General Practitioners' Knowledge and Use of a Disabled Living Centre

1996 ◽  
Vol 59 (2) ◽  
pp. 79-83
Author(s):  
Anna V Phillips
Keyword(s):  
Monitoring System ◽  
General Practitioners ◽  
Telephone Interview ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Professional Group ◽  
Second Stage ◽  
Set Up ◽  
Two Stages ◽  
To Receive

In March 1994, 141 Aberdeen general practitioners (GPs) were surveyed to clarify why Hillylands Disabled Living Centre (DLC) appeared to receive few direct referrals from this professional group. This was carried out in two stages. The first consisted of a postal questionnaire which received a 77% response rate. This identified that 90% of the 108 respondents knew of Hillylands' existence but only 24% were fully aware of the services it offered. Forty-six per cent had advised someone to visit Hillylands DLC, although only 17% of GPs had visited the centre themselves. The second stage, a telephone interview of 46 volunteer GPs, indicated that some GPs recognised a need to increase their awareness. Some felt that it was not appropriate that they visit Hillylands DLC, although those who had done so had found their visit useful. Recommendations are made to extend the mailing list at Hillylands and to set up a monitoring system to ensure regular liaison and supply of publicity material. It is also suggested that the feasibility of developing a comprehensive publicity initiative be investigated.

Disclosing the diagnosis of dementia: the performance of Flemish general practitioners

2004 ◽  
Vol 16 (4) ◽  
pp. 421-428 ◽  
Author(s):  
J. De Lepeleire ◽  
F. Buntinx ◽  
B. Aertgeerts
Keyword(s):  
Differential Diagnosis ◽  
Detailed Analysis ◽  
General Practitioners ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Patient Relationship ◽  
Good Doctor ◽  
Diagnosis Of Dementia ◽  
Set Up

Background: This issue of whether or not, how and when patients should be told of the diagnosis of dementia remains a matter for discussion. Recent data confirm that the patient is told of the diagnosis in only 40 to 55% of cases. We therefore studied the performance of Flemish general practitioners (GPs) in this area.Method: A postal questionnaire, based on that prepared by Johnson et al., was sent to a random sample of 1000 Flemish GPs, out of a total of 7000.Results: A total of 647 answers were returned, of which 521 were eligible for analysis (response rate 60%). Thirty-six percent of these 521 GPs always or usually disclose the diagnosis, while 37% provide information about the prognosis. Most doctors (75%) see benefits in disclosure, particularly as regards planning care, providing treatment and encouraging a good doctor-patient relationship. Only 61% of respondents present an appropriate differential diagnosis.Discussion: The results obtained from the Flemish GPs are similar to those of other known studies. A detailed analysis of the reasons for and the benefits of disclosing the diagnosis reveal a less reluctant attitude than could be inferred from the rough data. GPs pay a great deal of attention to the patient's feelings, experiences and ability to cope and to the proper timing of their information. However, intensive educational projects have to be set up in order to stimulate a more etiologically-oriented diagnosis and to improve the quality of the process of disclosing the diagnosis of dementia.

scholarly journals A Study of How Urology Out-Patients like to Receive Clinical Information

2006 ◽  
Vol 88 (6) ◽  
pp. 579-582 ◽  
Author(s):  
DN Wood ◽  
A Deshpande ◽  
M Wijewardena ◽  
SS Gujral
Keyword(s):  
General Practitioners ◽  
Clinical Information ◽  
Postal Questionnaire ◽  
Department Of Health ◽  
The Future ◽  
Group A ◽  
Group B ◽  
The Uk ◽  
To Receive ◽  
B 52

