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PubMed1992

[Rate of success and restenosis of PTCA in patients over 75 years of age].

In 82 patients (pts), ages 75-90 years (52 m, 30 f; mean age 77 +/- 3 years) with mainly unstable angina (59 pts) or acute myocardial infarction (7 pts) a PTCA or recanalization was attempted. Successful PTCA was achieved in 57 of 69 pts (83%); occlusions could be reopened in all six pts with myocardial infarction and totally occluded infarct related artery, and in three of seven pts with stable or unstable angina pectoris. The primary success rate of PTCA alone in pts with unstable angina was 81%, and improved to 92% in pts with stable angina. Sixteen procedures were multiple vessel and six were multiple lesion PTCA, so that the lesion-related success rate of PTCA was higher (87%). One patient died in connection with the procedure (procedure related-mortality 1.2%), two pts underwent myocardial infarction (2.4%), one patient emergency bypass grafting (1.2%). The in-hospital mortality was 4.9% and concerned exclusively patients with unstable angina and unsuccessful procedure. Local complications at the puncture site occurred in two patients. The angiographic restenosis rate of PTCA was 58% (44% in patients with stable and 63% in patients with unstable angina pectoris). Seventeen patients with 19 restenoses had successful repeat PTCA; reintervention failed in two patients. We conclude that PTCA can be performed in patients of old age with a resulting comparable primary success rate as in younger patients. Complications seem to be more frequent. The restenosis rate is higher, but with regard to stable and unstable angina, not significantly so. The prognosis in patients with unstable angina and unsuccessful procedure is apparently unfavorable.

Aged↗

PubMed2005

Succession planning: aligning strategic goals and leadership behaviors.

In the intense health care environment of today, human capital is an organizations most important asset. Leadership and human capital can often differentiate a successful organization from one that is not. In an ongoing effort to develop a strong and capable workforce, many organizations focus exclusively on hiring and training without regard for succession planning; this is a mistake. Succession planning is essential to develop and maintain organizational success. Succession planning supports the development of strong leadership because it leads to increased skills and competencies of staff who can best manage the organization toward achievement of organizational strategic goals. Dealing with the fears and issues surrounding the topic enables leaders to align an organizations strategic goals with its human capital needs to maintain and support leadership transitions and effective organizations.

Humans↗

PubMedDate not supplied

Clinical parameters associated with success and failure of single-tooth titanium plasma-sprayed cylindric implants under stricter criteria: a 5-year retrospective study.

PURPOSE: The purpose of this study was to determine the clinical parameters associated with long-term success and failure of single-tooth titanium plasma-sprayed (TPS) cylindric implants. MATERIALS AND METHODS: Thirty-nine implants in 39 subjects were followed for 5 years. The following data were collected: subject age and gender, implant length, implant location, bone density, and implant position in relation to crestal bone. Assessments made at recall intervals included: Gingival Index (GI), probing depth, relative attachment level, and standardized radiographs. Failure was defined as a mean annual attachment loss rate (ALR) of > or = 0.25 mm after the first year of implant function. Between-group differences were assessed nonparametrically using the Mann-Whitney and chi-square tests. RESULTS: Nineteen implants were considered successes and 20 were considered failures with respective mean ALRs of 0.12 +/- 0.07 mm and 0.42 +/- 0.19 mm. The following factors were associated with success: longer implants (P < .001), lower GI (P < .001), higher bone density (P < .0001), and implant position at the crest or supracrestally (P <.0001). Age, gender, probing depth, and implant location were not related to outcome. CONCLUSIONS: A model using attachment loss as a parameter for success and failure has not been previously utilized. Longer implants, lower GI, higher bone density, and implant position at the crest or supracrestally were clinical factors associated with long-term success of single-tooth TPS cylindric implants in this patient population.

Adult↗

PubMedDate not supplied

[How does success in the 1st cycle of medical school relate to outcome in the 3rd doctorate? Behavior of 1st generation students at the Brussels Free University under the numerus clausus].

