Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Intention”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,297 records · Page 72Linked to original sources

Treatment of xanthelasma by excision with secondary intention healing.

Twenty-eight patients with cosmetically compromising xanthelasma were treated by excision of the involved skin, the areas then being allowed to heal by secondary intention. All patients had a good cosmetic-result, those having previously undergone treatment with trichloroacetic acid chemical peels considering the new method more effective in clearing their lesions despite increased treatment morbidity in the first few weeks. Complications included recurrence in two patients, easily dealt with by re-treatment, and scarring in one patient, which settled with massage and was not cosmetically compromising. It is suggested that treatment of xanthelasma by excision and secondary intention healing is an inexpensive, effective and safe treatment for this common cosmetic problem.

Adult↗

Health care students' attitudes towards, and intention to work with, patients suffering from senile dementia.

Health care students' attitudes towards and intention to care for patients suffering from senile dementia were measured by questionnaire during the last week of their education. The relationship between curriculum content and attitudes and other variables which affect student training is discussed. It was noted that education on dementia lagged behind the needs of students. Factorial analysis of the respondents' answers on the attitudinal items indicates generally negative attitudes to demented patients. Few female, and none of the male, students stated an intention to work with demented patients. Fear of death and experiences of patients dying are described, and are seen as crucial factors in the care of demented patients.

Adult↗

Effects of communication with important social referents on beliefs and intentions to use condoms.

Data from a 1989 survey using the condom attitude and belief instrument with 310 clients from two sexually transmitted disease clinics identified significant social referents who influence condom-use intentions. They are sexual partner, father and friends. The present study found that communication with these referents had a positive net effect on beliefs about and intentions to use condoms. Implications applicable for intervention programmes to increase condom use are to promote talking about condoms between the sexual partners and important social referents and to develop such communication skills.

Adolescent↗

Intentional mis-reporting of food consumption and its relationship with body mass index and psychological scores in women.

BACKGROUND: The reasons for mis-reporting food consumption warrant investigation. OBJECTIVE: To document intention to mis-report food consumption and its associations with psychological measures in women. DESIGN: A total of 184 female volunteers aged 18-65 years, comprising 50 seeking help in primary care to lose weight with a body mass index (BMI) >/=30 kg m(-2) (obese-clinical group) and 134 nurses (nonclinical groups) (BMI <25 kg m(-2), n = 52; BMI 25-29.9 kg m(-2), n = 45; BMI >/=30 kg m(-2), n = 37) were studied. A questionnaire was administered containing three psychological tests (self-esteem, psychological well-being and Stunkard's three-factor eating questionnaire) and new items to address food intake mis-reporting. RESULTS: Overall, 68% of participants declared an inclination to mis-report (64% nonclinical, 78% clinical). Inclination to under-report was 29, 33 and 51% in the three nonclinical groups; and 46% among the obese clinical patients. Among the same groups, inclination to over-report were 39, 29, 11 and 32%. After adjusting for social deprivation and BMI, women inclined to mis-report had higher hunger (P = 0.008) and disinhibition (P = 0.005) scores than those intending to report accurately. These variables were associated with current dieting, frequency of dieting, self-reported bingeing and dissatisfaction with body weight. CONCLUSIONS: These findings indicate that intentional under-reporting and over-reporting of food consumption are common in women of all BMI categories and are associated with eating behaviour. Current dieting, frequency of dieting in the past, self-reported bingeing and dissatisfaction with body weight seem to mediate this relationship.

Adolescent↗

Graduate and mature entrants to medicine: changes in career intentions.

Fifty-nine students who had previously taken degrees or commenced careers in subjects other than medicine entered the Cambridge Clinical Course in its first 5 years of operation, commencing in 1976. A questionnaire was used to ascertain their original career plans when entering medical education, their career plans in 1981, and the reasons for any changes. Graduates originally planning careers in general practice and teaching or research maintained their intentions, but some of those who had favoured hospital clinical work changed their minds in favour of general practice. General practice was also the most common choice amongst those students who were earlier unsure as to what branch of medicine they would enter. Of students changing their career intentions, half indicated that disenchantment with hospital medicine was a prime reason for the change.

