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Sample records for patient cirrhotique resultats

  1. Tolerance and efficacy of conformal radiotherapy for hepatocellular carcinoma in cirrhotic patients. Results of the French RTF1 phase 2 trial; Tolerance et efficacite de la radiotherapie de conformation en cas de carcinome hepatocellulaire chez le patient cirrhotique. Resultats de l'essai de phase II RTF1

    Energy Technology Data Exchange (ETDEWEB)

    Mornex, F.; Girard, N.; Wautot, V.; Khodri, M. [Centre Hospitalier Lyon-Sud, Dept. de Radiotherapie-Oncologie, 69 - Pierre-Benite (France); Merle, P.; Kubas, A.; Trepo, C. [Hopital de l' Hotel-Dieu, Service d' hepatogastroenterologie, 69 - Lyon (France); Beziat, C. [Hopital de l' Hotel-Dieu, Dept. de Radiologie, 69 - Lyon (France)

    2005-11-15

    Purpose. - While some patients presenting with hepatocellular carcinoma (HCC) benefit from curative therapies (transplantation, surgery, percutaneous ablation), others are only candidates for palliative options such as chemo-embolization or symptomatic care. Although conventional external-beam radiotherapy of the liver is regarded as little efficient and potentially toxic in cirrhotic patients, 3-dimensional conformal radiotherapy (CRT), by decreasing the amount of normal liver included in the radiation portal, allows dose escalation to occur without increasing the risk of radiation-induced hepatitis. This trial was designed to assess the efficacy and tolerance of CRT for small-size HCC in cirrhotic patients. Patients and methods. - Prospective phase II trial including stage A/B cirrhotic patients with small-size HCC not suitable for curative treatments; CRT consisted in a standard fractionation radiation, with a total dose of 66 Gy. Results. - Twenty-seven patients were included, 15 of whom had previously been treated for HCC; mean age was 68. Among the 23 assessable patients, 18 (78%) presented with complete response, 3 (13%) with partial response, and 2 with no response. Acute complications occurred in 24 patients, and were mainly acceptable (grade 1/2: 22 patients, grade 3/4: 11 patients, 4 (15%) of whom had clinical and/or hematological toxicities). Only 2 (9%) grade 3/4 clinical and/or hematological late toxicities are reported. Conclusion. - CRT is a non-invasive curative technique highly suitable for small-size HCC in cirrhotic patients; further investigations are needed to compare it to the other available treatments, and to integrate it into the curative therapeutic algorithm of HCC. (author)

  2. Place de la splénectomie dans la prise en charge de l’hypertension portale non cirrhotique: à propos de 3 cas

    Science.gov (United States)

    Belhamidi, Mohamed Said; Hammi, Salah Eddine; Bouzroud, Mohamed; Benmoussa, Mustapha; ali, Abdelmounaim Ait; Bounaim, Ahmed

    2017-01-01

    L’hypertension portale non cirrhotique est une affection décrite pour la première fois par Guido BANTI en 1898 comme une affection associant une hypertension portale avec splénomégalie et anémie sur foie sain. Le diagnostic repose sur l’échographie abdominale, la splénoportographie et la biopsie hépatique. Le but de notre travail est d’évaluer la place de la splénectomie dans l’hypertension portale non cirrhotique à travers une étude rétrospective portant sur 3 malades dont 2 femmes et un homme pris en charge dans notre formation entre Janvier 2010 et Septembre 2016. Le diagnostic de l’hypertension portale idiopathique a été basé sur les critères suivants : une hypertension portale, la présence des varices oesophagiènnes avec une splénomégalie, l’absence de cirrhose ou d’autres affections hépatiques responsables de l’hypertension portale. La splénectomie a été réalisée chez les 3 malades. L’évolution après la splénectomie était marquée par la normalisation des signes cliniques, radiologiques et biologiques de cette affection, avec absence de récidive des varices œsophagiennes. La splénectomie associée à la ligature des varices œsophagiennes pourraient être suffisantes pour traiter ce syndrome et surtout ses conséquences sans avoir recours à une dérivation spléno-rénale. PMID:29255554

  3. Resultats visuels et complications apres chirurgie de la cataracte ...

    African Journals Online (AJOL)

    Resultats visuels et complications apres chirurgie de la cataracte: cas de l' Hopital Ophtalmologique Saint Andre de Tinre au nord-Benin. K.M. Amedome, C.R.A. Assavedo, M Aboudou, K Vonor, N Maneh, K Nonon Saa, K Dzidzinyo, K.D. Ayena, M Banla, K Balo ...

  4. Exclusive curietherapy by permanent iodine-125 implants: selection of patients and results after eight years; Curietherapie exclusive par implants permanents d'iode-125: selection des patients et resultats a huit ans

    Energy Technology Data Exchange (ETDEWEB)

    Boutenbat, G.; Peiffert, D.; Bernier, V.; Moreau, J.L.; Boudran, G.; Noel, A.; Marchesi, V.; Huget, S. [Centre Alexis Vautrin, 54 - Vandoeuvre-Les-Nancy (France); Moreau, J.L. [Cabinet prive d' urologie, 54 - Nancy (France); Boudran, G. [Centre Hospitalier Universitaire de Brabois, 54 - Vandoeuvre-Les-Nancy (France)

    2010-10-15

    The authors report a retrospective study which assesses the results obtained over eight years and the toxicity of an exclusive curietherapy by permanent iodine-125 implants performed at the Nancy centre of struggle against cancer. More than five hundred patients have been treated between December 1999 and December 2007, a first group comprising patients suffering from a low risk cancer and a second group suffering from a medium risk cancer. The authors discuss the survival rates, the existence of side effects, and rectal toxicity results. Short communication

  5. Intensity modulated radiation therapy: Analysis of patient specific quality control results, experience of Rene-Gauducheau Centre; Radiotherapie conformationnelle avec modulation d'intensite: analyse des resultats des controles precliniques, experience du centre Rene-Gauducheau

    Energy Technology Data Exchange (ETDEWEB)

    Chiavassa, S.; Brunet, G.; Gaudaire, S.; Munos-Llagostera, C.; Delpon, G.; Lisbona, A. [Service de physique medicale, centre Rene-Gauducheau, CLCC Nantes Atlantique, site hospitalier Nord, boulevard Jacques-Monod, 44805 Nantes Saint-Herblain cedex (France)

    2011-07-15

    Purpose. - Systematic verifications of patient's specific intensity-modulated radiation treatments are usually performed with absolute and relative measurements. The results constitute a database which allows the identification of potential systematic errors. Material and methods. - We analyzed 1270 beams distributed in 232 treatment plans. Step-and-shoot intensity-modulated radiation treatments were performed with a Clinac (6 and 23 MV) and sliding window intensity-modulated radiation treatments with a Novalis (6 MV). Results. - The distributions obtained do not show systematic error and all the control meet specified tolerances. Conclusion. - These results allow us to reduce controls specific patients for treatments performed under identical conditions (location, optimization and segmentation parameters of treatment planning system, etc.). (authors)

  6. La implantació de la normativa dels relatius: els resultats en dos exercicis gramaticals

    OpenAIRE

    Costa Carreras, Joan; Labèrnia Romagosa, Aina

    2014-01-01

    En aquest article es presenten els resultats obtinguts a partir de dos exercicis enfocats a avaluar la implantació de la normativa dels relatius en discursos planificats. L’article analitza els resultats parcials d’una recerca que s’emmarca en l’ús que fa dels relatius la mostra estudiada (26 individus catalanoparlants de 1r curs de Traducció i Interpretació) i la percepció que se’n té. Els resultats han permès extreure les conclusions següents: (a) la implantació de la normativa pel ...

  7. La varicocèle de l'adulte: aspects anatomo-cliniques et resultats ...

    African Journals Online (AJOL)

    La varicocèle de l'adulte: aspects anatomo-cliniques et resultats therapeutiques au service d'urologie-andrologie du CHU de Conakry, Guinee. AB Diallo, I Bah, M Barry, TMO Diallo, MD Bah, D Kanté, D Cissé, OR Bah, MB Diallo ...

  8. 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...

  9. Perkutan indsaettelse af aortaklap - initiale erfaringer og resultater

    DEFF Research Database (Denmark)

    Olsen, Lene Kjaer; Engstrøm, Thomas; Wachtell, Kristian

    2009-01-01

    University Hospital in the period November 2007 to September 2008. RESULTS: The procedural success was 100% and 30-day mortality was 5%, none of which was due to cardiac death. The treatment resulted in a considerable relief of symptoms. The aortic valve area showed a significant increase from 0.8 +/- 0.2 cm......-up. CONCLUSION: Implantation of a percutaneous aortic valve can be achieved in patients with inoperable AS and may become a very important therapeutic modality for this group of patients. These first results from Copenhagen University Hospital are promising and in concordance with international experience...

  10. Long term results of hypo-fractionated mammary radiotherapy as exclusive treatment of elderly patients suffering from a beast cancer; Resultats a long terme de la radiotherapie mammaire hypofractionnee comme traitement exclusif des patientes agees souffrant d'un cancer du sein

    Energy Technology Data Exchange (ETDEWEB)

    Chargari, C.; Kirova, Y.; Laki, F.; Savignoni, A.; Dorval, D.; Dendale, R.; Bollet, M.; Fourquet, A.; Campana, F. [Institut Curie, 75 - Paris (France)

    2010-10-15

    The author discuss the results obtained on 29 elderly patients exclusively treated between 1995 and 1999 by mammary irradiation (32.5 Gy) in 5 fractions over 5 weeks, and then with a lower additional irradiation (13 Gy) in two fractions. They discuss the efficiency of this hypo-fractionated radiotherapy without breast conserving surgery. Short communication

  11. Patients particularly exposed: first results of two studies on the premature babies and the children/adolescents suffering of cystic fibrosis;Des patients particulierement exposes: premiers resultats de deux etudes sur les prematures et les enfants/adolescents atteints de mucoviscidose

    Energy Technology Data Exchange (ETDEWEB)

    Donadieu, J.; Roudier, C.; Pirard, Ph. [Institut de veille sanitaire, Saint-Maurice (France); Jarreau, P.H. [Hopital Cochin, Assistance publique, 75 - Paris (France); Chiron, R. [Centre de Ressources et de Competences de la Mucoviscidose, 34 - Montpellier (France); Maccia, C. [Centre d' Assurance de Qualite des Applications Technologiques dans le Domaine de la Sante, 92 - Bourg-la-Reine (France)

    2006-04-15

    We report two studies that have explored a particular health situation among children. These studies were concerned for one of preterm infants admitted to a neonatal intensive care unit, and for other patients with cystic fibrosis. These studies were limited to a dosimetry evaluation of a existing practice. It is worth noting that such studies are exceptional in literature. They aim to provide a missing information for radiation protection of populations not in good health, but suffering from diseases. (N.C.)

  12. Bokföringsbrott : Ett resultat av oaktsamhet i bokföring?

    OpenAIRE

    Abdlwafa, Lezan; Balci, Anita; Safari, Awat

    2013-01-01

    Datum: 29 maj, 2013 Nivå: Kandidatuppsats i företagsekonomi, 15 hp Institution: Akademin för ekonomi, samhälle och teknik, ESTMälardalens Högskola Författare: Lezan Abdlwafa, Anita Balci & Awat Safari Titel: Bokföringsbrott – Ett resultat av oaktsamhet i bokföring? Handledare: Ulla Pettersson Nyckelord: Bokföringsbrott, oaktsamhet, bokföringsskyldighet, god redovisningssed, Ekobrottsmyndigheten, Skatteverket, konkursförvaltare Frågeställning: På vilket sätt leder näringsidkarens oaktsamhe...

  13. Rene resultater

    DEFF Research Database (Denmark)

    Christiansen, Ask Vest

    livsførelse der gør den hårde disciplin nemmere at håndtere. En udbredt restitutionsteknik er brugen af vitaminer og kosttilskud i sprøjter og drop. Mens det med mellemrum at få eller selv tage en sprøjte forekommer selvfølgeligt for den erfarne rytter, udgør det selv at føre sprøjten en grænseoverskridende...... handling for den uerfarne. Det er imidlertid en overskridelse der synes at have en logisk forbin­delse til det excessive ved sportens væsen. Med evnen til at sprøjte sig selv får rytteren adgang til en praksis der gør doping til en knap så fjern mulighed, eftersom det fæno­menologisk set er med sprøjten...

  14. First experiments results about the engineering model of Rapsodie; Premiers resultats d'essais interessant le bloc pile de rapsodie

    Energy Technology Data Exchange (ETDEWEB)

    Chalot, A; Ginier, R; Sauvage, M [Association Euratom-CEA Cadarache (France). Centre d' Etudes Nucleaires

    1964-07-01

    This report deals with the first series of experiments carried out on the engineering model of Rapsodie and on an associated sodium facility set in a laboratory hall of Cadarache. It conveys more precisely: 1/ - The difficulties encountered during the erection and assembly of the engineering model and a compilation of the results of the first series of experiments and tests carried out on this installation (loading of the subassemblies preheating, thermal chocks...). 2/ - The experiments and tests carried out on the two prototypes control rod drive mechanisms which brought to the choice for the design of the definitive drive mechanism. As a whole, the results proved the validity of the general design principles adopted for Rapsodie. (authors) [French] Ce rapport traite des premiers essais realises sur la maquette du bloc pile de Rapsodie et sur une installation annexe de sodium, implantees dans un hall d'essais de Cadarache. Il fait part: 1/- Des difficultes eprouvees lors du montage de la maquette et rassemble les resultats des premiers essais effectues sur cette installation (chargement des assemblages, prechauffage, chocs thermiques...). 2/- Des essais realises sur deux prototypes de mecanisme de barre de controle qui ont conduit a la conception du mecanisme definitif. L'ensemble des resultats obtenus a permis de confirmer la validite des principes adoptes pour la pile Rapsodie. (auteurs)

  15. Primaer brystrekonstruktion i forbindelse med mastektomi ved mammacancer. Indikation, procedure og umiddelbare operative resultater

    DEFF Research Database (Denmark)

    Elberg, J J; Mollerup, C L; Dahlstrøm, K K

    2000-01-01

    Mastectomy and immediate reconstruction of 122 breasts were performed in 109 patients in close collaboration between plastic surgeons and general surgeons. In 56 patients reconstruction was performed using tissue expanders including 13 bilateral operations, 29 patients had a latissimus dorsi...

  16. Radical prostatectomy. Results and indications; Indications et resultats de la prostatectomie radicale

    Energy Technology Data Exchange (ETDEWEB)

    Jacqmin, D. [Hopitaux universitaires de Strasbourg, 67 - Strasbourg (France)

    1997-12-31

    Radical prostatectomy is the surgical curative treatment of localized prostate cancer. The survival is good in young patients (<70) with T2 N0M0 tumors and more than 10 year`s life expectancy. Side-effects are urinary incontinence, impotence and anastomosis stricture. Quality of life should be considered as an important factor for the choice of the patient between radical prostatectomy, radiotherapy and follow-up. (author)

  17. Diagnostic des cancers colo-rectaux et resultats de la prise en ...

    African Journals Online (AJOL)

    Une survie à deux ans a été notée chez 17 patients (34,6%). Conclusion: Le diagnostic des cancers colorectaux est souvent tardif au CHU Sylvanus Olympio avec des formes compliquées dans près de la moitié des cas. Les efforts dans la prise en charge doivent porter sur le diagnostic précoce et les traitements adjuvants.

  18. Homocystein og livsstil. Resultater fra Homocysteinundersøkelsen i Hordaland 1992-1993

    Directory of Open Access Journals (Sweden)

    Ottar Nygård

    2009-10-01

    , blood pressure and total cholesterol level are weaker determinants. Useof multivitamins or B-vitamin supplements are associated with particularly low tHcy levels. In patients withseverely elevated tHcy ( ≥ 40 μmol/L, n=67, the combination of homozygosity for the 677C→T mutation inthe methylenetetrahydrofolate gene and low plasma folate levels is a dominant finding whereas a minorproportion has overt cobalamin deficiency. We conclude that lifestyle and established cardiovascular riskfactors are important determinants of the plasma tHcy level in an adult Norwegian population.

  19. Results in pion proton scattering near the higher resonances (1961); Resultats pour la diffusion des mesons pi par les protons dans le domaine des hautes resonances (1962)

    Energy Technology Data Exchange (ETDEWEB)

    Falk-Vairant, P; Valladas, G [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1961-07-01

    We present briefly the available Information on the total cross sections for pion proton scattering in the energy region from 400 MeV to 1.5 GeV. We also have collected all results on total cross sections for particular channels like elastic scattering, inelastic scattering and charge exchange. Using new results on the total cross section for neutral events, we have plotted separately the cross section for elastic and for inelastic scattering in the T = 1/2 state. (authors) [French] On presente brievement les donnees connues concernant la section efficace totale pour la diffusion des mesons pi par les protons dans le domaine d'energie de 400 MeV a 1,5 GeV. On a egalement rassemble tous les resultats concernant les sections efficaces totales pour des canaux particuliers: diffusion elastique, diffusion inelastique et echange de charge. En partant des nouveaux resultats sur la section efficace pour la diffusion elastique et inelastique dans l'etat T = 1/2. (auteurs)

  20. Some results concerning the external photoelectric effect and secondary emission; Quelques resultats sur l'effet photoelectrique externe et l'emission secondaire

    Energy Technology Data Exchange (ETDEWEB)

    Lenouvel, F [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Ecole normale superieure, 75 - Paris (France)

    1967-01-01

    The characteristics and limiting possibilities of the various constituent parts of a photoelectric detector are considered. Two methods for illuminating the cathode are described and discussed. The few scattered results concerning the maximum output of cathodes and dynodes are collected together and a tentative explanation is put forward. A comparison is made of three methods for measuring very low light fluxes. (author) [French] Nous degageons les caracteristiques et les possibilites limites des divers elements constitutifs d'un detecteur photoelectrique. Deux solutions d'illumination de la cathode sont decrites et discutees. Les quelques resultats epars sur la limite de debit des cathodes et des dynodes sont rassembles et une interpretation provisoire est esquissee. Trois moyens de mesure des tres faibles flux lumineux sont compares. (auteur)

  1. Results of concentration measurements of artificial radioactive aerosols in the lower atmosphere; Resultats des mesures de concentration, dans la basse atmosphere, des aerosols radioactifs artificiels

    Energy Technology Data Exchange (ETDEWEB)

    Ardouin, B; Jehanno, C; Labeyrie, J; Lambert, G; Tanaevsky, O; Vassy, E [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1963-07-01

    This report gives the results of the measurements of artificial gross-{beta}-radioactivity in aerosols in the lower atmosphere; these measurements have been made by the Electronic Physics Service of the Electronic Department, and by the Atmospheric Physics Laboratory of the Paris Science Faculty. The measurements were begun in September 1956 and were continued in an increasing number of stations both in France and in the rest of the world. The present report deals with the period up to the end of august 1961, that is up to the end of the nuclear moratorium. After recalling the constitution and the properties of radioactive aerosols present in the atmosphere, the authors describe the measurement methods, estimate their accuracy and discuss various aspects of the results. (authors) [French] Ce rapport contient les resultats des mesures de radioactivite {beta} globale d'origine artificielle des aerosols dans la basse atmosphere, effectuees conjointement par le Service d'Electronique Physique du Departement d'Electronique et le Laboratoire de Physique de l'Atmosphere de la Faculte des Sciences de Paris. Les mesures ont commence en septembre 1956 et ont ete poursuivies dans un nombre croissant de stations, tant en France que dans le reste du monde. Le present rapport s'arrete a la fin aout 1961, c'est-a-dire au moment de la reprise des essais nucleaires. Apres avoir rappele la constitution et les proprietes des aerosols radioactifs presents dans l'atmosphere, les auteurs indiquent les methodes de mesure utilisees, evaluent leur precision et discutent les differents aspects des resultats de leurs mesures. (auteurs)

  2. Ens referenceintervaller og harmoniserede resultater inden for klinisk biokemi i de nordiske lande--der er lys forude

    DEFF Research Database (Denmark)

    Brandslund, Ivan; Poulsen, Jørgen Hjelm; Petersen, Per Hyltoft

    2007-01-01

    Danish laboratories are introducing identical reference intervals for a number of biochemical components in accordance with a Nordic agreement and recommendations during 2007. Danish doctors will consequently experience both changes in reference interval limits as well as adjustments of patients...

  3. The treatment of irradiated uranium fuel. Results obtained while operating the pilot plant at Fontenay-aux-Roses; Le traitement de l'uranium irradie. Resultats d'exploitation de l'usine-pilote de Fontenay-aux-Roses

    Energy Technology Data Exchange (ETDEWEB)

    Regnaut, P; Faugeras, P; Brut, A; Helou, R; Redon, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    In this paper the results obtained from four years operation of the pilot plant when using bars of increasing activity, are summarised and compared with the results of parallel studies carried out in the laboratory. As a conclusion to the article, the optimum conditions for the different phases of a process based on solvent extraction are given. (author)Fren. [French] Cette conference resume les resultats obtenus durant quatre annees de fonctionnement de l'Usine-Pilote, avec des barreaux d'activite croissante et les compare aux resultats d'etudes conduites parallelement en laboratoire. En conclusion sont donnees les conditions optima pour les differentes phases d'un procede base sur l'extraction par solvant. (auteur)

  4. Results and interpretation of spectral indices measurements made with AQUILON; Resultats et interpretation de mesures d'indices de spectre dans aquilon

    Energy Technology Data Exchange (ETDEWEB)

    Frichet, J P; Mougey, J N; Naudet, R; Taste, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1965-07-01

    This report deals with a set of spectral indices measurements made in the heavy water reactor Aquilon on lattices constituted by massive fuel elements of dia. 29,2 mm. The fuel elements were made either of natural uranium or of slightly depleted or slightly enriched uranium, or of an uranium-plutonium alloy. The measurements were carried out for various lattice pitches (square pitch from 110 to 210 mm) and in certain cases for various temperatures (from 20 to 80 deg. C). The results are compared to calculated values obtained by using the latest advances of the thermalization theory developed at Saclay applied to the moderation by heavy water. (authors) [French] Ce rapport est consacre a un ensemble de mesures d'indices de spectre realisees dans la pile a eau lourde Aquilon sur des reseaux d'elements combustibles pleins, de 29,2 mm de diametre. Ces combustibles se composaient ou bien d'uranium naturel, ou bien d'uranium tres legerement appauvri ou enrichi, ou bien d'un alliage uranium plutonium. Les mesures ont ete effectuees pour toute une serie de pas de reseaux (pas carre 110 a 210 mm), certaines d'entre elles a plusieurs temperatures (20 a 80 deg. C). Les resultats des mesures sont compares a des valeurs calculees obtenues en utilisant les plus recents developpements de la theorie de la thermalisation mise au point a Saclay, appliques au cas de la moderation par l'eau lourde. (auteurs)

  5. Schema.org, la millora de la visualització dels resultats en els cercadors i molt més

    Directory of Open Access Journals (Sweden)

    Sulé Duesa, Andreu

    2015-06-01

    Full Text Available Es descriuen les principals característiques de l'Schema.org, el vocabulari creat el 2011 per Google, Bing, Yahoo! i Yandex per marcar el contingut de les pàgines web i, d'aquesta manera, fer recognoscibles i comprensibles les seves dades als cercadors. Se n'exposa la principal aplicació avui dia, l'enriquiment de la informació que mostren els cercadors de cada pàgina web en els seus resultats, així com els fonaments de la seva estructura (entitats, propietats, valors, etc. i dels formats de codificació que accepta. També s'explica com marcar el contingut d'una pàgina web amb l'Schema.org, qui fa servir avui dia aquest vocabulari, i qui el manté i desenvolupa. Finalment, es valora breument la conveniència o no d'utilitzar l'Schema.org, així com les possibles aplicacions d'aquest vocabulari en la millora de les cerques i dels resultats dels cercadors (més precisió, més funcionalitats, etc., en el desenvolupament del web semàntic i, fins i tot, en el posicionament de les pàgines web en els cercadors (SEO.Se describen las principales características de Schema.org, el vocabulario creado en 2011 por Google, Bing, Yahoo! y Yandex para marcar el contenido de las páginas web y, de este modo, hacer reconocibles y comprensibles sus datos a los buscadores. Se expone su principal aplicación a día de hoy, el enriquecimiento de la información que muestran los buscadores de cada página web en sus resultados, así como los fundamentos de su estructura (entidades, propiedades, valores, etc. y de los formatos de codificación que acepta. También se explica cómo marcar el contenido de una página web con Schema.org, quién usa actualmente este vocabulario, y quién lo mantiene y desarrolla. Por último, se valora brevemente la conveniencia o no de utilizar Schema.org, así como las posibles aplicaciones de este vocabulario para mejorar las búsquedas y los resultados de los buscadores (más precisión, más funcionalidades, etc., en el

  6. Processing radioactive effluents with ion-exchanging resins: study of result extrapolation; Traitement des effluents radioactifs par resines echangeuses d'ions: etude de l'extrapolation des resultats

    Energy Technology Data Exchange (ETDEWEB)

    Wormser, G.

    1960-05-03

    As a previous study showed the ion-exchanging resins could be used in Saclay for the treatment of radioactive effluents, the author reports a study which aimed at investigating to which extent thus obtained results could be extrapolated to the case of higher industrial columns. The author reports experiments which aimed at determining extrapolation modes which could be used for columns of organic resin used for radioactive effluent decontamination. He notably studied whether the Hiester and Vermeulen extrapolation law could be applied. Experiments are performed at constant percolation flow rate, at varying flow rate, and at constant flow rate [French] Plusieurs etudes ont ete faites dans le but d'examiner les possibilites d'emploi des resines echangeuses d'ions pour le traitement des effluents radioactifs. Dans un rapport preliminaire, nous avons montre dans quelles limites un tel procede pouvait etre utilise au Centre d'Etudes Nucleaires de Saclay. Les essais ont ete effectues sur des petites colonnes de resine au laboratoire; il est apparu ensuite necessaire de prevoir dans quelle mesure les resultats ainsi obtenus peuvent etre extrapoles a des colonnes industrielles, de plus grande hauteur. Les experiences dont les resultats sont exposes dans ce rapport, ont pour but de determiner les modes d'extrapolation qui pourraient etre employes pour des colonnes de resine organique utilisees pour la decontamination d'effluents radioactifs. Nous avons en particulier recherche si la loi d'extrapolation de Hiester et Vermeulen qui donne de bons resultats dans le cas de fixation d'ions radioactifs en presence d'un ion macrocomposant sur des terres, pouvait etre appliquee. Les experiences, en nombre limite, ont montre que la loi d'extrapolation de Hiester et Vermeulen pouvait s'appliquer dans le cas de l'effluent considere quand les debits de percolation sont tres faibles; quand ils sont plus forts, les volumes de liquide percoles, a fixation egale, sont proportionnels aux

  7. Andelsselskabernes seneste udvikling og resultater

    DEFF Research Database (Denmark)

    Hansen, Henning Otte

    2015-01-01

    Andelsselskaber har spillet - og spiller stadig - en væsentlig rolle ikke bare i landbrugs- og fødevaresektoren, men også i hele den danske samfundsøkonomi. Udviklingen gennem de seneste 10-15 år viser, at andelsselskaberne har formået at vokse og at øge deres andel af den samlede omsætning. Samt...... de danske andelsselskaber falder kun svagt, mens antallet af ansatte er svagt stigende. Det skyldes dog i vid udstrækning selskabernes internationalisering, hvorved antallet af udenlandske medlemmer og ansatte stiger....

  8. What do health professionals think about patient safety?

    OpenAIRE

    Hindle, Don; Haraga, Simona; Radu, Ciprian Paul; Yazbeck, Anne-Marie

    2008-01-01

    Artikkel som besrkiver en studie hvor hensikten var å undersøke helsepersonell sitt syn på pasientsikkerhet i sykehus i Romania, og sammenligne funnene med resultater fra Norge, Sverige, Singapor og Australia. Patient safety is a main determinant of the quality of healthcare services. The literature shows that the occurrence of medical errors is quite important in countries where it has been measured. Various actions like legislative measures, financial, or educational measures may help, b...

  9. Nintendo Wii hjælper patienter i Esbjerg

    DEFF Research Database (Denmark)

    Lewis Brooks, Anthony (aka Tony)

    2010-01-01

    forsøgspersoner har givet dem en tro på, at leg og bevægelse gennem Nintendo Wii-spil giver meget fine resultater og bedre livskvalitet for patienter, som ellers lider af smerter og isolation på grund af sygdommen fibromyalgi. Derfor vil Hans-Jacob Haga, der er speciallæge i reumatologi med egen klinik i Esbjerg...

  10. Alecto - results obtained with homogeneous critical experiments on plutonium 239, uranium 235 and uranium 233; Alecto - resultats des experiences critiques homogenes realisees sur le plutonium 239, l'uranium 235 et l'uranium 233

    Energy Technology Data Exchange (ETDEWEB)

    Bruna, J G; Brunet, J P; Caizegues, R; Clouet d' Orval, Ch; Kremser, J; Tellier, H; Verriere, Ph [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1965-07-01

    In this report are given the results of the homogeneous critical experiments ALECTO, made on plutonium 239, uranium 235 and uranium 233. After a brief description of the equipment, the critical masses for cylinders of diameters varying from 25 to 42 cm, are given and compared with other values (foreign results, criticality guide). With respect to the specific conditions of neutron reflection in the ALECTO experiments the minimal values of critical masses are: Pu239 M{sub c} = 910 {+-} 10 g, U235 M{sub c} = 1180 {+-} 12 g and U233 M{sub c} = 960 {+-} 10 g. Experiments relating to cross sections and constants to be used on these materials are presented. Lastly, kinetic experiments allow to compare pulsed neutron methods to fluctuation methods. [French] On presente dans ce rapport les resultats des experiences critiques homogenes ALECTO, effectuees sur le plutonium 239, l'uranium 235 et l'uranium 233. Apres avoir rappele la description des installations, on donne les masses critiques pour des cylindres de diametres variant entre 25 et 42 cm, qui sont comparees avec d'autres chiffres (resultats etrangers, guide de criticite). Dans les gammes des diametres etudies pour des cuves a fond plat reflechies lateralement, la valeur minimale des masses critiques est la suivante: Pu239 M{sub c} = 910 {+-} 10 g, U235 M{sub c} = 1180 {+-} 12 g et U233 M{sub c} 960 {+-} 10 g. Des experiences portant sur les sections efficaces et les constantes a utiliser sur ces milieux sont ensuite presentees. Enfin des experiences de cinetique permettent une comparaison entre la methode des neutrons pulses et la methode des fluctuations. (auteur)

  11. Inventari faunístic dels mol·luscs continentals de la serra de Collserola (Barcelona, NE de la península ibèrica: resultat d'una revisió bibliogràfica

    Directory of Open Access Journals (Sweden)

    Bros, V.

    2009-01-01

    Full Text Available Abstract Faunistic inventary of continental molluscs from the Collserola mountains (Barcelona, NE Iberian peninsula: results from a bibliographic review.- Following the bibliographic review of articles published between 1868 and 2004 a preliminary inventary of 99 species of the malacologic fauna on the Collserola mountains was compiled. The geographic area studied is one of the natural Iberian spaces with the most bibliographic references for land and fresh water molluscs. However, much remains to be resolved concerning some of the taxa. In particular, recent locations of several species have to be verified in the Collserola Park. These include several catalogued species of great interest, such as Xerocrassa betulonensis (Bofill, 1879, Zonitoides jaccetanicus (Bourguignat, 1870 and Montserratina martorelli (Bourguignat, 1870. This bibliographic review shows the significant contribution of the malacofauna to the biodiversity of the Collserola mountains and also demonstrates its value as a useful tool for their management. Key words: Inventary, Continental mollluscs, Gasteropodes, Bivalves, Biodiversity, Collserola Park, Barcelona. Resum Inventari faunístic dels mol·luscs continentals de la serra de Collserola (Barcelona, NE de la península ibèrica: resultat d'una revisió bibliogràfica.- Mitjançant una revisió bibliogràfica de publicacions editades des de 1868 fins a 2004, s'ha elaborat un inventari preliminar de la fauna malacològica de la serra de Collserola, amb 99 espècies. L'àrea geogràfica estu­diada és un dels espais naturals ibèrics amb més referències bibliogràfiques de mol·luscs terrestres i d'aigua dolça. Tanmateix, resten per resoldre moltes llacunes sobre alguns dels tàxons. En concret, manquen localitzacions recents de diverses espècies per verificar que actualment són presents dins l'àmbit del parc de Collserola. Entre les espècies catalogades destaquen alguns elements endèmics de gran interès com

  12. The main characteristics of the Saclay proton synchrotron, and the results obtained at the time of its setting in operation; Les caracteristiques principales du synchrotron a protons de Saclay et les resultats obtenus lors de la mise en route

    Energy Technology Data Exchange (ETDEWEB)

    Bruck, H; Debraine, P; Levy-Mandel, R; Lutz, J; Maillet, R; Podliasky, I; Prevot, F; Taieb, J; Winter, S D [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    This paper consists on the one hand of a brief outline of the chief advantages of some characteristics peculiar to Saturne, particularly: the separation of the pole pieces from the body of the magnet, the structure of the vacuum chamber, the system of electrostatic deflectors of the injection optics and the HF cavity; and on the other hand of the difficulties encountered since starting up to improve the number of particles supplied by an induction electrode. The results obtained are also given, as for example the photographs taken in the propane chamber. (author)Fren. [French] La presente communication comporte d'une part un bref apercu des principaux avantages de quelques caracteristiques propres a Saturne et en particulier: la separation des pieces polaires de la masse de l'aimant, la structure de la chambre a vide, le systeme de deflecteurs electrostatiques de l'optique d'injection et la cavite HF; d'autre part, les difficultes rencontrees depuis la mise en route pour ameliorer le nombre de particules donne par une electrode d'induction, ainsi que les resultats obtenus comme par exemple les photographies prises dans la chambre a propane. (auteur)

  13. Degenerative dementia: nosological aspects and results of single photon emission computed tomography; Les demences degeneratives: aspects nosologiques et resultats de la tomographie d'emission monophotonique

    Energy Technology Data Exchange (ETDEWEB)

    Dubois, B.; Habert, M.O. [Hopital Pitie-Salpetriere, 75 - Paris (France)

    1999-12-01

    Ten years ago, the diagnosis discussion of a dementia case for the old patient was limited to two pathologies: the Alzheimer illness and the Pick illness. During these last years, the frame of these primary degenerative dementia has fallen into pieces. The different diseases and the results got with single photon emission computed tomography are discussed. for example: fronto-temporal dementia, primary progressive aphasia, progressive apraxia, visio-spatial dysfunction, dementia at Lewy's bodies, or cortico-basal degeneration. (N.C.)

  14. Myocardium scintigraphy and coronaries scanner: results and respective contribution of these two examinations; Scintigraphie myocardique et scanner coronaire: resultats et apport respectif des deux examens

    Energy Technology Data Exchange (ETDEWEB)

    Songy, B.; Balestrini, V.; Sablayrolles, J.L.; Vigoni, F.; Lussato, D. [Centre cardiologique du Nord (CCN), Saint-Denis, (France); Faccio, F. [fondation San Geronimo, Santa Fe, (Argentina)

    2009-05-15

    The objective were to evaluate the results and the respective contribution of the myocardium scintigraphy and the coro-scanner. It exists an excellent correlation between a normal scanner and a normal scintigraphy (97%). 30% of patients having non tight stenosis at scanner and 60% of these ones having tight stenosis have a scintigraphy ischemia; An abnormal scanner, whatever be the the degree of stenosis must be completed by a test of myocardium ischemia. The actual limitations of the coro-scanner (64 gills) are in relation with its spatial resolution (quantification) and temporal resolution (right coronary). The choice of the diagnosis examination to realize in first intention must depend on the age and prevalence of the coronary disease. (N.C.)

  15. Diætetisk adipositasvejledning på danske apoteker. Resultater af et 12-ugers-kursus med etårsopfølgning

    DEFF Research Database (Denmark)

    Toubro, Søren; Dahlager, L; Hermansen, Inge Lise

    1999-01-01

    a low-fat, high carbohydrate diet. Self-reported body weight was assessed on at the pharmacy scale before and after the course and again after three, six and 12 months follow-up. One hundred and ninety-one or 71% of subjects completed the 12 week slimming programme. The average weight loss was 5.3 and 6.......2 kg among females and males, respectively. The weight loss maintenance was assessed at one year follow-up in 122 (45%) of the subjects who entered the course and was 4.0 and 6.7 kg in 118 females and four males, respectively. At one year follow-up 40 subjects (20%) of the subjects who completed...... the course had maintained a weight loss > 5 kg. In conclusion, the initial weight loss, and maintenance and drop-out rate are comparable with results from general practitioners and hospital out-patient clinics, but the costs are substantially lower....

  16. Results of the irradiation of mixed UO{sub 2} - PuO{sub 2} oxide fuel elements; Resultats d'irradiation d'elements combustibles en oxyde mixte UO{sub 2} - PuO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Mikailoff, H.; Mustelier, J.P.; Bloch, J.; Ezran, L.; Hayet, L. [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1966-07-01

    gaine en acier inoxydable etait compris entre 0,06 et 0,27 mm. Les puissances specifiques ont varie de 1230 a 2700 W/cm{sup 3} et la temperature de la gaine etait situee entre 450 et 630 C, Le taux de combustion maximal atteint a ete de 22000 MWj/t. L'examen des aiguilles (metrologie, radiographie et spectrographie {gamma}) a revele certaines modifications macroscopiques, et l'evolution du combustible a ete mise en evidence par la micrographie. On a utilise ces observations, avec les resultats des mesures de flux, pour calculer la repartition des temperatures a l'interieur du combustible. Le volume des gaz de fission degages a ete mesure dans certaines aiguilles: les resultats sont interpretes en liaison avec la repartition des temperatures dans l'oxyde et le taux de combustion atteint. Enfin on a examine d'une part, le comportement d'un element combustible dont la partie centrale etait fondue pendant l'irradiation, et d'autre part, l'action du sodium entre dans certaines aiguilles dont la gaine s'etait rompue. (auteur)

  17. Results of the irradiation of mixed UO{sub 2} - PuO{sub 2} oxide fuel elements; Resultats d'irradiation d'elements combustibles en oxyde mixte UO{sub 2} - PuO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Mikailoff, H; Mustelier, J P; Bloch, J; Ezran, L; Hayet, L [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1966-07-01

    inoxydable etait compris entre 0,06 et 0,27 mm. Les puissances specifiques ont varie de 1230 a 2700 W/cm{sup 3} et la temperature de la gaine etait situee entre 450 et 630 C, Le taux de combustion maximal atteint a ete de 22000 MWj/t. L'examen des aiguilles (metrologie, radiographie et spectrographie {gamma}) a revele certaines modifications macroscopiques, et l'evolution du combustible a ete mise en evidence par la micrographie. On a utilise ces observations, avec les resultats des mesures de flux, pour calculer la repartition des temperatures a l'interieur du combustible. Le volume des gaz de fission degages a ete mesure dans certaines aiguilles: les resultats sont interpretes en liaison avec la repartition des temperatures dans l'oxyde et le taux de combustion atteint. Enfin on a examine d'une part, le comportement d'un element combustible dont la partie centrale etait fondue pendant l'irradiation, et d'autre part, l'action du sodium entre dans certaines aiguilles dont la gaine s'etait rompue. (auteur)

  18. Experimental results concerning the metabolism of ingested iodine-131 in adult sheep under lactation; Resultats experimentaux relatifs au metabolisme de l'iode 131 ingere chez la brebis adulte en lactation

    Energy Technology Data Exchange (ETDEWEB)

    Daburon, F.; Capelle, A.; Tricaud, Y.; Nizza, P. [Commissariat a l' Energie Atomique, 92 - Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires. Departement de la Protection Sanitaire, Laboratoire-etable de Radiobiologie Appliquee

    1967-07-01

    The authors give the results of a series of experiments on metabolism of ingested iodine-131 in adult sheep under lactation; the measurement were carried out over a number of years from 1961 to 1966. The work was concerned initially with the fixation of iodine 131 in the thyroid gland, with the calculation of radiation doses absorbed and with ways of showing up any possible radiation damage in the gland. The modes of absorption of iodine 131 and its elimination through milk, urine and the faeces were then considered. Finally, a last chapter is devoted to changes in the radioactivity of the blood and of the milk, to variations of the PBI level of the blood serum as to different methods for measuring this level. (authors) [French] Les auteurs rapportent les resultats d'une serie d'experimentations relatives au metabolisme de l'iode 131 ingere chez la brebis adulte en lactation, et qui se sont etalees sur plusieurs annees, de 1961 a 1966. Les etudes ont porte d'abord sur les aspects de la fixation de l'iode 131 dans la thyroide, avec le calcul des doses de rayonnements absorbees et les moyens de mettre en evidence les radiolesions eventuelles de la glande. Ensuite ont ete traitees les modalites de l'absorption de l'iode 131 et de son elimination par le lait, les urines et les feces. Enfin un dernier chapitre a ete consacre a l'evolution de la radioactivite du sang et du lait, aux variations ainsi qu'aux divers moyens d'evaluation du taux de PBI du serum sanguin. (auteurs)

  19. Sub-critical installations for continuous evaporations of up to 200 litres/hour - description and experimental results; Installations sous-critiques d'evaporation continue jusqu'a 200 litres/heure - description et resultats experimentaux

    Energy Technology Data Exchange (ETDEWEB)

    Auchapt, P; Bouzou, G C; Sautray, R R; Jacquotte, M C [Commissariat a l' Energie Atomique, Marcoule (France). Centre de Production de Plutonium de Marcoule

    1965-07-01

    In this report are given a detailed technological description and the test results obtained with two continuous evaporation units, one of 16 l/hr, the other of 65 l/hr. These installations are sub-critical with multiplication factors (k{sub eff}) for total reflection of 0.73 and 0.77. A third evaporator of 200 litres, also sub-critical (k{sub eff} = 0.90), is given as the limiting possible case. A description is also given of simple devices without regulator for maintaining a constant level in an extra flat, separator thus making it possible to operate without supervision in perfect safety at any concentration factor. The liberal thermal characteristics and the simple operational principles constitute a sure guarantee for operation in {alpha} and {gamma} conditions. (authors) [French] Dans ce rapport, on trouvera la description technologique detaillee et les resultats obtenus au cours des essais, de deux installations d'evaporation en continu, l'une de 16 l/h, l'autre de 65 l/h. Ces installations sont sous-critiques avec des facteurs de multiplication (k{sub eff}) en reflexion totale de 0,73 et 0,77. Un troisieme evaporateur, de 200 l/h, egalement sous-critique (k{sub eff} = 0,90), est donne comme cas limite realisable. On trouvera aussi la description de dispositifs simples, sans regulateur, permettant de garder un niveau constant dans un separateur extra-plat, ce qui permet une marche sans surveillance, en toute securite, a tous les facteurs de concentration. Les caracteristiques thermiques non poussees et les principes de fonctionnement simples, sont une garantie certaine pour l'exploitation en milieu {alpha} et {gamma}. (auteurs)

  20. Experimental results concerning the metabolism of ingested iodine-131 in adult sheep under lactation; Resultats experimentaux relatifs au metabolisme de l'iode 131 ingere chez la brebis adulte en lactation

    Energy Technology Data Exchange (ETDEWEB)

    Daburon, F; Capelle, A; Tricaud, Y; Nizza, P [Commissariat a l' Energie Atomique, 92 - Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires. Departement de la Protection Sanitaire, Laboratoire-etable de Radiobiologie Appliquee

    1967-07-01

    The authors give the results of a series of experiments on metabolism of ingested iodine-131 in adult sheep under lactation; the measurement were carried out over a number of years from 1961 to 1966. The work was concerned initially with the fixation of iodine 131 in the thyroid gland, with the calculation of radiation doses absorbed and with ways of showing up any possible radiation damage in the gland. The modes of absorption of iodine 131 and its elimination through milk, urine and the faeces were then considered. Finally, a last chapter is devoted to changes in the radioactivity of the blood and of the milk, to variations of the PBI level of the blood serum as to different methods for measuring this level. (authors) [French] Les auteurs rapportent les resultats d'une serie d'experimentations relatives au metabolisme de l'iode 131 ingere chez la brebis adulte en lactation, et qui se sont etalees sur plusieurs annees, de 1961 a 1966. Les etudes ont porte d'abord sur les aspects de la fixation de l'iode 131 dans la thyroide, avec le calcul des doses de rayonnements absorbees et les moyens de mettre en evidence les radiolesions eventuelles de la glande. Ensuite ont ete traitees les modalites de l'absorption de l'iode 131 et de son elimination par le lait, les urines et les feces. Enfin un dernier chapitre a ete consacre a l'evolution de la radioactivite du sang et du lait, aux variations ainsi qu'aux divers moyens d'evaluation du taux de PBI du serum sanguin. (auteurs)

  1. Heat exchange and pressure drop of herring-bone fin surfaces. Experimental cell results at constant wall temperature; Echange de chaleur et perte de charge de surfaces a ailettes en chevrons. Resultats experimentaux en cellule a temperature de paroi constante

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1968-07-01

    The increase in the specific power of nuclear reactors of the gas-graphite type has necessitated the use of high performance exchange surfaces for canning the fuel (natural uranium). For this, experiments were carried out on cans fitted with herring-bone fins, at constant wall temperature; a flow of water at 100 deg. C passes inside the can which is cooled externally by a flow of CO{sub 2} at 15 bars pressure. This experimental set-up makes it possible to compare the aero-thermal performances of the different cans with an accuracy of 5 per cent. This report presents the results obtained in the form of a friction coefficient f{sub 0} and mean Margoulis number m{sub 0} as a function of the Reynolds number Re{sub 0}, this latter varying from 3 x 10{sup 5} to 9 x 10{sup 5}. (authors) [French] L'augmentation de la puissance specifique des reacteurs nucleaires de la filiere graphite-gaz a necessite l'utilisation de surfaces d'echange a hautes performances pour gainer le combustible (uranium naturel). Dans cette optique, des gaines munies d'ailettes disposees en chevron ont ete experimentees a temperature de paroi constante: un courant d'eau a 100 deg. C circule a l'interieur de la gaine qui est refroidie exterieurement par un ecoulement de CO{sub 2} sous une pression de 15 bars. Cette methode experimentale permet de situer les performances aerothermiques des gaines les unes par rapport aux autres a 5 pour cent pres. Ce rapport presente les resultats obtenus sous la forme d'un coefficient de frottement f{sub 0} et d'un nombre de Margoulis moyen m{sub 0} en fonction du nombre de Reynolds Re{sub 0}, ce dernier pouvant varier de 3. 10{sup 5} a 9. 10{sup 5}. (auteurs)

  2. Nursing intervention for geriatric patients dischargedhome from ED

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie

    2009-01-01

    visitatorer i Pensions og omsorgskontoret Amager, Københavns Kommune interviewes. Data analyseres kvalitativt vha. indholdsanalyse. Resultater På baggrund af resultaterne forventes studiet at genere viden om effekten af struktureret sygeplejeintervention til geriatriske patienter på en dansk akut medicinsk...... der er uløste problemer og der udarbejdes en udskrivningsrapport med løsningsforslag, hvorefter der træffes aftale om konkret problemløsning med fx pårørende, egen læge  og/eller visitator i primærsektor. Dataindsamling: Ved baseline samt en og seks måneders opfølgning indsamles demografiske data...

