderly patients.

    Science.gov (United States)

    Sevransky, Jonathan E; Haponik, Edward F

    2003-02-01

    Elderly individuals comprise an increasing proportion of the population and represent a progressively expanding number of patients admitted to the ICU. Because of underlying pulmonary disease, loss of muscle mass, and other comorbid conditions, older persons are at increased risk of developing respiratory failure. Recognition of this vulnerability and the adoption of proactive measures to prevent decompensation requiring intrusive support are major priorities together with clear delineation of patients' wishes regarding the extent of support desired should clinical deterioration occur. Further, the development of coordinated approaches to identify patients at risk for respiratory failure and strategies to prevent the need for intubation, such as the use of NIV in appropriate patients, are crucial. As soon as endotracheal intubation and mechanical ventilation are implemented strategies that facilitate the liberation of elderly patients from the ventilator are especially important. The emphasis on a team approach, which characterizes geriatric medicine, is essential in coordinating the skills of multiple health care professionals in this setting. Respiratory failure can neither be effectively diagnosed nor managed in isolation. Integration with all other aspects of care is essential. Patient vulnerability to nosocomial complications and the "cascade effect" of these problems such as the effects of medications and invasive supportive procedures all impact on respiratory care of elderly patients. For example, prolonged mechanical ventilation may be required long after resolution of the underlying cause of respiratory failure because of unrecognized and untreated delirium or residual effects of small doses of sedative and/or analgesic agents or other medications in elderly patients with altered drug metabolism. The deleterious impact of the foreign and sometimes threatening ICU environment and/or sleep deprivation on the patient's course are too often overlooked because

  12. Web Applications for Patient Communication.

    Science.gov (United States)

    Lewis, Kristopher; Reicher, Murray A

    2016-12-01

    Communication between imaging professionals and patients can help achieve many goals, including improved patient understanding of imaging-related diagnostic and treatment options, better compliance with appropriate imaging screening procedures, and improved efficiency of service. The explosive growth of out-of-pocket consumer spending on health care has heightened health care shopping, thus making patient communication an important goal of any imaging practice or health care organization. Furthermore, the Merit-Based Incentive Payment System introduced by CMS will publicly disclose physicians' quality ratings, which are in part dependent on patient engagement. The authors summarize the rationale for web communication with patients, the range of content that should be considered, and the technology options. The aim is to help imaging providers develop organized patient communication strategic and implementation plans. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  13. Patient identification and tube labelling

    DEFF Research Database (Denmark)

    van Dongen-Lases, Edmée C; Cornes, Michael P; Grankvist, Kjell

    2016-01-01

    of phlebotomy procedures with the CLSI H3-A6 guideline was unacceptably low, and that patient identification and tube labelling are amongst the most critical steps in need of immediate attention and improvement. The process of patient identification and tube labelling is an essential safety barrier to prevent......Venous blood sampling (phlebotomy) is the most common invasive procedure performed in patient care. Guidelines on the correct practice of phlebotomy are available, including the H3-A6 guideline issued by the Clinical Laboratory Standards Institute (CLSI). As the quality of practices and procedures...... patient identity mix-up. Therefore, the EFLM Working Group aims to encourage and support worldwide harmonisation of patient identification and tube labelling procedures in order to reduce the risk of preanalytical errors and improve patient safety. With this Position paper we wish to raise awareness...

  14. Fever in Patients With Cancer.

    Science.gov (United States)

    Pasikhova, Yanina; Ludlow, Steven; Baluch, Aliyah

    2017-04-01

    The definition of fever is flexible and depends on the clinical context. Fever is frequently observed in patients with cancer. Infectious and noninfectious causes of fever in patients with various oncological and hematological malignancies and the usefulness of biomarkers are discussed. To treat patients in a timely manner and to minimize morbidity and mortality, it is paramount that health care professionals determine the cause of fever. The usefulness of biomarkers in febrile patients with cancer continues to be controversial. Fever is frequently seen in patients with cancer and can be associated with a variety of infectious and noninfectious causes. The utility of acute-phase reactants, such as erythrocyte sedimentation rate, C-reactive protein, and procalcitonin, along with a nonsteroidal anti-inflammatory drug challenge should be further evaluated as adjunct tools for the workup of fever in patients with cancer.

  15. [Urinary diversion in elderly patients].

    Science.gov (United States)

    Spahn, M; Boxler, S

    2015-12-01

    Bladder cancer represents one of the ten most prevalent cancers worldwide. More than 400,000 people worldwide are newly diagnosed every year. Within 2 years after diagnosis, 80% of patients with muscle invasive bladder cancer without treatment die. The aggressive local surgical approach with a cystectomy is the therapy of choice. The median age of patients with de novo bladder cancer is 70 years. Thus bladder cancer is a cancer of the elderly. For demographical reasons, the number of eldery patients undergoing radical cystectomy will rise in the next few years. The type of urinary diversion is a major factor influencing perioperative morbidity and quality of life in these patients. Incontinent urinary diversions are preferentially used in daily practice. There are only a few contraindications for orthotopic neobladder; however, age alone is not a contraindication. Patient selection and a nerve sparing approach are crucial in men and women to achieve excellent functional results with orthotopic neobladder in elderly patients.

  16. Nurses' perceptions of patient rounding.

    Science.gov (United States)

    Neville, Kathleen; Lake, Kristen; LeMunyon, Danielle; Paul, Darilyn; Whitmore, Karen

    2012-02-01

    This descriptive pilot study explored hospital staff nurses' perceptions toward the practice of patient rounding. Rounding has re-emerged as a standard practice initiative among nurses in hospitals and has been associated with a decrease in call lights and falls, increased patient satisfaction and safety, and quieter nursing units. Regardless of these outcomes, controversy exists among nurses regarding rounding. The Nurses' Perception of Patient Rounding Scale (K. Neville, unpublished manuscript, 2010) was developed to gain an understanding of nurses' perceptions of rounding. Nurses identified rounding as valuable and perceived hourly rounding to be beneficial to patients and families but significantly less beneficial to their own professional practice. Challenges to rounding as a practice include issues of documentation, patient ratios, and skill mix. Findings support the need for further research to address the challenges of patient rounding for nursing.

  17. Guideline Implementation: Positioning the Patient.

    Science.gov (United States)

    Burlingame, Byron L

    2017-09-01

    Every surgical procedure requires positioning the patient; however, all surgical positions are associated with the potential for the patient to experience a positioning injury. The locations and types of potential injuries (eg, stretching, compression, pressure injury) depend on the position. Factors that may increase the patient's risk for an injury are the length of the procedure and risk factors inherent to the patient (eg, weight, age, frailty). AORN's updated "Guideline for positioning the patient" provides guidance on injury prevention practices for all surgical positions including supine, Trendelenburg, reverse Trendelenburg, lateral, lithotomy, prone, and sitting positions and modifications of these positions. This article focuses on the key points of the guideline covering the use of prophylactic dressings, neurophysiological monitoring, and safely positioning the patient in the supine and prone positions. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  18. Lung cancer in younger patients

    DEFF Research Database (Denmark)

    Abbasowa, Leda; Madsen, Poul Henning

    2016-01-01

    INTRODUCTION: Lung cancer remains a leading cause of cancer-related death. The incidence increases with age and the occurrence in young patients is relatively low. The clinicopathological features of lung cancer in younger patients have not been fully explored previously. METHODS: To assess the age...... differences in the clinical characteristics of lung cancer, we conducted a retrospective analysis comparing young patients ≤ 65 years of age with an elderly group > 65 years of age. Among 1,232 patients evaluated due to suspicion of lung cancer in our fast-track setting from January-December 2013, 312 newly...... diagnosed lung cancer patients were included. RESULTS: Patients ≤ 65 years had a significantly higher representation of females (p = 0.0021), more frequent familial cancer aggregation (p = 0.028) and a lower incidence of squamous cell carcinoma (p = 0.0133). When excluding pure carcinoid tumours...

  19. [POSITIONING OF IMMOBALE NEUROLOGIC PATIENT].

    Science.gov (United States)

    Maček, Z; Mandić, M

    2016-01-01

    Damage to the central nervous system leads to the loss of motor control, loss of consciousness, sensory, cognitive and perceptive dysfunction. Patients are immobile in the early phase of recovery, therefore therapeutic approach demands appropriate methods of patient positioning in bed. The positioning has to ensure conditions that will stimulate and promote functional rehabilitation and prevent complications of immobility. The positioning has to rely on functional assessment of the patient problem, while it should also be therapeutic and individually adjusted to the patient needs. In the methods of positioning an immobile patient, all medical team members take part, especially nurses, physical therapists and occupational therapists. Results of positioning are better if mobilization and integration of the abilities regained by the patient are included.

  20. Patient safety: lessons learned

    International Nuclear Information System (INIS)

    Bagian, James P.

    2006-01-01

    The traditional approach to patient safety in health care has ranged from reticence to outward denial of serious flaws. This undermines the otherwise remarkable advances in technology and information that have characterized the specialty of medical practice. In addition, lessons learned in industries outside health care, such as in aviation, provide opportunities for improvements that successfully reduce mishaps and errors while maintaining a standard of excellence. This is precisely the call in medicine prompted by the 1999 Institute of Medicine report ''To Err Is Human: Building a Safer Health System.'' However, to effect these changes, key components of a successful safety system must include: (1) communication, (2) a shift from a posture of reliance on human infallibility (hence ''shame and blame'') to checklists that recognize the contribution of the system and account for human limitations, and (3) a cultivation of non-punitive open and/or de-identified/anonymous reporting of safety concerns, including close calls, in addition to adverse events. (orig.)

  1. Patient safety: lessons learned

    Energy Technology Data Exchange (ETDEWEB)

    Bagian, James P. [National Center for Patient Safety, Department of Veterans Affairs, Ann Arbor, MI (United States)

    2006-04-15

    The traditional approach to patient safety in health care has ranged from reticence to outward denial of serious flaws. This undermines the otherwise remarkable advances in technology and information that have characterized the specialty of medical practice. In addition, lessons learned in industries outside health care, such as in aviation, provide opportunities for improvements that successfully reduce mishaps and errors while maintaining a standard of excellence. This is precisely the call in medicine prompted by the 1999 Institute of Medicine report ''To Err Is Human: Building a Safer Health System.'' However, to effect these changes, key components of a successful safety system must include: (1) communication, (2) a shift from a posture of reliance on human infallibility (hence ''shame and blame'') to checklists that recognize the contribution of the system and account for human limitations, and (3) a cultivation of non-punitive open and/or de-identified/anonymous reporting of safety concerns, including close calls, in addition to adverse events. (orig.)

  2. Pneumoniae in immunocompromised patients

    International Nuclear Information System (INIS)

    Jacobi, Volkmar; Lehnert, Thomas; Thalhammer, Axel

    2009-01-01

    Due to the large surface area, heat, high humidity and high oxygen supply in the lung makes an ideal environment for the propagation of germs. The purpose of the immune system is to establish and maintain the balance between saprophytes and immune defense so as to depress and ultimately kill germs as they infiltrate the body. This usually is achieved by the use of a highly complex immune system. It is a perfect combination of non-specific, cellular and humoral immune mechanisms with very specific immune cells and antibodies, which are specialized on particular pathogens. The specific defenses potentiate the effect of the nonspecific defense in a large extent so as to prevent re-infection and ultimately eliminate recognized pathogens. The causes of immune deficiency can be related to either the cellular or humoral level and affect both the specific and nonspecific defenses. There is a different excitation spectrum depending on the type of immune deficiency. Immune deficiency can prevalently cause complications in the course of infections, decelerate the healing and allow the occurrence of rare pathogens. In particular, the radiological characteristics of typical and atypical pneumonia in immunocompromised patients will be discussed. Particular emphasis is placed on the appearance of bacterial infections, mycobacterioses, PCP, CMV, and laid fungual pneumonia. Even it is not possible to identify certain pathogens radiologically, it is often possible to narrow the spectrum of germs causing pulmonary infections significantly by comparing with other pulmonary complications such as lymphoma or kaposisarcomas. (orig.)

  3. Cryptococcosis infection among HIV patients

    Directory of Open Access Journals (Sweden)

    Zineb Tlamcani

    2016-06-01

    Full Text Available Cryptococcosis is commonly known as a central nervous system infection due to Cryptococcus neoformans. It is one of the most frequent infections in AIDS patients. Disseminated cryptococcosis appears in almost one third of these patients. In this review, we will discuss the clinical presentation of cryptococcal infections among HIV patients and various methods of diagnosis, such as India ink, latex agglutination test and culture.

  4. DIMENSION OF PATIENT SAFETY CULTURE

    OpenAIRE

    Haerawati Idris

    2017-01-01

    Background: Patient safety is a serious public health issue. Several studies reported security problems in healthcare systems in various countries. The impacts were varied, starting from mild pain, disability, death, and also high cost of service. This study attempted to review the culture of patient safety from several studies and to identify factors that influence them. Methods: This study was conducted with systematic mapping studies related to patient safety culture. There were 40 res...

  5. Parenteral nutrition in malnourished patients

    International Nuclear Information System (INIS)

    Lichvarova, I.

