Articles de revues : « Clinic reports »

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Mansouri, Alireza, Saber Ghadakzadeh, Talha Maqbool, Carolina Barnett, Karolyn Au, Paul Kongkham, Vera Bril et Zadeh Gelareh. « Neurofibromatosis Clinic : A Report on Patient Demographics and Evaluation of the Clinic ». Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 44, n^o 5 (8 novembre 2016) : 577–88. http://dx.doi.org/10.1017/cjn.2016.326.

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AbstractBackground: Neurofibromatosis type 1 (NF1) is a common single-gene disorder. A multidisciplinary approach to the management of NF1 patients is necessitated by the heterogeneity of clinical manifestations. Although multidisciplinary paediatric clinics have been well established, there is a dearth of such resources for adults with NF1. Herein we report our one-year institutional experience with a multidisciplinary adult NF1 clinic. Methods: A multidisciplinary team was assembled, and an NF Patient Registry Initiative questionnaire was adapted to collect patient-reported data during clinics. Multiple databases were searched to identify publications pertaining to the experience of other multidisciplinary NF1 clinics focusing on adult patients. Data on patient epidemiology and clinical staff were compared to our data. Results: A total of 77 patients were scheduled, and 68 attended the clinic, of whom 66 completed the intake questionnaire. The demographic and clinical data from this Canadian population are mostly consistent with previous reports, with some exceptions. Clinical data related to immune system involvement such as asthma, airway/breathing-related difficulties or allergies were striking in our NF1 population. Six relevant published reports of other NF1 clinics were identified. Reports from these studies pertained to periods ranging from 10 to 38 months, and the number of adults assessed ranged from 19 to 177 patients. Conclusions: The structure of our clinic and the patient volume are comparable to those of other established centres found in the literature. Our data offer valuable cross-sectional prevalence statistics in the Canadian population. The patient-reported data concerning involvement of the immune system contribute to an emerging recognized medical concern within the NF1 population and warrant further clinical and basic investigation.

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Silva, Ricardo Pereira, Camila Pimentel Landim de Almeida, Geraldo Bezerra da Silva Junior, Pedro Lucas Costa, Pedro Sérgio Cunha Costa et Marilena Gondim Rocha. « Electrocardiogram reports in a cardiology tests clinic ». Cardiocore 50, n^o 1 (janvier 2015) : 22–26. http://dx.doi.org/10.1016/j.carcor.2014.09.002.

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Suryadi, Agung, Syahril Anuar Idris et Rika Wulandari. « Outstanding Patient Service with Web-Based Information System ». Proceedings of the International Conference on Nursing and Health Sciences 3, n^o 1 (28 mai 2022) : 101–10. http://dx.doi.org/10.37287/picnhs.v3i1.1134.

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Information technology in the health sector is very important, one of which is in health clinics that can support data and information services that are more efficient, accurate and safe. Clinics are providers of basic and specialist medical services in the treatment of early-stage diseases. Based on previous research surveys, an outpatient clinic information system has been built using the Microsoft Visual Studio 2008 programming language which has the disadvantage of only supporting the Windows operating system and is vulnerable to viruses and there is no diagnostic coding feature on the system. Efforts to overcome these shortcomings are by building a Web-Based Outpatient Clinic Information System. The type of research used is descriptive research with observation data collection methods and literature study using a cross-sectional approach, and secondary data sources. The research variables consisted of outpatient procedure flow, patient data, doctor data, polyclinic data, examination data, action data, diagnostic data, drug data, registration data, officer data, and outpatient information systems. The system development method used is the System Development Life Cycle (SDLC). The Web-Based Outpatient Clinic Information System is obtained from the patient data input process, doctor data input, polyclinic data input, action data input, diagnosis data input, drug data input, examination data input, registration data input, officer data input then processed by the registration process and the examination process to produce output in the form of patient data reports, doctor data reports, polyclinic data reports, officer data reports, diagnostic data reports, action data reports, drug data reports, registration data reports and examination data reports. The system is built using the PHP programming language with a MySQL database. The application of a web-based outpatient information system can simplify and speed up data processing and services to patients and the system is easy to develop.

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Magura, Stephen, et Douglas S. Lipton. « The Accuracy of Drug Use Monitoring in Methadone Treatment ». Journal of Drug Issues 18, n^o 3 (juillet 1988) : 317–26. http://dx.doi.org/10.1177/002204268801800302.

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Patients' urinalysis results are used in methadone maintenance programs to help make decisions about methadone dosage, medication take-home privileges, referrals for employment and job training and detoxification from methadone. Little systematic research exists, however, addressing the adequacy of the procedures used to detect illicit drug use. This study examined the accuracy of patients' clinic thin-layer chromatography (TLC) urinalysis profiles by comparing these with two independent measures of drug use; patient self-reports of drug use and urinalysis using a more sensitive test, enzyme immunoassay (EMIT). A representative sample of 229 patients in three methadone clinics was studied. The study found that drug use as measured by self-reports or by EMIT is 2.5 times higher than use as measured by TLC. The level of agreement between self-reports and EMIT was high, while the levels of agreement between these measures and clinic TLC urinalysis were low. Clinic decisions about take-home medication were shown to be correlated with clinic urinalysis results. The study examines the causes and consequences of inaccurate drug screening and discusses possible alternative responses to the problem for the methadone treatment field.

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Muhamad Vickry Almuhtadi Billah. « Perancangan Dan Pembuatan Sistem Pengolahan Data Pasien Pada Klinik Children And Adult Dental ». JURAL RISET RUMPUN ILMU TEKNIK 2, n^o 1 (16 février 2023) : 69–76. http://dx.doi.org/10.55606/jurritek.v2i1.891.

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The dental clinic is a dental and oral health service for adults and children including children with autism and special needs. The concept of 'Children and Adult Dental Clinic' is to provide dental services in a friendly and comfortable manner for dental clinic patients and is efficient in data processing, therefore with the development of data processing systems, its application in dental clinics is also needed, the design and manufacture of patient data processing systems at dental clinics is not new in data processing systems, the application of dental clinic patient data processing systems is made based on the needs of the dental clinic 'Children and Adult Dental Clinic', whose data processing is still processed manually, this dental clinic patient data processing system application is made using SQL Server 2012 database, Visual Studio 2012 and Crystal Reports 2013, making this dental clinic patient data processing application is not easy, book sources are trusted and source from int ernet is a guide in making dental clinic patient data processing system applications, we hope this application can be applied and used as a computer-based data processing system in the dental clinic 'Children and Adult Dental Clinic'.

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Kilicaslan, Onder, Refika Yildiz, Muhammet Mesut Nezir Engin, Nursel Buyuk, Ramazan Cahit Temizkan, Emin Ozlu et Kenan Kocabay. « Acute Infantile Hemorrhagic Edema Clinic : Two Case Reports ». Journal of Academic Research in Medicine 9, n^o 2 (18 mars 2019) : 111–14. http://dx.doi.org/10.5152/jarem.2019.2074.

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Duffin, Christian. « Leading clinic reports 40% drop in HIV diagnoses ». Nursing Standard 31, n^o 20 (11 janvier 2017) : 10. http://dx.doi.org/10.7748/ns.31.20.10.s8.

