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At least 145 records · Page 8Linked to original sources
PubMed2001

Rethinking maternal sensitivity: mothers' comments on infants' mental processes predict security of attachment at 12 months.

This study investigated predictors of attachment security in a play context using a sample of 71 mothers and their 6-month-old infants. We sought to rethink the concept of maternal sensitivity by focusing on mothers' ability accurately to read the mental states governing infant behaviour. Five categories were devised to assess this ability, four of which were dependent on maternal responses to infant behaviours, such as object-directed activity. The fifth, mothers' Appropriate minded-related comments, assessed individual differences in mothers' proclivity to comment appropriately on their infants' mental states and processes. Higher scores in this fifth category related to a secure attachment relationship at 12 months. Maternal sensitivity and Appropriate mind-related comments were independent predictors of attachment security at 12 months, respectively accounting for 6.5% and 12.7% of its variance. We suggest that these findings are in line with current theorising on internal working models of attachment, and may help to explain security-related differences in mentalising abilities.

Adult↗
PubMed2000

Medicare program; revisions to payment policies under the physician fee schedule for calendar year 2001. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.

This final rule with comment period makes several changes affecting Medicare Part B payment. The changes include: refinement of resource-based practice expense relative value units (RVUs); the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification and recertification for home health services; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; antigen supply; and the implantation of ventricular assist devices. This rule also addresses the comments received on the May 3, 2000 interim final rule on the supplemental survey criteria and makes modifications to the criteria for data submitted in 2001. Based on public comments we are withdrawing our proposals related to the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators and low intensity ultrasound. This final rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, HCPCS "G" Codes, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. In addition, we are finalizing the calendar year (CY) 2000 interim physician work RVUs and are issuing interim RVUs for new and revised codes for CY 2001. We are making these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also announces the CY 2001 Medicare physician fee schedule conversion factor under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Social Security Act. The 2001 Medicare physician fee schedule conversion factor is $38.2581.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2001

Medicare program; revisions to payment policies and five-year review of and adjustments to the relative value units under the physician fee schedule for calendar year 2002. Final rule with comment period.

This final rule with comment period makes several changes affecting Medicare Part B payment. The changes affect: refinement of resource-based practice expense relative value units (RVUs); services and supplies incident to a physician's professional service;anesthesia base unit variations;recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. It also addresses comments received on the June 8, 2001 proposed notice for the 5-year review of work RVUs and finalizes these work RVUs. In addition,we acknowledge comments received on our request for information on our policy for CPT modifier 62 that is used to report the work of co-surgeons. The rule also updates the list of certain services subject to the physician self-referral prohibitions to reflect changes to CPT codes and Healthcare Common Procedure Coding System codes effective January 1, 2002. These refinements and changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 modernizes the mammography screening benefit and authorizes payment under the physician fee schedule effective January 1, 2002; provides for biennial screening pelvic examinations for certain beneficiaries effective July 1, 2001; provides for annual glaucoma screenings for high-risk beneficiaries effective January 1,2002; expands coverage for screening colonoscopies to all beneficiaries effective July 1, 2001; establishes coverage for medical nutrition therapy services for certain beneficiaries effective January 1, 2002; expands payment for telehealth services effective October 1, 2001; requires certain Indian Health Service providers to be paid for some services under the physician fee schedule effective July 1, 2001; and revises the payment for certain physician pathology services effective January 1, 2001. This final rule will conform our regulations to reflect these statutory provisions. In addition, we are finalizing the calendar year (CY) 2001 interim RVUs and are issuing interim RVUs for new and revised procedure codes for calendar year (CY) 2002. As required by the statute, we are announcing that the physician fee schedule update for CY2002 is -4.8 percent, the initial estimate of the Sustainable Growth Rate (SGR) for CY 2002 is 5.6 percent, and the conversion factor for CY 2002 is $36.1992.

Fee Schedules↗
PubMed1999

Dental assistants of Indiana: comments from the front lines.

During the summer of 1996, a random sample survey of 1500 Indiana dental assistants licensed in radiology by the Indiana State Board of Health was conducted. Surveys were mailed to participants, and follow-up postcard reminders were sent out a few weeks later. There were 569 surveys returned, representing a 38 percent return rate. Numerical data were coded and entered in an SPSS program, and written comments were analyzed independently by the co-authors. Major demographic data and many categories of open-ended comments are summarized and analyzed in this paper. Results from this survey underscore the necessity for wages being improved in the dental assisting field. Comments underscore the fact that many dental assistants are not satisfied with their jobs and therefore may not be committed to either their careers or their employers. Office climate and relationships with the dentist are also described as being very important.

Adolescent↗
PubMed1980

Legislative comment: nursing home patients' rights in Massachusetts: current protection and recommendations for improvement.

