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1

Giordano, Giulio, Dario Sacchini, Giuliana Farina, Silvia Piano, Ignacio Carrasco de Paula, and Sergio Storti. "Physicians and Patients Perception of a Problem as Ethically Relevant in Oncohematology: Only a Question of Perspective?" Blood 112, no. 11 (2008): 4682. http://dx.doi.org/10.1182/blood.v112.11.4682.4682.

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Abstract Ethical issues are connatural with the medical activity. Moral questions regarding some medical specialities as obstetrics or pre or perinatal medicine are well known. Nevertheless few is known about ethical problems perceived as remarkable from physicians and patients in onco-hematology. This is a retrospective monocentric descriptive study. Its purpose is to recognize, in oncohematology, what are the problems perceived as ethically relevant both from physicians and patients. Ethical issues regarding onco-hematologic patients were recognized consulting clinical diary of 100 patients
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Nikhil, Peter *. Reethu Kochery1 Tarun Raj S.Parimalakrishnan S.Selvamuthukumaran. "NON COMPLIANCE AND PATIENT PERCEIVED PROBLEMS IN CARDIOVASCULAR DISEASE PATIENTS: A PROSPECTIVE STUDY." Indo American Journal of Pharmaceutical Sciences 04, no. 08 (2017): 2249–54. https://doi.org/10.5281/zenodo.839547.

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Introduction: Noncompliance is one of the major problems in medical treatment; there is plenty of reason resulting noncompliance, which includes patient attitude, cost, and forgetfulness, discontinuation of medications, unsatisfied with health care professionals, age, gender and lack of knowledge. Objective: Our objectives of the study was to investigate the factors affecting noncompliance and patient perceived problems mainly from the view point of cardiovascular disease, diagnosed in RMMCH Annamalai Nagar Chidambaram. Method : The study was conducted over the period of November 2015 to Janua
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Stanton, A. E., C. Sellars, K. MacKenzie, A. McConnachie, and C. E. Bucknall. "Perceived vocal morbidity in a problem asthma clinic." Journal of Laryngology & Otology 123, no. 1 (2008): 96–102. http://dx.doi.org/10.1017/s002221510800323x.

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AbstractAims:Asthma treatment has the potential to affect patients' voices. We undertook detailed characterisation of voice morbidity in patients attending a problem asthma clinic, and we determined how patients' perceptions related to objective assessment by an experienced observer.Methods:Forty-three patients took part in the study. Subjects completed the self-administered voice symptom score (VoiSS) questionnaire and underwent digital voice recording. These voice recordings were scored using the grade–roughness–breathiness–asthenicity–strain system (GRBAS). Laryngoscopy was also performed.R
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Alasqah, Ibrahim. "Patients’ Perceptions of Safety in Primary Healthcare Settings: A Cross-Sectional Study in the Qassim Region of Saudi Arabia." Healthcare 11, no. 15 (2023): 2141. http://dx.doi.org/10.3390/healthcare11152141.

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This study assessed patients’ perceptions of safety and experiences in primary healthcare in the Qassim region of Saudi Arabia. Between July and September 2022, 730 patients from primary healthcare centers were surveyed using a multi-staged cluster random sampling approach. The Patient-Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire was used to measure patients’ perceived safety and experience in primary healthcare settings within the past year. Descriptive analyses were performed to report patients’ perceived safety experiences. The statistical analysis ex
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Sewitch, Maida J., Dara Stein, Lawrence Joseph, et al. "Comparing Patient and Endoscopist Perceptions of the Colonoscopy Indication." Canadian Journal of Gastroenterology 24, no. 11 (2010): 656–60. http://dx.doi.org/10.1155/2010/328178.

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BACKGROUND: Determining whether a colonoscopy is performed for screening or nonscreening purposes can facilitate clinical practice and research. However, there is no simple method to determine the colonoscopy indication using patient medical files or health administrative databases.OBJECTIVE: To determine patient-endoscopist agreement on the colonoscopy indication.METHODS: A cross-sectional study was conducted among staff endoscopists and their patients at seven university-affiliated hospitals in Montreal, Quebec. The study participants were 50 to 75 years of age, they were able to understand
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Whittaker, Jane F., and Louis Appleby. "A psychiatric emergency walk-in clinic: a dangerous substitute for primary care?" Psychiatric Bulletin 19, no. 3 (1995): 129–34. http://dx.doi.org/10.1192/pb.19.3.129.

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Data were collected on a six month sample of patients attending a psychiatric emergency walk-in clinic (n=378), based on the clinical impressions of the interviewing doctor. This information was then compared with a hypothetical model emergency service on the following five items: nature of patient problem, severity of problem, diagnosis, referring agent and current contact with psychiatric services. The severity of the perceived threat to the interviewer was recorded. Only 4.7% of referrals conformed to the hypothetical model on all five criteria. The majority of patients referred themselves,
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Ji, Meihua, Susan M. Sereika, Jacqueline Dunbar-Jacob, and Judith A. Erlen. "Correlation of Symptom Distress, Self-Efficacy, and Social Support With Problem-Solving and Glycemic Control Among Patients With Type 2 Diabetes." Science of Diabetes Self-Management and Care 47, no. 1 (2021): 85–93. http://dx.doi.org/10.1177/0145721720983222.

