BACKGROUND Little is known about pressure from patients or relatives on physician's decision making of continuous palliative sedation. We aim to describe experienced pressure by general practitioners (GPs) in cases of continuous sedation after the introduction of the Dutch practice guideline, using a questionnaire survey. METHODS A sample of 918 Dutch GPs were invited to fill out a questionna...

The purpose of the present retrospective study was to investigate whether a score reflecting systemic inflammatory processes [the Glasgow Prognostic Score (GPS)] provides relevant information for radiation oncologists. GPS is a three-tiered score [0: normal C-reactive protein (CRP) and albumin; 1: one abnormal result; 2: increased CRP and low albumin]. Correlations between disease type and exte...

Due to their weak received signal power, Global Positioning System (GPS) signals are vulnerable to radio frequency interference. Adaptive beam and null steering of the gain pattern of a GPS antenna array can significantly increase the resistance of GPS sensors to signal interference and jamming. Since adaptive array processing requires intensive computational power, beamsteering GPS receivers w...

BACKGROUND Disease prevention and health promotion are important tasks in the daily practice of all general practitioners (GPs). The objective of this study was to explore the knowledge and attitudes of European GPs in implementing evidence-based health promotion and disease prevention recommendations in primary care, to describe GPs' perceived barriers to implementing these recommendations and...

BACKGROUND The criteria used when GPs submit stool specimens for microbiological investigation are unknown. AIM To determine what criteria GPs use to send stool specimens, and if they are consistent with national guidance, and whether GPs would prescribe an antibiotic before they receive a result. DESIGN AND SETTING Questionnaire survey of 974 GPs in 172 surgeries in England. METHOD GPs w...

BACKGROUND Providing doctors with new research findings or clinical guidelines is rarely sufficient to promote changes in clinical practice. An implementation strategy is required to provide clinicians with the skills and encouragement needed to alter established routines. AIM To evaluate the effectiveness and cost-effectiveness of different training and support strategies in promoting implem...

BACKGROUND Sexual problems are common among people with coronary heart disease and can adversely affect patients' quality of life. GPs are ideally placed to deal with these problems. Research suggests that GPs are reluctant to address sexual problems but little is known about what currently takes place in practice. The aim of this study was to examine GPs' self-reported behaviour and attitudes ...

OBJECTIVE To investigate the use of canalith repositioning manoeuvres and vestibular rehabilitation (VR) by GPs and to assess reasons for not using these techniques in patients with vertigo. DESIGN Online survey. SETTING GPs in the western and central part of the Netherlands. SUBJECTS AND METHOD Of GPs, 1169 were approached to participate in the survey. A sample of 426 GPs filled out the ...

A new method of sensing the vibrational motions of a exible structure by measuring the di erence in GPS (global positioning system) carrier phase at separate antennas on the structure is presented. Differential carrier phase measurements have been recently used to determine the attitude of rigid bodies such as aircraft and spacecraft, and for aircraft landing with ground based GPS pseudolites. ...