    2011-01-01

    Parenteral nutrition became a routine therapeutic option in malnourished patients, if conventional nutritional enteral support is not effective. Cachexia and malnutrition prolong the wound healing, contribute to immunosuppression, increase morbidity and the cost of treatment. Using of a malnutrition protocol as a screening tool is necessary to sort out malnourished patients. Parenteral nutrition is therefore an important part of the multimodal therapy and from the medical and the ethical point of view is a great mistake not to feed a patient. (author)

  6. Evaluation of therapeutic patient education

    OpenAIRE

    D'Ivernois, Jean-François; Gagnayre, Rémi; Assal, Jean-Philippe; Golay, Alain; Libion, France; Deccache, Alain

    2006-01-01

    9 pages; These guidelines mainly focus on the principles of evaluating Therapeutic Patient Education; Over the past thirty years, therapeutic patient education (TPE) has become an essential part of the treatment of long-term diseases. Evaluations of this new practice are expected, and are sometimes imposed according to protocols and criteria that do not always reflect the complexity of changes taking place within patients and healthcare providers. Sometimes, expected results are not achieved ...

  7. Endodontic treatment in geriatric patients

    Directory of Open Access Journals (Sweden)

    Milly Armilya Andang

    2007-11-01

    Full Text Available With the increased number of geriatric population, it is predicted that the need for dental treatment also increases. The needs for esthetic factors and function of geriatric patient are maybe similar to young patient. The number of geriatric patients who refuse dental extraction is increasing if there are still other alternative. They can be more convinced when the clinician said that the dental disease experienced is a focal infection so that the loss of the tooth can be accepted as the best option. But if it is possible, they will prefer endodontic treatment, because they want to keep their teeth according to the treatment plan or based on patient's request, as a less traumatic alternative compared to extraction.Endodontic treatment consideration for geriatric patient is quite similar to younger patients. The technique is also the same, although the problem may be bigger. The problem or obstacle that may arise in endodontic treatment for geriatric patient relates to the visit duration, problems during x-ray, problems in defining root canal location, vertical root fracture, and in some cases, decreased pulp tissue recovery ability. Due to the fact that the challenge is quite big, the success of endodontic treatment in geriatric patients needs to be considered. This paper will explain the endodontic treatment prognosis for geriatric patients.

  8. Pneumonia in renal transplant patients.

    OpenAIRE

    Bowie, D. M.; Marrie, T. J.; Janigan, D. T.; MacKeen, A. D.; Belitsky, P.; MacDonald, A. S.; Lannon, S. G.; Cohen, A. D.

    1983-01-01

    Between January 1976 and March 1982, 28 episodes of pneumonia occurred in 26 renal transplant patients. The overall mortality rate was 46%. Of the 16 patients with nosocomial pneumonia 9 (56%) died, whereas of the 12 patients with community-acquired pneumonia 4 (33%) died. In all 9 cases of unknown cause the response to empiric treatment was prompt, whereas in 4 of the 10 cases of monomicrobial pneumonia and 8 of the 9 cases of polymicrobial pneumonia the patient died. Cytomegalovirus was the...

  9. DENGUE INFECTION IN ELDERLY PATIENTS.

    Science.gov (United States)

    Tiawilai, Thawat; Tiawilai, Anongrat; Nunthanid, Somboon

    2015-01-01

    From 2005 to 2013, there were 15 dengue patients aged over 60 years old who were admitted to Photharam Hospital, Ratchaburi, Thailand. Ten were females and five were males. Nine had dengue fever (DF), and 6 had dengue hemorrhagic fever (DHF). A trending shift in age group towards adults has been seen during the past decades. No deaths were seen in these elderly patients with dengue disease, indicating early recognition and effective management of these dengue patients. The trend towards higher age in dengue patients is a problem of concern, which needs further elaboration.

  10. Government influence on patient organizations.

    Science.gov (United States)

    Van de Bovenkamp, Hester M; Trappenburg, Margo J

    2011-12-01

    Patient organizations increasingly play an important role in health care decision-making in Western countries. The Netherlands is one of the countries where this trend has gone furthest. In the literature some problems are identified, such as instrumental use of patient organizations by care providers, health insurers and the pharmaceutical industry. To strengthen the position of patient organizations government funding is often recommended as a solution. In this paper we analyze the ties between Dutch government and Dutch patient organizations to learn more about the effects of such a relationship between government and this part of civil society. Our study is based on official government documents and existing empirical research on patient organizations. We found that government influence on patient organizations has become quite substantial with government influencing the organizational structure of patient organizations, the activities these organizations perform and even their ideology. Financing patient organizations offers the government an important means to hold them accountable. Although the ties between patient organizations and the government enable the former to play a role that can be valued as positive by both parties, we argue that they raise problems as well which warrant a discussion on how much government influence on civil society is acceptable.

  11. [Nutritional assessment for hospitalized patients].

    Science.gov (United States)

    Henríquez Martínez, T; Armero Fuster, M

    1991-01-01

    A review of the following points was performed: Factors favouring the development and presence of malnutrition among hospitalized patients. Useful parameters in nutritional evaluation. Types of malnutrition. The Chang nutritional evaluation protocol is used in our Hospital, which is simple, inexpensive, reliable, specific and easily reproduced. This is based on five variables (three anthropometric and two biochemical), randomized and based on reference tables and values. A study was made on data corresponding to 70 patients, in whom a prevalence of malnutrition was observed in critical patients. The patients were classified based on three different definitive possibilities (Marasmo, Kwashiorkor and combined), and three grades of malnutrition (slight, moderate and severe).

  12. Patients with multiple contact allergies

    DEFF Research Database (Denmark)

    Carlsen, Berit Christina; Andersen, Klaus Ejner; Menné, Torkil

    2008-01-01

    Patients with multiple contact allergies, also referred to as polysensitized, are more frequent than predicted from prevalence of single sensitivities. The understanding of why some people develop multiple contact allergies, and characterization of patients with multiple contact allergies...... of developing multiple contact allergies. Evidence of allergen clusters among polysensitized individuals is also reviewed. The literature supports the idea that patients with multiple contact allergies constitute a special entity within the field of contact allergy. There is no generally accepted definition...... of patients with multiple contact allergies. We suggest that contact allergy to 3 or more allergens are defined as multiple contact allergies....

  13. Patient adherence with COPD therapy

    Directory of Open Access Journals (Sweden)

    C. S. Rand

    2005-12-01

    Full Text Available Although there are very few published studies on adherence to treatment regimens in chronic obstructive pulmonary disease (COPD, the evidence that exists suggests that, as with asthma therapy, adherence is poor. Patient beliefs about COPD, as well as their motivation and expectations about the likelihood of success of medical interventions, can influence adherence rates. Other critical factors include the patient's understanding of their illness and therapy, and the complexity of the prescribed treatment regimen. Incorrect inhaler technique is also a common failing. When prescribing in primary or specialist care, healthcare professionals should address adherence as a vital part of the patient consultation. Improved patient education may also increase adherence rates.

  14. Improving patients privacy with Pseudonymization.

    Science.gov (United States)

    Neubauer, Thomas; Riedl, Bernhard

    2008-01-01

    e-Health requires the sharing of patient related data when and where necessary. Electronic health records promise to improve communication between health care providers, thus leading to better quality of patients' treatment and reduced costs. As highly sensitive patient information provides a promising goal (e.g., for attackers), there is an increasing social and political pressure to guarantee patients privacy. This paper presents the new system PIPE (Pseudonymization of Information for Privacy in e-Health), that differs from existing approaches in its ability to securely integrate primary and secondary usage of health data.

  15. Healthcare IT and Patient Empowerment

    DEFF Research Database (Denmark)

    Danholt, Peter; Bødker, Keld; Hertzum, Morten

    2004-01-01

    of type II diabetes at the clinic is characterized by team treatment, a diabetes school, standard treatment plans, and an electronic patient record system. By studying work at the clinic as well as the patients’ ‘work’ with their disease, we aim to come to grips with the complexity of treating type II......This short paper outlines a recently initiated research project that concerns healthcare information systems and patient empowerment. Drawing on various theoretical backgrounds, Participatory Design (PD), Computer Supported Cooperative Work (CSCW), Computer Mediated Communication (CMC), and Science...... diabetes and with the possibilities for and barriers toward enabling patients to take active part in their treatment....

  16. Patient delay in cancer studies

    DEFF Research Database (Denmark)

    Andersen, Rikke Sand; Vedsted, Peter; Olesen, Frede

    2009-01-01

    BACKGROUND: There is no validated way of measuring the prevalence and duration of patient delay, and we do not know how people perceive and define the time intervals they are asked to report in patient delay studies. This lack of a validated measure hampers research in patient delay...... as symptoms related to a specific cancer diagnosis is embedded within a social and cultural context. We therefore cannot assume that respondents define delay periods in identical ways. SUMMARY: In order to improve the validity of patient delay studies, it is suggested that research be strengthened on three...

  17. Patient involvement in patient safety: Protocol for developing an intervention using patient reports of organisational safety and patient incident reporting

    Science.gov (United States)

    2011-01-01

    Background Patients have the potential to provide a rich source of information on both organisational aspects of safety and patient safety incidents. This project aims to develop two patient safety interventions to promote organisational learning about safety - a patient measure of organisational safety (PMOS), and a patient incident reporting tool (PIRT) - to help the NHS prevent patient safety incidents by learning more about when and why they occur. Methods To develop the PMOS 1) literature will be reviewed to identify similar measures and key contributory factors to error; 2) four patient focus groups will ascertain practicality and feasibility; 3) 25 patient interviews will elicit approximately 60 items across 10 domains; 4) 10 patient and clinician interviews will test acceptability and understanding. Qualitative data will be analysed using thematic content analysis. To develop the PIRT 1) individual and then combined patient and clinician focus groups will provide guidance for the development of three potential reporting tools; 2) nine wards across three hospital directorates will pilot each of the tools for three months. The best performing tool will be identified from the frequency, volume and quality of reports. The validity of both measures will be tested. 300 patients will be asked to complete the PMOS and PIRT during their stay in hospital. A sub-sample (N = 50) will complete the PMOS again one week later. Health professionals in participating wards will also be asked to complete the AHRQ safety culture questionnaire. Case notes for all patients will be reviewed. The psychometric properties of the PMOS will be assessed and a final valid and reliable version developed. Concurrent validity for the PIRT will be assessed by comparing reported incidents with those identified from case note review and the existing staff reporting scheme. In a subsequent study these tools will be used to provide information to wards/units about their priorities for patient

  18. Patient involvement in patient safety: Protocol for developing an intervention using patient reports of organisational safety and patient incident reporting

    Directory of Open Access Journals (Sweden)

    Armitage Gerry

    2011-05-01

    Full Text Available Abstract Background Patients have the potential to provide a rich source of information on both organisational aspects of safety and patient safety incidents. This project aims to develop two patient safety interventions to promote organisational learning about safety - a patient measure of organisational safety (PMOS, and a patient incident reporting tool (PIRT - to help the NHS prevent patient safety incidents by learning more about when and why they occur. Methods To develop the PMOS 1 literature will be reviewed to identify similar measures and key contributory factors to error; 2 four patient focus groups will ascertain practicality and feasibility; 3 25 patient interviews will elicit approximately 60 items across 10 domains; 4 10 patient and clinician interviews will test acceptability and understanding. Qualitative data will be analysed using thematic content analysis. To develop the PIRT 1 individual and then combined patient and clinician focus groups will provide guidance for the development of three potential reporting tools; 2 nine wards across three hospital directorates will pilot each of the tools for three months. The best performing tool will be identified from the frequency, volume and quality of reports. The validity of both measures will be tested. 300 patients will be asked to complete the PMOS and PIRT during their stay in hospital. A sub-sample (N = 50 will complete the PMOS again one week later. Health professionals in participating wards will also be asked to complete the AHRQ safety culture questionnaire. Case notes for all patients will be reviewed. The psychometric properties of the PMOS will be assessed and a final valid and reliable version developed. Concurrent validity for the PIRT will be assessed by comparing reported incidents with those identified from case note review and the existing staff reporting scheme. In a subsequent study these tools will be used to provide information to wards/units about their

  19. Patient Satisfaction With Health Services At The Out-patient ...

    African Journals Online (AJOL)

    Introduction: The patient's view as a recipient of health care service is rarely taken into consideration in assessing the quality of healthcare service delivery in many developing countries. The views and opinions of patients on the quality of service, coupled with their satisfaction with health care services can assist ...

  20. Medication adherence in type 2 diabetes patients: study of patients ...

    African Journals Online (AJOL)

    Despite the advances in the treatment of diabetes mellitus over ... assessed the prevalence of medication non-adherence leading to poor glycemic control. .... level of adherence to therapy and patients knowledge about diabetes. Inclusion criteria. • Patients 18 years and above diagnosed with Type 2. Diabetes. • Presence of ...

  1. Patient delay and associated factors among breast cancer patients

    International Nuclear Information System (INIS)

    Khan, M.A.; Khan, M.I.; Andleeb, U.

