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- The Effect of Ethnicity on Outcomes in a Practice-Based Trial to Improve Cardiovascular Disease Prevention
- Health disparities are a growing concern. Recently, we conducted a practice-based trial to help primary care physicians improve adherence with 21 quality indicators relevant to the primary and secondary prevention of cardiovascular disease and stroke. Although the primary concern in that study was whether patients in intervention practices out performed...
- White papers 2004-12-07
- Clinical Response to Discontinuation of Anti-TNF Therapy in Patients With Ankylosing Spondylitis After 3 Years of Continuous Treatment With Infliximab
- Ankylosing spondylitis AS is a chronic, immune-mediated inflammatory disease that is associated with inflammation in the sacroiliac joints, the axial skeleton, entheses, peripheral joints, the uvea, and other structures. In randomized clinical trials, agents targeting the proinflammatory cytokine tumor necrosis factor TNF, such as the monoclonal antibody infliximab, have produced...
- White papers 2005-02-21
- Patients Recollections of Experiences in the Intensive Care Unit May Affect Their Quality of Life
- This paper studies the experiences felt by patients during their ICU stay using an original questionnaire and to correlate the memories of those experiences with health-related quality of life (HR-QOL). The paper is based on a study conducted in 10 Portuguese intensive care units ICUs. Six months after ICU discharge,...
- White papers 2005-01-31
- Quality of Sleep in Patients With Schizophrenia Is Associated With Quality of Life and Coping
- Many persons with schizophrenia report chronically disturbed sleep. Independent of the phase of illness, sleep disturbance documented by polysomnography include: difficulties falling asleep, awakening too early and being unable to go back to sleep, a preference for being awake during the evening, reduced deep or slow-wave, and short REM latencies....
- White papers 2005-03-03
- Community Nursing Needs More Silver Surfers: A Questionnaire Survey of Primary Care Nurses Use of Information Technology
- In the UK the health service is investing more than ever before in information technology IT and primary care nurses will have to work with computers. Information about patients is almost exclusively held in electronic patient records; and much of the information about best practice is most readily accessible via...
- White papers 2004-10-07
- GP's Decisions on Drug Treatment for Patients With High Cholesterol Values: A Think-Aloud Study
- The purpose of this study was to examine how General Practitioners GPs use clinical information and rules from guidelines in their decisions on drug treatment for high cholesterol values. Twenty GPs were presented with six case vignettes and were instructed to think aloud while successively more information about a case...
- White papers 2004-12-13
- Is Fasting a Necessary Preparation for Abdominal Ultrasound?
- The objective of this paper is to study the effect of fasting on the technical success of abdominal ultrasound examination. In a randomized, prospective study, 150 patients for abdominal ultrasound were divided into two groups of 75 patients each with instructions to fast for six hours or have normal breakfast...
- White papers 2003-07-22
- Length of Patient-Physician Relationship and Patients' Satisfaction and Preventive Service Use in the Rural South: A Cross-Sectional Telephone Study
- Physicians and patients highly value continuity in health care. Continuity can be measured in several ways but few studies have examined the specific association between the duration of the patient-doctor relationship and patient outcomes. This study examines characteristics of rural adults who have had longer relationships with their physicians and...
- White papers 2005-10-04
- Access to Communication Technologies in a Sample of Cancer Patients: An Urban and Rural Survey
- The objective of this paper is to determine access to touch-tone telephone service and Internet for patients in urban and rural clinics; to determine barriers to access; and to determine willingness to use technology for home-based symptom reporting. There is a growing awareness among providers of the symptom burden experienced...
- White papers 2005-02-17
- Diagnostic Accuracy of Ultrasonography Compared to Unenhanced CT for Stone and Obstruction in Patients With Renal Failure
- The goal of this paper is to determine accuracy of ultrasound US kidney, ureter and bladder KUB compared to un-enhanced helical CT UHCT in patients with renal failure in the diagnosis of stone and obstruction. The paper reveals that all patients had both US and UHCT scan. Patients with serum...