The aim of our work was to use the results of the 1st cycle of study in medical school to explore success in 3rd doctorate students in two cohorts (n = 82) of 1st generation students in the numerus clausus system. Because of the homogeneity of mean percentages in the two cohorts and the nil cohort effect on the evolution of performance across study years, the two samples were combined for further analyses. While success (end-of-year percentage) in each of the 3 years of the 1st cycle was positively correlated to success in the other two, the positions (according to ranks) of the students in their group only weakly coincided, if at all, between the 1st cycle and the 3d doctorate. The analysis of correlations between percentages in the 4 years (3 years in the 1st cycle and 3d doctorate) showed that 25% of the variance in the 3d doctorate is shared with outcome in the 1st year and only 7% with that in the 2d year; outcome in the 3d year of the 1st cycle did not contribute at all to outcome in the 3d doctorate. Besides, the chance of an excellent success in the 3d doctorate, defined as being among the 10 best performers, was positively associated to the end-of-year percentage in the 1st year, while neither 2d year nor 3d year results contributed to the prediction, as the logistic regression analysis demonstrated. These results, with a significant contribution of the 1st study year outcome to the success in the 3d doctorate of medical school, were obtained in the context of the numerus clausus and contrast with those obtained in a study preceding this selective procedure, and showing instead the 3d year of the 1st cycle as more predictive. This result could be taken as supporting the very newly established selection process at the end of the 1st study year.

Belgium↗

PubMed2006

[Determinants of attempt and success in smoking cessation among male secondary school students].

OBJECTIVE: To investigate the prevalence of smoking cessation in schoolboys and the possibility of success, and examine the predictors of quitting attempt and success. METHODS: In a cross-sectional survey, self-administered questionnaires were answered by 4658 schoolboys to collect the information including their demographic characteristics, school conditions, smoking and health related knowledge and attitudes, and smoking related behaviors. RESULTS: Of the respondents, 7.6% were identified as regular smokers, and 68.6% of the regular smokers declared having tried to quit smoking in past twelve months but only 17.2% of them had succeeded in quitting. The two most popular motivations of quitting were "worrying about cigarettes harm to health" and "others persuading them to quit". Four influencing factors had significant association with the attempt to quit smoking, including ever having been persuaded to quit, health consideration, smoking mostly in bad mood, parents opposition of smoking. Concerning the possibility of success, ever having ever been exposed to anti-smoking propaganda predicted successful cessation while the boys who always smoked outside of schools tended to fail quitting. CONCLUSION: Most of the smoking adolescents have ever tried to quit although the possibility of success is quite low. It' s necessary and important to combine the power of schools, families and communities in helping adolescents quit smoking with suitable methods considering their physical and psychological characteristics.

Adolescent↗

PubMed2006

[Diurnal dynamics of microclimate at different succession stages of vegetation communities in inner-river wetland of Zhenjiang City].

To study the diurnal dynamics of microclimate at different succession stages of vegetation communities in the inner-river wetland of Zhenjiang City, three typical communities were chosen, and the light intensity, air temperature, soil temperature, and air relative humidity were measured. The results showed that with the succession of barren land --> Phalaris arundinacea --> Phragmites communis, the diurnal mean values of light intensity, air temperature, and soil temperature decreased from 1204.7 micromol x m(-2) x s(-1) to 141.28 micro.mol x m(-2) x s(-1), 32.2 degrees C to 24.9 degrees C, and 21.83 degrees C to 19.47 degrees C, and their daily variations decreased from 1126 micromol x m(-2) x s(-1) to 265 miromol x m(-2) x s(-1), 12.75 degrees C to 4.8 degrees C, and 4.5 degrees C to 2.1 degrees C, respectively. The air relative humidity increased from 58.95% to 87.3%, while its variation decreased from 29.75% to 5.15%. Habitats were open at early succession stage but more closed at late succession stage, microclimatic conditions developed towards much more cloudy, cold, and moist, and microclimate had a less fluctuation. There were definite correlations among the light intensity, air temperature, soil temperature, and air relative humidity in the vegetation communities, but the correlation coefficients among the test factors were differed at different succession stages.

China↗

PubMedDate not supplied

Predictors of survival and technique success after reinsertion of peritoneal dialysis catheter following severe peritonitis.

