Biomedical subjects

C Blodgett

Publications and source records attributed to C Blodgett.

8 recordsLinked to original sources

PubMed2001

Trends in psychiatric inpatient rates from 1991-1995 in the State of Washington: the effect of insurance type on utilization.

This study examined whether there have been changes in inpatient psychiatric use among publicly and privately insured patients by analyzing trends in adult psychiatric hospitalizations from 1991 through 1995 in the State of Washington. A state-wide Comprehensive Hospital Abstract Reporting System (CHARS) was used to track psychiatric hospital utilization patterns. The results show a significant growth in psychiatric hospitalizations among the publicly insured patients due to their high proportion of severe and persistent mental illness. There was a flat trend in psychiatric hospitalizations suggesting that private insurers aggressively monitor the costly use of hospitalizations for mentally ill patients.

Adult↗

PubMed1994

Feeling fit: preventing illness and improving quality.

Throughout the current American health care system, the use of modern medical technology and medications to treat illness are highlighted, with relatively little attention focused on health education. The Feeling Fit program at Independent Health is a step toward a managed care model that integrates treatment with teaching. The author discusses the principles of Feeling Fit and how they have been successfully adapted for off-site programs.

Health Education↗

PubMed1988

Comparison of two myoepicardial pacemaker leads: follow-up in 80 children, adolescents, and young adults.

Although several types of commercially available epicardial leads exist, few postimplantation data have been reported. To compare "screw-in" (6917-35) leads with "stab-on" leads (4951-35) from the same manufacturer, we reviewed the records of 80 young patients (age 8 days to 29 years) who underwent ventricular epicardial pacemaker implantation from 1973 to 1986. Follow-up for the 57 patients with the 6917-35 model ranged from 3 months to 17 years (median 6.5 years) and for the 23 patients with the 4951-35 model 9 days to 4.25 years (median 2.0 years). Actuarial life table analysis revealed significantly (P less than 0.001) fewer 4951-35 leads were functioning at each of 1-5 years after implant, compared to the 6917-35 leads. Analysis of available threshold pulse width data revealed no difference (P = 0.08) acutely (6 weeks after implant), but a significantly (P = 0.05) higher mean threshold for the 4951-35 leads was found chronically. No significant correlation was found for lead failure with age, underlying heart disease, lead site (i.e., left or right ventricle), or surgical approach. Using the sutureless, stab-on technique, the 4951-35 lead is associated with higher thresholds and lower survival rate when compared to the 6917-35 lead.

Actuarial Analysis↗

PubMed1986

Personality and demographic characteristics of dropouts and completers in a nonhospital residential alcohol treatment program.

This study investigated the relationship of scores on the Psychopathic Deviate, Denial, Dependency, and MacAndrew Scales of the MMPI; intelligence; age; income; and education to continuance in a residential alcohol treatment program. Dropouts scored higher on the Psychopathic Deviate Scale than completers did. For completers, Psychopathic Deviate scores were correlated with age and Denial scores were correlated with intelligence. These relationships did not occur for dropouts. Findings were compared to research done in hospital settings.

Adult↗

PubMed1986

Incidence of occlusion due to impacted cerumen among mentally retarded adolescents.

The incidence of occlusion of the external auditory canal due to impacted cerumen was determined for 44 mentally retarded subjects in comparison with 44 nonretarded subjects. Otoscopic data were taken by qualified personnel for both groups and subjected to statistical analysis. Results confirmed that retarded adolescents have a significantly higher incidence of occlusion of the external auditory canal due to impacted cerumen than do nonretarded adolescents. Routine otoscopic examinations should be performed on the former group to ameliorate loss of hearing due to impacted cerumen.

Adolescent↗

PubMed1985

Renal failure adjustment and coping style.

The role of coping style in renal failure adjustment was investigated in a sample of 62 patient volunteers. Two descriptive questions were considered. Is psychosocial adjustment related to coping style? Do patients receiving differing treatments rely on distinctive coping styles? Aggressive coping style was inversely related to psychological adjustment. Patients receiving staff-supervised treatment had significantly higher scores on a scale measuring more passive defense.

Adaptation, Psychological↗

PubMed1984

Variables related to continuance in a behavioral weight loss program.

This study compared nonoutcome characteristics of completers and dropouts in a behavioral weight loss program. The significant relationships between several personality dimensions and continuance were discussed. It was proposed that the unusual finding of personality differences was made possible by distinguishing early from late dropouts.

Adult↗

PubMedDate not supplied

A selected review of the literature of adjustment to hemodialysis.

The manner in which dialysis patients respond to the stress of chronic renal failure has been focused on in an active body of research. The general approach to the concept of adjustment is critically reviewed and its implications for research considered. A number of important selected factors are reviewed and conclusions in each of the areas are presented. Specific problems are defined and alternative approaches proposed.

Adaptation, Psychological↗