INTRODUCTION As part of the NHS Plan the UK Department of Health has suggested that both patients and general practitioners (GPs) are written to following hospital consultations. We audited the responses of patients and GPs to this practice. PATIENTS AND METHODS A total of 160 patients in one consultant urologist's clinic were included. The consultant had never routinely copied GP letters to patients. The SpR in the same clinic had routinely done so in previous posts. Patients who had received letters (group A) and those who had not (group B) were asked to complete a postal questionnaire. GPs were also sent a questionnaire to assess their opinion. The responses were analysed. RESULTS Questionnaires were sent out to patients (80 to group A and 80 to group B. From this, 100 (62.5%) responses were received (A 48 [60%]; B 52 [65%]). Of respondents, 81% were male. Overall, 98% of those patients who received a letter agreed with its contents, and stated they would keep the letter and take it to a subsequent doctor's appointment. Of respondents, 83% (A) and 96% (B) had never received a doctor's letter before but 83% (40 [83%, A], 43 [83%, B]; P > 0.05) of respondents would like to receive doctors' letters in the future. some 22 GP practices received and completed questionnaires at a PCT meeting and 74% of GPs agreed with the practice of copying patients their letters. CONCLUSIONS The results of this study suggest that patients should be offered a copy of their letter and that their response should be documented in the notes. This may serve to improve communication with the patient but should not be undertaken without their agreement.

Searching sheet metal parts based on bending process similarity

2003 ◽  
Vol 217 (3) ◽  
pp. 427-438 ◽  
Author(s):  
D Misaki ◽  
S Aomura
Keyword(s):  
Sheet Metal ◽  
Metal Parts ◽  
Sheet Metal Parts ◽  
Second Stage ◽  
Robot Gripper ◽  
Bending Process ◽  
Similar Part ◽  
Set Up ◽  
Two Stages ◽  
Flat Pattern

Sheet metal parts have been widely used in industry and much information for parts has been accumulated in a database. In planning the manufacturing process of a sheet metal part, if the process plan of a similar part can be retrieved from the database, the process planning would be faster and more consistent. In this paper, an effective method of searching the sheet metal parts based on bending process similarity is proposed. This method consists of two stages. In the first stage, flat pattern drawings of the parts with the same set-up numbers are classified into several topological structures. In the second stage, the parts that possess a similar bending process to the target part are selected. The bending process similarity is defined by the grasping position of a robot gripper. The number of reposition and grasping positions are decided by taking the geometric element of the flat pattern into consideration. The effectiveness of this method is described and illustrative examples are shown.

scholarly journals Specific heat-temperature curves of some age-hardening alloys

1938 ◽  
Vol 168 (933) ◽  
pp. 237-264 ◽  
Keyword(s):  
Low Temperatures ◽  
Lattice Parameter ◽  
Age Hardening ◽  
Second Stage ◽  
Large Numbers ◽  
Heat Treated ◽  
Or Groups ◽  
Set Up ◽  
Lower Temperature ◽  
Two Stages

In a recent paper Gayler (1937) has dealt with the various theories of age hardening and has put forward the view that ageing takes place in two stages: in the first stage the solute atoms diffuse to planes about which precipitation proper will ultimately take place, and this gives rise to an increase in resistance to deformation and an increase in electrical resistivity without change in lattice parameter. The second stage follows the first and takes place nearly simultaneously. Some of the diffusing atoms will form molecules gradually form groups which will tend to produce a gradual decrease in resistivity and a diminution in the rate of hardening. When the molecular groups have grown to such an extent that the parent solid solution can no longer withstand the stresses set up, release of these stresses is caused by rejection of the groups, i. e. precipitation proper takes place. Once precipitation has set in them, according to Gayler's view, softening should begin. This theory tends to combine the "Knot" theory (Gayler and Preston 1932), which states that age-hardening occurs due to the formation of clusters or groups of atoms inside the parent lattice (the first stage, according to Gayler), and the precipitation theory (Merica and other 1919) which attributed hardening to the presence of large numbers of precipitated particles, probably ultramicroscopic in size, dispersed throughout the material. Naturally the formation of clusters or knots will occur at a lower temperature than precipitation, so that at low temperatures hardening will occur by the mechanism of the first stage. At high temperatures hardening may take place due to precipitation, the first stage being masked entirely. The question as to which of the tow processes is likely to be more effective in any particular alloy when heat-treated to give the maximum hardness obtainable in the hardening range is not specifically dealt with by Gayler, although it is stated that the experimental evidence available suggests that the second stage is, in general, more important. The work of Cohen (1936) on the silver-copper alloy containing 7∙5 % copper supports this contention, since his results show that hardening due to knot formation even at low temperatures (100-150°C) is very small indeed.

scholarly journals A Analysis on Queuing System with Setup Time in Revamp Process

