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Biomedical subjects

B S Liese

Publications and source records attributed to B S Liese.

24 records · Page 2Linked to original sources
PubMedDate not supplied

Dual-doctor marriages: the British experience.

While dual-doctor marriages are increasingly common, the attributes of these marriages, as seen by both partners, are little studied. We interviewed both partners in 21 married-doctor couples in Britain using a structured interview format. Results indicated that the doctors were minimally competitive with their spouses, generally sympathetic with their partners' needs for personal time, supportive of their spouses' careers, reasonably satisfied with their sex lives, had some difficulty relaxing, and communicated relatively well with their spouses. The division of household chores reflected traditional sex-role stereotyping. Overall, the most highly rated sources of conflict in the marriages were the amount of time the husband was away from home at work, in-laws, and bringing work home. Respondents generally rated their marriages high and believed the major advantage of a dual-doctor marriage was understanding on the part of both partners of all aspects of being a doctor. That one partner's career must take precedence and lack of time for other pursuits were seen as the major disadvantages.

Adult↗
PubMedDate not supplied

A strategy to improve developmental screening during well baby visits.

There is evidence that the developmental exam is frequently neglected during the well baby exam because of time constraints. We placed a simple, standardized developmental screening instrument on the medical record of children under two years of age and then monitored physician use of the chart for the next 18 months. Developmental screening increased from 15.7% during the 12 months prior to our intervention to 41.9% during the 12 months after our intervention. Use of the screening instrument by faculty appeared to have an important influence on resident physician use of the instrument during the well baby exam.

Child Development↗
PubMedDate not supplied

An experimental study of two methods for teaching sexual history taking skills.

The purpose of this study was to test two distinct components of a sexual history taking training program in a controlled, randomized experiment. Twenty-four family practice residents were divided into two groups. One group received skills oriented training and the other received sexual awareness oriented training. Both groups received active listening skills training and general information about sexual dysfunction. The effects of the two treatment groups were assessed by residents' performance in videotaped simulated sexual history interviews. Results strongly suggested that the skills oriented method was more effective than the awareness oriented method for teaching residents to take a sexual history. No residents elicited information about sexual orientation. These results are discussed in terms of their implications for teaching and research in sexual history taking skills.

Family Practice↗
PubMedDate not supplied

Factors predictive of heightened third-day bilirubin levels: a multiple stepwise regression analysis.

The purpose of this research was to prospectively study the variables contributing to the variance in third-day bilirubin levels in healthy, full-term newborns. The study subjects were 252 full-term, healthy infants born at the University of Kansas Medical Center over a four-month period. Using a multiple stepwise regression analysis, six factors were found to be significant predictors of higher third-day bilirubin levels: higher cord bilirubin level; lower total serum protein in the infant on admission to the nursery; sex of the child; administration of promethazine hydrochloride during labor; greater weight loss in the infant; and breast-feeding. Several other factors which have been implicated previously--including use of oxytocin for induction or augmentation of labor, previous use of birth control pills by the mother, prolonged rupture of membranes prior to delivery, type of delivery, race, and epidural anesthesia--were not found to be significant predictors of third-day bilirubin levels once the six variables listed had been taken into consideration. The results are discussed in terms of past research as well as implications for clinical practice.

Bilirubin↗
PubMedDate not supplied

Perceptions and treatment of sexual problems.

In this research, perceptions and beliefs which affect the family physician's treatment of sexual problems were studied. A 66-item questionnaire, the Survey of Sexual Problem Care (SSPC), was completed by 68 individuals. Respondents reported that they would be more likely to consult a family physician for the treatment of sexual problems than any other individual; however, few (11%) of those surveyed had actually sought treatment for sexual problems. Confidentiality was reported to be the most important characteristic in persons consulted for sexual problems, and treatment was more likely to be sought from family physicians when problems were believed to have a physical (vs. psychological) etiology. The implications of these results are discussed.

Family Practice↗