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At least 469 records · Page 26Linked to original sources

PubMed1999

A comprehensive care clinic in Swedish dental undergraduate education: 3-year report.

In 1993, a new undergraduate curriculum was introduced at the Faculty of Dentistry, Karolinska Institute. The expanded comprehensive care clinic described in this 3-year report, is proposed as a potential model for a CC-clinic in dental undergraduate education. Students enter clinical training at the beginning of the 3rd year and continue through to their final semester, in the 5th year. The one student is responsible for the total oral care of all his/her patients. Patients are stratified on admission into 3 levels, depending on the complexity of treatment need. Before being assigned their 1st patients (patient level I), the students must fulfil specified requirements of theoretical knowledge and clinical procedures and obtain a proficiency certificate. After qualifying for higher proficiency certificates, denoting their level of clinical responsibility, the students assume successively greater responsibility for treatment of patients, with less supervision from clinical instructors. Clinical supervision is the responsibility of integrated multidisciplinary teams of faculty members. Each group of students is assigned a clinical tutor, who is responsible for overall treatment planning of their patients. The individual student's clinical progress and achievements are monitored by a specially designed computer program. Criteria for a final pass in the course are: (1) clinical maturity in overall patient management; (2) technical competence in conjunction with theoretical knowledge. 3 years experience of the new model for comprehensive clinical training in a patient-centred, multidisciplinary clinic has shown that; (a) students seem to acquire a greater understanding of comprehensive case management; (b) patients receive more co-ordinated care; (c) there has been no significant change in the number of clinical procedures completed; (d) difficulties arise in co-ordination of staff over the traditional specialist boundaries; (e) assessment of student maturity and professional responsibility is impeded by the lack of objective criteria.

Clinical Competence↗

PubMedDate not supplied

Reading disability defined as a discrepancy between listening and reading comprehension: a longitudinal study of stability, gender differences, and prevalence.

The purpose of this study was to determine whether defining reading disability by a discrepancy between group-administered tests of listening and reading comprehension would produce result similar in terms of stability, gender ratio, and prevalence to IQ-achievement test discrepancy definitions. The total population of a small school district (N = 1,008) was followed from prekindergarten through Grade 7-8 for 13 years. As is often seen in epidemiological studies using IQ and individually administered reading tests to define reading disability, stability in the classification of reading disability was low. Among the participants with a consistent reading disability, the male-to-female ratio was 3.2:1, compared with 1.3:1 for the 5.1% of the sample who were nondiscrepant poor readers in both lower and upper grades. A mean 2.7% of the population was classified as reading disabled over the eight-grade span, and only 1.7% demonstrated a consistent reading disability in both the lower and the upper grades. An increase in the ratio of nondiscrepant to discrepant poor readers after Grade 5 was due mainly to late-emerging poor readers. It was concluded that defining reading comprehension disability in terms of a discrepancy between listening and reading comprehension provides a fairly accurate estimate of the stability, gender ratio, and prevalence of the disorder.

Adolescent↗

PubMed2000

Comprehensive versus holistic care. Case studies of chronic disease.

Persons with chronic disease often experience an involvement of multiple body systems. A comprehensive care approach to patient care is often used with the belief that a health care team will ensure that a patient's needs will be covered. Instead, this approach is reductionist in practice and leads to fragmentation of care, and the difficult patients often slip through the cracks of the health care system. However, a holistic theory-based approach puts a patient's perceived needs first and offers care not only for the body but also for the human spirit. Two case studies of patients with chronic disease are reviewed, both of whom began in a comprehensive care model and ended up with holistic care. Suggestions for assisting in the movement of a comprehensive care model toward a holistic model are offered for the practicing nurse.

Alcoholism↗

PubMed2004

Increasing readers' comprehension of health education brochures: a qualitative study into how professional writers make texts coherent.

The aim of this study was to gain insight into the extent to which health education text writers apply writing principles derived from cognitive psychological theory. Seventeen professional text writers of health education materials participated in a qualitative study, consisting of a rewriting task combined with a think-aloud procedure and a semistructured interview. The verbal data were explored carefully in light of seven text coherence principles that have proven effective in cognitive psychological research to increase text comprehension. Findings indicate text writers vary in their ideas and use of coherence principles to make a text comprehensible. It is argued that the health education profession can benefit greatly from knowledge about cognitive text processing and cognitive coherence principles for realizing effective comprehension of written health education messages.

Adult↗

PubMed2004

Fostering reading comprehension in fifth grade by explicit instruction in reading strategies and peer tutoring.

