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At least 19 recordsLinked to original sources

Out-of-body experiences in schizophrenia. A questionnaire survey.

Questionnaires on perceptual distortions, symptoms of schizophrenia, and out-of-body experiences (OBEs) were completed by 71 volunteers with a history of schizophrenia and 40 control subjects (patients in a hospital accident ward). Significantly more of the schizophrenics (42%) than of the control group (13%) answered "yes" to a question about OBEs. However, a follow-up questionnaire showed that only 14% of schizophrenics (i.e., the same as the control group) had had "typical" OBEs, in which a change of viewpoint was reported. Those reporting typical OBEs did not report more perceptual distortions or symptoms of schizophrenia than did those reporting no OBEs, although those reporting other atypical experiences did. On this basis there is no evidence to consider the typical OBE as pathological or as symptomatic of schizophrenia.

Adult↗

Perceptual changes in schizophrenia: a questionnaire survey.

Questionnaires were completed by 73 volunteers with a history of probable schizophrenia, and by 67 patients admitted to the accident wards of a general hospital. A high incidence of sensory distortions was recorded in the schizophrenic group compared with the controls, distortions of brightness contrast being the most common. Many schizophrenic patients reported that such distortions were reduced or removed early in treatment. Patients who reported visual distortions also tended to report visual hallucinations. The results are discussed with reference to the hypothesis that perceptual malfunction may underlie some other schizophrenic disorders such as delusions or catatonia.

Adult↗

Management of renal carcinoma--a questionnaire survey.

Questionnaires on the management of renal carcinoma were returned by 134 British urologists. Analysis revealed that ultrasound is used, as a routine investigation, by 93% of the respondents, whereas abdominal CT scanning is used routinely by only 16%. Renal arterial embolisation is used by 60% of respondents; a further 12% indicated that, having tried the technique, they had given it up. Of 81 surgeons using embolisation, 44% were hopeful that it offered systemic benefit to the patient and 54% delay nephrectomy after embolisation. Regression of metastases following treatment was reported by 58 surgeons. Details of metastatic regression in 60 patients revealed that pulmonary metastases were involved in 83%. Embolisation featured in the management of only 11 such patients.

Embolization, Therapeutic↗

Suture materials currently used in obstetric-gynecologic surgery in the United States: a questionnaire survey.

Questionnaires on the material and the size of sutures used in obstetric-gynecologic surgery were sent to the directors of 110 residency programs in the specialty in medical schools in the United States. Replies were received from 80 (73%) programs. The findings indicate that the use of chromic catgut still predominates, but that the newer synthetic absorbable materials such as polyglycolic acid and polyglactin 910 are becoming popular for some procedures, including certain steps in abdominal closure and in reconstructive tubal surgery. The increasing use of these materials for hysterectomy and cesarean section, heretofore exclusively the domain of chromic catgut, suggests that there is possibly under way a reorientation of attitudes about the materials used for sutures in obstetric-gynecologic surgery. The characteristics of catgut and of synthetic absorbable materials are herein described and compared in relation to their current use.

Abdomen↗

[Results of a survey questionnaire concerning smoking conditions in 54 major Japanese pharmaceutical companies and among their employees].

BACKGROUND: Despite progress in the prohibition of smoking in many hospitals, some medical representatives (MRs) still visit hospitals smelling of tobacco smoke. As few broad studies of the actual smoking conditions in pharmaceutical companies and among their employees have been conducted, this issue warrants investigation. METHODS: A total of 54 area offices. 155 branch offices, and 4610 employees of 54 major Japanese pharmaceutical companies that conduct business in the Tohno area of Gifu Prefecture were investigated using a questionnaire survey regarding smoking conditions. RESULTS: The results of the survey questionnaire distributed to pharmaceutical companies (response rate, 100.0%) indicated that 12.4% and 43.5% of offices have already prohibited smoking in the entire building or in offices, respectively. In addition, 31.6% of the offices have established separate smoking areas. The results of the individual employee questionnaire (response rate, 98.2%) indicated that 1805 employees (39.9%) smoke (including 1759 male smokers, 44.8%). The smoking rate among MRs (41.0%) was significantly higher than among non-MRs (31.1%) (p< 0.0001), while the smoking rate among managers (42.8%) was also higher than among non-managers (39.1%) (p = 0.0041). Tobacco is most frequently consumed by MRs in their business cars (57.8%) and while driving (42.1%). CONCLUSION: 87.5% of the companies have already established efficacious non-smoking conditions. However, the smoking rate among employees of major Japanese pharmaceutical companies, including MRs, remains high, suggesting that appropriate actions should be taken in order to promote smoking cessation of all smokers.