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Patel, H. R. H., C. N. Luxman, T. S. Bailey, J. D. M. Brunning, D. Zemmel, L. K. Morrell, M. S. Nathan et R. A. Miller. « Outpatient Clinic : Where is the Delay ? » Journal of the Royal Society of Medicine 95, n^o 12 (décembre 2002) : 604–5. http://dx.doi.org/10.1177/014107680209501207.

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In outpatient clinics, consultation times are often eroded by extraneous activities. We measured the components of each outpatient episode in 167 patients attending a general urology follow-up clinic. 41% of time in the clinic was spent away from the patient—administration 17%, disturbances 15%, finding results 9%. The inefficiencies had changed little since a study in the same setting thirteen years earlier. Since then, parallel nurse-practitioner-run clinics have been introduced in the hope of giving consultants longer with the patient; however, time with each patient is now 4.8 min compared with a previous 7.6 min. The most easily addressed inefficiencies are those relating to missing information, such as radiology reports.

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Pincavage, Amber T., Rabia R. Razi, Vineet M. Arora, Julie Oyler et James N. Woodruff. « Resident Education in Free Clinics : An Internal Medicine Continuity Clinic Experience ». Journal of Graduate Medical Education 5, n^o 2 (1 juin 2013) : 327–31. http://dx.doi.org/10.4300/jgme-d-12-00127.1.

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Abstract Background Most internal medicine (IM) residency programs provide ambulatory training in academic medical centers. Community-based ambulatory training has been suggested to improve ambulatory and primary care education. Free clinics offer another potential training setting, but there have been few reports about the experience of IM residents in free clinics. Objective We assessed the feasibility and acceptability of inclusion of an ambulatory rotation in a free clinic and IM residency curriculum and the advantages of the free clinic setting over the traditional ambulatory clinic model. Methods In 2010, the University of Chicago Internal Medicine Residency Program partnered with a free clinic in order to establish a community-based continuity clinic experience. To assess the feasibility of this innovation, 16 residents were surveyed 9 months after implementation of the clinic to determine satisfaction, perceived preparation to address common medical conditions, and attitudes toward the underserved care population. A subset of these responses was compared to responses from residents in the traditional clinic model. Results Residents in the free clinic rotation were more satisfied and perceived they were more prepared to work in low-resource settings and reported similar levels of preparation regarding common outpatient conditions than residents in a traditional continuity clinic format. They reported increased future likelihood of working in an underserved clinic. Conclusions Our exploratory study suggests free clinics may be an effective platform for community-based continuity clinic training.

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Kreizenbeck, Karma L., Catherine R. Fedorenko, Teah Hoopes, Gary H. Lyman, Thomas David Brown, Eric Y. Chen, Ted Conklin et al. « Regional initiative to use data transparency to improve cancer care. » Journal of Clinical Oncology 34, n^o 7_suppl (1 mars 2016) : 39. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.39.

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39 Background: In the context of many initiatives aimed at measuring quality and value in cancer care, the Hutchinson Institute for Cancer Outcomes Research (HICOR) has adopted a multi-stakeholder approach to characterize oncology care, prioritize areas for improvement, design programs, and evaluate outcomes. Beginning in 2014, HICOR initiated a process to move towards data transparency in the reporting of regional quality and value metrics. Methods: The HICOR team constructed clinic-level adherence reports for community-prioritized metrics and the 2012 ASCO Choosing Wisely recommendations using a registry-claims linked database. In the fall of 2014, a national external advisory board reviewed methodology for measuring adherence. De-identified regional results were presented at a provider meeting in late 2014 to elicit provider feedback on methodology and on strategies for reporting clinic-identified adherence. Clinics were privately given their own adherence data. In 2015, revised de-identified regional reports were presented at a Value in Cancer Care Summit poster session and made available through HICOR IQ, a regional oncology informatics platform, for further discussion. Results: Results show that no clinic was also the best or worst performing clinic. The table shows the performance by clinic for the 5 Choosing Wisely recommendations. There is now increased demand by clinics to view their own adherence benchmarked with the region as a next step in moving towards full data transparency. Additionally, there is support from provider members in the community to re-identify clinics in order to compare results against their peers. Conclusions: Using an iterative, transparent, multi-stakeholder process, it is feasible build regional consensus towards releasing clinic-level adherence to quality and value metrics. By consulting trusted experts in the field and allowing multiple opportunities to provide feedback, providers are requesting even more transparency in order use the oncology measures to improve care in their practice and the region. [Table: see text]

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Deckman, Steven. « Stem cells in the clinic : Early reports show promise ». Annals of Oncology 6, n^o 10 (décembre 1995) : 956–57. http://dx.doi.org/10.1093/oxfordjournals.annonc.a059081.

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Nisa Binti Abu Bakar, Khairun, Muhammad Danu Nurpathama et Hamizah Binti Muhammad Hariri. « CLINIC MANAGEMENT SYSTEM ». Jurnal Inovasi Global 1, n^o 2 (19 décembre 2023) : 179–91. http://dx.doi.org/10.58344/jig.v1i2.27.

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This study explores the implementation and benefits of a Clinic Management System (CMS) in healthcare settings. It focuses on the objectives of the CMS, including eliminating errors in form writing, establishing standardized processes and data formats, and generating reports for doctor scheduling and patient disease data storage. The study discusses the challenges faced by clinics in traditional manual-based systems, such as errors in form writing, lack of standardized processes, and the absence of robust reporting mechanisms. It highlights the significance of transitioning to a digital platform for minimizing errors in form writing and emphasizes the importance of intelligent form validation and auto-correction features.

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Patel, Sima, et Oluwafemi Osunlusi. « SURGICAL HOT TELEPHONE CLINIC : A SAFE ALTERNATIVE TO FACE-TO-FACE HOT CLINIC ». International Journal of Advanced Research 11, n^o 01 (31 janvier 2023) : 1122–31. http://dx.doi.org/10.21474/ijar01/16126.

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Introduction: With increasing patients presenting to the accident and emergency department, the use of virtual clinics has shown promising results in medicine to help safely review these patients while avoiding admissions. These clinics often use the same staff and resources being utilised by theemergencyadmission team â€“ this is especially true in the surgical admissions unit. We present data showing that Virtual Clinics (VC) are safe alternatives, improving patient service and relieving a significant burden on the acute surgical units. Method: Baseline assessment of the virtual clinic was carried out over a 4-week period, between 23rd December 2020 and 19th January 2021. The virtual clinic reviewed 78 patients within this 4-week time period. Parameters for data collection included admission dates, scan date, call-backs, diagnosis, referral patterns, readmission rates and eventual outcomes for those who needed surgical interventions. Reassessment of practise was undertaken in August 2021 following the introduction of a registrar led electronic virtual clinic. Results: Assessment of practice showed that 83% of assessed patients had radiological imaging within 72hours with 89.7% of these scans having reports generated on the same day. Following incorporation of an electronic virtual clinic, 112 patients were reviewed over a 4-week period. Results showed a similar trend in terms of frequency of scans requested with zero failed discharges from the service. Conclusion: The virtual clinic provides a safe and efficient method for the review and management of ambulatory patients in whom semi- urgent investigation is needed but admission is not necessary.