  3. Aspects Psycho-Sociaux chez Patients Infertiles à la Maternite ...

    African Journals Online (AJOL)

    Les données ont été saisies sur un ordinateur après co- dage. L'analyse a été faite avec le logiciel SPSS 15.0. 3 Resultats. Cent quatre patientes ont étaient recrutés à la Ma- ternité Principale de l'Hôpital Central de Yaoundé, dont 12 hommes (11,5%) et 92 femmes (88,5%). Les ressortissants de la région du Centre et Sud ...

  4. Clinical results of neurotransmission SPECT in extra-pyramidal diseases; Resultats cliniques de la TEMP de la neurotransmission en pathologie extra-pyramidale

    Energy Technology Data Exchange (ETDEWEB)

    Baulieu, J.L.; Prunier, C.; Tranquart, F.; Guilloteau, D. [Centre Hospitalier Universitaire Bretonneau, Service de Medecine Nucleaire in vitro, INSERM U316, 37 - Tours (France)

    1999-12-01

    We present some methodological aspects and clinical applications of dopamine D2 receptor and transporter SPECT using new radiotracers radiolabeled with iodine 123. The gamma camera quality control and standardisation has to be adapted to the small volume and deep location of striata, where receptors and transporters are present. Phantom containing hollow spheres of different diameters which can be filled with different amounts of {sup 99m}Tc or {sup 123}I. The semi quantitation of receptor and transporter molecular concentration is based on an equilibrium binding model. According to this model, the binding potential (Bmax. Ka) is equal to the ratio between specific binding in the striatum and circulating activity in a reference region of interest in the occipital cortex. By comparing ECD and ILIS SPECT, it has been shown that striatal ILIS binding does not depend on the local perfusion. The clinical applications mainly concern the extra-pyramidal pathology: ILIS and IBZM SPECT are able to differentiate pre- and post-synaptic lesions. In Parkinson disease the nigrostriatal pathway is damaged and D2 receptors are normal or increased, as shown by normal or elevated IBZM or ILIS uptake. In other extra pyramidal degenerative diseases as progressive supra nuclear palsy or multiple system atrophy striatal D2 receptors are damaged as shown by decreased IBZM or ILIS uptake. In our experience, 88 per cent of patients are correctly classified by ILIS SPECT and 86 per cent with IBZM SPECT. Dopamine transporter SPECT with {beta}CIT and PE2I provides an evaluation of the presynaptic neuronal density in the striatum. One can expect an help for the early diagnosis and the evaluation of Parkinson disease. Another potential application of dopaminergic neurotransmission SPECT is the evaluation of neuronal loss after hypoxo-ischemia. We conclude that dopaminergic neurotransmission SPECT using specific ligands should become a useful diagnosis tool to study a large number of brain

  5. Possibility of using radioactivity control measurements for determining contamination paths in nutritional vectors; Etude des possibilites d'utilisation des resultats de la surveillance de la radioactivite pour la recherche des trajectoires d'evolution de la contamination des vecteurs alimentaires

    Energy Technology Data Exchange (ETDEWEB)

    Garnier, A [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1966-07-01

    The object of the report is to study the possibility of using results of radioactivity controls for determining the paths followed by contamination in nutritional vectors; these are necessary for calculating protection norms. Radioactive contamination of a nutritional vector is expressed in terms of parameters which suggest that a certain number of criteria may be used for choosing the results which are to be exploited. An actual example of a 'vertical' study based on results of measurements made purely for control purposes shows the difficulties which may be encountered. A list of the results obtained by the control networks set up in the Community Countries, either for the atmosphere, for milk, or for other foodstuffs, shows that these networks are not at the present organised in such a way as to make such a study possible. It appears desirable that a large part of the work carried out by the control Services be oriented in such a way as to yield the complementary information required for experimental studies of radioactive contamination transfers. (author) [French] L'objet du rapport est l'examen des possibilites d'utilisation des resultats de la surveillance de la radioactivite pour la recherche des trajectoires d'evolution de la contamination des vecteurs alimentaires, necessaires au calcul des niveaux de protection. La contamination radioactive d'un vecteur alimentaire s'exprime en fonction de parametres, qui suggerent de retenir un certain nombre de criteres pour la selection des resultats a exploiter. Un exemple concret d'etude 'verticale' basee sur des resultats de mesures faites uniquement dans un but de controle met en evidence les difficultes rencontrees. L'inventaire des resultats obtenus par les reseaux de controle des differents Pays de la Communaute, soit pour l'atmosphere, soit pour le lait, soit pour d'autres aliments, montre que ces reseaux ne sont pas actuellement organises de facon a permettre de telles etudes, Il parait souhaitable qu

  6. New results concerning the behaviour of fission gases in in-pile UO{sub 2} at high temperatures; Resultats nouveaux sur le comportement des gaz de fission a haute temperature dans l'UO{sub 2} en pile

    Energy Technology Data Exchange (ETDEWEB)

    Soulhier, R; Schurenkamper, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    The authors consider in the first part the various phenomena giving rise to the production of fission gases towards the exterior of nuclear fuels. The following aspects are dealt with: diffusion, for which is considered the influence of the predecessors of the radioactive gases, the fission recoil, atom expulsion along the fission paths and the evaporation. In the second part the authors present the results obtained on UO{sub 2} samples subjected to irradiation at temperatures of between 150 and 2000 deg C: - At low temperatures the variation of the amount produced as a function of the half-life of the isotopes studied shows that recoil is hot the only cause of gas production. - Above 1800 deg C, a weight loss by evaporation has been observed and the influence of this phenomenon on gas liberation has been studied; thus the fraction of {sup 135}Xe liberated at 2000 deg C by processes other than evaporation is of the order of 10 per cent. - The influence of the various mechanism on the overall effect as a function of temperature is discussed. (authors) [French] Dans une premiere partie, les auteurs etudient les differents phenomenes pouvant donner lieu au degagement des gaz de fission hors d'un combustible. Sont traites successivement: la diffusion, pour laquelle on discute l'influence des predecesseurs des gaz radioactifs, le recul de fission, l'expulsion des atomes le long des trajets de fission et l'evaporation. Dans une deuxieme partie ils exposent les resultats obtenus sur des echantillons d'UO{sub 2} portes sous irradiation a des temperatures comprises entre 150 deg C et 2000 deg C: - A basse temperature la variation de la quantite degagee suivant la periode des isotopes etudies montre que le recul n'est pas la seule cause du degagement des gaz. - Au-dessus de 1800 deg C on a note une perte de poids par evaporation et on a evalue l'influence de ce phenomene sur la liberation des gaz: ainsi la fraction du {sup 135}Xe liberee a 2000 deg C par d'autres processus

  7. Annual results 2004; Resultats annuels 2004

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This 2004 annual evaluation of the french RTE company (electric power transport network) provides information on the 2004 results on: institutional information, financial results, customers and market, industrial resources, environment and consultation, human resources and international aspects. (A.L.B.)

  8. Resultater efter primaer stapedotomi ved otosklerose

    DEFF Research Database (Denmark)

    Wanscher, Jens; Grøntved, Aksel; Faber, Christian

    2009-01-01

    performed using small-fenester-technique in the period 1996-2005. Five experienced ear surgeons performed the operations. The surgeons were still in the learning phase with regard to otosclerosis surgery. RESULTS: A significant improvement was found regarding the air-conduction pure tone average (PTA) (52.......8 dB to 31.4 dB), the bone conduction PTA (25.2 dB to 23,1 dB), air-bone gap (27.6 dB to 8.3 dB), and the speech reception threshold (44.8 dB to 22.5 dB). One operation (0.6%) resulted in severe sensory-neural hearing loss, while other types of complications were seen after 7,2% of the operations...

  9. Brain Tumour Scintigraphy with {sup 99m}Tc-Pertechnetate, {sup 99m}Tc-Fe(II) Complex and {sup 131}I-Labelled Macroaggregated Albumin - Comparison of Results; La Scintigraphie des Tumeurs Cerebrales a l'Aide de Pertechnetate Marque au {sup 99m}Tc, de Complexe {sup 99m}Tc-Fe-II et de Macroagregats d'Albumine Marques au {sup 131}I. Comparaison des Resultats

    Energy Technology Data Exchange (ETDEWEB)

    Haas, J. P.; Dietz, H.; Schmidt, K. J.; Doerr, F.; Brod, K. H.; Wolf, R. [Institut de Radiologie Clinique et Clinique de Neurochirurgie, Universite de Mayence, Federal Republic of Germany (Germany)

    1969-05-15

    from a wide selection of case studies. (author) [French] Aujourd'hui le {sup 99m}Tc, sous forme de pertechnetate, a trouve sa place dans la scintigraphie cerebrale.' Selon les experiences des auteurs du memoire ainsi que celles d'autres auteurs, sa valeur diagnostique est egale a celle des substances marquees au mercure ou a l'iode. Tout en utilisant le pertechnetate marque au {sup 99m}Tc les auteurs ont cherche a elargir le diagnostic isotopique par deux methodes; l'injection intra-arterielle de macro-agregats d'albumine, et l'injection, par voie intraveineuse, d'une nouvelle substance, le complexe {sup 99m}Tc-Fe-II. Les auteurs ont publie en 1966 les resultats obtenus a l'aide de la premiere methode; ils presentent maintenant le bilan de leurs experiences sur un grand nombre de patients, plus de cent, souffrant de tumeurs cerebrales. Comparee a la scintigraphie au pertechnetate marque au {sup 99m}Tc apres injection par voie intraveineuse, la nouvelle methode donne des informations complementaires qui facilitent souvent grandement le diagnostic neuroradiologique clinique. La plupart des cas furent verifies par l'operation ou l'autopsie. La methode donne pour la premiere fois la possibilite de visualiser par la scintigraphie le reseau arteriel du cerveau. Les auteurs ont ete amenes a utiliser la deuxieme methode pour la detection des tumeurs cerebrales en raison de la facilite de mise en oeuvre de la scintigraphie cerebrale apres injection par voie intraveineuse, et parce qu'ils disposaient des resultats d'experiences effectuees avec le complexe {sup 99m}Tc-Fe-H sur la scintigraphie des reins ainsi que d'une breve communication parue dans la litterature americaine. Les premieres experiences montrent que cette substance est nettement superieure a toutes celles qui ont ete utilisees jusqu'ici par voie intraveineuse. Elle unit les avantages incontestables du {sup 99m}Tc, en ce qui concerne surtout la dose d'irradiation du patient, a la nettete extraordinaire de

  10. Determination of the food consumption in eleven regions of the european community with a view to studying the radioactive contamination level: Methods used. Results of family enquiries; Determination des regimes alimentaires des populations de onze regions de la communaute europeenne en vue de l'etude des niveaux de contamination radioactive: Methodologie. Resultats des enquetes familiales

    Energy Technology Data Exchange (ETDEWEB)

    Cresta, M; Lacourly, G [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1966-07-01

    In the present report are given the results obtained from food surveys carried out during the period 1963-1965 and involving 9000 families living in eleven regions spread out over the six European Community countries. A partial analysis of the results obtained covers a reduced sample of 3725 families; it makes it possible to fix the composition of the mean individual, monthly and annual food consumptions for each of the eleven regions. Details of the organisation of the survey, of the data processing methods and of the method of presenting the results are given in the first part of the report. the second part presents, in numerical table form, the consumption of various foodstuffs and the feeding principles for each region covered by the survey. Tables summarizing the data make it possible to compare the mean individual consumptions in the various regions studied. (author) [French] Dans le present rapport sont rassembles les premiers resultats des enquetes alimentaires effectuees pendant la periode 1963-1965, aupres de 9000 familles, dans onze regions reparties dans les six pays de la Communaute Europeenne. L'exploitation partielle des donnees obtenues porte sur un echantillon reduit a 3725 familles et permet d'etablir la composition du regime alimentaire moyen individuel, mensuel et annuel de chacune des onze regions. L'organisation des enquetes, la methode de traitement des donnees et l'expression des resultats sont exposees dans la premiere partie du rapport. La seconde reunit, sous forme de tableaux numeriques, les consommations des differents aliments et principes alimentaires par region d'enquetes. Des tableaux recapitulatifs permettent, en outre, une comparaison des consommations moyennes, individuelles des differentes regions etudiees. (auteur)

  11. Determination of the food consumption in eleven regions of the european community with a view to studying the radioactive contamination level: Methods used. Results of family enquiries; Determination des regimes alimentaires des populations de onze regions de la communaute europeenne en vue de l'etude des niveaux de contamination radioactive: Methodologie. Resultats des enquetes familiales

    Energy Technology Data Exchange (ETDEWEB)

    Cresta, M.; Lacourly, G. [Commissariat a l' Energie Atomique, Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1966-07-01

    In the present report are given the results obtained from food surveys carried out during the period 1963-1965 and involving 9000 families living in eleven regions spread out over the six European Community countries. A partial analysis of the results obtained covers a reduced sample of 3725 families; it makes it possible to fix the composition of the mean individual, monthly and annual food consumptions for each of the eleven regions. Details of the organisation of the survey, of the data processing methods and of the method of presenting the results are given in the first part of the report. the second part presents, in numerical table form, the consumption of various foodstuffs and the feeding principles for each region covered by the survey. Tables summarizing the data make it possible to compare the mean individual consumptions in the various regions studied. (author) [French] Dans le present rapport sont rassembles les premiers resultats des enquetes alimentaires effectuees pendant la periode 1963-1965, aupres de 9000 familles, dans onze regions reparties dans les six pays de la Communaute Europeenne. L'exploitation partielle des donnees obtenues porte sur un echantillon reduit a 3725 familles et permet d'etablir la composition du regime alimentaire moyen individuel, mensuel et annuel de chacune des onze regions. L'organisation des enquetes, la methode de traitement des donnees et l'expression des resultats sont exposees dans la premiere partie du rapport. La seconde reunit, sous forme de tableaux numeriques, les consommations des differents aliments et principes alimentaires par region d'enquetes. Des tableaux recapitulatifs permettent, en outre, une comparaison des consommations moyennes, individuelles des differentes regions etudiees. (auteur)

  12. Treatment of invasive bladder cancer with cisplatin, fluorouracil and concurrent radiotherapy: a pilot study; Traitement des cancers infiltrants de vessie par cisplatine, fluoro-uracile et radiotherapie concomitante: resultats d`une etude pilote

    Energy Technology Data Exchange (ETDEWEB)

    Chauvet, B.; Felix-Faure, C.; Berger, C.; Vincent, P.; Reboul, F. [Clinique Sainte-Catherine, 84 - Avignon (France); Davin, J.L. [Clinique Rhone-Durance, Avignon (France)

    1998-04-01

    Pilot study to assess treatment feasibility and results of a 2-drug chemotherapy (CT) regimen administered concurrently with radiotherapy (RT) for muscle-invasive bladder cancer. The median follow-up was 38 months. The feasibility of concurrent CT-RT was excellent: 96 % of the patients completed radiotherapy and 100 % of them received the two courses of P-FU. The acute toxicity was mild: no hematological toxicity or renal toxicity over grade II, 4 cases of bowel or rectal reversible grade III toxicity and 2 cases of reversible grade III cystitis. A complete response was achieved in 30 out of the 42 evaluable patients (65.2 %). Nine patients received an immediate salvage treatment (3TUR, 3 additional radiotherapy and 3 cystectomies). Ten patients had local failure. Projected 3-year locoregional control was 49 % for the 46 patients. Projected overall 3-year survival was 53 %. Functional results were good for disease-free patients with preserved bladder: 1 grade I, 3 grade II, and no grade III cystitis. Concurrent 2-drug chemoradiotherapy with cisplatin and 5-fluorouracil is feasible without major toxicity and offers a potentially curative and conservative treatment for patients with localized muscle-invasive bladder cancer. (authors)

  13. Neoadjuvant chemoradiotherapy in the advanced rectum cancers. Results of a retrospective study. Rate of sphincter preservation; Chimioradiotherapie neoadjuvante dans les cancers avances du rectum. Resultats d'une etude retrospective. Taux de preservation sphincterienne

    Energy Technology Data Exchange (ETDEWEB)

    Ayad, M.; Rabahi, K.; Mesli, S.; Boualga, K. [Centre anticancer, Blida (Algeria)

    2009-10-15

    Objectives: the concomitant chemoradiotherapy given before surgery improves the therapeutic results in the evolved cancers of the rectum v( classified T3-T4 clinically and/or N+). We report our experience for 114 patients that received a preoperative radiotherapy associated to the 5-fluoro-uracil-folinic acid (fufol) or 5-fluoro-uracil-oxaliplatin (Folfox) type chemotherapy. The other objective of this study was to determine the sphincter preservation rate for the patients suffering of a low rectal tumor. This retrospective study showed a good tolerance and an acceptable toxicity for the patient. The adjuvant chemoradiotherapy allowed a down staging and a conservation of the sphincter function for the patient suffering of a very low tumor. (N.C.)

  14. Phosphorus-32 in polycythemia vera with and without maintenance treatment. Intermediate follow-up results; Resultats actuels du protocole de traitement des polyglobulies vraies par le phosphore 32 avec ou sans traitement d`entretien

    Energy Technology Data Exchange (ETDEWEB)

    Najean, Y.; Rain, J.D. [Hopital Saint-Louis, 75 - Paris (France)

    1995-12-31

    Three-hundred and seventy-two patients with polycythemia vera, aged 65 years or more or with a high risk of vascular complications, were openly treated between 1979 and 1994 with {sup 32}P or a combination of {sup 32}P plus a small maintenance dose (7,5 mg/kg/day) of hydroxy urea. Although only a small number of patients was followed long enough to allow definite conclusions, some results are already significant in this intermediary study performed in November 1994. Maintenance treatment with hydroxy urea led to a significant prolongation of the intervals between {sup 32}P administrations and to a decreased annual mean dose of radiophosphorus. Median survival does not differ between to the two treatment groups, 10,7 years compared to 10,0 years. The rate of vascular complications did not differ between groups. At 10 years follow-up, the risk of developing (epithelial) cancer was increased in the group of patients who received maintenance treatment, 30% compared to 10%. Similarly, development of myelodysplasia, acute leukemia or lymphoma was more common in patients receiving hydroxy urea, 25% compared to 12%. Myeloid transformation of the spleen occurred with the same frequency. Our intermediate follow-up results show that addition of hydroxy urea to {sup 32}P treatment does not change survival or vascular complications in polycythemia vera patients, but probably increases the risk of developing cancer or leukemia. (authors). 2 refs., 4 figs.

  15. Determination of plateau slope and activity using filter measurement results and W. Chauvenet's criterion (Mage II and Fortran IV calculation programmes); Determination de pente de palier et d'activite a partir de resultats de mesure filtres selon le critere de W. Chauvenet (programmes de calcul en Mage II et Fortran IV)

    Energy Technology Data Exchange (ETDEWEB)

    Becker, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires, Departement d' Electronique Generale, Laboratoire de Metrologie de la Radioactivite

    1967-10-01

    In order to permit (at least partially) the objective comparison of plateau characteristics of gas-ionisation counters, plateaus which are obtained when each radioactive sample from normal LMR production is measured, a programme has been drawn up (on an electronic computer) comprising a processing section using least squares for obtaining the corrected plateaux and energies. With a view to an automatic operation of radio-measurement chains, the programme also comprises a preliminary section in which the statistical considerations of B. Peirce have been applied in the version better known as Chauvenet's criterion; this has been done with a view to eliminate measurement results which are dubious and even totally wrong. (author) [French] Pour rendre possibles (au moins partiellement) des comparaisons objectives entre paliers de caracteristiques de compteurs a ionisation gazeuse, paliers traces lors de la mesure de chaque etalon radioactif de la production courante du L.M.R., il a ete ecrit un programme (sur machine a calculer electronique) comportant une partie de traitement par les moindres carres en vue de la determination de pentes et d'activites corrigees. En prevision d'une exploitation automatique de cha es de radio-mesure, le programme comporte en outre une partie preliminaire dans laquelle des considerations statistiques dues a B. Peirce ont ete appliquees dans leur version plus connue sous le nom de critere de Chauvenet et ce dans le but d'une elimination des resultats de mesure suspects et meme veritablement aberrants. (auteur)

  16. Alecto 1 - criticality experiment on a solution of plutonium and of uranium 235. Experimental results and calculations on tank number 2 ({phi} 300 mm); Alecto 1 - experience de criticite sur une solution de plutonium et d'uranium enrichi a 90 pour cent. Resultats experimentaux et calculs concernant la cuve no. 2 ({phi} = 300 mm)

    Energy Technology Data Exchange (ETDEWEB)

    Bruna, J G; Brunet, J P; Clouet D' Orval, Ch; Kremser, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    Experiments on plutonium and 90 pour cent enriched uranium solutions have been made in the Alecto reactor with a tank of external diameter 300 mm. Various geometries Lave been tested, for variable concentrations of fissionable salts. The critical mass was studied as a function of the concentration in various reflector conditions (water, concrete, wood) and the experimental values were compared with calculated values. The effects of cadmium as a reflector and of the stainless steel tank were also studied. Lastly were carried out measurements of {beta}/{tau}, ratio of the effective fraction of delayed neutrons to the average lifetime of the neutrons in the reactor. (authors) [French] Des experiences sur des solutions de plutonium et d'uranium enrichi a 90 pour cent ont ete effectuees dans le reacteur Alecto, avec une cuve de diametre exterieur 300 mm. Diverses configurations geometriques ont ete realisees, pour des concentrations variables du sel fissile. On a etudie la masse critique en fonction de la concentration, dans plusieurs conditions de reflexion (eau, beton, bois), et on a compare les resultats experimentaux aux valeurs donnees par le calcul. On a egalement etudie l'influence du cadmium comme reflecteur et celle de la cuve d'acier inoxydable. Enfin on a effectue des mesures de {beta}/{tau}, rapport de la proportion effective des neutrons retardes au temps de vie moyen des neutrons dans la pile. (auteurs)

  17. Intensity-modulated radiation therapy for head and neck cancers with bilateral irradiation of the neck: preliminary results; Radiotherapie conformationnelle avec modulation d'intensite des cancers des voies aerodigestives superieures avec irradiation bilaterale du cou: resultats preliminaires

    Energy Technology Data Exchange (ETDEWEB)

    Lapeyre, M.; Mege, A.; Mege, P.; Racadot, S.; Marchal, C. [Centre Alexis-Vautrin, Dept. de radiotherapie, avenue de Bourgogne, Unite de radiotherapie externe, 54 - Vandoeuvre-les-Nancy (France); Marchesi, V.; Aletti, P.; Noel, A. [Centre Alexis-Vautrin, Dept. de radiotherapie, avenue de Bourgogne, Unite de radiophysique, 54 - Vandoeuvre-les-Nancy (France); Noel, A.; Marchal, C. [Institut National Polytechnique de Lorraine, Universite Henri-Poincare, Centre de Recherche en Automatique de Nancy, UMR CNRS 7039 Nancy-I, 54 - Vandoeuvre-les-Nancy (France)

    2004-06-01

    Purpose. - To report preliminary results of a prospective study of intensity-modulated radiotherapy (IMRT) for head and neck squamous cell carcinoma (HNC) with bilateral irradiation of the neck. Patients and methods. - At the Alexis Vautrin Cancer Center, 23 patients have been treated with IMRT for HNC since January 2002-August 2003. The first 10 patients with a minimum follow-up of 3 months were analyzed. All tumors were oropharyngeal. There were four females and six males, with a mean age of 50 years (range 39-66). Stages were I-II in eight and III-IV in two. CTV1 was microscopic disease and N0 neck (prescribed dose: 50 Gy) and CTV2 was macroscopic disease and the volume at risk (prescribed dose: 66-70 Gy). PTV were CTV + 5 mm. Patient's immobilization consisted of a five-point head neck shoulder thermoplastic mask. Set-up verifications were done by semi-automatically matching portal images and digitized reconstructed radiographs. IMRT used dynamic multi-leaf collimation. Five patients (group A) received 50 Gy IMRT (two post-operative and three with a brachytherapy boost with a mean dose: 27.5 Gy), and five patients (group B) received 66-70 Gy IMRT (four post-operative). Acute and late normal tissue effects were graded according to the RTOG-EORTC radiation morbidity scoring criteria. Results. - With a median follow-up of 7.4 months (range 3-18.5), no patient died or had loco-regional relapse. The displacements were <4 mm in 98% cases. CTV1 and 2 received 95% of the prescribed dose in 100% of the volume. On average the mean dose to the contralateral parotid was 25.5 Gy for group A vs. 31 Gy for group B (P = 0.09). Mean doses <26 Gy were obtained in three of five patients in group A vs. zero of five patients in group B (P = 0.04). Acute skin toxicities were grade 1 in five patients, grade 2 in four and grade 3 in one. Acute mucositis cases were grade 1 in three patients, grade 2 in five and localized grade 3 in two. At 3 months, 50% of the patients had a grade

  18. Ambulanceudrykning i København, Odense og Ringkøbing Amt. Resultater fra Sundhedsministeriets og Amtsrådsforeningens stikprøveundersøgelse 1990. 1. Epidemiologiske data

    DEFF Research Database (Denmark)

    Trier, H; Larsen, C F

    1992-01-01

    In 1990, The Danish Ministry of Health and the County Council Association undertook a spot test investigation of the activities in connection with 3,182 emergency ambulance services (AU) in the Municipality of Copenhagen (a city), the Odense district (a large provincial town) and the County...... in the County of Ringkøbing. More than 10% of the services in all three regions did not result in transport of the patient to hospital treatment. The average age of the patients was 52 years in Copenhagen compared with 44 years in the other two regions. The age-specific frequency of AU for patients aged 0......-4 year-old was nine times as great in Copenhagen than in Odense and the County of Ringkøbing and, where patients aged more than 80 years were concerned, the frequency was 4-10 times as great. In all three regions, the activities of ambulance services were most numerous between 6-16 hours and lowest...

  19. Intensity modulated radiotherapy in the head and neck cancers: prescribed dose, clinical challenges and results; Radiotherapie par modulation d'intensite dans les cancers de la tete et du cou: dose prescrite, defis cliniques et resultats

    Energy Technology Data Exchange (ETDEWEB)

    Martin, E.; Crehange, G.; Truc, G.; Maingon, P. [Centre Georges-Francois-Leclerc, Dept. de Radiotherapie, 21 - Dijon (France); Deville, C.; Bonnetain, F. [Centre Georges-Francois-Leclerc, Dept. de Statistiques, 21 - Dijon (France); Bosset, M. [Centre Hospitalier Jean-Minjoz, Dept. de Radiotherapie, 25 - Besancon (France)

    2007-11-15

    It is important to get new data to guide the clinician in one hand in the optimization of the I.M.C.R.T. use for the head and neck cancers treatment, in an other hand in the selection of patients able to receive this technique. The results should be correlated with the delayed and acute side effects. (N.C.)

  20. Evaluation of late effects, esthetic results and quality of life after conservative treatment of breast cancer?; Evaluation des effets tardifs, du resultat esthetique et de la qualite de vie apres traitement conservateur du cancer du sein

    Energy Technology Data Exchange (ETDEWEB)

    Geffrelot, J.; Toudic-Emily, F.; Delozier, T.; Switsers, O.; Allouache, D.; Delcambre, C.; Segura, C.; Levy, C.; Dupont, M.; Joly, F. [Centre Francois-Baclesse, 14 - Caen (France)

    2009-10-15

    Purpose: to evaluate the delayed toxicity of two patterns of adjuvant radiotherapy including a breast irradiation, at the dose of 48 Gy in 20 seances and five weeks or 57.60 Gy in 24 seances and six weeks in case of majored factors of local recurrence risk. The secondary objective were the auto evaluation by the patient of the esthetic result and the influence of this last one on the quality of life. Conclusion: the delayed toxicity was dominated by the fibrosis low to moderated one, without any significant difference between the doses of 48 Gy and 57.60 Gy. The esthetic result evaluated by the patient, globally good, seemed however, damaged with the last pattern. A bad esthetic result, without affected the global quality of life was associated to more specific breast symptoms and damaged the perception of the body image. (N.C.)

  1. Carcinological results at five years of the prostate brachytherapy by iodine 125 implants. About 327 cases; Resultats carcinologiques a cinq ans de la curietherapie de prostate par implants d'iode 125. A propos de 327 cas

    Energy Technology Data Exchange (ETDEWEB)

    Peiffert, D.; Bernier, V.; Aletti, P.; Noela, A.; Marchesi, V. [Centre Alexis-Vautrin, 54 - Vandoeuvre-les-Nancy (France); Cormier, L.; Moreau, J.L. [CHU, Service d' Urologie, 54 - Nancy (France)

    2006-11-15

    The prostate brachytherapy by iodine 125 implants is reserved to patients damaged by a favourable prognosis cancer. The objective of this study is to present the carcinological results at five years in these indications with a technique keeping urethra. The achieving of a P.S.A. nadir inferior to 0.5 ng/ml is long. the technique used in this study keeping urethra and respecting the inclusion criteria recommended allows to get results as less equivalent as these ones of big series previously published with a low failure rate. (N.C.)

  2. Long-term results and prognostic factors of squamous cell carcinoma of the anal canal treated by irradiation; Resultats a long terme et facteurs pronostiques des carcinomes epidermoides du canal anal traites par irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Tournier-Rangeard, L.; Peiffert, D.; Lafond, C.; Mege, A. [Centre Alexis-Vautrin, Dept. de Radiotherapie et Curietherapie, 54 - Vandoeuvre-les-Nancy (France); Metayer, Y.; Marchesi, V.; Buchheit, I. [Centre Alexis-Vautrin, Dept. de Radiophysique, 54 - Vandoeuvre-les-Nancy (France); Uwer, L.; Conroy, T.; Kaminsky, M.C. [Centre Alexis-Vautrin, Dept. d' Oncologie Medicale, 54 - Vandoeuvre-les-Nancy (France)

    2007-06-15

    Purpose To analyze the prognostic factors of loco regional control (L.R.C.), specific survival (S.S.) and sphincter conservation (S.C.) of patients treated by curative and conservative irradiation for an epidermoid cancer of anal canal in our institution. Patients and methods From 1976 to 2005, 286 patients (pts) were treated by exclusive radiotherapy (180 pts) or chemo-radiotherapy (106 pts) followed by a brachytherapy boost (233 pts) or external beam radiotherapy boost (24 pts). Forty-three pts were stage I, 154 stage II, 31 stage IIIA and 53 stage IIIB. Results The mean follow-up was 65 months (range: 1.3-250 months). The 5-years-overall survival and S.S. rates were 66.4% and 78.1% respectively. In multivariate analysis, tumor size (? 40 mm) [R.R. = 2.1], node involvement (R.R. = 2.4), and poor response (< 75%) to first course irradiation [R.R. = 1.9], local relapse (R.R. = 4.5) and distant metastases were factors of poor prognosis for S.S.. Five-years-L.R.C. were 71.5% (88% for stage I, 69% for stage II, 77%, for stage IIIA and 60% for stage IIIB). Prognosis factors of L.C.R. were tumor size (R.R. = 2.5), response to first course of irradiation (R.R. = 2.9). S.C. was 71% at 5 years. Prognosis factors of S.C. were tumor size (R.R. = 1.9) and response to first course of irradiation (R.R. = 2.4). Conclusion The results of this series are similar to those of the literature. As well as initial tumor extension, response to first course of irradiation was found as prognostic factor on L..R., S.S., S.C.. Our results are similar to other series and brachytherapy seems not to be deleterious. Its impact to local control remains to be evaluated. (authors)

  3. Results of conservative treatment with surgery and radiation therapy of 132 non-palpable ductal carcinomas in situ of the breast; Resultats du traitement par chirurgie conservatrice et irradiation de 132 carcinomes canalaires in situ non palpables du sein

    Energy Technology Data Exchange (ETDEWEB)

    Amalric, R.; Brandone, H.; Dubau, A.; Hans, D.; Brandone, J.M.; Robert, F.; Pollet, J.F.; Amalric, F.; Rouah, Y.; Thomassin, L.; Giraud, D.; Henric, A.; Martin, P.M.; Romain, S. [Academie mediterraneenne d`oncologie clinique, Polyclinique Clairval, 13 - Marseille (France)

    1998-01-01

    Retrospective analysis of results of treatment of 132 subclinical ductal carcinomas in situ, non-palpable. Patients were treated with limited surgery and 70 Gy radiation therapy (70 Gy). With a median follow-up of 7 years, the total recurrence rate was 6 % and the actuarial rate at 5 years 4 % and at 10 years 13 % at. These have no influence on recurrence on the specific actuarial survival rate which was 100 % at 10 years. In spite of five infiltrating recurrences of seven, no metastasis appeared 48 months after the salvage surgery. The global rate of breast. The global rate of breast preservation was 92 % at 7 years. Therapeutic indications were developed taking into account the present analysis and a literature review (2,338 in situ ductal carcinomas, palpable or not, treated with conservative surgery, with or without adjuvant radio-therapy). (author)

  4. Some Results of the Research Work on the Biological Effect of Neutrons and Protons; Quelques Resultats des Etudes sur les Effets Biologiques des Neutrons et des Protons; Nekotorye itogi izucheniya biologicheskogo dejstviya nejtronov i protonov; Algunos Resultados del Estudio de los Efectos Biologicos de los Neutrones y Protones

    Energy Technology Data Exchange (ETDEWEB)

    Moskalev, Ju. I. [Institut Biofiziki AMN SSSR, SSSR (Russian Federation)

    1964-03-15

    The author correlates and analyses the experimental data obtained over the past two or three years regarding the biological effects of neutrons and high-energy protons, and shows that it is a matter of prime concern for present-day radiobiology to investigate the relative biological effectiveness of the various types of radiation under various irradiation conditions and the reasons for the qualitative differences in their effect on the animal organism. Attention is drawn to the need for more research into the combined effect of various types of radiation and other agents. Specific examples are cited to demonstrate the main progress achieved in studying the prophylaxis of radiation injury induced by neutrons or high-energy protons and to show the contribution such research can make towards understanding the specific way in which various types of radiation act. (author) [French] L'auteur generalise les resultats des recherches experimentales qui ont ete faites au cours des deux ou trois dernieres annees sur les effets biologiques des neutrons et protons de haute energie. Il montre qu'une des taches importantes de la radiobiologie moderne est d'etudier a la fois l'efficacite biologique relative des divers types de rayonnements dans des conditions d'irradiation differentes et les differences qualitatives que presente leur action sur l'organisme vivant. Le memoire souligne qu'il est indispensable de developper les recherches sur l'effet combine des divers facteurs: rayonnements et autres. En partant d'exemples concrets, l'auteur expose les principaux resultats des recherches-sur la prophylaxie des radiolesions provoquees par les neutrons et les protons de haute energie; il montre egalement a quel point ces travaux sont necessaires pour mieux comprendre le caractere specifique de l'e ffet des divers types de rayonnements. (author) [Spanish] En esta memoria se generalizan los resultados de los estudios experimentales efectuados en los ultimos dos o tres anos en materia de

  5. Levels of Tritium in a Variety of New Zealand Waters and Some Tentative Conclusions from these Results; Concentration du tritium dans diverses eaux de Nouvelle-Zelande et conclusions provioires tirees des resultats obtenus; Urovni tritiya v razlichnykh vodakh novoj Zelandii i predvaritel'noe zaklyuchenie po etim rezul'tatam; Concentraciones de tritio en diferentes aguas de Nueva Zelandia y conclusiones provisionales basadas en los resultados obtenidos

    Energy Technology Data Exchange (ETDEWEB)

    Bainbridge, A E; O' Brien, B J [Institute of Nuclear Sciences, Gracefield (New Zealand)

    1962-01-15

    A wide variety of natural waters was selected for study in the determination of tritium abundance. Results of a series of measurements of tritium from the Akatarawa Stream, near Wellington, from April 1956 to December 1960 are given to show any evidence of bomb tritium in the rains falling on New Zealand. A comparison of these tritium levels with measurements made on tap water at the Institute of Nuclear Sciences was used in an estimate of the storage time of the Hutt Valley Artesian Reservoir. A limited number of results of measurement of tritium in geothermal bore waters, oceanic waters, Wellington rainwater and alpine snows are presented. (author) [French] Les auteurs ont choisi un grand nombre d'eaux naturelles pour determiner leur concentration en tritium. Le memoire contient les resultats de mesures de la teneur isotopique des eaux de l'Akatarawa (pres de Wellington), effectuees entre avril 1956 et decembre 1960; ces resultats montrent si les pluies qui tombent sur la Nouvelle-Zelande contiennent du tritium provenant des essais de bombes. Les auteurs les ont compares aux resultats des mesures faites sur l'eau de ville a l'Institut des sciences nucleaires, pour evaluer le temps d'emmagasinage de l'eau dans le reservoir artesien de la Hutt Valley. Le memoire contient aussi quelques resultats de mesures de la teneur en tritium des eaux de forages geothermiques, d'eaux de mer, d'eaux de pluie recueillies a Wellington, et de neiges de montagne. (author) [Spanish] A fin de determinar su contenido de tritio, se han seleccionado para su estudio aguas naturales de muy diversa indole. Se indica una serie de mediciones de tritio realizadas con muestras tomadas del rio Akatarawa, cerca de Wellington, entre abril de 1956 y diciembre de 1960, que demuestran la presencia, en las aguas de lluvia caidas sobre Nueva Zelandia, de tritio procedente de explosiones nucleares. Se ha establecido una comparacion entre estos niveles de tritio y las mediciones realizadas en aguas de

  6. Contribution to the geochemical knowledge of the uranium-radium and thorium families in the southern Vosges. Applications of some results in the prospecting of uranium deposits; Contribution a la connaissance geochimique des familles uranium-radium et du thorium dans les Vosges meridionales. Application de certains resultats en prospection des gisements d'uranium

    Energy Technology Data Exchange (ETDEWEB)

    Jurain, G [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1962-07-01

    This work's aim is to lead to a more accurate knowledge of the geochemistry of the Uranium-Radium and Thorium families in the Southern Vosges and to apply some of the results to the prospecting of uraniferous deposits: It has been showed: a bond between Calcium-Magnesium and Uranium-Thorium in the calco-alkaline granites. The host minerals of Uranium and Thorium are hornblende, biotite, titanite and epidote. a concentration of Uranium, at present time with secular disequilibrium in a thermal zone where the satellite mineralizations form an epithermal paragenesis. a disequilibrium of the Uranium-Radium family in the supergene minerals of the lead (phosphate and vanadate) showing the present circulations of Uranium. a bond between the radon grade of the spring waters and Uranium-Radium of the rocks. Such a relation allow to realize a prospecting method based on the determination of radioactive gases from the cold spring-waters of a common country. (author) [French] L'etude presentee ici a pour but de conduire a une connaissance plus precise de la geochimie des familles Uranium-Radium et Thorium dans les Vosges meridionales et d'appliquer certains resultats a la prospection des gites uraniferes. Il a ete mis en evidence: une liaison Calcium-Magnesium et Uranium-Thorium dans des granites calco-alcalins. Les mineraux hotes de l'Uranium et du Thorium sont: la hornblende, la biotite, le sphene, l'epidote. une concentration actuelle de l'Uranium en desequilibre seculaire dans une zone thermale ou les mineralisations satellites constituent une paragenese epithermale. un desequilibre de la famille Uranium-Radium dans des mineraux supergenes du plomb (phosphates et vanadates) prouvant les circulations actuelles de l'Uranium. une liaison entre la teneur en Radon des eaux de sources et celle en Uranium-Radium des roches. Une telle liaison permet de realiser une methode de prospection fondee sur le dosage du gaz radioactif des eaux de sources froides d'une region quelconque

  7. Contribution to the geochemical knowledge of the uranium-radium and thorium families in the southern Vosges. Applications of some results in the prospecting of uranium deposits; Contribution a la connaissance geochimique des familles uranium-radium et du thorium dans les Vosges meridionales. Application de certains resultats en prospection des gisements d'uranium

    Energy Technology Data Exchange (ETDEWEB)

    Jurain, G. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1962-07-01

    This work's aim is to lead to a more accurate knowledge of the geochemistry of the Uranium-Radium and Thorium families in the Southern Vosges and to apply some of the results to the prospecting of uraniferous deposits: It has been showed: a bond between Calcium-Magnesium and Uranium-Thorium in the calco-alkaline granites. The host minerals of Uranium and Thorium are hornblende, biotite, titanite and epidote. a concentration of Uranium, at present time with secular disequilibrium in a thermal zone where the satellite mineralizations form an epithermal paragenesis. a disequilibrium of the Uranium-Radium family in the supergene minerals of the lead (phosphate and vanadate) showing the present circulations of Uranium. a bond between the radon grade of the spring waters and Uranium-Radium of the rocks. Such a relation allow to realize a prospecting method based on the determination of radioactive gases from the cold spring-waters of a common country. (author) [French] L'etude presentee ici a pour but de conduire a une connaissance plus precise de la geochimie des familles Uranium-Radium et Thorium dans les Vosges meridionales et d'appliquer certains resultats a la prospection des gites uraniferes. Il a ete mis en evidence: une liaison Calcium-Magnesium et Uranium-Thorium dans des granites calco-alcalins. Les mineraux hotes de l'Uranium et du Thorium sont: la hornblende, la biotite, le sphene, l'epidote. une concentration actuelle de l'Uranium en desequilibre seculaire dans une zone thermale ou les mineralisations satellites constituent une paragenese epithermale. un desequilibre de la famille Uranium-Radium dans des mineraux supergenes du plomb (phosphates et vanadates) prouvant les circulations actuelles de l'Uranium. une liaison entre la teneur en Radon des eaux de sources et celle en Uranium-Radium des roches. Une telle liaison permet de realiser une methode de prospection fondee sur le dosage du gaz radioactif des eaux de sources

  8. Enova results and activities report 2008; Resultat- og aktivitetsrapport 2008

    Energy Technology Data Exchange (ETDEWEB)

    2009-07-01

    Enova's results in 2008 was 2,15 TWh in saved and produces renewable energy. Totally Enova has contributed by activate environmental friendly energy projects equivalent 11,6 TWh up to 2009. This is a good step towards Enova's long-term goal and corresponding to an amount of approximately 10 % of Norway's united consumption of energy throughout a year. (AG). refs., figs., tabs., ills

  9. First half 2005 financial results; Resultats du 1. semestre 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    With manufacturing facilities in over 40 countries and a sales network in over 100, AREVA offers customers technological solutions for nuclear power generation and electricity transmission and distribution. The group also provides interconnect systems to the telecommunications, computer and automotive markets. This document presents the first half 2005 financial results of the group: 1 - overall performance: sales revenue, operating income, consolidated net income, operating cash flow, balance sheet; 2 - outlook; 3 - performance by business division: front-end division, reactors and services division, back end division, transmission and distribution division, connectors division.

