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Biomedical subjects

P F Cowan

Publications and source records attributed to P F Cowan.

5 recordsLinked to original sources

Encouraging discussion of psychosocial issues at student health visits.

In a pilot study, the authors distributed a brief questionnaire dealing with psychosocial concerns to 200 students awaiting treatment in the student health service at a large urban university. They hypothesized that a questionnaire administered immediately before students visited the physician or family nurse practitioner would encourage the students to discuss problems such as anxiety and depression during the medical session. Using the questionnaire, they found, led to the practitioner's discovery of a condition requiring treatment or explaining a problem the student had not discussed in previous visits. Such a questionnaire, the authors suggest, could be a valuable means for identifying psychosocial concerns significant enough to require treatment or further evaluation.

Adolescent↗

An intervention to improve the assessment of alcoholism by practicing physicians.

OBJECTIVE: Alcoholism is estimated to affect at least 10% of American adults. Despite the fact that early diagnosis is possible and early treatment can prevent great suffering, American physicians typically diagnose and treat alcoholism less than half the time. Several authors have suggested additional physician education as a possible way to improve alcoholism assessment skills and increase the diagnosis rate. METHODS: A baseline audit, an educational intervention, and a post-intervention audit were done with physicians and nurse practitioners in an urban family practice group, using information recorded during everyday patient care. RESULTS: A significant increase in specific alcohol intake histories and a significant decrease in recorded abstention were found. The proportion of patients with a recorded diagnosis of alcoholism was 2.5% before and 4.1% after the intervention. CONCLUSIONS: After this intervention, physicians' and FNP's skills in alcohol history-taking and assessment increased, and were incorporated into their daily patient care. Education alone was not enough to remedy a low diagnosis rate; many other factors are involved.

Adolescent↗

Sudden sensorineural hearing loss.

Sudden sensorineural hearing loss has many causes and treatments. The family physician can identify the hearing loss, perform audiometry, identify likely systemic causes and counsel the patient on the prognosis. Most patients are ultimately found to have idiopathic sensorineural hearing loss, and the spontaneous recovery rate is high. If no improvement occurs within one month, evaluation to rule out tumor is recommended.

Adolescent↗