    2015-01-01

    Objectives: To stratify patients into various stages, calculate average patient delay and study various causes of delay to presentation. Methodology: This was a one year hospital based cross sectional study at Khyber Teaching Hospital, using non probability consecutive sampling. A simplified staging was used for this study; Early (Stage I), Intermediate (Stage II, III), and Late (Stage IV). A patient was labelled delay when >3 months had elapsed between first symptom perception and first doctor consultation. Results: 80 patients were included with age 21-80 years (mean 45.28+-13.15). 80% of the patients were married, 76.3% (n=61/80) were poor with annual income of <500 US $, 85% of patients were illiterate. The participants from Rural and Urban areas were similar (37 % vs 31%); 15% were from Afghanistan. 80% patients presented with a delay of >3 months. Most common cause of delay was false symptom interpretation in 25.3% (n=17) patients. Conclusion: Late clinical presentation is because of lack of health education, unawareness, misconceptions about treatment and strong belief in traditional medicine resulting in advanced disease. This is worsened by poverty and unavailability of health care services especially in rural areas. (author)

  2. Provider and patient perception of psychiatry patient health literacy

    Directory of Open Access Journals (Sweden)

    Bacon O

    2017-06-01

    Full Text Available Background: Inadequate health literacy in adults is a nationwide issue that is associated with worse health outcomes. There is a paucity of literacy regarding rates of inadequate health literacy in psychiatric populations. Objective: The aim of the study was to identify an existing tool that would easily identify patients who had inadequate health literacy, so that a targeted intervention could be performed. Secondarily we attempted to compare rates of inadequate health literacy with providers’ perception of patients’ health literacy. Methods: We assessed health literacy in a psychiatric population by administering the Brief Health Literacy Survey (BHLS. Additionally, all psychiatry residents, psychiatrists, nurse practitioners, pharmacists, and social workers were surveyed to assess their perception of patient health literacy. Differences between patient health literacy and provider expectations of patient health literacy were compared. Results: Inadequate health literacy was identified in 31 out of 61 patients (50.8% using 2 questions from the BHLS. Only 9 (29% of patients who were identified as having inadequate health literacy were identified by both BHLS questions. In contrast, almost 100% of providers identified their patients, in general, as having inadequate health literacy. Conclusions: These results identify a higher rate of health literacy in a psychiatric inpatient population than in the general population. However, providers at this institution likely over-identify health literacy. This highlights the need for a health literacy tool that can easily target patients with inadequate health literacy for an intervention.

  3. Importance of patient centred care for various patient groups.

    NARCIS (Netherlands)

    Rademakers, J.J.D.J.M.; Delnoij, D.M.J.; Boer, D. de

    2010-01-01

    Background: Though patient centred care is a somewhat ‘fuzzy’ concept, in general it is considered as something to strive for. However, preliminary evidence suggests that the importance of elements of patient-centred care (PCC), such as communication, information and shared decision making, may vary

  4. The perception of patients of doctor-patient relationship in ...

    African Journals Online (AJOL)

    Background: The doctor-patient relationship is central to the practice of medicine and is essential for the delivery of high quality healthcare in the diagnosis and treatment of diseases. Recently, patient participation has gained increasing prominence in healthcare delivery. Aim: To explore the perceptions of Nigerian adult ...

  5. Individual Psychological Support for Cancer Patients: Utilisation and Patient Satisfaction.

    Science.gov (United States)

    Hellbom, Maria; Brandberg, Yvonne; Glimelius, Bengt; Sjoden, Per-Olow

    1998-01-01

    Evaluates a short-term, problem-focused Individual Psychological Support (IPS intervention in a study with cancer patients (N=527). Results show that a majority of responding patients stated that their problems were addressed to a great extent, that the number of contacts was adequate, and the IPS came at the right time. (Author/MKA)

  6. Patient views regarding the down referral system of patients with ...

    African Journals Online (AJOL)

    Patient views regarding the down referral system of patients with chronic diseases at Dr George Mukhari Academic Hospital, Ga- Rankuwa, South Africa. ... OPD clinics, having a six months repeat prescription, willing to participate in the study and provided consent completed the researcher-administered questionnaire.

  7. Individual patient information to select patients for different radiation techniques

    NARCIS (Netherlands)

    Quik, E. H.; Feenstra, T. L.; Postmus, D.; Slotman, B. J.; Leemans, C. R.; Krabbe, P. F. M.; Langendijk, J. A.

    Background and purpose: Proton therapy is an emerging technique in radiotherapy which results in less dose to the normal tissues with similar target dose than photon therapy, the current standard. Patient-level simulation models support better decision making on which patients would benefit most.

  8. Individual patient information to select patients for different radiation techniques

    NARCIS (Netherlands)

    Quik, E. H.; Feenstra, T. L.; Postmus, D.; Slotman, B. J.; Leemans, C. R.; Krabbe, P. F M; Langendijk, J. A.

    BACKGROUND AND PURPOSE: Proton therapy is an emerging technique in radiotherapy which results in less dose to the normal tissues with similar target dose than photon therapy, the current standard. Patient-level simulation models support better decision making on which patients would benefit most.

  9. Patient Education Leads to Better Care for Heart Patients.

    Science.gov (United States)

    Rosenberg, Stanley G.

    The staff of a heart and circulatory disease program of a State department of health conducted a special project at a city hospital which showed that a well-organized treatment and education program for patients with congestive heart failure increased the patient's knowledge of his disease, medication, and diet as well as his adherence to a…

  10. Current status of patient-controlled analgesia in cancer patients.

    Science.gov (United States)

    Ripamonti, C; Bruera, E

    1997-03-01

    Patient-controlled analgesia (PCA) is a relatively new technique in which patients are able to self-administer small doses of opioid analgesics when needed. Many different devices are available for opioid infusion, including a syringe pump, disposable plastic cylinder, and battery-operated computer-driven pump. These devices allow patients to choose an intermittent (demand) bolus, continuous infusion, or both modes of administration. Parameters, such as route, drug concentration dose, frequency, and maximum daily or hourly dose, are programmed by the physician. The patient decides whether or not to take a dose. Devices can be used to deliver the drug into a running intravenous infusion, the epidural space, or subcutaneously. Controlled trials indicate that PCA is probably superior to regular opioid administration in postoperative pain. Reported advantages include greater patient satisfaction, decreased sedation and anxiety, and reduced nursing time and hospitalization. Preliminary experience suggests that PCA is also useful and safe for cancer pain, but further research is greatly needed.

  11. Pain management: association with patient satisfaction among emergency department patients.

    Science.gov (United States)

    Bhakta, Hemangini C; Marco, Catherine A

    2014-04-01

    Patient satisfaction with emergency care is associated with timeliness of care, empathy, technical competence, and information delivery. Previous studies have demonstrated inconsistent findings regarding the association between pain management and patient satisfaction. This study was undertaken to determine the association between pain management and patient satisfaction among Emergency Department (ED) patients presenting with acute painful conditions. In this survey study, a standardized interview was conducted at the Emergency Department at the University of Toledo Medical Center in May-July 2011. Participants were asked to answer 18 questions pertaining to patient satisfaction. Additional data collected included demographic information, pain scores, and clinical management. Among 328 eligible participants, 289 (88%) participated. The mean triage pain score on the verbal numeric rating scale was 8.2 and the mean discharge score was 6.0. The majority of patients (52%) experienced a reduction in pain of 2 or more points. Participants received one pain medication dose (44%), two medication doses (14%), three medication doses (5%), or four medication doses (2%). Reduction in pain scores of 2 or more points was associated with a higher number of medications administered. Reduction in pain scores was associated with higher satisfaction as scored on questions of patient perceptions of adequate assessment and response to pain, and treatment of pain. There was a significant association between patient satisfaction and a reduction in pain of 2 or more points and number of medications administered. Effective pain management is associated with improved patient satisfaction among ED patients with painful conditions. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Erectile dysfunction in haemodialysis patients

    International Nuclear Information System (INIS)

    Mumtaz, A.; Hussain, S.; Nazir, M.

    2009-01-01

    There is a very high prevalence of Erectile Dysfunction (ED) in dialysis patients. There is no as such available data on ED and factors affecting it in our patients. Analytical, cross-sectional, hospital based study conducted from January to March 2008, Haemodialysis unit of Shalimar and Mayo Hospital, Lahore. All male patients of end stage renal disease (ESRD) on maintenance haemodialysis therapy, whose spouses are alive and able to perform intercourse, were included in the study. Patient with cognitive and communication deficits were excluded from study. International index of erectile function-5 (IIEF-5), adopted in Urdu was used for the determination of prevalence of erectile function. Categorization of erectile dysfunction was done as mild, moderate and severe. Demographic data were collected and certain laboratory parameters (haemoglobin, haematocrit, urea, HBsAg and Anti HCV) were sent. Total numbers of patient were fifty. Major cause of ESRD was diabetes mellitus 28 (56%). Most of the patients 33 (66%) have passed 10th grade or they were under 10th grade. Prevalence of ED was 86% with mean IIEF-5 score of 10.36+-7.13. Majority of patients 33 (64.7%) were suffering from severe degree of ED. Factors responsible for ED are diabetes mellitus, age more than 50 year, high pre dialysis urea and Anti HCV positive patients. In this study, smoking, duration of dialysis and monthly spending is not related with ED. Majority of the patients suffering from ESRD, on maintenance haemodialysis are having ED. None of the patients suffering from ED were taking any treatment for it. Haemodialysis does not improve sexual dysfunction. Major factors responsible for ED are diabetes mellitus, age more than 50 years, high pre dialysis urea and Anti HCV positive patients. (author)

  13. Pulmonary cryptococcosis in nonimmunocompromised patients.

    Science.gov (United States)

    Nadrous, Hassan F; Antonios, Vera S; Terrell, Christine L; Ryu, Jay H

    2003-12-01

    Cryptococcus neoformans can cause serious systemic infections requiring systemic antifungal therapy in immunocompromised hosts. However, isolated pulmonary cryptococcosis in nonimmunocompromised hosts has been reported to resolve spontaneously without treatment. s: To determine the role of antifungal therapy in the management of isolated pulmonary cryptococcosis in nonimmunocompromised hosts. Retrospective study. Tertiary care, referral medical center Thirty-six nonimmunocompromised subjects with isolated pulmonary cryptococcosis who received diagnoses at the Mayo Clinic (Rochester, MN) from 1976 to 2001. None. Of 42 nonimmunocompromised subjects with cryptococcal infections, 36 (86%) had isolated pulmonary cryptococcosis. The mean (+/- SD) age of these 36 patients was 61 +/- 15 years (range, 14 to 88 years), and the groups included 17 men (47%) and 19 women (53%). Twenty-four patients (67%) were symptomatic, and 12 patients (33%) were asymptomatic. The most common presenting symptoms were cough, dyspnea, and fever. Cultures of sputum and bronchial washings most commonly yielded the diagnosis. Cerebrospinal fluid examination was performed in 11 patients (31%) and was negative in all of them. Follow-up information was available on 25 patients (69%) with a median duration of 19 months (range, 1 to 330 months). Twenty-three of these patients (92%) had resolution of their disease (no treatment, 8 patients; surgical resection only, 6 patients; and antifungal therapy, 9 patients). The condition of the two remaining patients had improved. There was no documented treatment failure, relapse, dissemination, or death in any of these 25 patients. Our findings suggest that an initial period of observation without the administration of antifungal therapy is a reasonable option for nonimmunocompromised subjects with pulmonary cryptococcosis in the absence of systemic symptoms or evidence of dissemination, as well as after surgical resection for focal cryptococcal pneumonia.

