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At least 217 records · Page 12Linked to original sources

Day-case adenoidectomy: how popular and safe in a rural environment?

In spite of previously favourable reports on day-case adenoidectomy, there are still worries amongst otolaryngologists that such practice is unsafe, especially in a rural environment. A national survey was therefore carried out which shows that only 41 per cent of respondents perform adenoidectomy routinely as day-case, and even fewer in rural areas. A regional audit on day-case adenoidectomy, covering five hospitals, was conducted in East Anglia. Between 1994 to 1995, 73 day-case adenoidectomies were performed and the outcome was compared to those of 183 in-patient adenoidectomies during the same period. The children in the day-case group recovered post-operatively even better than the in-patient group. None of them stayed overnight or required re-admission. There was no increased in post-operative consultation to the general practitioner. The parents in the day-case group were mostly in favour of the day-case arrangement (88 per cent). The results suggest that day-case adenoidectomy is safe and popular with parents even in a rural environment.

Adenoidectomy↗

Popular theoretical methods predict benzene and arenes to be nonplanar.

Planar (D6h) benzene has one (1181i cm-1, b2g) and three (1844i cm-1, b2g; 462i cm-1, e2u) imaginary vibrational frequencies at the MP2/6-311++G(d,p) and MP2/6-311++G levels of theory, respectively! The spurious frequencies correspond to D3d chair (b2g) and C2v boat (e2u) out-of-plane distortions. Numerous, similar examples where planar benzene is not a minimum are documented at the MP2, MP3, and CISD levels with popular Pople-type basis sets, while the RHF, B3LYP, and BLYP methods exhibit no such problems. We show that, in the sp and spd atomic-orbital limits of MP2 theory, benzene is nonplanar. The observed failure of electron correlation methods with unbalanced basis sets to predict planar minima is not unique to benzene but is also found for other pi-delocalized molecules, including pyridine, naphthalene, anthracene, the cyclopentadienyl and indenyl anions, and the tropylium cation. Detailed mathematical analysis reveals that an insidious, geometry-dependent, two-electron basis set incompleteness error (BSIE) is responsible for the problem and that balanced, correlation-consistent constructions of basis sets are generally required to ensure reliable predictions for arenes with correlated wave functions.

Journal Article↗

Systematic errors in computed alkane energies using B3LYP and other popular DFT functionals.

[structure: see text] Energies computed by B3LYP and other popular DFT functionals are flawed by systematic errors, which can become considerable for larger molecules. These errors, predominately due to inadequacies in assessing longer-range nonbonded attractive effects (dispersion), are illustrated by the isodesmic stabilization energies of n-alkanes (based on methane and ethane, which have no stabilizing 1,3-alkyl group interactions). Newer functionals, designed to describe weak interactions, give somewhat better agreement with experiment, but are not fully satisfactory.

Journal Article↗

Obsessive-compulsive disorder in popular magazines.

To examine what the general public is learning about Obsessive-Compulsive Disorder (OCD) through popular magazines, all articles listed in the Reader's Guide to Periodical Literature under the topic headings of "obsessive-compulsive behavior" or "obsessive-compulsive disorder" between 1983 and 1997 were read and rated. Only 31 of the 107 articles under these headings dealt explicitly with OCD, and these were found to be reasonably accurate in their presentations of symptoms, causes, and treatments. Many of the other articles under the target headings, however, focused on incidents of "stalking" of famous people by "obsessed" fans. The implications of the content patterns of these articles for understanding and misunderstanding of OCD are discussed.

Humans↗

Some popular versions of uninformed consent.

A patient's informed consent is required by the Nuremberg code, and its successors, before she can be entered into a clinical trial. However, concern has been expressed by both patients and professionals about the beneficial or detrimental effect on the patient of asking for her consent. We examine advantages and drawbacks of popular variations on consent, which might reduce the stress on patients at the point of illness. Both informed and uninformed responses to particular trials, and trials in general, are discussed. The selection by doctors of patients, to whom entry to trials will be offered, is explored. Alternative forms of consent require restrictions on patients' knowledge, personal responsibility and freedom of choice.

