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  • 1986  (8)
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  • 1986  (8)
  • 1
    In: Medical Care, 1986, Vol.24(3), pp.189-199
    Description: Patients who fail to show for scheduled visits or who fail to contact their provider when warning symptoms occur pose important problems for the primary care physician. A group of interventions was examined to determine the effectiveness in increasing the number of prescribed office visits in patients with diabetes mellitus. This group of interventions included mailed packets with information on how to use the clinic, providersʼ names and phone numbers, after-hours phone numbers, a list of early warning signs, and a booklet on managing diabetes mellitus; mailed appointment reminders; and intense followup of visit failures for prompt rescheduling. Eight hundred fifty-nine patients on drug therapy for diabetes mellitus were stratified by risk of hospitalization and randomly assigned within strata to control and intervention groups. The intervention group received all interventions. After 1 year, the intervention group averaged 12% more total contacts than the control group (5.8 vs. 5.2, P = 0.01), due largely to an increase in kept scheduled visits (4.1 vs. 3.6, P = 0.006). These effects were greatest in those patients at higher risk of hospitalization. Also, visit failures were reduced only in high-risk patients. The effect of the interventions did not diminish during the year of study. This systematic and repetitive intervention appears effective in increasing prescribed office visits and is especially effective in patients requiring more frequent care.
    Keywords: Medicine ; Public Health;
    ISSN: 0025-7079
    E-ISSN: 15371948
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  • 2
    Article
    Article
    In: M.D. Computing, Jan-Feb, 1986, Vol.3(1), p.53-55
    Description: The Clinical Research System (CRS) from International Medical Products Corp. is a database management system customized for the storage and management of patient data, especially that collected from clinical trials. It is designed to be used by health care professionals without extensive computer backgrounds, and requires 128Kbytes of RAM, a color-graphics adapter card, two diskette drives or one diskette and a hard disk, and PCDOS 2.0 or later. It runs on IBM PCs and compatibles, and comes in three versions: CRS I for $900, CRS II with storage of more data for $1,800, and the CRS III, the multisite version for $3,000. CRS is easy to use and powerful enough for the requirements of most clinical research facilities, with the ability to record the time and date of observations, and it will be a better alternative to the standard database management packages that require a considerable amount of customization for clinical applications, but it is recommended that users wait for the next release of the package after the bugs are worked out and the reference guide is improved.
    Keywords: Evaluation ; Medicine ; Medical Offices ; Dbms Software
    ISSN: 0724-6811
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  • 3
    Language: English
    In: Journal of Professional Nursing, 1986, Vol.2(3), pp.160-165
    Description: The split between nursing service and nursing education with regard to skill expectations for new baccalaureate graduates is a commonly held belief in the nursing profession. However, results of the present study did not support this belief. Two questionnaires which measured ideal expectations for and real perceptions of entry level competencies of new BSN graduates were completed by a convenience sample of 123 nurse administrators. Rather than differing with regard to ideal expectations, results of paired t tests indicated that the major problem was the vast difference between the ideal expectations and real functioning for both service and education. It appears that neither service nor education is satisfied with the performance of the new BSN graduate. The authors urge for an action-oriented approach to this problem in which nursing service and nursing education act collaboratively to generate realistic solutions.
    Keywords: Education, Nursing, Baccalaureate, Performance of Graduates ; Service, Nursing, Performance of Baccalaureate Graduates ; Nursing
    ISSN: 8755-7223
    E-ISSN: 1532-8481
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  • 4
    Language: English
    In: Diseases of the Colon & Rectum, 1986, Vol.29(1), pp.49-51
    Description: Hepatic portal venous gas occurring during an air-contrast bariumenema examination in patients with inflammatory bowel disease is a benign finding. Patients with chronic ulcerative colitis have experienced some morbidity, while those with Crohn's colitis have not. It may not be necessary to treat all of these patients with antibiotics, especially asymptomatic patients with Crohn's colitis.
    Keywords: Portal venous gas ; Crohn's disease ; Barium enema ; Benign
    ISSN: 0012-3706
    E-ISSN: 1530-0358
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  • 5
    Language: English
    In: Marine Geology, 1986, Vol.70(1), pp.43-66
    Description: Organic-rich black shales have been observed in Mesozoic strata penetrated by the Deep Sea Drilling Project (DSDP). These black shales represent a major carbon sink in the geologic record. Of paramount importance in establishing the origin of the black shales is the character and level of preservation of the organic matter. Within the North and South Atlantic sample suite, three types of organic matter were identified: well-preserved marine organic matter, moderately well preserved terrestrial material, and severely altered and/or recycled organic matter. The spatial and temporal distribution of the three types of organic matter suggest that the organic-rich shales are not of a single origin. These shales have developed as a result of high continental runoff from regions rich in sedimentary carbon and/or elevated terrestrial productivity, or high marine productivity and preservation in part due to rapid deposition by turbidity currents or mass slumping.
    Keywords: Oceanography ; Geology
    ISSN: 0025-3227
    E-ISSN: 1872-6151
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  • 6
    Language: English
    In: The Journal of Experimental Education, 01 April 1986, Vol.54(3), pp.153-155
    Description: This paper presents a user-oriented technique to analyze dichotomous data arising from a double repeated measures 2 × 2 design. The design under consideration occurs most frequently in survey research in which two matched samples of subjects are measured at two points in time on a dichotomous dependent measure. Test statistics are presented that test for change on the dependent measure over time for each sample separately, as well as an interaction test statistic that compares the change rates between the two samples. An extension of the technique to higher order two-dimensional tables is also suggested.
    Keywords: Education
    ISSN: 0022-0973
    E-ISSN: 1940-0683
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  • 7
    In: American Historical Review, April, 1986, Vol.91, p.419(1)
    Keywords: Book Reviews ; Shlomo, Avineri ; Avineri, Shlomo
    ISSN: 0002-8762
    Source: Cengage Learning, Inc.
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  • 8
    Language: English
    In: The American Historical Review, 1 April 1986, Vol.91(2), pp.419-419
    Keywords: History & Archaeology;
    ISSN: 00028762
    E-ISSN: 19375239
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