Age Factors↗

Epidemiology of non-intentional injuries in an Australian urban region: results from injury surveillance.

Injury surveillance provides an opportunity to determine non-intentional injury rates for those injuries which are treated in hospital accident and emergency departments. The first full calendar year of injury surveillance in north-western greater Melbourne was used to calculate incidence rates of a wide range of injury types and causes for 1989. In a population at risk estimated to number 150,604 children aged 0-14 years, the all-cause injury mortality was 10.5/100,000 per year (95% confidence interval [Cl], 5.4-15.8). There were 8207 attendances by children from the denominator area for non-intentional injury at the three hospitals participating in surveillance, representing rates of 6437/100,000 per year (95% Cl, 6258-6616) and 4406/100,000 per year (95% Cl, 4254-4558) for boys and girls respectively, while the rates for admission to hospital were 957/100,000 per year (95% Cl, 888-1025) and 649/100,000 per year (95% Cl, 590-707). The leading causes of hospital attendance were related to injuries involving sports, play equipment, bicycles and poisoning. These rates are substantially lower than those reported from other countries. The possible reasons for this include differences in health care utilization, under-ascertainment of cases, and a real difference in injury risk. Injury Surveillance Information System codes are defined for a standard set of injuries and injury causes which may be used for future comparative studies. Problems related to assessing the reliability of injury ascertainment are discussed, and the importance of integrating injury surveillance into routine hospital information systems is emphasized.

Accidents↗

Two-year-olds grasp the intentional structure of pretense acts.

Twenty-two- and 27-month-old children were tested for their understanding of pretending as a specific intentional action form. Pairs of superficially similar behaviors - pretending to perform an action and trying to perform that action - were demonstrated to children. The 27-month-olds, and to some degree the 22-month-olds, showed in their responses that they understood the intentional structure of both kinds of behaviors: after pretense models, they themselves performed appropriate inferential pretense acts, whereas after the trying models they properly performed the action or tried to perform it with novel means. These findings are discussed in the light of recent debates about children's developing understanding of pretense and theory of mind.

Child Behavior↗

Intentional modulation of emotional responding to unpleasant pictures: an ERP study.

Intentionally altering responses to unpleasant stimuli affects physiological and hemodynamic activity associated with emotional and cognitive processing. In the present experiment, we measured the late-positive potential (LPP) of the visually evoked event-related brain potential to examine the effects of intentional emotion modulation on electrophysiological correlates of emotional and cognitive processing. Seventeen participants received instructions to view, suppress, and enhance emotional responses to unpleasant stimuli. Results revealed significantly decreased electrophysiological activity during suppression of emotional responses beginning around 250 ms poststimulus and lasting several hundred milliseconds. These data suggest that ERPs are sensitive to emotion modulation/regulation processes.

Adult↗

An anonymous survey of provincial, rural and remote obstetricians' long-term practice intentions; implications for the provision of specialist obstetric services outside metropolitan areas in Australia.

BACKGROUND: Objective data and anecdotal reports suggest that non-metropolitan Australia may face a severe shortage of specialist obstetricians in the near future. AIMS: To assess the workload and practice intentions of specialist obstetricians working in provincial, rural and remote areas of Australia. METHODS: 1. A structured questionnaire posted to Fellows of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) who undertake part or all of their work in provincial, rural or remote areas of Australia. 2. A telephone survey of all non-metropolitan hospitals in Australia. MAIN OUTCOME MEASURES: Demographic data (e.g. age, sex); length of time working in the area; practice characteristics; professional supports; workload; intentions for future practice; factors that might improve practice satisfaction. RESULTS: Approximately 30% of Australia's births occur in non-metropolitan hospitals, of which 57% do not currently have specialist obstetric cover. Survey response rate of 73%. The rural workforce is older than the metropolitan demographic, and almost half of respondents intended to cease obstetric practice within 5 years. CONCLUSIONS: These data may presage a major public health crisis for rural Australia.

Attitude of Health Personnel↗

Adolescent females' attitudes, subjective norms, perceived behavioral control, and intentions to use latex condoms.