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Purpose The purpose of the study was to examine the associations of self-efficacy, social support, and symptom distress with perceived problem-solving and glycemic control among patients with type 2 diabetes. Method Using baseline data from a parent study, which examined the effect of a problem-solving-focused intervention on medication adherence among patients with type 2 diabetes, this secondary analysis examined the relationships among self-efficacy, social support, symptom distress, problem-solving, and A1C. Of 358 patients enrolled at baseline, 304 (mean age = 64.1 years, 57.2% female) we
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Wallenius, Sirpa H., Kirsti K. Vainio, Maarit Jh Korhonen, Abraham G. Hartzema, and Hannes K. Enlund. "Self-Initiated Modification of Hypertension Treatment in Response To Perceived Problems." Annals of Pharmacotherapy 29, no. 12 (1995): 1213–17. http://dx.doi.org/10.1177/106002809502901204.

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Objective: To assess the prevalence of patient-initiated modification of drug instructions and the association between different classes of problems and the modification of hypertension therapy. Design And Methods: In this cross-sectional study, all patients (n = 1215) who had been examined at a hypertension clinic during a 1-year period were surveyed. The response rate to the questionnaire was 85%. of the 1035 respondents, 623 currently taking antihypertensive medication (self-report) were included in the study. Results: Of the patients taking antihypertensive drugs, 36% admitted that they ha
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Dunya, M. Hanweet. "Association Between Temporomandibular Joint Dysfunction and Stress Levels in Covid-19 Patients: Insights from A Cross-Sectional Study." INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH 03, no. 11 (2024): 816–19. https://doi.org/10.5281/zenodo.14209500.

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To investigates the relationship between temporomandibular joint dysfunction (TMD) and perceived stress levels in COVID-19 patients. Forty-five COVID-19 patients (19 males and 26 females) involved, and their joint problem severity was recorded using the Helkimo Index, while the Perceived Stress Scale (PSS-10) assessed their stress levels. Most patients had moderate to severe TMD. The results showed a significant difference in PSS-10 scores across different groups, with the lowest stress levels in group with mild dysfunction and the highest in those with severe dysfunction. The findings support
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Vargáné Nemoda, Mónika, and Andrea Lukács. "Perceived impact of limb function loss in stroke patients: insights from patient perspectives." Multidiszciplináris Tudományok 13, no. 3 (2023): 89–95. http://dx.doi.org/10.35925/j.multi.2023.3.10.

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This article investigates the perceived impact of limb function loss in stroke patients, focusing on the subjective experiences and perspectives of stroke patients. A total of 73 participants completed online questionnaires assessing the importance of limb function and functional status. The majority of stroke patients experienced impairments in both foot and hand limbs, with hand function being considered more important than foot function by 68% of patients. Dressing and grooming were rated as the most severe problem, highlighting the significance of hand function in daily activities. These f
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Filsinger, Andreana, Natalia Solari, Carolina Rosella, Sandra Tabares, Adela Sembaj, and María Matilde Usín. "Quality of life analysis in patients diagnosed with stage III periodontitis after periodontal treatment." Revista de la Facultad de Odontología 33, no. 2 (2023): 9–14. http://dx.doi.org/10.25014/revfacodont271.2023.33.3.9.

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Objective: Concepts of periodontal disease and treatment have recently been modified, emphasizing the patient as a unit suffering from periodontal disease (PD). We set out to investigate how periodontal treatment impacts patients' quality of life who underwent non-surgical periodontal treatment, to rethink treatment guidelines about physical-psychosocial well-being. Methods: From March 2019 to March 2020, 52 patients were selected for a descriptive and cross-sectional study, who consecutively attended Cátedra B of Periodoncia of the Facultad de Odontologia de la Universidad Nacional de Córdoba
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Graz, Bertrand, Gilles Bangerter, Alexia Stantzos, and Henri Grivois. "Crisis Dialogue for Acute Psychotic State and Ethical Difficulties: What Do You Do When Trials Are Interrupted Because Clinicians Find the Intervention Too Effective?" Ethical Human Psychology and Psychiatry 17, no. 1 (2015): 45–59. http://dx.doi.org/10.1891/1559-4343.17.1.45.

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Clinical studies carry with them a paradox: The more obviously efficient an intervention is, the more ethical problems its trials pose. This article discusses the ethical problem of breached equipoise principle because of the perceived effectiveness of a nonblindable verbal technique, crisis dialogue (CD). CD is designed to help establish a therapeutic relationship with persons in a suspected psychotic state. In a pilot randomized controlled study in Yverdon, Switzerland (usual treatment vs. usual treatment + CD), after inclusion of 30 patients, clinicians expressed a consensual opinion that C
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Stocks, Susan J., Ailsa Donnelly, Aneez Esmail, et al. "Development and piloting of a survey to estimate the frequency and nature of potentially harmful preventable problems in primary care from a UK patient’s perspective." BMJ Open 8, no. 2 (2018): e017786. http://dx.doi.org/10.1136/bmjopen-2017-017786.

