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P Conrad

Publications and source records attributed to P Conrad.

At least 55 records · Page 3Linked to original sources
PubMed1985

The meaning of medications: another look at compliance.

Most research on compliance with medical regimens takes a doctor-centered perspective and proceeds from certain assumptions. This paper presents an alternative, patient-centered approach to managing medications, using data from 80 in-depth interviews of people with epilepsy. This approach focuses on the meanings of medication in people's everyday lives and looks at why people take their medications as well as why they do not. I argue that from a patient's perspective the issue is more one of self-regulation than compliance. When we examine 'noncompliance' beyond difficulties with 'side effects' and drug efficacy, the meanings of self-regulation include testing, controlling dependence, destigmatization and creating a practical practice. What appears to be noncompliance from a medical perspective may actually be a form of asserting control over one's disorder.

Anticonvulsants↗
PubMed1985

[German pelviscopy statistics 1978 to 1982].

The second statistics concerning pelviscopy in Germany included information about 269603 pelviscopies done in 322 general hospitals and 22859 pelviscopies done in 62 private clinics between 1978 and 1982. The participation of 38.7% for general hospitals and of 43.3% for private clinics may be explained by the fact that a major part of the participating clinics keep no detailed documentation on their operative procedures or cannot answer extensive questionnaires for lack of personnel. In general hospitals the rate of serious complications was 1.9% and in private clinics 2.0%. Injuries of large blood vessels topped the list of the complications (36.3% or 43.2%) (Bisler et al. 1980, Erkrath et al. 1979, Cognat et al. 1976, Mintz 1977). The rate of serious complications occurring in general hospitals and private clinics could certainly be lowered by intensifying the training in pelviscopic operation techniques (e.g. with the training phantom according to Semm) and by avoiding risky procedures like high frequency coagulation techniques in endoscopic operations. The predominant technique employed in tubal sterilisation was the bipolar high-frequency current method with 75% in general hospitals and 73.1% in private clinics, followed by the endocoagulation technique, according to Semm (36.8%). Sterilisation failures were reported in 2.6% or 2.5%. Most failures were reported after sterilisation by the bipolar high-frequency technique (3.9%) followed by clip technique (3.7%), and only very rarely in endocoagulation (1.1%). The rate of ectopic pregnancies following sterilisation was 1.06% = 40.6% of the total pregnancy rate after fallopian tube sterilisation or 0.68%.(ABSTRACT TRUNCATED AT 250 WORDS)

Endoscopy↗
PubMed1980

Painful legs: the GP's dilemma.

Pain in the legs is a common diagnostic problem. Diagnosis is made on an anatomical basis and by a process of exclusion. Deep vein thrombosis is still an exceedingly difficult condition to diagnose; however, investigation by ultrasound with the Doppler Flow Meter often provides a definite answer. There is a large group of patients, nearly always female and in their twenties and thirties, in whom chronic leg pain without demonstrable underlying cause poses a problem. These cases respond very favourably to Paroven 250 mg three or four times daily, as well as light support pantyhose.

Adolescent↗
PubMed1979

Insulin binding to monocytes in trained athletes: changes in the resting state and after exercise.

Insulin binding to monocytes was examined in trained athletes (long distance runners) and in sedentary control subjects in the resting state and after 3 h of exercise at 40% of maximal aerobic power. At rest, specific binding of 125-I-insulin to monocytes was 69% higher in athletes than in sedentary controls and correlated with maximal aerobic power. The increase in insulin binding was primarily due to an increase in binding capacity. During acute exercise, insulin binding fell by 31% in athletes but rose by 35% in controls. The athletes had a smaller decline in plasma glucose and a lower respiratory exchange ratio during exercise than did controls. We conclude that physical training increases insulin binding to monocytes in the resting state but results in a fall in insulin binding during acute exercise. Changes in insulin binding in athletes thus may account for augmented insulin sensitivity at rest as well as a greater shift from carbohydrate to fat usage during exercise than is observed in untrained controls.

Adult↗
PubMed1977

Situational hyperactivity: a social system approach.

A sociological approach for viewing hyperactivity has been proposed. Its explanatory power may at this time be limited to differentiating between situational hyperactivity and a medical model for explaining the syndrome. Further research could serve to expand and illuminate this theory. However, even as presently formulated, by focusing on situational hyperactivity we have a perspective that returns meaning to the child's behavior. We can now inquire as to what hyperactive children can tell us about school systems, family structure, and the position of children in our own society. Putting meaning back into explanations of behavior can produce greater insights into our understanding of children and the social systems in which they operate.

Child↗
PubMed1975

Sclerostripping--a "new" procedure for the treatment of varicose veins.

A "new" procedure for dealing with varicose veins associated with severe-to-moderate long saphenous vein incompetence is described. It consists of a combination of high ligation of the saphenofemoral junction and stripping of the long saphenous vein, with compression sclerotherapy of its tributaries and veins which are varicose because of incompetent perforators at the time of the operation. A series of 150 patients treated over a period of four years by this method is described. The safety, effectiveness, and advantages of the method over those of more orthodox surgery are discussed. It is suggested that it is safe, and more effective than more orthodox operations.

Bandages↗