- White papers 2004-07-29
- Gastric Emptying Is Slow in Chronic Fatigue Syndrome
- Gastrointestinal symptoms are common in patients with Chronic Fatigue Syndrome CFS. The objective of this study is to determine the frequency of these symptoms and explore their relationship with objective radionuclide studies of upper GI function. Thirty-two (32) patients with CFS and 45 control subjects completed a questionnaire on upper...
- White papers 2004-12-26
- Home Visits by Family Physicians During the End-of-Life: Does Patient Income or Residence Play a Role?
- This study examines the association between patient income and residence and the receipt of Family Physician FP home visits during the end-of-life among patients with cancer. An ecological measure of income ('neighbourhood' median household income) was developed using census information. Multivariate logistic regression was then used to assess the association...
- White papers 2005-01-27
- Assessment of Dizziness Among Older Patients at a Family Practice Clinic: A Chart Audit Study
- The paper reveals that dizziness is a common complaint among the elderly with a prevalence of over 30% in people over the age of 65. Although it is a common problem the assessment and management of dizziness in the elderly is challenging for family physicians. There is little published research...
- White papers 2005-01-06
- General Practitioner Attitudes to the Care of People With Epilepsy: An Examination of Clustering Within Practices and Prediction of Patient-Rated Quality of Care
- There is wide variation in the quality of care provided by primary care practices to individuals with chronic illnesses. Individual doctor attitudes and interest have been demonstrated to influence patient outcomes in some instances. Given the trend towards larger practices and part-time working, continuity of care is likely to fall...
- White papers 2005-03-01
- A Phase I Study of Dexosome Immunotherapy in Patients With Advanced Non-Small Cell Lung Cancer
- There is a continued need to develop more effective cancer immunotherapy strategies. Exosomes, cell-derived lipid vesicles that express high levels of a narrow spectrum of cell proteins represent a novel platform for delivering high levels of antigen in conjunction with costimulatory molecules. The basic aim of this study is to...
- White papers 2005-02-21
- Patient Attitudes Toward Using Computers to Improve Health Services Delivery
- The aim of this white paper study is to examine the acceptability of point of care computerized prompts to improve health services delivery among a sample of primary care patients. The paper suggest method to carry out this study and provides results that yield support for using computers to generate...
- White papers 2002-09-11
- The Medical Care of Patients With Primary Care Home Nursing Is Complex and Influenced by Non-Medical Factors
- The objectives of this white paper study is to identify the care, in addition to primary health care, of patients with primary-care home nursing to give a comprehensive view of their care and to investigate how personal, social and functional factors influence the use of specialized medical care. The reduced...
- White papers 2004-08-26
- Personalized Versus Non-Personalized Computerized Decision Support System to Increase Therapeutic Quality Control of Oral Anticoagulant Therapy: An Alternating Time Series Analysis
- The objective of this white paper study is to evaluate the impact of two types of reminders on over treatment by oral anticoagulant: a simple reminder of text formatted dose adjustment table and a personalized recommendation for oral anticoagulant dose and next date of INR control, adapted to patient data....
- White papers 2004-09-29
- Assessing the Impact of Heart Failure Specialist Services on Patient Populations
- This white paper document examines the potential impact on readmissions and mortality of specialist heart failure services capable of delivering treatments such as b-blockers and Nurse-Led Educational Intervention (N-LEI). The paper suggests that local use of information from audit, routine administrative data and the literature can help estimate the impact...
- White papers 2004-05-24
- Pharmaceutical Care for Elderly Patients Shared Between Community Pharmacists and General Practitioners: A Randomized Evaluation
- This white paper study aims to investigate the effectiveness and cost implications of 'pharmaceutical care' provided by community pharmacists to elderly patients in the community. The trial design is a randomized multiple interrupted time series. The community pharmacists and general practitioners will receive training in pharmaceutical care for the elderly....
- White papers 2004-06-07
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