2019 ◽  
Vol 9 (1S4) ◽  
pp. 967-969
Keyword(s):  
Performance Measures ◽  
Generating Functions ◽  
Setup Time ◽  
Repair Process ◽  
The Other ◽  
Queuing Model ◽  
Second Stage ◽  
Time Stage ◽  
Set Up ◽  
Two Stages

In this paper, we study about a M/G/1 Queuing model with single stage of service. Service interrupts during the time of service. The server does not get into the repair process immediately. It gets into a Set up time stage for the prior work to be done. On completion of set up stage service, the server will get into the repair process consisting of two stages, in which first stage is compulsory and the second stage of service is optional. For the model defined, we get the steady state results in closed form in terms of the probability generating functions and all the other execution performance measures of the model defined.

Usage of clozapine and the new neuroleptics

1999 ◽  
Vol 23 (8) ◽  
pp. 478-480
Author(s):  
M. F. Bristow
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Atypical Antipsychotic ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
England And Wales

Aims and methodTo explore clozapine and atypical antipsychotic usage in England and Wales, particularly availability, restrictions on use and shifting of prescribing to general practitioners. To examine the hypothesis that respondents in acute trusts would encounter more restrictions. Method used – postal questionnaire sent to general psychiatrists derived from the 1996 Medical Directory.ResultsThere was an 80% response rate and over 90% of respondents used clozapine, with only 9% reporting any difficulty in obtaining it. Difficulty was not associated with any particular type of trust. Only about 4% of respondents suggested that general practitioners regularly took over the prescribing costs of the drug.Clinical implicationsOptimistic, with widespread usage and few difficulties in obtaining clozapine. General practitioner prescribing is still very low and needs to increase.

scholarly journals Difficulties with use of the Mental Health (Scotland) Act 1984 by general practitioners in rural Scotland

2004 ◽  
Vol 28 (7) ◽  
pp. 248-250 ◽  
Author(s):  
Millia Begum ◽  
Rebecca Helliwell ◽  
Angus Mackay
Keyword(s):  
Mental Health ◽  
General Practitioners ◽  
Rural Areas ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Questionnaire Response ◽  
Populated Area ◽  
Local Conditions ◽  
Psychiatric Staff ◽  
Agency Action

Aims and MethodAnecdotal evidence suggests that considerable difficulties are experienced in rural areas by isolated general practitioners, when detaining patients under the Mental Health (Scotland) Act1984. The aim of this study was to identify the range and extent of these difficulties in a structured way, and to identify ways of responding to them. A postal questionnaire was sent to 85 general practitioners in a sparsely populated area of Scotland to assess their experience of emergency detention.ResultsThe questionnaire response rate was 62%. Considerable difficulties were recorded from those who responded, notably their lack of support with clinical management during the delay between the patient's detention and the arrival of psychiatric staff, the lack of satisfactory places of safety for the patient during this period, and the difficult logistics of safe and satisfactory transport to hospital.Clinical ImplicationsRural general practitioners and their patients appear to be disadvantaged through lack of coordinated help in the management of inherently difficult and risky clinical situations. Even without additional resources, the process could be improved through coordinated, multi-agency action plans which take account of local conditions.

scholarly journals Policies for Improving PM2.5 Particles and GHGs Emissions in a Maritime Port of Taiwan: Evidence Based on the INDC and GGRMA Regulations

2021 ◽  
Vol 9 (12) ◽  
pp. 1315
Author(s):  
Ching-Chih Chang ◽  
Yi-An Tsai
Keyword(s):  
Pollution Reduction ◽  
Evidence Based ◽  
Second Stage ◽  
Reduce Emissions ◽  
Set Up ◽  
Liquid Natural Gas ◽  
Two Stages ◽  
The Impact ◽  
Policy Proposals ◽  
Port Of Kaohsiung