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ObjectivesTo design and pilot a survey to be used at the population level to estimate the frequency of patient-perceived potentially harmful preventable problems occurring in UK primary care. To explore the nature of the problems, patient-suggested strategies for prevention and opinions of clinicians and the public regarding the potential for harm.DesignA survey was codesigned by three members of the public and one researcher and piloted through public and patient involvement and engagement networks.SettingSelf-selected sample of the UK population.Participants977 members of the public accessed
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Palmer, Catherine V., Sheneekra W. Adams, Michelle Bourgeois, John Durrant, and Michelle Rossi. "Reduction in Caregiver-Identified Problem Behaviors in Patients With Alzheimer Disease Post-Hearing-Aid Fitting." Journal of Speech, Language, and Hearing Research 42, no. 2 (1999): 312–28. http://dx.doi.org/10.1044/jslhr.4202.312.

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Studies and clinical procedures related to patients with Alzheimer disease (AD) largely have ignored the hearing ability of either the patient or caregiver. Yet the majority of treatment and investigation depends on or presupposes communication ability. Further, caregiver complaints often center around communication-based issues. Hearing deficits may be the most frequently unrecognized condition in patients with AD because patients either communicate adequately in quiet or the impairment is masked by other behavioral symptoms of AD. The current investigation identified individuals with AD with
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Svensson, B., and L. Hansson. "Perceived curative factors and their relationship to outcome: a study of schizophrenic patients in a comprehensive treatment program based on cognitive therapy." European Psychiatry 13, no. 7 (1998): 365–71. http://dx.doi.org/10.1016/s0924-9338(99)80704-4.

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SummaryTwenty-eight schizophrenic and other long-term mentally ill patients who were given cognitive therapy sessions twice a week in the context of a comprehensive inpatient treatment program were assessed every 5 weeks regarding perceived curative factors. The assessments were made by a self-rating questionnaire (Curative Factors Questionnaire [CFQ]) and a qualitative assessment from the patients of what they perceived as helpful in treatment. The results showed that milieu therapeutic elements and therapy sessions were perceived as the most helpful throughout the treatment period. No correl
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Mcpherson, Christine J., Keith G. Wilson, Michelle M. Lobchuk, and Susan Brajtman. "Self-Perceived Burden to Others: Patient and Family Caregiver Correlates." Journal of Palliative Care 23, no. 3 (2007): 135–42. http://dx.doi.org/10.1177/082585970702300303.

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Aims To provide further evidence about the prevalence and correlates of the sense of “self-perceived burden” (SPB) to others, and to examine its association with caregiver reports of burden. Methods The participants were 65 patients with advanced cancer and their family caregivers. Patients completed measures of SPB and family members completed a caregiver burden scale. Results SPB was experienced at minimal to mild levels by 35% of patients, and at moderate to extreme levels by another 28%. It was correlated with some physical symptoms, but more frequently with psychological symptoms. The fam
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van de Berg, Nick J., Franciscus P. van Beurden, G. C. Wanda Wendel-Vos, et al. "Patient-Reported Mobility, Physical Activity, and Bicycle Use after Vulvar Carcinoma Surgery." Cancers 15, no. 8 (2023): 2324. http://dx.doi.org/10.3390/cancers15082324.

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Patients treated for vulvar carcinoma may experience losses in mobility and physical activity. In this study, we assess the prevalence and severity of mobility problems using patient-reported outcomes of three questionnaires: EQ-5D-5L to estimate QoL and perceived health; SQUASH to estimate habitual physical activity; and a problem-specific questionnaire on bicycling. Patients treated for vulvar carcinoma between 2018 and 2021 were recruited, and 84 (62.7%) responded. The mean age was 68 ± 12 years (mean ± standard deviation). Self-reported QoL and perceived health were 0.832 ± 0.224 and 75.6
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Mazor, Kathleen M., Douglas W. Roblin, Sarah M. Greene, et al. "Toward Patient-Centered Cancer Care: Patient Perceptions of Problematic Events, Impact, and Response." Journal of Clinical Oncology 30, no. 15 (2012): 1784–90. http://dx.doi.org/10.1200/jco.2011.38.1384.

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Purpose Cancer treatments are complex, involving multiple clinicians, toxic therapies, and uncertain outcomes. Consequently, patients are vulnerable when breakdowns in care occur. This study explored cancer patients' perceptions of preventable, harmful events; the impact of these events; and interactions with clinicians after such events. Patients and Methods In-depth telephone interviews were conducted with cancer patients from three clinical sites. Patients were eligible if they believed: something “went wrong” during their cancer care; the event could have been prevented; and the event caus
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Bok, Amanda, Declan Noone, and Naja Skouw-Rasmussen. "Patient agency: key questions and challenges – A report from the 1st workshop of the EHC Think Tank Workstream on Patient Agency." Journal of Haemophilia Practice 9, no. 1 (2022): 27–35. http://dx.doi.org/10.2478/jhp-2022-0004.