  10. AREVA 2010 annual results; AREVA resultats annuels 2010

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    Areva's 44-billion euro backlog at the end of 2010 gives the group excellent visibility, enabling it to confirm its outlook for 2012: 12 billion euros in revenue, double-digit operating margin and significantly positive free operating cash flow. Revenue rose by 575 million euros in 2010, or 6.7%, in comparison to 2009 and operating income excluding particular items improved by 201 million euros, nearly 2 points of revenue. In the past two years, Areva has raised 7.1 billion euros and secured its liquidity to ensure its development. In 2011, Areva is going to simplify the group's capital structure by listing ordinary shares of AREVA. At that time, the group may launch the employee share-holding plan, something it has ardently sought for several years as a way for its employees to share in AREVA's growth. The consolidated backlog stood at 44.204 billion euros at December 31, 2010, up 2.0% compared with that at December 31, 2009. The group's consolidated revenue came to 9.104 billion euros in 2010, up 6.7% on a reported basis and 5.1% like-for-like compared with 2009. Excluding particular items, operating income rose by 1.9 point, going from 3.9% in 2009 to 5.8% in 2010, giving operating income of 532 million euros (331 million euros in 2009). Net income attributable to equity owners of the parent came to 883 million euros in 2010, an increase of 331 million euros compared with 2009. Operating cash flow before capex was 923 million euros, an increase of 548 million euros compared with 2009, when it was 375 million euros, due to the visible improvement in EBITDA and working capital requirement. The change in gross capex (excluding acquisitions) from 1.780 billion euros in 2009 to 1.966 billion euros in 2010 is due to the ramp-up of construction programs, particularly in Enrichment. In 2010, almost 60% of the group's capital spending was on sites in France. The acquisitions made in Renewable Energies in 2010 in the amount of 210 million euros (100% of Ausra and the remaining 49% of Multibrid) bring total gross capex to 2.176 billion euros, compared with 1.808 billion euros in 2009. Net capex came to 2.013 million euros in 2010, compared with 1.294 billion euros in 2009, reflecting asset disposals of 163 million euros in 2010 (mainly from the sale of 2% of the Georges Besse II plant), compared with 514 million euros in 2009. Free operating cash flow before tax went from -919 million euros in 2009 to -1.090 billion euros in 2010. Part of the increase in net capex is financed by the improved EBITDA and working capital requirement. The group's net financial debt comes to 3.672 billion euros at December 31, 2010 (based on the 2007 valuation of the debt to Siemens i.e. 2.049 billion euros, plus accrued interest) compared with 6.193 billion euros at December 31, 2009. The 2.521-billion euro reduction is due to the cash generated by the disposal of the Transmission and Distribution business (3.124 billion euros), by the transactions on Safran securities in the amount of 636 million euros, and by the 900-million euro capital increase, which helped largely offset the free operating cash flow described above, as well as the payment of dividends for 2009 to AREVA SA shareholders in the amount of 250 million euros. These amounts should be compared with equity of 9.578 billion euros at December 31, 2010, compared with 7.574 billion at year-end 2009. The group's gearing thus went from 45% in 2009 to 28% in 2010, illustrating the notable strengthening of the group's balance sheet. As part of this process, AREVA's Supervisory Board will not propose to the Annual General Meeting of Shareholders the payment of a dividend for 2010. In addition, the group's liquidity was reinforced in 2010 by a fourth bond issue of 750 million euros. Excluding the debt to Siemens, the group has no major reimbursement due before 2016

  11. Styring, ledelse og resultater på ungdomsuddannelserne

    DEFF Research Database (Denmark)

    of vocational training at upper secondary level. Despite this increasing interest, Danish upper secondary education still remains to some extent the ‘poor relation’ of the other educational levels (primary, lower secondary and tertiary) in terms of the attention devoted to it with respect to policy development...

  12. Klasseledelse, uro og mobning: Resultater fra TIMSS 2011

    DEFF Research Database (Denmark)

    Smith, Emil; Reimer, David

    2018-01-01

    This article studies classroom management and disciplinary climate drawing on the Trends in International Mathematics and Science Study (TIMSS) 2011. Relations between classroom management, disciplinary climate and academic achievement are analysed based on 2,800 Danish fourth grade students usin...

  13. Consolidated results 2000. Forecasts 2001; Resultats consolides 2000. Perspectives 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This document presents an economic analysis of the Group Gaz De France consolidated results for the year 2000. The main topics are the evolution of the energy market, the great economic growth for the five businesses of the Group (exploration-production, trade, transport, distribution and services), financial results affected by the supply costs increase, the position reinforcement among the gas leaders in Europe and the highlights of 2000. (A.L.B.)

  14. Framatome announces its 1997 results; Framatome annonce ses resultats 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-18

    This press dossier presents the 1997 financial year of Framatome group: turnover and key-numbers, results, sectoral analysis (nuclear engineering (nuclear realizations, fuels, services and equipments); connectors engineering (automotive, electrical, electronic, interconnection and microelectronic industries), industrial equipments). Then, the 1998 objectives are presented with the strategy of the group (Chinese, central and eastern Europe nuclear programs, French-German joint EPR project, services and nuclear fuels, connectors engineering, industrial equipments, manpower, research and development programs). This part is followed by a presentation of some 1997 events and by the text of the press conference from May 18, 1998 which presented the activities of the group, its competences and know-how in the nuclear domain. (J.S.)

  15. Overvåking av norsk kosthold - metoder og resultater

    Directory of Open Access Journals (Sweden)

    Lars Johansson

    2009-11-01

    Full Text Available  SAMMENDRAGKunnskap om endringer i matvarenes sammensetning og befolkningens kosthold er grunnleggende for utformingog oppfølging av en helsefremmende mat- og ernæringspolitikk. Dagens system for overvåking avkostholdet bygger først og fremst på en matvaredatabase og opplysninger om forbruket av matvarer fra tretyper datasett; matforsyningsstatistikk, forbruksundersøkelser og kostholdsundersøkelser. Det avgis årlig envurdering av utviklingen i norsk kosthold i forhold til mat- og ernæringspolitiske målsettinger. Det norskesystemet for overvåking av kostholdet er blitt betydelig styrket i løpet av 1990-årene ved innføringen avregelmessige kostholdsundersøkelser blant landsrepresentative utvalg av befolkningen i ulike aldersgrupperog økte ressurser til analyse av næringsinnholdet i matvarer. Det er imidlertid beskjedent sammenlignet meddatainnsamlingen i land som USA og Storbritannia. Det norske overvåkingssystemet er forsatt i enutviklingsfase, og det må justeres og kompletteres etter hvert. Dessuten vil det arbeides med å kvalitetssikredatainnsamlingen.Johansson L. Surveillance of the diet in Norway – methods and results.Nor J Epidemiol ENGLISH SUMMARYKnowledge about changes in composition and intake of foods, as well as changes in the prevalence of dietrelatedhealth problems is fundamental for an effective food and nutrition policy. The National Council onNutrition and Physical Activity is responsible for evaluating changes in the diet. Annually the Council publishesreports about trends in the Norwegian diet, and suggests measures to improve the diet. The Council, incooperation with the National Food Authority and the Institute for Nutrition Research, University of Oslo,has established a national food and dietary surveillance system. This system is mainly based on a fooddatabase and food consumption data. The food consumption data include three principally different datasets: food supplies, household consumption surveys, and dietary surveys. Food supplies have been publishedannually since 1952. Household consumption surveys among random nation-wide samples of privatehouseholds have been performed annually by Statistics Norway since 1975. Dietary surveys were includedon a regular basis in the surveillance system in 1993 when the first Norwegian nation-wide dietary surveysamong students 13 and 18 years old and the general population aged 16-79 years were conducted. Thesecond dietary survey among the general population was made in 1997, and the first survey among infantswas performed in 1998-99. The second survey among children 5-13 years is planned for 2000-2001. TheNorwegian surveillance system has been considerably improved during the 1990s. However, the collectionof dietary data is still modest compared to what is done in the USA and Great Britain. The system isdeveloping, and will be adjusted and supplemented. Quality assurance of methods will be given priority.2000; 10 (1: 31-42.

  16. RTE annual results 2005; RTE resultats annuels 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    This annual report presents the results of the RTE (Electric power Transport Network). The year 2005 is marked by the new status of RTE, as a limited company. The financial good performances, the market, the open network, the environmental policy, the human resources and the european and international relations are discussed. (A.L.B.)

  17. Results. Building integrated energy supply; Resultater. Bygningsintegreret energiforsyning

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, Rasmus L.; Noergaard, J.; Daniels, O.; Justesen, R.O.

    2011-08-15

    In the future, buildings will not only act as consumers of energy but as producers as well. For these ''prosumers'', energy production by use of solar panels, photovoltaics and heat pumps etc will be essential. The objective of this project was to find the most optimal combinations of building insulation and use of renewable energy sources in existing buildings in terms of economics and climate impacts. Five houses were analyzed based on different personal load, consumption profiles, solar orientation and proposed building envelope improvements and use of combinations of renewable energy systems. The analysis was conducted by making a large number of simulations of which the best combinations were selected. The final result takes form of a single top-50 list with the best combinations of energy systems according to CO{sub 2} emission, energy consumption and economics. The present report contains the conclusions of and comments on the project's results. (ln)

  18. Areva - 2011 Annual results; Areva - Resultats annuels 2011

    Energy Technology Data Exchange (ETDEWEB)

    Marie, Patricia; Briand, Pauline; Michaut, Maxime; Scorbiac, Marie de; Repaire, Philippine du

    2012-03-01

    Areva's backlog established at 45.6 billion euros at the end of 2011, significantly increasing at the end of a year marked by the Fukushima accident, confirms the commercial dynamism of the group alongside its customers and reinforces the visibility on its future business level. In a difficult context, the slight decline in revenue in 2011 demonstrates the robustness of Areva's integrated model, resting mainly on recurring business generated in relation to Areva's customers' nuclear installed base, and benefiting from the development of Areva's renewable energies operations. Free operating cash flow before tax, although down over the whole year in 2011, improved in the second half, showing the first effects of Areva's stronger focus on cash generation and debt management. After the success of Areva's bond issue in September 2011, the Group's liquidity remains high at the end of 2011. The Areva teams are now dedicating all of their efforts to the deployment of the 'Action 2016' strategic action plan, which had already yielded its first positive results at the end of 2011, with an improvement in the cost structure of Areva's operations, an increase in order intake, and the launch of several disposals of minority interests. Summary of the 2011 financial results: - Backlog: euro 45.6 bn, +3.1% vs. 2010, i.e +6.7% over 3 months; - Revenue: euro 8.872 bn, i.e -2.6% vs. 2010; - Operating income: - euro 1.923 bn; - Net income attributable to equity owners of the parent: - euro 2.424 bn; - EBITDA: euro 1.068 bn ( euro 420 m excluding Siemens impact); - Free operating cash flow before tax: - euro 2.397 bn (- euro 1.366 bn excluding Siemens impacts), improvement over the second half; - Decrease in net debt of euro 124 m for the year; - Significant drop in general and administrative expenses, with a noticeable reduction between the first and the second half; - Launch of several disposals of minority interests

  19. Enova results report 2006; Enovas resultat- og aktivitetsrapport for 2006

    Energy Technology Data Exchange (ETDEWEB)

    2007-07-01

    Energy was high on the agenda in 2006. The higher than normal electricity prices, Norway's strong dependence on electricity, and the increased focus on climate change resulted in a lot of interest in environmentally friendly energy solutions. For Enova this meant an exciting and demanding year. At the same time it has been important to take into account the long-term perspective of the activities. Enova is supposed to be a driving force for future oriented energy solutions and to contribute to a lasting change in Norway's generation and use of energy. During the past year better knowledge about what is happening to our world has had a positive effect on our efforts. This increased attention has provided Enova with the opportunity to demonstrate that energy efficiency and renewable energy are the keys to a sustainable energy future. Moreover, the general focus on energy has enabled Enova to more effectively provide business and industry, households and the public authorities with good energy advice. refs., figs., tabs., ills

  20. Optical Density Control of Autoradiographs After Photographic Processing (Preliminary Results); Controle de la Densite Optique des Autoradiogrammes Apres Developpement Photographique. (Resultats Preliminaires); Regulirovanie opticheskoj plotnosti avtoradiogramm posle fotoobrabotki; Control de la Densidad Optica de las Autorradiografias Despues del Tratamiento Fotografico. (Resultados Preliminares)

    Energy Technology Data Exchange (ETDEWEB)

    Baptista, A. M. [Comissao de Estudos de Energia Nuclear, Instituto de Alta Cultura, Lisbon (Portugal); Terrinha, A. [Instituto Portugues de Oncologia, Lisbon (Portugal)

    1965-10-15

    In many applications of photographic emulsions it would be desirable to control the optical density after the photographic processing. This would be useful for instance in certain problems of photographic dosimetry and particularly in many applications of autoradiography in medicine and biology. It would then be possible to recover information lost by overexposure as it frequently occurs unavoidably particularly in cases where important grain density variations are observed in the same autoradiograph specimen. The authors report the first results of an attempt to control the grain density after development and fixation of the photographic material by attacking the processed emulsion with diluted solutions of trypsin. By changing concentrations and temperature the attack can be made to proceed at any desirable speed so the trypsin solution acts like an ultra microtome removing very thin layers of the photographic emulsion. More important, the process could be followed continuously under the microscope by using a suitable chamber. Results are presented which suggest that this technique can give a rough idea of the incorporation with time of the radionuclide in the biological structure under observation. (author) [French] Dans diverses applications d'emulsions photographiques, il serait souhaitable de controler la densite optique apres avoir procede au developpement. Cette methode serait utile, par exemple pour resoudre certains problemes de dosimetrie photographique, et notamment dans maintes applications medicales et biologiques de l'autoradiographie. Il serait alors possible de recuperer les indications perdues en raison d'une surexposition, souvent inevitable, surtout dans les cas ou la densite du grain varie tres sensiblement dans un meme specimen autoradiographique. Les auteurs signalent les premiers resultats qu'ils ont pu obtenir en cherchant a controler la densite du grain, apres developpement et fixation de la substance photographique, en attaquant l

  1. Combination of radiotherapy and cetuximab for patients suffering from of an advanced and non operable epidermoid carcinoma of the ORL sphere: results and side effects; Association de radiotherapie et de cetuximab chez des patients atteints d'un carcinome epidermoide de la sphere ORL evolue non operable: resultats et effets secondaires

    Energy Technology Data Exchange (ETDEWEB)

    Acevedo, C.; Valette, G.; Bouchekoua, M.; Marianowski, R.; Pradier, O. [CHU Morvan, 29 - Brest (France)

    2010-10-15

    The authors report a retrospective survey of a set of locally advanced epidermoid carcinomas treated by irradiation and cetuximab. They assessed the response to the treatment, the specific survival, and the global survival as well as the tolerance. The survey is based on 31 men and 5 women suffering from different stage 4 non-metastatic advanced epidermoid carcinomas of the ORL sphere. Short communication

  2. Determination of diets for the populations of eleven regions of the European community to be used for obtaining radioactive contamination levels. First results concerning the food consumption of individuals classified in nine age-groups; Determination des regimes alimentaires des populations de onze regions de la Communaute Europenne et vue de l'etude des niveaux de contamination radioactive. Premiere serie de resultats concernant la consommation alimentaire des individus groupes en neuf classes d'ages

    Energy Technology Data Exchange (ETDEWEB)

    Ledermann, S; Lacourly, G; Garnier, A; Cresta, M; Lombardo, E [Commissariat a l' Energie Atomique, 92 - Fontenay-aux-Roses (France). Centre d' Etudes Nucleaires

    1968-07-01

    The present document continues the report CEA-R--2979 - EUR--2768-f. The processing of the data given by the family food enquiry carried out in eleven regions of the European Community, has permitted to determine the food consumption of individuals classified in nine age-groups, in order to study the radioactive contamination levels in the food-chain. The used statistical method is described, and the obtained results are presented in form of double-entry tables giving for each region and for each age-group the mean weekly food-consumption and the contribution of each diet in nutrition principles, in minerals, vitamins, trace elements and calories. (authors) [French] Ce rapport fait suite au rapport CEA-R--2979 - EUR--2768-f. Le traitement de l'information apportee par les enquetes alimentaires familiales realisees dans onze regions de la Communaute Europeenne a permis de determiner les consommations alimentaires des individus groupes en neuf classes d'age, en vue de l'etude des niveaux de contamination radioactive dans les chaines alimentaires. La methode statistique employee est decrite et les resultats obtenus sont presentes sous forme de tableaux a double entree donnant pour chacune des regions etudiees et pour chacune des neuf classes d'age, les consommations moyennes hebdomadaires, ainsi que les apports en principes nutritifs, mineraux, vitamines et oligo-elements, et calories de chaque regime. (auteurs)

  3. First Results of a Systematic Study of Internal Contamination Due to Fall-Out; Premiers Resultats d'une Etude Systematique des Contaminations Internes Consecutives aux Retombees Radioactives; 041f 0415 0420 0414 ; Resultados Iniciales de un Estudio Sistematico de las Contaminaciones Internas Debidas a la Precipitacion Radiactiva

    Energy Technology Data Exchange (ETDEWEB)

    Pellerin, P.; Moroni, J. P.; Remy, M. L. [Travail du Service Central de Protection Contre les Rayonnements Ionisants, Ministere de la Sante Publique, Paris (France)

    1964-11-15

    infer a maximum value for the isotope. (author) [French] Depuis septembre 1.961, plus de-500 examens a l'anthropoeamma- metre.ont ete pratiques par le Service central de protection contre les rayonnements ionisants. De nombreuses personnes sont soumises a des examens trimestriels ou semestriels et des radioanalyses urinaires sont frequemment associees a ces examens; une exploration systematique de l'echantillon d'urine par spectrometrie {gamma} precede en general l'etude radiochimique. L'etude comparative des resultats de ces divers examens permet de degager certains faits relatifs a la contamination interne due aux retombees radioactives: 1. Le cesium 137 est le seul radioisotope artificiel constamment retrouve par examen a l'anthropogamma- metre. L'evolution de la charge totale moyenne peut etre suivie durant toute la periode de temps couverte par l'ensemble des examens. On peut constater accessoirement la variation, par ailleurs classique, de la charge radioactive selon le sexe. 2. Les auteurs ont pu etudier, pour les faibles activites habituellement rencontrees, le rapport entre l'excretion urinaire du cesium-137 et la charge corporelle totale de ce radioisotope. Les resultats paraissent'confirmer les relations etablies par d'autres auteurs pour des contaminations plus importantes. 3. En ce qui concerne les produits de fission a vies moyennes, les zirconium 95 + niobium 95 en particulier (et plus accessoirement le ruthenium 103), leur presence a pu etre constatee de facon transitoire a certaines periodes. 4. La connaissance de la charge corporelle totale de strontium 90 serait une donnee capitale, mais la mesure directe de ce radioisotope a Tanthropogammametre ne peut etre realisee pour de faibles activites. Les auteurs ont donc tente d'evaluer l'ordre de grandeur de cette charge par deux voies differentes: tout d'abord, l'etude du cesium 137, dont le pourcentage dans les retombees radioactives evolue de facon sensiblement parallele a celui du strontium 90, permet

  4. The Estimation of Internal Contamination with Uranium from Urine Analysis Results; Evaluation de la Contamination Interne par l'Uranium a Partir des Resultats de l'Analyse d'Urines; 041e 0426 0414 ; Evaluacion de la Contaminacion Interna con Uranio a Partir de los Resultados del Analisis de Orina

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, S. [Authority Health and Safety Branch, Radiological Protection Division, United Kingdom Atomic Energy Authority, Harwell, Berks. (United Kingdom)

    1964-11-15

    The most common cause of internal contamination with uranium is inhalation of uranium dust. Soluble uranium compounds are rapidly absorbed from the lungs, and most of the uranium entering the circulation is rapidly excreted in the urine. The intake of soluble uranium at work can be estimated from the uranium content of urine samples taken immediately afterwards. It is a special feature of soluble compounds of natural uranium that the primary consideration is not radiological but toxicological due to chemical effects of uranium deposited in the kidneys. Some uranium is also deposited in the skeleton, but the irradiation of bone is less critical, in the case of natural uranium, than the toxicity to kidney. For soluble compounds of highly-enriched uranium with its high specific activity, the primary concern is radiological; the chemical effects on the kidneys are less limiting than the irradiation of bone, which thus becomes the critical organ. In this case, it is better to attempt to assess the retained body burden rather than the intake of uranium. This may be done by analysing urine samples taken not immediately after exposure but when some time has elapsed. Samples taken after a holiday are probably the best material available in practice, but it may be necessary to accept samples after only a week-end of removal from uranium work. (author) [French] Evaluation de la contamination interne par l'uranium a partir des resultats de l'analyse d'urines. La cause la plus frequente de contamination interne par l'uranium est l'inhalation de poussieres d'uranium. Les composes solubles de l'uranium sont rapidement absorbes au niveau des poumons et la plus grande partie de l'uranium qui passe dans le sang est rapidement rejetee avec l'urine. La quantite d'uranium soluble actif qui est absorbee peut etre determinee a partir de la teneur en uranium d'echantillons preleves immediatement apres. Les composes solubles de l'uranium naturel ont une particularite en ce sens que la

  5. Comparison of Spin Wave Theory with Neutron Scattering Results for MnF{sub 2}; Comparaison entre la Theorie de l'Onde de Spin et les Resultats Obtenus par la Diffusion des Neutrons dans MnF{sub 2}; Sravnenie teorij spinovoj volny s rezul'tatami rasseyaniya nejtronov dlya MnF{sub 2}; Estudio Comparativo, en el MnF{sub 2}, de la Teoria Ondulatoria del Spin y de los Resultados de la Dispersion Neutronica

    Energy Technology Data Exchange (ETDEWEB)

    Low, G. G. [Atomic Energy Research Establishment, Harwell, Berks (United Kingdom)

    1965-04-15

    l'onde de spin dans MnF{sub 2}, a 4,2 Degree-Sign K et a des temperatures superieures approchant le point de Neel. Les resultats obtenus a basse temperature, completes par des donnees sur les caracteristiques magnetiques, ont permis d'evaluer les diverses constantes d'echange dans MnF{sub 2} avec une certaine precision. En utilisant ces constantes, l'auteur a employe le formalisme de l'onde de spin pour substances antiferromagnetiques, decrit par Oguchi, pour prevoir theoriquement comment varie la dispersion de l'onde de spin en fonction de la temperature. Aucun des parametres mis enjeu n'est superflu, et les courbes theoriques de dispersion peuvent etre comparees aux resultats experimentaux pour des temperatures plus elevees en vue de verifier la theorie de l'onde de spin. L'auteur a evalue numeriquement les energies d'onde de spin et integre sur la zone de Brillouin, evitant ainsi tout developpement en serie selon la temperature. Ils a tenu compte des interactions dynamiques entre paires d'ondes de spin, mais il a neglige les effets cinematiques. Les energies d'onde de spin ont fait l'objet d'une renormalisation. C'est la un facteur important pour T/T{sub N} Greater-Than-Or-Equal-To Vulgar-Fraction-One-Half . La concordance entre la theorie et les resultats experimentaux demeure, en fait, remarquable jusqu'a des temperatures correspondant a environ 90% du point de NeeL II serait dangereux d'extrapoler ces resultats en vue de les utiliser pour des systemes a spin plus faible, car les effets cinematiques joueraient probablement un role beaucoup plus important dans ces cas. En ce qui concerne MnF{sub 2}, ou S= 5/2, une evaluation grossiere laisse supposer que les effets cinematiques seront peu importants jusqu'a M/M{sub O}-20%, ce qui ne se produit que dans les limites d'un degre environ du point de Neel, L'auteur discute brievement les consequences que peut avoir un terme d'echange biquadratique dans MnF{sub 2}; il conclut que, si cet echange existe, il est tres

  6. The Design and Performance of a Large High resolution Focusing Collimator; Etude d'un Grand Collimateur a Focalisation et Fort Pouvoir de Resolution: Resultats; Konstruktsiya i kharakteristika krupnogo fokusiruyushchego kollimatora s vysokoj stepen'yu razresheniya; Diseno y Funcionamiento de un Gran Colimador Enfocado de Alto Poder de Resolucion

    Energy Technology Data Exchange (ETDEWEB)

    Harris, C. C.; Bell, P. R.; Satterfield, M. M.; Ross, D. A.; Jordan, J. C. [Oak Ridge National Laboratory, TN (United States)

    1964-10-15

    by 1/4 in from a |- in diam. source about 50 times more intense. (author) [French] Le collimateur a focalisation a pour principal avantage de permettre l'emploi d'un grand detecteur pour augmenter le taux de comptage sans diminuer la resolution dans l 'espace. Un grand nombre d 'orifices etant orientes vers un point unique, on obtient une sorte d'effet ' d e focalisation ' Etant donne que les parois entre les orifices sont obligatoirement minces, la penetration de ces parois par les rayons gamma provoque une diminution de la resolution dans l'espace. Afin d'attenuer cette penetration, on a utilise, au lieu de plomb, le tungstene et l 'or pour les detecteurs de 7,5 cm de diametre. A moins d'utiliser aussi un plus grand detecteur, le fait d'utiliser un collimateur en plomb plus long pour reduire la penetration compromet l 'objectif essentiel de l 'etude de l 'appareil; qui est d'augmenter le taux de comptage. Les auteurs ont etudie et construit un collimateur en plomb, a 91 orifices, destine a etre utilise avec un detecteur a NaI(Tl) de 13,5 cm sur 7,5 cm. Le foyer est a 24 cm detecteur, et l'angle solide d'acceptation est le meme que pour les collimateurs a focalisation utilises couramment avec des detecteurs de 7,5 cm. La longueur maximum est de 16,5 cm; la longueur normale de l 'appareil etudie est de 14 cm. A ces longueurs, les 'cercles de resolution'optiques sont de 1,2 cm et 0,77 cm, respectivement. Les resultats de l 'etude sont les suivants: a) distance focale plus longue et augmentation de l 'efficacite de comptage, grace a l'emploi d'un scintillateur de plus grandes dimensions; b) collimateur en plomb, avec resolution comparable a c elle de collimateurs en or, plus courts (sur le scintigramme, l'image d'une source ponctuelle de Cs-{sup 137}Ba ne mesure que 7 mm de diametre); c) collimateur a fort pouvoir de resolution, pour la scintigraphie de l'homme et des petits animaux; d) ensemble standard destine a etre utilise avec des collimateurs a plus grand angle

  7. Conservative treatment of anal canal carcinoma with external radiotherapy and interstitial brachytherapy, with or without chemotherapy: long-term results; Traitement conservateur des cancers du canal anal par irradiation suivie de curietherapie interstitielle, avec ou sans chimiotherapie: resultats a long terme

    Energy Technology Data Exchange (ETDEWEB)

    Berger, C.; Felix-Faure, C.; Chauvet, B.; Vincent, P.; Alfonsi, M.; Coudurier, P.; Plat, F.; Reboul, F. [Clinique Sainte-Catherine, 84 - Avignon (France)

    1999-12-01

    Purpose: a retrospective analysis of conservative treatment of anal canal cancers with external radiation therapy and interstitial brachytherapy with or without chemotherapy. Patients and methods: from 1986 to 1996, 69 patients were treated with external radiotherapy (40 Gy/20 fractions) and interstitial brachytherapy (20 Gy) after a mean interval of six weeks for a localized epidermoid carcinoma of the anal canal. Patients who did not complete the whole therapeutic sequence were not included. Forty-five patients received additional 5-fluorouracil- and/or mitomycin C-based chemotherapy regimen. Results: acute toxicity was acceptable. Complete response rate was 81%. Actuarial local control rate was at two and five years, 65% and 59% respectively (median follow-up: eight years). At two, five and ten years, actuarial colostomy rate was 26%, 33% and 33% respectively, and colostomy-free survival rates 61%, 47% and 37%. Overall survival at two, five and ten years was 81%, 65% and 53% respectively. Distant metastases occurred in 11 patients (16%). Prognostic factors for overall survival were performance status (PS) (79% survival at five years for patients with PS 0 versus 50% for patients with PS 1-3, P = 0.04) and tumor stage (80% at five years for T1-T2 versus 53% for T3-T4, P = 0.03). Overall treatment time less than 12 weeks and time interval between external radiotherapy and brachytherapy inferior than six weeks were associated with a better local control (P = 0.05). In multivariate analysis, these prognostic factors were not significant. Conclusion: these results confirm the efficacy of external radiotherapy and brachytherapy in the treatment of small anal canal cancers, and point out the need for improving treatment outcome of larger tumors. (author)

  8. Radiotherapy of macular lesions in age-related macular degeneration (A.M.D.): preliminary results of a clinical study conducted in Lyon, France; Radiotherapie des degenerescences maculaires liees a l`age (DMLA): resultats preliminaires d`une etude lyonnaise

    Energy Technology Data Exchange (ETDEWEB)

    Martin, P. [Centre oncologie radiotherapie Saint-Jean, 69 - Lyon (France); Mauget, M. [Centre ophtalmologique d`imagerie, laser, 69 - Lyon (France); Gerard, J.P. [Service de radiotherapie-oncologie, CHU Lyon Sud, 69 - Pierre-Benite (France) (and others)

    1997-06-01

    To evaluate irradiation effects on functional signs and choroidal neo-vascular lesions in age-related macular degeneration (AMD) that does not respond to laser therapy. Since 1994, 250 consecutive AMD patients were treated by two radiotherapy teams for sub-foveal neo-vascular lesions. At the end of september 1996, 52 patients were evaluable with a 1-year follow-up. Group 1 (Department de Radiotherapie Oncologie, Centre Hospitalo-Universitaire Lyon Sud) included 26 patients who were treated with a lateral beam of 6 MV photons. The irradiation dose were 20 Gy in five fractions for small lesions and 28.8 Gy in eight fractions for larger lesions. Group 2 (Centre Oncologie Radiotherapie Saint-Jean) was composed of 26 patients treated with a mini-beam of 25 MV photons via lateral arc-therapy. Beam diameters (14 and 18 mm) were adapted to the lesion size. The total dose was 16 Gy in four fractions or 20 Gy in five fractions. Functional and anatomical results were assessed at 3, 6, 9 months and 1 year after radiation therapy. Stable visual acuity was observed in 44 % (23/52) of the patients and visual acuity was improved in 35 % (18/52) of the patients at 6 months. Good functional results reached 79 % (41/52) at 6 months and 74 % (17/23) at 12 months. There was no statistical difference between the two groups and dose levels. All severe complications (1 cataract, 3 dilated choroidal vessels, and 2 papillitis) occurred in group 1. Though it is too early to conclude on the best dose level, radiotherapy of sub-foveal neo-vascular lesions of AMD that cannot be treated via laser therapy provides encouraging results. The technique used must be very precise to adequately irradiate the fovea and spare surrounding sensitive areas. Further studies and trials involving patients` randomization are necessary to confirm these preliminary results. (author) 13 refs.

  9. Preliminary results of proton therapy in choroidal melanoma at the centre de proton therapy d`Orsay (C.P.O.): 464 initial cases; Resultats preliminaires de la protontherapie du melanome de la choroide au centre de protontherapie d`Orsay (CPO): les 464 premiers cas

    Energy Technology Data Exchange (ETDEWEB)

    Desjardins, L.; Levy, C.; D`hermies, F.; Frau, E.; Schlienger, P.; Habrand, J.L.; Mammar, H.; Schwartz, L.; Mazal, A.; Delacroix, S.; Nauraye, C.; Ferrand, R.; Asselain, B. [Centre de protontherapie d`Orsay, 91 - Orsay (France)

    1997-06-01

    Retrospective analysis of the treatment of choroidal melanoma with proton-therapy at the Centre de protontherapie d`Orsay, France. Between September 1991 and September 1995, 612 patients presenting with choroidal melanoma were treated by proton-therapy in Orsay. Following initial management of the first 464 patients, results were analyzed, as were results after a 1-year follow up for 305 patients, a 2-year follow-up for 169 patients, and a 3-year follow-up for 59 patients. Univariate analysis showed that the actuarial local recurrence rate was 5 %, the 3-year survival rate 88 %, and the overall metastatic rate 5%. The initial tumor volume was the most significant predictive factor for visual results and metastases. Multivariate analysis revealed that visual results were significantly related to the initial tumor volume, initial retinal detachment, and total dose delivered to the optic nerve and macula. Proton-therapy of choroidal melanoma allows in most cases conservation of the eye without modification of survival. Visual results mainly depend on the site and size of the tumor. (author) 16 refs.

  10. National radiotherapy Observatory. Inquiry report: situation at the end of 2010 and evolution since 2007. Context and method, results of data from 2010, conclusion; Observatoire national de la radiotherapie. Rapport d'enquete: situation fin 2010 et evolution depuis 2007. Contexte et methode, resultats des donnees 2010, conclusion

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-01-15

    Illustrated by data tables and graphs, this document presents and discusses the results of an inquiry made on radiotherapy centres about their equipment (linear accelerators and additional equipment, number of days opened to patients, use, quality control and maintenance duration, treatment preparation, equipment dedicated to quality control), their activities (evolution of the number of treated patients, of treatments, and of treatment sessions between 2007 and 2010, number of sessions per apparatus, dosimetry, techniques), their personnel (evolution of the number of radiotherapists, radio-physicists, operators and dosimetrists, time dedicated to training), and their practices

  11. Preliminary results of the assessment of intensity modulated radiotherapy (IMRT) for prostatic and head and neck tumors (STIC 2001); Resultats preliminaires de l'evaluation de la radiotherapie conformationnelle avec modulation d'intensite (RCMI) pour le traitement des cancers prostatiques et ORL (STIC 2001)

    Energy Technology Data Exchange (ETDEWEB)

    Marchal, C.; Lapeyre, M.; Beckendorf, V.; Aletti, P.; Marchesi, V. [Centre Alexis-Vautrin, Dept. de Radiotherapie, 54 - Vandoeuvre-les-Nancy (France); Hasle, E.; Carrere, M.O. [Centre de Lutte Contre le Cancer Leon-Berard, GRESAC, UMR 5823 du CNRS, 69 - Lyon (France); Dubois, J.B.; Ailleres, N. [Centre Regional de Lutte Contre le Cancer Paul Lamarque, Service de Radiotherapie, 34 - Montpellier (France); Maigon, P.; Naudy, S. [Centre de Lutte Contre le Cancer Georges-Francois-Leclerc, Service de Radiotherapie, 21 - Dijon (France); Bensadoun, R.J.; Marcie, S.; Gerard, J.P. [Centre Antoine-Lacassagne, Service de Radiotherapie, 06 - Nice (France); Le Prise, E.; Manens, J.P. [Centre Eugene-Marquis, Service de Radiotherapie, 35 - Rennes (France); Lartigau, E.; Mazurier, J. [Centre de Lutte Contre le Cancer Oscar-Lambret, Service de Radiotherapie, 59 - Lille (France); Carrie, C.; Ginestet, C.; Pommier, P. [Centre de Lutte Contre le Cancer Leon-Berard, Service de Radiotherapie, 69 - Lyon (France); Dubray, B.; Chauvin, F. [Centre de Lutte Contre le Cancer Leon-Berard, Dept. de Sante Publique, 69 - Lyon (France)

    2004-11-01

    Introduction. - Between May 2002 and May 2004, eight French comprehensive cancer centres did a prospective non-randomized study including 200 patients, 100 with cancer of the prostate and 100 with head and neck cancers. Half of each patient group was treated by IMRT and the others by RTC 3D. This clinical study was associated with an economic study and a physics study. We report here the first results. Patients and methods. - For the clinical study, the analysis of the data of the first 88 patients irradiated for a prostatic cancer shows that 39 received RTC and 49 IMRT with a mean dose of 78 Gy at the ICRU point at 2 Gy per fraction. For H and N tumours, the preliminary analysis was done on the 87 first patients with a mean follow-up of 11.5 months (2 to 25 months) and a median of 8.4 months for the IMRT groups and 13,2 months for the RTC group. The economic study was done on the first 157 patients included during the first 18 months: 71 treated by RTC (35 for H and N and 36 for prostate) and 86 treated by IMRT (38 for H and N and 48 for prostate). The assessment of the direct costs was realized y a micro-costing technique. The physical study compared dose distributions for both techniques and has created quality control recommendations. Results. - Clinical studies of the acute reactions do not show any difference between groups, but we want to point out the short follow-up and the relatively high dose delivered to cancers of the prostate. The physics study demonstrates that IMRT is technically feasible in good clinical conditions with high quality assurance, a good reproducibility and precision. Dosimetric data show that IMRT could certainly spare organs at risk more than RTC for H and N tumours. The direct costs of 'routine' treatments for H and N tumours were 4922 euros for IMRT versus 1899 euros for RTC and for the prostatic cancers 4911 euros for IMRT versus 2357 for RTC. (authors)

  12. Concomitant chemoradiotherapy with folfox-cetuximab in stage III oesophagus and cardia carcinomas: final results of the phase-II Erafox study of the Gercor group; Chimioradiotherapie concomitante par folfox-cetuximab dans les carcinomes du cardia et de l'oesophage de stade III: resultats definitifs de l'etude de phase II Erafox du groupe Gercor

    Energy Technology Data Exchange (ETDEWEB)

    Lledo, G.; Mammar, V.; Michel, P. [Hopital Jean-Mermoz, Lyon (France); Dahan, L. [CHU Rouen, Rouen (France); Mineur, L.; Dupuis, O. [Institut Sainte-Catherine, 84000 Avignon (France); Galais, M.P. [CHU Timone, Marseille (France); Chibaudel, B. [InstitutJean-Godinot, Reims (France); Jovenin, N. [Gercor, Paris (France); Gramont, A. de [Hopital Saint-Antoine, Paris (France)

    2011-10-15

    The authors report and discuss the results of a French national multicentre study which aimed at assessing the efficiency and tolerance of a folfox- and cetuximab-based chemotherapy concomitant with a radiotherapy for the treatment of stage-III cardia and oesophagus cancers. Patients (60 men and 19 women) have been selected according to the carcinoma type, performance index, age, weight loss over the last six months. Results are discussed in terms of response, steadiness, advancement, grade 3 and 4 toxicity, and side effects. The therapeutic efficiency corresponds to an objective response rate of 77 per cent, and tolerance profile seems to be acceptable for patients suffering from locally advanced cardia and oesophagus cancer. Short communication

  13. Results of the Tremplin trial proposing an induction chemotherapy followed by concomitant radiotherapy with cisplatin ou cetuximab in order to protect the larynx; Resultats de l'essai Tremplin proposant une chimiotherapie d'induction suivie d'une radiotherapie concomitante avec cisplatine ou cetuximab dans le but de preserver le larynx

    Energy Technology Data Exchange (ETDEWEB)

    Pointreau, Y.; Calais, G. [Service de radiotherapie, Centre regional universitaire de cancerologie Henry-S.-Kaplan, Hopital Bretonneau, CHU de Tours, 37 (France); Pointreau, Y.; Calais, G. [Universite Francois-Rabelais de Tours, 37 (France); Pointreau, Y. [CNRS, UMR 6239 - Genetique, immunotherapie, chimie et cancer - et Laboratoire de pharmacologie-toxicologie, CHRU de Tours, 37 (France); Rolland, F.; Bardet, E. [Centre Rene-Gauducheau, 44 - Nantes (France); Alfonsi, M. [Clinique Sainte-Catherine, 84 - Avignon (France); Baudoux, A. [Clinique Sainte-Elisabeth, Namur (Belgium); Sire, G. [Centre hospitalier de Lorient, 56 (France); De Raucourt, D. [Centre Francois-Baclesse, 14 - Caen (France); Tuchais, C. [Centre Paul-Papin, 49 - Angers (France); Lefebvre, J.L. [Centre Oscar-Lambret, 59 - Lille (France)

    2010-10-15

    The authors report a randomized phase II trial which aimed at comparing over three months the laryngeal protection after a TPF-based induction chemotherapy followed by radiotherapy in combination with cisplatin or cetuximab. Over two years, 153 patients have been concerned. The TPF-based induction chemotherapy followed by radiotherapy with cetuximab seems to be the less toxic. A longer monitoring is needed to get better information in terms of laryngeal protection rate, life quality, and laryngeal functionality. Short communication

  14. Clinical results after ten years of the Lyon R96-02 trial: improving rectum conservation by increasing irradiation dose; Resultats cliniques a dix ans de l'essai Lyon R96-02: ameliorer la conservation du rectum en augmentant la dose d'irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Gerard, J.P. [Centre Antoine-Lacassagne, Nice (France); Ortholan, C. [Hopital Princesse-Grace, Monaco (Monaco); Chapet, O. [Centre hospitalier de Lyon-Sud, Pierre-Benite (France); Romestaing, P. [Hopital prive J.-Mermoz, Lyon (France)

    2011-10-15

    The author report and comments the results after ten years of a trial which aimed at testing the influence of a boost by pre-operative 50 kV contact radiotherapy on the sphincter or rectum conservation rate. Patient had been treated by external radiotherapy with or without this contact radiotherapy. Results are analysed in terms of complete or partial clinical response, global survival, local recurrence, and absence of colostomy. Short communication

  15. Results of the Accord 12/0405- prodige 2 randomized test in the rectum cancers of stage T(2) 3-4 NX M0; Resultat de l'essai randomise Accord 12/0405-prodige 2 dans les cancers du rectum de stade T(2) 3-4 NX M0

    Energy Technology Data Exchange (ETDEWEB)

    Gerard, J.P.; Benezery, K. [Centre Antoine-Lacassagne, 06 - Nice (France); Azria, D.; Gourgou-Bourgade, S. [CRLCC Val d' Aurelle-Paul-Lamarque, 34 - Montpellier (France); Martel-Laffay, I. [Centre Leon-Berard, 69 - Lyon (France); Hennequin, C. [Hopital St-Louis, 75 - Paris (France); Etienne, P.L. [Clinique Armoricaine de Radiologie, 22 - Saint-Brieuc (France); Vendrely, V. [CHU, 33 - Bordeaux (France); Peiffert, D. [Centre Alexis-Vautrin, 54 - Nancy (France); Montoto-Grillot, C. [FNCLCC-BECT, 75 - Paris (France)

    2009-10-15

    The Capox 50 protocol increase the early toxicity without reducing the possibilities of surgery. It does not increase neither the sphincter conservation rate nor the surgery complications. It improves noticeably the histological tumor response (ypT) and the negative circumferential margin rate. The Star Italian protocol randomized for similar patients exclusively oxaliplatin, without increasing the histological tumor response rate and with 25% of grade 3 or 4 early toxicity. In comparison between the tests Accord 12 and Star it is possible to propose as neoadjuvant treatment of these rectum cancers (stage T3-4 Mo) a Cape 50 protocol associating a 50 Gy radiotherapy in 25 fractions and five weeks and a concomitant chemotherapy (capecitabine: 1600 mg/M{sup 2}/d). The oxaliplatin can be proposed out of radiotherapy to eradicate the infra clinical metastases. (N.C.)

