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Biomedical subjects

S C Eggertsen

Publications and source records attributed to S C Eggertsen.

At least 19 recordsLinked to original sources

How patients and physicians address each other in the office.

Six hundred four patients in three primary care office settings were asked whether they preferred to be addressed by their physician by their first or last name and whether they preferred to address their physician by first or last name. Actual use of first vs last name by the physician addressing the patient and the patient addressing the physician was also recorded. Of the patients expressing a preference, 96 percent preferred that their physician address them by first name while 87 percent noted that this gesture actually occurred. Forty percent of the patients preferred to address the physician by first name while 14 percent actually did so. These findings suggest that physicians can feel comfortable addressing almost all of their patients by first name and that many of their patients may desire to address them by their first name. It is suggested that the physician at the time of the patient's first visit clarify the manner in which each addresses the other.

Adolescent

Maternal response to daily fetal movement counting in primary care settings.

Maternal counting of fetal movement (FM) to assess fetal well-being was studied in 394 pregnancies followed by family physicians. Counting was well accepted, with 85% of women finding it reassuring and 91% wanting to include it in subsequent pregnancies. Eighty-eight percent of women reported counting five or more days per week. Thirteen women reported decreased activity a total of 20 times. A nonstress test (NST) was performed 20 times and an oxytocin challenge test (OCT) was performed four times as a result of these reports. One of the 20 reports of decreased activity was followed by a nonreactive NST and suspicious OCT, and led to the induction of a viable 38-week fetus. There were no stillbirths in the group and only one neonatal death of an anencephalic infant.

Family Practice

Content of the model teaching unit ambulatory care training and continuity of care in six family practice residency programs.

This article summarizes the practice content and continuity for 35 senior residents in six family medicine residency model teaching units utilizing a computerized information management system. Comparisons are drawn with the content of family practices in the National Ambulatory Medical Care Survey (NAMCS), showing that family medicine third-year residents provide a large proportion of pregnancy care and general medical examinations and treat a smaller number of chronic illness patients compared with family physicians in practice. Third-year residents performed few surgical procedures in the model teaching units. Continuity of care, though espoused by family medicine residencies in principle, was deficient in the model teaching units studied. Intensive training to compensate for these deficiencies is recommended.

Ambulatory Care

Intermittent positive pressure breathing and the treatment of acute asthma.

Whether or not intermittent positive pressure breathing (IPPB) is beneficial in the treatment of asthma has been controversial for 30 years. IPPB is expensive and has been associated with pulmonary infection, pneumomediastinum, pneumothorax, and death. The exact factors involved in the observed effectiveness of IPPB remain undetermined. With evidence from a literature review, it is concluded that in cases of severe asthma failing to respond to other methods of beta-agonist inhalation, there is sufficient evidence for the use of IPPB.

Acute Disease

Breast self-examination: historical perspective and current progress.

During its 30 years as an examination technique, breast self-examination (BSE) has developed from an idea proposed by a chapter of the American Cancer Society to a standard recommendation of many health care professionals. While screening for breast carcinoma has been documented as a valuable undertaking, a majority of the studies are concerned with physician examination and the use of xeromammography. BSE as an individual factor has not been adequately studied. Since several studies propose that BSE is indeed effective, while others refute that contention, the results of well-controlled prospective studies are needed. The current literature is at least supportive of BSE, which should be encouraged while controlled trials are analyzed.

Breast Neoplasms

Teaching venous cutdown techniques with models.

A venous cutdown may be required in emergency situations in order to establish an intravenous line. Subclavian vein catheterization is now widely used, but may result in significant complications and is often inappropriate when a safer distal vein cutdown could be performed. Inanimate models can be used to teach this valuable technique and have the advantage of availability for repeated practice.

Catheterization