Biomedical subjects

J Kinnunen

Publications and source records attributed to J Kinnunen.

78 records · Page 5Linked to original sources

PubMedDate not supplied

Health care priorities as a problem of local resource allocation.

The aim of this study was to examine attitudes to prioritization in health care among the general public, politicians, doctors and nurses. The focus in this paper is on the types of services from a perspective that is 'policy analytical'. This study forms part of the wider 'Prioritization in Health Care Project' carried out at the University of Kuopio exploring patient treatment level prioritizations. Data were collected by a postal questionnaire in 1995. Four groups were established for the study: (1) a general public sample of 2000 subjects, (2) a random sample of 1000 nurses, (3) a random sample of 1500 medical doctors and (4) a sample of 2200 politicians involved in social and health care administration. Respondents were asked to make value choices between specialized and primary health care services in a real budget situation. One of the most salient findings in this study was that attitudes towards priorities are context-dependent. Certain differences were observed between the groups studied. The attitudes of the general public and nurses were quite similar, while similar views were shared by politicians and doctors. The attitudes of the respondents reflect well what has actually happened in Finnish health care, with the exception of psychiatric services which have undergone drastic cuts.

Adult↗

PubMedDate not supplied

The importance of organizational culture on development activities in a primary health care organization.

The aim of this article is to examine, by means of an empirical study, the: a) relationship between formal and cultural structures; b) similarities and differences between professional subcultures (medical, nursing and managerial); and, c) the effects of the social assumptions of the work teams on development activities in one large primary health care organization. The results show that different professional groups have created quite different sets of social values, norms and assumptions, which have significant consequences, both for patients care and organizational performance.

Data Collection↗

PubMedDate not supplied

Pre- and postoperative auditory event-related potentials in temporal lobe epilepsy.

We studied auditory event-related potentials (ERPs) in 11 surgically treated patients with intractable temporal lobe epilepsy (TLE) pre- and postoperatively. ERPs through sphenoidal electrodes (Sp1-T3, Sp2-T4) provided clinically relevant and correctly lateralizing electrophysiologic evidence of temporal lobe dysfunction in 9 of 11 patients, confirmed by EEGs, electrocorticograms, neuroradiologic, and neuropsychological results, and clinical follow-up. Lateralizing asymmetries were noted in P300 amplitude, but latencies were prolonged bilaterally. Sphenoidal ERPs might serve as a new functional indicator of temporal lobe dysfunction in patients evaluated for epilepsy surgery.

Adolescent↗

PubMedDate not supplied

Effect of training and experience on radiologic diagnostic performance in midfacial trauma.

In a retrospective approach the medical records and radiographs of 618 patients with midfacial trauma were reviewed by radiologists who were classified into four groups according to the length of their training and experience. Initially reported diagnoses were compared with discharge diagnoses, and the impact of training and experience on diagnostic performance was assessed. The same parameters were also investigated in a prospective study. Neither of the investigations revealed any statistically significant improvement in diagnostic performance with increased training and experience. After the basic radiologic education, innate perceptive and cognitive abilities seem to have a larger influence on radiologic diagnostic performance than training and experience.

Facial Bones↗

PubMedDate not supplied

Effect of alcohol intake on the radiographic quality in patients with midfacial trauma.

The initial reports on radiologic examinations in 618 consecutive patients with midfacial injuries were compared with the final clinical diagnoses. Alcohol had to some degree been imbibed by 31 per cent of the patients. Influence of alcohol was 3 times more common outside than within office hours. Radiographic analysis included estimation of blurring, errors in straightness, angulation, beam centering and limitation. Image quality was scored as visibility of 'the imaginary lines of bony continuity'. There was no statistically significant correlation between the degree of inebriety and image quality or diagnostic performance with the radiographic technique used, with the patient supine. There is no need to postpone midfacial radiography in inebriate patients.

Alcoholic Intoxication↗

PubMedDate not supplied

Image quality in radiography of midfacial trauma.

Image quality in radiography of midfacial trauma was studied in 618 patients treated for midfacial injury. The visibility of key anatomic areas was related to essential technical factors influencing image quality as well as to the radiologic diagnostic performance. Regression analysis revealed that the visibility of the key anatomic areas was significantly dependent on the technical factors. However, the radiologic diagnostic performance was not significantly dependent on the visibility of the key anatomic areas. The results indicate that image quality was not a limiting factor for radiologic diagnostic performance in midfacial trauma.

Facial Bones↗