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PubMed1998

Characteristics of long-term cannabis users in Sydney, Australia.

Two hundred long-term cannabis users (58% male) were interviewed on their characteristics and experience of use. Respondents had been regularly using cannabis for an average of 11 years and more than half used daily (56%). The most common route of administration was in a waterpipe, and nearly all (93%) smoked the flowering heads ot the plant. One in 5 (21%) had a cannabis-related conviction. The benefits of use were perceived to be its relaxing, mood-enhancing effects, and its ability to alter consciousness. The most commonly cited negative aspects of use were cost, negative psychological effects and legal status. Polydrug use was common, with alcohol and tobacco almost universally used on a regular basis. More than half the drinkers in the sample were consuming alcohol at hazardous or harmful levels.

Adolescent↗

PubMed1997

The PsyScope experiment-building system.

PsyScope is a system for building behavioral experiments on the Apple Macintosh computer using a graphic user interface that requires no computer programming. The program supports a wide variety of experimental designs, multimedia formats, and stimulus control. A freeware version is available at the author's web site.

Computer Communication Networks↗

PubMed1985

Performance of a quality-assessment scheme for blood glucose meters in general practice.

We describe our experience with a quality-assessment scheme for Glucometer users in General Practice based on simultaneous blood samples taken on filter paper strips and posted to the laboratory. The accuracy of results from these blood glucose meters outside the laboratory was below generally accepted laboratory standards; 30% of results fell outside +/- 20% of the laboratory value. Only 58% of the filter paper strips sent out were returned for analysis, suggesting a lack of awareness of the benefits and importance of such a scheme by the G.P. Glucometer users.

Blood Glucose↗

PubMed2005

Recognition of delirium in ICU patients: a diagnostic study of the NEECHAM confusion scale in ICU patients.

BACKGROUND: A delirium, is a serious, high-frequency complication in intensive care unit (ICU) patients. The consequences of this complication range from high morbidity and mortality to greater need for nursing care. Despite these, delirium is often not recognized and there for not treated. In this study a nursing screening instrument, the NEECHAM confusion scale, was studied for early recognition of delirium ICU patients. This scale proved valid and reliable in several studies in the general hospital population. METHODS: In this study validity and reliability were tested in a prospective cohort of 105 patients. Gold standard for delirium was an independent DSM-IV diagnosis. User friendliness was tested by structured evaluation of nurses' experiences working with the scale. RESULTS: The NEECHAM confusion scale showed high internal consistency (Cronbach's alpha 0.88) and an interrater reliability of Cohen's Kappa 0.60. The concurrent validity with the DSM-IVcriteria showed a strong link (chi-square 67.52, p [less than or equal to] 0.001). Sensitivity was high, 97% and specificity was good 83%. ICU nurses completed the NEECHAM confusion rating in 3.69, +/- 1.21 minutes average. In general the nurses were positive about the NEECHAM confusion scale. They were able to collect data during regular care, but experienced problems in rating the scale in intubated patients. The items in themselves were clear, the content validity, measured by the language used was rated good. CONCLUSION: The psychometric characteristics of the NEECHAM confusion scale of this ICU study are generally consistent with validity research previously reported for the general hospital population. The psychometric characteristics and the ease of use of the NEECHAM confusion scale enables ICU nurses to early recognize delirium. Further study, especially in intubed patients is recommended.

Journal Article↗

PubMed1993

Demographic and audiological profiles of deaf children in Texas with cochlear implants.

This paper reports the findings of a study that examined the demographic, educational, and audiological characteristics of a sample of children in Texas who had received cochlear implants. Children who had received implants and children who had not were compared. Differences between the two groups are discussed in the context of the criteria that have been published in the literature for selecting implant candidates. Results indicate that although the published selection criteria were predictive of the characteristics of the implanted sample, there was a degree of flexibility in applying the criteria to choose implant recipients. Audiological comparisons revealed that cochlear implant recipients experience greater reductions in average hearing thresholds than do users of conventional aids, although these findings should be viewed as preliminary.

Achievement↗

PubMed2006

Mining microarray data at NCBI's Gene Expression Omnibus (GEO)*.