BACKGROUND: Research reveals that explicit reading strategies instruction and engaging students in interaction about texts promote students' reading comprehension ability. The present intervention study combines both aspects. AIMS: The study examines the educational benefits of explicit reading strategies instruction, followed by practice in (a) teacher-led whole-class activities (STRAT), (b) reciprocal same-age (STRAT + SA), or (c) cross-age peer tutoring activities (STRAT + CA) on fifth graders' reading comprehension achievement. SAMPLE: Twenty-two fifth-grade teachers and their 454 students from 19 different schools throughout Flanders (Belgium) participated. METHOD: A quasi-experimental pretest post-test retention test design was used with three experimental (STRAT, STRAT + SA, and STRAT + CA) and a matched control group. The experimental interventions were implemented during an entire school year. RESULTS: Multilevel analysis revealed that the STRAT and STRAT + CA condition made a significantly larger pretest to retention test progress than the control group. The significant major progress was especially situated from pretest to post-test, during which the intervention took place. Concerning the STRAT + SA condition no significant differences with regard to the control group were detected. Pairwise comparisons of the experimental conditions indicated that the STRAT + CA condition's progress from pretest to retention test also exceeded the STRAT + SA condition's advancement significantly. CONCLUSION: The study corroborated the efficacy of the STRAT and STRAT + CA conditions' interventions as feasible tools to enhance fifth graders' reading comprehension achievement.

Belgium↗

PubMed2006

In search of factors in deaf and hearing children's reading comprehension.

The present study examined whether specific item characteristics, such as mode of acquisition (MoA) of word meanings, make reading comprehension tests particularly difficult for deaf children. Reading comprehension data on nearly 13,000 hearing 7-to-12-year-olds and 253 deaf 7-to-20-year-olds were analyzed, divided across test levels from second to sixth grade (not necessarily corresponding to chronological age). Factor analyses across item scores suggested that, of the determinants studied, MoA--referring to the type of information (perceptual, linguistic, or both) used in word meaning acquisition--was the only factor that contributed significantly to deaf and hearing children's reading comprehension. For hearing children, MoA influenced item scores at the third- and fourth-grade levels. For the deaf children, MoA influenced item scores through the sixth-grade level.

Adolescent↗

PubMed2006

Reading in the dark: effects of age and contrast on reading speed and comprehension.

OBJECTIVE: To explore the effects of contrast reduction on younger and older adults' reading behavior and to examine whether readers rely on word predictability to compensate for poor contrast. BACKGROUND: Poor contrast can degrade text and may influence reading behavior. Readers may compensate for visual degradation of text by taking advantage of word predictability. METHOD: In Experiment 1, 5 younger and 5 older adults read sentences presented with 10 levels of contrast. In Experiment 2, 40 younger and 40 older adults read high-, medium-, and low-contrast sentences that varied in target word predictability (high vs. low). RESULTS: Relative to those of younger adults, older adults' reading rates were more slowed by low contrast; comprehension was less influenced by contrast (i.e., not significantly). Older adults read high-predictability words faster and comprehended them better than low-predictability words, significantly so for high- and medium-contrast sentences. Younger adults comprehended high-predictability words significantly better than low-predictability words for high- and low-contrast sentences. CONCLUSION: Low contrast was more detrimental for older adults. High-predictability words benefited older adults by significantly reducing their reading times and benefited all readers by significantly increasing their comprehension. APPLICATION: The current findings demonstrate the benefit of adequate contrast and word predictability for optimal text design to facilitate both reading times and reading comprehension.

Adult↗

PubMed2003

Bimodal displays improve speech comprehension in environments with multiple speakers.

Attending to a single voice when multiple voices are present is a challenging but common occurrence. An experiment was conducted to determine (a) whether presenting a video display of the target speaker aided speech comprehension in an environment with competing voices, and (b) whether the "ventriloquism effect" could be used to enhance comprehension, as found by Driver (1996), using ecologically valid stimuli. Participants listened for target words from videos of an actress reading while simultaneously ignoring the voices of 2 to 4 different actresses. Target-word detection declined as participants had to ignore more distracting voices; however, this decline was reduced when a video display of the target speaker was provided. Neither a signal-detection analysis of performance data nor a gaze-contingent analysis revealed a ventriloquism effect. Providing a video display of a speaker when competing voices are present improves comprehension, but obtaining the ventriloquism effect appears elusive in naturalistic circumstances. Actual or potential applications of this research include those circumstances in which a listener must filter a relevant stream of speech from among multiple, competing voices, such as air traffic control and military environments.

Adolescent↗

PubMed2005

Comprehensive primary care for children with special health care needs in rural areas.