  16. Hypo-fractionated radiotherapy of breast cancer: long term results of a set of 80 cases treated in the radiotherapy department of the Oran university hospital; Radiotherapie hypofractionnee dans le cancer du sein: resultats a long terme d'une serie de 80 cas traites dans le service de radiotherapie du centre hospitalier universitaire d'Oran

    Energy Technology Data Exchange (ETDEWEB)

    Boukerche, A.; Yahia, A.; Madouri, R.; Belmiloud, H.; Dali-Youcef, A.F. [Service de radiotherapie, CHU d' Oran, Oran (Algeria)

    2011-10-15

    The authors report the assessment of the local and locoregional control and of the acute and late toxicity of adjuvant hypo-fractionated radiotherapy in breast cancer treatment. During 1998, 80 women have been treated by conservative or radical surgery and hypo-fractionated tele-cobalto-therapy (36 Gy in five fractions of 3 Gy a week, and a boost of 15 Gy in five fractions in case of conservative surgery). Results are discussed in terms of local and locoregional recurrence, tolerance, late toxicity, global survival, and tumour classification. The irradiation scheme seems perfectly achievable but a greater number of patients and a longer follow-up are required to better assess the efficiency and aesthetic results. Short communication

  17. Conservative treatment of soft tissue sarcomas of the extremities. Functional evaluation with LENT-SOMA scales and the Enneking score; Traitement conservateur des sarcomes des tissus mous des membres. Evaluation du resultat fonctionnel selon l'echelle LENT-SOMA et le score de Enneking

    Energy Technology Data Exchange (ETDEWEB)

    Tawfiq, N.; Lagarde, P.; Thomas, L.; Kantor, G. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Radiotherapie, 33 - Bordeaux (France); Stockle, E. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Chirurgie, 33 - Bordeaux (France); Bui, B.N. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service d' Oncologie Medicale, 33 - Bordeaux (France)

    2000-12-01

    Objective. - The aim of this prospective study is the feasibility of late effects assessment by LENT-SOMA scales after conservative treatment of soft tissue sarcomas of the extremities and a comparison with the functional evaluation by the Enneking score. Patients and methods. - During the systematic follow-up consultations, a series of 32 consecutive patients was evaluated in terms of late effects by LENT SOMA scales and functional results by the Enneking score. The median time after treatment was 65 months. The treatment consisted of conservative surgery (all cases) followed by radiation therapy (29 cases), often combined with adjuvant therapy (12 concomitant radio-chemotherapy association cases out of 14). The assessment of the toxicity was retrospective for acute effects and prospective for the following late tissue damage: skin/subcutaneous tissues, muscles/soft tissues and peripheral nerves. Results. -According to the Enneking score, the global score for the overall series was high (24/30) despite four the scores zero for the psychological acceptance. According to LENT SOMA scales, a low rate of severe sequelae (grade 3-4) was observed. The occurrence of high-grade sequelae and their functional consequences were not correlated with quality of exeresis, dose of radiotherapy or use of concomitant chemotherapy. A complementarity was observed between certain factors of the Enneking score and some criteria of the LENTSOMA scales, especially of muscles/soft tissues. Conclusion. -The good quality of functional results was confirmed by the two mean scoring systems for late normal tissue damage. The routine use of LENT-SOMA seems to be more time consuming than the Enneking score (mean time of scoring: 1 3 versus five minutes). The LENT-SOMA scales are aimed at a detailed description of late toxicity and sequelae while the Enneking score provides a more global evaluation, including the psychological acceptance of treatment. The late effects assessment by the LENT

  18. The distribution of a pure beta-emitter in the human body. Problems and preliminary results of Bremsstrahlung measurements in vivo; La repartition d'un emetteur beta pur dans l'organisme humain. Problemes poses par les mesures in vivo du rayonnement de freinage et premiers resultats obtenus; Raspredelenie chistogo beta-izluchatel ya v chelovecheskom organizme Problemy i predvaritel'ny e rezul'taty izmerenij tormoznogo izlucheniya v zhivom organizme; Distribucion de un emisor beta puro en el organisme humano. Problemas planteados por las mediciones in vivo de la radiacion de frenado y resultados preliminares obtenidos

    Energy Technology Data Exchange (ETDEWEB)

    Mehl, H G [Strahleninstitut der Freien Universitaet, Berlin (Germany)

    1959-07-01

    In vivo measurements of the distribution of a pure beta-emitter in the human body were previously limited to the localization of radioactivity in superficial tissues only, owing to the short range of the beta particles in tissue. During die last few years the analysis has been extended by means of bremsstrahlung measurements to activities in deep-lying tissues. The present paper deals with problems and results of this new technique. On the basis of an analysis of the physical nature of this radiation, the construction of suitable detection devices is discussed. The theoretical and experimental work done in this field are reviewed. In order to make a proper interpretation of the results obtained, it is necessary to analyse the various factors involved. These include particularly the area ''seen'' by the detector, the specific activity of the tissue seen and the depth of the organ under consideration, A discussion of the results of such measurements already published will permit an assessment of the present situation and of the nature of the problems still unsolved. (author) [French] Les mesures in vivo de la repartition d'un emetteur beta pur dans l'organisme humain se limitaient autrefois a la localisation de la radioactivite dans les tissus superficiels, en raison du faible parcours des particules beta dans l'organisme. Depuis quelques armees, il est possible, grace aux mesures du rayonnement de freinage, d'etudier egalement la radioactivite dans les tissus profonds. L'auteur examine les problemes poses par cette technique nouvelle et les resultats qu'elle permet d'obtenir. Il indique des procedes de detection fondes sur les caracteristiques physiques de ce rayonnement. Il decrit les recherches theoriques et experimentales qui ont ete faites dans ce domaine. Pour interpreter correctement les resultats obtenus, il importe d'analyser les differents facteurs qui interviennent, notamment la surface par le detecteur, l'activite specifique du tissu observe et

  19. Importance and Limitations of Scintigraphy of the Pancreas: Results of 200 Examinations involving Electronic Subtraction of the Image of the Liver; Interet et Limites de la Scintigraphie Pancreatique: Resultats de 200 Examens Pratiques avec Soustraction Electronique de l'Image du Foie

    Energy Technology Data Exchange (ETDEWEB)

    Blanquet, P.; Beck, C.; Pigneux, J.; Hecquet, M. F. [Hopital Saint-Andre, Unite de Recherches INSERM, Bordeaux (France)

    1969-05-15

    In the course of routine hospital practice, the authors carried out 200 scintigraphic scans of the pancreas with suppression of the image of the liver. The examinations were made with an Anger camera, used in conjunction with the integrating memory of a 4096-channel pulse analyser. With this arrangement it was possible to subtract the data provided by heavy colloids of {sup 198}Au taken up by the liver from data relating to {sup 75}Se-labelled selenomethionine incorporated by the liver or the pancreas. The technique used is simple and requires immobilization of the patient for about one hour. Its purpose is to give an image of the pancreas free from any superimposed image of the liver and also to provide information on the rate at which the labelled compound is stored in the gland. The dose absorbed by the pancreas is minimal, owing to the short length of time that the radioisotope remains within the gland. The dose received by the whole body is not negligible and therefore the number of examinations made on subjects with a clinically normal pancreas was limited to five. Although its principle is open to criticism, the subtraction technique gave completely satisfactory results in practice. Suppression of the liver image was not always complete but in all cases the image of the pancreas was sufficiently isolated to allow interpretation of it as a whole. It should, however, be noted that the zone of projection common to the two organs is often somewhat inhomogenous after subtraction has been effected. In subjects free from pancreatic disorders, the scintigram was in all cases normal. In the cases of confirmed chronic pancreatitis the picture is unequivocal. The tumours can manifest themselves in a variety of scintigraphic images, but the definition of the images may be regarded as satisfactory since in one case the scintigram showed up a tumorous formation estimated to measure 2 cm at that time. (author) [French] Les auteurs ont pratique, en routine hospitaliere, 200

  20. Analysis of Scan Records with a Recording Densitometer - The ''Re-Scanner''; Etude d'un Grand Collimateur a Focalisation et Fort Pouvoir de Resolution: Resultats; Analiz skenogramm s pomoshch'yu registriruyushchego densitometra - ''re-skenner''; Diseno y Funcionamiento de un Gran Colimador Enfocado de Alto Poder de Resolucion

    Energy Technology Data Exchange (ETDEWEB)

    Harris, C. C.; Bell, P. R.; Satterfield, M. M.; Ross, D. A.; Jordan, J. C. [Oak Ridge National Laboratory, TN (United States)

    1964-10-15

    The impact of improvements in scanning equipment has not been fully felt at the clinical level, largely because of deficiencies in scan recording. In an attempt to improve visualization and contrast in scan records, various instrumental methods of analysis have been devised. We have devised a simple and comparatively inexpensive recording densitometer for ''re-scanning'' scan records. A light-sensor scans the record just as a scanner scans a patient. The output of the device is a pulse rate proportional to the opacity (or transmission) of the record, and may be used to make a new, or ''re-scan'', record. The area of the record over which information is integrated is set by sensor aperture. The wide range of output pulse-rates (zero to 15 000 parts/s) causes large and adjustable contrast amplification. A threshold control provides any ''cut-off level'' of choice. Operation is rapid, and a record can be re-scanned in a small fraction of the time required to obtain the original record. Studies on clinical scans of almost every organ or area of interest show that the re-scanner reveals information not at first evident in original scan records. It has been particularly useful in determining the statistical significance of small variations in counting rate in a scan record. In scan records of large dynamic range where no single cut-off level satisfactorily shows all regions of interest, re-scans at several cut-off levels were once necessary. A two-region sensor, that views a region of the record around the field of view of the main sensor, has been used in an attempt to overcome this difficulty. At least three modes of operation are possible with the two-region sensor: (1) ''normal'' operation; (2) ignoring general record density and responding only to small variations, thus setting its own cut-off level; and (3) reporting only abrupt changes in record density. Other modes seem to be possible. This relatively simple and inexpensive device is proving to be of valuable

  1. The Determination of Components of Radioactive Decay Mixtures by Computer Analysis of Count-Rate Data; Determination des Composants de Melanges Radioactifs en Decroissance par Analyse a l'Ordinateur des Resultats du Comptage; Opredelenie komponentov smesej radioaktivnogo raspada posredstvom analiza dannykh skorostej scheta s pomoshch'yu schetno-reshayushchego ustrojstva; Determinacion de los Componentes de Mezclas Radiactivas por Analisis de los Datos de Recuento Mediante Calculadoras

    Energy Technology Data Exchange (ETDEWEB)

    Airman, W. D.F.; Tyler, S. A.; Dipertand, M. H.; Sedlet, J. [Argonne National Laboratory, Argonne, IL (United States)

    1965-10-15

    detection, calculer la quantite de chaque precurseur effectivement present a un moment zero fixe a l'avance. En outre, le programme iournit les quantites de precurseurs et de produits de filiation presents a tous les moments ob des mesures sont faites. D'abord applique a des specimens biologiques et a des echantillons du milieu ambiant, le programme est essentiellement destine a l'analyse des taux de comptage fournis par les mesures non spectroscopiques des rayonnements alpha ou beta. Toutefois, ce programme devrait permettre de traiter l'ensemble des donnees relatives aux rayonnements gamma et des donnees spectroscopiques pourvu que les gammes d'energie dans lesquelles les mesures sont effectuees permettent d'etablir une correlation entre les donnees obtenues et les taux de decroissance et de croissance totales. Les auteurs decrivent la mise au point du programme et analysent les resultats des essais qui ont ete effectues, a partir de donnees theoriques et de donnees experimentales, pour en verifier l'efficacite. (author) [Spanish] Es posible determinar los componentes de una mezcla de n isotopos radiactivos basandose en la variacion temporal de la actividad, siempre que la actividad de n-1, por lo menos, de los componentes, varfe apreciablemente durante el periodo de observacion, bien por desintegracion directa o bien por acumulacion de los productos de desintegracion. Fundandose en consideraciones tales como el origen, los antecedentes de la mezcla y los metodos de separacion quimica y de recuento aplicados, es posible predecir para cada mezcla una. serie de componentes posibles. Si esas consideraciones se aplican correctamente, la serie de posibles componentes comprendera todos los componentes reales de la mezcla. Entonces pueden formularse las ecuaciones pertinentes de crecimiento y/o desintegracion y resolverse simultaneamente para obtener cada componente, o bien se puede resolver la mezcla graficamente por extrapolacion de las partes lineales de la curva global de

  2. Sante et resultats scolaires des ecoliers de la Commune III de ...

    African Journals Online (AJOL)

    Class first pupils had their breakfast (97.6%) and were living in a" bi-parenteral regime" (84.26%). The fathers (7.5%) and the mothers (none) of class last pupils had a higher education level. Conclusion. The health state of the pupils is susceptible to affect their school performance. A medical follow-up aiming at detecting ...

  3. First half 2006 financial results; Resultats du 1er semestre 2006 Groupe Areva

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-09-15

    Areva provides technological solutions for highly reliable nuclear power generation and electricity transmission and distribution. The group is the world leader in nuclear power and the only company to cover all industrial activities in this field. This Press release presents the first half 2006 financial results: the overall performance and the performance by division (front end, reactors and services, back end, transmission and distribution). (A.L.B.)

  4. Ensenyar amb casos audiovisuals en l'entorn virtual: metodologia i resultats

    OpenAIRE

    Triadó i Ivern, Xavier Ma.; Aparicio Chueca, Ma. del Pilar (María del Pilar); Jaría Chacón, Natalia; Gallardo-Gallardo, Eva; Elasri Ejjaberi, Amal

    2010-01-01

    Aquest quadern pretén posar i donar a conèixer les bases d'una metodologia que serveixi per engegar experiències d'aprenentatge amb casos audiovisuals en l'entorn del campus virtual. Per aquest motiu, s'ha definit un protocol metodològic per utilitzar els casos audiovisuals dins l'entorn del campus virtual a diferents assignatures.

  5. Enova's industrial activities with results from 2006; Enovas industriaktiviteter med resultater fra 2006

    Energy Technology Data Exchange (ETDEWEB)

    2007-07-01

    During 2006 Enova has been monitoring the energy consumption of the industries connected with Enova's group for industry. The industries activities, statistical numbers for energy consumption and bench-marketing number are included

  6. Areva first half 2008 financial results; Areva - Resultats du 1. semestre 2008

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    Operating income: 539 million euros; net income attributable to equity holders of the parent: up 465 million euros to 760 million euros, i.e. 21.45 euros per share; net debt of 2.385 billion euros, i.e. 30.1% of equity (26.2% at 12/31/2007). For 2008 as a whole, the group confirms its outlook for a sharp increase in backlog and in revenue and rising operating income. The backlog rose to 38.123 billion euros at June 30, 2008, up 13.6% compared with the 33.553 billion euros recognized at June 30, 2007. In Nuclear, contributors to growth were the Reactors and Services division (+36%) and the Front End division (+11%). The Transmission and Distribution division posted growth of 41%. First half 2008 revenue rose to 6.168 billion euros, for 14.8% reported growth and 16.0% organic growth. In the nuclear businesses, organic growth was 18.6%, including 31.3% growth in Reactors and Services as new power plant construction projects moved forward and 12.0% growth in Transmission and Distribution business. The group's operating income rose to 539 million euros in the first half of 2008, for a margin rate of 8.7%, compared with 207 million euros in the first half of 2007 and a margin rate of 3.9%. This 332 million euro increase includes: - the strong volume increase in our commercial and industrial operations and the positive impact this had on profitability for all of our divisions; - a substantial operational gain in the Front End division, including a significant dilution gain related to acquisition by Suez of an equity interest in the GB II enrichment plant; - an additional provision on the OL3 contract, made necessary by: cost overruns generated by the use of additional resources needed to meet the schedule and offset the customer's operating practices; and the difficulties and risks on operations managed by some subcontractors. Operating income for the Back End division rose to 400 million euros, an increase of 177 million euros compared with the first half of 2007. The Reactors and Services division had an operating loss of 258 million euros, compared with a loss of 230 million euros in the first half of 2007. The Back End division recorded operating income of 175 million euros up from 95 million euros in the first half of 2007. Operating income for the Transmission and Distribution division was up sharply, by 45%, from 175 million euros in the first half of 2007 to 253 million euros in the first half of 2008. The group's consolidated net income rose to 760 million euros in the first half of 2008, up 465 million euros from the 295 million euros of the first half of 2007. The group's free operating cash flow came to -521 million euros in the first half of 2008. The group's net debt rose to 2.385 billion euros from 1.953 billion euros at the end of 2007. For the full year of 2008, the group confirms its perspectives: A strong increase in revenue and backlog; Increased operating income; Continuation of its capital expenditure program.

  7. 1. half results 2003 - AREVA group; Resultats du 1. semestre 2003 - groupe AREVA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-10-01

    This financial presentation of the Areva group, the world nuclear industry leader, results for the first half 2003 highlights the good level of activity, the negotiations with URENCO in final stages concerning the enrichment, the revision of estimates and negotiations underway concerning the dismantling and the operating income positive in Q2 2003 concerning the connectors division. (A.L.B.)

  8. Presentation of RTE results 2003; Presentation des resultats 2003 de RTE

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    For RTE, the financial year 2003 was marked by a number of achievements: our financial performances registered a clear improvement, above objectives, with turnover growing strongly; net income reached levels almost three times higher than those recorded in 2002; the economic rate of return rose to 7.1%; and debt was reduced by 470 Meuros. These results are explained by the substantial improvement in productivity, which has risen by 5% per year on average over the last three years.

  9. Hearing Protection - Needs, Technologies and Performance (Protection de l’ouie - besoins, technologies et resultats)

    Science.gov (United States)

    2010-11-01

    Hearing Protection Selection Considerations 6-1 6.1 Education, Training and Motivation 6-1 6.2 Overprotection 6-1 6.3 Localization and...be carefully chosen to minimize the risk of hearing damage without overprotecting and reducing situational awareness. For many operators the major...performance of the hearing protector itself. 6.2 OVERPROTECTION Hearing protectors must limit the noise exposure for the user, without reducing the

  10. Aula Virtual. Evolució del maquinari i millora de resultats

    Directory of Open Access Journals (Sweden)

    Paloma Moreno Clari

    2009-07-01

    Full Text Available Las Tecnologías de la Información y la Comunicación (TIC han contribuido al desarrollo de plataformas e.learning de apoyo a los procesos de enseñanza-aprendizaje. Actualmente, la mayoría de universidades cuentan con algún tipo de sistema de gestión del aprendizaje (en inglés, LMS. El óptimo uso de estas plataformas requiere que integren las aplicaciones preexistentes de forma transparente. Esto se consigue con el uso de una arquitectura robusta. En este artículo expondremos la implementación y arquitectura del LMS integrado de la Universitat de València y la evolución de su hardware para adecuarse de manera óptima a las necesidades de la universidad.

  11. Aula Virtual. Evolució del maquinari i millora de resultats

    OpenAIRE

    Paloma Moreno Clari; Agustín López Bueno; Salvador Roca Marquina

    2009-01-01

    Las Tecnologías de la Información y la Comunicación (TIC) han contribuido al desarrollo de plataformas e.learning de apoyo a los procesos de enseñanza-aprendizaje. Actualmente, la mayoría de universidades cuentan con algún tipo de sistema de gestión del aprendizaje (en inglés, LMS). El óptimo uso de estas plataformas requiere que integren las aplicaciones preexistentes de forma transparente. Esto se consigue con el uso de una arquitectura robusta. En este artículo expondremos la implementació...

  12. Areva - first half 2007 financial results; Areva - resultats du 1. semestre 2007

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    This document presents the financial statements of Areva group for the first half of 2007 as submitted by the Executive Board: Sales revenue: euro 5.373 billion, up by 6.7%; Operating income: euro 207 million, i.e. 3.9% operating margin, up 1.6 point compared with H1 2006; Consolidated net income: euro 295 million, i.e. euro 8.31 per share in H1 2007 against euro 6.92 per share in H1 2006, a 20% increase. All Group performance indicators were up the first half of 2007. Growth was robust and profitability strengthened significantly in terms of both operating income and net income. Consolidated sales revenue rose 6.7% for the first half of 2007 alone, after growth of more than 7% in 2006. This positive trend will continue: the backlog grew by 31% in the first half to more than euro 33 billion, compared with euro 26 billion six months ago and euro 21 billion at year-end 2005. Business is up sharply in the Transmission and Distribution division, which had operating margin of 8.7% in the first half of the year.

  13. 2003 annual results of EdF group; Resultats annuels 2003 du groupe EDF

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-03-01

    The Electricite de France (EdF) group Board of Directors, meeting on March 11, 2004, under the Chairmanship of Francois Roussely, reviewed the audited consolidated financial statements for the year ended 12/31/2003. This document presents the consolidated results of EdF group for 2003: consolidated financial statements, highlights of the year, focus on 2003 events, commercial results, EDF in Europe and worldwide, EDF France highlights, key figures. (J.S.)

  14. Overvågning af fugle 1997-98, resultater fra feltstationerne

    DEFF Research Database (Denmark)

    Vejler, i alt ca. 5.500 ha. Feltstationen blev oprettet i 1978, og siden har observatørerne registreret fuglelivet i Vejlerne og de omgivende arealer foruden vandstand, saltholdighed og drift af området. Tipperne ligger i den sydlige del af Ringkøbing Fjord. Fuglelivet blev fredet i 1898. Reservatet blev...... en samlet fredning af Vadehavet, omfatter øen Langli på 80 ha og vandarealer på i alt ca. 8.000 ha. Øen består af klitter og salte strandenge. Vandområdet er præget af tidevand, hvor vidtstrakte sand- og mudderflader og spredte muslingebanker er synlige ved lavvande. Vorsø ligger i Horsens Fjord...... saltholdighed i Ringkøbing Fjord bevirker, at vandplanter vokser dårligt eller forsvinder. Vandplanter udgør en væsentlig del af føden for visse andefugle og kan derfor have stor betydning for antallet af rastende fugle. Der blev registreret lave antal af knortegå, gråand, pibeand og krikand. Af blishøne blev...

  15. Areva group. Result, first half 2004; Resultats du 1. semestre 2004. Groupe Areva

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-09-01

    Areva, a world nuclear industry leader, provides by this document information and key data on the performance and detailed financial data of the first half 2004. The transmission and distribution integration plan 2004-2006 is also detailed. (A.L.B.)

  16. MM96.61 Resultater fra projektet "Nordisk audit af koordinatmålmaskiner"

    DEFF Research Database (Denmark)

    Hansen, Hans Nørgaard

    1996-01-01

    Results from the project "Nordic audit of coordinate measuring machines". Presentation at the 4th seminar on coordinate metrology september 1997 LEGO, Billund.......Results from the project "Nordic audit of coordinate measuring machines". Presentation at the 4th seminar on coordinate metrology september 1997 LEGO, Billund....

  17. The observatories for the radioactivity. results of measures; Les observatoires de la radioactivite. resultats des mesures

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This IPSN's report on the monitoring of the radioactivity in France provides many graphs and tables of measures results recorded during the year 2000. The graphs show the activity levels (Bq or Bq fraction, per mass or volume unit) of many radionuclides in selected indicators and for levels upper than the detection limits. The metrology and the selected samples are presented. These samples are different for the three types of observatories: atmospheric, coast and terrestrial observatories. A chronological account of the results from 1959 to 2000 is also provided for the Cesium 137 and the beryllium 7 in the aerosols. (A.L.B.)

  18. Medical audit om laboratoriemedicin. En beskrivelse af forløbet og nogle resultater

    DEFF Research Database (Denmark)

    Sandbæk, Annelli

    1995-01-01

    the clinical/chemical departments of Funen. During three weeks the participants registered all clinical problems which would result in one or more laboratory tests. APO performed computer registrations and analyses of the results where upon each participant received a reply letter indicating the results of his...... own as well as the group's registrations. At a subsequent meeting the participants discussed the conception of "good general practice" as regards the use of laboratory medicine within defined clinical problems. The course of the audit demonstrated that the APO method is suitable for identification...... of a number of professional problems related to general practitioners' use of laboratory medicine and to reveal the variation in general practitioners' handling of laboratory medicine. Furthermore, the project showed that continuous quality development demands profound study of and research...

  19. Resultat du traitement d'un craniopharyngiome kystique par de la ...

    African Journals Online (AJOL)

    Introduction Le craniopharyngiome est une tumeur bénigne qui provient de nids épithéliaux ou de zones de métaplasies squameuses liées à l'embryogenèse hypophysaire. Touchant surtout l'enfant, peut être potentiellement agressive et caractérisée par un taux élevé de récidive après traitement chirurgical. La bléomycine ...

  20. Hospitalsomkostninger og nytte af screening for abdominalt aortaaneurisme. Resultater fra en randomiseret screeningsundersøgelse

    DEFF Research Database (Denmark)

    Lindholt, Jes Sanddal; Juul, Svend; Fasting, Helge

    2003-01-01

    The hospital costs and benefits of screening older males for abdominal aortic aneurysms (AAA) are unknown.......The hospital costs and benefits of screening older males for abdominal aortic aneurysms (AAA) are unknown....

  1. Lovende resultater ved ultralydvejledt anlæggelse af nerveblokade hos børn

    DEFF Research Database (Denmark)

    Lefort, Michèle Reeslev; Henneberg, Steen; Bille, Anders Bastholm

    2011-01-01

    Nerve blocks play an increasingly important role in pediatric regional anaesthesia. The benefits are numerous compared to standard pain regimens. The use of ultrasound (US) for nerve blocks lowers the volume of local anaesthetics applied, shortens the on-set time and results in higher success rates....... Furthermore, US has the potential to reduce the rate of complications. This review describes both classic and US guided techniques for the periferal nerve blocks used for pediatric abdominal and thoracic surgery and briefly discusses the advantages and disadvantages of applying US....

  2. Gastric isotopic emptying; Vidange gastrique isotopique. Acquisition des donnees - expression des resultats - principales indications

    Energy Technology Data Exchange (ETDEWEB)

    Bizais, Y.; Paycha, F.

    1996-12-31

    Radionuclide evaluation is looked upon as the gold standard to study gastric emptying (GE). A radionuclide protocol is itemize, including the set up of a mixed test-meal (solid-liquid), picture acquisition and reprocessing. This protocol is optimized in order to take into account and/or to mitigate the numerous - physiological and technical - factors of variation of GE, in the perspective of standardization. The foundations and gamut of choices of GE data quantification are reviewed in a critical and comprehensive way. The aim is to make results plain to the clinician. A hierarchical checklist of relevant indications ordered in distinctive groups is conveyed. Lastly, current developments of this morpho-functional test are sketched out. (authors). 241 refs., 7 figs.

  3. Resultat och berättelser - En analys av sportnyheterna i finsk och svensk television

    OpenAIRE

    Silfverberg, Kalle

    2004-01-01

    Endast sammandrag. Inbundna avhandlingar kan sökas i Helka-databasen (http://www.helsinki.fi/helka). Elektroniska kopior av avhandlingar finns antingen öppet på nätet eller endast tillgängliga i bibliotekets avhandlingsterminaler. Only abstract. Paper copies of master’s theses are listed in the Helka database (http://www.helsinki.fi/helka). Electronic copies of master’s theses are either available as open access or only on thesis terminals in the Helsinki University Library. Vain tiivi...

  4. Dygtige lærere er en forudsætning for folkeskolens resultater

    DEFF Research Database (Denmark)

    Andersen, Frans Ørsted; Egelund, Niels

    2014-01-01

    Artiklen refererer til en række internationale undersøgelser af lærere og elevers kompetencer, bl.a. PIACC, TEDS-M og TIMSS......Artiklen refererer til en række internationale undersøgelser af lærere og elevers kompetencer, bl.a. PIACC, TEDS-M og TIMSS...

  5. Comparison of airtightness retesting results. Comparaison des resultats de nouveaux tests d'etancheite

    Energy Technology Data Exchange (ETDEWEB)

    1988-01-01

    Polyethylene vapour barrier and airtight drywall are two methods used by the building industry to reduce air leakage in residential homes. Concern has been expressed that polyethylene air/vapour barriers degrade over time. This concern has led various agencies to test and retest homes for air leakage. This report is the compilation of the data collected as a result of that testing. Raw data were collected on 145 homes from various sources. Data were screened and the tests of homes were omitted from the analysis if, the fan tests were done on the same house by different firms, if the construction of the house was not sufficiently complete, or if the initial air change rate per hour (ACH) was greater than 3. With these omissions from the database, 90 homes remained to be analyzed. The 90 homes were separated into two groups, those with an intial ACH less than 1.5 and those with an initial ACH between 1.5 and 3.0. The data were recorded in two tables which included the ACH, the time in months, the percentage change, and the difference in change between the first test and each subsequent test. These data indicate a relatively minor average change in airtightness. Keeping in mind the quantity of data collected and the time period examined, there is no indication that significant problems exist that would necessitate a change to the current building practice. 2 figs., 5 tabs.

  6. La implantació de la normativa dels relatius: els resultats en dos exercicis gramaticals

    Directory of Open Access Journals (Sweden)

    Joan Costa Carreras

    2014-03-01

    com a relatiu amb funció de complement indirecte. Finalment, també és destacable l’aportació d’aquest article pel que fa a la normativitat de "qui" quan fa de complement directe i va precedit de preposició: "L’home a qui vam veure continua desaparegut."

  7. 2005 results making progress again; Resultats 2005 a nouveau en progression

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-03-15

    This document presents and analyses the financial and economical statements of the AREVA Group in 2005, for each division. The organic growth of sales revenue, the current operating income, the operating income, the net income up and the increased dividend proposed at the General Meeting of shareholders are discussed. (A.L.B.)

  8. Results from the industrial network 2002[Norway]; Resultater fra industrinettverket 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    The report presents a survey of various activities within the industrial network with emphasis on energy consumption and conservation and alternative energy systems. There are sections on the Enova counselling service and auxiliary measures in the energy activities illustrated by industrial examples. (tk)

  9. Multiband discrete ordinates method: formalism and results; Methode multibande aux ordonnees discretes: formalisme et resultats

    Energy Technology Data Exchange (ETDEWEB)

    Luneville, L

    1998-06-01

    The multigroup discrete ordinates method is a classical way to solve transport equation (Boltzmann) for neutral particles. Self-shielding effects are not correctly treated due to large variations of cross sections in a group (in the resonance range). To treat the resonance domain, the multiband method is introduced. The main idea is to divide the cross section domain into bands. We obtain the multiband parameters using the moment method; the code CALENDF provides probability tables for these parameters. We present our implementation in an existing discrete ordinates code: SN1D. We study deep penetration benchmarks and show the improvement of the method in the treatment of self-shielding effects. (author) 15 refs.

  10. Resultats D'une Enquete Sero-Epidemiologique Sur La Brucellose ...

    African Journals Online (AJOL)

    This study, conducted in 2011 was aimed to evaluate the seroprevalence of brucellosis in dairy cattle farms located in periurban area of the District of Bamako and make recommendations for better control of the disease. The study has permitted to test 684 sera from 10 cattle herds whose promoters wanted a brucellosis for ...

  11. Foreløbige resultater af screening for abdominalt aortaaneurisme i Viborg Amt

    DEFF Research Database (Denmark)

    Lindholt, J S; Fasting, H; Henneberg, E W

    1997-01-01

    The incidence of abdominal aortic aneurysms (AAA) and ruptured AAA is increasing. One to three percent of deaths among 65-80 year-old males are caused by AAA. Sixty-six to ninety-five percent of ruptured AAA are lethal, while elective resection has a 3-6% operative mortality. Most AAA's are asymp...

  12. Hospitalsomkostninger og nytte af screening for abdominalt aortaaneurisme. Resultater fra en randomiseret screeningsundersøgelse

    DEFF Research Database (Denmark)

    Lindholt, Jes S; Juul, Svend; Fasting, Helge

    2003-01-01

    INTRODUCTION: The hospital costs and benefits of screening older males for abdominal aortic aneurysms (AAA) are unknown. MATERIAL AND METHODS: In 1994, a hospital-based screening trial of 12,658 65-73-year-old males in the County of Viborg, Denmark, was started. AAA > 5 cm were referred for surgery...

  13. 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.

  14. 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.

  15. CERVICAL SPONDYLOTIC MYELOPATHY WITH FUNCTIONAL ...

    African Journals Online (AJOL)

    CERVICAL SPONDYLOTIC MYELOPATHY WITH FUNCTIONAL DISABILITY. LONG TERM RESULTS CONCERNING 18 PATIENTS OPERATED ON BY ANTERIOR APPROACH IN GABON MYELOPATHIES CERVICARTHROSIQUES INVALIDANTES. RESULTATS A LONG TERME DE 18 PATIENTS OPERES PAR VOIE ...

  16. 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....

  17. Locally advanced unresectable pancreatic cancer: Induction chemoradiotherapy followed by maintenance gemcitabine versus gemcitabine alone: Definitive results of the 2000-2001 FFCD/SFRO phase III trial; Cancer du pancreas localement evolue non resecable: chimioradiotherapie d'induction suivie de chimiotherapie par gemcitabine contre chimiotherapie exclusive par gemcitabine: resultats definitifs de l'etude de phase III 2000-2001de la FFCD et de la SFRO

    Energy Technology Data Exchange (ETDEWEB)

    Barhoumi, M.; Mornex, F. [EA 3738, departement de radiotherapie-oncologie, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69310 Pierre-Benite (France); Bonnetain, F. [EA 4184, unite de biostatistiques et d' epidemiologie, centre Georges-Francois-Leclerc, 21034 Dijon cedex (France); Inserm UMR 866, faculte de medecine, 21078 Dijon cedex (France); Universite de Bourgogne, BP 27877, 21078 Dijon cedex (France); Rougier, P. [Service d' hepato-gastro-enterologie oncologie digestive, centre hospitalier Ambroise-Pare, 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt (France); Mariette, C. [Service de chirurgie digestive et generale, rez-de-jardin-aile-ouest, hopital Claude-Huriez, 59037 Lille cedex (France); Bouche, O. [CHU, 51092 Reims cedex (France); Bosset, J.F. [Service de radiotherapie, CHU de Besancon, 25030 Besancon cedex (France); Aparicio, T. [Service de gastroenterologie, hopital Avicenne, AP-HP, 93000 Bobigny (France); Mineur, L. [Service de radiotherapie oncologie digestive, institut Sainte-Catherine, 84082 Avignon cedex 2 (France); Azzedine, A. [Centre hospitalier Henri-Duffaut, 84902 Avignon (France); Hammel, P. [Service de gastroenterologie pancreatologie, hopital Beaujon, 92110 Clichy (France); Butel, J. [Hopital d' Abbeville, 80142 Abbeville (France); Stremsdoerfer, N. [Service d' hepatogastroenterologie, centre hospitalier Pierre-Oudot, 38317 Bourgoin-Jallieu (France); Maingon, P. [Departement de radiotherapie, centre Georges-Francois-Leclerc, 21079 Dijon cedex (France); Bedenne, L. [Inserm UMR 866, faculte de medecine, 21078 Dijon cedex (France); Universite de Bourgogne, 21078 Dijon cedex (France); Service d' hepatogastroenterologie, CHU Le-Bocage, 21034 Dijon cedex (France); Chauffert, B. [Inserm UMR 866, faculte de medecine, 21078 Dijon cedex (France); Universite de Bourgogne, 21078 Dijon cedex (France); Departement d' oncologie medicale, centre Georges-Francois-Leclerc, 21079 Dijon cedex (France)

    2011-06-15

    Purpose. - To compare chemo-radiation with systemic chemotherapy to chemotherapy alone in locally advanced pancreatic cancer. Patients and methods. - One hundred and nineteen patients with locally advanced pancreatic cancer, with World Health Organization performance status of zero to two were randomly assigned to either the induction chemo-radiation group (60 Gy, 2 Gy/fraction; concomitant 5-fluoro-uracil infusion, 300 mg/m{sup 2} per day, days 1-5 for 6 weeks; cisplatin, 20 mg/m{sup 2} per day, days 1-5 during weeks 1 and 5) or the induction gemcitabine group (GEM: 1000 mg/m{sup 2} weekly for 7 weeks). Maintenance gemcitabine (1000 mg/m{sup 2} weekly, 3/4 weeks) was given in both arms until disease progression or toxicity. Results. - Overall survival was shorter in the chemo-radiation than in the gemcitabine arm (median survival 8.6 [99% confidence interval 7.1-11.4] and 13 months [8,9,9-18], p = 0.03). One-year survival was, respectively, 32 and 53%. These results were confirmed in a per-protocol analysis for patients who received 75% or more of the planned dose of radiotherapy. More overall grades 3-4 toxic effects were recorded in the chemo-radiation arm, both during induction (36 versus 22%) and maintenance (32 versus 18%). Conclusion. - This intensive induction schedule of chemo-radiation was more toxic and less effective than gemcitabine alone. (authors)

  18. NESB patients.

    Science.gov (United States)

    Charles, Janice; Britt, Helena; Fahridin, Salma

    2010-04-01

    General practitioner consultations with patients of non-English speaking background (NESB) account for one in 10 encounters recorded in the BEACH (Bettering the Evaluation and Care of Health) program (NESB is defined as patients who reported that their primary language spoken at home is not English). We present a descriptive comparison of consultations with NESB and English speaking patients recorded between April 2007 and March 2009. Indigenous persons were excluded from the analysis to give a clearer picture of NESB patients of non- Australian origin. Only statistically significant differences with nonoverlapping 95% confidence intervals are reported.

  19. Patient life

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    2004-01-01

    Background: The hypothesis for the study is that the informal relationships amongst patients during hospitalisation have more influence on wellbeing, understanding of own illnesses and recovery than we until now have recognised in nursing. Aim: The purpose is to describe patients' experiences of ...

  20. Labelling patients

    International Nuclear Information System (INIS)

    Strudwick, R.M.

    2016-01-01

    This article looks at how diagnostic radiographers label their patients. An ethnographic study of the workplace culture in one diagnostic imaging department was undertaken using participant observation for four months and semi-structured interviews with ten key informants. One of the key themes; the way in which radiographers label their patients, is explored in this article. It was found from the study that within the department studied the diagnostic radiographers labelled or categorised their patients based on the information that they had. This information is used to form judgements and these judgements were used to assist the radiographers in dealing with the many different people that they encountered in their work. This categorisation and labelling of the patient appears to assist the radiographer in their decision-making processes about the examination to be carried out and the patient they are to image. This is an important aspect of the role of the diagnostic radiographer. - Highlights: • I have studied the culture in one imaging department. • Radiographers label or categorise their patients. • These labels/categories are used to manage the patient. • This is an important aspect of the way in which radiographers work.

  1. disease patient

    Directory of Open Access Journals (Sweden)

    Setareh Mamishi

    2016-09-01

    Full Text Available Background and Purpose: Chronic granulomatous disease (CGD is an inherited disorder of the nicotinamide adenine dinucleotide phosphate (NADPH oxidase complex. This disorder results in recurrent life-threatening bacterial and fungal infections. Aspergillus species are the most common fungal infections in these patients. Case Report: Herein, we present a case of fungal infection in a girl with CGD. We confirmed aspergillosis through the positive microscopic and macroscopic examinations, as well as radiology results. Invasive aspergillosis in this patient with pneumonia, lung abscess, and osteomyelitis of the ribs was not initially treated with amphotericin B (Am B and recombinant interferon-gamma. Conclusion: Among infectious diseases, fungal infections, in particular aspergillosis, remain a serious problem in CGD patients. Considering poor clinical response and deficient immune system, rapid diagnosis of fungal infection and optimizing the treatment of these patients are recommended.

  2. 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...

  3. 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.

  4. 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.

  5. Poweo half-year 2006 earnings. Positive net income, implementation of the 1. steps of the industrial plan; Poweo resultats du 1. semestre 2006. Resultat net positif, mise en oeuvre des 1. etapes du plan industriel

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-09-15

    POWEO, the leading independent energy operator in France, presents in this document its key financial data and highlights for the first half of 2006: - Half-year revenue amounts to euro 119.4 m, multiplied by 3.4 compared to the same period last year; - The Energy Management activity has achieved a net margin of euro 34.3 m; - EBIT amounts to euro 6.2 m, compared to euro -2.9 m in the first half of 2005; - Net income amounts to euro 8.9 m, compared to euro -2.9 m in the first half of 2005; - Completion of the preliminary steps to the building of a first thermal power plant (CCGT) is close at hand, two other projects launched; - Strengthening of internal structures in view of the residential market opening up; - Outlook for 2006: total sales expected to reach euro 220 m and positive EBITDA; - LNG terminal building project in Le Havre.

  6. Results of cycling with battery charging management; Resultats de cyclage avec gestion de charge au niveau batterie

    Energy Technology Data Exchange (ETDEWEB)

    Verniolle, J.; Fernandez, C. [European Space Research and Technology Centre, Noordwijk (Netherlands)

    1996-12-31

    In order to investigate the charging mode of an in-series assembly of lithium-carbon battery cells, a test has been performed on 5 commercial cells (18650) of 0.95 Ah nominal capacity. Results show that it is possible to cycle the cells at 80% of their output capacities during more than 2000 cycles. The management of the battery consists in maintaining a constant battery voltage as soon as a cell reaches its limit voltage during constant current charging. The initial dispersion of cells has been maintained practically constant during the cycling and the charge state of all cells has decreased progressively. (J.S.)

  7. Technical results of the French electricity supply industry 2002; Resultats techniques du secteur electrique en France 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    Provisional detailed results of power flows in France in 2002, with the operating context and international comparisons. This booklet presents provisional results, expressed in rounded values because of some estimated values. Data come from measures made by RTE, completed by various actors of the power system and by estimations made by RTE: general results France; operation outlook; energy flows; exchanges with foreign countries; French consumption; French generation; network operation; access to the transmission network; development over the past 15 years; international comparisons; terminology.

  8. La cartografia de la flora del Montseny en reticle UTM d'1 km. de costat: plantejament i primers resultats

    OpenAIRE

    Panareda i Clopés, Josep M. (Josep Maria), 1945-; Nuet i Badia, Josep

    1983-01-01

    El present treball és un primer escrit sobre la cartografia corològica de les plantes vasculars en el massis del Montseny (Serralada Pre-litoral), en el qual exposem el plantejament del projecte i oferim uns primers résultats. Hi incloem també un mapa per espècie prenent com a unitat espacial el quadrat d'1 km de costat del reticle UTM. La presència de 1'espècie a cada quadrat és indicada en très graus d'abundància: espècie présent o rara, espècie fréquent i espècie abundant. L'àrea estudiada...

  9. Proserpine - plutonium 239 - Proserpine - uranium 235 - comparison of experimental results; Proserpine - plutonium 239 - proserpine - uranium 235 - comparaison de resultats experimentaux

    Energy Technology Data Exchange (ETDEWEB)

    Brunet, J P; Caizergues, R; Clouet D' Orval, Ch; Kremser, J; Moret-Bailly, J; Verriere, Ph [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    The Proserpine homogeneous reactor is constituted by a tank, 25 cm dia, 30 cm high, surrounded by a composite reflector made of beryllium oxide and graphite. In this tank can be made critical plutonium or 90 per cent enriched uranium solutions, the fissile substances being in the form of a dissolved salt. In varying the concentration of the solution, critical masses were studied as a function of the level of the liquid in the tank. The minimum critical mass is 256 {+-} 2 grs for plutonium and 409 {+-} 3 grs for uranium 235. In the range of the critical concentrations which were studied, the neutronic properties of fissionable solutions of plutonium and enriched uranium were compared for identical geometries. (authors) [French] Proserpine est un reacteur homogene comportant une cuve de diametre 25 cm, de hauteur 30 cm, entouree d'un reflecteur composite d'oxyde de beryllium et de graphite. On y a rendu critiques des solutions de plutonium ou d'uranium enrichi a 90 pour cent, le produit fissile se trouvant sous la forme d'un sel dissous. En faisant varier la concentration de la solution, on a etudie les masses critiques en fonction de la hauteur du liquide dans la cuve. La masse- critique minimum est, pour le plutonium de 256 {+-} 2 g, pour l'uranium 235 de 409 {+-} 3 g. Dans la gamme des concentrations critiques etudiees, on a compare, dans des conditions de geometrie identique, les proprietes neutroniques des solutions fissiles de plutonium et d'uranium enrichi. (auteurs)

  10. Technical results of the power sector in France 2001; Resultats techniques du secteur electrique en France 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Provisional detailed results of power flows in France in 2002, with the operating context and international comparisons. This booklet presents provisional results, expressed in rounded values because of some estimated values. Data come from measures made by RTE, completed by various actors of the power system and by estimations made by RTE: general results France; operation outlook; energy flows; exchanges with foreign countries; French consumption; French generation; network operation; access to the transmission network; development over the past 15 years; international comparisons; terminology.

  11. Symbols or results?. Norway`s contribution to global climate policy; Symboler eller resultater. Norges bidrag til global klimapolitikk

    Energy Technology Data Exchange (ETDEWEB)

    Haugland, Torleif; Lunde, Leiv; Vraalstad, Knut; Roland, Kjell

    1997-12-31

    The report is part of an evaluation of political climate challenges faced by Norway. The aim to stabilize CO{sub 2} emissions before the year 2000 is unrealistic. This is because (1) almost all electricity produced in Norway is hydropower, (2) more than half of the expected CO{sub 2} emissions up to 2020 comes from increased activities on the large and profitable petroleum deposits in the North Sea; these activities are hard to slow down, (3) substantial emission reductions in the process industry are expensive or impossible because of a lack of raw material without carbon, (4) reductions in the transport sector are impossible because of dispersed settlement, (5) strong economic growth and low unemployment imply increased energy consumption. All together this means that stabilizing the emissions in Norway costs more than in most of the OECD countries. The supposed gain in climate quality from measures in one country may ``leak`` out in the sense that the activities whose reduction caused the gain are moved a country that does not have an active climate policy and thus the global consequences may even be negative. Four examples are given: (1) Unlike most countries, Norway uses high-quality hydropower for heating. If Norway had instead used efficient petroleum fuels for heating and exported this electric energy to countries that generate electricity from inefficient carbon, then these countries would reduce the emission of CO{sub 2} by more than Norway would increase it. (2) Much of the emissions from the activities in the North Sea comes from electricity production in low-efficiency gas turbines. This emission could be eliminated by electricity supplied from land. But with today`s power balance in Norway, such electricity would be Danish carbon-generated. (3) CO{sub 2} tax on the energy intensive but efficient Norwegian process industry could move production to a country with more polluting production. (4) Reducing Norwegian gas export to Europe would decrease Norwegian CO{sub 2} emission. But this would be more than compensated by a rise in emissions from countries that would take Norway`s place as an exporter. 43 refs., 31 figs.

  12. Areva - 2008 results: yet another year of growth for AREVA; Areva - Resultats 2008: une nouvelle annee de croissance pour AREVA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-02-15

    This paper summarizes the 2008 financial results of the Areva group: Backlog: 48.2 billion euros, up 21.1%; Revenue: 13.2 billion euros, up 10.4%; Operating income: - Operating income excluding provision on OL3 contract in Finland: 1,166 million euros, i.e. operating margin of 8.9%; - Additional provision on OL3 contract of 749 million euros; - Operating income: 417 million euros, i.e. operating margin of 3.2%. Net income attributable to equity holders of the parent: 589 million euros, i.e. euros 16.62 per share; Net debt of 3.45 billion euros before recognition of the SIEMENS put; Dividend of euros 7.05 to be proposed during the Annual General Meeting of Shareholders of April 30, 2009. After publication of these figures Siemens announced its decision to withdraw from AREVA NP.

  13. Haemning af små abdominale aortaaneurismers ekspansion med roxithromycin. Resultater fra et randomiseret klinisk kontrolleret forsøg

    DEFF Research Database (Denmark)

    Vammen, Sten; Lindholt, Jes S; Østergaard, Lars J

    2002-01-01

    of 1.5 years. RESULTS: During the first year the mean annual expansion rate of AAA was reduced by 44% in the macrolid group (1.56 mm/year) compared to 2.80 mm/year after placebo (p = 0.02). During the second year the difference was only 5%. Multiple linear regression analysis showed that roxithromycin......INTRODUCTION: Macrolide treatment has been reported to reduce the risk of recurrent ischaemic heart disease. The influence of a macrolide on the expansion rate of small abdominal aortic aneurysms (AAA) is unknown at present. The aim of this study was to investigate the effect of roxithromycin...... treatment and initial AAA size were significantly related to AAA expansion when adjusted for smoking, diastolic blood pressure, and IgA level > or = 20. The logistic regression analysis confirmed a significant difference in expansion rates above 2 mm annually between the intervention and placebo groups...

  14. Resultater efter ekstrakorporal membranoxygeneringsbehandling af nyfødte og spaedbørn i Danmark 1995-2004

    DEFF Research Database (Denmark)

    Eriksen, Vibeke; Helvind, Morten H; Greisen, Gorm

    2007-01-01

    of the survey. 42% of the parents reported sequels or suspicion of sequels. The primary sequels were reduced hearing, which was observed in eight infants, and chronic lung disease, which was observed in seven. Only one child was severely disabled. CONCLUSION: The underlying diagnoses, mortality and disability...

  15. Renewable energies in France: the main results in 2007; Les energies renouvelables en France: les principaux resultats en 2007

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    This document is a status for the year 2007 of the production and consumption of renewable energies in France. This status allows to follow and measure the advance the programs sustained by the public authorities for the use and valorization of renewable energy sources. The production includes the power generation (hydraulic, wind, solar and biofuel power plants) and the heat generation (heat pumps, biofuels and refuse fuels). The consumption concerns only the heat generation and is analyzed by sector of use. Statistical production data are summarized in tables. (J.S.)

  16. The renewable energies in France: the 2005 main results; Les energies renouvelables en France: les principaux resultats en 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    This specific evaluation proposes a synthesis of the electric and thermal productions from renewable energies, makes a list of the primary or secondary renewable energies productions when they are transformed and details the uses (electricity or heat) of each renewable energies. (A.L.B.)