The Gene Expression Omnibus (GEO) at the National Center for Biotechnology Information (NCBI) has emerged as the leading fully public repository for gene expression data. This chapter describes how to use Web-based interfaces, applications, and graphics to effectively explore, visualize, and interpret the hundreds of microarray studies and millions of gene expression patterns stored in GEO. Data can be examined from both experiment-centric and gene-centric perspectives using user-friendly tools that do not require specialized expertise in microarray analysis or time-consuming download of massive data sets. The GEO database is publicly accessible through the World Wide Web at http://www.ncbi.nlm.nih.gov/geo.

Algorithms↗

PubMed1994

Acculturation, sexual behavior, and alcohol use among Latinas.

We explored the relationship of alcohol use to unsafe sex in Latinas. Telephone interviews were conducted with 523 currently sexually active Latinas aged 18-49 years. Only 7.5% of these women used alcohol half of the time or more prior to sex. "Regular" alcohol users had more sexual partners, but also had more experience with condom use, used condoms with primary partners as frequently as nonusers of alcohol, and used condoms more with secondary partners. While Latinas who use alcohol prior to sex more often have multiple sexual partners, alcohol use does not appear to interfere with condom use.

Acculturation↗

PubMed1996

Data exchange in the European pharmacovigilance.

Recent research work on feasible solutions for electronic data exchanges in the european pharmacovigilance domain (EPhV) has facilitated a better understanding on strategic and operational factors inherent to such a class of transnational vigilance information systems. Most of the material presented here has resulted from the CARE-Pharmacovigilance Pilot project of the ENS-Telematics Programme, and from other subsequent research activities like the IDA feasibility study and the TEDIS-EuroSCape project. Attention has been paid to design principles and features of a communication scheme that must be used to support cooperative problem solving within a network of loosely connected autonomous and hetereogeneous agents. Experience confirmed two key-success factors: a) the users leading role, and b) the Pilot approach putting the focus on standardized electronic data interchange for communicating existing different local systems.

Adverse Drug Reaction Reporting Systems↗

PubMed1999

Peripheral database module for clinical management and research in sleep medicine.

Hospital-wide information systems may provide economical solutions for communication processes or for documentation by means of centralized digital medical records. Within a large university hospital, however, there may be too many diverse subspecialties and too many special medical procedures to be supported comprehensively by a single database information system. A peripheral modular system has been tailored to the specific needs of a sleep disorder clinic as an adjunct to the main clinical information system. The client server application allows for automatic data acquisition by on-line devices and by a graphical user interface. It supports administrative tasks for patient management, specific encounter interactions and data retrieval for research. Performance and acceptance of the system was assessed during clinical use, revealing positive response by the users, also with respect to significant time savings. Our experience suggests that the concept of peripheral database modules as "satellites" to a main clinical system provides flexibility in design and implementation of the specialized databases while providing access to data of more general relevance via the main database.

Database Management Systems↗

PubMed2000

Stentless freestyle aortic valve/root bioprostheses: a northern Ontario community hospital perspective.

OBJECTIVE: To examine the controversial issues of postoperative aortic insufficiency (AI), operative mortality and length of hospital stay (LOS) following stentless Freestyle aortic valve replacement (AVR). SETTING: All surgeries were performed in a small northern community hospital (Sudbury Regional Hospital, Sudbury, Ontario). DESIGN: Retrospective study of all stentless AVRs and all stented AVRs from May 1996 to December 1998, and isolated coronary artey bypasses (CABGs) done in 1996/97. PATIENTS: Patients were not selected. All consecutive patients requiring bioprosthetic AVR during this period, regardless of risk, complexity or urgency, were included. In total, 112 stentless AVRs, 138 stented AVRs and 432 isolated CABGs were examined. MAIN RESULTS: AI was rare following stentless AVRs: no significant valvular AI and only 0.9% significant paravalvular AI occurred. The incidence of AI was significantly greater with continuous than with interrupted proximal suturing (P=0. 016). No valve thromboses, thromboemboli or structural failure occurred during 3.8 years of follow-up of the stentless AVRs. The LOS for stentless AVRs was no longer than for stented AVRs or for isolated CABGs. No significant difference was found in the operative mortality following stentless and stented AVRs. The early mortality rate of 1.8% for stentless AVRs was not affected by preoperative risk strata, complexity or urgency. CONCLUSIONS: Early morbidity with stentless AVRs was comparable and LOS was no longer than with stented AVRs. The use of Freestyle bioprosthesis in itself did not result in greater operative mortality, regardless of risk, complexity or urgency of the procedure. Consistent reproducible techniques and experience improve postoperative outcome. It is essential that potential users carefully learn safe and effective surgical techniques to avoid adverse outcomes during the learning curve.

