�UroToday.com - A report in the Journal of General Internal Medicine by Dr. Lindsay Deuster and colleagues evaluates the ability of residents to communicate with patients about cancer screening - and specifically the enjoyment of jargon language during these guidance sessions. Jargon is defined by the authors as "specialized language of a trade, profession, or similar group" that is non easily understood by others. The authors used a communication quality indicator and methods from corpus philology in holy Order to measure jargon usage.
Transcripts of conversations 'tween internal practice of medicine residents and standardized patients, portrayed to have a question around screening for prostate or breast cancer, were abstracted. These transcripts were made from tapes collected during four workshops in a primary caution internal practice of medicine residency program. Residents were asked to give informed consent and patients began with a short speech, patterned afterward an example they were given, to inquire about prostate or breast crab screening. The final sample distribution for analysis consisted of 86 transcripts (41 prostate gland cancer and 45 bosom cancer). A structured 7-step protocol was used to abstract jargon word lists and valuate transcripts for explanations of these argot words.
Patient interviews averaged 10.1 minutes and inter-abstractor dependability was very high. Across 86 transcripts, 350 unique jargon words were identified, with an average of 19.6 unique jargon words per transcript. Most words were used more than than in one case, for an average of 53.6 jargon words used per transcript. No difference was found in jargon word usage, either by occupier gender of year in residency. On average, 4.5 explanations per transcript were establish. More explanations were institute in prostate gland cancer screening transcripts (5.9) compared to breast cancer (3.2). The average explanation ratio was 0.15, meaning that 85% of jargon was not explained. The 5 most ordinarily used prostate screening jargoon words were prostate, cRT screen, symptom, rectal, and biopsy. The results suggest that the employment of jargon words is high in cancer screening, and the prevalence of jargon explanations are downcast.
Deuster L, Christopher S, Donovan J, Farrell M
J Gen Intern Med. 2008 Aug 1. Epub onwards of print.
Reported by UroToday.com Contributing Editor Christopher P. Evans, MD, FACS
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Thursday 4 September 2008
Monday 25 August 2008
English Health-care System Failing To Provide Basic Care, Shows Major Survey
�Research paper: Self-reported receipt of aid consistent with 32 calibre indicators: a national population survey of adults over 50 years old in England. BMJ Online First Editorial: Measuring the lineament of health care systems victimization composites BMJ Online First.
The NHS and private healthcare are not providing good enough basic aid to a large helping of the population in England, peculiarly older and frailer the great unwashed, according to a study published on www.bmj.com today.
Overall, only 62% of the care recommended for older adults is actually received, conclude the authors.
The large-scale independent subject area of quality of care involved 8 688 masses aged 50 and over and looked at 13 different health conditions including heart disease, diabetes, stroking, depression and osteoarthritis.
The research squad led by the University of East Anglia studied whether effective healthcare interventions were standard by people aged 50 and over with serious health conditions.
They secondhand questionnaires, face to typeface interviews and medical-panel endorsed quality of care indicators, for both public and privately provided care, as part of the English Longitudinal Study of Aging (ELSA).
Results showed immense variations by health condition in whether or not people with particular wellness conditions received the appropriate intervention or care they should.
Treatment for ischaemic heart disease rated well with 83% of seize care actually being given, but just now 29% of recommended maintenance was received by people with degenerative joint disease.
Overall, thither were 19 082 opportunities for care to be delivered to people, simply actual care was only given in 11 911 (62%) of those opportunities.
The researchers also establish that considerably more fear was provided for general medical conditions (74%) than for geriatric conditions (57%), the latter comprising falls, osteoarthritis, urinary incontinence, vision problems (cataract), hearing problems, and osteoporosis.
Interestingly, medical conditions that GPs receive extra rewards for transaction with under the Quality and Outcomes Framework of their flow contract were attended to better. In 75% of such cases, people did get the right treatment, but only 58% of correct treatment was received by people with conditions not covered by the contract.
Worryingly, conditions associated with disability and frailty had the largest shortfalls in price of the care that people were not receiving but should have been.
Receipt of care was also substantially higher for screening and preventative care (80%) than for treatment and followup care (64%), which in turn was higher than diagnostic care (60%).
