Shopping for surgery. Consumers want to talk outcomes--and have a say in their care decisions.
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Biomedical subjects
Publications and source records attributed to K S Taylor.
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Access to specialized expertise and the ability to staff hard-to-fill jobs continue to surpass all other reasons for use of contract management services, according to the annual CEO survey conducted by Hospitals. And most CEOs who use contract services say they're satisfied with them.
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This study was designed to monitor benefit received from the use of amplification by 58 elderly new hearing users. The longitudinal study assessed changes in self-perceived handicap and audiometric measures by analyzing data at prefitting and at 3-wk, 3-mo, 6-mo, and 1-yr postfitting intervals. Measurement tools included the Hearing Handicap Inventory for the Elderly (HHIE), functional gain (500 through 4000 Hz), and speech recognition measures in quiet and in noise. Results indicated a significant decrease in perceived handicap after 3 wk of hearing aid use. After 3 mo, perceived handicap increased significantly before leveling off at 6 mo and 1 yr. Audiometric measures remained constant throughout the period under investigation. Benefit as defined using functional gain data was unrelated to benefit as defined using self-report data.
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This study was undertaken to investigate the possible pituitary-adrenal suppressive effects of triamcinolone acetonide under occlusive dressings in six psoriatic patients. Forty-five grams of a cream containing 0.1% triamcinolone acetonide was applied daily to the psoriatic lesions of four patients and covered with an occlusive dressing. Two patients received daily applications of 45 gm of 0.01% triamcinolone acetonide cream and occlusive dressings. The four patients who received the 0.1% triamcinolone acetonide applications showed a marked decrease in the 24-hour urinary 17-hydroxycorticosteroids and no significant response to intravenous metyrapone testing. The two patients who were treated with 0.01% triamcinolone acetonide also showed a significant decrease in 24-hour urinary 17-hydroxycorticosteroids, but a partial response to metyrapone testing. Percutaneous absorption of as little as 1 to 2 mg of triamcinolone acetonide may affect pituitary-adrenal function.
Communication with the hearing impaired is sometimes difficult. Nurses can become more sensitive to the communication disorders of the elderly and use their knowledge to avoid creating unnecessary barriers to the nurse-patient relationship.
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