  14. Autoimmune comorbidity in achalasia patients.

    Science.gov (United States)

    Romero-Hernández, Fernanda; Furuzawa-Carballeda, Janette; Hernández-Molina, Gabriela; Alejandro-Medrano, Edgar; Núñez-Álvarez, Carlos A; Hernández-Ramírez, Diego F; Azamar-Llamas, Daniel; Olivares-Martínez, Elizabeth; Breña, Blanca; Palacios, Axel; Valdovinos, Miguel A; Coss-Adame, Enrique; Ramos-Ávalos, Bárbara; Torres-Landa, Samuel; Hernández-Ávila, Axel A; Flores-Nájera, Athenea; Torres-Villalobos, Gonzalo

    2018-01-01

    Idiopathic achalasia is a rare esophageal motor disorder. The disease state manifests local and systemic inflammation, and it appears that an autoimmune component and specific autoantibodies participate in the pathogenesis. The study aims to determine the prevalence of autoimmune and chronic inflammatory diseases in patients with achalasia and compare the results with those from patients with gastroesophageal reflux disease (GERD). It was a cross-sectional and included 114 patients with idiopathic achalasia and 114 age-matched and sex-matched control patients with GERD. Data on the presence of autoimmune and inflammatory diseases, the time of presentation, and any family history of autoimmune disease were obtained from the hospital's medical records. Seventy three (64%) were female patients (mean age: 42.3 ± 15.5; median disease duration: 12 months). We identified the presence of autoimmune disease in 19 patients with achalasia (16.7%), hypothyroidism was the main diagnosis, and it was present in 52.6% of patients compared with 4.2% in controls. Thirteen of the 19 achalasia patients (68.4%) with autoimmune disease had history of familial autoimmunity. We identified 11 achalasia (9.6%) and 5 GERD patients (4.16%) with an inflammatory condition. Compared with the GERD, the achalasia group was 3.8 times more likely to have an autoimmune disease (95% CI: 1.47-9.83), 3.0 times more likely to have thyroidopathies (95% CI: 1.00-9.03), and 3.02 times more likely to suffer from any chronic inflammatory disease (95% CI: 1.65-6.20). The non-negligible number of patients with autoimmune diseases identified among the patients with idiopathic achalasia supports the hypothesis that achalasia has an autoimmune component. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  15. Surgical patient selection and counseling

    Science.gov (United States)

    Ziegelmann, Matt; Köhler, Tobias S.; Bailey, George C.; Miest, Tanner; Alom, Manaf

    2017-01-01

    The objectives of patient selection and counseling are ultimately to enhance successful outcomes. However, the definition for success is often narrowly defined in published literature (ability to complete surgery, complications, satisfaction) and fails to account for patient desires and expectations, temporal changes, natural history of underlying diseases, or independent validation. Factors associated with satisfaction and dissatisfaction are often surgery-specific, although correlation with pre-operative expectations, revisions, and complications are common with most procedures. The process of appropriate patient selection is determined by the integration of patient and surgeon factors, including psychological capacity to handle unsatisfactory results, baseline expectations, complexity of case, and surgeon volume and experience. Using this model, a high-risk scenario includes one in which a low-volume surgeon performs a complex case in a patient with limited psychological capacity and high expectations. In contrast, a high-volume surgeon performing a routine case in a male with low expectations and abundant psychiatric reserve is more likely to achieve a successful outcome. To further help identify patients who are at high risk for dissatisfaction, a previously published mnemonic is recommended: CURSED Patient (compulsive/obsessive, unrealistic, revision, surgeon shopping, entitled, denial, and psychiatric). Appropriate patient counseling includes setting appropriate expectations, reviewing the potential and anticipated risks of surgery, post-operative instruction to limit complications, and long-term follow-up. As thorough counseling is often a time-consuming endeavor, busy practices may elect to utilize various resources including educational materials, advanced practice providers, or group visits, among others. The consequences for poor patient selection and counseling may range from poor surgical outcomes and patient dissatisfaction to lawsuits, loss of

  16. Industrial Robots for Patient Support

    Science.gov (United States)

    Sommer, Andres

    Flexibility, precision, and capability to support the clinical workflow make robots the ideal choice for ion beam therapy (IBT) facilities for use in patient positioning. To fulfill the clinical needs in IBT, an industrial robot patient positioner needs to be carefully designed regarding applications and safety issues as well as precision and handling.

  17. Observation af kritisk syge patienter

    DEFF Research Database (Denmark)

    Fuhrmann, Lone; Hesselfeldt, Rasmus; Lippert, Anne

    2009-01-01

    The aim of this study was to estimate to which extent patients with abnormal vital signs on general wards had their vital signs monitored and documented and to establish if staff concern for patients influenced the level of monitoring and was predictive of increased mortality....

  18. Behandling af den hypoterme patient

    DEFF Research Database (Denmark)

    Kjærgaard, Benedict; Rudolph, Søren Finnemann; Lucas, Alexander

    2008-01-01

    Treatment of the hypothermic patient depends more on the clinical condition than on the core temperature. Unconscious patients need thorough investigation, and they can often be rewarmed with warm water in the pleural cavities. Cardiac arrest requires cardio pulmonary rescue until rewarming can...

  19. Patient Relations and Workplace Communication.

    Science.gov (United States)

    Career Resources Development Center, Inc., San Francisco, CA.

    The workbook contains lessons and exercises in patient relations and workplace communication in a medical services office, particularly for interactions involving one or more non-native speaker of English. Seven units address these topics: (1) greetings and basic assistance, greeting established patients, and measuring height and weight and taking…

  20. Government influence on patient organizations

    NARCIS (Netherlands)

    van de Bovenkamp, H.M.; Trappenburg, M.J.

    2011-01-01

    Patient organizations increasingly play an important role in health care decision-making in Western countries. The Netherlands is one of the countries where this trend has gone furthest. In the literature some problems are identified, such as instrumental use of patient organizations by care

  1. Choosing effective patient education materials

    Science.gov (United States)

    ... also use one or more of the following teaching tools: Brochures or other printed materials Podcasts YouTube videos ... is a substitute for one-on-one patient teaching. In some cases, it may ... topics or creating your own tools for the patient's needs.

  2. Protect the Patient from Whom?

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann; Villadsen, Kaspar

    2013-01-01

    This article presents findings from an empirical study among patients and professionals involved in a preventive health program at a Danish hospital. It shows how patients enrolled in the program interact with health professionals in ways that challenge assumptions common to governmentality studi...

  3. Patient's breath controls comfort devices

    Science.gov (United States)

    Schrader, M.; Carpenter, B.; Nichols, C. D.

    1972-01-01

    Patient assist system for totally disabled persons was developed which permits a person, so paralyzed as to be unable to move, to activate by breathing, a call system to summon assistance, turn the page of a book, ajust his bed, or do any one of a number of other things. System consists of patient assist control and breath actuated switch.

  4. Idiom Comprehension in Aphasic Patients

    Science.gov (United States)

    Papagno, Costanza; Tabossi, Patrizia; Colombo, Maria Rosa; Zampetti, Patrizia

    2004-01-01

    Idiom comprehension was assessed in 10 aphasic patients with semantic deficits by means of a string-to-picture matching task. Patients were also submitted to an oral explanation of the same idioms, and to a word comprehension task. The stimuli of this last task were the words following the verb in the idioms. Idiom comprehension was severely…

  5. Psychodynamics in medically ill patients.

    Science.gov (United States)

    Nash, Sara Siris; Kent, Laura K; Muskin, Philip R

    2009-01-01

    This article explores the role of psychodynamics as it applies to the understanding and treatment of medically ill patients in the consultation-liaison psychiatry setting. It provides historical background that spans the eras from Antiquity (Hippocrates and Galen) to nineteenth-century studies of hysteria (Charcot, Janet, and Freud) and into the twentieth century (Flanders Dunbar, Alexander, Engle, and the DSM). The article then discusses the effects of personality on medical illness, treatment, and patients' ability to cope by reviewing the works of Bibring, Kahana, and others. The important contribution of attachment theory is reviewed as it pertains the patient-physician relationship and the health behavior of physically ill patients. A discussion of conversion disorder is offered as an example of psychodynamics in action. This article highlights the important impact of countertransference, especially in terms of how it relates to patients who are extremely difficult and "hateful," and explores the dynamics surrounding the topic of physician-assisted suicide, as it pertains to the understanding of a patient's request to die. Some attention is also given to the challenges surrounding the unique experience of residents learning how to treat medically ill patients on the consultation-liaison service. Ultimately, this article concludes that the use and understanding of psychodynamics and psychodynamic theory allows consultation-liaison psychiatrists the opportunity to interpret the life narratives of medically ill patients in a meaningful way that contributes importantly to treatment.

  6. Palliative care for dementia patients.

    Science.gov (United States)

    Hirot, France

    2016-12-01

    Dementia is a life-limiting disease without curative treatments but the data suggest that advanced dementia is not viewed as a terminal diagnosis by physicians. Although symptoms of dementia and cancer patients are similar, palliative care is less frequently proposed for dementia patients. However, professionals and family members of demented patients strongly favor comfort care for end-stage dementia. To improve the patients' relief near the end of life, advance care planning with patients and their proxies should be encouraged. It should start as soon as possible so that the patient can still be actively involved and his preferences, values, needs and beliefs elicited. Written advance directives or enrollment in hospice care are associated with quality of dying. Yet caregivers are sometimes concerned about applying palliative care too early or that advance plans would be invalidated if relatives or patients changed their mind. Therefore, general practitioners and palliative care specialists need to better collaborate to provide greater information and improve comfort and quality of life of dementia patients.

  7. Virtual Patients in Geriatric Education

    Science.gov (United States)

    Tan, Zaldy S.; Mulhausen, Paul L.; Smith, Stephen R.; Ruiz, Jorge G.

    2010-01-01

    The virtual patient is a case-based computer program that combines textual information with multimedia elements such as audio, graphics, and animation. It is increasingly being utilized as a teaching modality by medical educators in various fields of instruction. The inherent complexity of older patients and the shortage of geriatrics educators…

  8. Endocrinopathies in thalassemia major patient

    Science.gov (United States)

    Lubis, D. A.; Yunir, E. M.

    2018-03-01

    Advanced in chelation therapy and regular blood transfusion have marked improvements in the life expectancy of patients with thalassemia major, however these patients still have to deal with several complications. We report a 19-year-old male, presented with multiple endocrine complication-related thalassemia; hypogonadism, short stature, osteoporosis with history of fracture, and subclinical hypothyroid.

  9. ECG changes in epilepsy patients

    DEFF Research Database (Denmark)

    Tigaran, S; Rasmussen, V; Dam, M

    1997-01-01

    To investigate the frequency of ECG abnormalities suggestive of myocardial ischaemia in patients with severe drug resistant epilepsy and without any indication of previous cardiac disease, assuming that these changes may be of significance for the group of epileptic patients with sudden unexpected...

  10. Care of the Homeless Patient.

    Science.gov (United States)

    Klein, Jared Wilson; Reddy, Simha

    2015-09-01

    This article discusses the unique considerations when caring for patients who lack housing, one of the most essential human needs. Special attention is provided to diseases and conditions that are affected by homelessness as well as to particularly vulnerable populations of homeless patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Monitoring of stable glaucoma patients

    NARCIS (Netherlands)

    K.M. Holtzer-Goor (Kim); N.S. Klazinga (Niek); M.A. Koopmanschap (Marc); H.G. Lemij (Hans); T. Plochg; E. van Sprundel (Esther)

    2010-01-01

    textabstractA high workload for ophthalmologists and long waiting lists for patients challenge the organization of ophthalmic care. Tasks that require less specialized skills, like the monitoring of stable (well controlled) glaucoma patients could be substituted from ophthalmologists to other

  12. Optimizing the strategic patient mix

    NARCIS (Netherlands)

    Vanberkel, P.T.; Boucherie, Richardus J.; Hans, Elias W.; Hurink, Johann L.

    In this paper we address the decision of choosing a patient mix for a hospital that leads to the most beneficial treatment case mix. We illustrate how capacity, case mix and patient mix decisions are interrelated and how understanding this complex relationship is crucial for achieving the maximum

  13. Psychological aspects of cancer patients

    Directory of Open Access Journals (Sweden)

    Graça Cardoso

    2014-06-01

    Full Text Available Cancer is accompanied by important psychological distress experienced by both patient and family. From the moment of the diagnosis on, the patient has to develop a great number of mechanisms and tasks of adjustment to the illness and its circumstances. The high prevalence of anxiety and depressive disorders during the course of cancer increases in the end stage disea‐ se. Therefore, a global plan of intervention integrating somatic and psychological/ psychiatric care throughout all the phases of the illness is crucial in the treatment of these patients. Health professionals working on this field can also experience emotional reactions to their patients’ suffering. They should be aware of the emotional aspects involved and develop training to help them intervene adequately with the patient and the family. The articulation between oncologists, palliative care professionals, and mental health care teams can be of great help in providing good quality of care to cancer patients.

  14. Pulmonary complications in neurosurgical patients

    Directory of Open Access Journals (Sweden)

    Randeep Guleria

    2012-01-01

    Full Text Available Pulmonary complications are a major cause of morbidity and mortality in neurosurgical patients. The common pulmonary complications in neurosurgical patients include pneumonia, postoperative atelectasis, respiratory failure, pulmonary embolism, and neurogenic pulmonary edema. Postoperative lung expansion strategies have been shown to be useful in prevention of the postoperative complications in surgical patients. Low tidal volume ventilation should be used in patients who develop acute respiratory distress syndrome. An antibiotic use policy should be put in practice depending on the local patterns of antimicrobial resistance in the hospital. Thromboprophylactic strategies should be used in nonambulatory patients. Meticulous attention should be paid to infection control with a special emphasis on hand-washing practices. Prevention and timely management of these complications can help to decrease the morbidity and mortality associated with pulmonary complications.

  15. Understanding respect: learning from patients

    Science.gov (United States)

    Dickert, N W; Kass, N E

    2011-01-01

    Background The importance of respecting patients and participants in clinical research is widely recognised. However, what it means to respect persons beyond recognising them as autonomous is unclear, and little is known about what patients find to be respectful. Objective To understand patients’ conceptions of respect and what it means to be respected by medical providers. Design Qualitative study from an academic cardiology clinic, using semistructured interviews with 18 survivors of sudden cardiac death. Results Patients believed that respecting persons incorporates the following major elements: empathy, care, autonomy, provision of information, recognition of individuality, dignity and attention to needs. Conclusions Making patients feel respected, or valued as a person, is a multi-faceted task that involves more than recognising autonomy. While patients’ views of respect do not determine what respect means, these patients expressed important intuitions that may be of substantial conceptual relevance. PMID:19567690

  16. Social comparisons in cancer patients

    Directory of Open Access Journals (Sweden)

    Abraham P. Buunk

    2015-09-01

    Full Text Available Social comparison refers to relating one ́s own characteristics to those of other individuals. Due to the enhanced degree of physical distress, depression, and uncertainty, cancer patients tend to compare themselves often with other patients, especially when they are high in social comparison orientation, i.e. in the dispositional tendency to compare themselves with others. Downward comparison, i.e. with others who are worse- off, may contribute to the well-being of cancer patients when it is interpreted as a contrast, i.e. when it is emphased how much better-off one is oneself. Nevertheless, cancer patients tend to prefer information about other patients who are better-off, and such upward comparison may improve coping and contribute to well-being. 

