The relationship of patient characteristics to physician delivery of advice to stop smoking

1987 ◽  
Vol 2 (5) ◽  
pp. 337-340 ◽  
Author(s):  
Judith K. Ockene ◽  
David W. Hosmer ◽  
Joanne W. Williams ◽  
Robert J. Goldberg ◽  
Ira S. Ockene ◽  
...  
2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Agnes B. B. Mamiasa ◽  
Maya Pinkan Warouw ◽  
Jenny Hilda Pakasi

Contextual Teaching and Learning Approach (CTL) is one form of approach that can be said to be capable and very suitable to be a model of appropriate learning when applying the form of material in the classroom. Learning the form of CTL is closely related to the context, atmosphere or circumstances that can be interpreted also as learning related to a particular atmosphere. Talking about the atmosphere has to do with the use of the time form also known as tense. A little interesting about the Simple Future Tense that is raised to the core of learning because of this Tense became one of the important parts in the use of Grammar on learning English where we can express or declare actions in the future. This form uses the word 'will' and 'shall' (short form:’ll) plus infinitive. Besides using the form of 'going to' to be able to declare the time to come and the intention of the speaker to do something, for example I'm going to stop smoking '. CTL's role can make learning more effective and even create a fun and non-boring atmosphere, providing experiences that are closely related to the real world of learners and using a variety of learning resources; and therefore the method on CTL can provide understanding, development of science, the develop of knowledge and contextual understanding of learners about the relationship of subjects with what found learners in everyday life.Keywords : CTL, BE GOING TO vs WILL


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S794-S794
Author(s):  
Angela Branche ◽  
Lisa Saiman ◽  
Edward E Walsh ◽  
Ann R Falsey ◽  
William Sieling ◽  
...  

Abstract Background Respiratory syncytial virus (RSV) infection is a common cause of acute respiratory infection (ARI) in adults. Prospective surveillance enables collection of representative data on demographic and clinical characteristics. Few data of this kind are available for adults hospitalized with RSV infection. We used active population-based surveillance to identify patients with laboratory-confirmed RSV infection and evaluated demographic characteristics and clinical outcomes. Methods Hospitalized adults ≥ 18 years old residing in a predefined catchment area with ≥ 2 ARI symptoms or exacerbation of underlying cardiopulmonary disease were screened for eligibility during October 2017–April 2018 and October 2018–April 2019 in 3 hospitals in Rochester, NY and New York City. Respiratory specimens were tested for RSV using PCR assays. Clinical and demographic data were abstracted from the medical record. Multivariate analysis was used to evaluate the relationship of patient characteristics with clinical outcomes. Results 8,217 hospitalized adults were screened and 9.4% positive for RSV infection. Preliminary clinical and demographic data were available for 348 patients including 14% 18–49 years, 28% 50–64 years and 58% > 65 years. Mean age was 68 years and 60% were female (Figure 1). Patients had a mean of 3 co-morbidities, with diabetes (40%), chronic obstructive pulmonary disease (30%), chronic kidney disease (28%), congestive heart failure (28%), coronary artery disease (25%) and asthma (24%) the most common co-morbidities (Figure 2). Median hospital length of stay was 6 days (IQR 4–10), 13% of patients were admitted to the ICU, 5% were mechanically ventilated and 5% died during admission and 12% within 6 months. In multivariate analysis having > 3 comorbidities, cardiac disease or a lower baseline functional status measured by activities of daily living scores was significantly associated with 6-month mortality. Conclusion The majority of hospitalized patients with RSV infection were older adults with ≥ 3 chronic comorbid conditions. Baseline functional status may be predictive of worse clinical outcomes in patients with RSV infection. These insights into patient characteristics and clinical outcomes will provide information for prevention programs. Disclosures All authors: No reported disclosures.


2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 187-187
Author(s):  
Kelly Hyland ◽  
Alyssa L Fenech ◽  
Diane Portman ◽  
Kristine A. Donovan

187 Background: Cancer anorexia-cachexia syndrome (CACS) in patients is associated with decreases in lean body mass and body weight. Self-reported lack of appetite may be an important indicator for early identification of CACS. The current analyses examined the relationship of perceived lack of appetite to patient characteristics and overall symptom burden in a large mixed cancer sample referred to a palliative care clinic. Methods: We conducted a retrospective review of patients newly referred to an outpatient palliative care clinic over a two-year period. Data on demographic and clinical characteristics and patient-reported symptom scores on the Edmonton Symptom Assessment Scale (ESAS) were abstracted. Pearson’s correlations and ANOVAs were used to assess relationships between variables. Multiple regression analysis was used to evaluate the relative contribution of variables that were significantly correlated with lack of appetite at the univariate level. Results: Data on 544 patients ( M=53.7 years) showed that older age (r=12, p<.01), not being married or in a marriage-like relationship (r=.09, p=.04), having insurance other than managed care insurance (r=.10, p=.02), lower body mass index (BMI; r=.11, p<.01), marijuana use (r=.18, p<.0001), and overall symptom burden (ESAS total score r=.52, p < .0001) were associated with worse lack of appetite ( M=3.5, SD=3.1). Patients who were underweight (BMI <18.5, 46.7%) reported significantly worse lack of appetite than patients who were normal weight, overweight, or obese ( M=3.9, SD=3.2, p<.01). The final hierarchical regression model accounted for 34% of the variance in lack of appetite, with age, marital status, BMI, marijuana use, and total symptom burden remaining significant independent correlates (p’ s <.01). Conclusions: Contrary to expectations, relatively few clinical correlates were associated with self-reported lack of appetite. Future research should explore inter-individual genetic factors to explain alterations in lean body mass and body weight that may contribute to poor appetite in patients. Such factors may be important indicators for early identification of CACS.