BACKGROUND: Peritonitis remains the most important complication of peritoneal dialysis (PD). The success rate of restarting PD after severe peritonitis (peritonitis unresolved despite treatment with appropriate antibiotics for 3 days, or fungal or pseudomonas infections) is unclear. We wished to determine PD technique survival and overall mortality when PD is offered to these patients and to identify predictors of successful reinitiation. METHOD: We conducted a retrospective single-center study of 556 patients undergoing PD between January 2000 and December 2001. We collected demographic information from the 106 patients who had their PD catheter removed for peritonitis, details about their dialysis history and peritonitis, and whether they successfully restarted PD and if not, the reason. RESULTS: We divided patients into groups as follows: group 1 (n = 42) underwent catheter reinsertion, group 2 (n = 16) had no medical contraindication to restarting PD but the patients elected to remain on hemodialysis, group 3 (n = 35) were deemed medically unsuitable to return to PD, and group 4 (n = 13) were those that died within 4 weeks of presenting with peritonitis. If there were no medical contraindications, Indo-Asians were more likely to retry PD. In group 1, after a mean follow-up of 20 +/- 7.3 months, 23 of 42 patients restarted PD successfully. Technique survival for group 1 as a whole was 69% at 3 months and 55% at the end of follow-up. Patients of greater dialysis vintage were more likely to develop PD technique failure after restarting. Of those judged suitable for PD, there was no statistically significant difference in the mortality of patients who wished to either restart PD or remain on hemodialysis (group 1 vs group 2). Significant numbers of patients returned successfully to PD after pseudomonas and fungal peritonitis. CONCLUSION: Restarting PD after severe peritonitis was possible and safe. Ethnicity was an important predictor for wanting to retry PD, but not for technique failure: given the choice, Indo-Asians preferred PD and had a higher failure rate after restarting, but this did not reach statistical significance. Only dialysis vintage predicted technique failure. We conclude that, after severe peritonitis, patients should be given the choice to return to PD but risk stratification based on dialysis vintage is important. Patient retraining and creating a backup arteriovenous fistula might minimize morbidity in these high-risk patients.

Adolescent↗

PubMed1991

Ureterorenoscopy: factors influencing success.

The first 100 patients with ureteric calculi to undergo planned ureteroscopy and lithotripsy were retrospectively studied to evaluate the factors which influenced the success of the procedure. All 75 males and 25 females who underwent this procedure had surgical indications to treat the stones. The factors influencing a successful outcome were studied over four different time frames. It was found that the procedure was more successful in females, and lower ureteric stones. The stone size did not affect the outcome as expected. The learning curve was very evident as increased experience produced higher success rates for ureteric access and lithotripsy, less morbidity, shorter operating time and lower open surgery rates. The introduction of the miniscope and laser lithotripsy was however the most significant factor in ensuring a successful outcome.

Adult↗

PubMed1991

Validation of physiologic predictors of successful telescopic spectacle use in low vision.

A group of 32 patients with low vision who were considered clinically appropriate candidates for visual rehabilitation with telescopic spectacles were prospectively studied before the first attempted use of these visual aids. Laboratory measurements were made of: (1) rotational head stability in pitch and yaw during quiet standing; (2) sensitivity of visual acuity with telescopic spectacles to imposed yaw head motion; and (3) ocular stabilization reflexes during passive, whole-body rotation in the horizontal plane. Predicted likelihood of successful use of telescopic spectacles was prospectively computed for each patient using the measurement of head stability in the pitch axis and the sensitivity of visual acuity with telescopic spectacles to head motion using a previously described statistical method. Patients were then given telescopic spectacles, and functional success was evaluated in the field at least 6 weeks later by independent masked observers. Although corrected visual acuities did not differ in the 24 patients in whom rehabilitation was successful or in the 8 patients in whom it was not, successful patients had statistically significantly less (P less than 0.05) angular head instability in pitch and yaw, as well as less impairment of visual acuity with telescopic spectacles during head motion. This finding was confirmed in a more clinically homogeneous subgroup of 16 patients who had low vision due to maculopathy. Gains of the 0.1 Hz horizontal vestibulo-ocular reflex (VOR) and visual-vestibulo-ocular reflex (VVOR) with 4X telescopic spectacles did not differ between patients in whom rehabilitation was successful and those in whom it was not.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

PubMedDate not supplied

Factors involved in successful psychotherapy referral in rural primary care.

Many primary care patients are identified as needing psychotherapy. Often family physicians choose to refer these patients for comprehensive treatment, yet psychotherapy referrals are traditionally difficult to transact successfully in comparison with referrals for other biomedical complaints. Previous reports have been published on the beliefs held by family physicians and psychologists regarding factors that affect the success of a referral. This follow-up study reviewed 138 referrals from rural family physicians to psychotherapists. Fifty-nine percent of the referrals were considered successful by the family physicians and 73% by the patients. Successful psychotherapy referral, as evaluated by physicians, was related to psychotherapist-initiated post-referral communication with the referring physician. There was no relationship between success of referral outcome and the number of preparatory (or follow-up) visits with the physician, physician's knowledge about the psychotherapy process, patient economic status, or insurance coverage. However, attending more than one therapy session was associated with the number of physician visits prior to referral, distance to the therapist's office, and referral by a physician who included counseling in his or her practice. Findings indicate that when physicians are kept informed about patients' treatment, they are more likely to evaluate the treatments as beneficial.