  17. Gorlin Syndrome in Eleven Patients

    Directory of Open Access Journals (Sweden)

    Gülen Eda Utine

    2017-06-01

    Full Text Available Aim: Gorlin syndrome is an autosomal dominant disorder characterized by cutaneous basal cell carcinomas, odontogenic keratocysts and skeletal anomalies. Predisposition to certain types of cancers is among the main features of the disease. Chromosome instability was suspected as a mechanism for cancer predisposition. However, previous studies failed to prove the presence of chromosome instability. Materials and Methods: We present 11 patients with Gorlin syndrome. Results: Six of the patients were checked for increased sister chromatid exchange and were found normal. Two other patients had concurrent chromosome anomalies. Conclusion: Evidence for chromosome instability was not found in our patients. Occurrence of chromosome instability in a subgroup of patients and mechanisms underlying cancer predisposition requires further studies for full elucidation. Hairy patches and pigmentary skin lesions are among the recently defined common features of the syndrome.

  18. Endodontics and the ageing patient.

    Science.gov (United States)

    Johnstone, M; Parashos, P

    2015-03-01

    Patients are living longer and the rate of edentulism is decreasing. Endodontic treatment is an essential part of maintaining the health and well-being of the elderly. Retention of natural teeth improves the quality of life and the overall health and longevity of ageing patients. Also, teeth that might be otherwise extracted may be strategically valuable to retain a prosthesis, and elderly patients are more likely to have medical complications that may prevent dental extractions from being safely performed. The technical goals of endodontic treatment in the elderly are the same as those for younger patients. However, the pulpo-dentinal complex undergoes calcific changes over time, which may pose challenges for the clinician. The purposes of this review are to discuss age changes in the pulp and the challenges posed by diagnosing, treatment planning and treating the elderly endodontic patient. © 2015 Australian Dental Association.

  19. Endodontics and the irradiated patient

    Energy Technology Data Exchange (ETDEWEB)

    Cox, F.L.

    1976-11-01

    With increasingly larger numbers of irradiated patients in our population, it seems likely that all dentists will eventually be called upon to manage the difficult problems that these patients present. Of utmost concern should be the patient's home care program and the avoidance of osteroradionecrosis. Endodontics and periodontics are the primary areas for preventing or eliminating the infection that threatens osteoradionecrosis. Endodontic treatment must be accomplished with the utmost care and maximum regard for the fragility of the periapical tissues. Pulpally involved teeth should never be left open in an irradiated patient, and extreme care must be taken with the between-visits seal. If one is called upon for preradiation evaluation, routine removal of all molar as well as other compromised teeth should be considered. Attention should be directed to the literature for further advances in the management of irradiated patients.

  20. Developing patient safety in dentistry.

    Science.gov (United States)

    Pemberton, M N

    2014-10-01

    Patient safety has always been important and is a source of public concern. Recent high profile scandals and subsequent reports, such as the Francis report into the failings at Mid Staffordshire, have raised those concerns even higher. Mortality and significant morbidity associated with the practice of medicine has led to many strategies to help improve patient safety, however, with its lack of associated mortality and lower associated morbidity, dentistry has been slower at systematically considering how patient safety can be improved. Recently, several organisations, researchers and clinicians have discussed the need for a patient safety culture in dentistry. Strategies are available to help improve patient safety in healthcare and deserve further consideration in dentistry.

  1. Patients' attitudes towards animal testing

    DEFF Research Database (Denmark)

    Masterton, Malin; Renberg, Tobias; Kälvemark Sporrong, Sofia

    2014-01-01

    A strong argument for the practice of animal testing in medical research is the potential benefit to patients in getting improved pain relief, minimising morbidity and mortality. However, patients’ opinions on the ethics of animal testing are seldom sought, despite their role as principal...... stakeholders. This study compared the attitudes of patients and researchers on animal testing. Focus-group interviews were held with patients suffering from chronic inflammatory diseases, resulting in a questionnaire that was distributed January–May 2011. The questionnaire was posted to patient members...... of the Swedish Rheumatism Association (n=1195) and to all scientific experts serving on Ethical Review Boards in Sweden (n=364), with response rates of 65 per cent and 60 per cent, respectively. Results show that patients hold a positive stance towards animal testing, but with many caveats, and the level...

  2. Computers in medicine: patients' attitudes

    Science.gov (United States)

    Cruickshank, P. J.

    1984-01-01

    Data are presented from two surveys where a 26-item questionnaire was used to measure patients' attitudes to diagnostic computers and to medical computers in general. The first group of respondents were 229 patients who had been given outpatient appointments at a hospital general medical clinic specializing in gastrointestinal problems, where some had experienced a diagnostic computer in use. The second group of respondents were 416 patients attending a group general practice where there was no computer. Patients who had experience of the diagnostic computer or a personal computer had more favourable attitudes to computers in medicine as did younger people and males. The two samples of patients showed broadly similar attitudes, and a notable finding was that over half of each group believed that, with a computer around, the personal touch of the doctor would be lost. PMID:6471021

  3. 'The patient': at the center of patient-reported outcomes.

    Science.gov (United States)

    Awad, A George

    2015-08-09

    The recent emphasis of including patient reports in their own care management is reviewed in terms of the factors that contributed to its popularity. The role change of patients as being active participants in their own care as a result of the rising consumerism and advocacy has led to increased pressures for including patients in the therapeutic decision-making process. As consumers of clinical services, their perspectives and attitudes towards health and illness acquired more importance. The rising cost of healthcare has added another dimension in cost containment by empowering patients and sharing responsibility in their recovery, which hopefully can improve outcomes. Challenges in the development and implementation of patient-reported outcomes in psychiatry are reviewed and include the still unresolved subjective/objective dichotomy, identification of the most appropriate and relevant patient-reported outcomes. Few outcomes are identified and include: subjective tolerability of medication, self-reported health-related quality of life, preferences, patients' attitudes towards health and illness, satisfaction with medication and overall satisfaction of quality of care, and functional state, with particular focus on social functioning.

  4. Patient/Family Education for Newly Diagnosed Pediatric Oncology Patients.

    Science.gov (United States)

    Landier, Wendy; Ahern, JoAnn; Barakat, Lamia P; Bhatia, Smita; Bingen, Kristin M; Bondurant, Patricia G; Cohn, Susan L; Dobrozsi, Sarah K; Haugen, Maureen; Herring, Ruth Anne; Hooke, Mary C; Martin, Melissa; Murphy, Kathryn; Newman, Amy R; Rodgers, Cheryl C; Ruccione, Kathleen S; Sullivan, Jeneane; Weiss, Marianne; Withycombe, Janice; Yasui, Lise; Hockenberry, Marilyn

    There is a paucity of data to support evidence-based practices in the provision of patient/family education in the context of a new childhood cancer diagnosis. Since the majority of children with cancer are treated on pediatric oncology clinical trials, lack of effective patient/family education has the potential to negatively affect both patient and clinical trial outcomes. The Children's Oncology Group Nursing Discipline convened an interprofessional expert panel from within and beyond pediatric oncology to review available and emerging evidence and develop expert consensus recommendations regarding harmonization of patient/family education practices for newly diagnosed pediatric oncology patients across institutions. Five broad principles, with associated recommendations, were identified by the panel, including recognition that (1) in pediatric oncology, patient/family education is family-centered; (2) a diagnosis of childhood cancer is overwhelming and the family needs time to process the diagnosis and develop a plan for managing ongoing life demands before they can successfully learn to care for the child; (3) patient/family education should be an interprofessional endeavor with 3 key areas of focus: (a) diagnosis/treatment, (b) psychosocial coping, and (c) care of the child; (4) patient/family education should occur across the continuum of care; and (5) a supportive environment is necessary to optimize learning. Dissemination and implementation of these recommendations will set the stage for future studies that aim to develop evidence to inform best practices, and ultimately to establish the standard of care for effective patient/family education in pediatric oncology.

  5. Cancer patients and mass media

    Directory of Open Access Journals (Sweden)

    Mirjana Rajer

    2015-06-01

    Full Text Available ABSTRACTBACKGROUNDNowadays cancer patients tend to be more involved in the medical decision process. Active participation improves health outcomes and patient satisfaction. To participate effectively patients require a huge amount of information, but time limits make it impossible to satisfy all information needs at clinics. We tried to find out which kind of media cancer patients use when searching for information and how often. Lastly, we try to find out how popular the Internet is in this regard.METODSIn this research we invited cancer patients, who had regular clinic examinations at the Oncology Institute between 21st and 25th May in 2012. We carried out a prospective research by anonymous questionnaires. We were investigating which media were used and how often. We analysed results with descriptive statistics, ANOVA, the χ²-Test and the t-test.RESULTS478 of 919 questionnaires distributed among cancer patients were returned. Mean age was 59.9 years. 61 % of responders were female, and the most common level of education was high school (33 %. Most common cancer type was breast cancer (33 %, followed by gastrointestinal and lung cancer. Patients search for information most often on television (81.4% responders, followed by specialized brochures (78%, internet (70.8% and newspapers (67.6%. Patients who do not use media for information searching are older than average (62.5 years vs. 59.9 years; p<0,000.CONCLUSIONSAccording to our results patients search for information most often on television, followed by brochures, internet and newspapers. Older patients less often search for information. This data might help doctors in everyday clinical practice.

  6. Patient satisfaction with medical care

    Directory of Open Access Journals (Sweden)

    M. A. Sadovoy

    2017-01-01

    Full Text Available Patients’ evaluation of medical care is becoming more and more important due to expanding patient-centered care. For this purpose a complex index of patient satisfaction with healthcare is used. This parameter reflects the correspondence of actual healthcare services to patient’s expectations that were formed under the influence of cultural, social, economic factors, and personal experience of each patient. Satisfaction is a subjective parameter, thus, a grade of satisfaction is barely connected with quality of healthcare services itself. Moreover, medical organizations should always take into account specific features of each patient, since they can have an influence on customer attitude to medical services.This article comprises the review of publications studying determinants of patient satisfaction. In the course of the study, we analyzed data received by research teams from different countries.According to the review, we made some conclusions. First, determinants of patient satisfaction with healthcare can be divided in two groups. The first group of factors includes patients’ characteristics such as age, gender, ethnical and cultural features. However, researches from different countries revealed that there is a difference in the importance of factors belonging to this group and their influence on satisfaction of certain patient cohorts. The second group includes factors that belong to the process of healthcare services delivery and its organization. Moreover, it was found that patient satisfaction level is changing in a waveform. Thus, medical organization should not only try to increase patient satisfaction level but also maintain it. AS a result, it necessary to monitor patient satisfaction with healthcare services. That is why there is a distinct need for the development of a new tool or adaptation of existing instrument of satisfaction measurement, which would be unitized for all medical organizations in the Russian Federation 

  7. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience

    Directory of Open Access Journals (Sweden)

    Andrea Algauer BSN, RN

    2015-05-01

    Full Text Available With increasing wait times in emergency departments (ED across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction. One inpatient unit at New York-Presbyterian Weill Cornell Medical Center initiated a program to help expedite the inpatient admission process from the ED. The goal of the ED Bridge program is to ease the patient's transition from the ED to an inpatient unit by visiting the patient in the ED and introducing and setting expectations for the inpatient environment (i.e. telemetry alarms, roommates, hourly comfort rounds. Along with improving the patient experience, this program intends to improve the collaboration between ED nurses and inpatient nurses. With the continued support of our nurse management, hospital administrators and most important, our staff, this concept is aimed to increase patient satisfaction scores and subsequently employee satisfaction.

  8. Patient-Centered Care Transition for Patients Admitted through the ED: Improving Patient and Employee Experience.

    Science.gov (United States)

    Algauer, Andrea; Rivera, Stephanie; Faurote, Robert

    2015-05-01

    With increasing wait times in emergency departments (ED) across America, there is a need to streamline the inpatient admission process in order to decrease wait times and more important, to increase patient and employee satisfaction. One inpatient unit at New York-Presbyterian Weill Cornell Medical Center initiated a program to help expedite the inpatient admission process from the ED. The goal of the ED Bridge program is to ease the patient's transition from the ED to an inpatient unit by visiting the patient in the ED and introducing and setting expectations for the inpatient environment (i.e. telemetry alarms, roommates, hourly comfort rounds). Along with improving the patient experience, this program intends to improve the collaboration between ED nurses and inpatient nurses. With the continued support of our nurse management, hospital administrators and most important, our staff, this concept is aimed to increase patient satisfaction scores and subsequently employee satisfaction.

  9. Activty- versus Variability-Based Management Accounting

    DEFF Research Database (Denmark)

    Israelsen, Poul

    Bogen var blandt finalisterne til modtagelse af 1994-prisen “Contribution to Management Accounting Literature Award”, som uddeles af "The Management Accounting Section of the American Accounting Association"......Bogen var blandt finalisterne til modtagelse af 1994-prisen “Contribution to Management Accounting Literature Award”, som uddeles af "The Management Accounting Section of the American Accounting Association"...