Several Massachusetts laws, including the recently enacted Patients' Bill of Rights, protect the rights of nursing home patients. Although these laws address many of the problems that such patients face, they do not adequately meet all of the unique needs of this vulnerable group. This Comment discusses safeguards afforded by current Massachusetts law that are particularly important for nursing home patients, and recommends improvements that would secure more adequate protection for their rights. The Comment also analyzes some of Massachusetts law's shortcomings in implementation and enforcement, in forum selection and in limitations on standing, and suggests improvements in these areas. Finally, the Comment proposes the enactment of a comprehensive Bill of Rights for Nursing Home Patients in order to address their unique needs more adequately, and to eliminate the duplicative, vague, and confusing provisions contained in current law.

Aged↗
PubMed2002

Family rituals--from research to the consulting room and back again: comment on the special section.

This article offers a comment on the special research section on Family Routines and Rituals from the point of view of a family therapist who has made the use of rituals a specialty in clinical practice. Ways that the research usefully informs clinicians seeking to use rituals in therapy are highlighted. A critique of the articles, particularly in the area of ritual definition, is offered. The comment concludes with several suggestions for future research.

Ceremonial Behavior↗
PubMed1999

Concept of and preliminary trial protocol for adjuvant treatment of mediastinitis with immunoglobulins after cardiac surgery (ATMI): response to comments and criticism.

During the consensus-based process of protocol development external experts were invited to comment on a proposal for a trial protocol on adjuvant immunotreatment of patients with wound infection after median sternotomy (ATMI). Controversies and arguments can be divided into five main areas: 1) rationale and objectives; 2) criteria for patient selection; 3) adjuvant treatment; 4) measures of efficacy; and 5) course and timetable of the study. We present and summarise the experts comments and criticism as well as the result of the final discussion of the study group with respect to these areas.

APACHE↗
PubMedDate not supplied

Patient comments concerning psychiatric hospitalization.

During the past decade increasing attention has been paid to consumer assessment of mental health services. This study summarizes and interprets the comments made by 1457 adults and 474 adolescents concerning their inpatient care at a large private psychiatric hospital. Although adult and adolescent comments evidenced many similarities, adolescents tended to give a greater number of responses and to be more critical of hospitalization than were adults. Comparisons with previous research also supported findings that individual therapy is the most highly valued treatment modality, while food, finances, and living conditions are the most commonly criticized aspects of psychiatric hospitalization.

Adolescent↗
PubMed1979

Patients' comments on psychiatric inpatient treatment experiences: patient-therapist relationships and their implications for treatment outcome.

Only few researchers pay systematic attention to what patients may have to say about their treatment experience during psychiatric hospitalization. This study not only delineates the various therapeutic aspects of an open psychiatric inpatient unit based on the patients' comments, but also attempts to correlate the data with the objective outcome of treatment rated clinically by the therapists and independently by the author. Positive patient-therapist relationship has been found to be the most significant factor correlated closely with the treatment outcome. The correlation may support the relevance of the patients' comments regarding subjectively perceived therapeutic benefits vs. objective actual benefits.

Adolescent↗
PubMed1977

Fundamental comments on cell polarography according to Velazquez and Rosado.

Some fundamental comments are made on cell polarography according to Velázquez and Rosado (Fertil Steril 23:562, 1972). The results which they have obtained cannot be reliable because fundamental mistakes are made against the principles of the electroanalytic techniques used. We comment upon the conductometry, the amperometric titrations, and the alternating-current polarography as carried out by Velázquez and Rosado.

Electrophysiology↗
PubMed2002

Isthmiophora Lühe, 1909 and Euparyphium Dietz, 1909 (Digenea: Echinostomatidae) re-defined, with comments on their nominal species.

The validity of Isthmiophora Lühe, 1909 in relation to Euparyphium Dietz, 1909 is discussed and confirmed. Isthmiophora melis Schrank, 1788) [the type-species] and I. inermis (Fuhrmann, 1904) n. comb. are redescribed, and diagnoses are given for both genera, along with lists of their presently-accepted constituent species which are commented upon where necessary. A similar list of species previously allocated to these genera is also presented with comments on their current status. A key to the species of Isthmiophora is included. New combinations for species previously attributed to Euparyphium are: Isthmiophora inermis (Fuhrmann, 1904) n. comb., I. beaveri (Yamaguti, 1958) n. comb., I. lukjanovi (Chertkova, 1971) n. comb., I. citellicola (Kadenatsii in Skrjabin & Bashkirova, 1956) n. comb., I. hortensis (Asada, 1926) n. comb., Echinostoma pindchi (Khan & Chishti, 1985) n. comb., Echinoparyphium tripathii (Gupta & Gupta, 1982) n. comb., E. hirundonis (Fischthal & Kuntz, 1976) n. comb., and Hypoderaeum longitestis (Verma, 1936) n. comb. Species attributed to Euparyphium which are here considered species inquirendae are: E. lobata Farooq & Yousuf, 1986 sp. inq., E. ochoterenai Cerecero, 1943 sp. inq., E. sobolevi Ryzhikov, 1965 sp. inq., and E. taiwanense Fischthal & Kuntz, 1976 sp. inq.

Animals↗
PubMed2002

Experiential learning in an anaesthesia simulation centre: analysis of students' comments.

