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Biomedical subjects

R Frankel

Publications and source records attributed to R Frankel.

43 records · Page 3Linked to original sources
PubMedDate not supplied

Involving family members in cancer care: focus group considerations of patients and oncological providers.

Family members are an integral part of a patient's cancer care from the moment the diagnosis is delivered to the conclusion of treatment. Family members bring with them a range of emotional reactions, interpersonal dynamics and expectations for the care the patient receives. This study is part of a multi-institutional project to continue to improve the process of cancer care. In this study, 19 focus groups (11 patient and 8 provider) were conducted concerning issues related to doctor-patient communication in eight cancer centers in the United States. The content of the conversations was analyzed and thematic categories emerged that highlight the various strengths and difficulties associated with family involvement. The focus groups' comments support the need for explicit conversations between professional caregivers, patients and their loved ones, in order to negotiate the expectations and needs of each team member. Implications for clinical practice and strategies for working with family members are offered.

Adaptation, Psychological↗
PubMedDate not supplied

Measurement and improvement of humanistic skills in first-year trainees.

The American Board of Internal Medicine (ABIM) has recently emphasized the development of humanistic skills in trainees. Using video technology, transition outpatient visits of first-year house officers in a primary care training program were evaluated for the presence or absence of nine humanistic skills before and after the initiation of an instructional program to reinforce the skills. Thirteen videotaped PGY-1 encounters constituted the preintervention group and 16 videotaped PGY-1 encounters constituted the postintervention group. The preintervention group performed a mean of 1.38 skills while the postintervention group performed a mean of 3.56 skills, a statistically significant improvement (p less than 0.05). The authors conclude that an educational approach that focuses on specific elements of interactions facilitates the incorporation of skills associated with humane medical care.

Clinical Competence↗
PubMedDate not supplied

Effect of lung, liver, and kidney toxicants on respiratory rate in the mouse.

The intraperitoneal administration of either butylated hydroxytoluene (BHT) +/- thoracic X-irradiation, or cyclophosphamide, and intravenous injection of oleic acid, resulted in lung injury and repair in BALB/c mice which could be assessed in unanesthetized animals by changes in respiratory rate (RR) using a total body plethysmograph. Studies with BHT +/- X-rays, and cyclophosphamide found that the RR right before sacrifice (2 weeks after BHT and 3 weeks after cyclophosphamide) correlated well (r = 0.19) with the degree of pulmonary fibrosis as measured by changes in hydroxyproline content. However, prior to this timepoint, there was a peak and trough in respiratory rate response that could not be correlated with the time course of fibrosis development in the BHT-X-ray model. In an effort to determine the influence of pulmonary edema and lung cell proliferation on respiratory rate changes, an agent (oleic acid) capable of producing lung injury followed by a high level of cellular proliferation with only minimal development of fibrosis was studied. These studies showed that good correlations were found on day 3 following injection (day of peak increase in respiratory rate) between respiratory rate and either lung wet weight (r = 0.81) or the degree of cellular proliferation as measured by the incorporation of thymidine into pulmonary DNA (r = 0.80). Liver (carbon tetrachloride) and kidney (mercuric chloride) toxicants, and starvation produced decreases or no change in RR.

Animals↗