  10. Både krucifikser og figurer af Jomfru Maria blev smidt ud af kirkerne ved Reformationen

    DEFF Research Database (Denmark)

    Thomassen, Bjørn; McGuire, Brian Patrick

    2016-01-01

    Interview med dronning Margrethe om blandt andet Reformationen kalder på et par supplerende kommentarer, lyder det fra en lektor og en professor i middelalderhistorie......Interview med dronning Margrethe om blandt andet Reformationen kalder på et par supplerende kommentarer, lyder det fra en lektor og en professor i middelalderhistorie...

  11. Den religiøse hjerne

    DEFF Research Database (Denmark)

    Schjødt, Uffe

    2007-01-01

    Interessen for hjerneforskning har bredt sig til religionsvidenskaben, men en egentlig religionsvidenskabelig hjerneforskning er hæmmet af en utilstrækkelig viden om religion blandt hjerneforskere og en begrænset indsigt i feltets metodiske og fortolkningsmæssige problemer blandt religionsforskere...

  12. Skalaer til måling af elevtrivsel på erhvervsuddannelserne

    DEFF Research Database (Denmark)

    Keilow, Maria; Holm, Anders

    Rapporten redegør for udviklingen af skalaer for trivsel blandt erhvervsskoleelever. På baggrund af data fra eksisterende trivselsmålinger foretaget blandt erhvervsskoleelever i 2013-2014, bidrager rapporten til udvikling af skalaer og indgår således i arbejdet med fremover at foretage valide mål...

  13. Vælgerskredet i marts historisk stort

    DEFF Research Database (Denmark)

    Thomsen, Søren Risbjerg

    2008-01-01

    NYHED: Marts 2008 var vælgermæssigt blandt de ti mest stormfulde måneder i dansk politik siden januar 1990, viser valgforskers tal.......NYHED: Marts 2008 var vælgermæssigt blandt de ti mest stormfulde måneder i dansk politik siden januar 1990, viser valgforskers tal....

  14. Description of travel behaviour in the traffic model - a critical review

    DEFF Research Database (Denmark)

    Nielsen, Otto Anker

    I de sidste år har der været en diskussion af trafikmodellers behandling af trafikanters rejse-adfærd. I Danmark har blandt andre forfatteren bidraget til dis-kussionen, mens Gärling (1994) har været med til at starte den internationale dis-kussion, der blandt andet mundede ud i konferencen "Theo...

  15. Lyset og livet

    DEFF Research Database (Denmark)

    Oxenvad, Carsten Michael

    2003-01-01

    Beskrivelse af Øster Aaby Friskole og friskoler generelt. Blandt bidragyderne: Susanne Eskildsen, Holger Henriksen, Margrethe Vestager, John Iversen, Thorstein Balle og Poul Erik Søe......Beskrivelse af Øster Aaby Friskole og friskoler generelt. Blandt bidragyderne: Susanne Eskildsen, Holger Henriksen, Margrethe Vestager, John Iversen, Thorstein Balle og Poul Erik Søe...

  16. Unge, sundhed og fitness

    DEFF Research Database (Denmark)

    Jensen, Jens-Ole

    2003-01-01

    Artiklen redegør for udbredelsen af fitness blandt unge og diskuterer, hvor det er blevet så populært at dyrke fitness.......Artiklen redegør for udbredelsen af fitness blandt unge og diskuterer, hvor det er blevet så populært at dyrke fitness....

  17. Spiseforstyrrelser

    DEFF Research Database (Denmark)

    Dynesen, Anja Weirsøe; Gehrt, Charlotte Astrid; Vammen, Katrine Schjødt

    2017-01-01

    Spiseforstyrrelser er blandt de mest alvorlige sygdomme blandt unge kvinder. Tidlig igangsættelse af behandling er afgørende for prognosen. Dette vanskeliggøres imidlertid af, at personer med en spiseforstyrrelse ofte ikke har erkendt eller skjuler deres sygdom. Da orale komplikationer som dental...

  18. The Spiritual '1968'

    DEFF Research Database (Denmark)

    Stadager, Anne

    2009-01-01

    åndelige, religiøse søgen gav sig blandt andet til kende i dyrkelsen af fremmede, ofte fjernøstlige trosformer, psykiske teknikker og mystiske visioner, og den var blandt andet, men ikke kun, en følge af de mange eksperimenter med bevidsthedsudvidende stoffer, såsom hash, mescalin og LSD, der udfoldede sig...

  19. Positiv Adfærd i Læring og Samspil (PALS)

    DEFF Research Database (Denmark)

    Skovbo Christensen, Pernille; Skov Olsen, Peter

    PALS er et såkaldt skoleomfattende program, hvor alle ansatte, elever og forældre involveres i at forebygge adfærdsproblemer blandt eleverne. Denne rapport evaluerer brugen af PALS på 11 danske skoler, der som de første begyndte at indføre programmet i 2008. Evalueringen viser blandt andet, at pr...

  20. Celebrity Patients, VIPs, and Potentates

    Science.gov (United States)

    Groves, James E.; Dunderdale, Barbara A.; Stern, Theodore A.

    2002-01-01

    Background: During the second half of the 20th century, the literature on the doctor-patient relationship mainly dealt with the management of “difficult” (personality-disordered) patients. Similar problems, however, surround other types of “special” patients. Method: An overview and analysis of the literature were conducted. As a result, such patients can be subcategorized by their main presentations; each requires a specific management strategy. Results: Three types of “special” patients stir up irrational feelings in their caregivers. Sick celebrities threaten to focus public scrutiny on the private world of medical caregivers. VIPs generate awe in caregivers, with loss of the objectivity essential to the practice of scientific medicine. Potentates unearth narcissism in the caregiver-patient relationship, which triggers a struggle between power and shame. Pride, privacy, and the staff's need to be in control are all threatened by introduction of the special patient into medicine's closed culture. Conclusion: The privacy that is owed to sick celebrities should be extended to protect overexposed staff. The awe and loss of medical objectivity that VIPs generate are counteracted by team leadership dedicated to avoiding any deviation from standard clinical procedure. Moreover, the collective ill will surrounding potentates can be neutralized by reassuring them that they are “special”—and by caregivers mending their own vulnerable self-esteem. PMID:15014712

  1. Identity disturbance in distant patients.

    Science.gov (United States)

    Hoffman, Irwin

    2013-04-01

    Chronically distant, emotionally isolated patients often present with identity disturbance. Identity, it is argued, develops as a thematic pattern of narcissism, shaped by the nature of the mother's early libidinal influences on the child's sense of self. Identity provides a form of self-definition that addresses the question, Who am I? In the treatment of these patients, resistances to narcissistic vulnerabilities (narcissistic resistances) provide an illusory sense of security and induce the analyst to avoid attention to a central pathological problem: primitive and frightening needs for, and unconscious fantasies of, dependence on, and functionality for, another. Patients' avoidance of material and therapeutic interactions that deal with their dependencies are aspects of a tacit contract with the analyst to foreclose examination of their considerable problems with inner stability. Among these problems are anxieties regarding intrusion and loss of separateness. As analysis proceeds, elements of such a patient's identity become clarified and are used to understand and organize the material for both analyst and patient. This can allow the patient to articulate a more embodied and vital experience of individuality. A case is presented to illustrate the analysis of a patient using this approach.

  2. Brief hospitalizations of elderly patients

    DEFF Research Database (Denmark)

    Strømgaard, Sofie; Rasmussen, Søren Wistisen; Schmidt, Thomas Andersen

    2014-01-01

    BACKGROUND: Crowded departments are a common problem in Danish hospitals, especially in departments of internal medicine, where a large proportion of the patients are elderly. We therefore chose to investigate the number and character of hospitalizations of elderly patients with a duration of les...... care sector, yet who do not belong at the emergency department. Further studies are needed to create a suitable service for these patients, and to improve the continuity of the treatment and the cooperation between hospitals and the primary health care sector.......BACKGROUND: Crowded departments are a common problem in Danish hospitals, especially in departments of internal medicine, where a large proportion of the patients are elderly. We therefore chose to investigate the number and character of hospitalizations of elderly patients with a duration of less...... than 24 hours, as such short admissions could indicate that the patients had not been severely ill and that it might have been possible in these cases to avoid hospitalization. METHODS: Medical records were examined to determine the number of patients aged 75 or more who passed through the emergency...

  3. Neurological disorders in hypertensive patients

    Directory of Open Access Journals (Sweden)

    N. V. Vakhnina

    2015-01-01

    Full Text Available Hypertension is one of the most common vascular diseases. The brain as target organs in hypertension is damaged more often and earlier. Neurological complications due to hypertension are frequently hyperdiagnosed in Russian neurological practice. Thus, headache, dizziness, impaired recall of recent events, nocturnal sleep disorders, and many other complaints in a hypertensive patient are usually regarded as a manifestation of dyscirculatory encephalopathy. At the same time headaches (tension headache and migraine in hypertensive patients are predominantly primary; headache associated with dramatic marked elevations in blood pressure is encountered in only a small number of patients. The role of cerebrovascular diseases in the development of dizziness in hypertensive patients is also overestimated. The vast majority of cases, patients with this complaint are in fact identified to have benign paroxysmal postural vertigo, Mеniеre’s disease, vestibular neuronitis, or vestibular migraine. Psychogenic disorders or multisensory insufficiency are generally responsible for non-systemic vertigo in hypertensive patients. Chronic cerebral circulatory insufficiency may cause non-systemic vertigo as a subjective equivalent of postural instability.Cognitive impairments (CIs are the most common and earliest manifestation of cerebrovascular lesion in hypertension. In most cases, CIs in hypertension were vascular and associated with cerebrovascular lesion due to lacunar infarcts and leukoaraiosis. However, mixed CIs frequently occur when hypertensive patients are also found to have signs of a degenerative disease, most commonly in Alzheimer’s disease.

  4. Virtual patients in geriatric education.

    Science.gov (United States)

    Tan, Zaldy S; Mulhausen, Paul L; Smith, Stephen R; Ruiz, Jorge G

    2010-01-01

    The virtual patient is a case-based computer program that combines textual information with multimedia elements such as audio, graphics, and animation. It is increasingly being utilized as a teaching modality by medical educators in various fields of instruction. The inherent complexity of older patients and the shortage of geriatrics educators have spurred the development of virtual patient programs to teach geriatrics at the medical undergraduate, graduate, and postgraduate levels. As an instructional tool, the Virtual Patient must be placed in the correct educational context to help educators identify opportunities for its proper use in the curriculum. In this review, the experiences of three medical schools in the development and application of geriatric virtual patients are described as case studies. In each case study, the challenges encountered and solutions developed are presented. Areas of future research in the use of virtual patients in geriatrics education include the determination of the optimal combination of features, the settings of use of virtual patient programs, the underlying pedagogy, and the limitations in its application in clinical instruction.

  5. HPV Carcinomas in Immunocompromised Patients

    Directory of Open Access Journals (Sweden)

    Nicole M. Reusser

    2015-01-01

    Full Text Available Human papillomavirus (HPV infection is the most common sexually transmitted disease worldwide and can result in pre-malignancies or overt malignancies of the skin and mucosal surfaces. HPV-related illnesses are an important personal and public health problem causing physical, mental, sexual and financial detriments. Moreover, this set of malignancies severely affects the immunosuppressed population, particularly HIV-positive patients and organ-transplant recipients. There is growing incidence of HPV-associated anogenital malignancies as well as a decrease in the average age of affected patients, likely related to the rising number of high-risk individuals. Squamous cell carcinoma is the most common type of HPV-related malignancy. Current treatment options for HPV infection and subsequent disease manifestations include imiquimod, retinoids, intralesional bleomycin, and cidofovir; however, primary prevention with HPV vaccination remains the most effective strategy. This review will discuss anogenital lesions in immunocompromised patients, cutaneous warts at nongenital sites, the association of HPV with skin cancer in immunocompromised patients, warts and carcinomas in organ-transplant patients, HIV-positive patients with HPV infections, and the management of cutaneous disease in the immunocompromised patient.

  6. Patient satisfaction: focusing on "excellent".

    Science.gov (United States)

    Otani, Koichiro; Waterman, Brian; Faulkner, Kelly M; Boslaugh, Sarah; Burroughs, Thomas E; Dunagan, W Claiborne

    2009-01-01

    In an emerging competitive market such as healthcare, managers should focus on achieving excellent ratings to distinguish their organization from others. When it comes to customer loyalty, "excellent" has a different meaning. Customers who are merely satisfied often do not come back. The purpose of this study was to find out what influences adult patients to rate their overall experience as "excellent." The study used patient satisfaction data collected from one major academic hospital and four community hospitals. After conducting a multiple logistic regression analysis, certain attributes were shown to be more likely than others to influence patients to rate their experiences as excellent. The study revealed that staff care is the most influential attribute, followed by nursing care. These two attributes are distinctively stronger drivers of overall satisfaction than are the other attributes studied (i.e., physician care, admission process, room, and food). Staff care and nursing care are under the control of healthcare managers. If improvements are needed, they can be accomplished through training programs such as total quality management or continuous quality improvement, through which staff employees and nurses learn to be sensitive to patients' needs. Satisfying patients' needs is the first step toward having loyal patients, so hospitals that strive to ensure their patients are completely satisfied are more likely to prosper.

