4,439 research outputs found
General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland - a pilot prospective study using structural equation modelling
Get PDF<b>Objective</b> The aim of this pilot prospective study was to investigate the relationships between general practitioners (GPs) empathy, patient enablement, and patient-assessed outcomes in primary care consultations in an area of high socio-economic deprivation in Scotland.<p></p>
<b>Methods</b> This prospective study was carried out in a five-doctor practice in an area of high socio-economic deprivation in Scotland. Patients’ views on the consultation were gathered using the Consultation and Relational Empathy (CARE) Measure and the Patient Enablement Instrument (PEI). Changes in main complaint and well-being 1 month after the contact consultation were gathered from patients by postal questionnaire. The effect of GP empathy on patient enablement and prospective change in outcome was investigated using structural equation modelling.<p></p>
<b>Results</b> 323 patients completed the initial questionnaire at the contact consultation and of these 136 (42%) completed and returned the follow-up questionnaire at 1 month. Confirmatory factor analysis confirmed the construct validity of the CARE Measure, though omission of two of the six PEI items was required in order to reach an acceptable global data fit. The structural equation model revealed a direct positive relationship between GP empathy and patient enablement at contact consultation and a prospective relationship between patient enablement and changes in main complaint and well-being at 1 month.<p></p>
<b>Conclusion</b> In a high deprivation setting, GP empathy is associated with patient enablement at consultation, and enablement predicts patient-rated changes 1 month later. Further larger studies are desirable to confirm or refute these findings.<p></p>
<b>Practice implications</b> Ways of increasing GP empathy and patient enablement need to be established in order to maximise patient outcomes. Consultation length and relational continuity of care are known factors; the benefit of training and support for GPs needs to be further investigate
Stolen City: Racial Capitalism and the Making of Winnipeg
Get PDFBook review by Simon J. Lambert of Stolen City: Racial Capitalism and the Making of Winnipeg, author Owen Toews
Supplemental material for A mixed-methods pilot study to evaluate a collaborative anaesthetic and surgical training package for emergency surgical cricothyroidotomy
No full textSupplemental Material for A mixed-methods pilot study to evaluate a collaborative anaesthetic and surgical training package for emergency surgical cricothyroidotomy by Richard J Berwick, William Gauntlett, Sergio A Silverio, Hilary Wallace, Simon A Mercer, Jeremy M Brown, John E Sandars, Ben Morton and Peter Groom in Anaesthesia and Intensive Care</p
Simon Winchester, Map that changed the world
No full textreviewThe author, noted writer Simon Winchester (who graduated with a Geology degree from Oxford University), makes no secret of the fact that this text is an unabashed tribute to his hero, William Smith, a nineteenth century surveyor and canal digger whose passionate hobby was geology. In the course of Smith\u27s vocation and avocation he went on to create what became the first geologic map of the British Isles in 1815 and to become the individual who many believe to be the father of modem geology
Profile of route by the Grand Portage and Pigeon River from Lake Superior to Rainy Lake ; Profile of route between Lake Superior and Rainy Lake by the Kaministiquia and Riviere la Seine / [signed] S.J. Dawson, C.E. in charge Red River Expedition. Related titles Related to : Dawson, S.J. (Simon James), 1820-1902. Report on the exploration of the country between Lake Superior and the Red River settlement. (Simon James), 1820-1902. Report on the exploration of the country between Lake Superior and the Red River settlement.
No full textSummary
Elevation profiles of two routes connecting Lake Superior and Rainy Lake in northwestern Ontario, each via a series of waterways and portages.
Notes
Likely detached from: Dawson, S.J. (Simon James), 1820-1902, author. Report on the exploration of the country between Lake Superior and the Red River settlement : and between the latter place and the Assiniboine and Saskatchewan / by S.J. Dawson, Esquire, C.E.
Map theme: Land Use, Land Cover.
Related Work
Dawson, S. J. (Simon James), 1820-1902. Report on the exploration of the country between Lake Superior and the Red River settlement.ColorScale 1:253,440. 4 miles to 1 in. Vertical scale 1:2,400. 200 ft. to 1 in. (W 92°38ʹ--W 89°31ʹ/N 48°31ʹ--N 47°58ʹ).