Adult↗

Validity of two questions on alcohol use in a health survey questionnaire.

The aim of this study was to investigate whether consumers of high and low levels of alcohol could be identified by two questions about alcohol use in a postal questionnaire survey. A sample of 2,300 persons aged 18 64 years from Stockholm county were sent a masked postal questionnaire comprising 30 questions about their health and functioning. Two questions concerned their alcohol consumption. One year later the subjects underwent a psychiatric health examination, which included an assessment of their alcohol use. The two questions about alcohol consumption identified high alcohol consumers with a relatively high sensitivity and specificity, of 64% and 87%, respectively, and thus are useful for identifying high alcohol consumers in health surveys using questionnaires.

Adult↗

[Influence of inclusive child day-care on nursery school teachers: a questionnaire survey of teachers with experience in inclusive child day-care in K City].

The purpose of this survey questionnaire is to investigate the factors influencing how nursery school teachers perceive inclusive child day-care in K City in order to qualify what support we can provide. The questionnaire was sent to nursery school teachers with experience in inclusive child day-care in K City. Three hundred seventeen teachers provided sufficient data for analysis. The results of this survey suggest that teachers perceive inclusive child day-care to lead up to self-development and the pleasure of child-caring. On the other hand, they feel a burden of inclusive child day-care, with teachers in their 40 s feeling a stronger burden than teachers in their 20 s. And teachers with experience in taking care of emotionally disturbed children or teachers with experience in taking care of hearing-impaired children feel a stronger burden than teachers without experience in taking care of them. The results of our survey also suggest that it is necessary for support systems to have special knowledge about disabled children and special ways of caring, and to decrease teachers' burden or dissatisfaction with inclusive child day-care.

Adult↗

A questionnaire survey of patient preparation and techniques for prostate biopsy among urologists in the Kyushu and Okinawa regions of Japan.

BACKGROUND: We surveyed urologists in the Kyushu and Okinawa regions of Japan regarding their standard approach to patient preparation and their prostate biopsy technique. METHODS: A total of 155 survey questionnaires were prepared and mailed to community and academic urologists in the Kyushu and Okinawa regions. Incidences were derived from the total numbers of responses, by item, divided by the total number of responses per practice type. RESULTS: There were 27 responses from clinics (17.4%), 115 from general hospitals (74.2%), and 13 from university hospitals or cancer centers (8.4%). Most urologists performed biopsy in patients with prostate-specific antigen (PSA) levels greater than 4 ng/ml when digital rectal examination (DRE) and/or transrectal ultrasound (TRUS) results were normal. Of the urologists, 83% reported performing the procedure with hospitalization; 51% of urologists do not advocate enema use, 69% performed the procedure under spinal anesthesia or a sacral block, 53% reported the combined administration of antibiotics orally and intramuscularly or intravenously, 70% used only the transrectal route for prostate biopsy, and 86.5% performed six or more biopsy cores at the initial prostate biopsy session. CONCLUSION: This survey shows substantial variation in the prostate biopsy protocols among urologists in the Kyushu and Okinawa regions in Japan, and suggests that national, evidence-based, guidelines are required, particularly as to antibiotic prophylaxis and the number of biopsy cores.

Anesthesia, Local↗

The current status of palliative care teams in Japanese university hospitals: a nationwide questionnaire survey.

GOAL: Although the importance of the palliative care team (PCT) to university hospitals is widely accepted, the issues of palliative care at the national level have not been clarified. We conducted a nationwide survey of the current status of PCTs in all (123) Japanese university hospitals. MATERIALS AND METHODS: In 2003, 2004 and 2005, the authors conducted a self-reporting cross-sectional survey. Questionnaires were mailed to nursing directors and selected PCT members of all Japanese university hospitals. RESULTS: Of 123 hospitals in 2005, 99 (80%) returned the questionnaire; 33% used PCTs, and 11% used certified PCTs. Our findings include: annual number of patients treated by PCTs (83/70 +/- 64, mean/median +/- SD), daily number of patients treated by PCTs (12/11 +/- 14), and days of PCT care per patient (30/30 +/- 22). Certified PCTs treated more patients per year (p = 0.004) and more patients per day (p < 0.001) compared to noncertified PCTs. Over the 3-year period, the number of hospitals utilizing PCTs only slightly increased (2003: 27%, 2004: 29%, 2005: 33%), as did those using certified PCTs (2003: 3%, 2004: 9%, 2005: 11%). In 2005, the reasons for noncertification of PCTs included "lack of physicians who specialize in palliative care (82%)" and "lack of nurses who specialize in palliative care (56%)." CONCLUSIONS: The entire system of palliative care in Japanese university hospitals is currently insufficient. The lack of physicians and nurses who specialize in palliative care is a significant barrier, and therefore, the initiation of a formal training system for these health care professionals is a high priority issue.

