PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Mainstreaming”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 379 records · Page 21Linked to original sources
PubMed2004

Use of mainstream nonpharmacologic treatment by patients with arthritis.

OBJECTIVE: To examine the use of nonpharmacologic treatment by patients with osteoarthritis (OA) and rheumatoid arthritis (RA). METHODS: Patients were recruited from physicians' offices in Ontario, Canada. All participants completed questionnaires that asked about their health status, use of medications and nonpharmacologic treatments, and use of health care resources. RESULTS: A total of 326 patients with OA and 253 patients with RA completed the survey on the use of nonpharmacologic treatment. Only 73% of patients with OA had been told to use nonpharmacologic modalities, but 98.8% had tried at least 1 type of treatment. About 97% of those with RA had been told to use and had tried at least 1 type of treatment. Most patients continued to use a treatment once they had tried it. CONCLUSION: The use of nonpharmacologic modalities is common among patients with arthritis. It is important that clinicians address with their patients the appropriate use of and barriers to continuing these treatments.

Aged↗
PubMed2003

Panic disorder in public sector primary care: clinical characteristics and illness severity compared with "mainstream" primary care panic disorder.

The prevalence of anxiety disorders is increased among low-income individuals, who are more likely to seek mental health care in medical as opposed to specialty settings because of limited insurance access and restricted availability of public sector mental health resources. However, little is known about the clinical characteristics and illness severity of anxiety disorders in this setting. We studied the clinical characteristics of low-income compared with middle-income primary care panic patients. Clinical, functional, and service use measures obtained at baseline interview in 39 panic disorder patients seen in one public sector medical clinic were compared with 76 patients seen in two middle-income clinics. All patients were participants in a randomized effectiveness pharmacotherapy trial [Roy Byrne et al., Arch Gen Psychiatry 2001;58:869-876]. Public sector patients were more often older, male, single, unemployed, of lower income, and non-Caucasian ethnicity. They had more severe clinical symptoms, more medical comorbidity, worse physical and role health status, and more emergency room visits. Low income and unemployment accounted for most of the differences in non-anxiety-related measures. However, type of clinic still contributed independently to the greater severity of specific measures of panic/anxiety (Panic Disorder Severity Scale and Marks Fear Scale scores), suggesting that the increased stress and limited social resources associated with low-income and disadvantaged status may have more specific effects on anxiety than other aspects of psychopathology.

Adolescent↗
PubMed2000

Intersubjectivity and interaction in the analytic relationship: a mainstream view.

The authors conceptualize intersubjectivity as a meta-theory that reflects the inherent nature of human relatedness and is conceptually independent of any particular theory of mind or school of psychoanalysis. Their view of intersubjectivity joins the emotional life of the analyst to that of the patient and places the analytic relationship at the center of the analytic process. They contrast intersubjectivity with traditional classical conflict theory so as to clarify the relevance of intersubjectivity for psychoanalytic clinical theory and therapeutic practice. In so doing, they hope to direct analysts more firmly toward the study of the unconscious dyadic contributions to the affective, inactive, and interactive dimensions of the analytic situation and their impact upon the patient's actions within and experience of the analytic relationship. To illustrate their thesis, two hours from an analysis are presented in detail.

Adult↗
PubMed1990

Evaluation of a mainstream capnometer and end-tidal carbon dioxide monitoring in mechanically ventilated infants.

We evaluated a new lightweight capnometer with a less than 1 mL deadspace neonatal airway adapter and endotracheal tube connector unit (NAC) for use in mechanically ventilated neonates. The evaluation consisted of: 1) a bench test comparison of air flow resistance between the standard endotracheal tube and connector with the new NAC (flow rates, 1.5 to 12.8 L/min); 2) a determination of the effect of NAC placement on Paco2; 3) pre- and post-NAC pulmonary mechanics; and 4) analysis of paired PetCO2 and PACO2 in 16 infants requiring mechanical ventilation. Paired t test of the slopes of the resistance curves was significant (P = 0.002) while analysis of variance of differential pressures was not (P = 0.29). All post-NAC placement Paco2 were smaller than pre-placement values; there were no differences in pulmonary mechanics, and Petco2 correlated closely with Paco2 (n = 132, r = 0.79) defined as Petco2 = 0.68.Paco2 + 5.52; means +/- 1 SD, Paco2 -Petco2 was 4.7 +/- 4.7 torr and Petco2/Paco2 was 0.86 +/- 0.14.

Carbon Dioxide↗
PubMed1989

Mainstreaming the mentally ill in HMOs.

Administratively complex and politically sensitive issues can arise when mentally ill persons who are public program beneficiaries are enrolled in existing HMOs. The experiences of a demonstration program undertaken in Minnesota illustrate these issues.

Contract Services↗
PubMed2006

[Operation room management in quality control certification of a mainstream hospital].

We report the results of our study concerning the organisation of operating room (OR) capacity planned 1 year in advance. The use of OR is controlled using 2 global controlling numbers: a) the actual time difference between the expected optimal and previously calculated OR running time and b) the punctuality of starting the first operation in each OR. The focal point of the presented OR management concept is a consensus-oriented decision-making and steering process led by a coordinator who achieves a high degree of acceptance by means of comprehensive transparency. Based on the accepted running time, the optimal productivity of OR's (OP_A(%) can be calculated. In this way an increase of the overall capacity (actual running time) of ORs was from 40% to over 55% was achieved. Nevertheless, enthusiasm and teamwork from all persons involved in the system are vital for success as well as a completely independent operating theatre manager. Using this concept over 90% of the requirements for the new certification catalogue for hospitals in Germany was achieved.

Certification↗
PubMed2005

Homeopathy and mainstream medicine: a dialogue of the deaf?

Various definitions of complementary and alternative medicine have been proposed. Homeopathy is unique among CAM therapies in originating in European Enlightenment thought. It is controversial and scientifically implausible yet popular, widespread and durable. The result has been a longstanding 'dialogue of the deaf', with little progress or genuine discussion. Clinical collaboration and serious and scientific discourse concerning homeopathy is possible and should be pursued. The alternative is not that homeopathy disappears but that it is absorbed into a dis-affected medical counter-culture with adverse consequences, particularly for patients. The Royal London Homoeopathic Hospital is developing clinical integration and scientific collaboration with a major academic medical centre in London.

Cooperative Behavior↗