The researchers say that initiatives to improve quality for closely all atmospheric condition are required but the greatest scope for advance is in chronic conditions that involve the quality of life of older people.
In particular, the quality of care for geriatric conditions was comparatively poor in this study, say the researchers, and no geriatric conditions were included in the GP contract. They therefore suggest that including geriatric conditions in succeeding payment for performance schemes for GPs would amend quality.
In an sequent editorial, Professor Bruce Guthrie from the University of Dundee, says that the future challenge will be to convey local measures of the problem of deficiencies in care and then offer local interventions to ameliorate care.
Source - Rachael Davies
BMJ-British Medical Journal
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The NHS and private healthcare are not providing good enough basic aid to a large helping of the population in England, peculiarly older and frailer the great unwashed, according to a study published on www.bmj.com today.
Overall, only 62% of the care recommended for older adults is actually received, conclude the authors.
The large-scale independent subject area of quality of care involved 8 688 masses aged 50 and over and looked at 13 different health conditions including heart disease, diabetes, stroking, depression and osteoarthritis.
The research squad led by the University of East Anglia studied whether effective healthcare interventions were standard by people aged 50 and over with serious health conditions.
They secondhand questionnaires, face to typeface interviews and medical-panel endorsed quality of care indicators, for both public and privately provided care, as part of the English Longitudinal Study of Aging (ELSA).
Results showed immense variations by health condition in whether or not people with particular wellness conditions received the appropriate intervention or care they should.
Treatment for ischaemic heart disease rated well with 83% of seize care actually being given, but just now 29% of recommended maintenance was received by people with degenerative joint disease.
Overall, thither were 19 082 opportunities for care to be delivered to people, simply actual care was only given in 11 911 (62%) of those opportunities.
The researchers also establish that considerably more fear was provided for general medical conditions (74%) than for geriatric conditions (57%), the latter comprising falls, osteoarthritis, urinary incontinence, vision problems (cataract), hearing problems, and osteoporosis.
Interestingly, medical conditions that GPs receive extra rewards for transaction with under the Quality and Outcomes Framework of their flow contract were attended to better. In 75% of such cases, people did get the right treatment, but only 58% of correct treatment was received by people with conditions not covered by the contract.
Worryingly, conditions associated with disability and frailty had the largest shortfalls in price of the care that people were not receiving but should have been.
Receipt of care was also substantially higher for screening and preventative care (80%) than for treatment and followup care (64%), which in turn was higher than diagnostic care (60%).
The researchers say that initiatives to improve quality for closely all atmospheric condition are required but the greatest scope for advance is in chronic conditions that involve the quality of life of older people.
In particular, the quality of care for geriatric conditions was comparatively poor in this study, say the researchers, and no geriatric conditions were included in the GP contract. They therefore suggest that including geriatric conditions in succeeding payment for performance schemes for GPs would amend quality.
In an sequent editorial, Professor Bruce Guthrie from the University of Dundee, says that the future challenge will be to convey local measures of the problem of deficiencies in care and then offer local interventions to ameliorate care.
Source - Rachael Davies
BMJ-British Medical Journal
More info
Thursday 7 August 2008
Kelsey Grammer hospitalized after feeling faint
NEW YORK �
Kelsey Grammer has been hospitalized in New York subsequently feeling light following a recent heart attack .
Publicist Stan Rosenfield says Grammer checked himself into an undisclosed hospital over the weekend as a caution and his condition is not life-threatening.
The publicist says it's possible Grammer's
Friday 27 June 2008
Racer X
Artist: Racer X
Genre(s):
Metal: Heavy
Rock
Discography:
Live At The Whisky - Snowball Of Doom
Year: 2002
Tracks: 13
Getting Heavier
Year: 2002
Tracks: 12
Superheroes
Year: 2001
Tracks: 10
Super Heroes
Year: 2001
Tracks: 11
Technical Difficulties
Year: 2000
Tracks: 13
Extreme Volume Live 2
Year: 1992
Tracks: 9
Extreme Volume Live
Year: 1988
Tracks: 12
Street Lethal
Year: 1986
Tracks: 11
Second Heat
Year: 1986
Tracks: 10
This Los Angeles dance orchestra earned a reputation for melodic, proficient, fabulously high-speed rock. Their original lineup featured Paul Gilbert (guitar), Jeff Martin (vocals), John Alderete (bass), and Harry Gschoesser (drums). Scott Travis replaced Gschoesser in 1986, when Bruce Bouillet was added as a second guitar player, offset a stop considered to be the band's best. Gilbert left in 1988 to join Mr. Big, and the dance orchestra broke up before long after, with Bouillet pursuing a solo life history. Martin afterwards joined Badlands as a drummer.
