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[Subjective experience with antipsychotics: quantitative evaluation].

INTRODUCTION: The subjective experience of psychotic patients with neuroleptics has been the purpose of many studies, considering its importance in treatment adherence, quality of life and outcome. Many authors have developed measurement instruments applicable in everyday clinical practice. The scale objectives defer in hues, but have the subjective perspective in common. METHOD: Questionnaires designed for evaluating subjective experience with antipsychotics, appearing in PUBMED during the last 40 years, have been collected. RESULTS: Ten scales for evaluating the subjective experience with antipsychotics: NDS, DRI, DAI-30, DAI-10, ROMI, SWN, SWN (short version), MARS, ANT and PETiT, were found. Their advantages and limitations have been analyzed. CONCLUSIONS: We have checked out that the contents of each scale do not overlap. It is proposed to differentiate between ((dysphoria response to neuroleptics)) as an acute effect and the ((subjective experience)) as complex effect of long term compliance.

Antipsychotic Agents↗

Weiskotten survey, class of 1960: a profile of physician location and specialty choice.

This survey is the eighth in a series which has included every fifth American medical school graduating class, starting with the class of 1915. The questionnaire design differed from previous Weiskotten studies and emphasized attitudes towards location information not contained in the American Medical Association Physician Masterfile. Traditional tabular comparisons are focused on contemporary locational policy needs. The findings and methodology of this study are generally similar to those of many earlier studies of both physician location and, in a very limited way, of specialty choice. The paper contains findings on certain characteristics of physicians who move their practice and those who do not. These characteristics have not been contrasted previously in this series.

Career Choice↗

Medicinal plant wealth of local communities in some villages in Shimoga District of Karnataka, India.

An ethnomedicinal survey (1998-2000) was conducted in three villages of Shimoga district of Karnataka, India, using a questionnaire designed by [Sinha, R.K., 1996. Ethnobotany-The Renaissance of Traditional Herbal Medicine. Ina Shree Publishers, Jaipur, India, 242 pp.]. The herbal practitioners in the study area were interviewed and information on medicinal plants, their local names, habitat and their seasonal availability was collected. The survey revealed the utilization of 47 species of plants belonging to 46 genera in 28 families used to treat 9 infectious and 16 non-infectious diseases. Twelve new claims on ethnomedical knowledge were reported and there were formulations that were similar to that described already in the literature.

Humans↗

The Indiana Job Satisfaction Scale: job satisfaction in vocational rehabilitation for people with severe mental illness.

The Indiana Job Satisfaction Scale (IJSS) is a brief job satisfaction questionnaire designed for use with individuals with a severe mental illness. This study seeks to validate the IJSS, as well as to examine the relationship between job satisfaction and job tenure in a group of 71 workers in supported employment. Job satisfaction measured during the first 3 months of a job was significantly associated with job tenure; however, this relationship weakened over time. Overall, the findings support the utility of job satisfaction as a tool in vocational rehabilitation, as well as the validity of the IJSS with this group.

Adult↗

A survey of semen donation: phase I--the view of UK licensed centres.

It has been suggested that the implementation of the Human Fertilisation and Embryology Act in the UK in 1991 may have had a detrimental effect on the supply of semen donors. The aim of this survey was to obtain data relating to semen donation in the UK during 1989-1992. A questionnaire designed to obtain information about the recruitment and screening of semen donors, the supply of semen donors, and use of donated semen for infertility treatment was sent to all licensed centres in April 1993 and 93% were returned for analysis. The results demonstrate that while the number of centres recruiting donors and the number of men offering to be donors have increased in recent years, this has not resulted in an increased supply of donors. Reasons for these findings are discussed in the light of the Human Fertilisation and Embryology Authority regulations relating to semen donation.

Female↗

Future health services managers' and health information managers' views on information technology: a pilot survey.

This pilot survey examined the views of a sample of health service managers (HSMs) and health information managers (HIMs) undertaking tertiary studies about the application of information technology (IT) in health care. The survey was based on a questionnaire designed as part of a 1994 study of health service executives (HSEs) commissioned by the Australian College of Health Service Executives (ACHSE). We examined views about current and future IT expenditure, satisfaction with IT, impact of IT on quality and efficiency and the future use of electronic medical records and optical disk storage. Results identify differences and some similarities between respondent groups on these issues. The paper explores these differences and similarities and provides insight into the views held by future HSMs and HIMs.

Attitude of Health Personnel↗

Evaluating consumer satisfaction in residential continuing care settings.

