�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
More info
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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Tuesday, 27 May 2008
Blues Traveler rolls out summer tour plans
Blues/jam-rockers Blues Traveler [ tickets ] have lined up a run of summer dates as the band continues to support last year's "Cover Yourself," a set of newly recorded old favorites.The group kicks off the next portion of its schedule May 17 in Grand Ronde, OR, southwest of Portland. The itinerary, a mix of headlining and festival dates, features several co-headlining shows in July with Live and Collective Soul, and includes the group's traditional Fourth of July appearance at Red Rocks Amphitheatre in Morrison, CO. The complete schedule is included below.The Grammy-winning band's "Cover Yourself" is a mostly acoustic affair that features new takes on the group's old songs, and the tracklist was chosen via fan voting. According to lead vocalist/harmonica virtuoso John Popper, the band is also working on material for a new studio album."We're making two [albums] right now," Popper told music website Ultimate-Guitar.com last year. "One we wanted to write, and one [is the] acoustic covers album ['Cover Yourself.'] ... I left the band alone to work on it and they started writing completely new arrangements for the [old] songs. The band's most recent set of original studio material was 2005's "Bastardos!"--its eighth studio album and first for Vanguard Records. The set was produced by solo artist and ex-Wilco multi-instrumentalist Jay Bennett.
Ewan Mcgregor - The Things They Say 8422
"You only have what you can carry. There is something liberating about just having what you need, on your bike. A tent, a roll mat, a little bit of food, a bit of petrol in your tank, and a vague idea of where you're going." EWAN MCGREGOR on the thrill of motorbiking from Scotland to South Africa for his LONG WAY DOWN TV series.
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Valhalla
Artist: Valhalla
Genre(s):
Metal
Rock
Discography:
Hail To The Fallen Majesty
Year: 2004
Tracks: 8
Winterbastard
Year: 1999
Tracks: 9
The Wolfish Nocturne (Demo)
Year: 1999
Tracks: 9
Valhalla is a symphonic rock-and-roll ring world Health Organization recorded ane record for United Artists. Mark Mangold, now a storied AOR figure, played keyboards with this Long Island unit world Health Organization performed local gigs until management pushed the group to compose original material to frame a transcription press. Here the offspring Mangold honed his songwriting chops piece development a love for synths and mellotons which he would carry into his succeeding dance band, American Tears. American Tears evolved into Touch and Mangold besides formed Drive, She Said and has worked with Aldo Nova, Randy Jackson, and many others. He wrote Cher's fake alloy boom "I Found Someone" with Michael Bolton.
Quaid Campaigns For Patients' Rights
Actor Dennis Quaid is calling on the U.S. government to preserve patients' rights to sue drug makers for injuries. The Smart People actor's twin babies had to fight for their lives last year when they were mistakenly given a near-fatal overdose of blood thinner Heparin, and Quaid insists the mishap could have been avoided if there was a better system of marking medicines. California regulators fined hospital bosses $25,000 after concluding the failure of staff at Los Angeles' Cedars-Sinai Medical Center to follow their own procedures resulted in incorrect doses of the drug being administered to Quaid's infants and other children. Quaid and his wife Kimberly Buffington have sued Baxter International Inc, the maker of the blood-thinning drug given to his twins On Wednesday, Quaid said victims of harm from medicines should be able to seek damages from manufacturers in state courts. He says, "I believe if preemption of lawsuits is allowed to prevail, it will basically make all of us, the public, uninformed and uncompensated lab rats."
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Madden's ex wishes him well with Hilton
Actress Sophie Monk has dismissed rumours that rocker Benji Madden dumped her to start a relationship with socialite Paris Hilton.
Monk told Australian newspaper Herald Sun that her break-up with Madden was amicable and that she wished him well for the future.
Monk reportedly said: "Let me make this as plain as possible - Benji did not leave me for Paris Hilton."
"Benji and I did not break up badly or anything like that. We both decided, as adults, our relationship had run its course and decided to move on."
She also said: "I feel no animosity towards Benji and Paris at all and am very happy with life at the moment."
Monk told Australian newspaper Herald Sun that her break-up with Madden was amicable and that she wished him well for the future.
Monk reportedly said: "Let me make this as plain as possible - Benji did not leave me for Paris Hilton."
"Benji and I did not break up badly or anything like that. We both decided, as adults, our relationship had run its course and decided to move on."
She also said: "I feel no animosity towards Benji and Paris at all and am very happy with life at the moment."
Britney Spears To Become Regular On How I Met Your Mother?
Britney Spears appeared for a second guest spot on sitcom How I Met Your Mother earlier this week, and producers have been so impressed with her performance they want her back as a regular.
The pop wreck plays ditzy receptionist Abby in the show, and her original cameo gave the show it’s best ever viewing figures when it aired in March.
Sources claim Spears is very popular with the cast and crew on the show.
Co-creator Craig Thomas says: "She was better than the first time. (Viewers have seen) that the door is still open for her to come back."
See Britney in action on her second How I Met Your Mother stint here.
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Irish Book Awards shortlist announced
Anne Enright, Joe O'Connor, Roddy Doyle, Julia Kelly, Diarmaid Ferriter and Frank McCourt are among the authors who have been shortlisted for the upcoming Irish Book Awards.
The awards, which are now in their third year, feature nine categories and are the only industry wide event of their kind in the Irish book sector.
'The Gathering' by Anne Enright; 'Zugzwang' by Ronan Bennett; 'Redemption Falls' by Joe O'Connor; and 'The Silver Swan' by Benjamin Black are all in the running for Irish Novel of the Year.
Julia Kelly is nominated in the Irish Newcomer of the Year category for her novel 'With My Lazy Eye', which is up against 'In the Woods' by Tana French; 'There Are Little Kingdoms' by Kevin Barry; and 'Secret Diary of a Demented House Wife' by Niamh Greene.
Diarmaid Ferriter's 'Judging Dev' is nominated in three categories, including Non-Fiction Book of the Year; while Roddy Doyle's 'Wilderness' and Frank McCourt's 'Angela and the Baby Jesus' are up for awards in the children's category.
A gala ceremony to announce the winners will take place in The Round Room at the Mansion House in Dublin on 24 April.
A Lifetime Achievement award in Irish Literature will also be handed out on the night.
The awards, which are now in their third year, feature nine categories and are the only industry wide event of their kind in the Irish book sector.
'The Gathering' by Anne Enright; 'Zugzwang' by Ronan Bennett; 'Redemption Falls' by Joe O'Connor; and 'The Silver Swan' by Benjamin Black are all in the running for Irish Novel of the Year.
Julia Kelly is nominated in the Irish Newcomer of the Year category for her novel 'With My Lazy Eye', which is up against 'In the Woods' by Tana French; 'There Are Little Kingdoms' by Kevin Barry; and 'Secret Diary of a Demented House Wife' by Niamh Greene.
Diarmaid Ferriter's 'Judging Dev' is nominated in three categories, including Non-Fiction Book of the Year; while Roddy Doyle's 'Wilderness' and Frank McCourt's 'Angela and the Baby Jesus' are up for awards in the children's category.
A gala ceremony to announce the winners will take place in The Round Room at the Mansion House in Dublin on 24 April.
A Lifetime Achievement award in Irish Literature will also be handed out on the night.
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