scholarly journals Droperidol dropped; consultants not consulted

2003 ◽  
Vol 27 (08) ◽  
pp. 301-304
Author(s):  
Gavin Reid ◽  
Mark Hughson
Keyword(s):  
Questionnaire Survey ◽  
Clinical Care ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Abrupt Withdrawal ◽  
Before And After ◽  
Adequate Evaluation ◽  
Psychiatric Profession ◽  
The Impact

Aims and Method We conducted a postal questionnaire survey of the practice of rapid tranquillisation among 215 consultant psychiatrists in the West of Scotland, before and after the withdrawal of droperidol by the manufacturer. Results One hundred and eighty questionnaires (84% of those sent) were returned. Droperidol had been used extensively, often combined with lorazepam, for rapid tranquillisation. The main replacement suggested for droperidol was haloperidol. About half of the respondents to our survey chose to comment on the withdrawal of droperidol. More than half of the comments were unfavourable, including lack of an adequate replacement and lack of consultation with the psychiatric profession. Clinical Implications The abrupt withdrawal of droperidol, partly for commercial reasons, was regrettable. There was no time for an adequate evaluation of possible replacement medications and a lack of consultation with the profession regarding the impact on clinical care.

Site managers’ ICT tools for monitoring resources in refurbishment

2019 ◽  
Vol 27 (1) ◽  
pp. 109-127 ◽  
Author(s):  
Ahmet Anıl Sezer ◽  
Jan Bröchner
Keyword(s):  
Construction Industry ◽  
Information And Communication Technologies ◽  
Postal Questionnaire ◽  
Content Type ◽  
Performance Expectancy ◽  
Use Of Technology ◽  
Building Information ◽  
Efficient Planning ◽  
Ict Tools ◽  
Site Managers

Purpose The purpose of this paper is to analyse site managers’ ICT preferences for monitoring resource use in refurbishment projects. Design/methodology/approach Information and communication technologies (ICT) developments for the construction industry are increasing the scope for more efficient planning and monitoring of refurbishment projects. The analysis is based on the unified theory of acceptance and the use of technology model. After a short initial survey, a Swedish web/postal questionnaire has received 78 responses from refurbishment site managers, implying a 34 per cent response rate. Findings Managerial choices related to ICT depend more on perceived performance expectancy than on effort expectancy. Large projects and larger firms are associated with more extensive ICT use. Site managers see little need to link to refurbishment clients’ ICT systems. Performance expectancy and age are found to influence ICT choices. Practical implications Site managers play a crucial role in everyday use of ICT tools in the construction industry. The outcome of this investigation is useful for developing digital support, including applications of building information modelling, to improve refurbishment site practices. Originality/value Much has been written about ICT support for new construction practices, but not much attention has been paid to refurbishment site managers’ media choices.

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

Beginning to Look at Why Occupational Therapists Leave the Profession: A Survey Carried Out in Leicestershire

1989 ◽  
Vol 52 (10) ◽  
pp. 389-392 ◽  
Author(s):  
Clare A Greensmith ◽  
Maxine A Blumfield
Keyword(s):  
Questionnaire Survey ◽  
Occupational Therapists ◽  
Postal Questionnaire ◽  
Occupational Therapist ◽  
Perceived Reasons

This article describes a postal questionnaire survey carried out within Leicestershire to look at reasons for occupational therapists leaving the profession. It samples the attitudes and opinions of a group of practising occupational therapists, and also includes a smaller sample of non-practising occupational therapists and their perceived reasons for leaving the profession. A profile is given of the occupational therapist who is most likely to leave, which challenges the idea that most occupational therapists leave due to personal reasons. The article discusses ways that staff with children can be encouraged to remain at work and suggests further exploration of other reasons for leaving the profession.

scholarly journals Predictors of fatigue following the onset of infectious mononucleosis

2003 ◽  
Vol 33 (5) ◽  
pp. 847-855 ◽  
Author(s):  
B. CANDY ◽  
T. CHALDER ◽  
A. J. CLEARE ◽  
A. PEAKMAN ◽  
A. SKOWERA ◽  
...  
Keyword(s):  
Infectious Mononucleosis ◽  
Illness Perceptions ◽  
A Priori ◽  
Univariate Analysis ◽  
Female Gender ◽  
Chronic Fatigue ◽  
Postal Questionnaire ◽  
Cognitive Responses ◽  
Poor Outcome ◽  
Primary Care Patients

