162,534 research outputs found
Nurse Responsiveness to Emotional Cues of Cancer Patients. Development of a Training Program.
No full textContains fulltext :
81369.pdf (Publisher’s version ) (Open Access)RU Radboud Universiteit Nijmegen, 26 mei 2009Promotores : Achterberg, T. van, Bensing, J., Mulder, P.H.M. de176 p
What patients want.
No full textObjective: Although most health care professionals im- or explicitly will assume that they tend to use patient-centered communication strategies, there are reasons to believe that this might not always be a valid assumption. In everyday practice, professionals’ own value system is often the dominant steering guide. This Special Issue aims to bring together ongoing research and reflections about the quality of health care communication from the patients’ own perspective. In short: what do patients want? Methods: This introduction presents a comprehensive overview of the papers in the special issue of Patient Education and Counseling within a framework that describes the collected papers according to the six functions of medical consultations, taking account of the studies’ applied methodologies: quantitative versus qualitative. Results: Two functions of the medical consultation are strongly represented in the collected papers on the quality of communication from the patients’ perspective: ‘fostering the relationship’ and ‘information giving’. There is a remarkable difference between the qualiative and quantitative studies, showing that if patients are not limited to prestructured questionnaires but completely free to express themselves, they tend to focus on ‘fostering the relationship’ with an emphasis on personal attention, warmth and empathy. Conclusions: Patients’ needs and preferences for personalized and humane medical care cannot be overestimated. For the rest, patient diversity is striking, showing the limited usefulness of general communication guidelines for the other five functions of the medical consultation. Researchers should be aware that patients’ views might be different dependent on the applied methodologies. (aut. ref.
Quality of Communication from the Patient Perspective
No full textAlthough most health care professionals im- or explicitly will assume that they tend to use patient-centered communication strategies, there are reasons to believe that this might not always be a valid assumption. In everyday practice, professionals’ own value system is often the dominant steering guide. This Special Issue aims to bring together ongoing research and reflections about the quality of health care communication from the patients’ own perspective. In short: what do patients want
[Report to Chief J. E. Curry, by an unknown author #1]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
[Report to Chief J. E. Curry, by an unknown author #2]
No full textReport to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney
Pituitary autoantibodies in endocrine disorders
No full textAutoimmune endocrine disorders are characterised by the development of autoantibodies to specific autoantigens in the target organs. Lymphocytic hypophysitis (LyH) is a disease characterised by inflammation of the pituitary gland, often resulting in hypopituitarism. The aetiology of LyH is considered to be autoimmune. However, only a few pituitary autoantigens have so far been identified. Reliable autoantibody markers are requested in the diagnostic procedure of LyH to avoid unnecessary surgical intervention.The aim of this study was to evaluate the occurrence of pituitary autoantibodies in patients with nonadenomatous pituitary disease and also to identify novel pituitary autoantigens. Autoantibodies to human pituitary cytosolic proteins were determined by immunoblotting. Reactivity to a M, 49 000 pituitary autoantigen was significantly more frequent in patients with idiopathic pituitary hormone deficiency (6/21 (28%) pAutoantibodies against human pituitary cytosol and ten additional organspecific autoantigens were measured in sera from 30 patients with empty sella syndrome (ESS). None of the autoantibodies tested was more frequently found in ESS patients compared to healthy controls. Thus, by analysing autoantibodies we did not find evidence of ESS being associated with any autoimmune disease.Autoantibodies to a novel 36-kDa pituitary cytosolic autoantigen were more common in patients with ACTH-deficiency (12/65 (18.5%) compared to control subjects (2/57 3.5%) (pA human pituitary cDNA expression library was successfully constructed. Immunoscreening identified secretogranin II as a pituitary autoantigen in a patient with partial pituitary insufficiency and empty sella.By immunohistochemistry, autoantibodies against ACTH and gonadotrophs were detected in sera from patients with autoimmune polyendocrine syndrome type 1 (APS1) and GHdeficiency. Sera from these patients also showed staining of monoamine and GABA nerve terminals in the pituitary intermediate lobe, in agreement with immunoreactivity towards enzymes involved in the biosynthesis of neurotransmittors. By screening of the human pituitary cDNA expression library we identified TDR136 as a major autoantigen in APS 1.List of scientific papersI. Stromberg S, Crock P, Lernmark A, Hulting AL (1998). Pituitary autoantibodies in patients with hypopituitarism and their relatives. J Endocrinol. 157(3): 475-80. https://doi.org/10.1677/joe.0.1570475 II. Bensing S, Rorsman F, Crock P, Sanjeevi C, Ericson K, Kampe O, Brismar K, Hulting AL (2004). No evidence for autoimmunity as a major cause of the empty sella syndrome. Exp Clin Endocrinol Diabetes. 112(5): 231-5. https://doi.org/10.1055/s-2004-817968 III. Bensing S, Kasperlik-Zaluska AA, Czarnocka B, Crock PA, Hulting A (2005). Autoantibodies against pituitary proteins in patients with adrenocorticotropin-deficiency. Eur J Clin Invest. 35(2): 126-32. https://doi.org/10.1111/j.1365-2362.2005.01459.x IV. Bensing S, Hulting AL, Hogg A, Ericson K, Kampe O (2005). Lymphocytic hypophysitis: Report of two biopsy-proven cases and one suspected case with pituitary auotantibodies. [Submitted] V. Bensing S, Fetissov S, Perheentupa J, Gustafsson J, Husebye ES, Oscarson M, Ekwall O, Crock PA, Hokfelt T, Hulting AL, Kampe O (2005). Pituitary autoantibodies in autoimmune polyendocrine syndrome type 1. [Submitted] </p
You only have one chance for a first impression! Impact of patients' first impression on the global quality assessment of doctors' communication approach.
No full textBackground
Patients' first impressions obtained during early contacts with doctors represent the basis for relationship building processes. Aim of this study was to verify how patients' first impression of doctors' communication approach influences patients' global assessment of doctors' performance. This cross-sectional study was part of a larger, multicenter observational study aiming to assess lay-people's preferences regarding patient-doctor communication.
Methods
All participants (N = 136) were equally distributed over two selected Italian and Dutch recruitment centers as well as for gender and age. In each center, panels of 6-9 persons each watched the same set of eight videotaped Objective Structured Clinical Examination consultations. Participants performed different tasks as to pick up salient communication elements while watching the videos and to rate doctors' global communicative performances on a 10-point Likert scale. We performed a mediation analysis to assess direct and indirect effects of participants' first impression on participants' global assessment.
Results
Among the 439 collected first impressions, 284(65%) were positive. When the first impression was positive, the mean value of the global assessment of doctors' performance was significantly higher (M = 7.4, SD = 1.5) than when the first impression was negative (M = 6.0, SD = 1.6); t(437) = 9.0 p < .001. According to the mediation analysis, this difference was due to a direct (c' = 0.53) and an indirect effect (ab = 0.86) deriving from the total effect of first impressions on the global assessment of doctors' performances (c = 1.39).
Conclusion
In conclusion, the first impression has a strong impact on positive and negative judgments on doctors' communication approach and may facilitate or inhibit all further interactions
Relation between general practitioner and psychologist 1976
No full textNature of contacts between psychologists and general practitioners / details on occupation: ( position, function ) of psychologist / nature of practice of G.P. ( group, single, etc. ) / duration of contacts / reasons for termination / originator of contact / frequency / financing / location / time investment / satisfaction
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