  7. [Treatment of patients with osteoarthritis].

    Science.gov (United States)

    Vargas Negrín, Francisco; Medina Abellán, María D; Hermosa Hernán, Juan Carlos; de Felipe Medina, Ricardo

    2014-01-01

    The therapeutic management of patients with osteoarthritis aims to decrease pain and inflammation, improve physical function, and to apply safe and effective treatments. A patient-centered approach implies the active participation of the patient in the design of the treatment plan and in timely and informed decision-making at all stages of the disease. The nucleus of treatment is patient education, physical activity and therapeutic exercise, together with weight control in overweight or obese patients. Self-care by the individual and by the family is fundamental in day-to-day patient management. The use of physical therapies, technical aids (walking sticks, etc.) and simple analgesics, opium alkaloids, and antiinflammatory drugs have demonstrated effectiveness in controlling pain, improving physical function and quality of life and their use is clearly indicated in the treatment of osteoarthritis. Conservative surgery and joint replacement is indicated when treatment goals are not achieved in specific patients. Copyright © 2014 Elsevier España, S.L. All rights reserved.

  8. HPV Carcinomas in Immunocompromised Patients.

    Science.gov (United States)

    Reusser, Nicole M; Downing, Christopher; Guidry, Jacqueline; Tyring, Stephen K

    2015-01-29

    Human papillomavirus (HPV) infection is the most common sexually transmitted disease worldwide and can result in pre-malignancies or overt malignancies of the skin and mucosal surfaces. HPV-related illnesses are an important personal and public health problem causing physical, mental, sexual and financial detriments. Moreover, this set of malignancies severely affects the immunosuppressed population, particularly HIV-positive patients and organ-transplant recipients. There is growing incidence of HPV-associated anogenital malignancies as well as a decrease in the average age of affected patients, likely related to the rising number of high-risk individuals. Squamous cell carcinoma is the most common type of HPV-related malignancy. Current treatment options for HPV infection and subsequent disease manifestations include imiquimod, retinoids, intralesional bleomycin, and cidofovir; however, primary prevention with HPV vaccination remains the most effective strategy. This review will discuss anogenital lesions in immunocompromised patients, cutaneous warts at nongenital sites, the association of HPV with skin cancer in immunocompromised patients, warts and carcinomas in organ-transplant patients, HIV-positive patients with HPV infections, and the management of cutaneous disease in the immunocompromised patient.

  9. Patient satisfaction in radiation oncology

    International Nuclear Information System (INIS)

    Zissiadis, Y.; Provis, A.; Dhaliwal, S.S.

    2003-01-01

    In this current economic climate where the costs of providing a good medical service are escalating, patients are demanding a higher level of service from the Radiation Oncology providers. This coupled with the rising level of patients' expectations make it absolutely paramount for Radiation Oncology providers to offer the best possible service to their patients. In order to do this, it is essential to assess the present level of patient satisfaction prior to deciding which aspects of the current service need to be changed. In this pilot study, we assess the level of patient satisfaction with aspects of the radiotherapy service and the level of patient anxiety both prior to and following radiotherapy at the Perth Radiation Oncology Centre. A questionnaire was created using a combination of the Information Satisfaction Questionnaire-1 (ISQ-1), the Very Short Questionnaire 9 (VSQ 9) and the State Trait Anxiety Index (STAI). One hundred new patients were studied, all of whom were to have radiotherapy with curative intent. The results of this study are reviewed in this presentation

  10. Shader Lamps Virtual Patients: the physical manifestation of virtual patients.

    Science.gov (United States)

    Rivera-Gutierrez, Diego; Welch, Greg; Lincoln, Peter; Whitton, Mary; Cendan, Juan; Chesnutt, David A; Fuchs, Henry; Lok, Benjamin

    2012-01-01

    We introduce the notion of Shader Lamps Virtual Patients (SLVP) - the combination of projector-based Shader Lamps Avatars and interactive virtual humans. This paradigm uses Shader Lamps Avatars technology to give a 3D physical presence to conversational virtual humans, improving their social interactivity and enabling them to share the physical space with the user. The paradigm scales naturally to multiple viewers, allowing for scenarios where an instructor and multiple students are involved in the training. We have developed a physical-virtual patient for medical students to conduct ophthalmic exams, in an interactive training experience. In this experience, the trainee practices multiple skills simultaneously, including using a surrogate optical instrument in front of a physical head, conversing with the patient about his fears, observing realistic head motion, and practicing patient safety. Here we present a prototype system and results from a preliminary formative evaluation of the system.

  11. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    responses. Subthemes related to the former included individual preferences and perceptions of effect, while subthemes related to the latter were comprehensibility and layout. Based on these observations the patient representatives provided suggestions for improvement, which largely included development......BACKGROUND: Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed...... consent is possible to provide. We explored patient representatives' views and perceptions on the written trial information used in clinical cancer trials. METHODS: Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I...

  12. Patients with narcolepsy in Slovenia

    Directory of Open Access Journals (Sweden)

    Leja Dolenc Grošelj

    2014-12-01

    Full Text Available Abstract Background: To determine the number of patients with narcolepsy in Slovenia, describe their typical clinical features and the diagnostic criteria they met on polysomnography (PSG, the mean sleep latency test (MSLT and HLA typing.Methods: Retrospective study of all narcolepsy patients referred to the National Sleep Disorder Centre at the Institute of Clinical Neurophysiology, University Medical Centre Ljubljana in the period from May 1994 to September 2013.Results: There are currently only 38 patients with narcolepsy in Slovenia. The average time lapse from onset to diagnosis is 17 years. The time lapse is much longer for older patients. The prevalence of narcolepsy in Slovenia is 1.85 to 100,000 inhabitants. All patients had EDS, 89% cataplexy, 66% hallucinations and 37% sleep paralysis at the time of diagnosis. Characteristic changes on PSG and MSLT were present in 97% of all tested patients. HLA DQB1*0602 is present in 88% of all tested patients. The most common differential diagnoses found were OSAS and hypersomnia.Conclusion: With a prevalence of 1.85/100,000 narcolepsy in Slovenia, it is seriously underdiagnosed and not recognized by general practitioners and neurologists alike. Both should be more aware of the disease and think about the possibility of it in patients with excessive daytime sleepiness and unexplained attacks, with additional symptoms such as hallucinations and paralysis during sleep. Such patients should be sent to the Sleep Disorder Centre, where the diagnosis can be confirmed and treatment started as soon as possible, thereby reducing the patient’s pathological symptoms and improve their quality of life.  

  13. [Patients's with aphasia communication problems].

    Science.gov (United States)

    Matuszak, Katarzyna; Bonikowska, Agata; Kuczma, Monika; Hagner, Wojciech

    2011-01-01

    Aphasia is a speech disorder caused by disorders of speech centre in brain cortex. Patient with aphasia compensates communication disorders by communication strategy, witch are spontaneous mechanisms, and uses individual rehabilitation methods. Compensation mechanisms are divided in to: phonetic, inflective, formative, semantic, discursive and structural. Patients with aphasia early therapy have to be individual and consists in not only articulation correction, but in establish over verbal contact or verbal, and improvement this contacts, to create patients ability of communication with society. Later therapy is oriented on improvement of cognitive functions for possibility of participation in social live and if it is possible for return to work.

  14. Patient risk from interproximal radiography

    International Nuclear Information System (INIS)

    Gibbs, S.J.; Pujol, A. Jr.; Chen, T.S.; Malcolm, A.W.; James, A.E. Jr.

    1984-01-01

    Computer simulation methods for determining patient dose from dental radiography have demonstrated that patient risk from a two-film interproximal examination ranges from 1.1 X 10(-8) to 3.4 X 10(-7) using 90-kVp beams, depending on film speed, projection technique, and age and sex of the patient. Further, changing from a short-cone round-beam to a long-cone technique with rectangular collimation reduces risk by a factor of 2.9, independent of other factors

  15. Improving oral hygiene for patients.

    Science.gov (United States)

    Bonetti, Debbie; Hampson, Victoria; Queen, Kerry; Kirk, Donna; Clarkson, Jan; Young, Linda

    2015-01-13

    Systematic reviews and patient safety initiatives recommend that oral hygiene should be part of routine patient care. However, evidence suggests it is often neglected in hospitals and care homes. Research recommends encouraging beliefs that support oral hygiene, and teaching nurses appropriate skills, as necessary prerequisites to implementing best practice in hospital wards. This article describes a pilot study of an educational workshop on oral hygiene. Results from the pilot study suggest that this workshop is a feasible intervention for a service-wide trial. The literature suggests that other interventions are required to complement this approach if nurses are to make oral hygiene a priority in daily patient care.

  16. Patient newsletters: the debate continues.

    Science.gov (United States)

    Manji, I

    1993-06-01

    Producing a patient newsletter is a worthwhile venture if you're doing it for the right reasons. As one component of an overall internal marketing strategy, it demonstrates to patients that you are a concerned caregiver, not only during their visits to your practice but in between those visits. If it's a professional-looking publication with quality content and visuals, it will likely be appreciated by your patients. And as you well know, the dental profession is certainly not suffering from a surplus of appreciation.

  17. Patient dosimetry during chest radiography

    International Nuclear Information System (INIS)

    Ciraj-Bjelac, O.; Kosutic, D.; Markovic, S.

    2004-01-01

    Reasons for the variation in patient doses from chest radiography procedure were investigated by assessing entrance skin doses from kerma-area product measurements. Data were collected from seven x-ray tubes in five hospitals involving 259 adult patients. The third quartile value was 0.81 mGy compared to general reference level of 0.30 mGy. The applied tube potential was main contributor to patient dose variation. If department use at least 90 k Vp, the mean entrance surface dose would be reduced ut to factor six. Modification of departmental procedure is correct approach for dose reduction in diagnostic radiology. (author) [sr

  18. Semi-customizing patient surveys

    DEFF Research Database (Denmark)

    Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr

    2011-01-01

    surveys during four rounds in eight hospitals. To explain differences between the wards, data on the 40 wards with the best and the 40 wards with the worst evaluations (identified by patient surveys) were compared with the data from job satisfaction surveys and management information systems. Setting....... Eight public hospitals in a Danish county. Participants. 32 809 inpatients and 1842 nurses on 84 wards. Main Outcome Measure. Optimal organizational level for measuring patient satisfaction and correlations between overall patient satisfaction and organizational context. Results. In all, 71...

  19. Syncope in Patients with Pacemakers

    OpenAIRE

    Sutton, Richard

    2015-01-01

    Syncope in a pacemaker patient is a serious symptom but it is rarely due a pacemaker system malfunction. Syncope occurs in about 5 % of patients paced for atrioventricular (AV) block in 5 years, 18% in those paced for sinus node disease in 10 years, 20 % of those paced for carotid sinus syndrome in 5 years and 5–55 % of those older patients paced for vasovagal syncope in 2 years. The vastly different results in vasovagal syncope depend on the results of tilt testing, where those with negative...

  20. Protect the Patient from Whom?

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann; Villadsen, Kaspar

    2013-01-01

    of discipline and biopolitics in preventive practices, this study eschews an interpretation that views the powers of the professional health system as invasive and one-directional. Perhaps surprisingly, the study demonstrates how patients in various ways defy a ‘patient-centered’ and empowering approach...... and demand to be treated medically and disciplined in a more traditional sense. The blurring of the public/private boundary, then, cannot be straightforwardly described as a result of a professional health system that, more or less subtly, reaches into the private lives of patients. A more complex picture...... emerges, as patients’ attitude reflect both traditional medicine and rationalities foreign to the health system....

  1. [Adenovirus infection in immunocompromised patients].

    Science.gov (United States)

    Rynans, Sylwia; Dzieciątkowski, Tomasz; Młynarczyk, Grażyna

    2013-09-11

    Human adenoviruses belong to the Adenoviridae family and they are divided into seven species, including 56 types. Adenoviruses are common opportunistic pathogens that are rarely associated with clinical symptoms in immunocompetent patients. However, they are emerging pathogens causing morbidity and mortality in recipients of hematopoietic stem cell and solid organ transplants, HIV infected patients and patients with primary immune deficiencies. Clinical presentation ranges from asymptomatic viraemia to respiratory and gastrointestinal disease, haemorrhagic cystitis and severe disseminated illness. There is currently no formally approved therapy for the treatment of adenovirus infections. This article presents current knowledge about adenoviruses, their pathogenicity and information about available methods to diagnose and treat adenoviral infections.