OBJECTIVE: Most research on comprehensive primary care interventions for children with chronic health conditions has been conducted in large urban areas, where child health and related services are readily available. The purpose of this study was to evaluate the feasibility and impact of a medical home demonstration project in a more rural part of the country. METHODS: Fifty-one parents of children with special health care needs participated in a pre-/posttreatment assessment of a program designed to enhance comprehensive and coordinated care. Participants were recruited from 3 primary care practices in a central Midwest state and remained in the program for approximately 12 months. RESULTS: Parents reported significant increases in satisfaction with care coordination and access to mental health services after the intervention. They also noted decreases in family needs, caregiver strain, parents' missed work days, children's school absences, and utilization of ambulatory services. Satisfaction with primary care declined slightly but remained in the "very good" range. Families of children with more complex conditions were more likely to report a decrease in needs after intervention, but other factors, such as geographic location or socioeconomic status, were not related to key outcome variables. CONCLUSIONS: Comprehensive care has a positive effect on children with chronic health conditions and their families, including those who live in more rural areas. Additional study is needed to learn more about rural service delivery strategies that promote implementation of this approach in general practice.

Adolescent↗

PubMedDate not supplied

[Registry of child information in the patient health record and the comprehensiveness of practice].

Having the basic principle of comprehensiveness as one of the main aspects for a healthcare attendance, the Patient Health Record was pointed as an indicator of reality. The objective was to analyze Patient Health Record from two different healthcare units with different healthcare models. One of the healthcare units organized its model on traditional basis (without-FHP) and the other based on "Family Health Program" (with-FHP). 194 child files under 5 years old were analysed. It was observed that the FHP unit records were more frequent, favoring a better comprehension of the health-disease process, the professional integration and a periodic follow-up of the child, promoting a continuous assistance, and as a consequence, a comprehensiveness attendance.

Child, Preschool↗

PubMed2004

[Evaluation of comprehensiveness: ascribing meaning to agreements on goals for local health systems].

As a policy guideline, ideal, or objective, comprehensiveness is a relevant attribute in the evaluation of quality of care and health systems. The article discusses the meaning of the concept of comprehensiveness in practice in some health services and systems, analyzing various methodologies to implement the concept. In Brazil, what prevails is an expanded perception emphasizing the complete, continuous, and coordinated nature of health care and management. The article highlights the importance of combining the evaluation of comprehensiveness with measures of access, suggesting the selection of indicators pertaining to agreements on goals for local health systems and their monitoring. This initiative could enhance the validity of existing evaluation instruments, from a communications perspective.

Brazil↗

PubMedDate not supplied

[Use and comprehension of prepositions by children with Specific Language Impairment].

BACKGROUND: The ability of children with Specific Language Impairment (SLI) to use and comprehend closed-class words. AIM: Acknowledging the increasing search for the characterization of linguistic performance of this population in different languages, as well as the findings of international literature that stress the difficulty of these children in using closed-class grammatical morphemes, the aim of this study was to analyze the performance of children with SLI in tests of production and comprehension of prepositions. The purpose of this research was also to compare the performance of these children to that of their typical language developing peers, in terms of the overall index of correct answers and the most frequent types of errors in both groups. METHOD: An objective test was developed in order to analyze production and comprehension of four types of prepositions that are used to establish the following semantic relations: with (company relation); by (way relation); in, on or at (place/position relations); and to (destination relation). This test was carried out with 19 SLI children and 29 typically developing children (CG--control group), one year younger than the research group. RESULTS: SLI children presented the same pattern of results, although delayed, of children in the CG in the comprehension test. In the task involving production, however, the performance of SLI children was quantitatively and qualitatively inferior to their typical developing controls. This performance was mainly characterized by the omission of prepositions. CONCLUSION: The findings corroborate the view that grammatical words constitute a challenge for SLI children, since they presented many errors that suggest difficulties in the domain of prepositions. The results also emphasized, for the SLI group, deficits in the expressive language.

Age Distribution↗

PubMed1995

Views of leading nurse educators regarding the comprehensive basic nursing programme.

This article describes a Delphi survey amongst nurse educators in South Africa. The aim was to describe their perceptions regarding the reasons for the comprehensive basic nursing programme (CBNP), its aims and expected outcomes. There was general agreement that the programme was necessary, and that it was designed mainly to produce a nurse who could function in a comprehensive health service. Integration of information and economic arguments were also mentioned. Making available a nurse who can deliver a comprehensive service to all people, was also seen as the main aim of the programme. Independent learning, competency in a whole range of skills, the ability to function in a multidisciplinary team and high level cognitive skills were mentioned as additional aims.

Attitude of Health Personnel↗

PubMed2003

[Reading comprehension and working memory: structural equation modeling approach].