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Wong, B. Y. W., et R. Capper. « Incidence of vestibular schwannoma and incidental findings on the magnetic resonance imaging and computed tomography scans of patients from a direct referral audiology clinic ». Journal of Laryngology & ; Otology 126, n^o 7 (14 mai 2012) : 658–62. http://dx.doi.org/10.1017/s0022215112000680.

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AbstractObjective:To identify the incidence of vestibular schwannoma amongst patients referred from a direct referral audiology clinic, and also the number of incidental findings, as seen on magnetic resonance imaging or computed tomography scans.Method:Prospective data collection for patients referred from a direct referral audiology clinic due to audiological evidence of asymmetrical hearing loss. The audiograms, magnetic resonance imaging and computed tomography scans of patients with diagnosed vestibular schwannoma were subsequently reviewed.Results:A total of 4100 patients were seen during the study period, with 396 scans performed. Six (1.5 per cent) patients had vestibular schwannoma, while 12 (3 per cent) had significant incidental findings.Conclusion:Patients referred from the direct referral audiology clinic had a low incidence of vestibular schwannoma detection. Their detection rate for significant incidental findings was similar to previous reports. If the current protocol had not been in place, over 300 patients would have been needlessly added to the ENT clinic list. Thus, general practitioner referral to direct referral audiology clinics provides a cost-effective way of managing asymmetrical sensorineural hearing loss in older patients. The number of such clinics could be expanded.

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Prakoso, Irwan Rizki. « IMPLEMENTASI PROGRAM COACHING CLINIC SATUAN ADMINISTRASI PENYELENGGAARA SIM (SATPAS) POLRES MOJOKERTO GUNA MEMBANTU MASYARAKAT DALAM MENGURUS SURAT IZIN MENGEMUDI (SIM) ». Jurnal Kawruh Abiyasa 2, n^o 1 (8 mai 2022) : 70–80. http://dx.doi.org/10.59301/jka.v2i1.36.

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Aggressive strategies for implementing a coaching clinic by utilizing S-O include: Holding a coaching clinic and safety riding for people with disabilities; Collaborating with various institutions or communities for people with disabilities and continue to give awards to people with disabilities who are pioneers of driving safety; Then the turn around strategy (W-O) is to: Increase the socialization strategy through online media, both through Instagram media as well as from official reports issued by the Mojokerto Police; The diversification strategy (S-T) is to: Make improvements, especially from time management in order to improve participant discipline; Inserting answers from issues that corner the National Police in coaching clinic materials in order to avoid developing negative issues; Defensive strategies (W-T) are by means of: Communication strategies through interactive dialogue on the radio related to the coaching clinic program; Conducting directives especially for Bhabinkamtibmas personnel to strengthen the socialization of coaching clinics through bhabinkamtibmas; Duplicating the coaching clinic policy for new leaders, such as Kasatlantas who will replace the previous Kasatlantas so that the coaching clinic program continues to run optimally

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Satrio, Danang, Ristiawati Ristiawati et Nur Susanti. « RANCANG BANGUN SISTEM INFORMASI MANAJEMEN KESEHATAN KLINIK PRATAMA UNIKAL HEALTH CENTER (UHC) ». Pena Jurnal Ilmu Pengetahuan dan Teknologi 36, n^o 1 (31 mars 2022) : 77. http://dx.doi.org/10.31941/jurnalpena.v36i1.1923.

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<p>The success of health management is largely determined by the availability of health data and information. This data and information serve as the basis for decision-making in the health sector. To obtain quality health data and information, and accurate health information system is needed. The development of a strong Health Information System in producing quality information in decision-making in the health sector requires knowledge of the basic concepts of the health information system itself and the basics in its development. Primary Clinic Unikal Health Center (UHC) is a public clinic under the auspices of a private university called Pekalongan University. The problem that is still encountered is that the recording of medical record data is still not optimal because it is done manually so it is still less effective and efficient in processing the data. Based on this, it is necessary to develop a health management information system to be implemented at the Unikal Health Center (UHC) Primary Clinic. The purpose of this study is to replace the manual recording and data processing system with computerization, to overcome the obstacles that often occur related to the inability to provide information quickly, accurately, and on time with the management information system of the Unikal Health Center Clinic. (UHC) the required reports can be available instantly, such as patient reports, doctor reports, registration reports, medical record reports, prescription reports, and other data. The final result of this research is a prototype of the health information management system of the UHC Pratama clinic.</p>

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Yu–guang, Niu, Lauren Doolittle, Wang Rong–guang et Sun Wei. « Tinnitus and hyperacusis in children : clinic reports and basic research ». Journal of Otology 7, n^o 1 (juin 2012) : 15–18. http://dx.doi.org/10.1016/s1672-2930(12)50004-8.

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Symonenko, H. « Secondary neurogenic prosopalgia in a neurological clinic ». Reports of Vinnytsia National Medical University 25, n^o 4 (30 novembre 2021) : 545–50. http://dx.doi.org/10.31393/reports-vnmedical-2021-25(4)-05.

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Annotation. Prosoplgia is one of the most common pain syndromes in the craniofacial area. In the clinic practice of the facial pain treatment, neurogenic prosopalgia accounts for 25-30% of cases. The aim of the study was to evaluate the clinical, laboratory and functional parameters of patients with secondary neurogenic prosopalgia at neurological department. The medical histories of 21 patients (17 (81.0%) women and 4 (19.0%) men) suffered from secondary neurogenic prosopalgia were analyzed retrospectively. The clinical picture, data of general blood and urine tests, biochemical blood tests, neuroimaging, electrophysiological and ultrasonic research methods were evaluated. A preliminary comparison of retrospective patients quality indicators was assessed using simple mathematical methods. A predominant lesion of the I branch of the trigeminal nerve was shown in elderly women with postherpetic neuralgia, while other reasons of secondary neuralgia of the II and III branches of the trigeminal nerve more often caused left-sided lesions. Primary diseases included: herpetic ganglionitis, malignant tumor of the bladder with herpetic complications, sinusitis, dental diseases, meningoencephalitis, atherosclerosis of the brain vessels, concussion of the brain. The features of the clinical picture of each case were evaluated, as well as the characteristic concomitant groups of symptoms, among which were determined cephalgic, asthenoneurotic, vestibulo-atactic, vegetative dystonia, pyramidal syndromes. Among the general and functional studies carries out, attention was drawn to the increase of ESR in almost half of the patients, even without exacerbation of the primary disease, as well as the presence of metabolic disorders in the myocardium according to the electrocardiogram in 47.6% of cases, including in relatively young individuals. Thus, the problem of secondary neurogenic prosopalgia, despite the modern treatment, remains relevant.

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Malaty, John, Maribeth Williams et Peter J. Carek. « Impact of Providing Data on Family Medicine Practice Management Education ». Family Medicine 52, n^o 6 (5 juin 2020) : 432–34. http://dx.doi.org/10.22454/fammed.2020.944284.