  2. ANEMIA IN HEMODIALYSIS PATIENTS: DIABETIC VS NON DIABETIC PATIENTS

    Directory of Open Access Journals (Sweden)

    SH SHAHIDI

    2002-12-01

    Full Text Available Introduction. One of the characteristic signs of uremic syndrome is anemia. One of major factors that affects on severity of anemia in ESRD is underlying diseas. The porpuse of this study is to compaire anemia between diabetic and non diabetic ESRD patients. Methods. In a case control study we compared the mean valuse of Hb, Het, MCV, MCH, MCHC, BUN, Cr and duration of dialysis between diabetic and nondiabetic patients on chronic hemodialyis. some variables (such as age, sex, use of erythropoietin, nonderolone decaonats, folic acid, ferrous sulfate, transfusion and blood loss in recent three months and acquired kidney cysts were matched between cases and controls. Results. Means of Hb were 9±1.3 and 8 ± 1.7 in diabetic and non diabetic patients (P<0.05. Mean corposcular volume in diabetic patients (91±3.1 fl was more higher than non diabetic ones (87.1 ± 8.9 (P < 0.05. Other indices had no differences between two groups (P > 0.05. Discussion. Severity of anemia in patients with diabetic nephropathy is milder that other patients with ESRD. So, Anemia as an indicator of chronocity of renal disease in diabetics is missleading.

  3. With patient satisfaction under increasing scrutiny, consider patient callbacks.

    Science.gov (United States)

    2011-07-01

    Under the final rules for Medicare's value-based purchasing program, one-third of the funding that is set aside to reward quality will be based on how patients rate their hospital experience. However, some EDs are already working to maximize patient satisfaction by implementing programs or policies whereby patients who have been discharged are routinely called to make sure their recovery is going well, as well as to intervene if there is an opportunity for service recovery. There are benefits to having ED clinicians make the follow-up calls themselves, but some health care organizations are also reaping benefits by having non-clinicians collect feedback on individual clinicians as well as specific facilities. In addition to potentially boosting quality and customer service, experts say callbacks are useful in curbing malpractice litigation. To avoid pushback among staff, consider beginning a program of patient callbacks by asking clinicians to call back just two patients per shift worked, and to share their experiences with colleagues. For maximum value, experts recommend that patient callbacks be made within one to four days of discharge.

  4. Quality of Doctor-Patient Communication through the Eyes of the Patient: Variation According to the Patient's Educational Level

    Science.gov (United States)

    Aelbrecht, Karolien; Rimondini, Michela; Bensing, Jozien; Moretti, Francesca; Willems, Sara; Mazzi, Mariangela; Fletcher, Ian; Deveugele, Myriam

    2015-01-01

    Good doctor-patient communication may lead to better compliance, higher patient satisfaction, and finally, better health. Although the social variance in how physicians and patients communicate is clearly demonstrated, little is known about what patients with different educational attainments actually prefer in doctor-patient communication. In…

  5. Learning from patients: students' perceptions of patient-instructors.

    Science.gov (United States)

    Henriksen, Ann-Helen; Ringsted, Charlotte

    2011-09-01

    Prior research on the use of patients as teachers has focused on testing the effectiveness of this practice and exploring its benefits for students. However, very little is known about the added value of patient teaching and how it relates to patient-centred learning. The aim of this study was to explore whether there is added value in using patients as instructors in health professions education and, if there is, to examine how it is constituted. Group interviews were conducted with physiotherapy and occupational therapy students who had attended a 3-hour optional class entitled 'Thoughtful joint examination and respectful patient contact'. This class was delivered by patient-instructors (PIs), who were patients with rheumatism certified to teach. A semi-structured interview guide was used. Interviews continued until data saturation occurred (seven interviews). The interviews were recorded and transcribed verbatim. Data were analysed using content analysis. The main finding of this study is that PI sessions facilitate a learning environment in which the content matter is complemented by the provision of realism and individual perspectives on rheumatism, the pedagogical format is characterised by authenticity and intimacy in the style of instruction and feedback, and the PI-student relationship is characterised by balanced teacher-student power relations that support the legitimacy of learning and make space for the asking of questions and the making of mistakes. This study indicates that, in terms of power relations, the PI-student relationship differs from those between faculty teachers and students, and students and patients in the clinic. The formation of a professional identity by students may clash with the fulfilment of their learning tasks in the clinical environment. The study indicates that patient-centredness can be fostered in the PI-student relationship. This is probably supported by the absence of faculty staff involvement in PI teaching sessions

  6. Systems Thinking and Patient Safety

    National Research Council Canada - National Science Library

    Schyve, Paul M

    2005-01-01

    Patient safety is a prominent theme in health care delivery today. This should come as no surprise, given that "first, do no harm" has been the ethical watchword throughout the history of medicine, nursing, and pharmacy...

  7. Bathing a patient in bed

    Science.gov (United States)

    ... their backs. To wash a patient's skin, first wet the skin, then gently apply a small amount ... with basic needs. In: Timby BK. Fundamentals of nursing skills and concepts . 10th ed. Philadelphia, PA: Wolters ...

  8. Limb apraxia in aphasic patients.

    Science.gov (United States)

    Ortiz, Karin Zazo; Mantovani-Nagaoka, Joana

    2017-11-01

    Limb apraxia is usually associated with left cerebral hemisphere damage, with numerous case studies involving aphasic patients. The aim of this study was to verify the occurrence of limb apraxia in aphasic patients and analyze its nature. This study involved 44 healthy volunteers and 28 aphasic patients matched for age and education. AH participants were assessed using a limb apraxia battery comprising subtests evaluating lexical-semantic aspects related to the comprehension/production of gestures as well as motor movements. Aphasics had worse performances on many tasks related to conceptual components of gestures. The difficulty found on the imitation of dynamic gesture tasks also indicated that there were specific motor difficulties in gesture planning. These results reinforce the importance of conducting limb apraxia assessment in aphasic patients and also highlight pantomime difficulties as a good predictor for semantic disturbances.

  9. RLS patients: who are they?

    Science.gov (United States)

    Schapira, A H V

    2006-10-01

    Four essential diagnostic criteria for restless legs syndrome (RLS) have been identified. Patients experience an urge to move the legs, which typically begins or worsens during periods of rest. The symptoms are at least partially relieved by movement, and are typically worse in the evening and night than in the day. All four criteria are necessary to confirm the diagnosis of RLS. In addition, a family history of RLS, the presence of periodic leg movements in sleep, and a positive response to dopaminergic therapy are useful supportive clinical features to confirm the diagnosis. Whilst many cases of RLS are idiopathic, secondary RLS is often observed in pregnant women, patients who have severe renal dysfunction, or in those with iron deficiency. Several other conditions have symptoms similar to those of RLS, but a detailed patient history is usually sufficient to identify these differential diagnoses. The accurate diagnosis and appropriate treatment of RLS should result in considerable improvements in patients' quality of life.

  10. [Surgical emergencies in elderly patients].

    Science.gov (United States)

    Cohen-Bittan, Judith; Lazareth, Helene; Zerah, Lorene; Forest, Anne; Boddaert, Jacques

    2011-01-01

    Surgical emergencies represent a diverse combination of common and particularly severe pathologies in elderly patients. This severity is due in part to concurrent comorbidities and sometimes atypical clinical presentations, causing delay in diagnosis and treatment.

  11. Cardiology Patient Page: Electronic Cigarettes

    Science.gov (United States)

    ... American Heart Association Cardiology Patient Page Electronic Cigarettes Rachel A. Grana , Pamela M. Ling , Neal Benowitz , Stanton ... 129: e490-e492 Originally published May 12, 2014 Rachel A. Grana From the Center for Tobacco Control ...

  12. Patients Bill of Rights Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Reducing Costs, Protecting Consumers - The Affordable Care Act on the One Year Anniversary of the Patients Bill of Rights For too long, too many hard working...

  13. Music for untying restrained patients.

    Science.gov (United States)

    Janelli, L M; Kanski, G

    1998-03-01

    The purpose of this descriptive pilot study was two-fold: (a) to test psychometrically an observational instrument designed to measure patient behaviors displayed while unrestrained and receiving a musical intervention; and (b) to determine the effect of a musical intervention on the behavioral reactions of physically restrained patients. The Restraint-Music Response Instrument (RMRI) is a 40-item observational checklist consisting of 22 positive and 18 negative responses developed by the researchers. Content validity was assessed by a panel of experts. The RMRI was tested for interrater reliability using three simulated and 10 actual patients. Results suggest that the RMRI is a valid and reliable measure of patients' responses to music but requires additional study with a control group not receiving the intervention.

  14. Hypokalemia in acute medical patients

    DEFF Research Database (Denmark)

    Jensen, Helene Christine Kildegaard; Brabrand, Mikkel; Vinholt, Pernille Just

    2015-01-01

    BACKGROUND: Hypokalemia is one of the most common electrolyte disorders in hospitalized patients. It is associated with a high mortality rate among patients with cardiovascular disease. Whether hypokalemia confers a similar risk in an unselected hospitalized population is not well established....... METHODS: We conducted a prospective cohort study involving all first time admissions (n=11988) to the Acute Medical Department at Odense University Hospital linking potassium level at admission with registry data on patient characteristics, laboratory data, redeemed prescriptions and time of death...... for the period from August 2009 to August 2011. We estimated hazard ratios for all cause mortality within 0-7 days and 8-30 days after admission, comparing patients with hypokalemia at admission (plasma [K(+)] level

  15. Learning problems in neurofibromatosis patients.

    Science.gov (United States)

    Stine, S B; Adams, W V

    1989-08-01

    Learning problems in patients with neurofibromatosis (NF) are probably the most frequent characteristics after those that define the disorder. They are not secondary to the physical problems. A recent survey that compared children who have NF with their siblings revealed a 37% greater incidence of learning disabilities in the children with NF. Intelligence quotient (IQ) data from several studies indicate that almost all patients with NF have a normal IQ, but there is a progression from low normal to normal as these patients reach adulthood. The most common psychoeducational problems include visual-perceptual-motor delay, spelling and arithmetic disabilities, and a cluster of weaknesses related to cortical organization, similar to those seen in children with attention-deficit disorders. A type of learning disability unique to patients with NF has not been identified, and the diagnosis and treatment of the learning problems are generally the same as for children without NF.

  16. Exercise Testing in Hypertension Patients

    National Research Council Canada - National Science Library

    Meng, Zhaohui

    2001-01-01

    .... To study its impact on health status, an exercise testing was developed to examine the change of physiological parameter 107 hypertension patients and 68 healthy persons were volunteers for this testing...

  17. Osseous involvement in AIDS patients

    International Nuclear Information System (INIS)

    Marchiori, Edson; Pereira, Abercio Arantes

    1995-01-01

    The radiological findings of eight patients with the acquired immunodeficiency syndrome (AIDS) who developed bone lesions were analyzed in conjunction with twelve similar published cases. Our series included three patients with lymphoma, two with bacillary angiomatosis, two with tuberculosis and one with staphylococcal osteomyelitis. All the lesions were lithic regardless of the etiology. Both in our cases and in those previously published bone repair was only seen in cases of bacillary angiomatosis treated with erythromycin. No pathognomonic findings were observed. However, the association of skin and bone lesions in immuno deficient patients should always bring the consideration of bacillary angiomatosis in the differential diagnosis. This is particularly relevant since this a condition amenable to treatment once correctly identified. The radiological findings in the lymphoma and tuberculosis patients have not been described previously. (author). 9 refs., 7 figs., 3 tabs

  18. [Nutritional support in polytraumatized patients].

    Science.gov (United States)

    García de Lorenzo y Mateos, A; Acosta Escribano, J; Bonet Saris, A

    2005-06-01

    Polytraumatism usually presents in previously healthy patients with a good nutritional status. However, metabolic changes derived from the traumatic injury put these patients in a nutritional risk situation. Specialized nutritional support should be started if it is foreseeable that nutritional requirements will not be met p.o. within the 5-10 days period from admission. Enteral nutrition should be the first route to consider for nutrients intake. However, the presence of head trauma leads to gastrointestinal motility impairments that hinder tolerance to enteral nutrition. Patients with abdominal trauma also present difficulties for the onset and tolerance of enteral diet. The insertion of transpyloric tubes or jejunostomy catheters allows early use of enteral nutrition in these patients.

  19. Paraneoplastic disorders in thymoma patients

    Science.gov (United States)

    Lancaster, Eric; Evoli, Amelia

    2014-01-01

    Thymic malignancy is often associated with paraneoplastic neurological diseases (PNDs) and recognition of these disorders is important for physicians who treat these patients. The most common thymoma-associated PNDs are myasthenia gravis, acquired neuromyotonia (Isaacs' syndrome), encephalitis, Morvan's syndrome, and myositis. Diagnosis of these disorders is complex but often aided by testing for specific autoantibodies, including those to the acetylcholine receptor (AChR) for myasthenia gravis and to Caspr2, protein of the voltage-gated potassium channel (VGKC) complex, in patients with acquired neuromyotonia, Morvan's syndrome, or encephalitis. Patients who manifest these disorders should be screened for thymoma at diagnosis, and worsening of these PNDs may be associated with recurrent thymoma. These disorders can cause profound disability but usually respond to immunotherapy, and often improve with thymoma treatment. Close cooperation among a team of specialists is required to properly care for these patients. PMID:25396312

  20. Patient-specific surgical simulation.

    Science.gov (United States)

    Soler, Luc; Marescaux, Jacques

    2008-02-01

    Technological innovations of the twentieth century have provided medicine and surgery with new tools for education and therapy definition. Thus, by combining Medical Imaging and Virtual Reality, patient-specific applications providing preoperative surgical simulation have become possible.