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Biomedical subjects

B J Bailey

Publications and source records attributed to B J Bailey.

At least 55 records · Page 3Linked to original sources
PubMed1996

Mediators of depression in adults with diabetes.

Several factors have been related to depression for people with diabetes, but mechanisms of depression in this population remain unclear. The purpose of this research was to test mastery and self-esteem as mediators of disease-related depression in people with diabetes. A sample of 180 adults ages 21 to 81 participated in the cross-sectional, correlational study. Mastery and self-esteem mediated the relationships between depression and two predictors, effects of diabetes complications and general social support. Feelings of self-esteem alone mediated the effect of regimen demands. The effect of diabetes on daily activities had a significant, direct (i.e., nonmediated) relationship to depressive symptoms. The entire model predicted 53% of variance in depression scores (p = .0001). These findings suggest nursing strategies for managing depression in patients with diabetes.

Adult↗
PubMed1996

Social support and health promotion outcomes of adults with psoriasis.

Illness and health behavior, social support, and health promotion outcomes (time of recovery from an acute illness episode and psychosocial adjustment to illness) were investigated in 44 adults with psoriasis. Illness behavior was significantly associated with shortened recovery time.

Adaptation, Psychological↗
PubMed1995

Reliability of infant length measurement.

The reliability of length measurement was determined in 38 infants less than 1 year of age. The SD of a single length measurement was 0.28 cm at birth and 0.42 cm both at 6 weeks and at 8 months of age, comparable with the SD of a single height measurement in previously reported older children. There is no technical reason to prevent reliable measurement of young infants.

Age Factors↗
PubMed1995

Are clinical classifications for laryngeal cancer satisfactory?

All clinical classifications for laryngeal cancer are compromises based on clinical and imaging evaluations, with no concern for important elements such as phenotype, host-tumor relationship, and any concomitant nonneoplastic disease. The various staging systems are critically examined along with a report on the outcome of an international survey on the applicability of the TNM system in relation to laryngeal neoplasms, promoted by The Laryngeal Cancer Association.

Humans↗
PubMed1995

Complications of endoscopic sinus surgery in a residency training program.

Endoscopic sinus surgery (ESS) is now taught in most otolaryngology residency programs in the United States. However, this is technically challenging surgery and concerns exist regarding patient safety early in the surgeon's learning curve. The authors reviewed 193 cases of ESS performed by residents, under faculty supervision at our program, between 1987 and 1992. Sixty-seven percent of patients underwent bilateral anterior ethmoidectomy, 40% had bilateral total ethmoidectomy, and 44% had bilateral middle turbinate reduction. The overall complication rate was 22% and included one major complication. Synechiae accounted for 50% of minor complications. There was no correlation between middle or inferior turbinate reduction and the formation of synechiae. Posterior ethmoidectomy was not associated with a significant increase in complications. We conclude that ESS can be safely performed by otolaryngology residents in carefully structured and supervised training programs.

Adolescent↗
PubMed1995

What would make us stay in West Virginia?: perspectives of the state's medical students.

In summer 1994, a questionnaire was sent to all of the 822 allopathic and osteopathic medical students in West Virginia. They were asked if they planned to practice primary care in the state, and to rate the importance of financial, lifestyle, and educational factors that may impel them to practice in rural areas. The response rate was 51.8%. The results indicated that 70.2% of the students were unsure about their career plans, but they were considering staying in the state as primary caregivers. Financial factors such as tuition waivers, loan repayment programs, the improvement of Medicaid and Medicare reimbursement, and the elimination of the 2% healthcare provider tax were the most important incentives that students stated would influence them to remain in the state. Responses also indicated that lifestyle factors such as the quality of schools for children and having backup may increase participation in rural care. Educational factors were not found to be important reasons affecting students' decisions to practice in rural areas, and many students stated they were unhappy with the current mandatory rotations in rural care. Out-of-state students displayed great interest in both staying in West Virginia and in becoming primary care physicians. Few differences were found between students depending on what school they attended or their gender.

Adult↗
PubMed1994

Surface area estimation: pocket calculator v nomogram.

Three sheets of 10 surface area determinations were completed by 10 subjects using a nomogram and a formula. The formula was faster to calculate, 4.27 v 7.6 minutes for each sheet, and resulted in fewer serious errors (three v 30 errors).

Body Surface Area↗
PubMed1994

Equipping the community to measure children's height: the reliability of portable instruments.

OBJECTIVE: To compare (1) the reliability of two expensive and two inexpensive measuring instruments, suitable for use in the community and (2) the reliability of experienced compared with inexperienced observers. DESIGN: (1) Ten children aged 5-12 years were each measured three times blindly, and in random order, by two experienced observers using four different portable instruments. (2) Four groups of four children aged 5-11 years were each measured three times blindly, and in random order by four experienced and one inexperienced measurer, using two different portable instruments. MAIN OUTCOME MEASURES: The precision of height measurements made by different observers using different instruments, expressed in each case as the standard deviation of a single height measurement (SDshm). RESULTS: (1) No significant difference in precision was found between instruments, SDshm ranging from 0.22-0.34 cm. The two observers using apparently the same technique, did however record significantly different absolute heights. (2) No significant difference in precision was found between experienced and inexperienced observers. CONCLUSION: Inexpensive height measuring equipment, once accurately installed, is no less reliable than the most expensive. Inexperienced observers can, with care, measure as reliably as those with long experience. Every effort should be made, however, to ensure that the progress of individual children is monitored not only by the same observer, but on a long term basis.

Anthropometry↗
PubMed1993

Apportioning illness management authority: how diabetic individuals evaluate and respond to spousal help.

This study explores spousal helping behavior related to diabetes management as seen from the perspective of the person with diabetes. Individuals with diabetes described spousal behaviors considered helpful in one context that were considered intrusive or unhelpful in other situations. When the helpful and unhelpful situations were compared, two factors emerged that were fundamental influences in subjects' acceptance or rejection of help and the manner in which it was accepted or refused. These factors were perceived need for help and subjects' perception of spousal motivation for action. Combinations of these factors gave rise to four distinct response patterns: grudging acceptance of help, grateful acceptance of help, respectful rejection of help, and punitive rejection of help. The impact of these response patterns on diabetes management is discussed.

Adult↗