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At least 289 records · Page 16Linked to original sources
PubMed2003

Reasons for the placement and replacement of crowns in general dental practice.

AIMS: The purpose of the study was to apply established methods to survey reasons for the placement and replacement of crowns in general dental practice in the United Kingdom. MATERIALS AND METHODS: One hundred and twenty-eight general dental practitioners were recruited. Participants recorded the principal reason for the provision of each initial and replacement crown they provided over a 12-week period. RESULTS: Overall, data were collected from 92 practitioners in respect of 1714 patients and 2164 crowns, of which 1452 (67%) were initial placements and 712 (33%) replacements. The teeth most frequently crowned were maxillary incisors (33%), with 72% of the crowns surveyed being of the porcelain bonded to metal variety. Overall 64% of the initial placement crowns were provided because of restoration failure (26%) or tooth fracture (38%). The most common reason for crown replacement was crown failure (27%). CONCLUSION: It is concluded that surveys of the type reported may provide new insights into the reasons for and pattern of provision of initial placement and replacement crowns in clinical practice. In this study the most common reason for the provision of initial placement crowns was tooth fracture. The most common reason for the replacement of crowns, notably porcelain jacket crowns, was crown fracture.

Chi-Square Distribution↗
PubMed2002

Deductive and inductive reasoning in obsessive-compulsive disorder.

OBJECTIVES: This study tested the hypothesis that people with obsessive-compulsive disorder (OCD) show an inductive reasoning style distinct from people with generalized anxiety disorder (GAD) and from participants in a non-anxious (NA) control group. DESIGN: The experimental procedure consisted of administering a range of six deductive and inductive tasks and a probabilistic task in order to compare reasoning processes between groups. METHODS: Recruitment was in the Montreal area within a French-speaking population. The participants were 12 people with OCD, 12 NA controls and 10 people with GAD. Participants completed a series of written and oral reasoning tasks including the Wason Selection Task, a Bayesian probability task and other inductive tasks, designed by the authors. RESULTS: There were no differences between groups in deductive reasoning. On an inductive "bridging task", the participants with OCD always took longer than the NA control and GAD groups to infer a link between two statements and to elaborate on this possible link. The OCD group alone showed a significant decrease in their degree of conviction about an arbitrary statement after inductively generating reasons to support this statement. Differences in probabilistic reasoning replicated those of previous authors. CONCLUSIONS: The results pinpoint the importance of examining inference processes in people with OCD in order to further refine the clinical applications of behavioural-cognitive therapy for this disorder.

Adult↗
PubMed2005

Reasons U.S. women have abortions: quantitative and qualitative perspectives.

CONTEXT: Understanding women's reasons for having abortions can inform public debate and policy regarding abortion and unwanted pregnancy. Demographic changes over the last two decades highlight the need for a reassessment of why women decide to have abortions. METHODS: In 2004, a structured survey was completed by 1,209 abortion patients at 11 large providers, and in-depth interviews were conducted with 38 women at four sites. Bivariate analyses examined differences in the reasons for abortion across subgroups, and multivariate logistic regression models assessed associations between respondent characteristics and reported reasons. RESULTS: The reasons most frequently cited were that having a child would interfere with a woman's education, work or ability to care for dependents (74%); that she could not afford a baby now (73%); and that she did not want to be a single mother or was having relationship problems (48%). Nearly four in 10 women said they had completed their childbearing, and almost one-third were not ready to have a child. Fewer than 1% said their parents' or partners' desire for them to have an abortion was the most important reason. Younger women often reported that they were unprepared for the transition to motherhood, while older women regularly cited their responsibility to dependents. CONCLUSIONS: The decision to have an abortion is typically motivated by multiple, diverse and interrelated reasons. The themes of responsibility to others and resource limitations, such as financial constraints and lack of partner support, recurred throughout the study.

Abortion, Induced↗
PubMed1984

Reasons for drinking among the elderly in rural Arizona.