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Background and Objectives: Residents need to learn about practice management, including how to improve the quality of their patient care utilizing practice data. However, little is known about the effectiveness of providing practice data to residents. This study examined the effectiveness of utilizing resident practice management reports. Methods: We provided residents quarterly practice management reports with individual resident data on coding compliance (determined by manual chart review by a certified coder), clinical productivity (number of clinic sessions, visits per session, relative value units [RVUs] per visit, and RVUs per session), and patient quality outcomes (rates of diabetes mellitus control, diabetic nephropathy screening/management, hypertension control, influenza immunization, pneumococcal immunization, and colorectal cancer screening). We compared all data to national metrics. Quality outcome data was also provided by clinical team and with comparison to nonresidency departmental clinics. We surveyed residents before and after receiving these practice management reports to determine how they felt it prepared them for future practice (on a 9-point Likert scale). Results: There was significant improvement in the ability to implement clinic-based processes to improve patient care (6.5 vs 5.6; P=.04) and learning about clinical productivity/financial aspects of practicing family medicine (6.3 vs 5.4; P=.03). Other areas had trends of improvement, although not statistically significant. Conclusions: Providing residents with their clinic practice data, with reference to team practice data and national benchmarks further helps them learn and apply practice management, when superimposed on an existing infrastructure to teach practice management.

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Murphy, Robert P., Karen A. Dennehy, Maria M. Costello, Evelyn P. Murphy, Conor S. Judge, Martin J. O’Donnell et Michelle D. Canavan. « Virtual geriatric clinics and the COVID-19 catalyst : a rapid review ». Age and Ageing 49, n^o 6 (20 août 2020) : 907–14. http://dx.doi.org/10.1093/ageing/afaa191.

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Abstract Background During the current COVID-19 health crisis virtual geriatric clinics have become increasingly utilised to complete outpatient consultations, although concerns exist about feasibility of such virtual consultations for older people. The aim of this rapid review is to describe the satisfaction, clinic productivity, clinical benefit, and costs associated with the virtual geriatric clinic model of care. Methods A rapid review of PubMed, MEDLINE and CINAHL databases was conducted up to April 2020. Two independent reviewers extracted the information. Four subdomains were focused on: satisfaction with the virtual geriatric clinic, clinic productivity, clinical benefit to patients, costs and any challenges associated with the virtual clinic process. Results Nine studies with 975 patients met our inclusion criteria. All were observational studies. Seven studies reported patients were satisfied with the virtual geriatric clinic model of care. Productivity outcomes included reports of cost-effectiveness, savings on transport, and improved waiting list metrics. Clinical benefits included successful polypharmacy reviews, and reductions in acute hospitalisation rates. Varying challenges were reported for both clinicians and patients in eight of the nine studies. Hearing impairments and difficulty with technology added to anxieties experienced by patients. Physicians missed the added value of a thorough physical examination and had concerns about confidentiality. Conclusion Virtual geriatric clinics demonstrate evidence of productivity, benefit to patients, cost effectiveness and patient satisfaction with the treatment provided. In the current suboptimal pandemic climate, virtual geriatric clinics may allow Geriatricians to continue to provide an outpatient service, despite the encountered inherent challenges.

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Bachmann, Max O., et Peter Barron. « Why Wait so Long for Child Care ? An Analysis of Waits, Queues and Work in a South African Urban Health Centre ». Tropical Doctor 27, n^o 1 (janvier 1997) : 34–38. http://dx.doi.org/10.1177/004947559702700113.

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Long waits at large urban clinics obstruct primary care delivery, imposing time costs on patients, deterring appropriate utilization and causing patient dissatisfaction. This paper reports on an innovative attempt by staff in a large South African urban health centre to analyse a system of queues and preventive and curative services for pre-school children, and thereafter to evaluate changes. The study had a cross-sectional work study design, with repeated measurement of waiting times after 13 months. At baseline the preventive clinic was found to have several inessential processes and waits; these were eliminated or overlapped, and clinic sessions per week were increased. A year later median waiting times had decreased substantially in the preventive clinic, but had increased in the curative clinic. Simple research can explain long waits, inform and measure changes, and provide evidence to justify primary care integration and would be useful in health centres and hospital outpatient departments in developing countries.

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Hunter, Benjamin N., Brandon Cardon, Gretchen M. Oakley, Arun Sharma et Dana L. Crosby. « Factors Associated With Patient Nonattendance in Rhinology Clinics ». American Journal of Rhinology & ; Allergy 33, n^o 3 (29 janvier 2019) : 317–22. http://dx.doi.org/10.1177/1945892419826247.

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Background Nonattendance to clinical appointments is a global problem appreciated by clinicians with an ambulatory presence. There are few reports of nonattendance in otolaryngology clinics, and no reports on nonattendance for a single otolaryngology subspecialty. Objective To describe the no-show population in rhinology clinics. Methods A retrospective chart review was performed involving rhinology clinics from 2 academic medical centers in the United States. All patients who either attended their clinic appointment(s) or did not attend without previously cancelling from June 2016 to May 2017 were included. Data collected included patient demographics, appointment status, season and time of visit, insurance status, type of visit (new vs established), and provider seen. Results There were 2791 clinical appointments evaluated over a 12-month period at 2 rhinology clinics involving 4 fellowship-trained rhinologists. Ninety-two percent of patients kept their appointments, while 8% did not. Sex, season of visit, time of visit (am vs pm), type of visit, provider sex, provider location, or provider’s experience (<10 years vs ≥10 years) were not associated with patient’s attendance status. Univariate analysis showed that patient’s age ≤50 ( P = .001) and primary insurance type ( P < .001) were associated with nonattendance. Medicaid as the primary insurance type was associated with clinic nonattendance. Multivariable analysis showed that age ≤ 50 years, odds ratio (OR) 1.62 (95% confidence interval [CI] 1.14–2.30), P = .007, and primary insurance type (Medicaid: OR 3.75 [95% CI 2.58–5.45], P < .001) remained significant predictors of nonattendance. Conclusion Patients younger than 50 years and patients with Medicaid as the primary insurance types are associated with risk of missing rhinology clinic appointments. As a subspecialty, delivery of timely care and clinical efficiency could be improved by interventions directed toward improving attendance among this population.

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Kurnialensya, Taufik. « Sistem Informasi Klinik Hewan Untuk Meningkatkan Kinerja Keuangan Menggunakan Metode Rasio Profitabilitas ». Ultimatics : Jurnal Teknik Informatika 13, n^o 1 (26 juin 2021) : 39–50. http://dx.doi.org/10.31937/ti.v13i1.2006.

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Veterinary Clinic which is located at Jalan Brigjend. S. Sudiarto No. 134 Semarang is an agency engaged in serving its clients in caring for the health of livestock and pets. In recording and processing data using an organized system and not yet well integrated. In financial management and also in making financial reports, it is not optimal in evaluating financial performance, so that they cannot see the ability to generate operating profit from the income generated. There is a need for a system to be used to increase activity at the veterinary clinic, so that it is much more effective and efficient in the provision of equipment, equipment, and data management including recording, making financial reports, and assessing financial performance, so that it can show the time used and the system as well. can be accessed simultaneously by interested parties. In the implementation of a new system, namely the Animal Clinic Information System to Improve Financial Performance with the Web-Based Ratio method. From these problems, an application program can be made using PHP and MySQL as the database. With the above design, it provides benefits for veterinary clinics that provide benefits in improving their financial performance, can be accessed simultaneously, and provides services in the provision of equipment and equipment needed.

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Badertscher*, Kerrie B., et Carol A. O'Meara. « Clinic Outreach Impact Survey ». HortScience 39, n^o 4 (juillet 2004) : 839C—839. http://dx.doi.org/10.21273/hortsci.39.4.839c.