Adult↗

PubMed2002

[From tobacco use to other drugs use: does the early use of tobacco increase the probability of use of other drugs].

OBJECTIVE: To assess the likelihood of substance abuse predicted by age of first exposure to tobacco. MATERIAL AND METHODS: Data from the 1998 National Household Survey on Addictions in urban areas were analyzed. RESULTS: The age period of greater likelihood of drug experimentation is between 15 and 19 years; only 5.6% of drug users and 13% of alcohol beverage drinkers reported having experimented with drugs before trying tobacco. The probability of heavy drinking and dependence was higher at early ages of first exposure to tobacco and decreased with increasing age. Experimentation with drugs, continued use, and multiple drug use, are more frequent among smokers who started before 15 years of age. CONCLUSIONS: Early tobacco use increases the likelihood of substance abuse.

Adolescent↗

PubMed2004

Computer-based drug ordering: evaluation of interaction with a decision-support system.

Provider order entry systems (POE) often incorporate active decision-support component for drug dosing. The efficacy of automated alerts that suggest dose amounts to the clinician in real time depends in part on how well they are timed to fit into the decision process and on their representational structure. We have conducted a cognitive evaluation of an interaction with a POE system that offered active decision support for heparin dosing with the goal of characterizing its effectiveness and opportunities for error. Two researchers completed a cognitive walk-through of an ordering task based on a clinical scenario. In addition, seven clinicians were asked to enter a set of orders in an experiment using the same scenario. The analysis revealed that users without a solid conceptual knowledge of the ordering system followed patterns of inefficient interactive behavior resulting in delays and some errors. Physicians often did not take full advantage of automatic dose computation provided by a decision support component and used it largely as reference. The calculated dose was not perceptually salient in the generated alert and required users to engage in meaning interpretation of the displayed information. Better visual presentation of the alert message would likely result in faster and less cognitively demanding interaction.

Anticoagulants↗

PubMed2004

[Evaluation of a pilot study on needle and syringe exchange program among injecting drug users in a community in Guangdong, China].

OBJECTIVE: To evaluate the feasibility and effectiveness of needle and syringe exchange program among a community of injecting drug users (IDUs) on AIDS prevention. METHODS: A quasi-experiment design was used in a controlled community intervention study. Needle and syringe exchange program was implemented for 10 months in IDUs of an intervention community, including peer education and health education, provision of free needles and syringes, and collecting back of used needles and syringes by trained peer educators and local health workers, whereas no intervention measure in a control community was instituted. Interviews with IDUs were conducted before and after intervention with a snowballing strategy to evaluate its effectiveness. RESULTS: A total of 428 and 429 IDUs were interviewed with structured questionnaire before and after intervention in intervention and control communities, respectively. Results revealed that awareness of HIV-related knowledge increased from 29.4% to 58.7% in the intervention community. Multivariate logistic regression analysis showed that awareness of HIV-related knowledge was higher in those who had read health education materials (OR = 2.93, 95% CI 2.12 - 4.04). As compared with the baseline data, frequency of sharing needles and syringes in past 30 days in the intervention community decreased from 48.9% to 20.4% in before intervention community (chi(2) = 41.02, P = 0.001), whereas there was no significant change in the control community. The causes of sharing needles and syringes in the intervention community included 'disable to get needle and syringe during the night', 'lack of needle and syringe when injecting at friend's home', 'not daring to buy needle and syringe for fear of being arrested' and 'no money to buy needle and syringe', declined markedly. CONCLUSIONS: Needle and syringe exchange program was feasible and effective in reducing their risky drug injecting behavior among IDUs in communities. Such strategy should be adopted in the country to reduce rapid spread of HIV.