Clinical Trials as Topic↗

"Am I not a woman?" The rhetoric of breast cancer stories in African American women's popular periodicals.

Representations of breast cancer are examined in three popular women's periodicals targeting African American readers: Ebony, Essence, and Black Elegance. The researcher focuses specifically on representations that reflect certain ideas/ideals about the sharing and creating of information about the disease and related issues, such as health care and body image. Magazine selections are analyzed and critiqued according to the epistemological principles outlined by Patricia Hill Collins in Black Feminist Thought. The author calls for further research into how and why particular social and cultural groups consume information about health and illness in particular ways.

Black or African American↗

Maintaining connections in children's grief narratives in popular film.

Children's grief narratives in popular films were examined for their portrayal of connection-maintaining strategies with the deceased. Comparisons were made between strategies found in actual parentally bereaved children and in child characters in films. Implications of these filmed grief narratives for models of grieving and for practice are discussed.

Child↗

Children's peer relations: a meta-analytic review of popular, rejected, neglected, controversial, and average sociometric status.

Two-dimensional sociometric models have had a critical role in the investigation of children's peer relations in the past decade. In a meta-analysis, fitting categorical models (Hedges, 1982), sociometric group differences on behavioral and information source typologies were assessed. The broad-band behavioral analysis showed that popular children's array of competencies makes them likely recipients of positive peer nominations, whereas high levels of aggression and withdrawal and low levels of sociability and cognitive abilities are associated with rejected peer status. A consistent profile marked by less sociability and aggression emerged for neglected status. Controversial children had higher aggressive behavior than rejected children but compensated for it with significantly better cognitive and social abilities. The moderator effects of narrow-band behavioral categories and information source were also examined.

Child↗

Radical behaviorism and psychology's public: B. F. Skinner in the popular press, 1934-1990.

B. F. Skinner is perhaps 2nd only to Freud among the most publicly identifiable psychological figures of the last century. This article reviews the popular press coverage of Skinner between 1934 and 1990 to examine how radical behaviorism was interpreted, portrayed, and received by psychology's public. Reactions to Skinner were often skeptical or condemnatory. It is suggested that some members of the public had difficulty accepting his views because of the disparities between the philosophy of radical behaviorism and the phenomenology of everyday experience. Furthermore, Skinner's status as a psychological expert was inextricably linked to the public's perception of his credibility not only as a scientist but also as a human being.

Behaviorism↗

Operational criteria for adverse drug reactions in evaluating suspected toxicity of a popular scabicide.

A recently developed algorithm for the diagnosis of adverse drug reaction (ADR) was used to investigate the quality of evidence in reported cases of ADRs to 1% gamma benzene hexachloride (GBH), a popular scabicide and pediculicide currently under suspicion as a cause of central nervous system (CNS) toxicity, especially in children. Of the 53 reported cases of alleged toxicity, 37 were associated with lindane insecticide (greater than 1% GBH), which is not a pharmaceutical preparation. Of these 37 cases, 34 scored as definite or probable reactions on the algorithm. Of the 26 reports associated with the drug, 1% GBH, none scored as definite and only 6 as probable ADRs. Of these 6 probable cases, 5 represented inappropriate application or unintended ingestion. The use of rigorous operational criteria, such as those developed in this algorithm, permits a scientifically disciplined assessment of whether or not a drug has been fairly indicted, and also provides valuable clinical information about other aspects of suspected drug toxicity.

Bone Marrow↗

Popular weight-loss diets: from evidence to practice.

The increasing number of overweight and obese individuals has become one of the leading public health concerns in many countries around the world. Concomitant with this increase in the prevalence of obesity has been the rise in the number of weight-loss diets, many of which alter macronutrient composition, but with the majority focused on carbohydrate restriction. Low-carbohydrate diets are attractive because they promise rapid weight loss without having to count calories and compromise the consumption of many palatable foods. By contrast, traditional dietary recommendations for weight loss endorse a fat-restricted and calorie-restricted diet high in complex carbohydrates. Evidence indicates that low-carbohydrate diets could be better in terms of short-term weight loss relative to traditional low-fat diets, but little is known about their long-term utility and safety. Diets based on the traditional Mediterranean dietary pattern are becoming increasingly popular because of their healthful benefits, particularly regarding cardiovascular outcomes. Mediterranean diets encourage consumption of a variety of palatable foods, optimizing adherence and sustainability. In this Review we discuss the current evidence on the efficacy of low-fat, low-carbohydrate and Mediterranean dietary patterns for weight loss, their potential mechanisms of action and important clinical considerations.