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Abstract Introduction Patient agency refers to the abilities and capabilities of patients to act, contribute, influence and make decisions about their healthcare. It depends on both the willingness of patients to participate and the constraints imposed by healthcare providers, services and systems. To determine the factors affecting patient agency, especially for patients with chronic, rare diseases such as haemophilia requiring lifelong care, it is important to consider the patterns, structures, and mental models that define the ecosystem that patients are a part of, irrespective of their lev
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Mynors-Wallis, Laurence. "Problem-solving treatment in general psychiatric practice." Advances in Psychiatric Treatment 7, no. 6 (2001): 417–25. http://dx.doi.org/10.1192/apt.7.6.417.

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The role of the general adult psychiatrist has changed significantly over the past decade. There is a focus (almost exclusively in some cases) on the management of patients with severe mental illness. Within the multi-disciplinary team, the key role of the psychiatrist is often perceived as the management of medication, making decisions about clinical risk and acting as gatekeeper to often restricted in-patient beds. Psychological and social interventions are commonly seen as the remit of other members of the team. Although psychiatric training should equip psychiatrists to have at least a rea
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May, Laura, Rene Day, and Sharon Warren. "Evaluation of patient education in spinal cord injury rehabilitation: Knowledge, problem-solving and perceived importance." Disability and Rehabilitation 28, no. 7 (2006): 405–13. http://dx.doi.org/10.1080/09638280500192439.

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Hollander, D., and M. S. Slater. "‘Sorry, no beds’: a problem for acute psychiatric admissions." Psychiatric Bulletin 18, no. 9 (1994): 532–34. http://dx.doi.org/10.1192/pb.18.9.532.

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Perceived difficulty in obtaining hospital admission for acute psychiatric patients was investigated in one health region using a self-reporting method. Over 17 months both inner city and rural districts reported a total of 327 episodes of difficulty in finding a bed. One hundred and six (32%) of reported cases could not be admitted, the remainder being admitted to a ‘leave’ bed, a bed booked for another patient, or elsewhere, solutions likely to compromise care. Attempts to locate a vacant bed required numerous telephone calls and led to considerable delays. Thirty-nine (12%) of the patients
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L., Abouzeid Hoda, M. Mustafa Malaz, M. Alqahtani Sondos, Robina Tasleem, S. Gadah Thuraya, and E. Elmahdy Asim. "Saudi Self-Concept, Attitude and Factors Influencing their Satisfaction towards Dental Appearance: An Online Questionnaire Survey." Annals of Medical and Health Sciences Research 13, no. 1 (2022): 7. https://doi.org/10.5281/zenodo.14506530.

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Background: Self-perception of the facial aesthetics has been reported as an imperative and worldwide element influencing proficiency and emotions, in addition to academic and physical aspects of self-concept. The aim of the current study was to determine the possible factors that influence self-perceived dental appearance satisfaction among Saudi patients, to determine the factors that may influence their choice of treatment to improve their dental appearance and to verify their most common esthetically favored treatment modality. Methods: This cross-sectional survey used an online questionna
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Stolzenburg, S., S. Freitag, S. Evans-Lacko, S. Speerforck, S. Schmidt, and G. Schomerus. "Individuals with currently untreated mental illness: causal beliefs and readiness to seek help." Epidemiology and Psychiatric Sciences 28, no. 04 (2018): 446–57. http://dx.doi.org/10.1017/s2045796017000828.

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Aims.Many people with mental illness do not seek professional help. Beliefs about the causes of their current health problem seem relevant for initiating treatment. Our aim was to find out to what extent the perceived causes of current untreated mental health problems determine whether a person considers herself/himself as having a mental illness, perceives need for professional help and plans to seek help in the near future.Methods.In a cross-sectional study, we examined 207 untreated persons with a depressive syndrome, all fulfilling criteria for a current mental illness as confirmed with a
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Steinhilber, Starr S., Erin D. Snyder, Carlos A. Estrada, and Ryan R. Kraemer. "Implementation of a Problem-Based Presentation Format to Improve Residents' Ambulatory Patient Presentations." Journal of Graduate Medical Education 15, no. 3 (2023): 373–77. http://dx.doi.org/10.4300/jgme-d-22-00690.1.

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ABSTRACT Background The format for residents to present hospitalized patients to teaching faculty is well defined; however, guidance for presenting in clinic is not uniform. Objective We report the development, implementation, and evaluation of a new standardized format for presenting in clinic: the Problem-Based Presentation (PBP). Methods After a needs assessment, we implemented the format at the teaching clinics of our internal medicine residency program. We surveyed participants on innovation outcomes, feasibility, and acceptability (pre-post design; 2019-2020; 5-point scale). Residents' p
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Zajdel, Melissa, Vicki S. Helgeson, Howard J. Seltman, Mary T. Korytkowski, and Leslie R. M. Hausmann. "Daily Communal Coping in Couples With Type 2 Diabetes: Links to Mood and Self-Care." Annals of Behavioral Medicine 52, no. 3 (2018): 228–38. http://dx.doi.org/10.1093/abm/kax047.