The outcome of the project reported on here is a client-centered consumer satisfaction questionnaire designed to evaluate new models of residential continuing care in Alberta, Canada. Satisfaction is defined as a multi-dimensional construct that is grounded in the consumer's experience. Consultation with the clients of the services during development of the instrument ensured that characteristics important to the clients were assessed. The result is an instrument with which to measure satisfaction that is fully client-centered and that, with appropriate modifications, can be used to monitor any client-centered program for cognitively-able continuing care clients.

Aged↗

An assessment of the needs of oncology outpatients for the development of allied health services.

This article presents the findings of a study that arose out of the desire by the Allied Health Professionals (AHP) at the Mater Hospital, Brisbane, to better understand the needs of their clients in order to be able to offer a more effective and appropriate service. A questionnaire designed specifically to explore the needs of patients and their families for AHP services was administered to consecutive patients (n = 62) attending the Mater out-patient oncology clinic during one month. The findings provide a wealth of practical information for AHPs to use in planning for the effective utilisation of their services, as well as fresh insights into a number of theoretical issues that need further research.

Adult↗

Spontaneous conception in a 50-year old woman after giving up in-vitro-fertilization (IVF) treatments: involvement of the psychological relief in successful pregnancy.

A healthy woman, married at age 45, hoped to have their child without delay. She and her husband subsequently decided to pursue in-vitro-fertilization and embryo transfer (IVF-ET). In the succeeding year, ET was performed twice from four oocyte retrieval attempts, which represented six ovarian stimulation cycles. Pregnancy was not achieved. Because of her poor responses to ovarian stimulation, inferior oocyte grading and prohibition of donor oocyte usage in Japan, the couple decided to discontinue further IVF treatment at age 48 years, 10 months. One and one-half years later, at age 50 years, 3 months she presented to our clinic eight weeks pregnant. At term she delivered vaginally a 2740 g healthy infant at 38 weeks gestation; Apgar scores were 9 and 10. During her pregnancy, she willingly participated in our questionnaire designed to provide information about her psychological well-being during the past three years. During the time spanning her treatment for infertility, anxiety, depression, irritability, fatigue and grief were revealed to coexist with her high hopes of having a child. After termination of infertility treatments these adverse psychological findings were markedly lessened and her vigour was restored. Stopping infertility treatment might be a viable alternative for achieving pregnancy in similarly psychologically-challenged infertile women.

Embryo Transfer↗

The use of prophylactic antibacterials in plastic surgery: a 1980s update.

A questionnaire designed to determine the pattern of usage of prophylactic antibacterials, similar to one used a decade ago, was distributed to plastic surgeons, of whom 1718 responded. The pattern of antibacterial use in 8 major categories and 55 separate operations and circumstances was reviewed. The timing and the influence of various modifying factors was evaluated. The data present the pattern of antibacterial use by plastic surgeons at this point and time, that is, what is "usual and customary".

Anti-Bacterial Agents↗

Relation of functional physical impairment and goal perspectives of wheelchair basketball players.

This study examined the relation of functional classification in wheelchair basketball and its relation to the theory of psychological goal perspectives for 59 adult male competitive players. Participants completed the 13-item Task and Ego Orientation in Sport Questionnaire designed for wheelchair basketball players. Analyses indicated that Flemish wheelchair basketball players were similar in their goal perspectives to able-bodied athletes. The present sample was predominantly task-oriented. No significant differences were found between high-point and low-point players in their goal perspectives, indicating that players can be severely or minimally disabled and still share the same goal perspective and the same motivational profile. These findings are not consistent with the hypothesis that severity of disability is associated with the motivation profile of disabled athletes.

Achievement↗

Factors in adolescent contraceptive use.

This study examined three variables--knowledge of contraception, self-esteem and religiosity-and the relationship of each variable to the use of contraception among unmarried adolescent women. A questionnaire designed to measure contraceptive knowledge, self-esteem and religiosity was administered to 28 pregnant, unmarried adolescents and to 31 unmarried, never-pregnant, adolescent contraceptive users. A t-Test was used to measure the significance of the relationship of the three independent variables to the dependent variable, contraceptive use. Upon analysis of the data, no significant difference was found between either group in relation to their knowledge of contraception, self-esteem scores or religious attitudes; however, some additional data were gathered from the research tool that may provide areas for future investigation.

Adolescent↗

Information and experience with cleft palate: students, parents, professionals.

More than 1,200 students, parents, and professionals completed a questionnaire designed to assess knowledge and experience with cleft palate. Professionals knew more about cleft palate and had had more experience with it than either parents or students. Parents, however, knew more about cleft palate and had had more experience with it than had students. There was also an apparent relationship between knowledge and experience because those who knew more about cleft palate had also had more experience and training. The results reemphasize the need for pre-professional and continuing-education programs.

