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Results for “Acceptance Process”

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At least 145 records · Page 8Linked to original sources

Studies on quantitative morphology. VIII. Model-type calculations for thyroid gland morphometry.

A sphere with a nucleus and a shell each with different tissue component distributions was used as an approximative model for the thyroid gland. Noticeable divergencies are often seen between the composition of the total body and single parallel sections through such a sphere, but there is a changing region around the middle of the sphere radius, in which coincidence is found between the distributions both in the model-type gland and in such a section. In practice the location of this places is often not known precisely enough and therefore much more accurate results are obtained in an acceptable processing time by measurements of a few slides with approximately equal distances.

Colloids↗

Toward implementation of artificial neural networks that "really work".

Artificial neural networks are established analytical methods in bio-medical research. They have repeatedly outperformed traditional tools for pattern recognition and clinical outcome prediction while assuring continued adaptation and learning. However, successful experimental neural networks systems seldom reach a production state. That is, they are not incorporated into clinical information systems. It could be speculated that neural networks simply must undergo a lengthy acceptance process before they become part of the day to day operations of health care systems. However, our experience trying to incorporate experimental neural networks into information systems lead us to believe that there are technical and operational barriers that greatly difficult neural network implementation. A solution for these problems may be the delineation of policies and procedures for neural network implementation and the development a new class of neural network client/server applications that fit the needs of current clinical information systems.

Hospital Information Systems↗

Management of postmenopausal osteoporosis for primary care.

OBJECTIVE: The shift in health care delivery from a subspecialty to primary care system has transferred the responsibility of preventing osteoporotic fractures from specialists in metabolic bone disease to the web of physicians--family practitioners, general internists, pediatricians, and gynecologists--who provide the bulk of primary care. The challenge for this group of physicians is to decrease the rising prevalence of osteoporotic hip and vertebral fractures while operating within the cost parameters. It is the goal of this brief summary to provide primary practitioners with focused guidelines for the management of postmenopausal osteoporosis based on new and exciting developments. Prevention and treatment will change rapidly over the next decade and these advances will require changes in these recommendations. DESIGN: We identified patients at risk for osteoporosis and provided indications for bone mass measurement, criteria for diagnosis of osteoporosis, therapeutic interventions, and biochemical markers of the disease. RESULTS: Prevention and treatment are discussed, including hormone replacement therapy and use of calcitonin, sodium fluoride, bisphosphonates, and serum estrogen receptor modulators. CONCLUSIONS: Postmenopausal osteoporosis should no longer be an accepted process of aging. It is both preventable and treatable. Primary care physicians must proactively prevent and treat osteoporosis in their daily practice, and combination therapies are suggested.

Absorptiometry, Photon↗

Degree of pathology as related to readiness to accept labels in process and reactive schizophrenics.

Two experiments were performed in order to determine whether readiness to accept deviant labels, as measured by acquiescence set, interacts with type of schizophrenia (process vs. reactive) to influence level of pathology. It was found on both a behavioral measure and a psychometric measure of psychopathology that high acquiescent process schizophrenics manifested more pathology than did either low acquiescent process or reactive schizophrenics, both of whom showed more pathology than high acquiescent reactive schizophrenics. The results suggest that one's acceptance of deviant labels as well as one's past history of being assigned social and evaluative labels may influence the patient's level of pathology. Scheff (1966), in viewing the mental patient from a sociological perspective, suggests that an important determinant of mental disorder is the acceptance by the deviant individual of the various labels which stigmatize him as mentally ill. If this is the case, then individual differences in readiness to accept or agree with labels about oneself may be related to the degree of pathology manifested in a psychiatric population. The present authors sought to determine if acquiescence set, as measured by the Agreement Response Scale (Couch & Keniston, 1960), is related to degree of pathology in schizophrenic patients. The Agreement Response Scale was used as a measure of the general tendency to acquiesce to or agree with personality statements or labels. The investigators performed two experiments, in Experiment 1 a behavioral measure of pathology was used and in Experiment 2 a psychometric measure of pathology was used. In addition, the schizophrenic Ss were grouped according to the process-reactive distinction as the reactive schizophrenic may be expected to have a more favorable history of labeling than would the process schizophrenic.

Adult↗

[Ergotherapy assessment: field study of acceptance, practicability and process quality].