Reasons for drinking, and past and present drinking patterns among the elderly in rural Arizona were examined. Interviews were conducted with 444 individuals (219 women) aged 65 +. Responses to a list of 20 reasons for drinking wee divided into six groups: social, mood change, food, health, personal coping and interpersonal coping. Respondents were grouped into categories on the basis of their quantity and frequency of alcohol consumption--abstainers, light drinkers, moderate drinkers or heavy drinkers. Approximately 80% of the positive responses were for the more acceptable reasons; only 12% indicated a positive response to one or more of the coping reasons. Light, moderate and heavy drinkers wee differentiated according to reasons for drinking, as were the various age groupings. Findings indicated that the rural elderly's alcohol use is generally at an acceptable level and style, that alcohol use diminishes with age, and that drinking patterns and reasons generally remain consistent into old age.

Adaptation, Psychological↗
PubMed1985

A cross-ethnic comparison of reasons given for using alcohol, not using alcohol or ceasing to use alcohol.

In a study that included six different racial-ethnic groups in Hawaii, the reasons given by drinkers for drinking, abstainers for not drinking and former drinkers for ceasing to drink were assessed. Although there were group differences in frequencies of endorsement of given reasons for drinking, for not drinking or for ceasing to drink, the findings of similarity were most impressive. Drinkers, abstainers and former drinkers were similar across racial-ethnic groups in their proportions of endorsement of given reasons for drinking, abstaining or ceasing to use alcohol. Although reasons for drinking varied across racial-ethnic groups, they varied much more across groups that differed in alcohol consumption independent of ethnicity, with all reasons for drinking being more often endorsed as consumption increased. In addition, the citation of more pathological reasons for drinking was associated with a greater number of drinking problems.

Adult↗
PubMed2006

Reasons for permanent tooth extractions in Japan.

BACKGROUND: There has been no nationwide study in Japan on reasons for extraction of permanent teeth. This survey was aimed to determine the reasons for extraction of permanent teeth in Japan. METHODS: Five thousand, one hudred and thirty-one dentists were selected by systematic selection from the 2004 membership directory of the Japan Dental Association. The dentists selected were asked to record the reason for each extraction of permanent teeth during a period of one week from February 1 through 7, 2005. Reasons for tooth extraction were assigned to five groups: caries, fracture of teeth weakened by caries or endodontics, periodontal diseases, orthodontics, and other reasons. RESULTS: A total of 2,001 dentists (response rate of 39.1%) returned the questionnaires, and information on 9,115 extracted teeth from 7,499 patients was obtained. The results showed that caries and its sequela (totally 43.3%, 32.7% and 10.6%, respectively) and periodontal disease (41.8%) were the main reasons for teeth extraction. Extraction due to caries or fracture was commonly observed in all age groups over 15 years of age, whereas periodontal disease was predominant in the groups over 45 years of age. CONCLUSIONS: Most of the permanent teeth were extracted due to caries and its sequela and periodontal disease. Prevention and care for dental caries for all age groups and periodontal disease for over middle age groups are required.

Adolescent↗
PubMed1993

An analysis of primary and contributing reasons for extraction of permanent teeth given by the dentist.

The aim of the present study was to collect information about primary, secondary, and tertiary reasons that dentists gave for extracting permanent teeth and to determine whether and how dentist-associated characteristics might influence the relative emphasis on clinical diagnosis versus non-disease considerations given as reasons. A national random sample of Norwegian dentists (n = 500) recorded reasons for tooth extraction during a period of 2 weeks in 1988 (response rate, 70%). Nine hundred and eight-five teeth were extracted from 692 patients. Disease-/condition-related diagnoses topped the list for primary and secondary reasons for extraction, whereas patients' wishes, economy, and esthetics came to the forefront among tertiary reasons. Logistic regression analysis showed that the choice between clinical diagnosis and non-disease considerations as primary and secondary reasons for extraction was significantly but moderately influenced by variables associated with the dentist.

Chi-Square Distribution↗
PubMed1998

Reasons for delay in seeking treatment for acute asthma: the patient's perspective.