Guided by I. Ajzen's (1991) theory of planned behavior, the authors of this descriptive correlational study explored adolescent females' attitudes, subjective norms (social pressure), perceived behavioral control, and intentions with regard to latex condom use. An elicitation study was initially conducted (n = 16) to ascertain salient beliefs related to condom use. These beliefs were then used to develop a questionnaire administered during the main study to 60 sexually active adolescent females attending a sexually transmitted disease clinic. Global attitudes, subjective norms, and perceived behavioral control predicted 50% of the variance of intentions to use condoms. Perceived behavioral control contributed the highest proportion of variance in the equation for both global and belief-based measures in stepwise regression analyses. Implications for community health practice, research, and theory are reported.

Adolescent↗

Treatment of replacement resorption by intentional replantation, resection of the ankylosed sites, and Emdogain--results of a 6-year survey.

The present clinical study investigated the outcome of intentional replantation using resection of the ankylosed sites of the root, extraoral endodontic treatment using titanium posts and Emdogain for periodontal healing following trauma-related ankylosis. During an evaluation period of 6 years, 16 ankylosed teeth affected by replacement resorption were treated as described. Evaluation parameters before treatment and during the follow-up period included Periotest scores, percussion sound and periapical radiographs. All findings were compared to those of the adjacent teeth. In a second accident, one tooth was lost after 7 months and was excluded as a dropout. Ankylosis did not recur in seven replanted teeth, which were observed for an average of 52.3 months (range: 24-68 months). Ankylosis recurred in eight teeth after an average period of 12 months (range: 4-26 months). An infraocclusion, normal or only slightly reduced Periotest scores and normal percussion sound were preoperatively found in six of seven successfully replanted teeth, which corresponded to a relatively small area of ankylosis. The majority of the teeth showing recurrent ankylosis preoperatively presented with normal position, negative Periotest scores and a high percussion sound which corresponded to an extended area of ankylosis. Statistically significant relationship between preoperative findings and the treatment outcome (P = 0.031) have become apparent. The results indicate that the treatment of minor areas of ankylosis by intentional replantation, resection of the ankylosed sites and Emdogain appeared to prevent or delay the recurrence of ankylosis in 7 of 15 teeth.

Adolescent↗

Intentional teenage pregnancies.

Recent evidence indicates that many teenagers, despite access to birth control information and services, are choosing not to utilize them, and, therefore, are becoming intentionally pregnant. Several studies have begun to provide reasons for this new dilemma and profiles of those teenagers who become intentionally pregnant. New strategies have to be developed by health care professionals to combat this problem. Some suggestions are presented.

Adolescent↗

Safety and first aid behavioral intentions of supervised and unsupervised third grade students.

This study assessed the safety and first aid behavioral intentions of 285 third grade students. Of the participants, 19% were left at home unsupervised by someone older than age 12 at least three days a week. Students responded to a survey instrument that described situations related to stranger safety, fire safety, accident prevention, and first aid. Stranger safety items received the most correct responses, with females scoring significantly higher than males. Most responses to fire safety items were inappropriate, and 40% of accident prevention items received a dangerous response most frequently. First aid items received more dangerous responses than appropriate ones. Supervised students scored significantly higher than unsupervised students in accident prevention and first aid. Results indicated students' behavioral intentions often were dangerous for situations requiring judgments about safety or application of first aid.

Accident Prevention↗

Intentional replantation of a lower premolar.

Intentional replantation is the purposeful extraction of a tooth to perform extraoral endodontic treatment, curettage of apical soft tissue when present and the replacement of the tooth in its socket. This paper demonstrates the use of intentional replantation as a technique to successfully treat a case where conventional endodontic retreatment and apical surgery were considered unfeasible.

Aged↗

An exploratory study of the correlates of intent to quit among certified registered nurse anesthetists in North Dakota.