Background. Infectious mononucleosis (IM) is a risk factor for chronic fatigue. Reduced activity is the most consistent factor found to be associated with poor outcome following the onset of infectious mononucleosis. However, little is known about the biological mechanisms involved in the pathogenesis of chronic fatigue following IM and no study, so far, has examined the relation between certain illness beliefs and poor outcome. This study explored immunological, endocrine, behavioural and cognitive responses to the acute illness and assessed which components of these groups of risk factors predicted a chronic course.Method. Using a prospective cohort design, 71 primary care patients with IM were enrolled onto the study and interviewed. Their recovery was explored by postal questionnaire up to 1 year later.Results. In the univariate analysis, increased baseline levels of immune activation were associated with fatigue at baseline and 3 months. Cortisol levels were not associated with fatigue at any point. Using multivariate models of clinical and psychosocial baseline factors, severity of symptoms and illness perceptions were found to predict fatigue 3 months later. At 6 months, fatigue was best predicted by female gender and illness perceptions, and at 12 months by female gender and a symptoms–disability factor.Conclusions. In the multivariate analysis no factors were found to predict poor outcome at all time-points. Instead the pattern of predictors changed over time, partly but not completely consistent with our a priori predictions. Larger studies are needed to explore further the predictive nature of biopsychosocial factors in the pathogenesis of chronic fatigue related to IM. The psycho-behavioural predictors found in this study are amenable to intervention. Such interventions should be tested in randomized controlled trials.

Post-Operative Infection Following Hand Surgery

1995 ◽  
Vol 20 (5) ◽  
pp. 685-690 ◽  
Author(s):  
A. J. PLATT ◽  
R. E. PAGE
Keyword(s):  
Wound Infection ◽  
Infection Rate ◽  
Hand Surgery ◽  
Fold Increase ◽  
Antibiotic Use ◽  
Postal Questionnaire ◽  
British Society ◽  
Antibiotic Administration ◽  
Clinical Criteria ◽  
Operative Wound

An audit was designed to analyse the risk factors for developing post-operative wound infection following hand surgery. 249 consecutive patients were prospectively entered into the study. 236 (95%) patients were available for follow-up. Infection was diagnosed by clinical criteria. There was an infection rate of 10.7% in elective operations and 9.7% in emergency operations. There was no significant reduction in infection rate in the elective group with the use of antibiotics ( P=0.5). In the emergency group of patients peri-operative antibiotic administration was associated with an 8.5-fold reduction in infection rate ( P=0.014). The presence of a dirty wound was associated with a 13.4-fold increase in post-operative wound infection rate ( P=0.002). A postal questionnaire of members of the British Society for Surgery of the Hand revealed a wide variation in antibiotic usage. Guidelines for antibiotic use in patients undergoing hand surgery are presented.

The battle over employers’ demand for “more flexibility”

2016 ◽  
Vol 38 (6) ◽  
pp. 886-906 ◽  
Author(s):  
Erling Rasmussen ◽  
Barry Foster ◽  
Deirdre Farr
Keyword(s):  
New Zealand ◽  
Survey Design ◽  
Postal Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Policy Makers ◽  
Content Type ◽  
Employer Attitudes ◽  
Legislative Changes ◽  
Employment Legislation

Purpose The purpose of this paper is to place empirical research on New Zealand employers’ attitudes to collective bargaining and legislative change within the context of the long running debate of flexibility. Design/methodology/approach A cross-sectional survey design using a self-administered postal questionnaire, covering private sector employers with ten or more staff and including employers within all 17 standard industry classification. To explore particular issues, an additional in-depth interviews were conducted of 25 employers participating in the survey. Findings It is found that employers support overwhelmingly recent legislative changes though there are variations across industries and firm sizes. There is also considerable variation in terms of which legislative changes are applied in the workplace. Despite fewer constraints on employer-determined flexibility, there was a rather puzzling finding that most employers still think that employment legislation is even balanced or favouring employees. Originality/value Cross-sectional survey findings of New Zealand employer attitudes to legislative changes are few and provide valuable data for policy makers, unions, employers and employment relations researchers. The paper also contributes to a more comprehensive understanding of pressures to increase employer-determined flexibility in many western countries.