Adult↗

PubMed1991

[Determinants of pride and shame: outcome, expected success and attribution].

In two experiments we investigated the relationship between subjective probability of success and pride and shame. According to Atkinson (1957), pride (the incentive of success) is an inverse linear function of the probability of success, shame (the incentive of failure) being a negative linear function. Attribution theory predicts an inverse U-shaped relationship between subjective probability of success and pride and shame. The results presented here are at variance with both theories: Pride and shame do not vary with subjective probability of success. However, pride and shame are systematically correlated with internal attributions of action outcome.

Achievement↗

PubMed1988

Success and complication rates of coronary angioplasty in patients with and without previous myocardial infarction.

The primary success rate and incidence of major complications have been retrospectively assessed in a consecutive series of 224 patients undergoing percutaneous transluminal coronary angioplasty (PTCA) in one centre. The patients have been divided into three groups; those with angina and no previous myocardial infarction (Group 1; N = 130), those with angina and a previous transmural myocardial infarction (TMI) (Group 2; N = 59), and those with angina and a previous non-transmural myocardial infarction (NTMI) (Group 3; N = 26). The three groups were well matched for age, gender and angiographic severity of stenosis. The primary success rate in Group 1 was 90% compared to 64% in Group 2. The success rate in Group 3 lay in between at 77%. The lower success rates in Groups 2 and 3 were mainly due to an increase in the frequency of major complications. Acute coronary occlusion occurred in seven patients in Group 1, nine patients in Group 2 and four patients in Group 3. In all these patients in Groups 2 and 3 the outcome of acute occlusion was a procedure-related clinical myocardial infarction despite immediate re-angioplasty and/or emergency coronary artery bypass grafting whereas only four patients in Group 1 sustained an acute infarct. In this series of patients undergoing coronary angioplasty for symptom limiting angina, previous myocardial infarction appears to be a risk factor for a lower success rate mainly due to an increase in the frequency and severity of major complications.

Adult↗

PubMed1986

[Levels of thyroxine, beta carotene and vitamin A during successful and unsuccessful insemination of heifers].

We studied the concentrations of thyroxine (T4), beta-carotene and vitamin A (vit. A) on the day (zero-th day) of the first successful and unsuccessful insemination of 63 heifers that were administered feed rations balanced according to the Czechoslovak standard CSN 46,7070, housed all the year round, inseminated at uniform time (8:00-9:00 a. m.) and with blood samplings at uniform time (10:00-12:00 a. m.). In the repeat-breeder heifers during the first insemination the above parameters were determined in the same conditions on the day of their second, or third successful and also unsuccessful insemination; the changes relevant to the first insemination were evaluated. In relation to the day of the first successful insemination, we recorded a significant increase in T4 concentration (P less than 0.001; P less than 0.001) on the day of the second, or third successful inseminations. During the second insemination we recorded significantly lower T4 concentrations in the cows which had failed to be inseminated in comparison with successfully inseminated cows; these concentrations did not differ significantly from T4 concentrations in the heifers that failed to become pregnant in the first insemination. Parallelly with the rise in T4 concentration, beta-carotene concentrations also increased during the second and third inseminations (P greater than 0.05). No difference was recorded in beta-carotene concentrations after the first and second unsuccessful inseminations.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

PubMed1987

The effect of cigarette smoking on the long term success rates of aortofemoral and femoropopliteal reconstructions.

Cigarette smoking is a recognized causative factor in the genesis of arterial insufficiency, but the precise effect of nonsmoking on the success of the operation is not well documented. Three hundred and twenty-six patients who underwent aortobifemoral bypass (209) or femoropopliteal bypass (117) between 1969 and 1978 were observed to determine whether or not the discontinuation of cigarette smoking affected the long term results of these grafts. Patients were divided into three groups: group 1 smoked preoperatively and postoperatively; group 2 smoked preoperatively but not postoperatively, and group 3 did not smoke at all. The five year cumulative success rates for aortobifemoral bypass in the groups were: 42 per cent for group 1 (130 patients); 77 per cent for group 2 (67 patients), and 71 per cent for group 3 (12 patients) (p less than 0.001). In the femoropopliteal group, the variation with regard to the known patency rates of autogenous and prosthetic grafts made the results more difficult to assess. For all grafts the five year cumulative success rates were: 38 per cent of group 1 (57 patients); 33 per cent for group 2 (40 patients), and 70 per cent for group 3 (20 patients) (p less than 0.001). Subdivision of groups 1 and 2 into autogenous and synthetic grafts gave identical success rates of 54 per cent for long saphenous vein grafts (66). Prosthetic grafts were successful at five years in 19 per cent of the patients in group 1 (16 patients) and 43 per cent in group 2 (15 patients). These results were not significant. These results clearly favor the postoperative nonsmoker over the smoker in the aortofemoral group but the distinction in the femoropopliteal group is less clear, although there is a similar trend.