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Since the 1970's, the Colorado Master Gardenersm (MG) program in Boulder County has had volunteer opportunities external to the extension office site. Collaboration occurs with various green industry locations via “clinics”. Volunteers are on location Friday through Sunday, April through mid-July to answer questions for the public at large. Due to the length of time this program had been in place, the staff time and resources committed to it, and budget cutbacks, need for a study of impact and effectiveness of this program was identified. A three-year study was conducted to determine efficacy, pertinence and should this system remain status quo. In year 1, a sampling of the general public was conducted to determine: behavioral change as a result of receiving information (such as a diagnosis); was the information delivered in a timely fashion; satisfaction level; pesticide usage trends; continuance of this program and other data points. In year 2, active MG's in Boulder County were surveyed about participation at various facilities, information about clientele activity, and success rate with clients. Additionally, their comfort level on ability to assist clients plus their perception of the value of clinics to the community were surveyed. Data on diagnostics was correlated with weekly statistics. In year 3, partnering Green Industry collaborators were surveyed to gauge satisfaction with clinic service, timeliness of clinic schedule, and value of clinic service to business, and overall benefits to their staff resources. Reports on each survey will be delivered.

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Frankel, Fred, et Jim Mintz. « Maternal Reports of Play Dates of Clinic Referred and Community Children ». Journal of Child and Family Studies 20, n^o 5 (13 novembre 2010) : 623–30. http://dx.doi.org/10.1007/s10826-010-9437-9.

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Day, Alvin Lee, Sarah L. Morgan et Kenneth G. Saag. « Hypophosphatemia in the setting of metabolic bone disease : case reports and diagnostic algorithm ». Therapeutic Advances in Musculoskeletal Disease 10, n^o 7 (15 juin 2018) : 151–56. http://dx.doi.org/10.1177/1759720x18779761.

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Osteoporosis is the most commonly encountered metabolic bone disease, and metabolic bone-disease clinics have been established to assist in the diagnosis and treatment of uncommon causes of low bone-mineral density. Hypophosphatemia leading to metabolic bone disease may be encountered, and an understanding of phosphate homeostasis can aid in the diagnosis. Two cases of hypophosphatemia leading to low bone-mineral densities were seen at the University of Alabama at Birmingham Osteoporosis Clinic. We developed a diagnostic algorithm, and the laboratory values of each patient were tested with the algorithm. The algorithm, incorporating the use of a spot urine phosphate and spot urine creatinine level at the time of initial serum metabolic profile evaluation, accurately determined the cause of hypophosphatemia in each case.

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Somaratne, C. J. K., et D. J. S. Fernando. « The utilization of “Awaiting Reports” option in Clinic Reconciliation Form and its impact over the overall Clinic Efficiency ». International Journal of Scientific and Research Publications (IJSRP) 10, n^o 12 (12 décembre 2020) : 382–85. http://dx.doi.org/10.29322/ijsrp.10.12.2020.p10841.

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Williams, Daniel. « Oh no ! My annual trip to the eye clinic ». Optician 2017, n^o 8 (août 2017) : 160009–1. http://dx.doi.org/10.12968/opti.2017.8.160009.

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Palos, Guadalupe R., et Maria E. Suarez-Almazor. « Launching an Electronic Patient-Reported Outcomes Initiative in Real-Time Clinical Practice ». JNCI Monographs 2021, n^o 57 (1 septembre 2021) : 23–30. http://dx.doi.org/10.1093/jncimonographs/lgab005.

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Abstract Patient-reported outcomes play an essential role in improving care across the cancer continuum. This paper reports on the experience of a tertiary care center to standardize the use, collection, and reporting of patient-reported outcomes (PROs) in 10 disease-specific survivorship clinics. To minimize the burden of patients to complete surveys, an institutional committee with oversight on all patient surveys required an application be reviewed and approved before their distribution in a clinic. To begin collecting PROs, each clinic submitted an application tailored to its clinical operations, staffing, and scheduling characteristics. The dates for the submission of each application were staggered over a 2-year period, which contributed to a lack of uniformity in the project (ie, approval dates, start dates, collection and reporting of results). The delays were primarily due to the time and resources required to build the electronic version of the PRO survey into the institutional electronic medical record. To date, 6 of 10 survivorship clinics submitted applications, 5 were approved, and 4 launched the electronic MD Anderson Symptom Inventory (eMDASI) through the patient portal. Metrics collected between January 2019 and December 2020 for the thyroid, bone marrow transplant, genitourinary, and head and neck clinics indicated the numbers of eMDASIs sent to patients varied by clinic, with the lowest from the bone marrow transplant survivorship clinic (6) and the highest (746) in the thyroid Clinic. The total number of eMDASIs returned by the patients ranged from 2 (bone marrow transplant) to 429 (thyroid). Overall, patients’ return rates of the eMDASI ranged from 33.3% to 57.7%. Several strategies were implemented to increase the delivery, submission, and completion of eMDASIs. Our findings indicate the integration and implementation of PROs in survivorship clinics are achievable. Further work is needed to enhance the ePROs web-based process to adequately compare PROs across diverse cohorts of cancer survivors .

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Goudge, Jane, Tobias Chirwa, Sandra Eldridge, Francesc Xavier F. Gómez-Olivé, Chodziwadziwa Kabudula, Felix Limbani, Eustasius Musenge et Margaret Thorogood. « Can lay health workers support the management of hypertension ? Findings of a cluster randomised trial in South Africa ». BMJ Global Health 3, n^o 1 (février 2018) : e000577. http://dx.doi.org/10.1136/bmjgh-2017-000577.

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IntroductionIn low/middle-income countries with substantial HIV and tuberculosis epidemics, health services often neglect other highly prevalent chronic conditions, such as hypertension, which as a result are poorly managed. This paper reports on a study to assess the effect on hypertension management of lay health workers (LHW) working in South African rural primary healthcare clinics to support the provision of integrated chronic care.MethodsA pragmatic cluster randomised trial with a process evaluation in eight rural clinics assessed the effect of adding two LHWs supporting nurses in providing chronic disease care in each intervention clinic over 18 months. Control clinics continued with usual care. The main outcome measure was the change in the difference of percentage of clinic users who had elevated cardiovascular risk associated with high blood pressure (BP) before and after the intervention, as measured by two cross-sectional population surveys.ResultsThere was no improvement in BP control among users of intervention clinics as compared with control clinics. However, the LHWs improved clinic functioning, including overall attendance, and attendance on the correct day. All clinics faced numerous challenges, including rapidly increasing number of users of chronic care, unreliable BP machines and cuffs, intermittent drug shortages and insufficient space.ConclusionLHWs improved the process of providing care but improved BP control required improved clinical care by nurses which was compromised by large and increasing numbers of patients, the dominance of the vertically funded HIV programme and the poor standards of equipment in clinics.Trial registration numberISRCTN12128227.

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Sandi Felicia, Putry, et Nina Zaitun. « Design a Patient Medical Record Application to Shorten Registration Time Using the Waterfall Model ». Jurnal Riset Ilmu Teknik 1, n^o 2 (30 septembre 2023) : 62–77. http://dx.doi.org/10.59976/jurit.v1i2.12.