Cleft Lip↗

Brain donation for research: who donates and why?

Understanding what influences people to donate or not donate body organs is critical for the future of transplant surgery and medical research. Are people involved with a brain donor program for research influenced by the same factors, and are they also donors for organ transplantation? Using web-based technology, people involved in an Australian brain donation program (for research) were asked to complete a questionnaire designed to elicit demographic information, motivational factors and information about involvement in organ transplantation programs. The response rate was 82%. The majority of people involved in the program are young, well-educated Australian females. Seventy-eight percent are involved in other organ and tissue donation programs. People involved in the 'Using our Brains' program are the same group as those who are organ and tissue donors. An improvement in the overall donation rate might be possible if the resources of the research and transplant organisations were combined.

Adolescent↗

The vocal health of auctioneers.

A questionnaire designed to assess vocal demands and vocal health was completed by 438 randomly selected auctioneers. Over 96% reported using amplification to auction the majority of the time. A greater proportion of individuals who auctioned in environments with poor air quality visited a physician for a voice problem than individuals who auctioned in environments with clean air. Significant contributors to vocal quality changes and vocal fatigue were frequency of auctioning, as well as auctioning in noise. In addition, the duration of auctioning without a break significantly contributed to vocal fatigue. Vocal hygiene recommendations are provided based on these findings.

Adult↗

Evaluation of satisfaction level by parents and children following pediatric anesthesia.

BACKGROUND: Research in the field of patient satisfaction first took place in the 1980s in the USA, and later in Europe, aimed at meeting competitive requirements in the field of health care. Very few studies of this type exist in regard to pediatric anesthesia. Our aim was to develop a rapidly interpretable questionnaire to measure the level of parental satisfaction when their children undergo surgery and provide information on those factors triggering anxiety in these children. METHODS: Over a period of 18 months 179 parents of children in pediatric surgery responded to 214 questionnaires designed to investigate principally the emotional/behavioral spheres as well as the comfort provided. RESULTS AND CONCLUSIONS: We found that parents generally expressed a high degree of satisfaction which was good and correlated significantly with environmental comfort and postoperative observations performed by anesthetists and nursing staff. In the children, lack of fear at the moment of being anesthetized, and lack of anxiety on the day preceding surgery, were attributed to the serenity transmitted by the anesthetist and nurses. Significant anxiety resulted from the fear of an unpleasant impact with the operating room.

Adult↗

Age-appropriate behaviors: a comparison of three generations of females.

The purpose of this study was to examine differences in older adolescent and adult females' perceptions of age-appropriate behavior in adults. Subjects were three generations of maternally related females (95 older adolescents, 78 mothers, 83 grandmothers) who were administered a questionnaire designed to assess age-appropriate behaviors in three broad categories: recreation, occupation/career, and family. Major findings were that older adolescents were most tolerant of behaviors performed by individuals at varying ages while older women most closely ascribed to age constraints, and that the greatest agreement on appropriateness of age constraints concerned family relationships while least agreement concerned recreational activities. Results support the view that adolescents' values on family issues are consistent with those of their parents, and suggest that adherence to age norms increases throughout the life span or are the result of generational differences in socialization.

Adult↗

A survey of alcohol use in an inner-city ambulatory care setting.

OBJECTIVE: To measure the prevalence of current drinking and potential problem drinking in an inner-city ambulatory care setting, using the CAGE questionnaire. DESIGN: Survey of patients attending ambulatory care clinics, using structured personal interviews. SETTING: Three ambulatory care clinics serving an indigent, predominantly black population of metropolitan Atlanta: a general medical appointment clinic, a walk-in clinic, and a neighborhood primary care clinic. PATIENTS/PARTICIPANTS: Patients over the age of 18 who attended one of the above clinics on a day when interviewers were available and who were estimated to have more than a 45-minute wait prior to seeing their health provider. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: 15.3% of subjects had CAGE scores greater than or equal to 2 (95% CI 12.2, 19.0). A CAGE score of greater than or equal to 2 was almost three times more common in men than in women, 26.7% vs. 9.5%. Only 8.6% (95% CI 6.3, 11.7) of subjects reported drinking greater than or equal to 2 drinks per day. These findings suggest that problem drinking may affect as many as one in six people seeking care in inner-city ambulatory care clinics and provide support for the use of screening instruments such as the CAGE questionnaire for improved sensitivity in detecting alcoholism in these practice settings.

Alcohol Drinking↗