Aorta↗

PubMed1986

Correlates of success of graduates of a coordinated undergraduate program.

Significant relationships were identified between dietetic student characteristics, several predictors of success, and success variables. Grades earned during the junior and senior college years were positively correlated, and the number of examinations on which the student failed to score 80% were negatively correlated with academic success in the preprofessional phase of the CUP. No relationship between professional behavior scores and any of the predictors was identified. Success in the registration examination for dietitians was positively correlated with both course grades and ACT scores; however, registration examination scores were not correlated with employers' assessments of the graduates' competence. Number of salary increases was significantly, positively related to extracurricular college activities, work experience, mathematics ACT scores, and preprofessional science grades. ACT scores, preprofessional science grades, and work experience prior to admission to the professional phase of the CUP were positively related to obtaining advanced degrees. Advanced degrees were also significantly, positively correlated with continuing education and dietetic association activities. The amount of professional and community involvement was best predicted from college extracurricular activities. Of all the predictors studied, preprofessional science grades and overall GPA were significantly, positively correlated with more success measures than any other predictors.

Achievement↗

PubMed1986

The relationship between selected psychological traits and fear of success in senior elite level wrestlers.

The present study sought to examine the relationship between selected psychological traits as measured by the Institute for Personality and Ability Testing (IPAT) 16 PF inventory and fear of success as measured by the Fear of Success Scale (FOSS). The subjects were 36 Senior elite wrestlers (age 20-25) who were invited to the Colorado Springs Olympic Training Center to prepare for an up-coming inter-national competition. A stepwise multiple regression analysis revealed that the following 16 PF factors predicted fear of success (p less than .05): IPAT-Q4, IPAT-L, IPAT-E, and IPAT-O. The multiple R was .75 and the R2 was 57.78%. Interpretation of the results suggest that while this sample of Senior elite wrestlers generally exhibit extremely low fear of success scores, athletes who are tense, frustrated, apprehensive, submissive, humble, and trusting tend to be more fearful of the consequences of success than those who are relaxed, unfrustrated, self-assured, assertive, competitive, and suspecting.

Achievement↗

PubMed1986

Mobile arm supports: criteria for successful use in muscle disease patients.

Twenty-nine subjects who had been fitted with mobile arm supports 6 months to 11 years prior to the initiation of this study were evaluated to determine criteria for successful use of such supports. All subjects were diagnosed as having Duchenne muscular dystrophy or spinal muscular atrophy. Three methods were used to collect data: 1) review of medical charts, 2) interview with patient and family member(s), and 3) observation of the patient in his wheelchair for sitting stability, adjustment and control of the mobile arm support, and speed and efficiency in self-feeding with and without the support. The physical criteria previously established for optimal use were met by the successful users in the sample except for presence of elbow flexion contractures. Among those who had curvature of the spine, spinal fusion increased the percentage of successful users of mobile arm supports. Successful use declined with muscle grades of below poor in elbow flexors. The incidence of success was greater when the tasks of self-feeding, driving a motorized wheelchair and performing leisure skills could be accomplished only with the support. Primary reasons for early rejection of the support were related to attitude toward the equipment, influence of the social support system, and patterns of activities performed with the equipment.

Activities of Daily Living↗

PubMed1985

Successful rural black adolescents: a psychosocial profile.

The purpose of this study was to investigate important psychosocial variables associated with the educational development of black adolescents in a southern rural environment. The study explored factors related to academic and social success among rural black adolescents. The focus of the investigation was on identifying psychological and social variables which may successfully influence the transaction between black youth and the rural educational system. Such success variables are important for research because of the traditional emphasis in the social sciences on concepts of deficit in the person-environment interactions of black youth. This article presents a profile of successful black adolescents in a rural school system in the Southeast. The profile was developed from personal interviews with 68 black students identified by teachers as successful, often despite social or economic hardship. The implications for future research and rural educational policy and program from the profile are discussed.

Achievement↗