Increased morbidity and mortality due to asthma suggested the need to investigate whether persons with asthma report delay in seeking medical care during acute asthma exacerbations and the reasons they gave for delay. We interviewed 95 asthmatic adults, 36 men and 59 women, using a critical incident technique to discover how patients responded to acute asthma symptom episodes. Subjects were interviewed once per month for a total of three interviews. All subjects had physician-diagnosed asthma for a mean of 16.8+/-14.5 years. Eighty-six percent of the sample (n=82) reported delay in seeking medical care for severe asthma symptoms. Seven reasons for delay were identified: uncertainty, disruption, minimization, fear of systemic corticosteroid, previous bad experiences in emergency departments, the need to "tough it out" alone, and economic reasons. Seventy-one subjects (86.5%) reported three or more reasons for delay. Thirteen subjects (16%) identified pivotal episodes in which they realized they could die from asthma and as a result, no longer delayed. People with asthma often delay seeking urgent care for acute episodes for a variety of reasons. Some of these reasons are modifiable. Clear directions from health professionals to guide patients in responding to acute asthma episodes are needed. Asthma action plans written by the primary physician may be a positive agent of change for those who delay.

Adrenal Cortex Hormones↗
PubMed2005

Everyday conditional reasoning: a working memory-dependent tradeoff between counterexample and likelihood use.

Considerable evidence has revealed that working memory capacity is an important determinant of conditional reasoning performance. There are two accounts describing the conditional inference process, the probabilistic and the mental models accounts. According to the mental models account, reasoners retrieve and integrate counterexample information to attain a conclusion. According to the probabilistic account, reasoners base their judgments on probabilistic information. It can be assumed that reasoning according to the mental models process would require more working memory resources than would solving the inference on the basis of probabilistic information. By means of a verbal report study, we showed that participants with low working memory capacity more often use probabilistic information, whereas participants with higher working memory capacity are more likely to use counterexample information. Working memory capacity thus not only relates to reasoning performance, it also determines which process reasoners will engage in.

Cognition↗
PubMed1989

Moral reasoning in college students: implications for nursing education.

The purpose of this study was to investigate the moral reasoning levels of undergraduate students, freshman through senior (N = 266), in a liberal arts college. Three groups of students, two liberal arts, and one nursing participated in the study. All three groups had enrolled in one of two general education curricular tracks. Two of the groups, one liberal arts and one nursing, were enrolled in a traditional general education curriculum; the third group enrolled in an integrated general education curriculum which used decision-making as an organizational structure. Moral reasoning levels were determined for the three groups via Rest's Defining Issues Test. Results revealed the liberal arts students in the integrated curriculum had significantly higher moral reasoning levels than those in the traditional curriculum. The nursing students were intermediate in moral reasoning levels to the two liberal arts groups. These results suggest that baccalaureate nursing educators should consider an approach similar to the integrated curriculum with a decision-making organizational structure to facilitate students' moral reasoning development. Regardless of their area of clinical practice, today's professional nurses are increasingly confronted with ethical dilemmas and often required to make moral/ethical decisions. Nurses who reason at a high moral or ethical level are assumed to practice by a code of moral principles and thus more likely to make decisions which value others and respect their rights and dignity (Felton & Parsons, 1987). In response to this relatively complex dimension in nursing practice, nursing educators have begun to discuss how best to prepare the nursing student to make these high-level ethical decisions.(ABSTRACT TRUNCATED AT 250 WORDS)

Cognition↗
PubMedDate not supplied

Missed diagnosis of amoebic liver abscess: a case for forward clinical reasoning.

