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1. A Patient-based severity measure of chronic lung disease: evaluating functional health and predicting health services use.
Match Strength: 3.899

Prior research has consistently shown that among patients with chronic lung disease (CLD), health-related quality of life (HRQOL) is tied more to respiratory symptoms than to physiologic measures. However, traditional methods to quantify the severity of CLD have been restricted to physiologic measures (eg, FEV1, FVC, etc) that are often poor predictors of HRQOL and utilization of health services. Using a patient-based measure of symptom severity for CLD developed in the Veterans Health Study (VHS), this article evaluated the impact of the severity of CLD on patients' self-reported HRQOL and ... Read More »
» Published in J Ambul Care Manage. 2006 Oct-Dec;29(4):320-31.

2. A model for communication skills assessment across the undergraduate curriculum.
Match Strength: 3.720

Physicians' interpersonal and communication skills have a significant impact on patient care and correlate with improved healthcare outcomes. Some studies suggest, however, that communication skills decline during the four years of medical school. Regulatory and other medical organizations, recognizing the importance of interpersonal and communication skills in the practice of medicine, now require competence in communication skills. Two challenges exist: to select a framework of interpersonal and communication skills to teach across undergraduate medical education, and to develop and ... Read More »
» Published in Med Teach. 2006 Aug;28(5):e127-34.

3. Is vaginal breech delivery outdated for all singletons and twins? The current kaleidoscope of obstetric thinking.
Match Strength: 3.083

The best practice for the delivery of a term breech in singleton and twin pregnancies is still controversial. We sought the opinions of obstetricians working in Ireland. A questionnaire was used to address the management of the obstetrician's "own hypothetical pregnancy" in three different scenarios. We also inquired about factors which might influence the decision on mode of delivery. The response rate was 104/174 (60%). In the scenario of a singleton fetus presenting by the breech in a nulliparous woman, 15/84 (18%) of obstetricians would chose a spontaneous vaginal delivery compared to 40 ... Read More »
» Published in Ir Med J. 2006 Apr;99(4):109-11.

4. Over-the-counter access, changing WHO guidelines, and contraindicated oral contraceptive use in Mexico.
Match Strength: 3.026

This study examines the prevalence of contraindications to the use of oral contraceptives in Mexico by sociodemographic characteristics and by whether this family planning method was obtained with or without a doctor's prescription. Using data on smoking behavior and blood-pressure measurements from the 2000 Mexican National Health Survey, the authors found that, under the 1996 World Health Organization (WHO) medical eligibility guidelines, the prevalence of contraindications is low and that no significant differences in contraindications exist at any level between those who obtain oral ... Read More »
» Published in Stud Fam Plann. 2006 Sep;37(3):197-204.

5. 'What does it mean?' uncertainty, trust and communication following treatment for pre-cancerous cervical abnormalities.
Match Strength: 2.786

The early detection of pre-cancerous cervical conditions has risen dramatically, prompting more in-depth investigations regarding psychological implications inherent within the diagnosis and treatment of this condition. This study aimed to identify factors that influence women's experience of diagnosis and treatment of cervical abnormalities and factors that facilitate positive adjustment. Using a semi-structured telephone interview, we interviewed 21 women (age 24-54) treated at a colposcopy clinic. Systematic recruitment of women with varying degrees of cervical abnormality (CIN 1-3) and ... Read More »
» Published in Psychooncology. 2006 Sep 20;

6. Attitude toward living donor liver transplantation in Taiwan.
Match Strength: 2.725

OBJECTIVES: The purpose of this study was to investigate the attitudes and characteristics of donors for living donor liver transplantation (LDLT). METHODS: This retrospective study was performed by a mailing or by telephone using a questionnaire. LDLT donors were recruited from a teaching hospitals located in a metropolitan area of northern Taiwan. The 11-item attitude questionnaire was specifically developed from the literature review with coordinator, physician, and donor feedback. Donors were asked to rate the queries on a 5-point Likert intensity scale. RESULTS: The 47 LDLT donors ... Read More »
» Published in Transplant Proc. 2006 Sep;38(7):2108-10.

7. Perceptions of professionalism in medicine: a qualitative study.
Match Strength: 2.688

PURPOSE: Current guidelines for medical undergraduate education require students to develop appropriate attitudes towards professionalism. As much of the literature defines professionalism in vague terms--altruism, humanism, excellence--few studies have operationalised medical professionalism. This study aims to describe the views and experiences individuals have about medical professionalism to provide a more comprehensive understanding of medical professionalism. METHODS: An interview study of medical educators, medical students, doctors, allied health professionals and lay professionals was ... Read More »
» Published in Med Educ. 2006 Oct;40(10):1027-36.

