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At least 991 records · Page 55Linked to original sources
PubMed1975

Out-patient follow-up of those who have attempted suicide: fact or fantasy?

46% of patients who had attempted suicide and were referred to the out-patient clinic of the Royal Adelaide Hospital failed to attend. Similar findings have been reported from other centres. Though it is not known why this is so, tentative speculation is possible. Since it has been shown that persons who attempt suicide are more at risk for suiciding in the future, it seems surprising that their non-attendance has not been more fully investigated.

Attitude of Health Personnel↗
PubMed1987

Subliminal stimulation of symbiotic fantasies as an aid in the treatment of drug abusers.

Forty-seven heroin addicts being treated at the New York VA Methadone Clinic were divided into an experimental and a control group. In addition to the regular methadone treatment program, both groups received subliminal exposures to a verbal message for 24 sessions (4 times a week for 6 weeks). The messages were MOMMY AND I ARE ONE (experimental) and PEOPLE ARE WALKING (control), administered under double-blind conditions. In keeping with the main hypothesis, the experimental subjects, when compared with controls, showed a greater decrease in their use of heroin and other illicit drugs during the postintervention period. Additionally, on a follow-up questionnaire, the experimental subjects reported being more in control of their drug habits and more effective in their work than did those in the control group. Also, analysis of the patients' reported dreams revealed that the experimental group had more dreams containing positive interactions with a significant woman or son than did the control group.

Adult↗
PubMed1999

Reason, myths and fantasies: preliminary data and reflections about the Portuguese experience with LNG-IUS-induced hypomenorrhea.

OBJECTIVE: To evaluate the efficacy and tolerance of the levonorgestrel-releasing intrauterine system (LNG-IUS) among Portuguese women, with particular emphasis on the implications of changes in bleeding pattern. STUDY DESIGN: Forty healthy premenopausal women (average age 42.7 +/- 4.5 years) were recruited in each one of the three Portuguese centers (a total of 120) where the LNG-IUS was used as a contraceptive method during a maximum period of 5 years. All women had previously given their informed consent and were informed about the eventual changes in bleeding pattern. Serum ferritin levels and hemogram measurements were performed before and 1 year after the introduction of the IUS. The results were analyzed by the Student t test (raw data and paired test). RESULTS: Preliminary data showed a continuation rate of 70% with an excellent efficacy rate (no pregnancies) 1 year after the introduction of the IUS. The hypomenorrhea rate was 35% while 12.5% of the women had amenorrhea. The average increase in serum ferritin level was 13 ng/ml and of hemoglobin 0.4 g/dl. The comparisons of hemoglobin results were statistically significant (p = 0.05, t raw data and p = 0.028, t paired test). Most complaints were related to cultural difficulties in accepting the changes in menstrual bleeding pattern. CONCLUSION: In order to minimize and control the most common menstrual bleeding side-effects that occur when using this IUS, as well as to improve the continuation rate, clinicians must make a judicious choice of potential users, owing to the psychological and cultural implications that menstrual bleeding changes can have, mainly among women of low socioeconomic levels. Moreover, non-contraceptive therapeutic benefits should be emphasized.

Adult↗
PubMed1994

Paperless patient accounting: fact or fantasy?

Hospital staff at Morton Plant Hospital in Clearwater, Florida, were "drowning in a sea of paper." The 715-bed facility (the fifth largest hospital in the state of Florida) was producing an average of 19,000 patient bills per month and the patient accounts department was "going down for the third time." Over 50,000 active files covered over 170,000 square feet of shelf space. Eight file clerks spent over 750 hours each month retrieving and filing the department's documents. Warehouse storage space costs were high, customer satisfaction was low, and misplaced files were causing reimbursement delays. (It could take weeks to recover or rebuild a missing file, resulting in patient dissatisfaction and poor reimbursement follow-up.)

Filing↗
PubMed1986

Women physicians: facts, fantasies, and prospects.

The increasing numbers of women physicians will affect the practicing physician both directly and indirectly. Women physician practitioners have more female patients, spend more time with each patient, and perform more pap smears than their male counterparts. Although the data are sparse, few other differences have been found in the practices of male and female physicians. Because women physicians choose different specialties and are less productive in traditional terms than men, their increasing numbers will affect the perceived balances and imbalances in the specialties, thus shifting the competition among physicians. Women physicians are also more likely to choose organized practice settings where they are salaried. This paper explores the available data and speculates on the long-term implications of more women in the medical profession.

Female↗