BACKGROUND: Increasingly, a wrong diagnosis is made and wrong investigations and treatment ordered, because the doctor uses one or two symptoms to jump into a premature conclusion, without consideration of the totality of a patient's presentation. This is not forward clinical reasoning. Forward clinical reasoning is based on a systematic approach to patient's problems. The objective of this paper is to use a real case to illustrate the pitfall in ignoring forward clinical reasoning and how forward clinical reasoning serves the physician's and patient's interest better. METHOD/RESULT: The case of a 3 year old who had amoebic liver abscess but was wrongly diagnosed and treated for lobar Pneumonia with pleural effusion is highlighted. The sequence for forward clinical reasoning is used to show how the right diagnosis could have been arrived at. CONCLUSION: The correct diagnosis following sequential forward clinical reasoning saves time, money and life.

Child, Preschool↗
PubMed1991

What is clinical reasoning?

This paper offers a concept of clinical reasoning that differs from many of the traditional definitions of clinical reasoning in occupational therapy and the health professions in general. Here, clinical reasoning in occupational therapy is described as a largely tacit, highly imagistic, and deeply phenomenological mode of thinking. It is argued that clinical reasoning involves more than the ability to offer explicit reasons that justify clinical decisions because it is also based on tacit understanding and habitual knowledge gained through experience. Clinical reasoning also involves more than a simple application of theory, particularly theory as understood in the natural sciences, because complex clinical tasks often require that the therapist improvise a treatment approach that addresses the unique meaning of disability as it relates to a particular patient.

Clinical Competence↗
PubMedDate not supplied

Construct-related validity of the Toglia Category Assessment and the Deductive Reasoning test with children who are typically developing.

OBJECTIVE: Both classification and deductive reasoning are essential cognitive components underlying any learning process and, therefore, are important to assess in children with developmental or learning disabilities. The aim of this study was to establish construct-related validity of the Toglia Category Assessment (TCA) and the Deductive Reasoning test, which were originally developed to evaluate adults with brain injury. This study represents the first step in validating and adapting the two tests for children who are typically developing. METHOD: The study population consisted of 235 children without disabilities in 6 different age groups (from 5-11 years of age). Both the TCA and the Deductive Reasoning test were administered to all participants. RESULTS: The results of the study indicate significant differences in the average performance of children in several age groups on both the TCA and the Deductive Reasoning test, but they do not show differences among all the groups. Children could not predict their ability in either test, but most were able to estimate their ability after actual performance of the TCA. A significant correlation was found only for the 5-year-olds and 7-year-olds between the Deductive Reasoning test final score and the children's estimation of their performance. CONCLUSION: The findings of this study support the suitability of the TCA and the Deductive Reasoning test for use with children who are typically developing. We recommend that both tools be studied further to amplify their validity.

Child↗
PubMedDate not supplied

Categorization and deductive reasoning: predictors of instrumental activities of daily living performance in adults with brain injury.

OBJECTIVE: The purpose of this study was to examine the predictive relationship of categorization and deductive reasoning abilities to performance of instrumental activities of daily living (IADL) among adults with brain injury. METHOD: A correlational research design was used to examine the performance of 19 patients from a neurosurgery acute care unit on Toglia's Category Assessment (TCA), the Deductive Reasoning test (DR), and the Observed Tasks of Daily Living-Revised. RESULTS: Multiple regression analysis indicated that categorization and deductive reasoning accounted for a significant proportion of the variance in IADL performance scores, with deductive reasoning making the greater contribution. Demographic characteristics such as age and education reduced the power of the previous variables, especially of the categorization. CONCLUSION: The results of this study indicate that assessments of categorization and deductive reasoning abilities of persons with brain injury may be good predictors of IADL functional performance. Results support the use of the TCA and DR as quick measures of a person's cognitive and functional abilities. Furthermore, this study provides preliminary results to support that categorization and deductive reasoning abilities are fundamental for the performance of IADL skills.

Activities of Daily Living↗
PubMedDate not supplied

Reasons for contraceptive nonuse at first sex and unintended pregnancy.

