background : the international study of asthma and allergies in childhood (isaac) is used to define the prevalence and severity of asthma in different regions. in this study we followed the performance of the isaac video and written questionnaires (vq and wq) to classify asthma in 13-14 yr-old schoolchildren.   methods: the present study was carried out on 3540 school children 13 to 14-yrs-old ...

The importance of a person's spirit and eternal destiny are eclipsed in American medi- cine. The most alarming effect of this eclipse is that the prevalence of burnout among physicians is high (about 46 percent) and growing.' It is alarming because trends that deplete the physician's spirit tragically impair the physician's capacity as a healer and as one who renews the spirit.

Several studies stressed that the introduction of CPOE applications deteriorates the doctor-nurse communication. But there are many factors that might influence communication behaviors, as for example the way these communications are organized. The present study aims at showing that the impact of a CPOE system on the cooperative activities can be controlled given that a good understanding of th...

BACKGROUND Early diagnosis and treatment of asthma is important for improving health and minimizing the social and economic burden of the disease. A simple questionnaire would provide a convenient and timesaving tool to help physicians diagnose asthma. OBJECTIVE The senior author developed a simple, pre-interview screening questionnaire--the Asthma Screening Questionnaire (ASQ)--consisting of...

BACKGROUND Decision making in cancer treatment is influenced by standardized RECIST measurements which are subjective to interobserver variability. Aim of this pilot study was to evaluate whether it is feasible to transfer the radiologist's task of RECIST measurements to a trained radiology physician assistant and whether this influences diagnostic performance. METHODS 177 lesions in twenty p...

Compliance-gaining strategies refer to subtle differences in ways people use language when their goal is to influence someone else's behavior. This stands in contrast to other kinds of persuasion aimed only at influencing others beliefs and attitudes. We have developed a new method of coding what physicians say when they are trying to influence patients' behaviors. This method applies theory an...

BACKGROUND The differential diagnosis of hyponatremia is often challenging because of its association with multiple underlying pathophysiological mechanisms, diseases, and treatment options. Several algorithms are available to guide the diagnostic approach to hyponatremia, but their diagnostic and clinical utility has never been evaluated. We aimed to assess in detail the diagnostic utility as ...

OBJECTIVE To compare Orchard Sports Injury Classification System (OSICS-10) sports medicine diagnoses assigned by a clinical and non-clinical coder. DESIGN Assessment of intercoder agreement. SETTING Community Australian football. PARTICIPANTS 1082 standardised injury surveillance records. MAIN OUTCOME MEASUREMENTS Direct comparison of the four-character hierarchical OSICS-10 codes assi...

OBJECTIVE To describe the patient population, diagnoses, and disposition of children and adolescents referred by Pediatric Emergency Medicine (PEM) physicians to a Pediatric Psychiatric Crisis Clinic (PCC) for urgent consultation; to describe the percent agreement between PEM physician discharge diagnosis and subsequent child psychiatrist diagnoses. METHOD Data were obtained prospectively ove...

Antimicrobial resistance is an important patient safety issue related to inappropriate antibiotic use. As part of the Infobutton project, we examined antibiotic prescribing-related information needs of clinicians using CPOE. During 3 hours of observation, 20 information needs were observed, 74% were met. Understanding the information needs of clinicians related to antibiotic prescribing may hel...