Monday 16 June 2008
Mogwai Announce North American Tour Dates
Scotland's Mogwai have announced several North American tour dates in support of their forthcoming Batcat Ep, due on September 9th.
The monolithic quintet are expected to tour from coast to coast taking in major cities including New York, Dallas and San Francisco. Canada, meanwhile, will be treated to shows in Vancouver, British Columbia and Montreal. The excellently-titled Fuck Buttons will tour in support eager to capitalise on their blog-hero status.
The tour dates are as follows:
Sep 3 - Portland, Music Fest NW
Sep 4 - Seattle, Showbox SoDo
Sep 5 - British Columbia, Element Victoria
Sep 6 - Vancouver, Commodore Ballroom
Sep 8 - San Francisco, The Grand Ballroom
Sep 9 - Los Angeles, Wiltern Theatre
Sep 10 - Tuscon, The Rialto
Sep 12 - Austin, Stubbs Waller Creek
Sep 13 - Dallas, Granada Theatre
Sep 15 - Atlanta, Variety Playhouse
Sep 16 - Virginia, The National Richmond
Sep 17 - Washington, 9:30 Club Washington
Sep 18 - New York, Terminal 5
Sep 19 - Philidelphia, Starlight Ballroom
Sep 21 - New York, ATP
Sep 22 - Boston, Wilbur Theatre
Sep 23 - Montreal, Metropolis
Sep 25 - Pontiac, The Crofoot
Sep 26 - Chicago, Congress Theatre
Sep 27 - Minneapolis, First Avenue
Mogwai have had a busy start to the year, remastering and reissuing their seminal debut "Mogwai Young Team" while recording their next record "The Hawk Is Howling" which is also due in September 2008. Several new songs were previewed at a recent Glasgow gig, with track titles including "Scotland's Shame", "Thank You Space Expert" and "I'm Jim Morrison, I'm Dead".
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Friday 6 June 2008
Jeffrey Dean Morgan moves to 'Shanghai'
Joins cast that includes John Cusack, Ken Watanabe
Jeffrey Dean Morgan is heading to Asia for his next film project.
The "Supernatural" regular has inked a deal to appear in the Weinstein Co.'s period piece "Shanghai" alongside John Cusack and Ken Watanabe.
Morgan plays Connor, an American killed in Japanese-occupied Shanghai before the attack on Pearl Harbor. Cusack's Paul Soames sets out to investigate his friend's murder and discovers a larger secret that the government is hiding.
Mikael Hafstrom ("1408") is directing from a script by Hossein Amini ("The Four Feathers").
Phoenix's Mike Medavoy and Barry Mendel are producing, with Arnie Messer exec producing. The film is in production in Thailand.
Morgan is repped by WMA and Rob Gomez.
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Saturday 31 May 2008
Ludacris - Ludacris Tommy Lee Plan Shower Record Bid
Rapper LUDACRIS and rocker TOMMY LEE are hoping to set a new world record for the biggest group shower as part of a new environmental awareness TV series.
The odd couple is getting serious about all things green on upcoming U.S. show Battleground Earth - but they're taking time out to have a little fun in Las Vegas.
Ludacris and Lee are inviting fans to join them at the Planet Hollywood Resort + Casino pool on 19 May (08) for a bid on the clean record.
But the two hellraisers are keen to keep the shower a family affair - and they've asked that all those hoping to take part bring and wear a bathing suit.
Lee and Ludacris hope the stunt will also raise awareness about water conservation.
The two stars are travelling around America raising awareness about the environment and checking out the measures some eco-warriors are taking to save the planet as part of the Planet Green network show.
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