  17. The renewable energies in France: the main results in 2006; Les energies renouvelables en France: les principaux resultats en 2006

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The main results presented in the renewable energies annual evaluation are discussed: the production of electricity from renewable energy sources, the thermal production from renewable energy sources, the consumption of thermal renewable energies and statistical data from 2004 to 2006 on the total primary energy, the hydroelectricity, the solar energy, the geothermal energy, the heat pump, the wood energy, the cogeneration, the biogas the wind energy and the biofuels. (A.L.B.)

  18. Processes for Assessing Outcomes of Multi-national Missions (Processus d’evaluation des resultats de missions multinationales)

    Science.gov (United States)

    2013-11-01

    and completeness by the interviewee before being considered final. Audio recordings were used only for in-person interviews and internal...updated? • How were assessments you produced typically presented to customers? • Visualisation methods (e.g., traffic lights)? • Text- and graphics-based

  19. Malnutrition, School Feeding and Educational Performance. Notes, Comments...No. 186 = Malnutrition, alimentation scolaire et resultats educatifs.

    Science.gov (United States)

    Levinger, Beryl

    Studies reviewed in this paper analyze the relationship between School Feeding Programme (SFP) participation and cognitive development in both developing and industralized countries. Contents concern: (1) the relationship betweeen diet and cognitive development; (2) limitations of intelligence quotient tests and the need for more adequate…

  20. AREVA. Operating and financial results for the first half of 2011; AREVA. Resultats du 1er semestre 2011

    Energy Technology Data Exchange (ETDEWEB)

    Marie, Patricia; Briand, Pauline; Floquet-Daubigeon, Fleur; Michaut, Maxime; De Scorbiac, Marie

    2011-07-27

    The first half of 2011 was marked by the accident at the Fukushima power plant following the unprecedented natural disasters that struck Japan. AREVA drew the first consequences from these events as early as June 2011 and recorded provisions and impairment in its half-year financial statements, related in particular to the expected short-term level of activity of some facilities. Close to 200 million euros in orders were canceled out of a total in backlog of more than 43 billion euros, which was down by a little more than 1 billion euros compared with the end of 2010. The longer term consequences of these events for AREVA are being assessed. They could concern all operations in the nuclear cycle and will be included in the strategic plan to be prepared by the end of the second half of the year. The fundamentals underpinning the development of the nuclear market are unchanged: strong growth in demand for electricity in the coming decades, diminished fossil resources, the search by many countries for energy independence, and the growing need to address climate issues. Through its efficient integrated business model, AREVA is present in every segment of the nuclear chain and is positioned in high-tech renewable energies with an offering that is perfectly suited to the requirements of the world's power companies. Decisions by governments on energy policy and by the safety authorities in different countries will influence market developments and the schedule for executing certain projects. Germany announced its decision to withdraw permanently from nuclear power and Switzerland intends to do the same, while Italy has opted not to restart its program. And yet the majority of countries have confirmed their decision to pursue nuclear power programs, present and future. In the first half, the group continued to draw down debt, achieving a net debt level of less than 3 billion euros at the end of June, thanks in particular to the conclusion of the proceedings with Siemens and the sale of STMicroelectronics shares. From now to year-end, the group will also continue its commercial efforts, building on its technical expertise and its technologies, while strengthening its programs to reduce costs and control cash generation. The operating and financial results for the first half of 2011 can be summarized as follows: - Backlog of euro 43.1 bn: -euro 1.1 bn compared with December 31, 2010, - Revenue of euro 3.997 bn: -3.9% compared with first half 2010, - Operating income excluding particular items: euro 62 m, for operating margin of 1.6%, - Operating income: euro 710 m, - Net income attributable to owners of the parent: euro 351 m, - Earnings per share: euro 0.92, - Net debt of euro 2.772 bn: down euro 900 m from December 31, 2010

  1. Results and status of the Edelweiss Wimp search experiment; Experience Edelweiss de recherche directe de Wimps: resultats et perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Benoit, A.; Berge, L.; Blumer, J.; Broniatowski, A.; Censier, B.; Chabert, L.; Chambon, B.; Chapellier, M.; Chardin, G.; Charvin, P.; Jesus, M. de; Drain, D.; Di Stefano, P.; Dumoulin, L.; Eitel, K.; Fesquet, M.; Firucci, S.; Gascon, J.; Gerbier, G.; Gerlic, E.; Goldbach, C.; Goyot, M.; Gros, M.; Habermahl, F.; Horn, M.; Hadjout, J.P.; Herve, S.; Juillard, A.; Kikuchi, C.; Lesquen, A. de; Luca, M.; Mallet, J.; Marnieros, S.; Martineau, O.; Mosca, L.; Navick, X.F.; Nollez, G.; Pari, P.; Riccio, C.; Sanglard, V.; Stern, M.; Vagneron, L.; Villard, V

    2005-07-01

    In the Edelweiss experiment, nuclear recoils induced by elastic collisions with WIMPs (weakly interacting massive particle) from the galactic halo are identified in low-temperature Ge detectors where the ratio of the heat and ionization signals provide an event-by-event discrimination of nuclear recoils from the dominant background coming from {gamma}-rays interactions. The Edelweiss experiment is located in the Modane underground facility in order to cut the muon flux drastically. We present here the results obtained during the first part of the experiment named Edelweiss-I that ended in the beginning of 2004. Since october 2002, 3 optimized 320 grams detectors have been simultaneously operated at a regulated temperature of 0.017 K and about 50 kg*day were added to the previous published data. These data are still under analysis but preliminary results concerning the upper limit at 90% CL (confidence level) confirm the limit already published in 2002. The first run of Edelweiss-II is due to begin during summer 2005, we are expecting to gain 2 orders of magnitude in terms of detector sensitivity and reach 0.002 events/day*kg. (A.C.)

  2. Overvågning af fugle, sæler og planter 1999-2000, med resultater fra feltstationerne

    DEFF Research Database (Denmark)

    , hvilket er en sjælden kombination. Vejlerne Ynglefuglene havde en god sæson, hvilket skyldtes en høj vandstand på engene. Antallet af lappedykkerne steg; det gælder både toppet og især gråstrubet lappedykker der havde det største registrede antal ynglepar. Det samme var tilfældet for rørdrum og grågås...... føde på engene, blev imidlertid set i antal over middel. Det var pibesvane og spidsand i foråret, grågås og krikand i både for- og efterår. Der blev set mange vadefugle, deriblandt stor præstekrave, i usædvanligt store antal, og hjejle samt krumnæbbet ryle i antal over middel. Langli Ynglefuglene på...

  3. Results of cycling with battery charging management; Resultats de cyclage avec gestion de charge au niveau batterie

    Energy Technology Data Exchange (ETDEWEB)

    Verniolle, J; Fernandez, C [European Space Research and Technology Centre, Noordwijk (Netherlands)

    1997-12-31

    In order to investigate the charging mode of an in-series assembly of lithium-carbon battery cells, a test has been performed on 5 commercial cells (18650) of 0.95 Ah nominal capacity. Results show that it is possible to cycle the cells at 80% of their output capacities during more than 2000 cycles. The management of the battery consists in maintaining a constant battery voltage as soon as a cell reaches its limit voltage during constant current charging. The initial dispersion of cells has been maintained practically constant during the cycling and the charge state of all cells has decreased progressively. (J.S.)

  4. Ekspressiv skriving som egenterapeutisk verktøy ett år etter brystkreftdiagnosen - resultater fra en norsk pilotstudie

    Directory of Open Access Journals (Sweden)

    Birgitta Haga Gripsrud

    2015-01-01

    Full Text Available Expressive writing as a self-help tool one year after the breast cancer diagnosis – results from a Norwegian pilot study The article presents findings from a pilot study on expressive writing, a therapeutic method undescribed in a Norwegian scientific context. Objective: 1. Gain qualitative data on breast cancer women’s experiences with expressive writing. 2. Evaluate the intervention’s feasibility, based on participants’ experiences of the instruction, procedure, and circumstances for writing. Method & design: The study has an exploratory descriptive design. Data collection was achieved through in-depth interviews, followed by experiential thematic analysis of transcripts. Results: Two women enrolled, participating in writing/interviews. Analysis revealed three themes: "The experience of the writing process", "Writing as working through and work to clear the mind", "Strength and vulnerability in relation to others". Conclusion: Findings reveal that expressive writing was experienced as achievable for two breast cancer women, one year after diagnosis. Writing provided an opportunity to work through, and sort out, feelings and thoughts connected to participants’ lives and illness experiences. The instruction was evaluated as easy to understand and inspiring. The women became absorbed in electronic writing in their own homes. They both recommended expressive writing for other women with breast cancer, especially in the period after initial diagnosis.

  5. 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.

  6. Communicating with patients

    Science.gov (United States)

    ... Ask your patients about their outlooks, attitudes, and motivations. Learn the patient's perspective. Talk to the patient ... beliefs. This will help you understand the patient's motivation and let you plan the best ways to ...

  7. 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....

  8. 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

  9. 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.

  10. 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...... are created through stories about three roughly framed aspects of hospitalisation: A. Being together with fellow patients entails a constant dilemma, B. Relationships between patients are restricted and extended and C. Shifting perspectives in solidarity. Conclusion Patients' hospitalisation is strongly...

  11. Concomitant chemo-radiotherapy for locally advanced bronchial cancer: impact of radiotherapy quality on global survival: results of a trial by the Thoracic Cancerology French-speaking Inter-group (IFCT) and Pneumo-Cancerology French Group (GFPC) 02.01; Chimioradiotherapie concomitante pour cancer bronchique localement evolue: impact de la qualite de la radiotherapie sur la survie globale: resultats de l'essai de l'Intergroupe francophone de cancerologie thoracique (IFCT) et du Groupe francais de pneumo-cancerologie (GFPC) 02.01

    Energy Technology Data Exchange (ETDEWEB)

    Martel-Lafay, I.; Montella, A.; Pommier, P. [Centre Leon-Berard, 69 - Lyon (France); Clavere, P. [CHU de Limoges, 87 - Limoges (France); Labat, J.P. [CHU de Brest, 29 - (France); Benchalal, M. [Centre Eugene-Marquis, 35 - Renne (France); Teissier, E. [Centre azureen de radiotherapie, 06 - Mougins (France); Talabard, J.N.; Fournel, P. [CHU de Saint- Etienne, 42 - Saint- Etienne (France); D' Hombres, A. [Centre hospitalier Lyon Sud, 69 - Pierre-Benite (France)

    2010-10-15

    The author report the assessment of the influence of radiotherapy quality and of its consequences on the future of 113 patients during a phase-II randomized trial of concomitant chemo-radiotherapy of bronchial cancers without stage-II non-resectable small cells. The patients have been submitted to a conformational radiotherapy and a concomitant induction of consolidation chemotherapy. Ten items are analysed: immobilisation, dose per fraction, total dose, ganglion radiotherapy, number of beams, images before and after radiotherapy, radiotherapy duration, duration without radiotherapy, dose-lung volume histogram. The study notably shows the deleterious effects of an interruption of the concomitant chemotherapy on the global survival. Short communication

  12. Preoperative patient education: evaluating postoperative patient outcomes.

    Science.gov (United States)

    Meeker, B J

    1994-04-01

    Preoperative teaching is an important part of patient care and can prevent complications, as well as promote patient fulfillment during hospitalization. A study was conducted at Alton Ochsner Medical Foundation in New Orleans, LA, in 1989, to determine the impact of a preoperative teaching program on the incidence of postoperative atelectasis and patient satisfaction. Results showed no significant difference of postoperative complications and patient gratification after participating in a structured preoperative teaching program. As part of this study, it was identified that a patient evaluation tool for a preoperative teaching class needed to be developed. The phases of this process are explained in the following article.

  13. Awake craniotomy. A patient`s perspective.

    Science.gov (United States)

    Bajunaid, Khalid M; Ajlan, Abdulrazag M

    2015-07-01

    To report the personal experiences of patients undergoing awake craniotomy for brain tumor resection. We carried out a qualitative descriptive survey of patients` experiences with awake craniotomies for brain tumor resection. The survey was conducted through a standard questionnaire form after the patient was discharged from the hospital. Of the 9 patients who met the inclusion criteria and underwent awake craniotomy, 3 of those patients reported no recollection of the operation. Five patients had auditory recollections from the operation. Two-thirds (6/9) reported that they did not perceive pain. Five patients remembered the head clamp fixation, and 2 of those patients classified the pain from the clamp as moderate. None of the patients reported that the surgery was more difficult than anticipated. Awake craniotomy for surgical resection of brain tumors was well tolerated by patients. Most patients reported that they do not recall feeling pain during the operation. However, we feel that further work and exploration are needed in order to achieve better control of pain and discomfort during these types of operations.

  14. 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...

  15. 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

  16. 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.

  17. A good patient?

    DEFF Research Database (Denmark)

    Campbell, Catherine; Scott, Kerry; Skovdal, Morten

    2015-01-01

    , 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...

  18. Liver and water metabolism; Foie et metabolisme de l'eau

    Energy Technology Data Exchange (ETDEWEB)

    Fallot, P. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Faculte des Sciences de Grenoble, 38 (France)

    1959-07-01

    The causes for the disturbance of hydro-electrolytic equilibrium observed in cirrhosis patients are far from clear. Studies on the static distribution of liquid in the organism and also on anomalies in the distribution of deuterium oxide and tritiated water provide no direct explanation of the nature of the water retaining mechanism. At the period when the illness is established, endocrine factors and electrolytic perturbations contribute to maintaining or increasing oliguresis, but they cannot be held solely responsible in the initial stages of evolution. An explanation of the ascites should therefore be looked for in a non-functioning of the polygonal or Kupffer cells. The hypothesis of an insufficient rejection of water outside the lymph spaces of the liver during cirrhosis is put forward, but the experimental demonstration of such a phenomenon proves very difficult. (author) [French] Les causes du desequilibre hydroelectrolytique observe chez les malades cirrhotiques sont loin d'etre elucidees. Les etudes de la repartition du liquide de l'organisme ainsi que celles des anomalies de la distribution de l'oxyde de deuterium et de l'eau tritiee n'apportent aucune explication directe sur la nature du mecanisme de la retention de l'eau. A la periode d'etat de la maladie, les facteurs endocriniens et les perturbations electrolytiques contribuent a entretenir ou a accroitre l'oligurie mais ils ne peuvent etre seuls invoques lors des stades initiaux de l'evolution. Il faudrait donc rechercher dans un dysfonctionnement des cellules polygonales ou kupfferiennes l'explication de l'ascite. L'hypothese d'une insuffisance du rejet de l'eau hors des espaces lymphatiques du foie au cours de la cirrhose est evoquee mais la demonstration d'un tel phenomene s'avere tres difficile sur le plan experimental. (auteur)

  19. Liver and water metabolism; Foie et metabolisme de l'eau

    Energy Technology Data Exchange (ETDEWEB)

    Fallot, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Faculte des Sciences de Grenoble, 38 (France)

    1959-07-01

    The causes for the disturbance of hydro-electrolytic equilibrium observed in cirrhosis patients are far from clear. Studies on the static distribution of liquid in the organism and also on anomalies in the distribution of deuterium oxide and tritiated water provide no direct explanation of the nature of the water retaining mechanism. At the period when the illness is established, endocrine factors and electrolytic perturbations contribute to maintaining or increasing oliguresis, but they cannot be held solely responsible in the initial stages of evolution. An explanation of the ascites should therefore be looked for in a non-functioning of the polygonal or Kupffer cells. The hypothesis of an insufficient rejection of water outside the lymph spaces of the liver during cirrhosis is put forward, but the experimental demonstration of such a phenomenon proves very difficult. (author) [French] Les causes du desequilibre hydroelectrolytique observe chez les malades cirrhotiques sont loin d'etre elucidees. Les etudes de la repartition du liquide de l'organisme ainsi que celles des anomalies de la distribution de l'oxyde de deuterium et de l'eau tritiee n'apportent aucune explication directe sur la nature du mecanisme de la retention de l'eau. A la periode d'etat de la maladie, les facteurs endocriniens et les perturbations electrolytiques contribuent a entretenir ou a accroitre l'oligurie mais ils ne peuvent etre seuls invoques lors des stades initiaux de l'evolution. Il faudrait donc rechercher dans un dysfonctionnement des cellules polygonales ou kupfferiennes l'explication de l'ascite. L'hypothese d'une insuffisance du rejet de l'eau hors des espaces lymphatiques du foie au cours de la cirrhose est evoquee mais la demonstration d'un tel phenomene s'avere tres difficile sur le plan experimental. (auteur)

  20. Patient-centred Prevention among PAD Patients

    DEFF Research Database (Denmark)

    Pii, Kathrine Hoffmann

    2015-01-01

    Intro: This paper discusses a central professional dilemma in patient-centred education: on one hand the concern for ensuring patients autonomy and right to make their own decisions regarding their treatment and, on the other hand, a concern for getting patients to make the “right” decisions......-centredness is thus promoted as a way to organize health more effectively (in terms of cost and treatment outcomes) and as a way to ensure patients’ autonomy and fundamental right to make their own decisions regarding their treatment. Critical voices within social and nursing theory have however argued....... 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...

  1. 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.

  2. The Angry Dying Patient.

    Science.gov (United States)

    Houston, Robert E.

    1999-02-01

    Over 25 years ago, Kubler-Ross identified anger as a predictable part of the dying process. When the dying patient becomes angry in the clinical setting, all types of communication become strained. Physicians can help the angry dying patient through this difficult time by using 10 rules of engagement. When physicians engage and empathize with these patients, they improve the patient's response to pain and they reduce patient suffering. When physicians educate patients on their normal responses to dying and enlist them in the process of family reconciliation, they can impact the end-of-life experience in a positive way.

  3. Patient Safety Culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg

    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......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...

  4. Organizing Patient Involvement

    DEFF Research Database (Denmark)

    Brehm Johansen, Mette

    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...... in perspectives, values and understandings between patients and healthcare professionals, or the lack of managerial attention and prioritization....

  5. 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 ...

  6. 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.

  7. Wooing patients with technology.

    Science.gov (United States)

    Myers, Michael

    2013-04-01

    Technologies that can give healthcare organizations a marketing advantage with patients include: Registration kiosks that request payment automatically, in a more comfortable environment for both patients and registration staff. Emails that enable patients to schedule initial visits and follow-up care. Secure online messaging platforms that enable patients to obtain timely answers to questions they have for their providers both before and after receiving services.

  8. Can "patient keeper" help in-patients?

    Science.gov (United States)

    Al-Hinnawi, M F

    2009-06-01

    The aim of this paper is to present our "Patient Keeper" application, which is a client-server medical application. "Patient Keeper" is designed to run on a mobile phone for the client application and on a PC for the server application using J2ME and JAVA2, respectively. This application can help doctors during visits to their patients in hospitals. The client application allows doctors to store on their mobile phones the results of their diagnoses and findings such as temperature, blood pressure, medications, analysis, etc., and send this information to the server via short message service (SMS) for storage in a database. The server can also respond to any request from the client and send the result via Bluetooth, infrared, or over the air. Experimental results showed a significant improvement of the healthcare delivery and reduction for in-patient stay.

  9. 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...

  10. The elderly patients' dignity

    DEFF Research Database (Denmark)

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

    2007-01-01

    the principles of nursing practice, protecting, enhancing and promoting the elderly patient's health potential. It is suggested that these themes of dignity provide a frame of reference in elder care; they shape the understanding of when health issues become a concern for health-promoting care for the elderly...... patient and what goals should be defined. Key words: Dignity, elderly patient, phenomenological hermeneutical method....

  11. Does patient satisfaction affect patient loyalty?

    Science.gov (United States)

    Kessler, Daniel P; Mylod, Deirdre

    2011-01-01

    This paper aims to investigate how patient satisfaction affects propensity to return, i.e. loyalty. Data from 678 hospitals were matched using three sources. Patient satisfaction data were obtained from Press Ganey Associates, a leading survey firm; process-based quality measures and hospital characteristics (such as ownership and teaching status) and geographic areas were obtained from the Centers for Medicare and Medicaid Services. The frequency with which end-of-life patients return to seek treatment at the same hospital was obtained from the Dartmouth Atlas. The study uses regression analysis to estimate satisfaction's effects on patient loyalty, while holding process-based quality measures and hospital and market characteristics constant. There is a statistically significant link between satisfaction and loyalty. Although satisfaction's effect overall is relatively small, contentment with certain hospitalization experience may be important. The link between satisfaction and loyalty is weaker for high-satisfaction hospitals, consistent with other studies in the marketing literature. RESEARCH LIMITATION/IMPLICATIONS: The US hospitals analyzed are not a random sample; the results are most applicable to large, non-profit teaching hospitals in competitive markets. Satisfaction ratings have business implications for healthcare providers and may be useful as a management tool for private and public purchasers. The paper is the first to show that patient satisfaction affects actual hospital choices in a large sample. Because patient satisfaction ratings are also correlated with other quality measures, the findings suggest a pathway through which individuals naturally gravitate toward higher-quality care.

  12. 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.

  13. 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...... 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...

  14. 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.

  15. 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...... for which information can be standardized. In the latter approach (market orientation), the patient is also a resource for organizational development. Overall, the strategy presents an information-pursuing patient figure that makes it possible to streamline the organization's care orientation on market......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...

  16. Perkutan vertebroplastik med kun få komplikationer, et retrospektivt studie

    DEFF Research Database (Denmark)

    Rousing, Rikke

    2008-01-01

    retrospektivt. Resultater: Vi registrerede 40,4 % cement lækager (c.i. [32,6;48,5]). Ingen af disse resulterede i neurologiske symptomer. En patient fik åndenød, en atrieflimmer og en patient pådrog sig en pneumothorax under indgrebet. Frekvensen af symptomatiske komplikationer var 1,9 % (c.i. [0...

  17. 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

  18. Measuring the patient experience.

    Science.gov (United States)

    Lees, Carolyn

    2011-01-01

    This paper examines the complex issues of measuring the patient experience and evaluating the quality of health care. It discusses the use of surveys, patient stories and narrative methods of data collection in an attempt to define quality and how it should be measured. A recent Department of Health (DH) document insists that patients will be at the heart of decision making in the NHS by having greater control in informing strategic commissioning decisions (DH 2010c). The government aims to improve patient experience, enabling patients to rate services according to the quality of care they receive. This will be carried out using information generated by patients. This paper discusses the advantages and disadvantages of using surveys in gathering patient satisfaction data. It considers the value of surveys in measuring quality of care and appraises their usefulness in strengthening patients' collective voice. The paper investigates the use of another source of feedback - it examines the design of qualitative data collection methods as a means of gaining feedback from service users in encouraging providers of health care to be more responsive to their needs. Too often, patients are expected to fit the services, rather than services meeting the patients' needs. The most effective way of exploring and representing the patient's experience is by using a mixed-method approach. In other words, an integrated approach with the use of surveys and more narrative methods, such as patient stories, will effectively define quality and how it should be measured, ensuring that the focus is always on what matters most to patients.

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

    African Journals Online (AJOL)

    Medication adherence in type 2 diabetes patients: study of patients in ... impact of medication adherence on the clinical outcomes of type 2 diabetes patients at ... the review of case notes of one-hundred and fifty two randomly selected patients.

  20. 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...

  1. Music for Hemodialysis patients

    DEFF Research Database (Denmark)

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

    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.......   Purpose To investigate whether music can reduce feelings of anxiety, tension and restlessness in patients new to dialysis treatment and make them more relaxed during the treatment.   Method Twenty patients aged 42-84 were selected for participation in the study, which took place over two separate dialysis...

  2. 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...

  3. Why measure patient satisfaction?

    Science.gov (United States)

    Riskind, Patty; Fossey, Leslie; Brill, Kari

    2011-01-01

    A practice that consistently and continuously measures patient perceptions will be more efficient and effective in its daily operations. With pay-for-performance requirements on the horizon and consumer rating sites already publicizing impressions from physician encounters, a practice needs to know how it is performing through the eyes of the patients. Azalea Orthopedics has used patient feedback to coach its physicians on better patient communication. The Orthopaedic Institute has used patient satisfaction results to reduce wait times and measure the return on investment from its marketing efforts. Patient survey results that are put to work can enhance the efficiency and effectiveness of practice operations as well as position the practice for increased profitability.

  4. 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....

  5. Patients and radiotherapy

    International Nuclear Information System (INIS)

    Eardley, A.

    1986-01-01

    The results of interviews with thirty discharged patients who had undergone radical radiotherapy for cancer of the head and neck are presented. Patients were asked whether their side-effects had got worse or had stayed the same, what effect their side effects had had on eating and drinking and whether they had felt depressed during this period. Measures which could be taken to improve patients' experiences of radiotherapy are discussed. (U.K.)

  6. Keeping our patients' secrets.

    Science.gov (United States)

    Clough, J D; Rowan, D W; Nickelson, D E

    1999-10-01

    Protecting the privacy of the patient's medical record is a central issue in current discussions about a patient bill of rights, and controversy over a proposed "unique health identifier" has raised the decibel level of these discussions. At the heart of the debate is how best to resolve the inherent conflict between the individual's right to privacy and the need for access to patients' health information for reasons of public health, research, and health care management.

  7. 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

  8. 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.

  9. 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.

  10. 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.

  11. Patients Provide Recommendations for Improving Patient Satisfaction.

    Science.gov (United States)

    Moore, Angelo D; Hamilton, Jill B; Krusel, Jessica L; Moore, LeeAntoinette G; Pierre-Louis, Bosny J

    2016-04-01

    National Committee for Quality Assurance recommends patient-centered medical homes incorporate input from patient populations; however, many health care organizations do not. This qualitative study used two open-ended questions from 148 active duty Army Soldiers and their family members to illicit recommendations for primary care providers and clinic leadership that would improve their health care experiences. Content analysis and descriptive statistics were used to analyze responses. Participant responses were related to four major themes: Access to Care, Interpersonal Interaction, Satisfaction of Care, and Quality of Care. Participants were overall satisfied with their care; however, spending less time waiting for appointments and to see the provider or specialist were the most frequently requested improvements related to Access to Care. For Interpersonal Interaction, 82% of the responses recommended that providers be more attentive listeners, courteous, patient, caring, and respectful. Decreasing wait times and improving interpersonal skills would improve health care experiences and patient satisfaction. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

  12. Knowing Patients: Turning Patient Knowledge into Science

    NARCIS (Netherlands)

    Pols, Jeannette

    2014-01-01

    Science and technology studies concerned with the study of lay influence on the sciences usually analyze either the political or the normative epistemological consequences of lay interference. Here I frame the relation between patients, knowledge, and the sciences by opening up the question: How can

  13. Radiological protection of patients

    International Nuclear Information System (INIS)

    Niroomand-Rad, A.

    2003-01-01

    The benefits of ionizing radiation in the diagnosis and treatment of cancer, as well as other conditions such as cardiac ablation, are well established. However determination, monitoring, and evaluation of patient doses is not as easy task. Furthermore, radiation doses for individual patients may vary greatly from one radiological procedure to another. Attention is needed to reduce unnecessary radiation exposure to patients from All types of radiation producing machines and equipment. The patient risk from radiation injury-stochastic and/or deterministic must be weighted against the benefits of a proper medical examination or treatment as well as the risk of depriving the patient from the necessary medical care. Arbitrary reduction of radiological patient doses without regard to final outcome is determined to proper medical care provided to the patient. Sacrificing image quality in order to reduce patient dose is potentially harmful to the patient as well. Furthermore, the role of radiation exposure incurred from screening procedures such as mammography, needs to be properly considered and differentiated from medically indicated procedures. A known radiation induced risk needs to be balanced against diagnostic efficacy of a screening procedure. In these cases, regulations on standards and guidelines for determination, monitoring, and evaluation of patient doses may be appropriate. In this paper, the technical data collected in the United States have been compared with the corresponding data in Canada. However, even here, it has been recognized that we can not assume that one dose limit fits all. It is advisable to consider individual patient specifics if it means the difference between detection and miss

  14. Visual patient records

    NARCIS (Netherlands)

    Luu, M.D.

    2015-01-01

    Patient information is often complex and fragmented; visualization can help to obtain and communicate insights. To move from paper medical records to interactive and visual patient records is a big challenge. This project aims to move towards this ultimate goal by providing an interactive prototype

  15. 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.

  16. Excluding the typical patient

    DEFF Research Database (Denmark)

    Odlaug, Brian Lawrence; Weinhandl, Eric; Mancebo, Maria C

    2014-01-01

    Over the past 30 years, clinical trials have resulted in several successful pharmacotherapies for obsessive-compulsive disorder (OCD), yet patients in clinical settings often report inadequate response. This study compares clinical characteristics of treatment-seeking OCD patients to the inclusion...

  17. Lejringsskader hos rygopererede patienter

    DEFF Research Database (Denmark)

    Sestoft, Bodil; Larsen, Birgit; Erlandsen, Mogens

    2009-01-01

    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 at par...

  18. Patient dosimetry in hysterosalpingography

    International Nuclear Information System (INIS)

    Khoury, H.J.; Maia, A.; Oliveira, M.; Kramer, R.; Drexler, G.

    2001-01-01

    The objectives of this study were to determine the entrance surface dose to the patient and to estimate the dose to the uterus and ovaries due to hysterosalpingography (HSG) diagnostic examinations performed in Recife-Pe, Brazil. The entrance doses were measured using four thermoluminescent dosimeters per patient, attached to anatomical landmarks on the patient's skin. The study was carried out on 25 patients between 21 and 45 years of age who underwent the HSG examinations in two training hospitals and one private radiodiagnostic institute. The number of exposures performed ranged from 4 to 15 radiographs per patient measured. Entrance surface doses varied between 4.99 and 36.6 mGy, with an average of 12.6mGy. The doses to the ovaries and uterus ranged from 0.80 mGy to 5.8 mGy and 1.10mGy to 8.05 mGy, respectively. (author)

  19. [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.

  20. 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,...

  1. NRPB patient dosimetry service

    International Nuclear Information System (INIS)

    Shrimpton, P.; Hillier, M.; Bungay, D.; Wall, B.

    1994-01-01

    For nearly 20 years, thermoluminescent dosemeters (TLDs) have been used by NRPB to investigate the doses received by patients undergoing diagnostic examinations with x-rays, and these measurements have formed the basis for national recommendations on patient protection. Monitoring typical levels of patient dose should represent an essential element of routine quality assurance in x-ray departments. In order to promote more widespread measurements in hospitals, NRPB has drawn on a wealth of experience to establish a high-quality service providing TLDs for medical dosimetry by post. (author)

  2. Identitetskonstruktioner af patienter

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...

  3. Patient Dosimetry. Chapter 22

    Energy Technology Data Exchange (ETDEWEB)

    Dance, D. R. [Royal Surrey County Hospital, Guildford (United Kingdom); Castellano, I. [The Royal Marsden Hospital, London (United Kingdom)

    2014-09-15

    Patient exposures arising from radiological procedures form the largest part of the population exposure from artificial sources of radiation. According to United Nations Scientific Committee on the Effects of Atomic Radiation, the annual frequency of X ray examinations is 360 per 1000 individuals worldwide. Owing to the associated risk of radiation detriment to the patient, there is a clear need to monitor and control these exposures, and to optimize the design and use of the X ray imaging equipment so that the patient dose is reduced as far as possible, consistent with achieving the required clinical image quality.

  4. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

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

    Improving patient safety is both a national and international priority as millions of patients Worldwide suffer injury or death every year due to unsafe care. University College Zealand employs innovative pedagogical approaches in educational design. Regional challenges related to geographic......, social and cultural factors have resulted in a greater emphasis upon digital technology. Attempts to improve patient safety by optimizing students’ competencies in relation to the reporting of clinical errors, has resulted in the development of an interdisciplinary e-learning concept. The program makes...

  5. Medicare, physicians, and patients.

    Science.gov (United States)

    Hacker, Joseph F

    2004-05-01

    There are many other provisions to the MMA. It is important to remind our patients that these changes are voluntary. If patients are satisfied with their current Medicare benefits and plan, they need not change to these new plans. However, as physicians we should familiarize ourselves with these new Medicare options so as to better advise our patients. For more information, visit www.ama-assn.org. The Medical Society of Delaware will strive to keep you informed as these new changes are implemented.

  6. Constructions of the patient in healthcare communications: six patient figures.

    Science.gov (United States)

    Pors, Anja Svejgaard

    2016-01-01

    The purpose of this paper is to examine how strategic, patient-centred communication plays a part in the discursive management of expectations posed to patients and healthcare organizations. The paper provides an analysis of four documents collected as part of an ethnographic case study regarding "The Perspective of the Patient" - a Danish Hospital's patient-centred communication programme. Mapping methods inspired by Grounded Theory are used to qualify the analysis. The paper shows that strategic patient-centred communication addresses both a care-oriented approach to the patient and deploys market perceptions of patients. Market and care is seen as co-existing organizing modes that entail expectations to the patient. In the communication programme the patient is constructed in six information-seeking patient figures: affective patient; target group patient; citizen with rights; patient as a competent resource; user as active partner; and consumer. As a result, the patient-centred communication programme renders the patient as a flexible figure able to fit organizational demands of both care orientation and market concerns. This study contributes to qualitative research in organizational health communication by combining two subfields - patient-centredness and health communication - in an empirical study of how market and care are intertwined in a patient-centred communication programme. The argument goes beyond the prevalent prescriptive approaches to patient-centredness and healthcare communication, instead providing a critical analytical perspective on strategic communication and patient-centredness and showing how expectations are posed to both patient and organization.

  7. 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...

  8. 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....

  9. 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...

  10. 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)

  11. 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.,...

  12. Patient survey (ICH CAHPS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — In-Center Hemodialysis Facilites Patient evaluations from the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (ICH-CAHPS) Survey. The...

  13. 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...

  14. Doctors and patients.

    Science.gov (United States)

    Gillon, R

    1986-02-15

    Gillon outlines some prima facie moral duties of physicians to patients that have emerged from his previous articles in a series on philosophical medical ethics. These duties follow from four general ethical principles--respect for autonomy, beneficence, non-maleficence, and justice--plus the self-imposed supererogatory duty of medical beneficence. From these principles the author derives such duties as providing adequate information and advice on treatment options, encouraging patient participation leading to informed decisions, maintaining competence and exposing incompetence, admitting errors, disclosing personal medico-moral standards, and acknowledging that other interests may occasionally supersede those of the individual patient. Gillon concludes that, where self interest conflicts with medical beneficence, the claim of medicine as a profession requires that the patient's interests take priority.

  15. 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

  16. Nurse-patient collaboration

    DEFF Research Database (Denmark)

    Sørensen, Dorthe; Frederiksen, Kirsten; Groefte, Thorbjoern

    2013-01-01

    Objectives: This paper provides a theoretical account of nurses’ collaboration with patients with chronic obstructive pulmonary disease during non-invasive ventilation treatment in hospital. Background: Despite strong evidence for the effect of non-invasive ventilation treatment, success remains...... 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...... at three intensive care units and one general respiratory ward in Denmark. Results: Succeeding emerged as the nurses’ main concern in the nurse-patient collaboration during non-invasive ventilation treatment. Four collaborative typologies emerged as processing their main concern: (1) twofold oriented...

  17. MRSA Information for Patients

    Science.gov (United States)

    ... with soap and water or an alcohol-based hand sanitizer before and after caring for every patient. Carefully ... with soap and water or an alcohol-based hand sanitizer before and after touching you. If you do ...

  18. Cirrhosis: A Patient's Guide

    Science.gov (United States)

    ... A Patient's Guide Viral Hepatitis Menu Menu Viral Hepatitis Viral Hepatitis Home For Veterans and the Public Veterans and the Public Home Hepatitis A Hepatitis B Hepatitis C Hepatitis C Home Getting ...

  19. 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...

  20. Participating in patient education

    DEFF Research Database (Denmark)

    Kristiansen, Tine Mechlenborg; Antoft, Rasmus

    2015-01-01

    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......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...... 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...

  1. 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 ...

  2. Anaesthesia for trauma patients

    African Journals Online (AJOL)

    casualty incident, or a natural disaster. ... Exposure/environmental control: completely undress the ... E. Figure 1: Advance Trauma Life Support® management priorities ..... requiring operative intervention: the patient too sick to anesthetize.

  3. Patient care in radiography

    International Nuclear Information System (INIS)

    Ehrlich, R.A.; McCloskey, E.D.

    1989-01-01

    This book focuses on patient care procedures for radiographers. The authors focus on the role of the radiographer as a member of the health care team. The authors report on such topics as communication in patient care: safety, medico-legal considerations, transfer and positioning; physical needs; infection control; medication; CPR standards, acute situations; examination of the GI tract; contrast media; special imaging techniques and bedside radiography

  4. "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 observation...... was electronically forwarded. And, care expressed in between was perceived as care in the traditional sense and termed as “patient care in radiology.”...

  5. Medical Services: Patient Administration

    Science.gov (United States)

    2001-03-12

    5–16, page 41 Final disposition procedures for military patients • 5–17, page 42 Military patients requiring continued hospitalization or nursing ...general anesthetic, intravenous sedation , or nitrous oxide sedation . (3) All nonoperative procedures that involve more than a slight risk of harm to the...aid or palliative treatment, (b) Is likely to result in any disability for work beyond the day or occurrence, (c) Appears to require prolonged

  6. 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)

  7. Patient loyalty model.

    Science.gov (United States)

    Sumaedi, Sik; Bakti, I Gede Mahatma Yuda; Rakhmawati, Tri; Astrini, Nidya Judhi; Yarmen, Medi; Widianti, Tri

    2015-07-06

    This study aims to investigate the simultaneous effect of subjective norm, perceived behavioral control and trust on patient loyalty. The empirical data were collected through survey. The respondents of the survey are 157 patients of a health-care service institution in Bogor, Indonesia. Multiple regressions analysis was performed to test the conceptual model and the proposed hypotheses. The findings showed that subjective norm and trust influence patient loyalty positively. However, this research also found that perceived behavioral control does not influence patient loyalty significantly. The survey was only conducted at one health-care service institution in Bogor, Indonesia. In addition, convenience sampling method was used. These conditions may cause that the research results can not be generalized to the other contexts. Therefore, replication research is needed to test the stability of the findings in the other contexts. Health-care service institutions need to pay attention to trust and subjective norm to establish patient loyalty. This study is believed to be the first to develop and test patient loyalty model that includes subjective norm, perceived behavioral control and trust.

  8. Patient-Centered Research

    Science.gov (United States)

    Wicki, J; Perneger, TV; Junod, AF; Bounameaux, H; Perrier, A

    2000-01-01

    PURPOSE We aimed to develop a simple standardized clinical score to stratify emergency ward patients with clinically suspected PE into groups with a high, intermediate, or low probability of PE, in order to improve and simplify the diagnostic approach. METHODS Analysis of a database of 1090 consecutive patients admitted to the emergency ward for suspected PE, in whom diagnosis of PE was ruled in or out by a standard diagnostic algorithm. Logistic regression was used to predict clinical parameters associated with PE. RESULTS 296 out of 1090 patients (27%) were found to have PE. The optimal estimate of clinical probability was based on eight variables: recent surgery, previous thromboembolic event, older age, hypocapnia, hypoxemia, tachycardia, band atelectasis or elevation of a hemidiaphragm on chest X-ray. A probability score was calculated by adding points assigned to these variables. A cut-off score of 4 best identified patients with low probability of PE. 486 patients (49%) had a low clinical probability of PE (score 9). CONCLUSION This clinical score, based on easily available and objective variables, provides a standardized assessment of the clinical probability of PE. Applying this score to emergency ward patients suspected of PE could allow a more efficient diagnostic process.

  9. 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

  10. The electric comfort in social housing. EDF is going on. Agreements with concrete results; Le confort electrique en logement social. EDF avance. Des engagements aux resultats concrets

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-11-01

    This document deals the wrap-up of the agreement signed between EDF and the HLM Union, in 1997, concerning the quality of the electric heating and warm water in social housing. The convention is described and technical solutions are discussed. The relations with the tenants and the mission of advice are also presented. (A.L.B.)

  11. EDF - Electricite de France. Results 1997. 1997: The enterprise prepares for competition; EDF - Electricite de France. Resultats 1997. 1997: L'entreprise se prepare a la concurrence

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    In 1997 the energy production of the French Electricity Company EDF (Electricite de France) reached the value of 457.7 billion kWh, of which 82% is nuclear, 14% hydraulic and 4% classical thermal power. The management of maintenance annual intervention allowed and availability of the nuclear sector of 82.6%. The safety level was also maintained at a high value. The quality of the supplied electricity has been improved continuously: the annual average interruption duration for low voltage supply has been reduced from 1.35 h in 1996 to 1.06 h in 1997. Sale volume in France (369.9 billion kWh) is 0.7% lower than in 1996. EDF remains the first electricity exporter in Europe. The EDF has strengthened in 1997 its international development. FF 4.2 billions have been invested in Europe, Latin America and Asia. A social policy has been developed in favor of employee, particularly, young people acting toward enterprise's development, better management and working time reduction. In the frame of its relation with the state the EDF Company has signed a new contract for the period 1997-2000 which will allow reaching its ambition: becoming a public service of reference in Europe and its promotion as leader in industrial services, in the electric sector of France and on the international market. The results of this first year has confirmed the course adopted. The report contains the following seven chapters: 1. Relations with the state and the evolution of the institutional frame; 2. The financial results and administration; 3. Technical results; 4. Development in France; 5. International development; 6. Social and human resources; 7. Environment.

  12. Some results on the neutron transport and the coupling of equations; Quelques resultats sur le transport neutronique et le couplage d`equations

    Energy Technology Data Exchange (ETDEWEB)

    Bal, G. [Electricite de France (EDF), Direction des Etudes et Recherches, 92 - Clamart (France)

    1997-12-31

    Neutron transport in nuclear reactors is well modeled by the linear Boltzmann transport equation. Its resolution is relatively easy but very expensive. To achieve whole core calculations, one has to consider simpler models, such as diffusion or homogeneous transport equations. However, the solutions may become inaccurate in particular situations (as accidents for instance). That is the reason why we wish to solve the equations on small area accurately and more coarsely on the remaining part of the core. It is than necessary to introduce some links between different discretizations or modelizations. In this note, we give some results on the coupling of different discretizations of all degrees of freedom of the integral-differential neutron transport equation (two degrees for the angular variable, on for the energy component, and two or three degrees for spatial position respectively in 2D (cylindrical symmetry) and 3D). Two chapters are devoted to the coupling of discrete ordinates methods (for angular discretization). The first one is theoretical and shows the well posing of the coupled problem, whereas the second one deals with numerical applications of practical interest (the results have been obtained from the neutron transport code developed at the R and D, which has been modified for introducing the coupling). Next, we present the nodal scheme RTN0, used for the spatial discretization. We show well posing results for the non-coupled and the coupled problems. At the end, we deal with the coupling of energy discretizations for the multigroup equations obtained by homogenization. Some theoretical results of the discretization of the velocity variable (well-posing of problems), which do not deal directly with the purposes of coupling, are presented in the annexes. (author). 34 refs.

  13. Bruk av rusmidler blant norske 15-16 åringer. Resultater fra den norske delen av de europeiske skoleundersøkelsene - ESPAD 1995, 1999 og 2003

    OpenAIRE

    Bye, Elin Kristin; Skretting, Astrid

    2003-01-01

    - Tobakk Omkring 60 prosent av 15 - 16 åringene oppga i 2003 at de noen gang har røykt tobakk, omkring 30 prosent hadde røykt i løpet av de siste 30 dager. En andel på 18 prosent hadde røykt daglig i løpet av siste måned. Det er flere jenter enn gutter som oppgir at de røyker. Mens det var en økning fra 1995 til 1999 i andelen 15 - 16 åringer som røyker tobakk, var det en nedgang fra 1999 til 2003. En andel på fire prosent oppga i 2003 at de hadde røykt ...

  14. Projets et Resultats des Recherches sur l'Histoire des Bibliotheques en Pologne (Projects and Results of Research on the History of Libraries in Poland).

    Science.gov (United States)

    Kubow, Stefan

    The history of library science in Poland and a number of Polish research projects are reviewed in this paper. It is concluded that a considerable amount of research has been done on the history of libraries in Poland, but that this research is fragmented and separated by its focus on theory or methodology. The methodology of scientific research in…

  15. Results of the second campaign of the breast cancer detection in the Finistere; Resultats de la deuxieme campagne de depistage du cancer du sein dans le Finistere

    Energy Technology Data Exchange (ETDEWEB)

    Muller, M.; Dupre, P.F.; Wong, N.; Pradier, O.; Collet, M. [Centre Hospitalier Universitaire, 29 - Brest (France); Foll, Y. [ADEC 29, Brest (France)

    2007-11-15

    Some number of quality indicators of the detection is to be improved: the rate of participation (R.E. > 70 %), the positive predictive value of the biopsy (R.E.=75 %) and the proportion of cancers detected without a ganglionic invasion (R.E. > 70 %). (N.C.)