Adult↗

PubMed1979

[Transportable communication and environmental control device for the profoundly handicapped (author's transl)].

At the centre for the physically handicapped in Weingarten/Württemberg (Federal Republic of Germany) a multidisciplinary approach has been made to develop a experimental model of a communication device for the profoundly handicapped, which is transportable and can easily be handled and adapted to motor and cognitive abilities. This tool is available free of charge for a test period after which the user is required to give a report of his experiences, which will provide the basis for models which will be marketed.

Communication↗

PubMed1991

[Computer selection of thrombocyte donors based on the HLA system].

Thrombocyte concentrates are vitally important in thrombocytopenic types of haemorrhage. If repeated transfusions are necessary, they are associated with immunological reactions, which cause side-effects in the recipient and the transfusion is ineffective. Donors should be selected according to the HLA system. The authors prepared a programme in the Redap language for selection of donors according to HLA antigens (loci A and B) which respects cross reactions and split antigens. The donor is selected by the grade of agreement with the recipient. The authors differentiate between nine possibilities from complete agreement to complete disagreement between donor and recipient. The initial experience revealed that the programme is feasible for the user and is sufficiently quick.

Blood Donors↗

PubMed1991

Measurement and monitoring of pulmonary function.

Several computerized systems that allow the collection of data for measurements of pulmonary function have been developed. Although many of these systems eliminate distorted and incomplete breaths from the analysis, there are still many possibilities for error secondary to the inexperience of the user or to patient-related factors. Training and experience with the use of these instruments is essential to obtain reliable results. A clear understanding of all the principles, the assumptions, and limitations affecting the measurements is also essential. The methodology underlying these systems is reviewed. In addition, the commercially available equipment needs to be standardized from an engineering point of view, to assure that the components used have the proper frequency response, that the signals are collected at proper rates, that calibration is simple and accurate, and that the analysis of the data is correct. Systems should be standardized against a lung model.

Airway Resistance↗

PubMed1991

Psychological absorption. Affect investment in marijuana intoxication.

Absorption (a trait capacity for total attentional involvement) was reported to increase during episodes of marijuana intoxication. Several subsets of the absorption scale items specifically characterized marijuana intoxication, and groups of users and nonusers showed differential affective involvement with these experiences. Additionally, within the drug-using group, a positive correlation between frequency of marijuana use and affective ratings of these experiences was found. The findings support the hypothesis that a specific type of alteration in consciousness that enhances capacity for total attentional involvement (absorption) characterizes marijuana intoxication, and that this enhancement may act as a reinforcer, possibly influencing future use.

Adult↗

PubMedDate not supplied

[Current status of bath water treatment techniques].

The Federal German DIN standard No. 19644 that has been enforced in West Germany since 1989 had to be revised in view of the fact that German legislation is expected to issue an ordinance on swimming pool and public bath water within the framework of the Federal Communicable Diseases Act; furthermore, the need for revision also arose from the solution of the hygienic problems of treatment and disinfection of warm whirlpool water, and from the necessity of modifying several now outdated regulations. It is the aim of public health legislation to prevent health risks of bathers and of attendant staff by Legionella pneumophila in all types of basins with additional water cycles and intake of air (aerosol formation); likewise, adverse health effects of side reaction products of the disinfectant chlorine (i. e. chloroamines and halogenated organic compounds, especially the trihalomethanes) must be avoided. Recent research has shown that these aims can be achieved by altering the mode of running and backwashing filters of all process combinations including those using ozone and introducing an additional absorption on powdered activated carbon, and the process combination of flocculation-filtration-chlorination. Improved treatment would be without effect if turnover rates could not be assessed reliably for basins of irregular geometry--as they are preferably used today--operated with additional water cycles involving intake of air. Lack of costly investigations prompts users to estimate turnover rates on the basis of experience collected with basins of square or rectangular dimensions.

Baths↗