Cross-Sectional Studies↗

Questionnaire survey of exposure to lead in the domestic environment in Nigeria.

Environmental exposure to lead is a significant cause of morbidity and mortality in developed countries, particularly in children, but remains understudied in developing countries. While prevention is acknowledged as the best public health option, the level of knowledge about lead exposure in many developing countries is not known. We conducted a survey to evaluate the knowledge about lead exposure in Nigeria. Survey questionnaires were developed from the results of focus group discussions and published literature. 600 questionnaires were randomly distributed to adults living in Ibadan, South Western Nigeria in 2004. In addition, the knowledge of lead exposure was measured using a modified version of the Chicago Lead Knowledge Test (CLKT). Information on lead abatement and sources of household lead exposure were also obtained. Most respondents did not have a satisfactory level of knowledge about lead exposure in the domestic environment, how to prevent it and the role of nutrition in diminishing the impact of exposure. Younger people, female and increased years of schooling predict higher scores in the CLKT. Most respondents lived in rented homes; the majority of which were either built or last refurbished in the 1990s. Home owners and people living in homes built or last refurbished within 4 years of the study had higher mean CLKT scores. Our study showed that our respondents had very low levels of knowledge about the risk of domestic exposure to lead, particularly to children. We recommend that efforts should be made to increase awareness of this condition and that in Nigeria as in most development countries; this should be done through the maternal and child health care programs.

Adolescent↗

Psychosocial adjustment in a large cohort of adults with growth hormone deficiency treated with growth hormone in childhood: summary of a questionnaire survey. Committee for the Study Group of Adult GH Deficiency.

The quality of life of adult patients with growth hormone (GH) deficiency, who ceased GH therapy before the age of 20 years, was surveyed. Questionnaires were sent to 1116 patients and their physicians, asking about socioeconomic status and for medical information, respectively. Response rates were 64% and 69%, respectively. The final height of the patients was about -2 SD in 61% of those surveyed. The distributions of occupation and income were similar to those in the general population. Patients with a final adult height below 155 cm (men) and below 140 cm (women) felt disadvantaged in terms of obtaining employment and finding partners. Slight psychological problems in these patients were revealed by the Cornell Medical Index health questionnaire.

Adult↗

What counselling do patients with ankylosing spondylitis receive? Results of a questionnaire survey.

This questionnaire survey of 71 patients with ankylosing spondylitis (members of the National Ankylosing Spondylitis Society of the UK) revealed that a substantial proportion of patients were apparently not told of several aspects of their illness by their doctors such as likely cause(s), familial clustering, role of HLA tissue typing and diet (appropriately). Only a small percentage (4.2%) were counselled to actively seek screening for close family members. As HLA B27 presence is not diagnostic of ankylosing spondylitis, and it cannot be prevented or arrested even if diagnosed at onset or early stages, routine screening of close family members cannot be justified at present.

Cluster Analysis↗

[Treatment of cancer pain in Denmark. A questionnaire survey].

A questionnaire survey was carried out with the aim of evaluating knowledge about and practice of cancer pain treatment in Denmark. A questionnaire was sent to a 10% random sample of Danish physicians. Of these 1411 physicians, 1068 (76%) returned the questionnaires and after the exclusion of those doctors who never treated cancer patients, 577 (54%) were analyzed. Their knowledge of the principles and practice of cancer pain treatment was evaluated by means of 14 multiple-choice and open questions. Their ability to apply their knowledge in practice was evaluated by analyzing their suggested treatment of three simulated patient cases. Ninety-seven percent of the physicians recognized difficulties in cancer pain treatment, the most frequent being side effects of drugs and inadequate pain relief. It appeared from the proposals for pain treatment of the patient cases that the majority of the physicians could treat both pain from bone metastasis (75%) and visceral pain (78%) satisfactorily, while very few suggested coanalgesics for neuropathic pain (20%). Older physicians performed less satisfactorily than did their younger colleagues. Basic pain treatment skills have been acquired by the Danish physicians. However, in the future emphasis should be placed on the treatment of neuropathic pain with coanalgesics and the management of opioid side-effects.

Analgesia↗

Management of cancer pain in Denmark: a nationwide questionnaire survey.