  16. Er konsum av melk og egg assosiert med risiko for kreft? Foreløpige resultater fra en prospektiv undersøkelse

    Directory of Open Access Journals (Sweden)

    Grethe Albrektsen

    2009-10-01

    Full Text Available  SAMMENDRAGSammenhenger mellom kreftinsidens og konsum av egg og melk er studert i en prospektiv undersøkelse avca. 50 000 personer i alderen 30-69 år. Kostholdsdataene ble samlet inn i forbindelse med andre runde avhjerte- og karundersøkelsene som ble gjennomført av Statens helseundersøkelser i Finnmark, Sogn ogFjordane og Oppland i perioden 1977-83. Gjennomsnittlig oppfølgingstid var 11,8 år. Omlag 2000 personerfikk en kreftdiagnose i løpet av oppfølgingsperioden. Insidensrate-ratioer er beregnet i en log-lineærPoissonregresjon basert på personår under risiko. Vi fant ingen sammenheng mellom total kreftinsidens ogkonsum av melk (glass pr. dag eller egg (antall pr. uke, men for spesifikke krefttyper observerte vi enkelteassosiasjoner. Det arbeides nå med mer detaljerte analyser og med internasjonal publisering av resultatene.Albrektsen G, Heuch I, Jacobsen BK, Kvåle G. Is milk and egg consumption associated with cancerrisk? Preliminary results from a prospective study. Nor J Epidemiol 1997; 7 (2: 205-208.ENGLISH SUMMARYAssociations between cancer incidence and consumption of milk and eggs were examined in a prospectivestudy of about 50,000 persons aged 30-69 years. The mean follow-up period was 11.8 years. About 2000persons were diagnosed with cancer during follow-up. Incidence rate ratios were calculated in a log-linearPoisson regression model of person-years at risk. No relations were found between overall cancer incidenceand consumption of milk (glasses per day or eggs (number per week, but some associations were observedfor specific sites. The analysis of the data is in progress and the results presented are preliminary.

  17. Monitoring of air pollution in Stockholm county. Results up to September 1999; Oevervakning av luftfoeroreningar i Stockholms laen. Resultat till och med september 1999

    Energy Technology Data Exchange (ETDEWEB)

    Akselsson, Cecilia [ed.

    2000-05-01

    Swedish Environmental Research Inst. have measured deposition of air pollutants, soil water quality, and air pollution levels in forested areas in different parts of Sweden. This report treats Stockholm county and the compilation covers the period 1992-1999, with more detailed monitoring for 1998-1999.

  18. Radon in the water from drilled wells. Results from an investigation in Oerebro; Radon i vatten fraan bergborrade brunnar. Resultat fraan en undersoekning i oerebro kommun

    Energy Technology Data Exchange (ETDEWEB)

    Liden, E.; Andersson, Lennart [Regionsjukhuset, Oerebro (Sweden). Yrkes- och miljoemedicinska kliniken; Linden, A. [Svensk Geofysik AB, Falun (Sweden); Aakerblom, G. [Statens Straalskyddsinstitut, Stockholm (Sweden); Aakesson, T. [Miljoe- och haelsoskyddsfoervaltningen, Oerebro (Sweden)

    1995-09-01

    In 1991 a drilled well containing water with a radon count of about 20,000 Bq/l was found in the city of Oerebro in southern Sweden. A study was started to develop measures to decrease the radon content of water, investigate public health risks and determine the prevalence of high-radon waters in Sweden. 1991-94 various techniques were tested to reduce the concentration of radon in water. The efficiency of aerating high-radon drinking water was studied under field conditions using two modified aerators in a well, in a pressure tank, and in a column of pellets. The efficiency varied from 20 to 99%. A survey of radon in water from 269 drilled wells was conducted in the Municipality of Oerebro. In water from 78 wells, the mean concentration of radon was 1336 Bq/l. The emanation of radon during normal household activities was studied in a home supplied with water from a drilled well whose radon count was approx 20,000 Bq/l. A geological investigation revealed the presence of thin Uranium-loaded fissures in the bedrock (granite) surrounding the well. 130 refs, 16 figs, 14 tabs.

  19. Interaction innovation and competency development in the Danish energy field; Samspil, innovation og kompetenceudvikling paa det danske energiomraade - resultater af en spoergeskemaundersoegelse

    Energy Technology Data Exchange (ETDEWEB)

    Nygaard Tanner, A.; Borup, M.; Dannemand Andersen, P. (Technical Univ. of Denmark, DTU Management, Kgs. Lyngby (Denmark)); Gregersen, B. (Aalborg Univ., Institut for Erhvervsstudier, Aalborg (Denmark))

    2009-09-15

    This report presents the results of a questionnaire survey on interaction, innovation and skills development among Danish companies, universities and other organizations within the energy field. The survey was conducted in 2007 and is part of a larger research project on terms of energy technology development. The report's figures compare results focusing on five technology areas: energy efficient technologies, wind, bio energy, hydrogen technologies and solar cells. Furthermore, there is a series of graphs giving the results across the various types of organizations. The report was carried out as a working tool for those who are interested in detailed insight into the results. For further conclusions and discussion of results refer to the book 'New Energy and Innovation in Denmark'.

  20. Ökad arbetstrivsel och bättre resultat genom tjänstedesign : Att skapa möjlighet för distansarbete i naturen

    OpenAIRE

    Chaudron, Tjalling

    2014-01-01

    The report contains a survey on telecommuting in nature and how concepts around that information could look like. The client for the project is Lars Sandberg, Dotank AB in Karlstad. The project is implemented in the course Bachelor of Science in Innovation and Design, MSCG22 of the faculty of health, science and technology at Karlstad University in the spring of 2014. Working flexibly and remotely in the so-called knowledge based professions is growing. That nature is an important source of r...

  1. Areva 2007 results: accelerated growth and significantly improved profitability; Areva resultats 2007: acceleration de la croissance et hausse significative de la profitabilite

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-02-15

    The AREVA group recorded accelerated growth and increased profitability in 2007, meeting both of its objectives for the year. The group made strategic inroads in fast growing markets. AREVA's integrated model met with record success in China, where GGNPC acquired two EPR nuclear islands in a combined order including both the reactors and the fuel, and the creation of a joint venture in engineering. Its T and D division was awarded the largest contract of its history in Qatar, making it the leader in a region where T and D was not even present a few years ago. For more than three years, AREVA has built up its capacity to meet surging demand in the nuclear power and T and D markets through an active policy of research and development and by capitalizing on the diversity and strength of its partnerships. Areva hired 8,600 people in 2006 and 11,500 people in 2007; this represents an investment in recruitment, training and integration of approximately euro 200 million per year. For 2008, the group foresees a further increase in its backlog, sales revenue and operating income. The Areva Group financial statements for 2007 are summarized below: - Backlog: euro 39.8 billion, up 55%; - Sales revenue: euro 11.9 billion, up 9.8% (up 10.4% like-for-like); - Operating income: euro 751 million, i.e. 6.3% operating margin, up 2.6 points compared with 2006; - Net income attributable to equity holders of the parent: euro 743 million (euro 20.95 per share), up from euro 649 million in 2006 (euro 18.31 per share); - Net debt: euro 1.954 billion, linked to the acquisition of UraMin; - Dividend: euro 6.77, to be proposed to the Annual General Meeting of Shareholders convening on April 17, 2008.

  2. Influence of the knowledge representation on the results of risks calculation; Influence de la representation de la connaissance sur les resultats de calcul de risque

    Energy Technology Data Exchange (ETDEWEB)

    Baudrit, C. [Institut de Recherche en Informatique de Toulouse, 31 (France); Mercat-Rommens, C.; Chojnacki, E. [Institut de Radioprotection et de Surete Nucleaire (DPAM/SEMIC/LMPC), Cadarache, 13 - Saint-Paul-Lez-Durance (France)

    2005-07-01

    In the field of radioecology, uncertainty was especially apprehended within a purely probabilistic framework. This report presents the various mathematical theories which make it possible to represent dubious information: theory of probabilities, theory of possibilities, theory of belief function. The influence of the choice of these various mathematical models to represent knowledge is then studied on the example of the transfer of strontium 90 from an atmospheric deposit to the man through the cow s milk consumption. (authors)

  3. Long-term growth responses of ash addition and liming - Preliminary results from a pilot study; Laangtidseffekter paa skogsproduktion efter askaaterfoering och kalkning - Preliminaera resultat fraan en pilotstudie

    Energy Technology Data Exchange (ETDEWEB)

    Sikstroem, Ulf; Jacobson, Staffan (Skogsbrukets Forskningsinstitut (Skogforsk), Uppsala Science Park, SE-751 83 Uppsala (Sweden)); Johansson, Ulf (Swedish University of Agricultural Sciences, The Unit for field-based forest research, Box 17, SE-310 38 Simlaangsdalen (Sweden)); Kukkola, Mikko; Saarsalmi, Anna (Metla, P.O. Box 18, FIN-01301 Vantaa (Finland)); Holt-Hansen, Kjersti (Norsk Institutt for skog og landskap, P.B. 115, NO-1431 Aas (Norway))

    2009-04-15

    Under this pilot study with preliminary results revealed trends in the experimental material which indicated that the addition of ashes or lime in the coniferous forest on mineral soil can lead to reduced stem growth on land with low fertility, unchanged stem growth in medium productive land, while growth may increase land with high fertility. This applied to both periods of 5-15 years and in the longer term (17-23 years; lime). Hence, the hypothesis, regarding the growth being dependent on soil fertility expressed as fertility, could not be rejected. However, previously reported indications of a similar connection with the C/N ratio in the humus was not confirmed in this first evaluation of the material

  4. Executive report. From the preliminary phase to the first results of the pilot study; Rapport executif. De la phase preparatoire aux premiers resultats de l'etude pilote

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-03-01

    This report presents a status of the actions carried out since the end of 1999 to the account of the observatory of indoor air quality in the framework of the contracts and conventions signed between the scientific and technical centre of building engineering (CSTB), the French ministries of accommodation, research, health and environment, and the agency of environment and energy mastery (Ademe). The actions concern: the production of data about the indoor environment (preliminary phase, pilot-campaign on 90 residential buildings and 9 schools of 3 different regions, preparation of the operational campaign on 800 sites (720 residential buildings and 80 schools), sampling strategy, optimization/development of investigation tools), the collection of available data in France, the management and exploitation of data, the development of information and communication tools, and the quality assurance of the observatory. (J.S.)

  5. Fractionated stereotaxic radiotherapy in the treatment of the retinoblastoma: preliminary results; Radiotherapie stereotaxique fractionnee dans le traitement du retinoblastome: resultats preliminaires

    Energy Technology Data Exchange (ETDEWEB)

    Pica, A. [Centre Hospitalier Universitaire Vaudois (CHUV), Service de Radiotherapie, Lausanne (Switzerland); Moeckli, R.; Do, H. [Institut de Radiophysique Appliquee, Lausanne (Switzerland); Balmer, A.; Munier, F. [Hopital ophtalmique Jules-Gonin, Lausanne (Switzerland); Chollet Rivier, M. [Centre Hospitalier Universitaire Vaudois (CHUV), Service d' Anesthesie, Lausanne (Switzerland)

    2006-11-15

    The objective of this study is to evaluate the impact in term of morbidity at short and long term and the response to the fractionated stereotaxic radiotherapy with a micro multi slides collimator in the treatment of the retinoblastoma. (N.C.)

  6. Monitoring of radioactivity in the environment 201; Overvaking av radioaktivitet i omgivnadene 2011. Resultat fraa Straalevernet sine Radnett- og luftfilterstasjonar og fraa Sivilforsvaret si radacmaaleteneste

    Energy Technology Data Exchange (ETDEWEB)

    Moeller, B.; Dyve, J.E.; Tazmini, K.

    2013-03-01

    The Report summarizes the data from Norwegian Radiation Protection Authority and The Norwegian Civil Defence monitoring programs for radioactivity in the environment in 2011. A short description of the systems is also presented.(Author)

  7. EDF - Electricite de France. Results 1997. 1997: The enterprise prepares for competition; EDF - Electricite de France. Resultats 1997. 1997: L'entreprise se prepare a la concurrence

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    In 1997 the energy production of the French Electricity Company EDF (Electricite de France) reached the value of 457.7 billion kWh, of which 82% is nuclear, 14% hydraulic and 4% classical thermal power. The management of maintenance annual intervention allowed and availability of the nuclear sector of 82.6%. The safety level was also maintained at a high value. The quality of the supplied electricity has been improved continuously: the annual average interruption duration for low voltage supply has been reduced from 1.35 h in 1996 to 1.06 h in 1997. Sale volume in France (369.9 billion kWh) is 0.7% lower than in 1996. EDF remains the first electricity exporter in Europe. The EDF has strengthened in 1997 its international development. FF 4.2 billions have been invested in Europe, Latin America and Asia. A social policy has been developed in favor of employee, particularly, young people acting toward enterprise's development, better management and working time reduction. In the frame of its relation with the state the EDF Company has signed a new contract for the period 1997-2000 which will allow reaching its ambition: becoming a public service of reference in Europe and its promotion as leader in industrial services, in the electric sector of France and on the international market. The results of this first year has confirmed the course adopted. The report contains the following seven chapters: 1. Relations with the state and the evolution of the institutional frame; 2. The financial results and administration; 3. Technical results; 4. Development in France; 5. International development; 6. Social and human resources; 7. Environment.

  8. Some results of a numerical calculation of plasma dispersion curves including collisions; Quelques resultats de calcul de courbes de dispersion avec collisions

    Energy Technology Data Exchange (ETDEWEB)

    Lepechinsky, D; Parlange, F [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    Dispersion curves including the effect of collisions have been calculated with a 7090 IBM computer for several types of laboratory hydrogen plasmas; Te = Ti = 1 eV; Te = 1 eV, Ti = 0,1 eV; Te = 10 eV, Ti = 2 eV; Te = 50 eV, Ti 10 eV, with neutral gas pressures of 10{sup -1}, 10{sup -3} and 10{sup -4} mmHg and electron densities of 10{sup 10}, 10{sup 13} and eventually 10{sup 15} el/cc. The corresponding collision frequencies with neutrals and between electrons and ions have been derived using appropriate relationships The dispersion equations used correspond to the macroscopic treatment. The real and imaginary parts of the wave number K are presented as a function of real values of the frequency {omega}, for electrostatic and electromagnetic waves and for e.m. waves propagating parallel to a permanent magnetic field of 500 gauss and 12.5 Kgauss. (authors) [French] Des courbes de dispersion tenant compte de l'effet des collisions ont ete calculees a l'aide d'un ordinateur IBM 7090 pour differents types de plasmas d'hydrogene se presentant au laboratoire; les temperatures electroniques et ioniques envisagees ont ete les suivantes: Te = Ti = 1 Ev; Te = 1 eV, Ti 0,1 eV; Te = 10 eV, Ti = 2 eV; Te = 50 eV, Ti = 10 eV; les pressions de neutres - de 10{sup -1}, 10{sup -3} et 10{sup -4} mmHg; les densites electroniques - de 10{sup 10}, 10{sup 13} et eventuellement de 10{sup 15} el/cc. Les frequences de collision avec les neutres et entre electrons et ions ont ete evaluees en fonction de ces donnees. Les equations, de dispersion utilisees correspondant au traitement macroscopique. On presente les valeurs des parties reelle et imaginaire du nombre d'ondes K en fonction de valeurs reelles de la frequence {omega} pour les ondes electrostatiques et electromagnetiques et pour les ondes e.m. se propageant parallelement a un champ magnetique permanent de 500 gauss et de 12,5 kgauss. (auteurs)

  9. Results obtained in a spectrometry using junction detectors (1962); Resultats en spectrometrie {alpha} a l'aide de ''detecteurs jonction'' (1962)

    Energy Technology Data Exchange (ETDEWEB)

    Beaumevieille, H; Fontenille, J; Lottgequeue, J P; Longequeue, N; Rabour, C [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires

    1962-07-01

    Junction detectors have been used for studying {alpha} spectra obtained by nuclear reactions (p, {alpha}), the protons being produced by an electrostatic accelerator (E{sub p} varying from 100 to 600 keV). Difficulties have been encountered arising from parasitic noise from the accelerator and from the distance (60 metres) between detectors and electronic equipment. Resolution of the counter has been found to be 0.6 per cent with {alpha} from {sup 210}Po and 1.2 pour cent with {alpha} (5.8 MeV) from the reaction {sup 11}B (p, {alpha}{sub 0}). (authors) [French] Des detecteurs a jonction ont ete utilises pour l'etude de spectres {alpha} obtenus par reactions nucleaires (p, {alpha}), les protons etant acceleres par un accelerateur electrostatique (E{sub p} variant de 100 a 600 keV). Des difficultes ont ete recontrees dues aux parasites provenant de l'accelerateur et a la distance des cables (60 metres) entre detecteurs et appareils de mesure. Le pouvoir de resolution de l'ensemble a ete de 0, 6 pour cent avec les {alpha} du {sup 210}Po et de 1,2 pour cent avec les {alpha} (5,8 MeV) de la reaction {sup 11}B (p, {alpha}{sub 0}). (auteurs)

  10. The French para-petroleum industry. Results of the 2000 inquiry; L'industrie parapetroliere francaise. Resultats de l'enquete 2000

    Energy Technology Data Exchange (ETDEWEB)

    Armengol, Ch.; Bensaid, B.; Saniere-Thouvay, A.

    2001-07-01

    The absence of regular statistical data about the French para-petroleum industry, which involves several companies of various size, has led the pooling of para-petroleum and gas companies (GEP), the committee for petroleum and marine studies (CEP and M) and the French petroleum institute (IFP) to start up an annual enquiry at the national scale. This document gives, first, a general overview of the international petroleum context, and then presents the results of the last inquiry which allows to precise the situation of the French para-petroleum industry in 1999 and to put forward some estimations for 2000. (J.S.)

  11. Kontrolleret, klinisk afprøvning af isoprinosin til HIV-smittede. Resultater af en dansk/svensk multicenterundersøgelse. The Scandinavian Isoprinosine Study Group

    DEFF Research Database (Denmark)

    Thorsen, S; Pedersen, C; Sandström, E

    1994-01-01

    progressed to AIDS (p = 0.005; odds ratio: 2.8, 95% CI: 1.3-6.2). Intention-to-treat analysis showed identical results. No severe adverse reactions or toxicities were observed. We conclude that HIV-infected individuals without AIDS may be safely and effectively treated with isoprinosine....

  12. The injection of TASS-tunnel. Design, implementation and results from the pre-injection; Injekteringen av TASS-tunneln. Design, genomfoerande och resultat fraan foerinjekteringen

    Energy Technology Data Exchange (ETDEWEB)

    Funehag, Johan (Chalmers university of technology, Goeteborg (Sweden)); Emmelin, Ann (Golder Associates (Sweden))

    2011-06-15

    The Swedish repository facility for spent nuclear fuel will be placed in crystalline rock at a depth of 400-500 m. In order to limit groundwater inflow to the facility, grouting is planned. To comply with the stringent material, execution and inflow restrictions, a series of research and development projects concerned with rock characterization for grouting, grouting materials and grouting design have been carried out by the Swedish Nuclear Fuel and Waste Management Co (SKB). The understanding and methods developed were tested in the sealing project carried out at Aespoe Hard Rock Laboratory (Aespoe HRL), Sweden, and presented in this report. The project consisted of the construction of a short tunnel at 450 m depth, the TASS-tunnel. Grouting was conducted as pre-grouting using ordinary grouting fans outside the planned tunnel contour, as well as with grout holes entirely within the planned contour. A cement-based low-pH grout and a silica based grouting agent, silica sol, were used. The methodology used included determination of the fracture transmissivity distribution; identification of the smallest hydraulic aperture that needs to be sealed; grout selection based on fracture aperture and grout penetrability; design of grout hole geometry, grouting pressure and time in order to achieve the penetration length required; and monitoring of the actual execution based on inflow in control holes with subsequent design revision. Special concern was given to equipment and execution due to the high groundwater pressures, 3.5 MPa. Before starting the construction, inflow to core drilled holes along the tunnel position amounted to 45-90 liters/minute. The project showed that it was possible to limit the inflow to the target value 1 liter/minute per 60 m tunnel

  13. Wind power on Gabriel mountain - Follow-up of the consequences for reindeer herding, third year results; Vindkraft paa Gabrielsberget - Uppfoeljning av konsekvenserna foer rennaeringen, tredje aarets resultat

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-05-15

    According to the Environmental Court's decision Gabriel Mountain the wind plant's impact on reindeer husbandry followed up by a control program. According to the Environmental Court's decision Gabrielsberget the wind plant's impact on reindeer husbandry followed up by a control program. The control program was initiated in autumn 2008. Reporting to the County Board will be made annually until the trial period ends. The construction of roads on Gabriel Mountains began in November / December 2008. No construction work was carried out, however, during the period that the reindeer were in the area (January-March 2009). The construction work started again in the summer / fall of 2009. The first 20 wind turbines began operating in January 2011. During these periods, the continuous interviews were held with reindeer herders from grazing district Byrkije. Reindeer herding utilization of the area before the wind farm been built and under construction has thus been mapped. Despite good grazing conditions Byrkije experienced difficulty in reindeer herding in and around wind power construction at Gabriel Mountain, especially during the second winter season (2010/11), when construction has been more extensive. Byrkije had to support feeding and use helicopter, something that previous seasons only was done in poor grazing conditions. The herders were also more people who worked actively with the reindeer and the working day has been longer and more strenuous compared to the seasons before the wind farm was built. The reindeer has moved more and were more spread out. The herders have also been forced to retrieve outside reindeer winter Loegdeaa land, something that has rarely happened in previous seasons. The reindeer's movement patterns and utilization of pastures have been different during the construction of the wind farm than in previous years. This report will be based on the new data over the years monitoring program runs.

  14. Control strategies for reducing consumption and pollutant emission on isolated junctions: field results; Enjeux de la regulation aux carrefours pour reduire la consommation et la polution: resultats experimentaux

    Energy Technology Data Exchange (ETDEWEB)

    Midenet, S.; Boillot, F.; Pierrelee, J.C. [Institut National de Recherche sur les Transports et leur Securite, INRETS, Lab. Genie des Reseaux de Transports et Informatique Avancee, GRETIA, 94 - Arcueil (France)

    2000-07-01

    We present experimental results dealing with traffic light control strategies for reducing CO{sub 2} emission and fuel consumption on isolated intersection. The experimental site, located near Paris, is a 400 meter area centred on an isolated junction that has been equipped with video sensors (for queue lengths and other spatial traffic measurements). A complete control device enables to actually control the junction traffic lights from our INRETS laboratory. A model has been designed to estimate emission and consumption mean costs based on video traffic measurements. The model's coefficients have been calibrated with real life kinematics profiles and corresponding instantaneous emission measurements, provided by INRETS-LTE; we ended up with coefficients for diesel, catalyst gasoline and non-catalyst gasoline passenger cars. An 8 months experimental period in 1998-1999 led to constitute a large database of one-hour traffic measurement samples, that cover the usual traffic condition ranges for each strategy applied on field. The consumption and emission costs for each strategy, along with comparative benefits have been computed on this basis. We show that the CRONOS adaptive real-time strategy based on waiting time minimization leads to important benefits on the part of the cost that is related to stops and waiting time: 14 % on average for CO{sub 2} emission. This benefit remains significant on the total cost (around 4 % for CO{sub 2}) and noticeable whatever the traffic conditions. (authors)

  15. From electroweak theory to the primordial universe. A synthesis of some experimental results; De la theorie electrofaible a l'univers primordial. Synthese de quelques resultats experimentaux

    Energy Technology Data Exchange (ETDEWEB)

    Ealet, A

    2004-12-15

    Particle physic is based on a theory which can be tested on the current large colliders. Measurements are in a very good agreement with this electroweak theory and no deviation is observed to indicate new physics. What is surprising today is that none of its results agrees with what is known from our universe, neither to explain the primordial baryogenesis, neither to explain the acceleration of the expansion of the Universe. In this work, I come back on some results obtained in the Lep collider, to test the electroweak theory (Higgs and W boson production) and on some measurements of CP violation. I compare them with what can be extrapolated in term of primordial baryogenesis and dark energy density and show that there is no possible agreement in the Standard Model. I finish by some experimental and theoretical views to answer this fundamental question. (author)

  16. Oil product sales in 2010 - Results per product and per district; Les ventes de produits petroliers en 2010 - Resultats par produit et par departement

    Energy Technology Data Exchange (ETDEWEB)

    Korman, Bernard; Lauverjat, Jean

    2011-11-15

    This document proposes tables of data corresponding to sales of different oil products (super unleaded petrol, Diesel fuel, domestic heating oil, heavy fuels) in metropolitan France in 2011, in the French districts and regions, and in the coastal districts and regions for the maritime sector (fishing activity, ships).

  17. [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.

  18. 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

  19. Glaucoma in patients with uveitis.

    OpenAIRE

    Panek, W C; Holland, G N; Lee, D A; Christensen, R E

    1990-01-01

    The records of 100 patients (161 eyes) with uveitis were reviewed retrospectively to determine the prevalence of increased intraocular pressure, the forms of uveitis most commonly associated with glaucoma, and the forms that require specific glaucoma therapy. Secondary glaucoma was present in 23 patients (31 eyes): three of 24 patients with acute uveitis (three eyes, 12% of acute uveitis patients) and 20 of 76 patients with chronic uveitis (28 eyes, 26% of chronic uveitis patients). Eighteen ...

  20. 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.

  1. 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.

  2. 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.

  3. 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...

  4. 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.

  5. 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

  6. 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)

  7. 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.

  8. Inappropriate requests from patients

    African Journals Online (AJOL)

    doctors continue to provide these patients with life-sustaining .... mentally different judgments about the best interests of ... ed suicide is legal. While it is clear ... Epidemiological studies have mainly been used to assess the risk of lung cancer in ...

  9. 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...

  10. Acute Myocardial Infarction Patients

    Directory of Open Access Journals (Sweden)

    Bruce Ovbiagele

    2011-01-01

    Full Text Available Background. Diabetes mellitus (DM confers high vascular risk and is a growing national epidemic. We assessed clinical characteristics and prevalence of diagnosed DM among patients hospitalized with acute myocardial infarction (AMI in the US over the last decade. Methods. Data were obtained from all states within the US that contributed to the Nationwide Inpatient Sample. All patients admitted to hospitals between 1997 and 2006 with a primary discharge diagnosis of AMI were included. Time trends in the proportion of these patients with DM diagnosis were computed. Results. The portion of patients with comorbid diabetes among AMI hospitalizations increased substantially from 18% in 1997 to 30% in 2006 (<.0001. Absolute numbers of AMI hospitalizations in the US decreased 8% (from 729, 412 to 672, 243, while absolute numbers of AMI hospitalizations with coexisting DM rose 51% ((131, 189 to 198, 044, both (<.0001. Women with AMI were significantly more likely to have DM than similarly aged men, but these differences diminished with increasing age. Conclusion. Although overall hospitalizations for AMI in the US diminished over the last decade, prevalence of diabetes rose substantially. This may have important consequences for the future societal vascular disease burden.

  11. Rehabilitation of schizophrenic patients.

    Science.gov (United States)

    Gunatilake, S; Ananth, J; Parameswaran, S; Brown, S; Silva, W

    2004-01-01

    Schizophrenia is a maldevelopmental disorder of the brain that manifests in positive, negative, cognitive and affective symptoms. Currently, the mainstay of treatment involves pharmacotherapy. The limitations of antipsychotic treatment are that they can only control symptoms and cannot cure the illness, and 20% of patients do not respond, thus leading to the requirement of maintenance treatment. Patients that do respond continue to have disabling residual symptoms such as amotivation and isolation, maladaptive behavior, and impaired social functioning. These symptoms prevent patients from attaining educational, occupational, and social roles. Psychosocial interventions and models of quality of life in schizophrenia are based on the notion that increases in psychosocial functioning will be related to improvement in subjective experiences, such as self-esteem and satisfaction with life. The comparative effect of specific treatment methods and the additional benefits of multiple treatments need to be explored. Diversified techniques have also been employed, such as shaping, cognitive process therapy, mastery-oriented skill training, motivation and enhancement. Issues in designing psychosocial interventions and the role of various professionals in providing such interventions need to be carefully considered. Predictor variables and the indications for particular therapies in an individual need to be explored. Generalizability of the gains made by rehabilitation/recovery is also an important consideration. Patients in jail, chronic mental hospitals, private facilities, and the Veterans Administration system are all different in their ability to benefit, their motivations, and the severity of their psychopathology. Therefore, it is very difficult to generalize findings from one setting to another.

  12. 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...... practices of interdisciplinary care....

  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. Right patient, Right blood

    DEFF Research Database (Denmark)

    Selberg, Hanne; Madsen, Trine Stougaard

    2014-01-01

    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...

  15. 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

  16. Patients who challenge.

    Science.gov (United States)

    Ward, Michael; Savulescu, Julian

    2006-12-01

    Individuals have different values. They seek to express their individuality even when receiving medical care. It is a part of modern medical practice and respect for patient autonomy to show respect for different values. We give an account of what it means to respect different values and challenging patients in medical practice. Challenging choices are often choices which are perceived by many to be either irrational or against a person's interests, such as engaging in harmful or excessively risky activities. When the medical profession is involved in such choices, the basic medical principle of acting in a person's best interests is challenged. Often doctors refuse to respect controversial choices on paternalistic grounds. We should all respect and facilitate the controversial choices of competent individuals, subject to resource limitations, our own and others well-being and autonomy, and the public interest. But more importantly, sometimes such choices make for a better, more autonomous life. Sometimes, such choices reflect considerations of global well-being or altruism, or idiosyncratic attitudes to risk. Sometimes, they reflect unusual values. However, in some other cases, controversial choices are irrational and are not expressions of our autonomy. Doctors should assist patients to make rational if individual choices. The patient also bears the responsibility for bringing his beliefs to the attention of the clinician.

  17. Acknowledging the back patient

    DEFF Research Database (Denmark)

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

    and reluctant to speak out. Therefore, telling about experiences and perceptions is important for back patients in order to feel accepted and acknowledged. The health professionals must incorporate the patients’ narratives as an integral part of the care and treatment. Conclusions: In order to acknowledge...

  18. 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...

  19. Patient-Centered Research

    Science.gov (United States)

    Shridharani, KV; Yuen, W; Huang, D; Pan, C

    2000-01-01

    PURPOSE Complementary and Alternative Medicine (CAM) can be defined as medical practices not taught widely at US medical schools or generally available at US hospitals. National studies suggest that between 30–40% of the general US population use CAM. These users tend to be more educated, have higher incomes, and are more likely to be between the ages of 30–49. However, to date, no study has documented the use of CAM among the homebound population, patients who are usually elderly, debilitated, and have less access to medical care. We studied the use of alternative therapies in homebound patients of the Mount Sinai Visiting Doctors Program serving the inner city of New York. METHODS Eligibility for the study was limited to patients who are in the Visiting Doctors Program, and whose mini-mental status exam score was greater than 20 or who were deemed competent to complete the survey by their primary care provider. Participant's CAM use was assessed by a survey administered by an interviewer at the patient's home. RESULTS Forty-nine consecutive, eligible patients were interviewed and a survey completed. Among the respondents, 84% were women, the mean age was 78.6 (STD = 14.1). Respondents were 51% Caucasian, 27% African-American, 14% Hispanic and 8% other. On rating their own health, 69% rated it as poor to fair, 22% rated it as good, and 8% rated it as very good to excellent. Sixty-nine percent of the respondents reported using one or more CAM in the past 12 months. Commonly used CAM included: vitamins/minerals (33%) [excluding MVI, calcium], spiritual healing (27%), and herbal remedies (20%). Spiritual healing included prayer and faith healing. The most common herbal remedies were garlic, ginger, and chamomile tea. Among CAM users, their main sources of information about CAM came from their own physicians (32%), family/friends/co-workers (18%), and newspaper/radio/TV (18%). CONCLUSION The use of CAM in this elderly, debilitated, homebound population was

  20. 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.

  1. Psychotherapy for cancer patients.

    Science.gov (United States)

    Chong Guan, Ng; Mohamed, Salina; Kian Tiah, Lai; Kar Mun, Teoh; Sulaiman, Ahmad Hatim; Zainal, Nor Zuraida

    2016-07-01

    Objective Psychotherapy is a common non-pharmacological approach to help cancer patients in their psychological distress. The benefit of psychotherapies was documented, but the types of psychotherapies proposed are varied. Given that the previous literature review was a decade ago and no quantitative analysis was done on this topic, we again critically and systematically reviewed all published trials on psychotherapy in cancer patients. Method We identified 17 clinical trials on six types of psychotherapy for cancer patients by searching PubMed and EMBASE. Result There were four trials involved adjunct psychological therapy which were included in quantitative analysis. Each trial demonstrated that psychotherapy improved the quality of life and coping in cancer patients. There was also a reduction in distress, anxiety, and depression after a psychological intervention. However, the number and quality of clinical trials for each type of psychotherapy were poor. The meta-analysis of the four trials involved adjunct psychological therapy showed no significant change in depression, with only significant short-term improvement in anxiety but not up to a year-the standardized mean differences were -0.37 (95% confidence interval (CI) = -0.57, -0.16) at 2 months, -0.21 (95% CI = -0.42, -0.01) at 4 months, and 0.03 (95 % CI = -0.19, 0.24) at 12 months. Conclusion The evidence on the efficacy of psychotherapy in cancer patients is unsatisfactory. There is a need for more rigorous and well-designed clinical trials on this topic.

  2. 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....

  3. User interface and patient involvement.

    Science.gov (United States)

    Andreassen, Hege Kristin; Lundvoll Nilsen, Line

    2013-01-01

    Increased patient involvement is a goal in contemporary health care, and of importance to the development of patient oriented ICT. In this paper we discuss how the design of patient-user interfaces can affect patient involvement. Our discussion is based on 12 semi-structured interviews with patient users of a web-based solution for patient--doctor communication piloted in Norway. We argue ICT solutions offering a choice of user interfaces on the patient side are preferable to ensure individual accommodation and a high degree of patient involvement. When introducing web-based tools for patient--health professional communication a free-text option should be provided to the patient users.

  4. Patient activation and use of an electronic patient portal.

    Science.gov (United States)

    Ancker, Jessica S; Osorio, Snezana N; Cheriff, Adam; Cole, Curtis L; Silver, Michael; Kaushal, Rainu

    2015-01-01

    Electronic patient portals give patients access to personal medical data, potentially creating opportunities to improve knowledge, self-efficacy, and engagement in healthcare. The combination of knowledge, self-efficacy, and engagement has been termed activation. Our objective was to assess the relationship between patient activation and outpatient use of a patient portal. Survey. A telephone survey was conducted with 180 patients who had been given access to a portal, 113 of whom used it and 67 of whom did not. The validated patient activation measure (PAM) was administered along with questions about demographics and behaviors. Portal users were no different from nonusers in patient activation. Portal users did have higher education level and more frequent Internet use, and were more likely to have precisely 2 prescription medications than to have more or fewer. Patients who chose to use an electronic patient portal were not more highly activated than nonusers, although they were more educated and more likely to be Internet users.

  5. Handover of patients

    DEFF Research Database (Denmark)

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

    2013-01-01

    that implementing a structured handover format holds the possibilities for improving the process. Electronic equipment could play a part in reducing problems. Cultural and organizational factors impact the process in different ways. The professions perceive the value and quality of information given differently......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....... 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...

  6. Mucormycosis in immunochallenged patients

    Directory of Open Access Journals (Sweden)

    Pak Jane

    2008-01-01

    Full Text Available Mucorales species are deadly opportunistic fungi with a rapidly invasive nature. A rare disease, mucormycosis is most commonly reported in patients with diabetes mellitus, because the favorable carbohydrate-rich environment allows the Mucorales fungi to flourish, especially in the setting of ketoacidosis. However, case reports over the past 20 years show that a growing number of cases of mucormycosis are occurring during treatment following bone marrow transplants (BMT and hematological malignancies (HM such as leukemia and lymphoma. This is due to the prolonged treatment of these patients with steroids and immunosuppressive agents. Liposomal amphotericin B treatment and posaconazole are two pharmacologic agents that seem to be effective against mucormycosis, but the inherently rapid onset and course of the disease, in conjunction with the difficulty in correctly identifying it, hinder prompt institution of appropriate antifungal therapy. This review of the literature discusses the clinical presentation, diagnosis, and treatment of mucormycosis among the BMT and HM populations.

  7. COPD: the patient perspective

    Directory of Open Access Journals (Sweden)

    Jones PW

    2016-02-01

    Full Text Available Paul W Jones,1 Henrik Watz,2 Emiel FM Wouters,3 Mario Cazzola4 1Division of Clinical Science, St George’s, University of London, London, UK; 2Pulmonary Research Institute at Lung Clinic Grosshansdorf, Airway Research Center North (ARCN, Member of the German Center for Lung Research (DZL, Grosshansdorf, Germany; 3CIRO+, Department of Respiratory Medicine, Maastricht University, Maastricht, the Netherlands; 4Unit of Respiratory Clinical Pharmacology, Department of Systemic Medicine, University of Rome ‘Tor Vergata,’ Rome, Italy Abstract: Chronic obstructive pulmonary disease (COPD is a highly prevalent disease characterized by nonreversible airway obstruction. Well-characterized symptoms such as exertional dyspnea and fatigue have a negative impact on patients’ quality of life (QoL and restrict physical activity in daily life. The impact of COPD symptoms on QoL is often underestimated; for example, 36% of patients who describe their symptoms as being mild-to-moderate also admit to being too breathless to leave the house. Additionally, early morning and nighttime symptoms are a particular problem. Methods are available to allow clinicians to accurately assess COPD symptoms, including patient questionnaires. Integrated approaches to COPD management, particularly pulmonary rehabilitation, are effective strategies for addressing symptoms, improving exercise capacity and, potentially, also increasing physical activity. Inhaled bronchodilators continue to be the mainstay of drug therapy in COPD, where options can be tailored to meet patients’ needs with careful selection of the inhaled medication and the device used for its delivery. Overall, an integrated approach to disease management should be considered for improving QoL and subsequent patient outcomes in COPD. Keywords: COPD, patients, physical actiity levels, pulmonary rehabilitation

  8. [Sport for pacemaker patients].

    Science.gov (United States)

    Israel, C W

    2012-06-01

    Sport activity is an important issue in many patients with a pacemaker either because they performed sport activities before pacemaker implantation to reduce the cardiovascular risk or to improve the course of an underlying cardiovascular disease (e.g. coronary artery disease, heart failure) by sports. Compared to patients with an implantable cardioverter defibrillator (ICD) the risks from underlying cardiovascular disease (e.g. ischemia, heart failure), arrhythmia, lead dysfunction or inappropriate therapy are less important or absent. Sport is contraindicated in dyspnea at rest, acute heart failure, new complex arrhythmia, acute myocarditis and acute myocardial infarction, valvular disease with indications for intervention and surgery and comorbidities which prevent physical activity. Patients with underlying cardiovascular disease (including hypertension) should preferably perform types and levels of physical activity that are aerobic (with dynamic exercise) such as running, swimming, cycling instead of sport with high anaerobic demands and high muscular workload. In heart failure, studies demonstrated advantages of isometric sport that increases the amount of muscle, thereby preventing cardiac cachexia. Sport with a risk of blows to the chest or physical contact (e.g. boxing, rugby, martial arts) should be avoided. Implantation, programming and follow-up should respect specific precautions to allow optimal physical activity with a pacemaker including implantation of bipolar leads on the side contralateral to the dominant hand, individual programming of the upper sensor and tracking rate and regular exercise testing.

  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. Patient-oriented health technologies: Patients' perspectives and use.

    Science.gov (United States)

    Bauer, Amy M; Rue, Tessa; Munson, Sean A; Ghomi, Reza Hosseini; Keppel, Gina A; Cole, Allison M; Baldwin, Laura-Mae; Katon, Wayne

    2017-08-01

    For patient-oriented mobile health tools to contribute meaningfully to improving healthcare delivery, widespread acceptance and use of such tools by patients are critical. However, little is known about patients' attitudes toward using health technology and their willingness to share health data with providers. To investigate primary care patients' comfort sharing health information through mobile devices, and patients' awareness and use of patient portals. Patients (n=918) who visited one of 6 primary care clinics in the Northwest US completed a survey about health technology use, medical conditions, and demographics. More patients were comfortable sharing mobile health information with providers than having third parties store their information (62% vs 30%, Somers D=.33, phigher among patients with a chronic condition (AOR= 3.18, p=0.004). Comfort, awareness, and use of health technologies were variable. Practices introducing patient-facing health technologies should promote awareness, address concerns about data security, and provide education and training, especially to older adults and those with health literacy limitations. Patient-facing health technologies provide an opportunity for delivering scalable health education and self-management support, particularly for patients with chronic conditions who are already using patient portals.

  11. Patient (customer) expectations in hospitals.

    Science.gov (United States)

    Bostan, Sedat; Acuner, Taner; Yilmaz, Gökhan

    2007-06-01

    The expectations of patient are one of the determining factors of healthcare service. The purpose of this study is to measure the Patients' Expectations, based on Patient's Rights. This study was done with Likert-Survey in Trabzon population. The analyses showed that the level of the expectations of the patient was high on the factor of receiving information and at an acceptable level on the other factors. Statistical meaningfulness was determined between age, sex, education, health insurance, and the income of the family and the expectations of the patients (pstudy, the current legal regulations have higher standards than the expectations of the patients. The reason that the satisfaction of the patients high level is interpreted due to the fact that the level of the expectation is low. It is suggested that the educational and public awareness studies on the patients' rights must be done in order to increase the expectations of the patients.

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

    African Journals Online (AJOL)

    Journal Home > Vol 5, No 1 (2013) > ... Introduction: The patient's view as a recipient of health care service is rarely ... This study was aimed at assessing patient satisfaction with healthcare services received at a tertiary hospital in Nigeria.

  13. 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...

  14. 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...... 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...... and provide recommendations for proper patient and sample identification procedures....

  15. Socioemotional selectivity in cancer patients.

    Science.gov (United States)

    Pinquart, Martin; Silbereisen, Rainer K

    2006-06-01

    This study analyzed the contact preferences of newly diagnosed cancer patients and healthy control group participants. In line with the theory of socioemotional selectivity, patients were more likely than control participants to prefer contact with familiar social partners, but this difference was stronger in younger and middle-aged patients than in older patients. Across a 6-month interval, patients' contact preferences changed according to the perceived success of therapy. For example, if therapy was perceived to be successful, patients showed an increasing interest in contacts with unfamiliar social partners. Results indicate that contact preferences are adapted to the perception of limited versus extended future lifetime. Copyright (c) 2006 APA, all rights reserved.

  16. Patient participation in transitional care of older patients

    OpenAIRE

    Dyrstad, Dagrunn Nåden

    2016-01-01

    PhD thesis in Health, medicine and welfare Background: Older patients often have several health challenges, with multiple medications, which leads to a need of treatment and care from diverse healthcare services. These patients are often in need of transitions from different levels of care, specifically during hospital admission and discharge. Patient participation is highlighted and stated in patients’ rights and healthcare directives, with patients being informed and involved in all trea...

  17. Participation in online patient support groups endorses patients' empowerment

    NARCIS (Netherlands)

    van Uden-Kraan, C. F.; Drossaert, Constance H C; Taal, E; Seydel, E. R.; van de Laar, Mart A F J

    Objective: Although much has been expected of the empowering effect of taking part in online patient support groups, there is no direct evidence thus far for the effects of participation on patient empowerment. Hence our exploring to what extent patients feel empowered by their participation in

  18. 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…

  19. 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 ...

  20. 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, ...

  1. High patient satisfaction after secondary rhinoplasty in cleft lip patients

    NARCIS (Netherlands)

    Hens, Greet; Picavet, Valerie A.; Poorten, Vincent Vander; Schoenaers, Joseph; Jorissen, Mark; Hellings, Peter W.

    2011-01-01

    We surveyed the subjective outcome of secondary rhinoplasty in cleft lip patients. Questionnaires were sent to 38 patients who had undergone a secondary rhinoplasty. A total of 30 questionnaires were returned and analyzed. Patients were asked to score their preoperative and postoperative nasal

  2. 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

  3. Heartburn in patients with achalasia.

    Science.gov (United States)

    Spechler, S J; Souza, R F; Rosenberg, S J; Ruben, R A; Goyal, R K

    1995-01-01

    Heartburn, the main symptom of gastrooesophageal reflux disease (GORD), might be expected to occur infrequently in achalasia, a disorder characterised by a hypertensive lower oesophageal sphincter (LOS) that fails to relax. Nevertheless, it is often described by patients with achalasia. The medical records of 32 patients with untreated achalasia who complained of heartburn, and of 35 similar patients who denied the symptom, were reviewed to explore the implications of heartburn in this condition. Data on endoscopic and manometric findings, and on the onset and duration of oesophageal symptoms were collected. Three patterns of heartburn were observed: (1) in 8 patients (25%) the onset of heartburn followed the onset of dysphagia, (2) in 15 patients (47%) heartburn preceded the onset of dysphagia and persisted as dysphagia progressed, and (3) in 9 patients (28%), heartburn preceded the onset of dysphagia and stopped as dysphagia progressed. The mean (SD) basal LOS pressure in the patients with heartburn (38 (16) mm Hg) was significantly lower than that in patients without the symptom (52 (26) mm Hg); the lowest LOS pressure (29 (11) mm Hg) was observed in the subset of patients whose heartburn preceded the onset of dysphagia and then stopped. It is concluded that patients who have achalasia with heartburn have lower basal LOS pressures than patients who have achalasia without this symptom. In some patients with achalasia, the appearance of dysphagia is heralded by the disappearance of longstanding heartburn. For these patients, it is speculated that achalasia develops in the setting of underlying GORD. PMID:7590421

  4. 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.

  5. Why patients mutilate themselves.

    Science.gov (United States)

    Favazza, A R

    1989-02-01

    Self-mutilation, the deliberate destruction or alteration of body tissue without conscious suicidal intent, occurs in a variety of psychiatric disorders. Major self-mutilation includes eye enucleation and amputation of limbs or genitals. Minor self-mutilation includes self-cutting and self-hitting. The author examines patients' explanations for self-mutilation which frequently focus on religions or sexual themes, and discusses scientific explanations that draw on biological, psychological, social, and cultural theories. Although no one approach adequately solves the riddle of such behaviors, habitual self-mutilation may best be thought of as a purposeful, if morbid, act of self-help.

  6. [What is patient autonomy?