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Health agencies need speed of information services and provide optimal service to customers. The patient medical record procedures at the Rohil Medika Clinic, from patient registration to making daily reports, still use a manual system, so activities are ineffective and inefficient. The research aims to produce a design for a Web-Based Patient Medical Record Application at the Rohil Medika Clinic, which makes monthly patient visit report information and patient medical record report information that aligns with the needs of the Rohil Medika Clinic. The data collection method was obtained by observing and interviewing Rohil Medika Clinic Leaders and other medical workers. Data processing begins with evaluating the Clinic's needs and then designing the system design, interface, system coding (implementation), and conducting system testing. The research results based on trials show that the application can handle patient administration, patient examinations, and patient medical records and save time searching patient data by up to 67.6% to 90.9%. Medical record applications also increase clinical services from 25 patients to 45 patients/day to 45 patients to 95 patients/day. The system can also provide information on daily and monthly patient visit reports, medical records, and patient data reports.

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Chuah, J., W. Fankhauser, M. Page et B. Dickson. « 24. ELECTRONIC HEALTH RECORD SYSTEMS IN AUSTRALIA & ; NEW ZEALAND SH/HIV/HEP C/WOMEN'S HEALTH CLINICS 2006 - A PILOT PROJECT ». Sexual Health 4, n^o 4 (2007) : 293. http://dx.doi.org/10.1071/shv4n4ab24.

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Objective: This pilot study examined the utility pattern of electronic health record & clinic management systems in the region. Methods: An anonymous one-paged survey form was sent either by email or facsimile to 100 randomly selected public & private Sexual Health/ HIV/ Hep C/ Women's Health/ GP (High Case Load ) listed in the Australasian Chapter of Sexual Health Medicine Register of Public SH Clinics 2006 and the ASHM Directory 2006-2007. Responses on the clinics activities & utility for 2006 were collated. Results: Response rate = 20% N = 20 clinics Mean Occasion of service (OS) = 4812 MedianOS = 4150 (Range 162-20 000) 25% of clinics provided estimated figures only Mean No. tests done = 5467 Median = 5474 (Range 224-20 000) Nature of Clinics: SH 81.3% FP/Women's Health 18.8% GP 6.3% Other 6.3% Clinic Software: SHIP 50% Other 25% Nil 25% Regular Reports: None 62.5% Daily 37.1% Weekly 6.4% Monthly 37.5% Quarterly 31.5% Annually 43.8% QA 37.5% Research 31.3% Automatic Results download: Yes 43.8% No, plan to 25% No Plan 12.5% Unsure 18.7% Hours of training provided to staff on clinic software: mean 61.8 hrs median 1 h (Range 0-500) Funding allocated for clinic IT support in 2007: None 37.5% Unsure 56.3% Yes 6.25% (Max $6000) Funding allocated for IT support in next 3-5 yrs: None 100% Discussion: Limitations of study: Small sample (100/355 clinics) and limited response rate (20%), the latter may indicate that issues of eHealth have not featured in the priority list of most clinics surveyed, as evident in the poor level of funding (>90% none or unsure) and training (median 1 h for 2006) allocations. Others trends and issues include: low ratio of utility compared to the functionality of the softwares & technology available; competing interests of policy & privacy etc. will be discussed with recommendations proffered.

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Foreman, David M., Alexis Beedie et Ranjit Kapuge. « Clinic assessment for methylphenidate maintenance therapy in secondary care : are parental questionnaires useful ? » Psychiatric Bulletin 30, n^o 11 (novembre 2006) : 406–9. http://dx.doi.org/10.1192/pb.30.11.406.

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Aims and MethodThere is poorer control of hyperactivity symptoms in community clinics than research settings, and difficulty in detecting such symptoms without standardised measures. Hyperkinetic children (n=29) were evaluated at follow-up using the parental version of the Strengths and Difficulties Questionnaire (SDQ) and, independently, routine clinic reports to test the value of a parental questionnaire.ResultsThe parental SDQ identified symptoms in more patients (25, 86% v. 13, 45%), but high levels of symptoms did not necessarily imply impairment. Even clinically identified hyperactivity provoked no change in treatment.Clinical ImplicationsParental questionnaires alone are unlikely to improve clinic practice. Research is needed into what factors influence clinical decisions regarding treatment maintenance for hyperkinesis, and the adaptation of structured protocols from major research trials should be considered.

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Caralis, Panagiota. « Case Reports of COVID 19 Recurrence ». Journal of Primary Care & ; Community Health 12 (janvier 2021) : 215013272098275. http://dx.doi.org/10.1177/2150132720982752.

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CASE REPORT OF COVID 19—Recurrence We describe as case series of 7 patients who presented with a recurrence of COVID 19 by PCR test an average of 94.9 days after their initial symptomatic presentation of illness. Patients had tested negative by PCR or had evidence of antibodies in between the 2 episodes. The majority of patients were asymptomatic on the second presentation and were found incidentally on prescreen for procedures, surgery. The subsequent positive COVID-19 PCR tests resulted in cancellations of clinic, procedures, surgery, and impacted patients’ home and employment status. Further studies are needed to understand the mechanisms and ultimate outcomes of these recurrences.

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Prasad, Amit. « Ambivalent journeys of hope : Embryonic stem cell therapy in a clinic in India ». Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 19, n^o 2 (13 novembre 2014) : 137–53. http://dx.doi.org/10.1177/1363459314556906.

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Stem cell therapy in non-Western countries such as India has received a lot of attention. Apart from media reports, there are a number of social science analyses of stem cell policy, therapy, and research, their ethical implications, and impact of advertising on patients. Nevertheless, in the media reports as well as in academic studies, experiences of patients, who undertake overseas journeys for stem cell therapy, have largely been either ignored or presented reductively, often as a “false hope.” In this article, I analyze the experiences of patients and their “journeys of hope” to NuTech Mediworld, an embryonic stem cell therapy clinic in New Delhi, India. My analysis, which draws on my observations in the clinic and patients’ experiences, instead of seeking to adjudicate whether embryonic stem cell therapy in clinics such as NuTech is right or wrong, true or false, focuses on how patients navigate and contest these concerns. I utilize Gilles Deleuze and Felix Guattari’s “concepts,” lines of flight and deterritorialization, to highlight how embryonic stem cell therapy’s “political economy of hope” embodies deterritorialization of several “regimes of truth” and how these deterritorializations impact patients’ experiences.

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Ludlow, Helen, Nabihah Malik, Jeff Turner, John Green et Louise Hanna. « Gastrointestinal symptoms of pelvic radiation disease (part 4) : professional awareness and specialist support ». Gastrointestinal Nursing 18, n^o 5 (2 juin 2020) : 30–34. http://dx.doi.org/10.12968/gasn.2020.18.5.30.

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This is the fourth and final article in a series on the gastrointestinal (GI) symptoms of pelvic radiation disease (PRD). Published studies and patient reports suggest that health professionals lack of awareness of PRD. This professional awareness can be improved with third-sector advocacy and provision of simple screening tools, such as Assessment of Late Effects of Radiotherapy-Bowel (ALERT-B). In South Wales, patients with suspected PRD are referred to a PRD specialist nurse in either a gastroenterology clinic or a gynae-oncology follow-up clinic. These two nurse-led clinics demonstrate different ways to identify, assess and manage patients with late GI effects of PRD. Data from these clinics suggest that systematic investigations based on appropriate guidance are effective in identifying these symptoms, many of which can be managed or treated. The rising incidence of PRD and lack of specialist services suggests that the NHS needs to provide more funding to care for patients beyond the end of their cancer treatment.

