PubMed Health⌕ Search

Biomedical subjects

J Hansell

Publications and source records attributed to J Hansell.

7 recordsLinked to original sources
PubMed1995

Patients' and therapists' shared and unique views of the therapeutic alliance: an investigation using confirmatory factor analysis in a nested design.

The characteristically large general factor found in measures of the therapeutic alliance was analyzed by use of confirmatory factor analysis (CFA) in a nested design. Ratings by 38 therapists and their 144 patients on the California Psychotherapy Alliance Scales (CALPAS), the Revised Penn Helping Alliance Questionnaire (HAQ-R), and the Working Alliance Inventory (WAI) were adjusted for therapist effects. A set of models for patient and therapist ratings was tested with CFA, and a 3-factor model was confirmed, chi 2(4) = 7.19, p > .13; GFI = .98; RMSR = .02; CFI = 1.0. A shared-view factor (best represented by HAQ-R) accounted for 44% of patients' and 27% of therapists' variance. Unique factors (best represented by WAI) accounted for 56% of therapists' and 43% of patients' variance. Patient views split between HAQ (helpfulness) and WAI (goals, tasks) factors; The WAI factor was most expressive of therapist views. Patients and therapists tended to agree on helpfulness and on therapist clarity about goals and tasks. A multimeasure approach to alliance assessment is recommended.

Adolescent↗
PubMed1984

Labeled cells in the investigation of hematologic disorders.

Radiolabeling techniques for white cells, platelets, and erythrocytes are reviewed. The early studies using diisopropylfluoro-32P contributed to an understanding of the production and circulation of the blood elements, and 51Cr proved useful in localizing sites of cell migration or destruction. 111In-oxine has further improved the understanding of blood cell organ sequestration, and permitted combined kinetic and organ imaging studies. Radionuclide labels have been essential for the elucidation of various hematologic disorders, such as the neutropenias, thrombocytopenias, anemias, and polycythemia. Many new treatments, including monoclonal antibodies, have been evaluated with radionuclides.

Blood Platelets↗
PubMedDate not supplied

Operating room event analysis.

A time/motion study performed in the Department of Anesthesiology at Ohio State University divided intraoperative events into three categories: (1) patient-centered, direct--activities that direct the anesthesiologist's attention to the patient; (2) patient-centered, indirect--observation of equipment or data related to patient status; and (3) non-patient-centered--activities that direct the anesthesiologist's attention away from the patient. Surprisingly, results of this study did not differ greatly from those of earlier investigators, who found that the anesthesiologist was distracted from the patient 46% of the time. Future studies and monitor development should address this problem by reducing non-patient-centered activities and distractions to the anesthesiologist during surgery.

Anesthesia Department, Hospital↗