Search PubMed⌕ Search

Biomedical subjects

R Crane

Publications and source records attributed to R Crane.

46 records · Page 3Linked to original sources
PubMedDate not supplied

Air medical program merger and stress.

INTRODUCTION: How does the stress of a program merger affect job stress in air medical transport? METHODS: This study was an anonymous survey of 104 transport personnel in a Mid-western critical care transport program with merged air and ground components. Tools included the Social Readjustment Rating Scale (SRRS), which quantitates stressful life events on a weighted scale that allows summation as a score, and the Medical Personnel Stress Survey (MPSS), which quantitates work stress in four categories: organizational stress (OS) related to work environment, frustration/exhaustion (FE) related to patient care, job satisfaction (JS) related to decreased self-worth, and psychosomatic complaints (PC), stress manifested as personal illness. Statistical analysis was performed with a variety of tools. RESULTS: Fifty of 104 personnel responded completely. The average SRRS was low at 130.9; only 20% had scores above 200. No significant differences in MPSS occurred in personnel with high and low SRRS scores. Additionally, the SRRS correlated weakly with OS (r = -0.297, P < 0.05). Within the MPSS, OS correlated with FE and JS (r = 0.493, P = 0.0005; r = -0.593, P < 0.0001) and FE correlated with JS (r = -0.36, P = 0.01). CONCLUSION: The overall personnel stress levels in this air medical program with merged air and ground components were low and appeared to be unrelated to organizational stress. This finding may be a result in part of the careful attention paid to stress and the elimination of stressors during the merger process.

Air Ambulances↗
PubMedDate not supplied

Use of memory meters to measure reliability of self blood glucose monitoring.

Glucose reflectance meters equipped with memories were used in 21 insulin-dependent diabetic patients to assess reliability of self blood glucose monitoring records. Results reported in logbooks showed widespread discrepancies when compared with corresponding meter-held records. Discrepancy rates of at least one in five were observed in 11 patients. Unreliable reporting was usually recognized by clinical staff, and associated with high glycosylated haemoglobin levels and poor technique in measuring blood glucose at home.

Adult↗
PubMedDate not supplied

HIV-related disease: family physicians' multiple opportunities for preventive intervention.

BACKGROUND: The spread of the human immunodeficiency virus (HIV) and the increasing number of persons with acquired immunodeficiency syndrome (AIDS) are major health problems. HIV risk factors are well documented, and HIV disease is recognized as a chronic illness with a predictable course. METHODS: Since September 1987 the East Central AIDS Education and Training Center for Health Professionals has served Michigan, Ohio, Kentucky, and Tennessee. Activities include (1) educating and training primary health care providers on prevention and treatment of AIDS, (2) training selected individuals to train others, (3) providing guidance in multidisciplinary management of HIV disease, (4) disseminating updates about HIV and AIDS, and (5) serving as a support system through referral activities. RESULTS: Too many primary physicians, including family physicians, are uncomfortable with patients who are at risk for becoming infected with HIV or who are HIV-infected. Long-term concern and attention that might normally be offered to other patients with different chronic or fatal diseases are sometimes avoided. Patients also present barriers to care, making it difficult for family physicians to provide appropriate care. CONCLUSIONS: Understanding the natural history of HIV infection is integral to family physicians' important roles in preventing and dealing with HIV. One role is screening at-risk persons; this function usually has associated opportunities for education. A second role is mainstreaming HIV-related illnesses; if family physicians treat HIV-positive persons, then AIDS is not "someone else's problem." A third role is leadership; as family physicians overcome fear and prejudice, they become role models. Each role is consistent with long-held traditions of family practice.

AIDS-Related Opportunistic Infections↗