OBJECTIVE: To examine reasons for contraceptive nonuse at first sex and subsequent unintended pregnancy among women attending family planning and prenatal clinics. METHODS: Data come from the Determinants of Unintended Pregnancy Risk in New Orleans study. Reasons for nonuse by age, partner's age, and pregnancy status are compared. RESULTS: Concern about parents' finding out about sexual activity was a common reason for nonuse at first sex and first unintended pregnancy. Problems accessing and discontinuation of contraception were reasons given at second or higher-order unintended pregnancy. CONCLUSIONS: Reasons for nonuse vary by event and age at event. Providers should consider various reasons when counseling patients on contraceptive options.

Adolescent↗
PubMed1998

A study of low clinic attendance of leprosy patients: reasons and solutions.

In this study, the effect of health education on a sample of 325 absentee leprosy patients was assessed in a leprosy endemic area. About 46% of the absentees from the study group returned to the clinic following health education (HE). HE was more effective amongst those who defaulted in the later part of their treatment sessions. Monthly attendance rate increased from 70%-74% to 72%-91% following HE. Amongst the absentees, 58% were absent due to personal reasons and 8% due to health service related reasons. Personal reasons was the commonest cause for absenting at second pulse. At third pulse it was due to socio-economic reasons. At fourth pulse it was due to service-related reasons. At fifth pulse the commonest reason was disease-related. Health education had proved to be a definite solution to solve the absentee problem.

Adult↗
PubMedDate not supplied

[Reasons for requesting neuroimaging studies in the evaluation of primary headache].

INTRODUCTION: There is some controversy concerning the need to perform neuroimaging studies in patient complaining of headache. 90% of the people had a complaint of headache during their life, and it is impossible to perform neuroimaging studies in all of them. OBJECTIVE: The aim of this study is knowing the reasons for indications neuroimaging studies in the evaluation of primary headaches and the effectiveness at the diagnosis. PATIENTS AND METHODS: The clinical records of patients who a neuroimaging study was performed for headache during 1998 were retrospectively studied. We analysed in all patients: the age, sex, diagnosis of headache, suspicion of diagnosis, reason and time for indication the neuroimaging study, and if the study modified the diagnosis. RESULTS: During 1998, were performed 107 neuroimaging studies in 96 patients. The mean age were 38 years. 60% were females. The suspicion of diagnosis was primary headache in 71% patients. Only one patient had an abnormality. The reasons for applying a neuroimaging study were: in 20 of the patients the migraine was more frequent and they didn t relieve with abortive drugs, in 20 there was a migraine aura, in 11 because the migraine turned to daily headache, in 17 the family asked for a neuroimaging study, there was a 17 of patients seemed to have an organic disease, in 2 the headache appeared daily, and in 7 of the cases weren't any reasons. CONCLUSIONS: Headache is the most frequent reason for asking a neuroimaging study. Primary headache is the type of headache that justifies most of indications. The most frequent reasons for performing a study were common changes in characteristics of migraine.

Adolescent↗
PubMed2002

Gynecological examinations for social and legal reasons in Turkey: hospital data.

AIM: Women in Turkey are subjected to gynecologic examinations not only for legal reasons, such as sexual assault or violence against pregnant women, but also for various social reasons, such as suspicions of premarital intercourse, prostitution, loss of virginity, and pregnancy at the time of entering into a new marriage. The examinations are performed by general practitioners, forensic physicians, and gynecologists. This study presents social reasons for gynecologic examinations of women in Turkey. METHOD: We analyzed the reasons for gynecologic examination of 412 women at the 1st Obstetrics and Gynecology Department, Sisli Etfal Training and Research Hospital, between January 1, 1999 and June 30, 2001. RESULTS: Out of 27,376 women at the Department, 412 (1.5%) underwent gynecologic examination for social or legal reasons: 82 (19.9%) for entering into a new marriage, 41 (10.1%) for violence against pregnant women, 28 (6.7%) for sexual assault, 53 (12.8%) for suspicion of prostitution, and 208 (50.5%) for the determination of virginity. CONCLUSION: Gynecologic examinations for legal or social reasons in Turkey are still rather common. Medicolegal regulation of gynecological examinations should be changed to protect women's human rights.

Adolescent↗