We examined the relationship among intelligence, working memory, and reading comprehension using structural equation modeling (SEM). Ninety-six participants were instructed to perform two reading comprehension tests and six cognitive tasks: two verbal intelligence subtests, two spatial intelligence subtests, and two reading span tasks. Three latent variables that were called verbal ability, spatial ability, and working memory were derived from the six cognitive tasks. SEM demonstrated that the latent variables of working memory and verbal ability contribute to reading comprehension, suggesting that central executive functioning related to attention control was mediated among these cognitive abilities.

Adolescent↗

PubMed1976

Comprehensive care revisited.

Although the term comprehensive care has gone out of fashion in medical education, the concept has had a resurgence in attempts to teach primary care and family practice. Review of the early experiments in the teaching of comprehensive care in the 1950s reveals that much that was learned then is not being applied today. Surveys of medical school teaching and graduate training in primary care make it seem likely that there will be insufficient practitioners in the foreseeable future to meet the public need for personal physicians. Restructuring of both medical curricula and the delivery systems for personal health services may be necessary to apply effectively what has long been known about the teaching and practice of comprehensive primary care.

Attitude of Health Personnel↗

PubMedDate not supplied

From breast cancer to Comprehensive Women's Center.

A Comprehensive Women's Center (CWC) is a concept designed to enhance the quality of both patient care and the care experience while increasing patient volumes to hospitals by detection of conditions requiring additional diagnostic interventions or therapeutic interventions. Expanding an existing Breast Center into a Comprehensive Women's Center attracts new patients by diversifying services offered from mammography and breast related services alone to providing services such as bone densitometry, cholesterol screening and even children's immunizations. A Comprehensive Women's Center also positions the hospital as the site of choice for women making healthcare decisions. The CWC will enhance the quality of women's health by increasing compliance with screening guidelines through ease of access and quality of services provided.

Adult↗

PubMed2002

[Comprehensive therapy for chronic bacterial prostatitis: report of 52 cases].

OBJECTIVE: To evaluate the effects of comprehensive therapy for chronic bacterial prostatitis. METHODS: Comprehensive therapy was prescribed for 52 cases of chronic bacterial prostatitis during June, 2000 to June, 2001, and summaries and analysis of the cases were conducted. RESULTS: Of the 52 cases, 27 (51.9%) were cured and 21 (40.4%) had improvement, while 4 (7.7%) did not respond to the treatment. CONCLUSION: Comprehensive therapy may produce satisfactory effects in treatment of chronic bacterial prostatitis.

Adult↗

PubMed2003

[Surgery-predominant comprehensive therapy for 134 patients with small hepatocellular carcinoma].

BACKGROUND & OBJECTIVE: Although surgical resection is the primary choice modality in treatment of small hepatocellular carcinoma(HCC), the 5-year recurrent rate after resection was as high as 35.4%-43.5%. This study was designed to investigate the efficacy of surgery-predominant comprehensive therapy for small HCC in reducing the recurrent rate and improving the outcome. METHODS: A total of 134 cases of small HCC (< or = 5 cm in diameter) received surgery-predominant comprehensive treatment in The Affiliated Tumor Hospital, Guangxi Medical University from 1985 to 2001. The median age of the patients was 45 years old (range,18-70 years). Of 134 cases, 121 were treated with hepatectomy: 16 with irregular hepatectomy, 83 with local radical resection, 12 with regular liver lobe resection or liver segment resection, 2 with left semi-hepatectomy, and 8 with hepatectomy and gallbladder resection. In the other 13 cases of nonresectable small HCC, they received multimodality treatments by various combinations of hepatic artery ligation and anticancer agents by hepatic artery infusion, microwave coagulation, ethanol injection into tumor, cryosurgery,radio-frequency (RF), and hepatic artery chemoembolization therapy. RESULTS: Of 134 HCC patients, 90.3% received liver resection and no operative death occurred. For the surgery group, the 1-, 3-, 5-, and 10-year survival rates were 89.3%, 74.4%, 64.6%, and 43.8%, respectively; the 1-, 3-, and 5-year recurrent rates were 11.9%, 23.8%, and 32.1%, respectively. For the total group,the 1-, 3-,5-, and 10-year survival rates were 88.8%, 72.2%, 63.4%, and 41.7%, respectively; the 1-, 3-, and 5-year recurrent rates were 15.9%, 29.1%, and 36.6%, respectively. CONCLUSIONS: Surgical resection remains primary choice modality in treatment of small HCC; postoperative comprehensive treatment is important for preventing tumor recurrence and improving the long-term results.

Adolescent↗