Scale 1:253,440. 4 miles to 1 in. Vertical scale 1:2,400. 200 ft. to 1 in. (W 92°44ʹ--W 89°11ʹ/N 48°49ʹ--N 48°18ʹ)
Exploiting Domain Knowledge in Making Delegation Decisions
Get PDF@inproceedings{conf/admi/EmeleNSP11, added-at = {2011-12-19T00:00:00.000+0100}, author = {Emele, Chukwuemeka David and Norman, Timothy J. and Sensoy, Murat and Parsons, Simon}, biburl = {http://www.bibsonomy.org/bibtex/20a08b683088443f1fd36d6ef28bf6615/dblp}, booktitle = {ADMI}, crossref = {conf/admi/2011}, editor = {Cao, Longbing and Bazzan, Ana L. C. and Symeonidis, Andreas L. and Gorodetsky, Vladimir and Weiss, Gerhard and Yu, Philip S.}, ee = {http://dx.doi.org/10.1007/978-3-642-27609-5_9}, interhash = {1d7e7f8554e8bdb3d43c32e02aeabcec}, intrahash = {0a08b683088443f1fd36d6ef28bf6615}, isbn = {978-3-642-27608-8}, keywords = {dblp}, pages = {117-131}, publisher = {Springer}, series = {Lecture Notes in Computer Science}, timestamp = {2011-12-19T00:00:00.000+0100}, title = {Exploiting Domain Knowledge in Making Delegation Decisions.}, url = {http://dblp.uni-trier.de/db/conf/admi/admi2011.html#EmeleNSP11}, volume = 7103, year = 2011
Environmental and Parental Influences on Offspring Health and Growth in Great Tits (Parus major)
Get PDFPMCID: PMC3728352This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Prevalence of masturbation and associated factors in a British national probability survey
No full textA stratified probability sample survey of the British general population, aged 16 to 44 years, was conducted from 1999 to 2001 (N = 11,161) using face-to-face interviewing and computer-assisted self-interviewing. We used these data to estimate the population prevalence of masturbation, and to identify sociodemographic, sexual behavioral, and attitudinal factors associated with reporting this behavior. Seventy-three percent of men and 36.8% of women reported masturbating in the 4 weeks prior to interview (95% confidence interval 71.5%-74.4% and 35.4%-38.2%, respectively). A number of sociodemographic and behavioral factors were associated with reporting masturbation. Among both men and women, reporting masturbation increased with higher levels of education and social class and was more common among those reporting sexual function problems. For women, masturbation was more likely among those who reported more frequent vaginal sex in the last four weeks, a greater repertoire of sexual activity (such as reporting oral and anal sex), and more sexual partners in the last year. In contrast, the prevalence of masturbation was lower among men reporting more frequent vaginal sex. Both men and women reporting same-sex partner(s) were significantly more likely to report masturbation. Masturbation is a common sexual practice with significant variations in reporting between men and women
Exciplex fluorescence of {[Zn(bipy)(1.5)(NO3)(2)}]center dot CH3OH center dot 0.5pyrene}n: a coordination polymer containing intercalated pyrene molecules (bipy=4,4 '-bipyridine)
No full textWe report the first use of fluorescence spectroscopy to probe the environment of the cavities that are present in open framework coordination polymers.PT: J; CR: BIRADHA K, 1998, CHEM COMMUN, P1327 BODENANT B, 1998, J AM CHEM SOC, V120, P7511 BODENANT B, 1999, J ORG CHEM, V64, P7034 DEDEREN JC, 1981, J PHYS CHEM-US, V85, P1198 FRAIJI LK, 1992, J CHEM EDUC, V69, P424 FUJITA M, 1994, J AM CHEM SOC, V116, P1151 GRIESER F, 1980, J AM CHEM SOC, V102, P7258 HARRIMAN A, 1999, PHYS CHEM CHEM PHYS, V1, P4203 HARTLEY RJ, 1985, J AM CHEM SOC, V107, P3436 KALYANASUNDARAM K, 1977, J AM CHEM SOC, V99, P2039 LOSIER P, 1996, ANGEW CHEM INT EDIT, V35, P2779 MOULTON B, 2001, CHEM REV, V101, P1629 NOSAKA Y, 1981, J PHYS CHEM-US, V85, P1353 SEN K, 2001, J PHYS CHEM A, V105, P9077 SIMON JA, 1997, J AM CHEM SOC, V119, P11012 SOUJANYA T, 2000, J PHYS CHEM A, V104, P9408 WILSON GJ, 1997, J PHYS CHEM A, V101, P4860 WILSON GJ, 1998, J PHYS CHEM A, V102, P5150 ZAWOROTKO MJ, 2001, CHEM COMMUN, P1; NR: 19; TC: 25; J9: CHEM COMMUN; PG: 2; GA: 593NBSource type: Electronic(1
Human Factors in Ballistic Trauma
No full textHuman Factors are described as ‘enhancing clinical performance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture and organisation on human behaviour and abilities and application of that knowledge in clinical settings’ [1] and also as ‘the cognitive, social, and personal resource skills that complement technical skills, and contribute to safe and efficient task performance’ [2]. Healthcare has taken the lead from the aviation industry where it was estimated that approximately 70% of errors investigated were attributable to failed communication, poor decision- making and ineffective leadership [3].</p
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