Aged↗

The humanities and nursing: using popular literature as a means of understanding human experience.

The rapid advances in technology during the twentieth century have encouraged science and technology to be the main focus of the nursing curricula. The effect of this focus tends to hinder the importance of the human condition. This paper discusses the benefits of including the humanities, particularly but not exclusively the inclusion of literary study in nursing curricula. It is argued that the study of popular literature by students of nursing provides them with the opportunity to understand and to appreciate life experiences. This assists them in gaining awareness and sensitivity to the many physical and psychological components of people's reactions to health, illness and hospitalization. The power of literary study to promote an appreciation of the hurt and pain of disease is considered by the authors to be an effective teaching tool within a comprehensive programme for students of nursing.

Education, Nursing↗

Two surgeons who popularized spinal anesthesia.

Because of the significant mortality associated with general anesthesia in the early decades of the 20th century, two US surgeons--George Pitkin and Wayne Babcock--suggested suitable alternatives. Believing in the greater manageability and safety of regional and spinal anesthesia, each investigated these techniques, employing them for surgery and went on to popularize the rational use of regional anesthesia. Reg Anesth Pain Med 2001;26:278-282.

Anesthesia, Spinal↗

Popularity of complementary and alternative medicine in Japan: a telephone survey.

OBJECTIVE: To obtain information on the use of complementary and alternative medicine (CAM) in Japan. DESIGN: Nationwide, random-sampled and population-weighted telephone survey. METHODS: The survey was conducted by a telephone survey company in April 2001. The sample size of respondents was 1000. Using a region-, gender- and age-weighted sampling table, professional operators called respondents with random-digit dialling. Respondents were asked questions about their use of CAM in the past 12 months, out-of-pocket expenditures on CAM and orthodox Western medicine, reasons for the use of CAM and so on, as well as general socio-demographics. RESULTS: The percentage of respondents who had used at least one CAM therapy in the past 12 months was greater than those who had used orthodox Western medicine (76.0% (95% CI: 73.4-78.6) vs 65.6% (95% CI: 62.7-68.5). The percentage of use for each CAM therapy was as follows: nutritional and tonic drinks (43.1%), dietary supplements (43.1%), health-related appliances (21.5%), herbs or over-the-counter Kampo (17.2%), massage or acupressure (14.8%), ethical Kampo (Kampo prescribed by medical doctors) (10.0%), aromatherapy (9.3%), chiropractic or osteopathy (7.1%), acupuncture and moxibustion (6.7%), homeopathy (0.3%), and other therapies (6.5%). Regarding the reasons for the use of CAM, 60.4% responded that 'the condition was not serious enough to warrant orthodox Western medicine', and 49.3% were 'expecting health promotion or disease prevention'. Average annual out-of-pocket expenditures of all the 1000 respondents for CAM were half as much as those for orthodox Western medicine (19,080 yen (95% CI: 15,824-22,336) vs 38,360 yen (95% CI: 30,439-46,280)). CONCLUSIONS: CAM is very popular in Japan and the expenditures for them are not negligible, although there is still an overwhelming dominance of orthodox Western medicine with regard to cost, variety of indications, and severity of conditions.

Adult↗

Temperature dependence of the hydrophobic hydration and interaction of simple solutes: an examination of five popular water models.