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Saputra, Ade chandra, et Agus Sehatman Saragih. « PEMANFAATAN TEKNOLOGI SISTEM INFORMASI MANAJEMEN KLINIK MATA TAMBUNG BUNGAI KOTA PALANGKA RAYA PROVINSI KALIMANTAN TENGAH ». Jurnal Teknologi Informasi : Jurnal Keilmuan dan Aplikasi Bidang Teknik Informatika 16, n^o 1 (31 janvier 2022) : 50–60. http://dx.doi.org/10.47111/jti.v16i1.3592.

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Currently, health services in Indonesia have developed rapidly. To realize excellent service to patients, health care facilities must be able to form a good and structured health management system and subsystem. The health information system occupies an important position because it serves as the backbone for collecting, transmitting, processing, analyzing and publishing information as well as providing feedback to stakeholders at all levels. Tambun Bungai Palangka Raya Eye Clinic has not yet implemented a computer-based information system. Based on the results of interviews, carrying out various operational activities that collect, store, and process data, all of which are still done manually. As in the data collection section for new patients and medical patients who register at the clinic, it is still done by writing on paper, storing patient medical record data which is written in a simple way in the medical record ledger, and check payments that are not processed and stored correctly so that proof of payment can occur. fraud, as well as searching for the entire data that is still manual takes a long time. This designed system has the aim of managing existing data in the clinic with more practical storage media. For patients, the discussion includes registration of new patients and patients for treatment, patient medical record data, drug prescriptions, treatment, and payments. Meanwhile, the clinic staff includes data on clinic staff and scheduling of working hours. The information generated is in the form of reports of patients who come for treatment, reports of clinic staff's work schedules, and income reports. The management information system at the Tambun Bungai Eye Clinic is expected to help partners in the clinical management process in order to create a more excellent service.

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Vale, Francisco de Assis Carvalho do, Ricardo Guarnieri, Marcos Liboni, Ari Pedro Balieiro Jr., José Humberto Silva-Filho et Stênio José Correia de Miranda. « Reports by caregivers of behavioral and psychological symptoms of dementia ». Dementia & ; Neuropsychologia 1, n^o 1 (mars 2007) : 97–103. http://dx.doi.org/10.1590/s1980-57642008dn10100015.

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Abstract Behavioral and Psychological Symptoms of Dementia (BPSD) are relevant since they are frequent and cause distress to caregivers. However, they may not be reported by physicians due to the priority usually attributed to cognitive symptoms. Objectives: To verify whether BPSD is being systematically investigated by physicians even in specialized settings and whether their records on medical files are accurate. Methods: Assessment of records on medical files of BPSD reported by caregivers to 182 patients (57.1% men, mean age 67.6±13.5 years) assisted in a tertiary-care behavioral neurology outpatient clinic (BNOC) who also had appointments in other clinics of the same hospital. Alzheimer's disease (37.9%) and vascular disease (19.2%) were the most frequent causes of dementia. Results: Report/appointment ratios were 0.58 in BNOC, 0.43 in other neurological, 0.93 in psychiatric and 0.20 in non-neurological, non-psychiatric clinics. BPSD most frequently recorded in BNOC were insomnia, aggressiveness, agitation/hyperactivity, visual hallucinations, apathy, inadequate behavior and ease of crying. Sorted by psychiatrists, categories associated to more BPSD were affect/mood, thought and personality/behavior. affect/mood and sensoperception symptoms were the most frequently reported. Sorted according to Neuropsychiatric Inventory (NPI), categories associated to more BPSD were depression/dysphoria, delusion and apathy/indifference. depression/dysphoria and agitation/ aggression symptoms were the most frequently reported. Conclusions: BPSD reported by caregivers were very diverse and were not systematically investigated by physicians. Notes in medical files often contained non-technical terms.

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Kreizenbeck, Karma L., Erin E. Hughes, Kathryn Egan, Catherine R. Fedorenko, Ada Mohedano, Benjamin E. Greer, Linette Demers et al. « Measuring baseline adherence to Choosing Wiselyrecommendations in regional oncology clinics : Challenges and strategies. » Journal of Clinical Oncology 32, n^o 30_suppl (20 octobre 2014) : 133. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.133.

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133 Background: ASCO launched the Choosing Wisely campaign to reduce the use of interventions lacking evidence of benefit to cancer patients, but implementation may be a challenge. This project develops a stakeholder-informed process to prioritize and implement the 2012 ASCO Choosing Wisely (CW) recommendations in oncology clinic settings. Methods: Medical directors from 6 network-affiliated oncology clinics in the Puget Sound region selected 2 CW measures for implementation: (1) No biomarkers/advanced imaging following early breast cancer treated for cure, and; (2) No colony stimulating factor use for low FN risk chemotherapy. Results: Adherence is measured with data from each clinic’s tumor registry, billing records, lab results, pathology reports, and clinic notes. Challenges to measuring baseline adherence included translating non-specific guidelines into discrete data elements (e.g. when does surveillance start?) or required measuring the absence of something, presenting quality control challenges to distinguish between adherence and missing data. Additional challenges are shown in the Table. To address these challenges, the team developed these strategies: (1) creation of specific data elements, (2) mapping clinics separately to the criteria and (3) employing methods such as Natural Language Processing to efficiently collect data from EMR. Conclusions: It is feasible to measure adherence to ASCO CW recommendations with data sources available at oncology clinics. Variability in data platforms among clinics is inherent to the current medical landscape and must be accounted for in successful implementation of cross-clinic programs. [Table: see text]

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Ajnakina, Olesya, Anthony S. David et Robin M. Murray. « ‘At risk mental state’ clinics for psychosis – an idea whose time has come – and gone ! » Psychological Medicine 49, n^o 4 (26 décembre 2018) : 529–34. http://dx.doi.org/10.1017/s0033291718003859.

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AbstractAt Risk Mental State (ARMS) clinics are specialised mental health services for young, help-seeking people, thought to be at ultra-high risk of developing psychosis. Their stated purpose is to reduce transitions from the ARMS state to clinical psychotic disorder. Reports of ARMS clinics provide ‘evidence-based recommendations’ or ‘guidance’ for the treatment of such individuals, and claim that such clinics prevent the development of psychosis. However, we note that in an area with a very well-developed ARMS clinic (South London), only a very small proportion (4%) of patients with first episode psychosis had previously been seen at this clinic with symptoms of the ARMS. We conclude that the task of reaching sufficient people to make a major contribution to the prevention of psychosis is beyond the power of ARMS clinics. Following the preventative approaches used for many medical disorders (e.g. lung cancer, coronary artery disease), we consider that a more effective way of preventing psychosis will be to adopt a public health approach; this should attempt to decrease exposure to environmental factors such as cannabis use which are known to increase risk of the disorder.