The impact of possible emission reduction policies designed to reduce port emissions in the Port of Kaohsiung in Taiwan was analyzed, focusing on ways to reduce air pollution from CO2, CH4, N2O, PM10, PM2.5, NOx, and SOx generated by vessels, cranes, and truck tractors in the port. This paper was set up in two stages to determine how pollution reduction policies could reach the 2030 and in 2050 goals. The results showed that emissions of CO2, CH4, N2O, PM10, PM2.5, NOx, and SOx could be reduced by 46%, 26%, 25%, 77%, 77%, 76%, and 68%, respectively, in the first stage (in 2030, INDC), and by 57%, 59%, 53%, 79%, 79%, 80%, and 69%, respectively, in the second stage (in 2050, GGGRMA), as compared to 2005 data. This paper concludes as follows: (1) for vessels, the use of liquid natural gas is the best way to reduce GHGs when navigating by water; (2) for bridge cranes, electrification is the better policy during operation; (3) in the case of truck tractors, the generation of battery-electric power is the best way to reduce emissions. These policy proposals for improving air quality can be applied to all ports in Taiwan.

scholarly journals Investigation of Karst Spring Flow Cessation Using Grey System Model

2019 ◽  
Author(s):  
Yaru Guo ◽  
Tian-Chyi Jim Yeh ◽  
Yonghong Hao
Keyword(s):  
Anthropogenic Activities ◽  
Climate Variation ◽  
Grey System ◽  
Large Area ◽  
Karst Springs ◽  
Second Stage ◽  
Spring Flow ◽  
Set Up ◽  
One Year ◽  
Two Stages

Globally karst aquifers store large amount of precious water and create beautiful karst springs in many places. However, most of the karst springs flow declined, and some of the karst springs dried up with the effects of extensive groundwater development and climate variation. For example, Jinci Springs (China) is known for the beautiful landscape it created and large area of paddy fields it irrigated. Unfortunately, it dried up in May 1994. For better understanding of the hydrological processes of karst springs, this study introduced grey system models to quantify spring flow taking Jinci Springs as an example. Based on the characteristics of Jinci Springs flow, the spring flow was divided into two stages: the first stage (1954-1960), when the spring flow was affected only by climate variation; and the second stage (1961-1994), when the flow was impacted by both climate variation and anthropogenic activities. Results showed that the Jinci Springs flow had strong relations with precipitation occurring one year and three years earlier in the first stage. Subsequently, a grey system GM (1, 3) model with one-year and three-year lags was set up for the first stage. By using the GM (1, 3) model, we simulated the spring flow in the second stage under effects of climate variation only. Subtracting the observed spring flow from the simulated flow, we obtained the contribution of anthropogenic activities to Jinci Springs cessation. The contribution of anthropogenic activities and climate variation to Jinci Springs cessation was 1.46m3/s and 0.62m3/s, respectively. Finally, each human activity causing spring flow decline was estimated.

scholarly journals Investigation of Karst Spring Flow Cessation Using Grey System Models

Water ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 1927
Author(s):  
Yaru Guo ◽  
Tian-Chyi Jim Yeh ◽  
Yonghong Hao
Keyword(s):  
Anthropogenic Activities ◽  
Strong Relationship ◽  
Climate Variation ◽  
Grey System ◽  
System Models ◽  
Second Stage ◽  
Spring Flow ◽  
Set Up ◽  
One Year ◽  
Two Stages

Karst aquifers are prominent sources of water worldwide; they store large amounts of water and are known for their beautiful springs. However, extensive groundwater development and climate variation has resulted in a decline in the flow of most karst springs; some have even dried up. In order to obtain a better understanding of the factors contributing to this development, this study introduced grey system models, which quantified spring flow, taking Jinci Springs (China), which dried up in May 1994, as an example. Based on the characteristics of Jinci Springs, spring flow was divided into two stages: first (1954–1960), when the spring flow was affected only by climate variation; and second (1961–1994), when the flow was impacted by both climate variation and anthropogenic activities. The results showed that Jinci Springs flow had a strong relationship with precipitation occurring one year and three years earlier in the first stage. Subsequently, a grey system GM (1,3) model with one-year and three-year lags was set up for the first stage. By using the GM (1,3) model, we simulated the spring flow in the second stage under effects of climate variation only. By subtracting the observed spring flow from the simulated flow, we obtained the contribution of anthropogenic activities to Jinci Springs’ cessation. The contribution of anthropogenic activities and climate variation to the decline was 1.46 m3/s and 0.62 m3/s, respectively. Finally, each human activity that caused the decline was estimated. The methods devised herein can be used to describe karst hydrological processes that are under the effects of anthropogenic activities and climate variation.

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