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At least 217 records · Page 12Linked to original sources
PubMed2000

Telemedicine applications in primary care: a geriatric patient pilot project.

OBJECTIVE: To determine patient satisfaction with telemedicine technology. SUBJECTS AND METHODS: In this pilot study, 20 generally healthy elderly residents (mean age, 77.3 years) of a Florida retirement community consulted weekly by "Electronic House Call" with a primary care physician to record their vital signs and discuss their condition. At the end of the 8-week study period, they were asked to complete a survey indicating their satisfaction with the telemedicine experience. RESULTS: Eighteen of the 20 participants completed the survey. Eleven respondents (61%) reported they were comfortable using the computer system without assistance. Most (13/18; 72%) believed the computer system correctly recorded vital signs. Almost all (17/18; 94%) reported the computer system did not have a negative impact on their relationship with their primary health care provider, and 11 (61%) thought that the system had a positive effect. CONCLUSIONS: The participants in this small pilot study were pleased with the experience they had with telemedicine. Large-scale studies are needed to determine the widespread utility of telemedicine technology.

Aged↗
PubMed2001

The Southwestern Ontario Joint Replacement Pilot Project: electronic point-of-care data collection. Southwestern Ontario Study Group.

OBJECTIVE: To pilot a provincial joint replacement registry using electronic point-of-care data collection. DESIGN: Data collection study. SETTING: Southwestern Ontario, which has a population base of 3.5 million people. PARTICIPANTS: Eighteen orthopedic surgeons. METHOD: Information on total hip and knee replacements was obtained by the orthopedic surgeons over a 6-month period. Information was obtained in paper form and electronically on hand-held computers. MAIN OUTCOME MEASURES: Patient demographics, waiting times from referral to operation, patient satisfaction and relevance and value of electronic records compared with paper records. MAIN RESULTS: Data were collected on 815 total hip and knee arthroplasties. A slightly greater number of hips required revision than knees. The majority of patients were in the 60 to 90-year age range. With respect to the waiting time from referral to operation 10% of patients waited less than 5 weeks, 50% waited less than 30 weeks, and 90% waited less than 59 weeks. There was a high level of patient satisfaction with the operation and with hospital care received. Most surgeons found that the gathering and use of data electronically was relevant and easy. The electronic data were more timely, accurate and complete than paper records. CONCLUSION: Electronic point-of-care data collection is appropriate, particularly in high-volume, high-cost surgical interventions such as total joint replacements.

Adult↗
PubMed1982

Computers and the severely physically handicapped: a pilot project at Pearson Hospital.

Computers are a rapidly developing technology affecting the lives of everyone, including those in the handicapped population. Major revolutions are occurring in the technology available for physically and mentally handicapped persons. This article presents the results and findings of a pilot computer project that was implemented at Pearson Hospital. The use of the computer, adapted to persons of severe physical disability, as a typewriter, a programming device, and as a word processor is explained. The success of the program, and the difficulties experienced in making it run, are presented, along with suggestions for setting up and implementing computer projects in other institutions. An assessment form for potential computer users is presented.

British Columbia↗
PubMed1989

[Pilot projects].

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Education, Continuing↗
PubMed1991

The epidemiology of inflammatory bowel disease in children: a pilot project.

A major study about the epidemiology of inflammatory bowel disease in children was planned. A pilot study of pre-morbid variables among 42 children with the disease was undertaken. Conducting a pilot study was an essential component of the research process, both in refining the data collection instrument and in maximizing the use of technology. Results of the pilot study are described and the way in which they were used to prepare a better major study are discussed.

Child↗
PubMed1992

A mammographic screening pilot project in Victoria 1988-1990. The Essendon Breast X-ray Program Collaborative Group.