Certified registered nurse anesthetists (CRNAs) provide the majority of anesthesia services in rural hospitals. Some services provided by CRNAs are routine, while others are for emergency conditions. The effect of the current nurse shortage on the potential pool of nurse anesthetists becomes a critical concern when considering the nature of CRNA services in rural areas. This study investigated the potential factors that relate to the desire of CRNAs to continue practicing in rural hospitals of North Dakota. All CRNAs licensed in North Dakota (n = 125) were mailed survey questionnaires. Approximately five weeks later responses were received from 54 respondents for an overall return rate of 43 percent. Correlational analyses were used to examine responses of the subjects. A moderate degree of relationship was found among the work-related variables. The average interscale correlation, calculated using an r to z transformation, for the seven work-related variables was 0.47. Overall, pay and promotion satisfaction exhibited strong (r greater than 0.60) correlations with turnover intentions. Supervisory satisfaction was only moderately (r = -0.33) related to intention to quit. These results are discussed in terms of their implications for the management of CRNAs in rural hospitals. Revised salary schedules, clinical ladders for promotions, supervisory training, and the identification of potential performance constraints are suggested as areas in which rural hospitals should focus attention in an attempt to manage turnover in CRNAs.

Employment↗

Mental disorders and suicidal intention.

This paper continues a previous report (Litman, 1984) in exploring the use of psychological autopsies to clarify intention in suicide; clinical experience is compared with courtroom experience. The certification of suicide requires a judgment that the deceased intended to use his or her own death to resolve his or her problems of living, as demonstrated by a preponderance of the evidence. Now that suicide has been decriminalized, the issue of "sane or insane" in insurance contracts has probably become irrelevant. Mental disorders are important as part of the suicide constellation, as one element of many interacting factors. The capacity to have the intent to commit suicide--that is, to understand the physical nature of one's own death--is lost due to mental disorders only under special and unique circumstances.

California↗

Differences in second-intention wound healing between horses and ponies: histological aspects.

The histological aspects of second-intention healing were studied in 5 horses and 5 ponies. Biopsies were taken weekly from standardised wounds on the metatarsus and femoral biceps muscle of one horse and one pony. Sections were stained to enable cell counting and the detection of DNA synthesis, fibrin, smooth muscle actin (SMA), collagen, and bacteria. In the ponies, the number of polymorphonuclear leucocytes (PMNs) was high during the first 3 weeks and subsequently decreased rapidly. In the horses, the initial number of PMNs was lower, but remained persistently elevated during the evaluation period. PMNs were found mainly in the superficial zones. Significantly more fibrin was present in the wounds of the horses. No significant differences were observed in the number of fibroblasts, the amounts of SMA and collagen. However, myofibroblasts were significantly less regularly organised in the wounds of the horses, particularly in the metatarsal wounds. The mitotic activity of the epithelium was temporally reduced in week 3. The mitotic activity of the granulation tissue was initially high but declined rapidly from week 1 onwards, with the exception of the metatarsal wounds of the horses, in which mitotic activity remained significantly higher. Histology confirmed and explained the macroscopical differences in wound healing between horses and ponies by the strict organisation of the myofibroblasts and the more effective acute inflammation in the ponies. Stimulation of the organisation of myofibroblasts and improvement of the efficacy of the inflammatory response in horses may therefore result in better second-intention wound healing in horses in clinical practice.

Actins↗

Intentional switches between bimanual coordination patterns are primarily effectuated by the nondominant hand.

Based on indications that hand dominance is characterized by asymmetrical interlimb coupling strength (with the dominant hand exerting stronger influences on the nondominant hand than vice versa), intentional switches between rhythmic bimanual coordination patterns were predicted to be mediated primarily by phase adaptations in the movements of the nondominant hand. This hypothesis was supported for both right-handed and left-handed participants who performed voluntary switches from in-phase to antiphase coordination and vice versa, at four different frequencies. In accordance with previous indications that handedness is expressed less consistently in left-handers, the asymmetry between the hands was less pronounced in left-handed than in right-handed participants. The asymmetry was smaller for switches from in-phase to antiphase coordination (i.e., in the direction opposite to spontaneous transitions) than for switches in the reverse direction, suggesting that (the expression of) the handedness-related asymmetry in coupling strength was weakened by intentional processes associated with these switches.

Adolescent↗