A questionnaire survey was carried out with the aim of evaluating knowledge about and practice of cancer pain treatment in Denmark. A questionnaire was sent out to a 10% random sample of Danish physicians. Of these 1411 physicians, 1068 (76%) returned the questionnaires and after exclusion of those doctors who never treated cancer patients, 577 (54%) were analyzed. Their knowledge of the principles and practice of cancer pain treatment was evaluated by means of 14 multiple-choice and open questions. Their ability to apply their knowledge in practice was evaluated by analyzing their suggested treatment of 3 simulated patient cases. The results show that a vast majority (97%) of the physicians were prepared to use opioids conventionally administered for severe pain and that 39% reported the use of other treatment modalities (psychological treatment, antineoplastic therapy, transcutaneous nerve stimulation/acupuncture, etc.). Ninety-seven percent of the physicians recognized difficulties in cancer pain treatment, the most frequent being side effects of drugs and inadequate pain relief. Seventy-five percent considered that their knowledge about pain treatment was fair or better. The overall evaluation of the proposals for pain treatment of the patient cases was primarily based on drug therapy. Adequate doses, correct dose intervals and selection of drugs, routes of administration and other treatments were the requirements for satisfactory answers. It appears that the majority the physicians could treat both pain from bone metastasis (75%) and visceral pain (78%) satisfactorily, while very few suggested co-analgesics for neuropathic pain conditions (20%). Older physicians performed less well than their younger colleagues. Basic pain treatment skills have been acquired by the Danish physicians but, in the future, emphasis should be placed on the treatment of neuropathic pain with co-analgesics and the management of opioid side effects.

Analgesics↗

Undergraduate medical teaching in departments of oncology in the United Kingdom: a questionnaire survey.

A questionnaire survey has been conducted to assess the nature and extent of teaching given to undergraduate medical students in departments of Oncology within the United Kingdom. Postal questionnaires were sent to 58 departments of Radiotherapy/Oncology and 30 departments of Medical Oncology. This included both teaching and nonteaching departments. Response rates were 84.5% (49 replies) and 90% (27 replies), respectively. Of the responders, 26 Radiotherapy/Oncology departments (53%) and 21 Medical Oncology departments (78%) have a regular commitment to undergraduate medical teaching, the majority being units affiliated to teaching hospitals. The time spent in teaching, methods of teaching, the teaching curriculum, and other details have been documented and are summarised. The information obtained leads us to conclude that there is a considerable variation between departments with regard to teaching commitments and the curriculum. Such variations appear to be primarily centre oriented rather than specialty biased. The survey also raises a number of issues regarding undergraduate medical teaching with reference to oncology, which are discussed.

Academic Medical Centers↗

Occupational injuries in Flemish pilots in Belgium. A questionnaire survey.

A questionnaire survey was conducted in Antwerp, Belgium in 2002-2004 on the factors influencing the occurance of work-related accidents and injuries in Flemish maritime pilots. 130 questionnaires were collected and analysed, and the response rate was 37.6%. The accidents reported in the questionnaire occured between 1980 and 2005, and most of them (70.7%) during the last 10 years. Various factors were taken into consideration: causes of accidents, their time and site, type of injury, human factors, transfer to ships, use of safety equipment, state of the sea, visibility, etc. The obtained results were summed up in 3 tables, and were compared with data from the literature. In this study, authors attempted to assess the importance of these various factors on the occurance of work-related accidents among pilots, and improve their prevention.

Accidents, Occupational↗

Nurses' knowledge, attitudes and beliefs regarding substance use: a questionnaire survey.

A questionnaire on nurses' knowledge, attitudes, beliefs and practises regarding substance use was distributed to 302 nurses in Victoria. One hundred and thirty-four returned the questionnaire, giving an overall response rate of 44.3%. The survey results showed that although knowledge and skill gaps exist in assessment and management of alcohol and drug problems, overall knowledge levels were adequate. Although positive attitudes towards substance use were expressed, specific educational programs to enhance nurses' skills in assessment and management of substance-related disorders may be beneficial.

Adult↗

Korean atomic bomb survivors' report on the present status and health of their children: a mail questionnaire survey.

A mail questionnaire survey on the present status and health of children of Korean survivors of the 1945 atomic bombing of Japan was conducted in 2004. In total, 1,115 Korean A-bomb survivors' reports on demographic factors and the health of their children (n = 4,079) were analysed. In 2004, 293 of their children were reported to have died and 3,786 children still living. Among the deceased children, the cause of death was unidentified in 64 per cent of cases. The most frequently reported cause of death was infectious disease (9.6%). Most of the deaths (51%) were reported to have occurred in children less than ten years old. The most frequently reported congenital disorders among living children were mental retardation (0.18%) and congenital bone disorders (0.18%). Further study and administrative support are needed to more accurately determine the status of Korean A-bomb survivors and their children.

Abnormalities, Radiation-Induced↗