    Science.gov (United States)

    Durand, Guillaume

    What does patient autonomy mean? If an autonomous choice is defined as an objective and rational choice, is the doctor's prescription not always the best route? Our contemporary democracies are marked by moral and religious pluralism which obliges society to respect a multiplicity of choices of existence. Three levels are important in terms of autonomy: a range of intellectual capacities, freedom with regard to constraints (external and internal), the capacity to be in control of one's existence. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  7. 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...

  8. Sleep Tips for Sjogren's Patients

    Science.gov (United States)

    ... Sjögren’s Patients.” Dr. Fisher reminds patients that adequate sleep is especially important for those with Sjögren’s syndrome, saying that sleep deprivation exacerbates daytime fatigue and can affect the ...

  9. Septic bursitis in immunocompromised patients.

    Science.gov (United States)

    Roschmann, R A; Bell, C L

    1987-10-01

    A retrospective analysis of 29 patients with septic bursitis was undertaken to ascertain if immunocompromised patients differed in their clinical presentations, type of organisms cultured, and outcome when compared with their non-immunocompromised cohorts. Thirty episodes of septic bursitis occurred in 29 patients, 43 percent of which occurred in immunocompromised patients. Despite similar clinical presentations, the bursae of immunocompromised patients took three times longer to sterilize and had a much higher bursal white blood cell count when compared with the bursae of non-immunocompromised patients. The bacteriologic spectrum was essentially identical in both groups; there were no cases in which gram-negative organisms were recovered from infected bursae. No cases of septic bursitis were seen in neutropenic patients. The most common factors contributing to an immunocompromised state were alcoholism or steroid therapy. A successful resolution of septic bursitis was seen in all the patients in the immunocompromised groups.

  10. Medical and Dental Patient Issues

    Science.gov (United States)

    ... A RadiationAnswers.org Ask the Experts Medical and Dental Patient Issues What's My Risk? The risks of ... developed by our topic editors for this category: Dental-Patient Issues Medical CT Reference Books and Articles ...

  11. Health literacy and patient portals.

    Science.gov (United States)

    Gu, Yulong; Orr, Martin; Warren, Jim

    2015-06-01

    Health literacy has been described as the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Improving health literacy may serve to promote concordance with therapy, engage patients in their own health care, and improve health outcomes. Patient portal technology aims at enabling patients and families to have easy access to key information in their own medical records and to communicate with their health care providers electronically. However, there is a gap in our understanding of how portals will improve patient outcome. The authors believe patient portal technology presents an opportunity to improve patient concordance with prescribed therapy, if adequate support is provided to equip patients (and family/carers) with the knowledge needed to utilise the health information available via the portals. Research is needed to understand what a health consumer will use patient portals for and how to support a user to realise the technology's potential.

  12. Patient Safety Threat - Syringe Reuse

    Science.gov (United States)

    ... Safety Stakeholder Meeting December 2009 The One & Only Campaign Patient Notification Toolkit Developing Documents for a Patient Notification Planning Media and Communication Strategies Writing for the Media Spokesperson Preparation Planning the ...

  13. Implications for patient-centeredness

    African Journals Online (AJOL)

    Kate H

    participation in decision-making, but in responding to questions asked. ... Also of particular relevance is the need to take into account the importance of patients' .... preliminary data and information about the patient, as well as to prepare ...

  14. 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.

  15. Anxiety disorders in dialysis patients

    OpenAIRE

    Novaković Milan

    2007-01-01

    Introduction. Anxiety, as a primary symptom, includes all conditions of indefinite fear and psychic disorders dominated by fear. All dialysis patients suffer from anxiety as an independent phenomenon, or as part of another disease. Material and Methods. This study included 753 patients on chronic hemodialysis in Bosnia and Herzegovina (B&H) in the period 1999-2004. The patients were divided into two groups: the first group included 348 patients with Balkan Endemic Nephropathy (BEN), and t...

  16. 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.

  17. Sleep in obese patients

    Directory of Open Access Journals (Sweden)

    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.

  18. A Community Patient Demographic System

    OpenAIRE

    Gabler, James M.; Simborg, Donald W.

    1985-01-01

    A Community Patient Demographic System is described. Its purpose is to link patient identification, demographic and insurance information among multiple organizations in a community or among multiple registration systems within the same organization. This function requires that there be a competent patient identification methodology and clear definition of local responsibilities for number assignment and database editing.

  19. Patient care and radiation protection

    International Nuclear Information System (INIS)

    Sharko, G.A.

    1987-01-01

    This chapter deals with important aspects of patient care, which may become the radiographer's responsibility in the absence of dedicated nursing staff. Although large pediatric centers usually employ nurses for bedside patient management, the general radiographer should be familiar with some aspects of routine patient care. This knowledge guarantees the safety and well-being of children entrusted to the technologist

  20. 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 < 8 min. One patient and three controls had sudden onset of REM sleep in 2/5 and 3/5 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.

  1. Patient restraining strap for scintiphotography

    International Nuclear Information System (INIS)

    Kay, T.D.; Harper, J.W.

    1976-01-01

    A patient restraining strap for scintiphotography having a pair of expandable cloth-like bags joined together is presented. The strap encompasses the head of a patient and is then secured to a Gamma Scintillation Camera. Once inflated the restraining strap immobilizes the head without discomfort to the patient during the scintiphotography procedure. 1 claim, 1 drawing figure

  2. [Observation of critically ill patients

    DEFF Research Database (Denmark)

    Fuhrmann, L.; Hesselfeldt, R.; Lippert, A.

    2009-01-01

    . MATERIAL AND METHODS: Prospective observational study at Herlev Hospital, Copenhagen, Denmark. Study personnel measured vital signs on all patients present on five wards during the evening and night and interviewed nursing staff about patients with abnormal vital signs. Subsequently, patient records were...

  3. [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.

  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. Communication and patient participation influencing patient recall of treatment discussions.

    Science.gov (United States)

    Richard, Claude; Glaser, Emma; Lussier, Marie-Thérèse

    2017-08-01

    Patient recall of treatment information is a key variable towards chronic disease (CD) management. It is unclear what communication and patient participation characteristics predict recall. To assess what aspects of doctor-patient communication predict patient recall of medication information. To describe lifestyle treatment recall, in CD primary care patients. Observational study within a RCT. Community-based primary care (PC) practices. Family physicians (n=18): practicing >5 years, with a CD patient caseload. Patients (n=159): >40 years old, English speaking, computer literate, off-target hypertension, type II diabetes and/or dyslipidaemia. Patient characteristics: age, education, number of CDs. Information characteristics: length of encounter, medication status, medication class. Communication variables: socio-emotional utterances, physician dominance and communication control scores and PACE (ask, check and express) utterances, measured by RIAS. Number of medication themes, dialogue and initiative measured by MEDICODE. Recall of CD, lifestyle treatment and medication information. Frequency of lifestyle discussions varied by topic. Patients recalled 43% (alcohol), 52% (diet) to 70% (exercise) of discussions. Two and a half of six possible medication themes were broached per medication discussion. Less than one was recalled. Discussing more themes, greater dialogue and patient initiative were significant predictors of improved medication information recall. Critical treatment information is infrequently exchanged. Active patient engagement and explicit conversations about medications are associated with improved treatment information recall in off-target CD patients followed in PC. Providers cannot take for granted that long-term off-target CD patients recall information. They need to encourage patient participation to improve recall of treatment information. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

  6. Patients' attitudes towards animal testing

    DEFF Research Database (Denmark)

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

    2014-01-01

    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 support is comparable to those held by the general public found in national surveys. A clear majority of researchers were positive towards animal testing, and large statistical differences between patients and researchers were found regarding their attitudes towards testing animals commonly held as pets...... (Pattitude towards animal testing is not shared to an equal degree with patients, who are the intended end-users and beneficiaries of medical...

  7. Nursing care of Jewish Patients

    Directory of Open Access Journals (Sweden)

    Anna Maria Kostka

    2017-07-01

    Full Text Available Everyone has the right to equal treatment irrespective of color, culture, origin or religion. Jewish patients obey many rules. The use of proper diet, adherence to the principles of purity, prayer, performing rituals is very important for them. Medical staff is committed to providing patients with safety, regardless of the differences. Understanding the most important values, ethics and practices of Judaism will help to provide professional care for the patient of Jewish faith. Appropriate communication, understanding and tolerance are essential for creating a relationship with the patient, through which it will be possible to achieve the desired therapeutic effect and improve the quality of life of patients.

  8. Using patient acuity data to manage patient care outcomes and patient care costs.

    Science.gov (United States)

    Van Slyck, A; Johnson, K R

    2001-01-01

    This article describes actual reported uses for patient acuity data that go beyond historical uses in determining staffing allocations. These expanded uses include managing patient care outcomes and health care costs. The article offers the patient care executive examples of how objective, valid, and reliable data are used to drive approaches to effectively influence decision making in an increasingly competitive health care environment.

  9. CT-docking patient stretcher

    International Nuclear Information System (INIS)

    Mirvis, S.E.; Owens, E.; Maslyn, J.; Rizutto, M.

    1990-01-01

    This paper assesses the use of a patient stretcher that directly docks to a CT scanner for acutely injured and/or critically ill patients. The stretcher permits performance of radiography and acts as a platform for critical care monitoring and patient support devices. During a 1-year period, the prototype CT-docking stretcher was used for 35 patients sustaining acute trauma and 25 patients from critical care units. Observations were elicited from physicians, nurses and technologists concerning the advantages or disadvantages of the docking stretcher. Advantages of the CT-docking stretcher included time saved in moving patients to the CT table from the admitting/emergency ward, transfer of critically ill patients onto the stretcher in the controlled environment of the intensive care unit rather than the CT suite, increasing CT throughput by direct docking of the patient stretcher to the CT scanner rather than manual transfer of complex support and monitoring devices with the patient, decreased risk associated with physical movement of patients with potentially unstable spinal injuries or unstable physiologic status, and decrease in potential for injury to medical personnel performing patient transfer

  10. Patient dosimetry in diagnostic radiology

    International Nuclear Information System (INIS)

    Rweyemamu, M.

    2013-04-01

    The objective of this project was to review patient dosimetry aiming at reducing the patient dose during diagnostic procedures while maintaining the best image quality in order to protect patients from ionizing radiation. CT examination was selected in this study to represent imaging protocols with high patient doses used in diagnostic radiology. Dosimetric parameters in CT which are CTDI, CTDIW, DLP, MSAD, organ dose and effective dose were discussed. Parameters such as tube current, tube voltage, filtration, scan volume and slice thickness were found to affect patient dose, therefore proper management of these factors was recommended. For optimization of protection of the patient, application of the “as low as reasonably achievable” (ALARA) principle was recommended as an important key for avoiding overexposure and minimizing patient doses. Also it was recommended that CT examinations should be performed if and only if is the only suitable option when weighed against other options which do not involve ionizing radiation exposure. (author)

  11. Autonomy and the akratic patient.

    Science.gov (United States)

    McKnight, C J

    1993-01-01

    I argue that the distinction which is current in much writing on medical ethics between autonomous and non-autonomous patients cannot cope comfortably with weak-willed (incontinent) patients. I describe a case involving a patient who refuses a blood transfusion even though he or she agrees that it would be in his or her best interests. The case is discussed in the light of the treatment of autonomy by B Brody and R Gillon. These writers appear to force us to treat an incontinent patient either as autonomous, just like a rational agent whose decisions are in accordance with his beliefs or as non-autonomous, like comatose patients or children. Though neither is entirely satisfactory I opt for describing such patients as autonomous but point out that in cases like this the principle of respect for autonomy does not give a determinate answer about how the patient ought to be treated. PMID:8308874

  12. [Laparoscopic cholecystectomy in transplant patients].

    Science.gov (United States)

    Coelho, Júlio Cezar Uili; Contieri, Fabiana L C; de Freitas, Alexandre Coutinho Teixeira; da Silva, Fernanda Cristina; Kozak, Vanessa Nascimento; da Silva Junior, Alzemir Santos

    2010-02-01

    This study reviews our experience with laparoscopic cholecystectomy in the treatment of cholelithiasis in transplant patients. Demographic data, medications used, and operative and postoperative data of all transplant recipients who were subjected to laparoscopic cholecystectomy for cholelithiasis at our hospital were obtained. A total of 15 transplant patients (13 renal transplantation and 2 bone marrow transplantation) underwent laparoscopic cholecystectomy. All patients were admitted to the hospital on the day of the operation. The immunosuppressive regimen was not modified during hospitalization. Clinical presentation of cholelithiasis was biliary colicky (n=12), acute cholecystitis (n=2), and jaundice (n=1). The operation was uneventful in all patients. Postoperative complications were nausea and vomiting in 2 patients, prolonged tracheal intubation in 1, wound infection in 1 and large superficial hematoma in 1 patient. Laparoscopic cholecystectomy is associated to a low morbidity and mortality and good postoperative outcome in transplant patients with uncomplicated cholecystitis.

  13. 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.

  14. 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.

  15. 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

  16. Der Patient als Experte.

    Science.gov (United States)

    Dubs

    1998-01-01

    Patients as Experts: Determining Benefit by Using Assessments of Ability (ICIDH)When health economy and quality mangement are dealing with the cost-benefit relationship, to this day description, calculation, and assessment of the benefit are missing to a great extent. Deliberations in terms of cause and effect do not go beyond the model of pathogenesis (etiology - pathology - manifestation) and descriptions on the organ level (ICD). Only the international classification of impairments, disabilities, and handicaps (ICIDH) as a separate estimation of the resulting manifestations of illness on the levels of organ, individual, and society is capable to elucidate this benefit. It is the patient who is the expert to decide what he needs, what he wants, and what he can do, thus, evaluating on an individual level his loss of capability. The ICIDH is regarded as the key for the management of chronic diseases. The characteristics of being chronically ill require the integration of salutogenesis and the consideration of the hierarchy of needs. The specially developed MARA model serves as pragmatic basis for the description of the benefits of carried out and omitted interventions as changes of abilities by using the MARA curve (mean age-related ability) as ethical guideline. In quality circles the MARA model, which is based on ICIDH, hierarchy of needs and salutogenesis, can offer apatient-oriented basis of discussion for benefit assessments, and, in a pragmatical way, it can facilitate the introduction of evidence-based medicine. By the change of view from the organ level with multifactorial aspects to the individual level, in which the abilities can be understood as a monofactor, a high consensus potential between several participants of discussion in health service is possible.

  17. 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

  18. A.P.H.E.I.S.:air Pollution and Health: A European Information System Health Impact Assessment of Air Pollution In 26 European Cities; Synthese des resultats europeens et resultats detailles des villes francaises issus du rapport paru en octobre 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-10-15

    Air pollution is a public health problem, in spite of more severe norms in matter of emissions rates, a stricter surveillance of the atmospheric pollution and the decrease of levels of some atmospheric pollutants. this situation has lead to the creation of a programme A.p.h.e.i.s. in 1999, in order to supply to Europeans authorities information on air pollution. In the report are presented the results of E.I.S. (evaluation of sanitary impact) made in towns.

  19. Patient information in radiooncology. Results of a patient survey

    International Nuclear Information System (INIS)

    Schaefer, C.; Dietl, B.; Putnik, K.; Altmann, D.; Herbst, M.; Marienhagen, J.

    2002-01-01

    Background: As a result of increased interest and public demand, providing patients with adequate information about radiooncology has become more and more difficult for the doctor. Insufficient patient information can not only cause anxiety for the patient, but can also lead to legal action against the physician. In order to gain a deeper insight into our clinical practice of providing patient information, we developed a special questionnaire. We describe our first experiences in using this questionnaire at our institute. Patients and methods: We examine the amount of information and level of satisfaction, as well as the agreement of assessment between patient and physician after the provision of standard patient information before and at the end of radiotherapy. 51 consecutive patients were interviewed with a newly designed questionnaire. The first questioning with 13 items was carried out before radiotherapy and the second with ten items was done at the end of treatment. Sum scores for information and satisfaction were defined and agreement was measured by the weighted κ coefficient. Results: Global level of information and satisfaction was good, and a significant increase in information level and a significant decline in satisfaction were seen between questionnaire 1 and 2. Agreement between patient and physician was fair, for example intent of treatment resulted in a κ coefficient of 0.34, and poor for the doctor's role with a κ coefficient of -0.002. Only 52% of the patients who received palliative radiotherapy rated correctly the non-curative intent of treatment, whereas 86% of the patients who received curative radiotherapy made a correct statement. Before radiotherapy, emotional state was often both negatively and positively assessed by the patients. Conclusion: Our short questionnaire is simple and easy to understand. It provides insights into patient information with respect to assessment of the information, satisfaction level, and agreement between

  20. Patient representatives? views on patient information in clinical cancer trials

    OpenAIRE

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    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 leaflet...

  1. 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 effectively improve patients' knowledge of safety issues. This will ultimately empower patients to engage in safe practices and prevent adverse events related to surgery.

  2. [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.

  3. 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.

  4. 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.

  5. Patient-centered medical homes for patients with disabilities.

    Science.gov (United States)

    Hernandez, Brigida; Damiani, Marco; Wang, T Arthur; Driscoll, Carolyn; Dellabella, Peter; LePera, Nicole; Mentari, Michael

    2015-01-01

    The patient-centered medical home is an innovative approach to improve health care outcomes. To address the unique needs of patients with intellectual and developmental disabilities (IDDs), a large health care provider reevaluated the National Committee for Quality Assurance's 6 medical home standards: (a) enhance access and continuity, (b) identify and manage patient populations, (c) plan and manage care, (d) provide self-care and community support, (e) track and coordinate care, and (f) measure and improve performance. This article describes issues to consider when serving patients with IDDs.

  6. Patient-centered blood management.

    Science.gov (United States)

    Hohmuth, Benjamin; Ozawa, Sherri; Ashton, Maria; Melseth, Richard L

    2014-01-01

    Transfusions are common in hospitalized patients but carry significant risk, with associated morbidity and mortality that increases with each unit of blood received. Clinical trials consistently support a conservative over a liberal approach to transfusion. Yet there remains wide variation in practice, and more than half of red cell transfusions may be inappropriate. Adopting a more comprehensive approach to the bleeding, coagulopathic, or anemic patient has the potential to improve patient care. We present a patient-centered blood management (PBM) paradigm. The 4 guiding principles of effective PBM that we present include anemia management, coagulation optimization, blood conservation, and patient-centered decision making. PBM has the potential to decrease transfusion rates, decrease practice variation, and improve patient outcomes. PBM's value proposition is highly aligned with that of hospital medicine. Hospitalists' dual role as front-line care providers and quality improvement leaders make them the ideal candidates to develop, implement, and practice PBM. © 2013 Society of Hospital Medicine.

  7. Improving Patient Safety: Improving Communication.

    Science.gov (United States)

    Bittner-Fagan, Heather; Davis, Joshua; Savoy, Margot

    2017-12-01

    Communication among physicians, staff, and patients is a critical element in patient safety. Effective communication skills can be taught and improved through training and awareness. The practice of family medicine allows for long-term relationships with patients, which affords opportunities for ongoing, high-quality communication. There are many barriers to effective communication, including patient factors, clinician factors, and system factors, but tools and strategies exist to address these barriers, improve communication, and engage patients in their care. Use of universal precautions for health literacy, appropriate medical interpreters, and shared decision-making are evidence-based tools that improve communication and increase patient safety. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  8. 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...

  9. The critically ill injured patient.

    Science.gov (United States)

    Cereda, Maurizio; Weiss, Yoram G; Deutschman, Clifford S

    2007-03-01

    Patients admitted to the ICU after severe trauma require frequent procedures in the operating room, particularly in cases where a damage control strategy is used. The ventilatory management of these patients in the operating room can be particularly challenging. These patients often have severely impaired respiratory mechanics because of acute lung injury and abdominal compartment syndrome. Consequently, the pressure and flow generation capabilities of standard anesthesia ventilators may be inadequate to support ventilation and gas exchange. This article presents the problems that may be encountered in patients who have severe abdominal and lung injuries, and the current management concepts used in caring for these patients in the critical care setting, to provide guidelines for the anesthetist faced with these patients in the operating room.

  10. Polysomnographic findings in craniopharyngioma patients

    DEFF Research Database (Denmark)

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

    2017-01-01

    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 REM sleep in 2/5 and 3/5 sleep periods, respectively. All subjects showed normal hypocretin-1 levels......PURPOSE: 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. METHODS: Seven craniopharyngioma patients and 10 healthy controls were...

  11. [Hyperthyroidism in older patients].

    Science.gov (United States)

    Brun, R; Jenny, M; Junod, J P

    1978-09-30

    This study comprises 81 thyrotoxic patients with onset after the age of 60. In elderly persons, toxic multinodular goiter is the most common cause (68%) of hyperthyroidism, followed by solitary thyroid nodules (16%) and Graves' disease (16%). Cardiovascular disorders (cardiac failure, arrythmias etc.) constitute the first and often the only symptom in 62% of the cases. The other forms of appearance are both various and deceptive: depression, slight fever, asthenia or nausea. Separate analysis of the three forms of hyperthyroidism did not reveal clinical, biological or therapeutic differences between them, except an inferior rate of captation for the toxic nodules. Isolated measurement of T3 or T4 is often insufficient to confirm the diagnosis because either of these hormones may appear at a normal rate. In three cases only the free thyroxin index was pathological on first determination. The authors have established that the autonomous nodules are larger and more active after, rather than before, 60 years of age, and have attempted to define their morphological identity. The results of the treatment are analyzed and preference is expressed for radioactive iodine in every form of hyperthyroidism.

  12. 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.)

  13. 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.)

  14. Patient-Centeredness as Physician Behavioral Adaptability to Patient Preferences.

    Science.gov (United States)

    Carrard, Valérie; Schmid Mast, Marianne; Jaunin-Stalder, Nicole; Junod Perron, Noëlle; Sommer, Johanna

    2018-05-01

    A physician who communicates in a patient-centered way is a physician who adapts his or her communication style to what each patient needs. In order to do so, the physician has to (1) accurately assess each patient's states and traits (interpersonal accuracy) and (2) possess a behavioral repertoire to choose from in order to actually adapt his or her behavior to different patients (behavioral adaptability). Physician behavioral adaptability describes the change in verbal or nonverbal behavior a physician shows when interacting with patients who have different preferences in terms of how the physician should interact with them. We hypothesized that physician behavioral adaptability to their patients' preferences would lead to better patient outcomes and that physician interpersonal accuracy was positively related to behavioral adaptability. To test these hypotheses, we recruited 61 physicians who completed an interpersonal accuracy test before being videotaped during four consultations with different patients. The 244 participating patients indicated their preferences for their physician's interaction style prior to the consultation and filled in a consultation outcomes questionnaire directly after the consultation. We coded the physician's verbal and nonverbal behavior for each of the consultations and compared it to the patients' preferences to obtain a measure of physician behavioral adaptability. Results partially confirmed our hypotheses in that female physicians who adapted their nonverbal (but not their verbal) behavior had patients who reported more positive consultation outcomes. Moreover, the more female physicians were accurate interpersonally, the more they showed verbal and nonverbal behavioral adaptability. For male physicians, more interpersonal accuracy was linked to less nonverbal adaptability.

  15. Patient Safety and Healthcare Quality

    OpenAIRE

    Aikaterini Toska; Panagiotis Kyloudis; Maria Rekleiti; Maria Saridi

    2012-01-01

    Introduction: Due to a variety of circumstances and world-wide research findings, patient safety andquality care during hospitalization have emerged as major issues. Patient safety deficits may burdenhealth systems as well as allocated resources. The international community has examined severalproposals covering general and systemic aspects in order to improve patient safety; several long-termprograms and strategies have also been implemented promoting the participation of health-relatedagent...

  16. Fingerprints identification of radiotherapy patients

    International Nuclear Information System (INIS)

    Lartigau, E.F.; Forrest, M.; Audebaud, S.; Dewitte, A.; Giscard, S.; Leclercq, B.

    2012-01-01

    The identification of patient plays a key role in the quality and safety of radiotherapy. It does impact on all professional staff and on patients. After the regulatory authority approval (Cnil), a pilot study has been performed on 1901 patients. Acceptance has been very high (> 93%) with a low risk of mis-identification (< 0.1%). The next step will be to implement and test a bimodal system in order to improve registration capacity and sensitivity. (authors)

  17. 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.

  18. 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)

  19. 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 ...

  20. Biological therapy in geriatric patients

    International Nuclear Information System (INIS)

    Mego, M.

    2012-01-01

    Targeted biological therapy, alone or in combination with conventional chemotherapy, make significant progress in the treatment of patients with malignancy. Its use as opposed to high-dose chemotherapy is not limited by age, nevertheless, we have relatively little knowledge of the toxicity and effectiveness in geriatric patients. Aim of this article is to give an overview of the biological effectiveness and toxicity of anticancer therapy in geriatric patients, based on published data. (author)

  1. 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....

  2. 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.

  3. Nurse Burnout and Patient Satisfaction

    Science.gov (United States)

    Vahey, Doris C.; Aiken, Linda H.; Sloane, Douglas M.; Clarke, Sean P.; Vargas, Delfino

    2010-01-01

    Background Amid a national nurse shortage, there is growing concern that high levels of nurse burnout could adversely affect patient outcomes. Objectives This study examines the effect of the nurse work environment on nurse burnout, and the effects of the nurse work environment and nurse burnout on patients' satisfaction with their nursing care. Research Design/Subjects We conducted cross-sectional surveys of nurses (N = 820) and patients (N = 621) from 40 units in 20 urban hospitals across the United States. Measures Nurse surveys included measures of nurses' practice environments derived from the revised Nursing Work Index (NWI-R) and nurse outcomes measured by the Maslach Burnout Inventory (MBI) and intentions to leave. Patients were interviewed about their satisfaction with nursing care using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). Results Patients cared for on units that nurses characterized as having adequate staff, good administrative support for nursing care, and good relations between doctors and nurses were more than twice likely as other patients to report high satisfaction with their care, and their nurses reported significantly lower burnout. The overall level of nurse burnout on hospital units also affected patient satisfaction. Conclusions Improvements in nurses' work environments in hospitals have the potential to simultaneously reduce nurses' high levels of job burnout and risk of turnover and increase patients' satisfaction with their care. PMID:14734943

  4. Mandibulotomy in the irradiated patient

    International Nuclear Information System (INIS)

    Davidson, J.; Freeman, J.; Birt, D.

    1989-01-01

    Though the mandibular swing, as an approach to certain upper aerodigestive tract malignancies, has been gaining popularity in recent years, there has been little reported as to the feasibility of this procedure in subjects who have received radical preoperative radiotherapy. We have recently reported the results of 23 such patients, and we now present an update. The results presented are of a retrospective analysis of 44 patients, 50% of whom received radical preoperative radiotherapy to fields including the osteotomy site. As in the previous study, there were no statistically significant differences between the complication rates in the irradiated and nonirradiated patient populations. All the patients were orally rehabilitated

  5. 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

  6. [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).

  7. 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.

  8. [Integral treatment for bedridden patients].

    Science.gov (United States)

    García-Verdugo, M Fernanda Arroyo; Garrido Hernández, M Teresa; Rosell Palomo, Ricardo

    2007-05-01

    Spinal cord injuries are one of the traumatic injuries which produce the greatest number of patients who are bedridden or incapacitated. Physical effects acquire such importance that one can not forget to attend to aspects as basic as hygiene, correct posture during their bedridden stay or the daily task to transfer patients to the various support elements they need to utilize. Nursing care for patients suffering spinal cord injuries comprise the fundamental axis on which a correct recuperation rotates. At the same time, proper treatment care will lead to a future improvement in a patient's quality of life.

  9. 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)

  10. 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.

  11. 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

  12. Identifying Patients at Risk and Patients in Need

    DEFF Research Database (Denmark)

    Schmidt, Thomas

    2015-01-01

    korttidssengeafsnit. Det viser sig at sygeplejerskernes anvendelse af patientmonitoreringsudstyret afhænger af tidspunkt på døgnet, og i hvilken sammenhæng systemet bruges. Behandling af patienter er udfordret af hvordan information indhentes og deles imellem klinikerne. Hyppigheden hvormed patienter monitoreres...

  13. 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…

  14. Cultural competence: reflections on patient autonomy and patient good.

    Science.gov (United States)

    Leever, Martin G

    2011-07-01

    Terms such as 'cultural competence' and 'transcultural nursing' have comfortably taken their place in the lexicon of health care. Their high profile is a reflection of the diversity of western societies and health care's commitment to provide care that is responsive to the values and beliefs of all who require treatment. However, the relationship between cultural competence and familiar ethical concepts such as patient autonomy has been an uneasy one. This article explores the moral foundations of cultural competence, ultimately locating them in patient autonomy and patient good. The discussion of patient good raises questions about the moral relevance of a value's rootedness in a particular culture. I argue that the moral justification for honoring cultural values has more to do with the fact that patients are strongly committed to them than it does with their cultural rootedness. Finally, I suggest an organizational approach to cultural competence that emphasizes overall organizational preparedness.

  15. 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.

  16. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    of future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language......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...

  17. Depression in Hemodialysis Patients

    Directory of Open Access Journals (Sweden)

    Badema Čengić

    2010-04-01

    Full Text Available Depression is the most frequent psychological complication of haemodialysis (HD patients (pts and has been associated with impaired Quality of Life (QoL. The aim of our study was to investigate the prevalence of depression in HD pts in relation to sociodemographic factors and the relationship between depression and QoL.200 pts from Clinic for haemodialysis in Sarajevo, B&H were participating in the study. Mean age was S7,26±13,78 years and mean HD duration was 64’26±58,18 months. From the test material we applied BDI and SF-36.51% of our pts have shown depression (BDI>11 in various degrees (30%-mild depression, 8,5%-moderate depression and 12,5%-severe depression. As we could expect, the most emphasized symptoms of depression were somatic symptoms. 55,5% of pts have shown QoL lower then average. Sociodemographic data such as gender, marital status and HD duration did not influence significantly on pt’s QoL and occurrence of depression (p>0,05. As the age of the pts increased, level of depression increased too and QoL significantly decreased (p<0,05. Employed pts have shown significantly better QoL and lower level of depression in relation to unemployed pts (p<0,05. As the educational level of pts increased, QoL increased too and level of depression significantly decreased (p<0,05. Pts in 1st HD shift were significantly more depressed and have significantly worse mental health in compare to pts in 3rd HD shift (p<0,05. Our results showed a high prevalence of depressive symptoms among the study group that was linked to trend of poor QoL.

  18. [Preoperative structured patient education].

    Science.gov (United States)

    Lamarche, D

    1993-04-01

    This article describes the factors that motivated the nursing staff of the cardiac surgery unit at the Royal Victoria Hospital in Montreal, to revise their preoperative teaching program. The motivating factors described are the length of the preoperative waiting period; the level of preoperative anxiety; the decreased length of hospital stay; the dissatisfaction of the nursing staff with current patient teaching practices; and the lack of available resources. The reorganization of the teaching program was based upon the previously described factors combined with a review of the literature that demonstrated the impact of preoperative anxiety, emotional support and psycho-educational interventions upon the client's recovery. The goals of the new teaching program are to provide the client and the family with cognitive and sensory information about the client's impending hospitalization, chronic illness and necessary lifestyle modifications. The program consists of a system of telephone calls during the preoperative waiting period; a videotape viewing; a tour of the cardiac surgery unit; informal discussion groups; and the availability of nursing consultation to decrease preoperative anxiety. The end result of these interventions is more time for client support and integration of necessary information by the client and family. This kind of program has the potential to provide satisfaction at many levels by identifying client's at risk; increasing client knowledge; increasing support; decreasing anxiety during the preoperative waiting period; and decreasing the length of hospital stay. The nursing staff gained a heightened sense of accomplishment because the program was developed according to the nursing department's philosophy, which includes primary nursing.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Patients as Rights Holders.

    Science.gov (United States)

    Brännmark, Johan

    2017-07-01

    Autonomy and consent have been central values in Western moral and political thought for centuries. One way of understanding the bioethical models that started to develop, especially in the 1970s, is that they were about the fusion of a long-standing professional ethics with the core values underpinning modern political institutions. That there was a need for this kind of fusion is difficult to dispute, especially since the provision of health care has in most developed countries become an ever more important concern of our political institutions, with governments playing a significant role in regulating and facilitating the provision of health care and in many countries even largely organizing it. There is, nevertheless, still room for dispute about how best to achieve this fusion and how to best think about autonomy and consent in a biomedical context. The simplest model we can have is probably about how being a person is largely about having the capacity of autonomous choice and that the main mode through which we exercise autonomy is by providing informed consent. Yet, liberal democracy's core idea that human beings have a high and equal value is also found in other accounts of the person. The human-rights framework provides an alternative model for thinking about personhood and about patient care. The human-rights approach is grounded, not in an account of autonomy (although it has something to say about autonomy), but in an account of the moral and political personhood that people possess merely by being human beings. In this approach, values like dignity and integrity, both highly relevant in a bioethical context, are identified as distinct values rather than being derived from and therefore reduced to respect for autonomous choice. The human-rights approach can supplement the problematic notion of autonomy that has been central to bioethics by placing this notion in a broader, strongly pluralistic framework. © 2017 The Hastings Center.

  20. 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.

  1. 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)

  2. OPCAB in patients on hemodialysis.

    Science.gov (United States)

    Milani, Rodrigo; Brofman, Paulo Roberto Slud; Souza, José Augusto Moutinho de; Barboza, Laura; Guimarães, Maximiliano Ricardo; Barbosa, Alexandre; Varela, Alexandre Manoel; Ravagnelli, Marcel Rogers; Silva, Francisco Maia da

    2007-01-01

    To analyze the hospital outcomes of patients, with chronic renal insufficiency in the hemodialysis, submitted to OPCAB. Fifty-one patients with chronic renal insufficiency were submitted to OPCAB. Hemodialysis was performed on the day before and the day after the operation. Myocardial revascularization was performed using LIMA's suture and suction stabilization. Fifty-one patients, with an average of 61.28+/-11.09 years, were analyzed. Thirty patients (58.8%) were female. The predominant functional class was IV in 21 (41.1%) of the patients. The left ventricle ejection fraction was dire in 21 (41.1%) patients. The mean EUROSCORE of this series was 7.65+/-3.83 and the mean number of distal anastomosis was 3.1+/-0.78 per patient. The average time of mechanical ventilation was 3.78+/-4.35 hours and the mean ICU stay was 41.9+/-13.8 hours, while the average hospitalization was 6.5+/-1.31 days. In respect to complications, nine (17.6%) of the patients developed atrial fibrilation, and one (1.9%) patient presented with a case of ischemic stroke but had a good recovery during hospitalization. There were no deaths in this series. Chronic renal patients submitted to hemodialysis were always a high risk population for myocardial revascularization. In this series, the absence of extracorporeal circulation appeared to be safe and efficient in this special subgroup of patients. The operations were performed with low indices of complications, absence of deaths and relatively low stays in the ICU and in hospital.

  3. Patient safety culture among nurses.

    Science.gov (United States)

    Ammouri, A A; Tailakh, A K; Muliira, J K; Geethakrishnan, R; Al Kindi, S N

    2015-03-01

    Patient safety is considered to be crucial to healthcare quality and is one of the major parameters monitored by all healthcare organizations around the world. Nurses play a vital role in maintaining and promoting patient safety due to the nature of their work. The purpose of this study was to investigate nurses' perceptions about patient safety culture and to identify the factors that need to be emphasized in order to develop and maintain the culture of safety among nurses in Oman. A descriptive and cross-sectional design was used. Patient safety culture was assessed by using the Hospital Survey on Patient Safety Culture among 414 registered nurses working in four major governmental hospitals in Oman. Descriptive statistics and general linear regression were employed to assess the association between patient safety culture and demographic variables. Nurses who perceived more supervisor or manager expectations, feedback and communications about errors, teamwork across hospital units, and hospital handoffs and transitions had more overall perception of patient safety. Nurses who perceived more teamwork within units and more feedback and communications about errors had more frequency of events reported. Furthermore, nurses who had more years of experience and were working in teaching hospitals had more perception of patient safety culture. Learning and continuous improvement, hospital management support, supervisor/manager expectations, feedback and communications about error, teamwork, hospital handoffs and transitions were found to be major patient safety culture predictors. Investing in practices and systems that focus on improving these aspects is likely to enhance the culture of patient safety in Omani hospitals and others like them. Strategies to nurture patient safety culture in Omani hospitals should focus upon building leadership capacity that support open communication, blame free, team work and continuous organizational learning. © 2014 International

  4. Patient acceptance of awake craniotomy.

    Science.gov (United States)

    Wrede, Karsten H; Stieglitz, Lennart H; Fiferna, Antje; Karst, Matthias; Gerganov, Venelin M; Samii, Madjid; von Gösseln, Hans-Henning; Lüdemann, Wolf O

    2011-12-01

    The aim of this study was to objectively assess the patients' acceptance for awake craniotomy in a group of neurosurgical patients, who underwent this procedure for removal of lesions in or close to eloquent brain areas. Patients acceptance for awake craniotomy under local anesthesia and conscious sedation was assessed by a formal questionnaire (PPP33), initially developed for general surgery patients. The results are compared to a group of patients who had brain surgery under general anesthesia and to previously published data. The awake craniotomy (AC) group consisted of 37 male and 9 female patients (48 craniotomies) with age ranging from 18 to 71 years. The general anesthesia (GA) group consisted of 26 male and 15 female patients (43 craniotomies) with age ranging from 26 to 83 years. All patients in the study were included in the questionnaire analysis. In comparison to GA the overall PPP33 score for AC was higher (p=0.07), suggesting better overall acceptance for AC. The subscale scores for AC were also significantly better compared to GA for the two subscales "postoperative pain" (p=0.02) and "physical disorders" (p=0.01) and equal for the other 6 subscales. The results of the overall mean score and the scores for the subscales of the PPP33 questionnaire verify good patients' acceptance for AC. Previous studies have shown good patients' acceptance for awake craniotomy, but only a few times using formal approaches. By utilizing a formal questionnaire we could verify good patient acceptance for awake craniotomy for the treatment of brain tumors in or close to eloquent areas. This is a novel approach that substantiates previously published experiences. Copyright © 2011 Elsevier B.V. All rights reserved.

  5. Patient Perspectives on Biosimilar Insulin.

    Science.gov (United States)

    Wilkins, Alasdair R; Venkat, Manu V; Brown, Adam S; Dong, Jessica P; Ran, Nina A; Hirsch, James S; Close, Kelly L

    2014-01-01

    Given that a new wave of biosimilar insulins will likely enter the market in coming years, it is important to understand patient perspectives on these biosimilars. A survey (N = 3214) conducted by the market research company dQ&A, which maintains a 10 000-patient panel of people with type 1 or type 2 diabetes in roughly equal measure, investigated these perspectives. The survey asked whether patients would switch to a hypothetical less expensive biosimilar insulin that was approved by their provider. Approximately 66% of respondents reported that they would "definitely" or "likely" use a biosimilar insulin, while 17% reported that they were "unlikely" to use or would "definitely not use" such a product. Type 2 diabetes patients demonstrated slightly more willingness to use biosimilars than type 1 diabetes patients. Common patient concerns included whether biosimilars would be as effective as reference products (~650 respondents), whether side effect profiles would deviate from those of reference products (~220 respondents), and the design of the delivery device (~50 respondents). While cost savings associated with biosimilar insulins could increase patient uptake, especially among patients without health insurance (some recent estimates suggest that biosimilars will come at a substantial discount), patients may still need assurance that a cheaper price tag is not necessarily associated with substandard quality. Overall, the dQ&A survey indicates that the majority of patients are willing to consider biosimilar insulins, but manufacturers will need to work proactively to address and assuage patient concerns regarding efficacy, safety, drug administration, and other factors. © 2014 Diabetes Technology Society.

  6. Surgical patient selection and counseling.

    Science.gov (United States)

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

    2017-08-01

    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

  7. Hepatocellular carcinoma in Danish patients

    DEFF Research Database (Denmark)

    Stefansdottir, Jenna; Christensen, Erik; Schiødt, Frank Vinholt

    2017-01-01

    OBJECTIVE: Hepatocellular carcinoma (HCC) is a common cause of cancer, and most HCC patients have underlying cirrhosis. Retrospectively, we aimed to characterize patients with newly diagnosed HCC at a Danish hospital and to investigate survival and identify predictive factors for survival. METHODS...

  8. 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

  9. 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 p...

  10. Radiosensitivity in Fanconi's anemia patients

    International Nuclear Information System (INIS)

    Alter, Blanche P.

    2002-01-01

    The risks of radiation therapy in patients with Fanconi's anemia who have cancer are not clear. Possible toxicity was reported in six of 14 patients: 1/1 with vaginal cancer, 4/10 with head and neck or esophageal cancer, and 1/3 with oral cancer following bone marrow transplant

  11. 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

  12. Patient identification in blood sampling.

    Science.gov (United States)

    Davidson, Anne; Bolton-Maggs, Paula

    The majority of adverse reports relating to blood transfusions result from human error, including misidentification of patients and incorrect labelling of samples. This article outlines best practice in blood sampling for transfusion (but is recommended for all pathology samples) and the role of patient empowerment in improving safety.

  13. 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...

  14. 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.

  15. Metabolic alterations in dialysis patients

    NARCIS (Netherlands)

    Drechsler, Christiane

    2010-01-01

    Assessing metabolic risk in dialysis patients, three main aspects are important: a) the pathophysiologic effects of metabolic disturbances as known from the general population are unlikely to completely reverse once patients reach dialysis. b) Specific additional problems related to chronic kidney

  16. 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 b...

  17. Implicit learning in psychotic patients

    NARCIS (Netherlands)

    Schmand, B.; Kop, W. J.; Kuipers, T.; Bosveld, J.

    1992-01-01

    Implicit verbal learning of psychotic patients (n = 59) and non-psychotic control patients (n = 20) was studied using stem completion and association tasks in lexical and semantic priming paradigms. Performance on these tasks was contrasted with explicit memory on Rey's verbal learning test.

  18. Empowering Patients: PD in Healthcare

    DEFF Research Database (Denmark)

    Kensing, Finn; Strand, Dixi Louise; Bansler, Jørgen P.

    2004-01-01

    In this paper, we discuss PD issues and concerns in the context of a national initiative the purpose of which is to provide IT support for the communication and collaboration within a heterogeneous network of patients/citizens and health care professionals. We present the notion of patient empowe...

  19. 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.

  20. 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 less...

  1. Rhinoplasty in Middle Eastern Patients.

    Science.gov (United States)

    Sajjadian, Ali

    2016-01-01

    Rhinoplasty in patients of Middle Eastern origin requires complete understanding of nasal morphology and an individualized approach to create a racially congruent and aesthetically pleasing outcome. In this article, common anatomic features and characteristics and detailed steps, surgical techniques, and operative maneuvers that can lead to predictable outcome in rhinoplasty of Middle Eastern patients are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. 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.

  3. Venous thrombosis : a patient's view

    NARCIS (Netherlands)

    Korlaar, Inez van

    2006-01-01

    The studies described in this thesis had two main aims: 1) To study the quality of life of patients with venous thrombosis and to examine the role of illness perceptions in explaining the quality of life of these patients. 2) To assess the psychological consequences of genetic testing for

  4. 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.

  5. 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.

  6. 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.

  7. Semi-customizing patient surveys

    DEFF Research Database (Denmark)

    Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr

    2011-01-01

    Objective. The study investigated the needs and consequences of semi-customizing patient satisfaction surveys to low organizational levels and explored whether patient satisfaction was correlated with local organizational conditions. Design. From 1999 to 2006, the County of Aarhus carried out 398....... Establishing a link between patient satisfaction and organizational variables broadens the quality development focus to include more than simply analysis of specific questions. Semi-customizing patient surveys are recommended....... 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...

  8. 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.

  9. Endodontics and the irradiated patient

    International Nuclear Information System (INIS)

    Cox, F.L.

    1976-01-01

    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

  10. Mirroring patients – or not

    DEFF Research Database (Denmark)

    Davidsen, Annette Sofie; Fosgerau, Christina Fogtmann

    2015-01-01

    on studies of imitative behaviour within linguistics and psychology, we argue that interactional mirroring is an important aspect of displaying implicit mentalization. We aimed to explore if, and in that case how, mirroring is displayed by general practitioners (GPs) and psychiatrists in consultations...... with patients with depression. We wanted to see how implicit mentalizing unfolds in physician–patient interactions. Consultations were videorecorded and analysed within the framework of conversation analysis. GPs and psychiatrists differed substantially in their propensity to mirror body movements and verbal...... 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...

  11. Patients experience of source isolation

    DEFF Research Database (Denmark)

    Johansen, Kamilla; Pedersen, Didde; Kragbak, Nina

    2014-01-01

    , Nursing education in Århus, Hedeager 2, 8200 Aarhus N, Denmark. Background: Medical treatment and care of patients with infections may include source isolation of the patient, to avoid spreading of the infection. However, isolation is a potential physiological and psychological stress factor...... of the patients perspectives of being isolated to identify areas of potential interest for developing new caring strategies to minimize the negative side effects of isolation. Methods: Literature was systematically searched in CINAHL, Nursing Reference Center, Social Care Online, SveMed+, The Cochrane Library...... of Care: The patients felt abandoned and forgotten by the nurses, because of fewer visits and time limited communication. This led to emotions such as frustrations, insecurity and neglect. While isolated the patients felt it difficult to achieve contact and have an optimal relation with the nurses...