There is need for comprehensive assessment of patients suitable for occupational therapy. The "Ergotherapeutische Assessment" (EA) occupational therapy assessment instrument has been developed recently by a group of experts in the field. Its main purpose is to significantly support occupational therapists in diagnostics, planning, communication and evaluation of therapeutic outcome. In a first step, EA was tested in a field study with regard to practicability, acceptance, and its effects on process quality. The EA was applied in 329 patients by 22 occupational therapists (office, institution) who had been specially trained (handbook, instruction session) prior to the study. In addition, participants had to answer standardized evaluation forms with respect to the general therapeutic success, relevant functional changes possibly not covered by the EA, and professional benefit in the areas under investigation. In summary, the value for practicability as described using a 10-point scale was 5.8, and 7.6 for acceptance. With regard to process quality, the ratings were 7.3 for diagnostic effect, 6.0 for definition of therapeutic aims, and 6.8 for improvement of communication between members of the rehabilitation team. The internal consistency of the five individual modules of the instrument as calculated by Cronbachs alpha was between 0.72 and 0.95. Changes considered relevant by the participants and not reflected by the instrument accounted for 9% only. The correlation coefficient for the evaluated general success of the patients and category changes found on the basis of EA severity ratings was 0.48.

Adolescent↗

[Acceptance test of film processing in roentgen diagnosis].

In radiological acceptance tests, the film processing settings are verified by means of light sensitometry. The preliminary standard DIN 6868-55 probably published in August 1996 standardizes this procedure. This standard, its legal relevance and the sensitometer specifications are discussed. An outlook to the future development of the procedure as regards both the necessary technical progress and the establishment of a hierarchical metrological structure is included.

Germany↗

The establishment of provisional quality assurance guidelines for assessing the hygienic adequacy of the lamb carcass cooling process.

The hygienic consequence of a lamb carcass cooling process can be assessed by evaluating the product's time-temperature history at a site within the carcass cavity adjacent to the 5th and 6th lumbar vertebrae. From these data, a numerical value, the process hygiene index, is generated which reflects the amount of potential bacterial growth the process allows and is proposed as an alternative quality assurance tool for assessing lamb cooling processes. Two hygienically acceptable lamb cooling processes, one producing carcasses destined for freezing and the other producing carcasses destined for chilled processing, were monitored. Acceptable cooling processes can be conveniently described in terms of a three class sampling plan where the maximum acceptable value (M) is the highest value obtained and the target value (m) is determined as the 80th percentile value of the pooled data from acceptable runs. The number (c), the proportion of sample values that may lie between (m) and (M), is determined from the acceptable run with the highest sample values. For the process yielding carcasses destined for freezing M = 15, m = 14 and c = 20% while for that producing carcasses for chilled processing M = 9, m = 6 and c = 60%. For both processes a minimum of five samples was tested per process run. Based on these values, provisional processing guidelines for the hygienic cooling of lamb carcasses are suggested.

Journal Article↗

Judgment processes for medication acceptance: self-reports and configural information use.

In the present study college student (N = 186) made judgments of the likelihood of accepting a medication for treatment of a hypothetically experienced clinical depression. Three types of information were manipulated: effectiveness of the medication for alleviating the symptoms of depression, potential side effects of the medication, and severity of depression hypothetically being experienced. The functional-measurement approach was used to examine whether self-reports are related to judgments and whether there is configurality in judging likelihood of medication acceptance. The results showed that subjects who reported different variables to be most important had predictably different effects of the variables in their judgments. There was also evidence for configural combination of information, and the nature of the configurality differed between subjects who reported Depression versus Side Effects as the most important type of information, respectively. The results show how the same information can be used differently by different individuals in making judgments, and that self-reports may reveal some important aspects of how information is used. The implications of the individual differences for health care consumer decision making and health care professionals' assessments and interventions are discussed.

Decision Making↗

Adolescent process of coming to accept asthma: a phenomenological study.

Health care team members in the clinical setting frequently comment that if adolescents would just accept their asthma and the need for continued treatment they would not experience so many problems. A review of the literature reveals researchers have not explored the process of acceptance or what effect acceptance may have in the lives of adolescents experiencing asthma. The purpose of this study was to identify the essential structure of the process of acceptance of chronic illness by adolescents experiencing asthma/reactive airway disease. Phenomenological design, method, and analysis within a life-span developmental framework guided this study. The sample consisted of 6 adolescents diagnosed with asthma who were identified by health care professionals as verbalizing and demonstrating acceptance of their chronic illness. The results have implications for diagnosing lack of acceptance and developing and testing interventions to facilitate acceptance.

Adolescent↗

Analysis of patient response to preoperative computerized video imaging.

Preoperative computer-assisted video imaging was performed on 50 consecutive rhinoplasty candidates, along with routine preoperative photographs and assessment. Each patient then completed a questionnaire dealing with the imaging process. Patient acceptance of the imaging process was excellent. Responses indicated that most patients felt that video imaging improved communication between patient and surgeon, increased patient confidence in surgery and surgeon, and enhanced the patient-physician relationship. The future use of computer-assisted video imaging in teaching, preoperative planning, and improved post-operative patient satisfaction is discussed.

Adult↗