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Abstract Background Adjusting to the challenges of a chronic illness does not affect patients alone but also influences social network members—most notably spouses. One interpersonal framework of coping with a chronic illness is communal coping, described as when a problem is appraised as joint and the couple collaborates to manage the problem. Purpose We sought to determine whether daily communal coping was linked to daily mood and self-care behavior and examined one potential mechanism that may explain these links: perceived emotional responsiveness. Methods Patients who had been diagnosed w
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Elliott, R., B. J. Sahakian, A. P. McKay, J. J. Herrod, T. W. Robbins, and E. S. Paykel. "Neuropsychological impairments in unipolar depression: the influence of perceived failure on subsequent performance." Psychological Medicine 26, no. 5 (1996): 975–89. http://dx.doi.org/10.1017/s0033291700035303.

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SynopsisThe CANTAB battery of neuropsychological tests was used to compare the performance of 28 patients with unipolar depression with that of 22 age and IQ matched controls. The patients were impaired on almost all tests studied with deficits in pattern and spatial recognition memory, matching to sample, spatial span, spatial working memory and planning. Most of the patients showed at least some impairment and deficits were seen across cognitive domains. An important finding was the detrimental effect of failure on subsequent performance; having solved one problem incorrectly, patients were
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Line, Stuart. "Decontamination and Control of Infection in Theatre." British Journal of Perioperative Nursing (United Kingdom) 13, no. 2 (2003): 70–75. http://dx.doi.org/10.1177/175045890301300201.

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Decontamination covers all aspects of reprocessing of reusable equipment. It is understandable that patient well-being is perceived to take precedence over infection control. Unfortunately the spread of infection is based on the opportunity for organisms able to move from a controlled area to the patient or staff. Continued vigilance and adherence to good practice is essential to combat the ever-present problem. This article covers the problem of local decontamination within the theatre complex, and sources of potential infection are identified and discussed.
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Krick, Stacie E., Celeste M. Lindley, and Michelle Bennett. "Pharmacy-Perceived Barriers to Cancer Pain Control: Results of the North Carolina Cancer Pain Initiative Pharmacist Survey." Annals of Pharmacotherapy 28, no. 7-8 (1994): 857–62. http://dx.doi.org/10.1177/106002809402800706.

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OBJECTIVE: To assess pharmacists' knowledge, attitudes, and beliefs regarding the use of narcotics in cancer pain management, identify pharmacist counseling activities for cancer pain patients, assess pharmacy-related barriers to cancer pain management, and evaluate the availability of narcotic analgesics. METHODS: Mailing of a six-page survey. SETTING: Five hundred randomly selected pharmacists registered in North Carolina. PARTICIPANTS: Of 500 pharmacists surveyed, 141 surveys were completed and returned for a response rate of 28.2 percent. RESULTS: Pharmacists surveyed were knowledgeable re
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Wylie, Sarah A., Areej Hassan, Emily G. Krull, et al. "Assessing and referring adolescents' health-related social problems: qualitative evaluation of a novel web-based approach." Journal of Telemedicine and Telecare 18, no. 7 (2012): 392–98. http://dx.doi.org/10.1258/jtt.2012.120214.

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We conducted a qualitative study to examine users' perceptions of a web-based screening and referral system for young adults with health-related social problems. The first 50 patients who used the system also took part in semi-structured interviews. There were 20 patients aged 15–17 years and 30 aged 18–25 years. Completing the web-based screening process took an average of 25 min. Ninety percent of participants reported at least one major health-related social problem and a total of 134 referrals were selected for further assistance. Ninety-six percent of participants said they would recommen
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Chow, Lydia D., Patrick Cotogno, Emma M. Ernst, Charlotte Manogue, Elisa M. Ledet, and Oliver Sartor. "Taste and prostate cancer: Preliminary data on a novel patient-reported outcomes." Journal of Clinical Oncology 35, no. 6_suppl (2017): 201. http://dx.doi.org/10.1200/jco.2017.35.6_suppl.201.

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201 Background: Taste alterations are a common yet frequently under-assessed problem in cancer patients. Health-related quality-of-life (HRQOL) instruments for prostate cancer (PCa) patients (pts) do not assess taste despite these hypothetically being related to both appetite and weight loss. Herein we begin to assess taste using a novel instrument evaluating taste alterations with a focus on PCa. Methods: 61 PCa pts treated at Tulane Cancer Center were enrolled in this prospective study. An 18-item questionnaire assessed appetite, taste, smell, and diet. 127 questionnaires were completed (mea
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Çelik, Ayşegül, and Gizem Temeltaş. "A neglected problem ın caregıvers of cancer patıents: Supportıve care needs." Health & Research Journal 10, no. 2 (2024): 80–91. http://dx.doi.org/10.12681/healthresj.34637.

