2,122 research outputs found
Pink Poui in Full Bloom, Jamaica
No full textA photographic image of a flowering bush, Pink Poui in Jamaca by photographer Emma Lewis
Boat Ride
No full textA photographic image featuring a Boat Ride, near Ocho Rios, St. Ann, Jamaica by photographer Emma Lewis
Water Lily
No full textA photographic image depicting a white water lily taken at St. Mary, Jamaica by photographer, Emma Lewis
Lewis, I. H.
No full textCarte-de-visite of I.H. Lewis from the United States Civil War period. Writing in ink on back reads "Miss Emma E. Prindle Complements of I. H. Lewis of the Army Miss Emma E. Prindle I H Lewis 9th Maine
Johnson C. Smith University library staff members, 1972.
No full textPhotograph of JCSU Library staff members sitting together in the library. Top of photo is labeled ""1972 Library Staff"". Caption beneath photo reads ""L-R: Mrs. Desai, Mrs. Mary C. Flowe, Mrs. Mattie Grigsby, Mrs. Margie Lewis, Ernest L. James, Miss Belinda Wang, Miss Emma Bell, Mrs. Barbara Gibbs, Mrs Mildred Sanders"
"C. W. Lewis" in Old Town
No full textOx cart and driver in front of territorial style building with sign "C. W. Lewis" in Old Town (Albuquerque
The Patient Deficit Model Overturned: a qualitative study of patients' perceptions of invitation to participate in a randomized controlled trial comparing selective bladder preservation against surgery in muscle invasive bladder cancer (SPARE, CRUK/07/011)
No full textBackground Evidence suggests that poor recruitment into clinical trials rests on a patient 'deficit' model - an inability to comprehend trial processes. Poor communication has also been cited as a possible barrier to recruitment. A qualitative patient interview study was included within the feasibility stage of a phase III non-inferiority Randomized Controlled Trial (RCT) (SPARE, CRUK/07/011) in muscle invasive bladder cancer. The aim was to illuminate problems in the context of randomization.Methods The qualitative study used a 'Framework Analysis' that included 'constant comparison' in which semi-structured interviews are transcribed, analyzed, compared and contrasted both between and within transcripts. Three researchers coded and interpreted data.Results Twenty-four patients agreed to enter the interview study; 10 decliners of randomization and 14 accepters, of whom 2 subsequently declined their allocated treatment.The main theme applying to the majority of the sample was confusion and ambiguity. There was little indication that confusion directly impacted on decisions to enter the SPARE trial. However, confusion did appear to impact on ethical considerations surrounding 'informed consent', as well as cause a sense of alienation between patients and health personnel.Sub-optimal communication in many guises accounted for the confusion, together with the logistical elements of a trial that involved treatment options delivered in a number of geographical locations.Conclusions These data highlight the difficulty of providing balanced and clear trial information within the UK health system, despite best intentions. Involvement of multiple professionals can impact on communication processes with patients who are considering participation in RCTs. Our results led us to question the 'deficit' model of patient behavior. It is suggested that health professionals might consider facilitating a context in which patients feel fully included in the trial enterprise and potentially consider alternatives to randomization where complex interventions are being tested.Trial registration ISRCTN61126465
sj-pdf-1-trd-10.1177_26330040211022033 – Supplemental material for They’ve been BITTEN: reports of institutional and provider betrayal and links with Ehlers-Danlos Syndrome patients’ current symptoms, unmet needs and healthcare expectations
No full textSupplemental material, sj-pdf-1-trd-10.1177_26330040211022033 for They’ve been BITTEN: reports of institutional and provider betrayal and links with Ehlers-Danlos Syndrome patients’ current symptoms, unmet needs and healthcare expectations by Jennifer Langhinrichsen-Rohling, Chrystal L. Lewis, Sean McCabe, Emma C. Lathan, Gabrielle A. Agnew, Candice N. Selwyn and Margaret E. Gigler in Therapeutic Advances in Rare Disease</p
What makes a good doctor in the 21st century? A qualitative study
No full textSociety wants and expects good doctors. The definition of a good doctor is difficult to characterize. This study aims to identify those features considered by patients and health-care professionals to be important in making a good doctor.<br/
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