OBJECTIVE: To pilot and evaluate the feasibility and acceptability to women of population based mammographic screening in Victoria. DESIGN: Pilot intervention study in a geographically and demographically defined population. SETTING: Area of contiguous postcodes surrounding the Breast X-ray Unit at the Essendon Hospital. TARGET POPULATION: Women aged 50 to 69 years living in the target area. MAIN OUTCOME MEASURES: Attendance rates, satisfaction, screening rates, surgical biopsy rates, breast cancer detection rates, and surgical treatment. RESULTS: Forty-one per cent of eligible women in the denominator population attended the Breast X-ray Unit in the two-year period; 16,424 women were screened, including 141 women with previous breast cancer. Of every 1000 women screened, 74 were recalled because of mammograms that were suggestive of malignancy, 19 because of technically inadequate mammograms and 16 because of symptoms. All mammograms were read by two radiologists and consensus was required for 12% of films. Of every 1000 asymptomatic women screened, 12.7 had biopsies performed and in 7.1 cancers were detected. In asymptomatic women, the positive predictive value of an abnormal mammogram was 9.4%, and the positive predictive value of a recommendation for biopsy was 55.9%. A total of 131 malignancies were detected, of which 24 (18%) were carcinoma-in-situ. The benign to malignant biopsy ratio was 1:1.31. In 82% of women in whom cancer was detected the breast was conserved. CONCLUSIONS: The Program achieved good standards with respect to mammographic detection, clinical assessment and treatment of women with breast cancer.

Aged↗
PubMed1980

[A pilot project on the sexual experiences of the aged in a home for the aged].

The pilot-study 'The aged in old people's homes and their sexuality' indicates, that very old people still have all kinds of sexual feelings and want to express these feelings. Living in a home for the aged has an inhibiting effect upon people's feelings, but also the attitude of the fellow-residents, staff and relations exerts pressure on the old people's sexuality. In the opinion of the investigator, there are three work areas, in which improvement of the present situation is possible: 1. training, education and influencing of all the people, who, in their sphere of activity, are in contact with the aged; 2. to change, by means of information, the mentality with regard to the acceptance of old people's sexuality; 3. everyone who is engaged in care for the aged in institutions should be attentive to developments in society. According to the author, a more extensive investigation would be very desirable.

Aged↗
PubMed1981

Art pilot project.

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Career Mobility↗
PubMed2001

A pilot project to assess the methodological issues involved in evaluating acupuncture as a treatment for disabling breathlessness.

OBJECTIVES: This pilot study explores the methodological implications of evaluating the use of acupuncture in the treatment of disabling breathlessness. DESIGN: A randomized, controlled trial involving three treatments that were used on one occasion, each in random order. SETTINGS: The study was designed to evaluate the feasibility of providing acupuncture treatment on a domiciliary basis, in Southampton (United Kingdom) to patients with disabling breathlessness. SUBJECTS: Sixteen (16) subjects with disabling breathlessness caused by chronic lung disease (primarily chronic obstructive pulmonary disease [COPD]) were recruited from the respiratory medicine clinics of Southampton University Hospitals Trust. INTERVENTIONS: The treatments were real acupuncture, dummy acupuncture, and mock transelectrical nerve stimulation (TENS). OUTCOMES: To evaluate the respiratory outcome measures, to look at the credibility of the three treatments (using a previously validated Borkovec and Nau scale), and to calculate the sample size for a larger, more definitive study. RESULTS: Twelve (12) subjects completed the study. The acupuncture was a predefined point prescription that had been found previously to be of value in this condition, an approach that could be taught to health professionals and provided on a domiciliary basis. The treatment was provided only on one occasion, therefore, we did not expect a clear therapeutic benefit to emerge, but some nonsignificant benefit was noted as a consequence of acupuncture treatment. The shuttle test that we used as an objective measure of breathlessness was impractical in a domiciliary environment and will not be used in further studies. Each of the three treatments was equally credible at the outset, although real and dummy acupuncture were considered by the patients to be preferable choices after the completion of treatment. CONCLUSIONS: It was possible to carry out this study on a domiciliary basis. The information obtained will allow us to design a much clearer definitive study and the small, but statistically insignificant, response to acupuncture has allowed us to estimate sample size.

Acupuncture Therapy↗
PubMed1998

Breast cancer screening programmes in 22 countries: current policies, administration and guidelines. International Breast Cancer Screening Network (IBSN) and the European Network of Pilot Projects for Breast Cancer Screening.