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Background: Supportive care approaches are critical in meeting the needs of cancer patients and their families when they are diagnosed, during cancer treatment, and after therapy. The aim of this study was to determine the supportive care needs of cancer caregivers. Methods: The study was descriptive and quantitative. Data was collected online between December 2021 and February 2022. The study's sample included 170 people aged 18 years up who had been responsible for the care of cancer patients for at least three months. “Partners and Caregivers Descriptive Information Form” and “Supportive Ca
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Chung, SeonYoon, and Melissa Jarvill. "Improving nursing student cultural competence: Comparing simulation to case-based learning." Journal of Nursing Education and Practice 9, no. 7 (2019): 128. http://dx.doi.org/10.5430/jnep.v9n7p128.

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Background: Cultural competence encompasses knowledge, skills, and comfort in caring for patients from diverse cultures and is a core competency in providing patient-centered care. Simulation provides an opportunity to expose students to diverse cultures. Case-based learning has been effective in improving nursing student communication and problem-solving skills, but no research describes its use in cultural education. The purpose of this study was to compare the effect of simulation to case-based learning on nursing students’ perceived cultural competence, awareness, and sensitivity.Methods:
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HWANG, SHIRLEY S., VICTOR T. CHANG, JANET COGSWELL, SHANTHI SRINIVAS, and BASIL KASIMIS. "Knowledge and attitudes toward end-of-life care in veterans with symptomatic metastatic cancer." Palliative and Supportive Care 1, no. 3 (2003): 221–30. http://dx.doi.org/10.1017/s1478951503030396.

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Objectives:The purposes of this study were to study symptomatic metastatic cancer patients' knowledge and attitudes toward end-of-life (EOL) care and to examine how patient-perceived health status affects attitudes toward EOL care and survival.Methods:From 1999 to 2002, 254 symptomatic metastatic cancer patients at the VA New Jersey Health Care System completed the Vermont Voices on Care of the Dying Questionnaire. Survival status and location of death were obtained. Descriptive statistics and the chi square method were used to assess the differences between African Americans (N= 109) and Cauc
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Møller, Jane Ege, and Matilde Nisbeth Brøgger. "How do residents perceive and narrate stories about communication challenges in patient encounters? A narrative study." BMJ Open 9, no. 6 (2019): e029022. http://dx.doi.org/10.1136/bmjopen-2019-029022.

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ObjectiveThis article investigated residents’ narratives to gain their understandings of which patterns are challenging in doctor–patient conversations.DesignQualitative narratological framework.ParticipantsWe analysed 259 narratives from 138 residents’ oral recounts of communication with patients in which they had felt challenged.ResultsThe analysis identified an ideal narrative for the doctor–patient encounter with the resident as protagonist pursuing the object of helping the patient with his health problem. Disruptions of this ideal narrative were at play when challenges occurred. Regardle
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Gustavsson, Catharina, Elin Hinas, Therese Ljungquist, and Kristina Alexanderson. "Obstetricians/Gynecologists’ Problems in Sickness Certification Consultations: Two Nationwide Surveys." Obstetrics and Gynecology International 2016 (2016): 1–11. http://dx.doi.org/10.1155/2016/9421316.

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Objective.To explore experiences by physicians working in obstetrics, gynecology, or maternal healthcare (O/Gs) of problems in sickness certification consultations and differences between two years.Material and Methods.Answers by O/Gs to two Swedish nationwide surveys, in 2008 (n=1037) and 2012 (n=992), were analyzed for frequencies and severity of problems and organizational support in sickness certification consultations.Results.One-third of O/Gs found sickness certifications problematic every week. The most frequent problem was patients requesting sick notes for reasons other than work inca
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Gibbs, Ronald S., Carolyn Wieber, Leslie Myers, and Timothy Jenkins. "A Continuing Medical Education Campaign to Improve Use of Antibiotics in Primary Care." Journal of Biomedical Education 2014 (May 25, 2014): 1–6. http://dx.doi.org/10.1155/2014/537681.

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Because inappropriate use of antibiotics is common, it is an important area for continuing medical education. At an annual review, we conducted a two-year campaign to achieve appropriate use. Our methods included two surveys, directed course content, programmatic evaluation, and a sample practice audit. Ninety percent of learners perceived inappropriate antibiotic use as a “very big” or “big” problem in the United States, but only 44% perceived this about their practice (P<0.001). Top perceived barriers to appropriate antibiotic use were patient expectations, breaking old habits, and fear t
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Liu, Wenlong, Xiucheng Fan, Rongrong Ji, and Yi Jiang. "Perceived Community Support, Users’ Interactions, and Value Co-Creation in Online Health Community: The Moderating Effect of Social Exclusion." International Journal of Environmental Research and Public Health 17, no. 1 (2019): 204. http://dx.doi.org/10.3390/ijerph17010204.