scholarly journals Diabetes mellitus, anti-secretory drugs and other risk factors for campylobacter gastro-enteritis in adults: a case-control study

1997 ◽  
Vol 119 (3) ◽  
pp. 307-311 ◽  
Author(s):  
K. R. NEAL ◽  
R. C. B. SLACK
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Case Control Study ◽  
Conditional Logistic Regression ◽  
Case Control ◽  
Postal Questionnaire ◽  
Foreign Travel ◽  
Drinking Milk ◽  
Campylobacter Infection ◽  
Control Study

The epidemiology of notified cases of campylobacter gastroenteritis in adults in Nottingham Health District was investigated using a case-control study with a postal questionnaire to ascertain data on risk factors. Over a 14-month period 531 cases (a 73% response rate of all laboratory confirmed cases) and 512 controls replied.Conditional logistic regression analysis was used to determine independent associations with infection. These included foreign travel (odds ratio (OR) 3·4; 95% confidence intervals (CI) 2·0–5·7), diabetes mellitus (OR 4·1, CI 1·1–17), medication with omeprazole (OR 3·5, CI 1·1–12) and H2 and H2 antagonists (OR 3·7, CI 1·3–15), contact with puppies (OR11·3, CI1·2–105), eating chicken (OR 1·4, CI 1·1–1·8) and drinking milk from bottles with tops damaged by a bird (OR 3·3, CI 1·0–11). Preparing main meals (OR 0·9, CI 0·8–1·0) and drinking delivered milk (OR 0·6, CI 0·4–0·9) were associated with a reduced risk of campylobacter infection.Foreign travel was reported in 25% of cases and another 15% had significant associations with other risk factors. The majority of cases, 60%, remained unexplained, indicating the need for further evolution of sporadic cases.

Sex Differences in Fertility-Related Information Received by Young Adult Cancer Survivors

2012 ◽  
Vol 30 (17) ◽  
pp. 2147-2153 ◽  
Author(s):  
Gabriela M. Armuand ◽  
Kenny A. Rodriguez-Wallberg ◽  
Lena Wettergren ◽  
Johan Ahlgren ◽  
Gunilla Enblad ◽  
...  
Keyword(s):  
Sex Differences ◽  
Cancer Survivors ◽  
Population Based ◽  
Postal Questionnaire ◽  
Reproductive Age ◽  
Young Adult Cancer Survivors ◽  
Related Information ◽  
Desire To Have Children ◽  
Adult Cancer Survivors ◽  
Male Sex

Purpose The aim was to investigate male and female cancer survivors' perception of fertility-related information and use of fertility preservation (FP) in connection with cancer treatment during reproductive age. Methods The study sample consisted of cancer survivors diagnosed from 2003 to 2007 identified in population-based registers in Sweden. Inclusion criteria included survivors who were age 18 to 45 years at diagnosis and had lymphoma, acute leukemia, testicular cancer, ovarian cancer, or female breast cancer treated with chemotherapy. Of 810 eligible participants, 484 survivors (60% response rate) completed a postal questionnaire. Results The majority of male participants reported having received information about treatment impact on fertility (80%) and FP (68%), and more than half of the men banked frozen sperm (54%). Among women, less than half (48%) reported that they received information about treatment impact on fertility, and 14% reported that they received information about FP. Only seven women (2%) underwent FP. Predictors for receiving information about treatment impact on fertility were a pretreatment desire to have children (odds ratio [OR], 3.5), male sex (OR, 3.2), and being ≤ 35 years of age at diagnosis (OR, 2.0). Predictors for receiving information about FP included male sex (OR, 14.4), age ≤ 35 at diagnosis (OR, 5.1), and having no children at diagnosis (OR, 2.5). Conclusion Our results show marked sex differences regarding the receipt of fertility-related information and use of FP. There is an urgent need to develop fertility-related information adapted to female patients with cancer to improve their opportunities to participate in informed decisions regarding their treatment and future reproductive ability.

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