BACKGROUND: Currently there are at least 22 countries worldwide where national, regional or pilot population-based breast cancer screening programmes have been established. A collaborative effort has been undertaken by the International Breast Cancer Screening Network (IBSN), an international voluntary collaborative effort administered from the National Cancer Institute in the US for the purposes of producing international data on the policies, funding and administration, and results of population-based breast cancer screening. METHODS: Two surveys conducted by the IBSN in 1990 and 1995 describe the status of population-based breast cancer screening in countries which had or planned to establish breast cancer screening programmes in their countries. The 1990 survey was sent to ten countries in the IBSN and was completed by nine countries. The 1995 survey was sent to and completed by the 13 countries in the organization at that time and an additional nine countries in the European Network. RESULTS: The programmes vary in how they have been organized and have changed from 1990 to 1995. The most notable change is the increase in the number of countries that have established or plan to establish organized breast cancer screening programmes. A second major change is in guidelines for the lower age limit for mammography screening and the use of the clinical breast examination and breast self-examination as additional detection methods. CONCLUSION: As high quality population-based breast cancer screening programmes are implemented in more countries, they will offer an unprecedented opportunity to assess the level of coverage of the population for initial and repeat screening, evaluation of performance, and, in the longer term, outcome of screening in terms of reduction in the incidence of late-stage disease and in mortality.

Adult↗
PubMed2005

Patients treated by dental students in outreach: the first year of a pilot project.

This paper describes the patients treated by 4th year undergraduate students during the first year of a pilot outreach course to teach Restorative Dentistry in community clinics in 2001-02. Data were collected from 908 summaries of patient treatment completed by the students, and from 139 patient questionnaires. Some 75% of patients were aged between 16 and 64, 58% were female, and 16% had dental phobia or anxiety. Most lived locally to the clinic and 41% made their initial contact as an emergency or drop-in. Some 37% made only a single visit (including children treated as emergencies) but 22% made six or more visits. Did not attend (DNA) was a problem and 18% of patients DNA to complete their treatment. Students undertook the full range of restorative procedures, with the emphasis on direct restorations, preventive treatment and advice, scaling, extractions and emergency treatment. Patients' main reasons for attending the clinic were lay recommendation, the need for treatment, convenience, free treatment, or the lack of access to a dentist. Some 30% said they did not have or did not know of an alternative source of dental care, and half had not seen a dentist for at least 2 years. The study demonstrates that despite difficulties related to attendance, a suitable patient base can be established offering students the opportunity to provide comprehensive care for adults in a primary care setting.

Adolescent↗
PubMedDate not supplied

A fetal alcohol syndrome surveillance pilot project in American Indian communities in the Northern Plains.

A pilot fetal alcohol syndrome (FAS) surveillance was carried out in four American Indian communities in the Northern Plains by the Aberdeen Area Indian Health Service to determine the incidence of FAS and to evaluate the feasibility of establishing continuing surveillance for FAS. Baseline data on the incidence of FAS would be used by the Indian Health Service to develop and evaluate preventive interventions, including treatment programs for pregnant women who drink alcohol. Four of the 1,022 children included in the project were found to have FAS, a rate of 3.9 per 1,000 live births. The rate is believed to underestimate the true rate of FAS because some low birth weight children were not screened, parents or guardians were reluctant to bring children suspected of FAS for evaluation, clinicians were hesitant to diagnose possible alcohol-damaged children for fear of labeling the child, and some children with FAS died before the diagnosis of FAS could be confirmed. If the rate of FAS is similar for the 39 percent of the infants not screened and for the 25 percent of suspected infants who were not evaluated, a rate of 8.5 cases of FAS per 1,000 live births may be postulated. The authors recommend routine screening of prenatal patients for substance abuse and establishing a tracking system for low birth weight infants suspected to have FAS or other alcohol-related developmental disorders, in an effort to establish more accurate FAS rates. Such a surveillance system would identify women at risk of having alcohol-affected infants so that appropriate treatment and counseling could be provided, possibly reducing the severity of adverse effects of alcohol on their fetuses.

Fetal Alcohol Spectrum Disorders↗