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Online health communities (OHCs) face the same problem as other social media platforms in terms of decreasing activity and user attrition. Drawing upon organizational support theory, this study explores how perceived community support affects user interactions and value co-creation which in turn influence their continuous participation. OHCs act as both health knowledge-sharing platforms and important social media for patients, and thus, interpersonal interactions in OHCs are categorized into health-related and general topic interactions. Considering the identity of patients, this study also e
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Wang, Ashley, Chiahao Shih, Tze Joo Lim, et al. "How Has Food Allergy Been Perceived Among Students In Health-Related Majors?" Current Developments in Nutrition 6, Supplement_1 (2022): 956. http://dx.doi.org/10.1093/cdn/nzac067.076.

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Abstract Objectives Food allergy has become a serious public health concern as the prevalence of food allergies has increased significantly recently. Health caregivers have responsibilities to their patients with food allergies and their perception and awareness of the topic may impact the way they treat their patients. This project investigated how health-related majors students perceived food allergies at Bowling Green State University (BGSU) in Ohio. Methods A total of 133 survey responses were collected in November 2021, student majors include Food and Nutrition, Nursing, Pre-Medicine/Phys
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Kageyama, Masako, Keiko Yokoyama, and Yuichiro Horiai. "Perceptions of Stages of Family Violence and their Perceived Solutions in Persons with Schizophrenia." Open Nursing Journal 13, no. 1 (2019): 156–67. http://dx.doi.org/10.2174/1874434601913010156.

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Background: Family violence committed by persons with schizophrenia is a serious problem in the context of the accelerated deinstitutionalization in Japan. Community nurses could play an important role in resolving family violence by persons with schizophrenia. Objective: This study aimed to clarify the reasons for family violence as perceived by adult children with schizophrenia and ways to resolve this problem. Methods: A qualitative descriptive design was employed. Group interviews with 10 participants—five individuals with schizophrenia and five parents of adult children with schizophrenia
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Serrano Aldaz, Joselin Elizabeth, and Grace Pamela López Pérez. "Perceived quality of care in patients with high blood pressure in primary health care." Sapienza: International Journal of Interdisciplinary Studies 5, SI1 (2024): e24S01. http://dx.doi.org/10.51798/sijis.v5isi1.761.

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Background: the study analyzed the quality of care perceived by patients with high blood pressure in a health center in Ecuador, considering dimensions such as accessibility, opportunity, continuity, comprehensiveness, and cultural competence of the services. Hypertension in older adults represents a public health problem in the region. Objective: To analyze the quality of care perceived in patients with Arterial Hypertension in Primary Health Care. Methods: quantitative, transversal, and descriptive design. The sample was 40 patients over 65 years of age with HTN. A validated 10-item question
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Feldman, Ron, Yaniv Nudelman, Sharon Haleva-Amir, Tamar Pincus, and Noa Ben Ami. "Patients’ Perceptions and Outcome Measures after Undergoing the Enhanced Transtheoretical Model Intervention (ETMI) for Chronic Low Back Pain: A Mixed-Method Study." International Journal of Environmental Research and Public Health 19, no. 10 (2022): 6106. http://dx.doi.org/10.3390/ijerph19106106.

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This study aimed to evaluate the outcome measures and perceptions of patients with chronic low back pain (CLBP) after being treated with the Enhanced Transtheoretical Model Intervention (ETMI). In this process evaluation mixed-methods study, 30 patients with CLBP electronically completed self-reported measures (function, pain, and fear-avoidance beliefs) before and after ETMI treatment. Subsequently, each patient participated in one-on-one, semi-structured interviews, which were audio-recorded, transcribed, coded, and analyzed thematically. Quantitative analysis showed significant improvements
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Dema, Tshering, Kencho Zangmo, Pema Dorji, et al. "Medication errors and associated factors as perceived by nurses working at the national referral hospital in Bhutan." Bhutan Health Journal 8, no. 2 (2022): 8–12. http://dx.doi.org/10.47811/bhj.144.

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Introduction: A common patient safety issue is medication error and this has remained a serious problem in hospital settings. Medication error occurs at any point of medication process: prescription, transcription, dispensing, and administration. Administration error is the most common type of error occurring among nurses; although nurses play a vital role in preventing harms of prescription and dispensing errors from reaching the patient. Therefore, this study was aimed at assessing medication errors and associated factors as perceived by nurses. Methods: The study was conducted at a tertiary
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Hsu, Wen-Chuan, Hao-Tsai Cheng, Chiu-Tzu Lin, et al. "Factors affecting quality of life among patients with corrosive injury." Medicine 103, no. 1 (2024): e36853. http://dx.doi.org/10.1097/md.0000000000036853.

