The Medical Interview: The Opening Phase

2009 ◽  
pp. 9-29
Author(s):  
James Binder
Keyword(s):  
Medical Interview ◽  
Opening Phase

Medical Interview Satisfaction Scale--South African Version

2019 ◽  
Author(s):  
Lawson B. Eksteen ◽  
Robert J. Mash
Keyword(s):  
South African ◽  
Medical Interview ◽  
Satisfaction Scale

scholarly journals Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuji Nishizaki ◽  
Keigo Nozawa ◽  
Tomohiro Shinozaki ◽  
Taro Shimizu ◽  
Tomoya Okubo ◽  
...  
Keyword(s):  
Physical Examination ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Medical Interview ◽  
Sectional Study ◽  
University Hospitals ◽  
Community Based ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Clinical Procedures

Abstract Background The general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed. Methods We conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge“. Specifically, “medical interview and professionalism,” “symptomatology and clinical reasoning,” “physical examination and clinical procedures,” and “disease knowledge” were assessed. Results We found no significant difference in “medical interview and professionalism” scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96–1.59) in “physical examination and clinical procedures” in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score. Conclusions The standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as “physical examination and clinical procedures.”

scholarly journals The impact of COVID-19 restriction measures on loneliness among older adults in Austria

2020 ◽  
Author(s):  
Erwin Stolz ◽  
Hannes Mayerl ◽  
Wolfgang Freidl
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Positive Association ◽  
Health Issues ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Social Contacts ◽  
Mental Health Issues ◽  
The Impact ◽  
Opening Phase

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.

Prevention of Poisoning

PEDIATRICS ◽  
1959 ◽  
Vol 24 (4) ◽  
pp. 686-686
Author(s):  
ALEXANDER N. DRESCHER
Keyword(s):  
Simple Device ◽  
Accidental Poisoning ◽  
Medical Interview ◽  
Waiting Room ◽  
Common Items ◽  
Parental Interest

The education of parents to the danger of accidental poisoning is an important aspect of office and clinic pediatrics. Since this preventive instruction can be time-consuming and incomplete in the usual medical interview, attention is called to the simple device of a display cabinet in the waiting room. In the display used in our clinic, the upper shelf shows common items actually ingested by our patients; the middle shelf contains those responsible for fatalities; the lower shelf demonstrates some of the discomforting elements of treatment. The effectiveness of this exhibit has been attested to by a decreased incidence of poisonings and continued parental interest in the information presented.

Digital Medical Interview Assistant AnCha for Obtaining the Medical History in General Medicine: Case study (Preprint)

2021 ◽  
Author(s):  
Selina Florence Regli ◽  
Floriana Gashi ◽  
Kerstin Denecke
Keyword(s):  
Medical History ◽  
User Interfaces ◽  
Pilot Trial ◽  
Age Groups ◽  
General Medicine ◽  
Time Frame ◽  
Practical Implementation ◽  
Medical Interview ◽  
Digital Tool ◽  
Dialog System

BACKGROUND Collecting information on the medical history of a patient is an important step during the diagnosing process. Besides the interrogation by the physician, computerized questionnaires are used to collect the data. To facilitate interaction, implementation of digital medical interview assistants (DMIA) using conversational user interfaces (CUI) gain in interest. OBJECTIVE The aim of this research is to assess patient’s and physician’s perceptions towards a DMIA with CUI. Beyond, we want to understand how such DMIA can be used in real-world context, what issues and barriers exist in their usage. METHODS We developed a web-based DMIA with CUI (referred to as AnCha for anamnesis chatbot) as a research prototype in a participative and iterative development process. We conducted a pilot trial in a practice for general medicine. Patient perceptions were collected and physicians were interrogated regarding usefulness of collected information. RESULTS 31 patients were approached, and 9 participants were included in the pilot trial; 3 conversation protocols were used by the physicians to prepare for the encounter. Participants spanned all age groups from digital natives (n=5), and digital workers (n=3) to digital seniors (n=1). Patients can easily interact with AnCha and are willing to provide information to the digital tool. They recognize benefits while using the dialog system compared to the existing process. Important insights into practical implementation and integration into practice workflows could be gained. CONCLUSIONS Providing information on complaints and medical history before the actual encounter is considered useful. In order to be supportive for physicians, information has to be made available in a sufficient time frame before the encounter. Future work has to assess in particular whether AnCha is also well accessible for digital seniors.

An Experimental Investigation of Flow-Induced Cavity Resonance

2001 ◽  
Author(s):  
Paul J. Zoccola ◽  
Theodore M. Farabee
Keyword(s):  
Experimental Investigation ◽  
Energy Production ◽  
Pressure Fluctuations ◽  
Cavity Resonance ◽  
Cavity Pressure ◽  
Novel Technique ◽  
Cavity Opening ◽  
The Mean ◽  
Marine Applications ◽  
Opening Phase

Abstract Excitation of cavity resonance by flow over an aperture is often a source of unwanted noise in aerospace, automotive, and marine applications. An experimental investigation of this phenomenon was conducted. Detailed measurements of the cavity pressure and the velocity field in the opening were performed in a quiet flow facility. Spectral data on cavity pressure fluctuations obtained for a variety of configurations were analyzed over a range of speeds to determine the behavior of both sheartones and cavity tones during non-resonant and resonant conditions. The mean and fluctuating velocity profiles as well as the cross-spectral properties between the velocity components and cavity pressure were also obtained within the cavity opening. Phase between the velocity components and the pressure was used to calculate the streamwise convection velocities across the opening. A novel technique used to measure vorticity allowed calculation of the measured energy production in the opening. The data support the finding that the resonant and non-resonant conditions are distinguished by the behavior of the convection velocity and by the distribution of energy production in the flow field.

scholarly journals The anthochron as a building block of flower development

2016 ◽  
Vol 51 (8) ◽  
pp. 899-904
Author(s):  
Nereu Augusto Streck ◽  
Natalia Teixeira Schwab
Keyword(s):  
Building Block ◽  
Flower Development ◽  
Field Experiments ◽  
Linear Regression Analysis ◽  
Time Interval ◽  
Simple Linear Regression ◽  
Vegetative Development ◽  
Flower Opening ◽  
Factors Affecting ◽  
Opening Phase

Abstract: Plant vegetative development has been widely described using the phyllochron concept, but little effort has been made to describe flower development during the reproductive phase. The objective of this work was to present the anthochron, through a review of the literature, as a building block of flower development, mainly during the flower opening phase. The anthochron is the time interval needed for two subsequent flowers to achieve the same developmental stage, with units of time in days or in ºC day per flower. The concept of anthochron fulfills part of the lack of studies on flower development, since it is considered a building block of the flower opening process. The anthochron can be measured from field experiments or estimated by a simple linear regression analysis. So far, the anthochron has only been quantified in Gladiolus x grandiflorus Hort. Therefore, factors affecting the anthochron still need to be determined in order to pinpoint their effect on the flower opening rate.

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