  12. Autoantibody signature differentiates Wilms tumor patients from neuroblastoma patients.

    Directory of Open Access Journals (Sweden)

    Jana Schmitt

    Full Text Available Several studies report autoantibody signatures in cancer. The majority of these studies analyzed adult tumors and compared the seroreactivity pattern of tumor patients with the pattern in healthy controls. Here, we compared the autoimmune response in patients with neuroblastoma and patients with Wilms tumor representing two different childhood tumors. We were able to differentiate untreated neuroblastoma patients from untreated Wilms tumor patients with an accuracy of 86.8%, a sensitivity of 87.0% and a specificity of 86.7%. The separation of treated neuroblastoma patients from treated Wilms tumor patients' yielded comparable results with an accuracy of 83.8%. We furthermore identified the antigens that contribute most to the differentiation between both tumor types. The analysis of these antigens revealed that neuroblastoma was considerably more immunogenic than Wilms tumor. The reported antigens have not been found to be relevant for comparative analyses between other tumors and controls. In summary, neuroblastoma appears as a highly immunogenic tumor as demonstrated by the extended number of antigens that separate this tumor from Wilms tumor.

  13. Patient representatives' views on patient information in clinical cancer trials.

    Science.gov (United States)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-02-01

    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. Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I-III trials, randomized and non-randomized trials that evaluated chemotherapy/targeted therapy in the neoadjuvant, adjuvant and palliative settings. Data were collected through focus groups and were analysed using inductive content analysis. Two major themes emerged: emotional responses and cognitive 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 of future simplified and more attractive informed consent forms. The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials.

  14. Display methods of electronic patient record screens: patient privacy concerns.

    Science.gov (United States)

    Niimi, Yukari; Ota, Katsumasa

    2013-01-01

    To provide adequate care, medical professionals have to collect not only medical information but also information that may be related to private aspects of the patient's life. With patients' increasing awareness of information privacy, healthcare providers have to pay attention to the patients' right of privacy. This study aimed to clarify the requirements of the display method of electronic patient record (EPR) screens in consideration of both patients' information privacy concerns and health professionals' information needs. For this purpose, semi-structured group interviews were conducted of 78 medical professionals. They pointed out that partial concealment of information to meet patients' requests for privacy could result in challenges in (1) safety in healthcare, (2) information sharing, (3) collaboration, (4) hospital management, and (5) communication. They believed that EPRs should (1) meet the requirements of the therapeutic process, (2) have restricted access, (3) provide convenient access to necessary information, and (4) facilitate interprofessional collaboration. This study provides direction for the development of display methods that balance the sharing of vital information and protection of patient privacy.

  15. Patients as educators: interprofessional learning for patient-centred care.

    Science.gov (United States)

    Towle, Angela; Godolphin, William

    2013-01-01

    Patients with chronic conditions have unique expertise that enhances interprofessional education. Although their active involvement in education is increasing, patients have minimal roles in key educational tasks. A model that brings patients and students together for patient-centred learning, with faculty playing a supportive role, has been described in theory but not yet implemented. To identify issues involved in creating an educational intervention designed and delivered by patients and document outcomes. An advisory group of community members, students and faculty guided development of the intervention (interprofessional workshops). Community educators (CEs) were recruited through community organizations with a healthcare mandate. Workshops were planned by teams of key stakeholders, delivered by CEs, and evaluated by post-workshop student questionnaires. Workshops were delivered by CEs with epilepsy, arthritis, HIV/AIDS and two groups with mental health problems. Roles and responsibilities of planning team members that facilitated control by CEs were identified. Ten workshops attended by 142 students from 15 different disciplines were all highly rated. Workshop objectives defined by CEs and student learning both closely matched dimensions of patient-centredness. Our work demonstrates feasibility and impact of an educational intervention led by patient educators facilitated but not controlled by faculty.

  16. Blood transfusion: patient identification and empowerment.

    Science.gov (United States)

    Stout, Lynn; Joseph, Sundari

    Positive patient identification is pivotal to several steps of the transfusion process; it is integral to ensuring that the correct blood is given to the correct patient. If patient misidentification occurs, this has potentially fatal consequences for patients. Historically patient involvement in healthcare has focused on clinical decision making, where the patient, having been provided with medical information, is encouraged to become involved in the decisions related to their individualised treatment. This article explores the aspects of patient contribution to patient safety relating to positive patient identification in transfusion. When involving patients in their care, however, clinicians must recognise the diversity of patients and the capacity of the patient to be involved. It must not be assumed that all patients will be willing or indeed able to participate. Additionally, clinicians' attitudes to patient involvement in patient safety can determine whether cultural change is successful.

  17. 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.

  18. 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.

  19. 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 

  20. The experiences of cancer patients.

    Science.gov (United States)

    Alifrangis, C; Koizia, L; Rozario, A; Rodney, S; Harrington, M; Somerville, C; Peplow, T; Waxman, J

    2011-12-01

    To assess the needs of cancer patients for information about their condition and to understand the psychological impact of their illness. The discussion of prognosis and treatment options in the palliative setting is an important and difficult part of oncology practice. To evaluate this, we examined the experiences of cancer patients of the physical and psychological impact of their disease on their life, and their opinions on the communication of end-of-life decisions and treatment options. A patient questionnaire was designed that encompassed communication regarding treatment and prognosis, quality-of-life attitudes subsequent to cancer diagnosis, end-of-life care and cancer drug funding. One hundred and twenty-five patients with a diagnosis of cancer were asked to participate and 96 questionnaires were completed and available for analysis. The questionnaire consisted of 63 questions and was completed in both an inpatient and outpatient setting. This survey brought to light a number of controversial issues in cancer service provision, highlighting the emotional and psychological changes brought about by a cancer diagnosis. Major concerns of our patients include fear of death and pain, changes in interpersonal relationships and financial constraints. Only 66% of the patients wanted to be given a prognosis by their clinicians and just 70% of the patients recalled being given a detailed prognosis. 11% of the patients were not prepared to undergo palliative treatment. In all, 7% were not prepared to accept treatment for 1 year and 2% for 5 years of life in exchange for the potential side effects of cytotoxic chemotherapy. 12% of the patients would not want to be in possession of the information that they were in the terminal phase of the illness with a short time to live and 16% would not want this discussed with their next of kin. This study informs medical professionals about the importance of tailoring information to the needs of the individual patient, and we

  1. 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.

  2. 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. PMID:27928442

  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. 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

  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. Celebrity Patients, VIPs, and Potentates.

    Science.gov (United States)

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

    2002-12-01

    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.

  7. Personality of the tinnitus patient.

    Science.gov (United States)

    House, P R

    1981-01-01

    Personality and coping mechanisms are related to patients' perceptions of their tinnitus. Although the occurrence of tinnitus is not unusual, its nature varies from infrequent, barely noticeable sound to an unrelenting, absorbing disturbance of critical significance. Tinnitus is a subjective complaint: the same level of tinnitus may be described by one patient as intolerable and by another as barely noticeable. Stress is intricately related to tinnitus: persons with severe tinnitus experience excessive stress. This has debilitating effects on their defences and coping can become very difficult. Patients may demonstrate a cluster of hysterical defences or a serious degree of depression. Many tinnitus patients focus on their problem, objectifying it and thus intensifying the disturbance. Most tinnitus patients can be helped by psychological intervention. A small percentage of tinnitus patients can be classified as disturbed, with borderline personalities. These patients are usually not suitable for therapy or biofeedback training. Tinnitus can be stress-related disorder. As a person is faced with conflict, physiological changes occur as a result of the "fight or flight" reaction. This state of stress can be responsible for the onset or exacerbation of a tinnitus episode. Treatment by management of stress can be successful, promoting relief through a shift of focus, repose from a state of tension, and support of constructive defences.

  8. [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.

  9. Emotional influences in patient safety.

    Science.gov (United States)

    Croskerry, Pat; Abbass, Allan; Wu, Albert W

    2010-12-01

    The way that health care providers feel, both within themselves and toward their patients, may influence their clinical performance and impact patient safety, yet this aspect of provider behavior has received relatively little attention. How providers feel, their emotional or affective state, may exert a significant, unintended influence on their patients, and may compromise safety. We examined a broad literature across multiple disciplines to review the interrelationships between emotion, decision making, and behavior, and to assess their potential impact on patient safety. There is abundant evidence that the emotional state of the health care provider may be influenced by factors including characteristics of the patient, ambient conditions in the health care setting, diurnal, circadian, infradian, and seasonal variables, as well as endogenous disorders of the individual provider. These influences may lead to affective biases in decision making, resulting in errors and adverse events. Clinical reasoning and judgment may be particularly susceptible to emotional influence, especially those processes that rely on intuitive judgments. There are many ways that the emotional state of the health care provider can influence patient care. To reduce emotional errors, the level of awareness of these factors should be raised. Emotional skills training should be incorporated into the education of health care professionals. Specifically, clinical teaching should promote more openness and discussion about the provider's feelings toward patients. Strategies should be developed to help providers identify and de-bias themselves against emotional influences that may impact care, particularly in the emotionally evocative patient. Psychiatric conditions within the provider, which may compromise patient safety, need to be promptly detected, diagnosed, and managed.

  10. [Desmoid tumors in three patients].

    Science.gov (United States)

    Mohos, E; Kovács, T; Brittig, F; Nagy, A

    2001-12-01

    Desmoids are rare tumors of the connective tissue. It develops about 1:1000 times more in patients with familial adenomatous polyposis (FAP, Gardner syndrome) compared to normal population. It has been shown in molecular genetic examinations, that different mutations of the APC gene are responsible for desmoid tumors in FAP. It means, that this disease is one of the extraintestinal manifestations of Gardner syndrome. This tumor has high recurrence rate and is growing rapidly, and as a result it is the second most common cause of death in FAP patients. That is why genetic examination for FAP patients is advised to decide if the patient has higher risk for desmoid formation. If the result of the genetic test is positive, it is advisable to try to slow the progression of polyposis with medical treatment, and so to delay the date of the colectomy because the surgical intervention--and connective tissue damage--can induce desmoid formation in these patients. At the same time it is reasonable to examine and regularly control patients with sporadic desmoid tumors searching for other manifestations of Gardner syndrome (colon, stomach and duodenum polyposis, tumor of papilla Vateri, retinopathy, etc.). Palliative surgery is not indicated in patients with inoperable intraabdominal desmoid tumors, because partial resections (R1, R2, debulking) result in further tumor progression. In these patients medical treatment (sulindac, tamoxifen), chemotherapy (doxorubicin, dacarbazin) and radiotherapy or combination of them can result tumor remission. We describe our three patients (an abdominal wall desmoid four years following Cesarean section; a desmoid tumor in the retroperitoneum and in the pelvis diagnosed three years after total colectomy; and a retroperitoneal and abdominal wall desmoid one year after total colectomy) and etiology, diagnosis and therapy of desmoid tumors are discussed.

  11. 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.  

  12. Emergency department team communication with the patient: the patient's perspective.

    Science.gov (United States)

    McCarthy, Danielle M; Ellison, Emily P; Venkatesh, Arjun K; Engel, Kirsten G; Cameron, Kenzie A; Makoul, Gregory; Adams, James G

    2013-08-01

    Effective communication is important for the delivery of quality care. The Emergency Department (ED) environment poses significant challenges to effective communication. The objective of this study was to determine patients' perceptions of their ED team's communication skills. This was a cross-sectional study in an urban, academic ED. Patients completed the Communication Assessment Tool for Teams (CAT-T) survey upon ED exit. The CAT-T was adapted from the psychometrically validated Communication Assessment Tool (CAT) to measure patient perceptions of communication with a medical team. The 14 core CAT-T items are associated with a 5-point scale (5 = excellent); results are reported as the percent of participants who responded "excellent." Responses were analyzed for differences based on age, sex, race, and operational metrics (wait time, ED daily census). There were 346 patients identified; the final sample for analysis was 226 patients (53.5% female, 48.2% Caucasian), representing a response rate of 65.3%. The scores on CAT-T items (reported as % "excellent") ranged from 50.0% to 76.1%. The highest-scoring items were "let me talk without interruptions" (76.1%), "talked in terms I could understand" (75.2%), and "treated me with respect" (74.3%). The lowest-scoring item was "encouraged me to ask questions" (50.0%). No differences were noted based on patient sex, race, age, wait time, or daily census of the ED. The patients in this study perceived that the ED teams were respectful and allowed them to talk without interruptions; however, lower ratings were given for items related to actively engaging the patient in decision-making and asking questions. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. 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

  14. [Medical ethics and patient responsibility].

    Science.gov (United States)

    Gajda, Z

    1998-01-01

    When we say "medical ethics" we understand the responsibility of the physician for his medical education and his attitude to his patient. But Hippocrates is known to have said that the efficiency and good results of the treatment depends not only on the physician but on the patient and his engagement, his observance of the doctors' advice, his attitude to his own psyche and body, both in health as in illness. This is an ethical problem known to every practitioner, the problem of ethics of the patient, which ought to be more widely disseminated in society.

  15. [The magnetotherapy of hypertension patients].

    Science.gov (United States)

    Ivanov, S G; Smirnov, V V; Solov'eva, F V; Liashevskaia, S P; Selezneva, L Iu

    1990-01-01

    A study was made of the influence of the constant MKM2-1 magnets on patients suffering from essential hypertension. Continuous action of the magnetic field, created by such magnets, on the patients with stage II essential hypertension was noted to result in a decrease of arterial pressure without the occurrence of any side effects and in a simultaneous reduction of the scope of drug administration. Apart from that fact, magnetotherapy was discovered to produce a beneficial effect on the central hemodynamics and microcirculation. The use of the MKM2-1 magnets may be regarded as a feasible method of the treatment of essential hypertension patients at any medical institution.

  16. Advocating for Patient Care Literacy.

    Science.gov (United States)

    Poirier, Therese I

    2018-02-01

    The value of the arts and humanities in becoming an "educated" pharmacist is reviewed in this commentary. The term "patient care literacy" is defined as becoming a more humane pharmacist. This implies not only using heads but HARTSS (humanities, arts and social sciences) for developing the necessary skills. A conceptual framework for curricular reform that focuses on using the arts and humanities is proposed for advancing patient care literacy. Methods for enhancing use of arts and humanities for developing pharmacy graduates is specifically proposed. The need for more empiric research to demonstrate the value of the arts and humanities in developing a patient care literate professional is highlighted.

  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. 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.

  19. Patient choice modelling: how do patients choose their hospitals?

    Science.gov (United States)

    Smith, Honora; Currie, Christine; Chaiwuttisak, Pornpimol; Kyprianou, Andreas

    2018-06-01

    As an aid to predicting future hospital admissions, we compare use of the Multinomial Logit and the Utility Maximising Nested Logit models to describe how patients choose their hospitals. The models are fitted to real data from Derbyshire, United Kingdom, which lists the postcodes of more than 200,000 admissions to six different local hospitals. Both elective and emergency admissions are analysed for this mixed urban/rural area. For characteristics that may affect a patient's choice of hospital, we consider the distance of the patient from the hospital, the number of beds at the hospital and the number of car parking spaces available at the hospital, as well as several statistics publicly available on National Health Service (NHS) websites: an average waiting time, the patient survey score for ward cleanliness, the patient safety score and the inpatient survey score for overall care. The Multinomial Logit model is successfully fitted to the data. Results obtained with the Utility Maximising Nested Logit model show that nesting according to city or town may be invalid for these data; in other words, the choice of hospital does not appear to be preceded by choice of city. In all of the analysis carried out, distance appears to be one of the main influences on a patient's choice of hospital rather than statistics available on the Internet.

  20. 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…

  1. 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

  2. Living with HIV: Patients Perspective

    Centers for Disease Control (CDC) Podcasts

    This podcast showcases three people who are living with HIV. The patients share their experiences of being diagnosed with HIV, of the treatments they are undergoing, and on taking responsibility for their health.

  3. Malnutrition in paediatric oncology patients

    African Journals Online (AJOL)

    Nutritional status of paediatric cancer patients at diagnosis ... Professor and Executive Head, Department of Paediatrics and Child Health, Stellenbosch University and Tygerberg Hospital, .... can lead to decreased oral intake, weight loss.

  4. Rosuvastatin in diabetic hemodialysis patients

    DEFF Research Database (Denmark)

    Holdaas, Hallvard; Holme, Ingar; Schmieder, Roland E

    2011-01-01

    A randomized, placebo-controlled trial in diabetic patients receiving hemodialysis showed no effect of atorvastatin on a composite cardiovascular endpoint, but analysis of the component cardiac endpoints suggested that atorvastatin may significantly reduce risk. Because the AURORA (A Study...

  5. 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

  6. National Patient Care Database (NPCD)

    Data.gov (United States)

    Department of Veterans Affairs — The National Patient Care Database (NPCD), located at the Austin Information Technology Center, is part of the National Medical Information Systems (NMIS). The NPCD...

  7. Bone health in cancer patients

    DEFF Research Database (Denmark)

    Coleman, R; Body, J J; Aapro, M

    2014-01-01

    There are three distinct areas of cancer management that make bone health in cancer patients of increasing clinical importance. First, bone metastases are common in many solid tumours, notably those arising from the breast, prostate and lung, as well as multiple myeloma, and may cause major...... morbidity including fractures, severe pain, nerve compression and hypercalcaemia. Through optimum multidisciplinary management of patients with bone metastases, including the use of bone-targeted treatments such as potent bisphosphonates or denosumab, it has been possible to transform the course of advanced...... cancer for many patients resulting in a major reduction in skeletal complications, reduced bone pain and improved quality of life. Secondly, many of the treatments we use to treat cancer patients have effects on reproductive hormones, which are critical for the maintenance of normal bone remodelling...

  8. 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...

  9. 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.

  10. Preventing Infections in Cancer Patients

    Science.gov (United States)

    ... Protect: Know the Signs and Symptoms of Infection Neutropenia and Risk for Infection Health Care Providers Educational Materials Cancer and Flu How to Prevent Flu from Spreading Flu Symptoms Information for Families and Caregivers Flu Treatment for Cancer Patients and ...

  11. Implant rehabilitation in bruxism patient

    Science.gov (United States)

    Goiato, Marcelo Coelho; Sonego, Mariana Vilela; dos Santos, Daniela Micheline; da Silva, Emily Vivianne Freitas

    2014-01-01

    A white female patient presented to the university clinic to obtain implant retained prostheses. She had an edentulous maxillary jaw and presented three teeth with poor prognosis (33, 34 and 43). The alveolar bone and the surrounding tissues were healthy. The patient did not report any relevant medical history contraindicating routine dental treatment or implant surgery, but self-reported a dental history of asymptomatic nocturnal bruxism. The treatment plan was set and two Branemark protocols supported by six implants in each arch were installed after a 6-month healing period. A soft occlusal splint was made due to the patient's history of bruxism, and the lack of its use by the patient resulted in an acrylic fracture. The prosthesis was repaired and the importance of using the occlusal splint was restated. In the 4-year follow-up no fractures were reported. PMID:24907215

  12. Engaging patients through your website.

    Science.gov (United States)

    Snyder, Kimberlee; Ornes, Lynne L; Paulson, Pat

    2014-01-01

    Legislation requires the healthcare industry to directly engage patients through technology. This paper proposes a model that can be used to review hospital websites for features that engage patients in their healthcare. The model describes four levels of patient engagement in website design. The sample consisted of 130 hospital websites from hospitals listed on 2010 and 2011 Most Wired Hospitals. Hospital websites were analyzed for features that encouraged patient interaction with their healthcare according to the levels in the model. Of the four levels identified in the model, websites ranged from "informing" to "collaborative" in website design. There was great variation of features offered on hospital websites with few being engaging and interactive. © 2012 National Association for Healthcare Quality.

  13. Latex allergies - for hospital patients

    Science.gov (United States)

    ... ency/patientinstructions/000499.htm Latex allergies - for hospital patients To use the sharing features on this page, ... ADAM Health Solutions. About MedlinePlus Site Map FAQs Customer Support Get email updates Subscribe to RSS Follow ...

  14. Muscle dysfunction in cancer patients

    DEFF Research Database (Denmark)

    Christensen, Jesper Frank; Jones, L W; Andersen, J L

    2014-01-01

    dysfunction in cancer patients lies in the correlation to vital clinical end points such as cancer-specific and all-cause mortality, therapy complications and quality of life (QoL). Such associations strongly emphasize the need for effective therapeutic countermeasures to be developed and implemented...... implications of muscle dysfunction in cancer patients. The efficacy of exercise training to prevent and/or mitigate cancer-related muscle dysfunction is also discussed. DESIGN: We identified 194 studies examining muscular outcomes in cancer patients by searching PubMed and EMBASE databases. RESULTS: Muscle...... dysfunction is evident across all stages of the cancer trajectory. The causes of cancer-related muscle dysfunction are complex, but may involve a wide range of tumor-, therapy- and/or lifestyle-related factors, depending on the clinical setting of the individual patient. The main importance of muscle...

  15. 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...

  16. 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.

  17. [Patients, doctors and the internet].

    Science.gov (United States)

    Jeannot, Jean Gabriel; Bischoff, Thomas

    2015-05-13

    The majority of the Swiss population uses the internet to seek information about health. The objective is to be better informed, before or after the consultation. Doctors can advise their information-seeking patients about high quality websites, be it medical portals or websites dedicated to a specific pathology. Doctors should not see the internet as a threat but rather as an opportunity to strengthen the doctor-patient relationship.

  18. Smoking Cessation in COPD patients

    OpenAIRE

    Carlos A. Jimenez-Ruiz

    2016-01-01

    Tobacco smoking is the main cause of COPD. Smoking cessation is the only therapeutic measure that can cure COPD and prevent this disorder from its chronic progression. Smoking cessation in COPD patients is difficult because most of these patients have specific characteristics that prevent them to quit. Recently, an ERS Task Force has developed a Consensus Document that contains recommendations for helping COPD smokers to quit.

  19. Mechanical ventilation in neurosurgical patients

    Directory of Open Access Journals (Sweden)

    Keshav Goyal

    2013-01-01

    Full Text Available Mechanical ventilation significantly affects cerebral oxygenation and cerebral blood flow through changes in arterial carbon dioxide levels. Neurosurgical patients might require mechanical ventilation for correction and maintenance of changes in the pulmonary system that occur either due to neurosurgical pathology or following surgery during the acute phase. This review discusses the basics of mechanical ventilation relevant to the neurosurgeon in the day-to-day management of neurosurgical patient requiring artificial support of the respiration.

  20. SWALLOWING IN PATIENTS WITH LARYNGITIS

    Directory of Open Access Journals (Sweden)

    Isabela MODA

    Full Text Available ABSTRACT BACKGROUND: Dysphagia is described as a complaint in 32% of patients with laryngitis. OBJECTIVE: The objective of this investigation was to evaluate oral and pharyngeal transit of patients with laryngitis, with the hypothesis that alteration in oral-pharyngeal bolus transit may be involved with dysphagia. METHODS: Videofluoroscopic evaluation of the swallowing of liquid, paste and solid boluses was performed in 21 patients with laryngitis, 10 of them with dysphagia, and 21 normal volunteers of the same age and sex. Two swallows of 5 mL liquid bolus, two swallows of 5 mL paste bolus and two swallows of a solid bolus were evaluated in a random sequence. The liquid bolus was 100% liquid barium sulfate and the paste bolus was prepared with 50 mL of liquid barium and 4 g of food thickener (starch and maltodextrin. The solid bolus was a soft 2.2 g cookie coated with liquid barium. Durations of oral preparation, oral transit, pharyngeal transit, pharyngeal clearance, upper esophageal sphincter opening, hyoid movement and oral-pharyngeal transit were measured. All patients performed 24-hour distal esophageal pH evaluation previous to videofluoroscopy. RESULTS: The evaluation of 24-hour distal esophageal pH showed abnormal gastroesophageal acid reflux in 10 patients. Patients showed longer oral preparation for paste bolus and a faster oral transit time for solid bolus than normal volunteers. Patients with laryngitis and dysphagia had longer preparation for paste and solid boluses, and a faster oral transit time with liquid, paste and solid boluses. CONCLUSION: A longer oral preparation for paste and solid boluses and a faster transit through the mouth are associated with dysphagia in patients with laryngitis.

  1. Assessing the patient's mammogram experience.

    Science.gov (United States)

    Dodendorf, Diane M; Deogun, Gurvinder K; Rodie, Amy Risch; Pol, Louis G

    2004-01-01

    This study overviews an operational blueprint that diagrams the activities and interactions of all participants in a typical screening mammography appointment in a large medical center. The blueprint is constructed from multiple sources of data collected from mammography patients, service providers in the radiology department, and medical records. The benefits from using patient perspectives, the insights gained from the blueprint development process, and the value of the resulting screening mammography appointment blueprint are included.

  2. Patient exposure in paediatric radiology

    International Nuclear Information System (INIS)

    Iacob, O.; Diaconescu, C.; Isac, R.

    2002-01-01

    Because of their longer life expectancy, the risk of late manifestations of detrimental radiation effects is greater in children than in adults and, consequently, paediatric radiology gives ground for more concern regarding radiation protection than radiology of adults. The purpose of our study was to assess, in terms of effective dose, the magnitude of paediatric patient exposure during conventional X-ray examinations, selected for their high frequency or their relatively high doses delivered to patient

  3. Rehabilitative Games for Stroke Patients

    Directory of Open Access Journals (Sweden)

    A. Pyae

    2015-07-01

    Full Text Available Stroke is one of the major problems in medical and healthcare that can cause severe disability and death of patients especially for older population. Rehabilitation plays an important role in stroke therapy. However, most of the rehabilitative exercises are monotonous and tiring for the patients. For a particular time, they can easily get bored in doing these exercises. The role of patient’s motivation in rehabilitation is vital. Motivation and rehabilitative outcomes are strongly related. Digital games promise to help stroke patients to feel motivated and more engaged in rehabilitative training through motivational gameplay. Most of the commercial games available in the market are not well-designed for stroke patients and their motivational needs in rehabilitation. This study aims at understanding the motivational requirements of stroke patients in doing rehabilitative exercises and living in a post-stroke life. Based on the findings from the literature review, we report factors that can influence the stroke patients’ level of motivation such as social functioning, patient-therapist relationship, goal-setting, and music. These findings are insightful and useful for ideating and designing interactive motivation-driven games for stroke patients. The motivational factors of stroke patients in rehabilitation may help the game designers to design motivation-driven game contexts, contents, and gameplay. Moreover, these findings may also help healthcare professionals who concern stroke patient’s motivation in rehabilitative context. In this paper, we reported our Virtual Nursing Home (VNH concept and the games that we are currently developing and re-designing. Based on this literature review, we will present and test out the ideas how we can integrate these motivational factors in our future game design, development, and enhancement.

  4. SWALLOWING IN PATIENTS WITH LARYNGITIS.

    Science.gov (United States)

    Moda, Isabela; Ricz, Hilton Marcos Alves; Aguiar-Ricz, Lilian Neto; Dantas, Roberto Oliveira

    2018-01-01

    Dysphagia is described as a complaint in 32% of patients with laryngitis. The objective of this investigation was to evaluate oral and pharyngeal transit of patients with laryngitis, with the hypothesis that alteration in oral-pharyngeal bolus transit may be involved with dysphagia. Videofluoroscopic evaluation of the swallowing of liquid, paste and solid boluses was performed in 21 patients with laryngitis, 10 of them with dysphagia, and 21 normal volunteers of the same age and sex. Two swallows of 5 mL liquid bolus, two swallows of 5 mL paste bolus and two swallows of a solid bolus were evaluated in a random sequence. The liquid bolus was 100% liquid barium sulfate and the paste bolus was prepared with 50 mL of liquid barium and 4 g of food thickener (starch and maltodextrin). The solid bolus was a soft 2.2 g cookie coated with liquid barium. Durations of oral preparation, oral transit, pharyngeal transit, pharyngeal clearance, upper esophageal sphincter opening, hyoid movement and oral-pharyngeal transit were measured. All patients performed 24-hour distal esophageal pH evaluation previous to videofluoroscopy. The evaluation of 24-hour distal esophageal pH showed abnormal gastroesophageal acid reflux in 10 patients. Patients showed longer oral preparation for paste bolus and a faster oral transit time for solid bolus than normal volunteers. Patients with laryngitis and dysphagia had longer preparation for paste and solid boluses, and a faster oral transit time with liquid, paste and solid boluses. A longer oral preparation for paste and solid boluses and a faster transit through the mouth are associated with dysphagia in patients with laryngitis.

  5. Difficult physician-patient relationships.

    Science.gov (United States)

    Reifsteck, S W

    1998-01-01

    Changes in the delivery of health care services in the United States are proceeding so rapidly that many providers are asking how the working relationships between doctors and patients will be effected. Accelerated by cost containment, quality improvement and the growth of managed care, these changes have caused some critics to feel that shorter visits and gatekeeper systems will promote an adversarial relationship between physicians and patients. However, proponents of the changing system feel that better prevention, follow-up care and the attention to customer service these plans can offer will lead to increased patient satisfaction and improved doctor-patient communication. Dedicated to addressing these concerns, the Bayer Institute for Health Care Communication was established in 1987 as a continuing medical education program (CME) focusing on this topic. A half-day workshop on clinician-patient communication to enhance health outcomes was introduced in 1992 and a second workshop, "Difficult' Clinician-Patient Relationships," was developed two years later. The two courses discussed in this article are offered to all physicians, residents, medical students, mid-level providers and other interested staff within the Carle system.

  6. Protection of patients in dentistry

    International Nuclear Information System (INIS)

    Selato Selato, P.

    2013-04-01

    Current literature on dental radiology was reviewed in order to seek justification for radiological protection of patients in dental radiography, to explore the different factors affecting patient dose and to derive practical guidance on how to achieve radiological protection of patients in dentistry. Individual doses incurred in dental radiology are in general relatively low, however it is generally accepted that there is no safe level of radiation dose and that no matter how low the doses received are, there is a mathematical probability of an effect. Hence appropriate patient protection measures must be instituted to keep the exposures as low as reasonably achievable (ALARA). The literature review demonstrated that there is considerable scope for significant dose reductions in dental radiology using the techniques of optimisation of protection. The techniques of optimization of protection that can be used to ensure patient dose is as low as reasonably achievable whilst achieving clinically adequate image quality include the following: image receptor selection, image receptor holders, collimation, beam filtration, operating potential and exposure time, patient protective equipment, film exposure and processing, film storage, image viewing, quality assurance, diagnostic reference levels, technique charts and training and education.(au)

  7. Patients survey after concurrent chemoradiotherapy

    International Nuclear Information System (INIS)

    Shimane, Toshikazku; Egawa, Syunya; Mori, Tomoaki; Ono, Tomohiro; Monden, Tetsuya; Kobayashi, Sei; Sanbe, Takeyuki; Suzaki, Harumi

    2010-01-01

    Concurrent chemoradiotherapy for cancer of head and neck is becoming more popular as the treatment of choice. It is considered to maintain the quality of life (QOL) of patients better than operative treatments in terms of preserving the functions, organs, and figure, but recently we cannot necessarily say that it maintains the QOL of patients better than operative treatments because its complications after therapy disturb daily life. We report the results of a questionnaire survey about complications after therapy, problems during therapy, improvements, and satisfaction level directed at patients with cancer of the head and neck who received Concurrent chemoradiotherapy for the purpose of ascertaining if patients can actually maintain their QOL after therapy. As a result, the most controversial problem was mouth dryness, but the symptom improved as the follow-up duration got longer. As for the satisfaction level, 'very-satisfied' and 'almost-satisfied' were more than 90%, so we concluded that the QOL of patients is maintained after therapy, while there are still improvements to be made. We also concluded that we should continue to make improvement and try to improve the QOL of patients during and after therapy. (author)

  8. Radiographic evaluation of AIDS patients

    International Nuclear Information System (INIS)

    Le Blang, S.D.; Witheman, M.L.; Donovan Post, M.J.; Casillas, J.V.

    1995-01-01

    Morphological imaging, based on the use of various techniques including ultrasound, X-ray computed tomography (CT), and magnetic resonance imaging (MRI), plays an important role in the characterization, diagnosis and follow-up of patients with Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS). While the presence of thoracic infections, the most frequently observed illnesses in AIDS patients, can best be performed by using conventional chest films and CT, the assessment of cerebral involvement in AIDS patients - characterized by the presence of focal masses, demyelination, meningitis, and infarction - is best achieved using MRI. The work-up of patients with gastrointestinal symptoms should include the use of ultrasound for the evaluation of visceral involvement and lymphadenopathy, completed by CT to further characterize pathologic conditions in either the bowel or visceral organs. Ultrasound is the screening exam of choice in AIDS patients with suspected renal disease, but other methods may be necessary for the assessment of the complications due to pharmacological treatment. Musculoskeletal complications may require the combined use of all the above methods, since they may be caused by infections, tumors and rheumatologic illness. The use of the radiographic methods for the detection of the numerous forms of infections and malignancies in AIDS patients is described in detail for the various body districts

  9. Neurophysiological approach to tinnitus patients.

    Science.gov (United States)

    Jastreboff, P J; Gray, W C; Gold, S L

    1996-03-01

    The principal postulate of the neurophysiological model of tinnitus is that all levels of the auditory pathways and several nonauditory systems play essential roles in each case of tinnitus, stressing the dominance of nonauditory systems in determining the level of tinnitus annoyance. Thus it has been proposed to treat tinnitus by inducing and facilitating habituation to the tinnitus signal. The goal is to reach the stage at which, although patients may perceive tinnitus as unchanged when they focus on it, they are otherwise not aware of tinnitus. Furthermore, even when perceived, tinnitus does not evoke annoyance. Habituation is achieved by directive counseling combined with low-level, broad-band noise generated by wearable generators, and environmental sounds, according to a specific protocol. For habituation to occur, it is imperative to avoid masking tinnitus by these sounds. Since 1991, > 500 tinnitus patients have been seen in our center. About 40% exhibited hyperacusis to varying degrees. A survey of > 100 patients revealed > 80% of significant improvement in groups of patients treated with the full protocol involving counseling and the use of noise generators. Notably, in patients who received counseling only, the success rate was < 20%. The improvement in hyperacusis was observed in approximately 90% of treated patients.

  10. Comparisons between written and computerised patient histories

    NARCIS (Netherlands)

    Quaak, Martien; Westerman, R. Frans; van Bemmel, Jan H.

    1987-01-01

    Patient histories were obtained from 99 patients in three different ways: by a computerised patient interview (patient record), by the usual written interview (medical record), and by the transcribed record, which was a computerised version of the medical record. Patient complaints, diagnostic

  11. Information technology for patient empowerment in healthcare

    CERN Document Server

    Grando, Maria Adela; Bates, David

    2015-01-01

    The authors explore novel information-based mechanisms that are changing the way patients are involved in their own health care. The book covers models, frameworks and technologies to improve patient-to-provider communication, patient interaction with information technologies, patient education and involvement in health care decision processes, and patient access, understanding and control over their clinical data.

  12. [Enteral nutrition in burn patients].

    Science.gov (United States)

    Pereira, J L; Garrido, M; Gómez-Cía, T; Serrera, J L; Franco, A; Pumar, A; Relimpio, F; Astorga, R; García-Luna, P P

    1992-01-01

    Nutritional support plays an important role in the treatment of patients with burns. Due to the severe hypercatabolism that develops in these patients, oral support is insufficient in most cases, and this makes it essential to initiate artificial nutritional support (either enteral or parenteral). Enteral nutrition is more physiological than parenteral, and data exist which show that in patients with burns, enteral nutrition exercises a protective effect on the intestine and may even reduce the hypermetabolic response in these patients. The purpose of the study was to evaluate the effectiveness and tolerance of enteral nutritional support with a hypercaloric, hyperproteic diet with a high content of branched amino acids in the nutritional support of patients suffering from burns. The study included 12 patients (8 males and 4 females), admitted to the Burns Unit. Average age was 35 +/- 17 years (range: 21-85 years). The percentage of body surface affected by the burns was 10% in two cases, between 10-30% in three cases, between 30-50% in five cases and over 50% in two cases. Initiation of the enteral nutrition was between twenty-four hours and seven days after the burn. The patients were kept in the unit until they were discharged, and the average time spent in the unit was 31.5 days (range: 17-63 days). Total energetic requirements were calculated based on Harris-Benedict, with a variable aggression factor depending on the body surface burned, which varied from 2,000 and 4,000 cal day. Nitrogenous balance was determined on a daily basis, and plasmatic levels of total proteins, albumin and prealbumin on a weekly basis. There was a significant difference between the prealbumin values at the initiation and finalization of the enteral nutrition (9.6 +/- 2.24 mg/dl compared with 19.75 +/- 5.48 mg/dl; p diet was very good, and only mild complications such as diarrhoea developed in two patients. Enteral nutrition is a suitable nutritional support method for patients with

  13. ETHICAL MODELS OF PHYSICIAN--PATIENT RELATIONSHIP REVISITED WITH REGARD TO PATIENT AUTONOMY, VALUES AND PATIENT EDUCATION.

    Science.gov (United States)

    Borza, Liana Rada; Gavrilovici, Cristina; Stockman, René

    2015-01-01

    The present paper revisits the ethical models of patient--physician relationship from the perspective of patient autonomy and values. It seems that the four traditional models of physician--patient relationship proposed by Emanuel & Emanuel in 1992 closely link patient values and patient autonomy. On the other hand, their reinterpretation provided by Agarwal & Murinson twenty years later emphasizes the independent expression of values and autonomy in individual patients. Additionally, patient education has been assumed to join patient values and patient autonomy. Moreover, several authors have noted that, over the past few decades, patient autonomy has gradually replaced the paternalistic approach based on the premise that the physician knows what is best for the patient. Neither the paternalistic model of physician-patient relationship, nor the informative model is considered to be satisfactory, as the paternalistic model excludes patient values from decision making, while the informative model excludes physician values from decision making. However, the deliberative model of patient-physician interaction represents an adequate alternative to the two unsatisfactory approaches by promoting shared decision making between the physician and the patient. It has also been suggested that the deliberative model would be ideal for exercising patient autonomy in chronic care and that the ethical role of patient education would be to make the deliberative model applicable to chronic care. In this regard, studies have indicated that the use of decision support interventions might increase the deliberative capacity of chronic patients.

  14. Radiation protection in BNCT patients

    International Nuclear Information System (INIS)

    Blaumann, Hernan R.; Scharnichia, E.; Levanon, I.; Fernandez, C.; Facchini, Guillermo; Longhino, J.; Calzetta, Osvaldo; Pereira, M.

    2008-01-01

    Full text: Boron Neutron Capture Therapy (BNCT) is a technique that selectively targets cancer cells while sparing normal tissues by virtue of the differential uptake of a 10 B carrier compound in tumor. The National Atomic Energy Commission (CNEA) and the Oncology Institute 'Angel H. Roffo' (IOAR) began a BNCT programme in 2003 for treating cutaneous skin melanomas in extremities. The neutron beam used is the hyperthermal one developed at the RA-6 Reactor of the Bariloche Atomic Centre (CAB). The prescribed dose is delivered in one fraction and therefore patient positioning and knowledge of the dose received by normal tissue are crucial. 10 irradiations have been done since 2003, all of them in legs and feet and the dose prescription was determined by the maximum tolerable skin dose. Due to the characteristics of this treatment the patient body might be exposed not only to the primary beam but also to the secondary photon beam produced by neutron capture at the target itself. Thus a patient radiation-monitoring plan was implemented in order to evaluate the gamma dose delivered to sensible organs of each patient. An acrylic water-filled whole body phantom was used for preliminary gamma dose and thermal neutron flux measurements at positions related to patient's body sensible organs considering tentative patient positions. The beam port shielding was, in this way, optimized. TLD-700 and Manganese foils were used for gamma and thermal neutron detection. The TLD-700 thermal neutron response was previously evaluated by using the in-phantom beam dosimetry characterization. In-vivo dosimetry with TLD is routinely implemented in order to evaluate gamma dose to sensible organs of each patient. These organs are chosen depending on its distance from the zone to be irradiated and its radio-sensibility. All TLDs have been positioned well outside the irradiation field. Maximum gamma dose received outside the radiation field in healthy tissues was well below tolerance dose for

  15. Survival of Sami cancer patients

    Directory of Open Access Journals (Sweden)

    Leena Soininen

    2012-07-01

    Full Text Available Objectives. The incidence of cancer among the indigenous Sami people of Northern Finland is lower than among the Finnish general population. The survival of Sami cancer patients is not known, and therefore it is the object of this study. Study design. The cohort consisted of 2,091 Sami and 4,161 non-Sami who lived on 31 December 1978 in the two Sami municipalities of Inari and Utsjoki, which are located in Northern Finland and are 300–500 km away from the nearest central hospital. The survival experience of Sami and non-Sami cancer patients diagnosed in this cohort during 1979–2009 was compared with that of the Finnish patients outside the cohort. Methods. The Sami and non-Sami cancer patients were matched to other Finnish cancer patients for gender, age and year of diagnosis and for the site of cancer. An additional matching was done for the stage at diagnosis. Cancer-specific survival analyses were made using the Kaplan–Meier method and Cox regression modelling. Results. There were 204 Sami and 391 non-Sami cancer cases in the cohort, 20,181 matched controls without matching with stage, and 7,874 stage-matched controls. In the cancer-specific analysis without stage variable, the hazard ratio for Sami was 1.05 (95% confidence interval 0.85–1.30 and for non-Sami 1.02 (0.86–1.20, indicating no difference between the survival of those groups and other patients in Finland. Likewise, when the same was done by also matching the stage, there was no difference in cancer survival. Conclusion. Long distances to medical care or Sami ethnicity have no influence on the cancer patient survival in Northern Finland.

  16. Otorhinolaryngological patient injuries in Finland.

    Science.gov (United States)

    Lehtivuori, Tuuli; Palonen, Reima; Mussalo-Rauhamaa, Helena; Holi, Tarja; Henriksson, Markus; Aaltonen, Leena-Maija

    2013-10-01

    Otorhinolaryngology (ORL) is considered a specialty associated with few serious patient injuries. Research data that support this belief are, however, scarce. We analyzed claims associated with ORL to determine the number of Finnish cases and the possible common denominators. Register study of ORL cases in the Patient Insurance Centre (PIC), the Regional State Administrative Agencies (RSAA), and the National Supervisory Authority for Welfare and Care (Valvira) during the years 2004 to 2008. These three agencies are the main actors in the field of patient injury in Finland. We analyzed compensated ORL patient injury cases from the PIC and cases associated with the ORL specialty for Valvira and RSAA from 2004 to 2008 and surveyed patient treatment files, statements from specialists, and compensation decisions. Injuries were usually associated with operations; three patients who experienced injuries during these procedures died. Common ORL operations such as tonsillectomy, septoplasty, and paranasal sinus surgery were most often associated with compensated injuries. Serious injuries were few, with a total of 110 out of 422 (26.1%) claims compensated by the PIC. Of the 110 compensated cases, 30 (27.3%) were related to tumor surgery. The most usual compensated case had iatrogenic nerve injury affecting the facial or trigeminal nerves. Of the compensated cases, 79 (71.8%) were treated by specialists, 15 (13.6%) by residents, and the rest by other medical professionals. Patient injuries in ORL are seldom severe and are strongly associated with surgery. A typical compensated injury was one that occurred in a central hospital during working hours. N/A. Copyright © 2013 The American Laryngological, Rhinological, and Otological Society, Inc.

  17. Visuomotor learning in cerebellar patients.

    Science.gov (United States)

    Timmann, D; Shimansky, Y; Larson, P S; Wunderlich, D A; Stelmach, G E; Bloedel, J R

    1996-11-01

    The aim of the present study was to demonstrate that patients with pathology affecting substantial regions of the cerebellum can improve their performance in a series of two-dimensional tracing tasks, thus supporting the view that this type of motor behavior can be acquired even when the integrity of this structure is compromised. Eight patients with chronic, isolated cerebellar lesions and eight age- and sex-matched healthy controls were tested. Three patients had mild, five had moderate upper limb ataxia. The experiment was divided into two parts. In the first, subjects traced an irregularly shaped outline over 20 consecutive trials ('Trace 1' task). Next, subjects were asked to redraw the object without any underlying template as a guide ('Memory 1' task). In the second part of the study, subjects were asked to trace a different, irregularly shaped outline over 20 consecutive trials ('Trace 2' task). Next, they were required to redraw it by memory with its axis rotated 90 degrees ('Memory 2' task). In each of the memory tasks the template was placed over the drawn image after each trial and shown to the subjects. The error of performance was determined by calculating three different measurements, each focused on different aspects of the task. Based on these measurements, the cerebellar patients showed improvement in both memory tasks. In the 'Memory 1' task the calculated error decreased significantly for the patients with mild ataxia. In the 'Memory 2' task all cerebellar patients improved their performance substantially enough to reduce significantly the magnitude of all three error measurements. The experiments demonstrate that patients with cerebellar lesions are capable of improving substantially their performance of a complex motor task involving the recall of memorized shapes and the visuomotor control of a tracing movement.

  18. Clinical management of patients with hyperthyroidism

    International Nuclear Information System (INIS)

    Cooper, D.S.; Ridgway, E.C.

    1985-01-01

    The clinical management of the hyperthyroid patient is controversial, because there is no perfect treatment. Factors that influence the choice of therapy include the patient's age, sex, and type of hyperthyroidism, as well as patient and physician preference

  19. Mental changes in patients with AIDS

    NARCIS (Netherlands)

    Derix, M. M.; de Gans, J.; Stam, J.; Portegies, P.

    1990-01-01

    Mental changes are common in patients with acquired immunodeficiency syndrome (AIDS). Neuropsychological data of 32 patients with AIDS and cognitive symptoms were reviewed. All patients were neurologically examined and ancillary investigations were performed. According to the neuropsychological data

  20. Masticatory performance in patients with myasthenia gravis

    NARCIS (Netherlands)

    Weijnen, FG; Kuks, JBM; van der Glas, HW; Oudenaarde, [No Value; Bosman, F

    Masticatory muscle electromyograms (EMGs) were recorded while patients with bulbar myasthenia gravis chewed artificial food and compared with those of patients with ocular myasthenia gravis, patients in clinical remission who had previously suffered from bulbar myasthenia gravis and healthy