We examine five different popular rigid water models (SPC, SPCE, TIP3P, TIP4P, and TIP5P) using molecular dynamics simulations in order to investigate the hydrophobic hydration and interaction of apolar Lennard-Jones solutes as a function of temperature in the range between 275 and 375 K along the 0.1 MPa isobar. For all investigated models and state points we calculate the excess chemical potential for the noble gases and methane employing the Widom particle insertion technique. All water models exhibit too small hydration entropies, but show a clear hierarchy. TIP3P shows poorest agreement with experiment, whereas TIP5P is closest to the experimental data at lower temperatures and SPCE is closest at higher temperatures. As a first approximation, this behavior can be rationalized as a temperature shift with respect to the solvation behavior found in real water. A rescaling procedure inspired by the information theory model of Hummer et al. [Chem. Phys. 258, 349 (2000)] suggests that the different solubility curves for the different models and real water can be largely explained on the basis of the different density curves at constant pressure. In addition, the models that give a good representation of the water structure at ambient conditions (TIP5P, SPCE, and TIP4P) show considerably better agreement with the experimental data than the ones which exhibit less structured O-O correlation functions (SPC and TIP3P). In the second part of the paper we calculate the hydrophobic interaction between xenon particles directly from a series of 60 ns simulation runs. We find that the temperature dependence of the association is to a large extent related to the strength of the solvation entropy. Nevertheless, differences between the models seem to require a more detailed molecular picture. The TIP5P model shows by far the strongest temperature dependence. The suggested density rescaling is also applied to the chemical potential in the xenon-xenon contact-pair configuration, indicating the presence of a temperature where the hydrophobic interaction turns into purely repulsive. The predicted association for xenon in real water suggests the presence of a strong variation with temperature, comparable to the behavior found for TIP5P water. Comparing different water models and experimental data we conclude that a proper description of density effects is an important requirement for a water model to account correctly for the correct description of the hydrophobic effects. A water model exhibiting a density maximum at the correct temperature is desirable.

Journal Article↗

The use of cowpeas (Vigna unguiculata) in improving a popular Nigerian weaning food.

A weaning food commonly used in Nigeria was simulated by mixing processed sorghum (Sorghum bicolor) with skim-milk powder (830: 170, w/w). Replacing 310 g/kg sorghum with processed cowpeas (Vigna unguiculata) resulted in an increase in protein content from 96 to 113 g/kg and an increase in biological value of the protein from 0.74 to 0.87. The two mixtures were compared with an established commercial baby food by a panel of Nigerian mothers and all three foods were found to be equally acceptable. Processing the cowpeas by pressure cooking followed by roller-drying reduced the trypsin-inhibitor content to minimum levels. It is concluded that the protein and quality of the weaning mixture popularly used in Nigeria could be improved by partially replacing the sorghum with cowpeas.

Amino Acids↗

Researching youth culture and popular music: a methodological critique.

In this article I argue the need for critical evaluation of qualitative research methodology in sociological studies of the relationship between youth culture and popular music. As the article illustrates, there is currently an absence of critical debate concerning methodological issues in this field of sociological research. In the first part of the article I begin to account for this absence by illustrating how early research on youth and music rejected the need for empirical research, relying instead on theories and concepts drawn from cultural Marxism. The second part of the article illustrates how the legacy of this early body of work in youth and music research manifests itself in current research which, although empirically grounded, is characterized by an almost total lack of engagement with methodological issues such as negotiating access to the field, management of field relations and ethical codes. Similarly problematic is the uncritical acceptance on the part of some researchers of their insider knowledge of particular youth musics and scenes as a means of gathering empirical data. In the final part of the article I focus on the issue of insider knowledge and the need for critical evaluation of its use as a methodological tool in field-based youth and music research.

Adolescent↗

The interaction of popular and clinical diagnostic labeling: the case of embrujado.

This paper explores the effect of a popular diagnosis of distress, "bewitchment," on diagnosis, treatment and outcomes of psychiatric illness in a small group of Hispanic patients in New Mexico. Two major approaches to such "culture-bound" illnesses in clinical settings are critiqued and synthesized in suggesting a practical way to understand how both folk and psychiatric explanations can affect experience with, and of psychiatric patients who present with their own culturally patterned diagnoses. Further study suggests that clinically focused ethnography can address the issue of change or persistence in both lay and clinical explanations of illness as they interact in a clinical setting.

Adult↗