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Öfner, J. G., B. Bartl, St König et W. F. Thumfart. « Photodynamic therapy in selected cases at the ENT Clinic, Innsbruck : case reports ». Journal of Photochemistry and Photobiology B : Biology 36, n^o 2 (novembre 1996) : 185–87. http://dx.doi.org/10.1016/s1011-1344(96)07369-1.

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Coleman, Matthew. « A Combined Specialty Clinic Offers Comparable Care at Lower Costs, Study Reports ». Nephrology Times 4, n^o 11 (novembre 2011) : 14–15. http://dx.doi.org/10.1097/01.nep.0000409977.15854.1d.

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Harper, Rosemary, Elizabeth A. Lenton et Cooke D. Ian. « Prolactin and subjective reports of stress in women attending an infertility clinic ». Journal of Reproductive and Infant Psychology 3, n^o 1 (mars 1985) : 3–8. http://dx.doi.org/10.1080/02646838508403456.

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Whaley, Arthur L., et Ellen J. O'Hara. « Negative Emotions and Maternal Reports of Behavior Problems in Clinic-Referred Children : ». Child & ; Family Behavior Therapy 10, n^o 4 (23 janvier 1989) : 41–47. http://dx.doi.org/10.1300/j019v10n04_05.

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Bodecek, S., P. Jahn, O. Dobesova et E. Vavrouchova. « Equine cyathostomosis : case reports ». Veterinární Medicína 55, No. 4 (19 mai 2010) : 187–93. http://dx.doi.org/10.17221/88/2010-vetmed.

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Twelve clinical cases of cyathostomosis in horses treated at the Equine Clinic University of Veterinary and Pharmaceutical Sciences in Brno, the Czech Republic, between the years 1999 and 2008 are described in this report. Six cases (50%) were hospitalized in the period from 2007 to 2008. Eleven of them were hospitalized in the period from December to March. Only one case was admitted in June, but the clinical signs had appeared for the first time in January. All horses described in these cases were younger than six years of age. Diarrhoea as a predominant clinical sign was present in four horses and colic in four horses. One horse showed both colic and diarrhoea whilst three horses had weight loss and subcutaneous oedema. Metabolic acidosis was found in three horses, eight patients had leucocytosis. Hypoproteinemia was found in four horses, hypoalbuminemia in seven horses, hypokalemia in three horses and increased alkaline phosphatase (ALP) activity in five horses. Seven horses recovered, one horse died and four horses were euthanized.

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Miller, Joyce, Monica Christine Beharie, Alison M. Taylor, Elisabeth Berg Simmenes et Susan Way. « Parent Reports of Exclusive Breastfeeding After Attending a Combined Midwifery and Chiropractic Feeding Clinic in the United Kingdom ». Journal of Evidence-Based Complementary & ; Alternative Medicine 21, n^o 2 (13 janvier 2016) : 85–91. http://dx.doi.org/10.1177/2156587215625399.

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This service evaluation investigated an interdisciplinary allied professional health care strategy to address the problem of suboptimal breastfeeding. A clinic of midwives and chiropractors was developed in a university-affiliated clinic in the United Kingdom to care for suboptimal feeding through a multidisciplinary approach. No studies have previously investigated the effect of such an approach. The aim was to assess any impact to the breastfeeding dyad and maternal satisfaction after attending the multidisciplinary clinic through a service evaluation. Eighty-five initial questionnaires were completed and 72 (85%) follow-up questionnaires were returned. On follow-up, 93% of mothers reported an improvement in feeding as well as satisfaction with the care provided. Prior to treatment, 26% of the infants were exclusively breastfed. At the follow-up survey, 86% of mothers reported exclusive breastfeeding. The relative risk ratio for exclusive breastfeeding after attending the multidisciplinary clinic was 3.6 (95% confidence interval = 2.4-5.4).

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LaVine, Nancy A., Daniel J. Coletti, Jennifer Verbsky et Lauren Block. « Enhanced Scheduling Support to Improve Continuity of Care in a Resident Training Clinic ». Journal of Graduate Medical Education 12, n^o 2 (1 avril 2020) : 208–11. http://dx.doi.org/10.4300/jgme-d-19-00605.1.

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ABSTRACT Background Clinical continuity is recognized as a driver of satisfaction for patients and physicians. Greater continuity may positively affect trainee decisions to enter primary care. Maintaining clinical continuity remains a challenge in residency clinics. Objective We determined whether enhanced scheduling support was associated with improvement in internal medicine resident continuity with patients. Methods This study was conducted from June 2017 to December 2018. In the intervention clinic, a single scheduling staff member (ratio of 10 residents to 1 scheduler) was colocated within the clinical space, allowing the scheduler to participate in clinical discussions and direct communication with physicians regarding future appointments. In the comparison clinic, scheduling staff (19:1 ratio) were located at a remote front desk area and relied on patient reports or electronic health record orders to identify appointment needs and arrange follow-up appointments. The main outcome of the intervention was resident continuity, calculated using the continuity for physician formula. Results During the study period, mean resident continuity was 23% (range 13%–37%) in the comparison clinic (57 residents) and 54% (range 38%–66%) in the intervention clinic (10 residents). Resident continuity was significantly higher in the intervention clinic compared with the traditional control clinic for every quarter measured (P < .001 for all comparisons). Conclusions Enhancing scheduling support through colocation and a lower resident to scheduler ratios was associated with significantly higher rates of resident continuity compared with a traditional front desk model, with results sustained over 18 months.

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Chaturvedi, Santosh K., et Albert Michael. « Psychosomatic Patients in a Psychiatric Clinic ». International Journal of Psychiatry in Medicine 18, n^o 2 (juin 1989) : 145–52. http://dx.doi.org/10.2190/lwc5-uyg4-1058-l1cb.

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This study reports lifetime prevalence of certain “psychosomatic disorders” in psychiatric patients in India. The “psychosomatic disorders” studied were peptic ulcer, bronchial asthma, rheumatoid arthritis, ischemic heart disease and irritable bowel syndrome. One percent of psychiatric patients had these psychosomatic illnesses. Ten of the fifteen cases had two psychosomatic illnesses. Patients with psychosomatic disorders were significantly more often older in age ( p = 0.003) and from an urban background ( p = 0.05) as compared to other psychiatric patients. Depression was the commonest diagnosis, and was significantly ( p = 0.01) more often diagnosed in the psychosomatic patients. Psychosis was not diagnosed in patients with psychosomatic disorders. This article emphasizes the need for identifying concomitant psychosomatic problems in psychiatric patients for their appropriate management.

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Hall, Jonny, et Kevin Kerrigan. « “Clinic and the wider law curriculum” ». International Journal of Clinical Legal Education 15 (17 juillet 2014) : 25. http://dx.doi.org/10.19164/ijcle.v15i0.54.

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<p>The problem this paper addresses is that although there is general consensus as to the value of clinic and recognition that it has enhanced creativity and vitality in legal education, there is still a tendency to see it as something apart from the regular law curriculum. We want to explore the viability of making the key benefits of clinical education pervade the whole of the student’s time learning the law. We draw some encouragement from official reports from the US and the UK which, although not concerned primarily with the place of clinical legal education, do provide general support for an approach which combines theory and practice.</p>

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Friedland, M. « Posttyphoid spondylitis ». Kazan medical journal 20, n^o 8 (11 août 2021) : 871–72. http://dx.doi.org/10.17816/kazmj76920.

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