Author(s):  
Katerina Kanthi Rosari ◽  
Junaidi Junaidi ◽  
Zulfikar Ali As

Monoxide (CO) bonds with blood are 200 times stronger than oxygen bonds with blood. When inhaled CO will be absorbed through the lungs following the blood circulation and binds to haemoglobin to form HbCO in the tissues which will block the entry of oxygen needed by the body. The purpose of this study was to determine the relationship of air CO levels with oxygen saturation (SpO2) in officers in Terminal Type B of South Kalimantan Province. This type of research is analytically using a cross-sectional design with a sample of 24 people. Data collection was carried out by interview, observation, CO measurement and SpO2 examination with Pulse Oximetry. The results showed that there was a relationship between air CO levels and the SpO2 of terminal officers with a significance value of 0.0025 (sig. <0.05). Even though the air CO level in the field is still far below the threshold, but the SpO2 level of officers is not healthy, the smoking habits of terminal officers cause it in the workspace, and the field with the number of cigarettes smoked as many as 11-20 cigarettes per day. There are more than 20 sticks per day, so prevention efforts are needed by providing and using PPE (Personal Protective Equipment) for terminal staff in the form of masks and striving for the terminal team to stop smoking.


2021 ◽  
Vol 2 (2) ◽  
pp. 51-63
Author(s):  
Gaung Eka Ramadhan

This study analyzes the relationship between pictorial health warnings on cigarette packaging and the intention to quit smoking for Pamulang University students. This research design uses quantitative analysis with a cross-sectional method complemented by qualitative respondents, namely Pamulang University students totaling 100 respondents. This research was conducted from December 2019 – January 2020. The data analysis used univariate analysis, bivariate analysis, and multivariate analysis. The results showed that there was a significant relationship between perceptions of pictorial health messages and the intention to stop smoking, the p-value indicated this: 0.000 and the OR value 43.5; there is a significant relationship between knowledge and intention to stop smoking with a p-value: 0.000 and OR value 75.6;


2010 ◽  
Vol 139 (9) ◽  
pp. 1342-1350 ◽  
Author(s):  
J. A. McKINNELL ◽  
M. PATEL ◽  
R. M. SHIRLEY ◽  
D. F. KUNZ ◽  
S. A. MOSER ◽  
...  

SUMMARYVancomycin-resistant Enterococcus bloodstream infections (VRE-BSI) are a growing problem with few clinical trials to guide therapy. We conducted a retrospective study of management and predictors of mortality for VRE-BSI at a tertiary-care centre from January 2005 to August 2008. Univariate and multivariable analyses examined the relationship of patient characteristics and antibiotic therapy with 30-day all-cause mortality. Rates of VRE-BSI increased from 0·06 to 0·17 infections/1000 patient-days (P=0·03). For 235 patients, 30-day mortality was 34·9%. Patients were primarily treated with linezolid (44·2%) or daptomycin (36·5%). Factors associated with mortality were haemodialysis [odds ratio (OR) 3·2, 95% confidence interval (CI) 1·6–6·3, P=0·007], mechanical ventilation (OR 3·7, 95% CI 1·3–10·4, P=0·01), and malnutrition (OR 2·0, 95% CI 1·0–4·0, P=0·046). Use of linezolid, but not daptomycin (P=0·052) showed a trend towards an association with survival. In conclusion, VRE-BSI is a growing problem, associated with significant 30-day mortality. Multiple factors were associated with poor outcomes at our hospital.


1997 ◽  
Vol 26 (suppl 2) ◽  
pp. 61-65 ◽  
Author(s):  
G. I. Carpenter ◽  
N. Ikegami ◽  
G. Ljunggren ◽  
E. Carrillo ◽  
E. Fries

Paleobiology ◽  
1980 ◽  
Vol 6 (02) ◽  
pp. 146-160 ◽  
Author(s):  
William A. Oliver

The Mesozoic-Cenozoic coral Order Scleractinia has been suggested to have originated or evolved (1) by direct descent from the Paleozoic Order Rugosa or (2) by the development of a skeleton in members of one of the anemone groups that probably have existed throughout Phanerozoic time. In spite of much work on the subject, advocates of the direct descent hypothesis have failed to find convincing evidence of this relationship. Critical points are:(1) Rugosan septal insertion is serial; Scleractinian insertion is cyclic; no intermediate stages have been demonstrated. Apparent intermediates are Scleractinia having bilateral cyclic insertion or teratological Rugosa.(2) There is convincing evidence that the skeletons of many Rugosa were calcitic and none are known to be or to have been aragonitic. In contrast, the skeletons of all living Scleractinia are aragonitic and there is evidence that fossil Scleractinia were aragonitic also. The mineralogic difference is almost certainly due to intrinsic biologic factors.(3) No early Triassic corals of either group are known. This fact is not compelling (by itself) but is important in connection with points 1 and 2, because, given direct descent, both changes took place during this only stage in the history of the two groups in which there are no known corals.


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