8. From undergraduate medical education to pre-registration house officer year: how prepared are students?
Match Strength: 2.652

Studies in the United Kingdom show that the first year of being a new doctor is a difficult transition from being an undergraduate medical. These doctors feel ill-prepared by their undergraduate medical student education and ill-equipped for their new role. This is a questionnaire study looking at 193 pre-registration house officers (PRHOs) and 212 consultant educational supervisors within the West Midlands Deanery in England, UK. The study asked how well prepared these new doctors were in seventeen basic subject areas (using a General Medical Council based template), and also, using the same ... Read More »
» Published in Med Teach. 2006 Aug;28(5):435-9.

9. The advent of international 'mail-order' egg donation.
Match Strength: 2.588

The rising demand and increasing scarcity of donor oocytes in developed countries have led to some fertility clinics sourcing oocyte donors from abroad, particularly from poorer countries, in what is referred to as 'transnational' or 'international' oocyte donation. In a further new 'twist' to this scheme, frozen sperm of the recipient's male partner is exported abroad through courier mail and is used to fertilise donor oocytes in a foreign clinic to produce embryos, which are then cryopreserved and imported back by mail for transfer to the woman. There are numerous ethical concerns with ... Read More »
» Published in BJOG. 2006 Nov;113(11):1225-7. Epub 2006 Sep 15.

10. Sports-related injuries among high school athletes--United States, 2005-06 school year.
Match Strength: 2.566

Participation in high school sports helps promote a physically active lifestyle. High school sports participation has grown from an estimated 4 million participants during the 1971-72 school year to an estimated 7.2 million in 2005-06. However, despite the documented health benefits of increased physical activity (e.g., weight management, improved self-esteem, and increased strength, endurance, and flexibility), those who participate in athletics are at risk for sports-related injuries. High school athletes account for an estimated 2 million injuries, 500,000 doctor visits, and 30,000 ... Read More »
» Published in MMWR Morb Mortal Wkly Rep. 2006 Sep 29;55(38):1037-40.

11. Incidence of chronic obstructive pulmonary disease in a cohort of young adults according to the presence of chronic cough and phlegm.
Match Strength: 2.531

RATIONALE: The few prospective studies aimed at assessing the incidence of chronic obstructive pulmonary disease (COPD) in relation to the presence of chronic cough/phlegm have produced contrasting results. OBJECTIVES: To assess the incidence of COPD in a cohort of young adults and to test whether chronic cough/phlegm and dyspnea are independent predictors of COPD. METHODS: An international cohort of 5,002 subjects without asthma (ages 20-44 yr) with normal lung function (FEV(1)/FVC ratio >/= 70%) from 12 countries was followed from 1991-2002 in the frame of the European Community ... Read More »
» Published in Am J Respir Crit Care Med. 2007 Jan 1;175(1):32-9. Epub 2006 Sep 28.

12. Epidemiological disaster research: the necessity to include representative samples of the involved disaster workers. Experience from the epidemiological study air disaster Amsterdam-ESADA.
Match Strength: 2.500

OBJECTIVE: To study whether the methods used to select participants in research on prevalence rates of the health effects of exposure to a disaster may cause bias. This study compared background characteristics, disaster exposure, and complaints reported by (1) police officers who participated in an epidemiological study and underwent a medical examination, and (2) police officers who only participated in an epidemiological study. DESIGN AND SETTING: In 2000, an epidemiological study was started to investigate the health status among police officers who were involved in assistance work related ... Read More »
» Published in J Epidemiol Community Health. 2006 Oct;60(10):887-9.

13. Migrainous vertigo: prevalence and impact on quality of life.
Match Strength: 2.486

OBJECTIVE: To investigate the epidemiology of migrainous vertigo (MV) in the general population by assessing prevalence, clinical features, comorbid conditions, quality of life, and health care utilization. METHODS: We screened a representative sample of the adult population in Germany (n = 4,869) for moderate or severe dizziness/vertigo and followed up with validated neurotologic telephone interviews (n = 1,003). Diagnostic criteria for MV were as follows: 1) recurrent vestibular vertigo; 2) migraine according to the International Headache Society; 3) migrainous symptoms during at least two ... Read More »
» Published in Neurology. 2006 Sep 26;67(6):1028-33.

14. Should function and bother be measured and reported separately for prostate cancer quality-of-life domains?
Match Strength: 2.301

OBJECTIVES: To evaluate the psychometric properties of the three domains bowel, urinary, and sexual function as they were measured in the Prostate Cancer Outcomes Study and examine their use in different research and practice settings. Leading prostate cancer health-related quality-of-life questionnaires include questions that measure patients' bowel, urinary, and sexual function and their perceived annoyance (or bother) caused by limited functioning. The published results are mixed on reporting function and bother independently or together as a single domain. METHODS: Statistical tools from ... Read More »
» Published in Urology. 2006 Sep;68(3):599-603. Epub 2006 Sep 18.

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