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This study aimed to investigate the factors influencing quality of life (QOL) among patients with corrosive injuries, considering the rising incidence of such cases, particularly in developing countries. Corrosive ingestion is a serious global public health problem and a common form of self-harm. This was a cross-sectional study using purposive sampling. A total of 82 patients with corrosive injuries who were admitted to the gastroenterology ward of a medical center in Taiwan between June 2018 and July 2020 completed the Perceived Stress Scale, Coping Strategy Scale, and World Health Organizat
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Roth, Christopher G., Gilda Boroumand, and Jaydev K. Dave. "Shedding the Light on the Off-Hours Problem in Radiology." American Journal of Medical Quality 35, no. 5 (2020): 419–26. http://dx.doi.org/10.1177/1062860620907154.

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Diagnostic error and diagnostic delays in health care are widespread. This article outlines an improvement effort targeting weekday evening inpatient radiology delays through staffing changes replacing trainees with faculty-trainee team coverage, pushing faculty coverage from 4 pm to 8 pm. Order-report turnaround times (TATs), critical findings TATs for pneumothorax and intracranial hemorrhage (ICH), and percentage meeting target were compared pre and post implementation for the 4 to 8 pm time frame using the Mann-Whitney U and χ2 tests, respectively. Stakeholder surveys assessed patient safet
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Atiyeh, Bishara, Saif Emsieh, Edwin Chrabieh, et al. "Character and Personality Perception and Social Trait Judgment After Facial Surgical and Medical Aesthetic Interventions." Plastic and Reconstructive Surgery - Global Open 13, no. 6 (2025): e6831. https://doi.org/10.1097/gox.0000000000006831.

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Background: The outcome of aesthetic surgical or medical interventions is typically reported from the patient’s or surgeon’s perspective. However, facial cosmetic interventions have the potential to influence perceived personality traits. How these interventions affect personality perception remains largely underappreciated. Facial inferences are a third perspective still missing from the plastic surgery literature. Methods: A PICO (patient, population or problem; intervention; comparison, outcome) literature search was conducted across MEDLINE, PubMed, and Embase databases. Results: Facial re
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Bilgic, N., MZ Avci, and H. Sutcu. "Exploring Nurses’ Perceptions of Patients in the Workplace: The Case of Difficult Patients." Nigerian Journal of Clinical Practice 28, no. 2 (2025): 203–11. https://doi.org/10.4103/njcp.njcp_114_24.

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Background: Communication is a vital aspect of life. It is vital that all healthcare professionals maintain reliable communication with their patients. Aim: This study aimed to exploring how nurses perceive "difficult patients" in their work environments and their approaches to these patients. Methods: This is a cross-sectional study. Data were collected from nurses who participated in the study via social media platforms between March 15 and June 15, 2021. In addition to the introduction section, the data were gathered using the “Difficult Patients and Communication Form” and the “Difficult P
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Long, Kristin, Beth Hundt, Clareen Wiencek, and Jeanel Little. "Impact of a Sleep-Promoting Schedule on Sleep Quality in the Intensive Care Unit." Critical Care Nurse 45, no. 2 (2025): 33–40. https://doi.org/10.4037/ccn2025288.

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Background Hospitalized patients often experience sleep disruption that fragments their sleep and disturbs their circadian rhythms, putting them at risk for sleep deprivation. The risk increases with greater severity of illness and is especially high in intensive care unit patients. Sleep deprivation can prolong the intensive care unit stay, contribute to emotional and physiological distress, and even increase the patient’s risk of death. Local Problem Critical care nurses in a 28-bed medical intensive care unit reported that patients often complained of sleep disruption or exhibited emotional
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Erman, Imelda, Indra Febriani, Lidya Margareta Mahulae, and Ari Athiutama. "Implementasi Keperawatan Pemberian Inhalasi Aromaterapi Lemon Pada Keluarga Penderita Hipertensi Dengan Gangguan Rasa Nyaman." JKM : Jurnal Keperawatan Merdeka 3, no. 2 (2023): 73–79. https://doi.org/10.36086/jkm.v3i2.1987.

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Background: Hypertension is one of the non-communicable diseases (PTM) which is currently increasing in prevalence and incidence and is known as the silent killer disease. The perceived problem is pain and can be reduced through the implementation of aromatherapy. The purpose of this study was to reduce painin hypertensive patients. Methods: The design of this research is descriptive in the form of a case study. The subjects studied were 2 people with the same nursing cases and problems, namely hypertensive patients with impaired sense of comfort in the Work Area of the Merdeka Health Center P
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De Veyra, Jamila Marie J., and Clevelinda S. Calma. "Perceptions of Surgical and Other Medical Specialties about Medical Oncologists: A Survey among Physicians in a Filipino Tertiary Hospital." Asian Journal of Oncology 07, no. 03 (2021): 134–41. http://dx.doi.org/10.1055/s-0041-1729345.

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Abstract Introduction There are unverified negative perceptions about medical oncologists. Identifying how they are perceived may provide guidance on how to strengthen the positive and correct the negative impressions. Methods Questionnaires were distributed to 528 physicians. They were asked to answer a Likert scale of opposing descriptors. Results Two hundred and fifty-nine of 528 physicians completed the questionnaire, yielding a 49% response rate. Medical oncologists were perceived to have a medical rather than social focus to their work, render holistic care, have a multifaceted role, com
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