PubMed Health⌕ Search

Biomedical subjects

T W Day

Publications and source records attributed to T W Day.

13 recordsLinked to original sources
PubMed1994

Avoiding practice-based research pitfalls: one novice's experience.

OBJECTIVE: This paper is intended to encourage performance and reporting of practice-based research. Though some practicing family physicians have done research, others hold back due to feelings of inability or because a previous effort overwhelmed them. METHODS AND RESULTS: By discussing a number of process errors he made while working on an eventually successful project, the author hopes to help others avoid mistakes that can cause a novice researcher to abandon a research effort. CONCLUSION: It is entirely possible for practicing family physicians to plan and complete research projects of various sizes and designs. Knowing common, yet avoidable pitfalls, will assist the family physician researcher to efficiently use the precious time available.

Data Collection↗
PubMed1992

Cross-cultural medicine at home.

The cross-cultural approach allows the white physician to see the Ojibwe patient as a person with goals both similar and different from her own. Both the physician and the patient understand that the purpose of the visit is to retain or acquire good health. However, the expectations, communication, and the style of interaction may mask that concordance. Even the definitions of health differ between physician and patient. The Western medical model emphasizes normal physiologic health. The Ojibwe view incorporates spiritual health to a greater degree and emphasizes a wholistic approach encompassing a harmonious balance among the individual, community, and nature, as well as among body, mind, and spirit. The methods and attitudes so apparent in cross-cultural medical interactions are really no different from those needed for the delivery of good medical care generally. The more disparate a patient's and doctor's world views and lifestyles, the greater the effort required on both sides to communicate and collaborate. Nearly every patient encounter will be improved by a cross-cultural perspective. Acknowledgment and tolerance of health practices different from our own can lead to greater flexibility and understanding within the medical care system, thereby allowing for care with less confrontation and conflict. Physicians who incorporate such methods will likely gain better understanding of their own values and practices, which will enhance their care of all patients.

Cross-Cultural Comparison↗
PubMed1991

A critical review of labor and birth care. Obstetrical Interest Group of the North American Primary Care Research Group.

A critical review of the literature regarding important aspects of labor and delivery was conducted by members of the Obstetrical Interest Group of the North American Primary Care Research Group using computerized searches, personal communication, and literature exchange between group members. Each written topic summary was carefully reviewed by a second group member, and a consensus was reached regarding conclusions and recommendations by the group. The topics include family involvement, comfort measures, fetal heart rate monitoring, labor augmentation, birth positions, and episiotomies. Each topic summary is preceded by conclusions and recommendations given in the order of least invasive to most invasive of the woman in labor. The strength of these conclusions and recommendations is based on the amount and type of supportive data in the literature and is indicated by one to three stars preceding that statement. One-star conclusions are not well supported in the literature but reflect a family practice style and were reached through consensus from the group. Three-star conclusions are supported by data from clinical trials.

Delivery, Obstetric↗
PubMed1989

Community use of paracervical block in labor.

Although controversy surrounds obstetric use of paracervical block, few articles report experience from community hospitals. Medical records of 883 obstetric patients at a community hospital were examined to determine frequency and efficacy of paracervical block as well as associated changes in electronic fetal monitor tracings, infant Apgars, and length of hospital stay. Nearly two thirds of laboring women received paracervical anesthesia, three fourths of whom obtained noticeable pain relief. Partial relief was obtained by another 20%. Infants delivered after paracervical block were compared with those unexposed to this therapy and found to be similar in regard to Apgar scores and length of hospital stay. Fetal monitor tracings showed highly concerning alterations in 6% of patients after the block. It is concluded that paracervical block done by the technique described remains an effective and low-risk form of obstetric anesthesia in most obstetric patients in a community hospital.

Anesthesia, Obstetrical↗
PubMed1984

Pharmacologic management of Raynaud's phenomenon.

Raynaud's phenomenon (RP) represents a wide spectrum of disease activity. Specific pharmacologic therapy, when indicated, should be based upon the clinician's understanding of drug effectiveness and side effects. We present an update of currently available pharmacologic agents being used for RP and review the effectiveness and side effects of these drugs.

Blood Platelets↗
PubMed1984

Rosacea-like sporotrichosis.

Sporotrichosis is rarely included in the differential diagnosis of rosacea. A patient who clinically appeared to have rosacea, but proved by culture and clinical response to have sporotrichosis of the fixed cutaneous variety, is reported.

Diagnosis, Differential↗
PubMedDate not supplied

Anticipating the future: a national survey of family practice residency directors.

The directors of family practice residencies were surveyed to measure the effect on family practice of the multitude of recent changes in medical organization and practice. The survey achieved a response rate of 80% (N = 306) and revealed that 90% of program directors were generally optimistic about the current status and future vigor of the specialty. Of the respondents, 72% expressed positive opinions regarding the effects of HMOs, and 93% perceived sufficient availability of practice opportunities. Due in large part to these perceptions, only 11% supported a proposal to combine family practice and internal medicine residencies. Teachers of family medicine are encouraged to pass along these measures of positive growth and optimism to medical students considering the specialty of family practice.

Career Mobility↗