The anesthesia computer-controlled patient simulator offers a valuable experiential learning experience for undergraduate medical students. The purpose of this study was to gather students' opinions of the simulator learning experiences and to study and analyze their comments regarding the nature of the learning. All fourth-year medical students were invited to participate in a simulator session during their anesthesia rotation. A satisfaction survey was administered and the qualitative data were analyzed. A total of 145 students completed the questionnaire (100% return rate). Most students (88%) reported the session to be a positive learning experience that provided opportunities for applying their knowledge in a realistic environment. Some students indicated a lack of comfort in the environment but this did not appear to inhibit performance. Student comments highlighted the value of the learning experience and provided insights into the nature of the learning. The computer-controlled patient simulator offers new and challenging opportunities for medical students to apply their knowledge and practice working through an Anesthesia case without endangering patient safety.

Anesthesiology↗
PubMed2002

Reductionism in the comments and autobiographical accounts of prominent psychologists.

Many of the researchers in the field of psychological science use strategies and methods in which human actions and experiences are reduced to behavioral contingencies, statistical regularities, neurophysiological states and processes, and computational functions and models. However, many psychologists talk readily and easily about how their research might assist human agents to solve problems, cope, make decisions, self-regulate, and more generally "make a difference" and "take control." The authors considered informally selected comments by several eminent psychologists, and more formally, 73 autobiographical accounts of prominent psychologists to see what could be learned about the attitudes of these psychologists toward reductionism in their own work and in the field of psychology in general. In interpreting these comments and accounts, the authors posit a gap between many psychologists' contemplation of their work and their actual research practices. The authors also suggest that such a gap may be related to psychologists' educational experiences and their scholarly and professional socialization, as well as to their subdisciplinary attachments and contexts.

Autobiographies as Topic↗
PubMed2002

Further user comments regarding usage of an interactive educational diabetes simulator (AIDA).

This "Diabetes Information Technology & WebWatch" column continues the diabetes simulation theme from previous issues and overviews various user experience with the AIDA v4 interactive educational freeware diabetes simulator. AIDA is a diabetes computer program that permits the interactive simulation of plasma insulin and blood glucose (BG) profiles for educational, demonstration, and self-learning purposes. It has been made freely available, without charge, via the Web as a noncommercial contribution to continuing diabetes education. Since its Internet launch in 1996, over 145,000 visits have been logged at the AIDA Website--www.2aida.org--and over 29,000 copies of the program have been downloaded, free of charge. While these statistics may appear impressive, they do not tell the personal story of how people have been making use of the software, and what they actually think about the program. In this respect, this column documents some of the independent user comments about AIDA sent in spontaneously via electronic mail (email) by patients with diabetes and their relatives, as well as by health-care professionals. Comments posted to diabetes newsgroups and diabetes email lists, as well as a selection of those which have been found at other, linked, diabetes Websites are also highlighted.

CD-I↗
PubMed1990

General practitioners' comments on video recorded consultations as an aid to understanding the doctor-patient relationship.

The aim of this study was to describe, understand and interpret physicians' experiences of consultations. Forty-six consultations were videotaped in four primary health care centres. Twelve general practitioners and 46 patients participated. Afterwards the patients and the physicians (on different occasions) commented on the recorded consultations. The comments were analysed from an inductive as well as a hypothetical-deductive model. The analyses agreed well with each other. The result demonstrated that the physicians often had difficulties understanding the patient, that they did not really know how to handle the conversation and felt that they did not really understand the context. The perceived relation to the patient was mainly related to the patients' ability to give adequate information. It is concluded that a key factor in communication is the difficulty which the physician has in understanding what the patient in fact wants-the failure to be on the same wavelength so that the message from the patient can be received.

Adult↗
PubMed1986

The unilaterally hearing-impaired child: a final comment.

This paper offers a summary of the general findings from a study on unilateral sensorineural hearing loss as well as some comments with regard to possible reasons for outcome. Additional comments are provided on the management of unilaterally hearing-impaired children, future directions for research, and an emphasis on the limitations and interpretations of this investigation.

Achievement↗
PubMed2000

Reply to "Comment on 'Monte carlo study of structural ordering in charged colloids using a long-range attractive interaction' "

In the Comment by Grier and Crocker (preceding paper) the authors tried to refute our criticism [Phys. Rev. E 58, 2237 (1998)] on their work [J. C. Crocker and D. G. Grier, Phys. Rev. Lett. 77, 1897 (1996)] by simply fitting once again their old experimental data. Grier and Crocker claim that their pair-potential measurements on aqueous dilute suspension of charged colloidal particles confined between charged glass walls at gap of about 8 &mgr;m provide evidence for the failure of Sogami-Ise (SI) theory and demonstrate the applicability of the Dejaguin, Landau, Vervey, and Overbeek (DLVO) theory. Grier and Crocker do not provide additional experimental proof to counter our criticism. We continue to claim here based on our conductivity and conductometric titration measurements, which allow estimating the effective charge and determining the number and nature of the dissociable sites respectively, that their measurements using not well-characterized samples cannot provide clear evidence for the failure of SI theory. With the evidences available in literature, we refute all of the Grier and Crocker comments, including the effect of charged wall confinement on the measured colloidal interactions.

Journal Article↗