Rationale Poor glucose control is common in patients with type 2 diabetes. Little is known about the dynamics within the doctor–patient encounter that might explain this phenomenon. The purpose of this study was to compare dynamics of encounters with and without a hypoglycaemic medication change for patients with poorly controlled diabetes. Methods The doctor–patient encounters of 182 patients ...

The formation and early evolution of circumstellar discs often occurs within dense, newborn stellar clusters. For the first time, we apply the moving-mesh code AREPO, to circumstellar discs in 3D, focusing on disc–disc interactions that result from stellar flybys. Although a small fraction of stars are expected to undergo close approaches, the outcomes of the most violent encounters might leave...

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doctors and clients sometimes experience interactive clashes during hospital meetings in south-western nigerian hospitals because of their divergent culture-constrained orientation to politeness cues. the goal of this paper is to unpack the discursive elements that characterize interactive confluence and divergence in selected consultative encounters in the hospitals. the findings indicate that...

Using King-Mitchie Models, we compute encounter rates between the various stellar species in the globular clusters ! Cen, and 47 Tuc. We also compute event rates for encounters between single stars and a population of primordial binaries. Using these rates, and what we have learnt from hydrodynamical simulations of encounters performed earlier, we compute the production rates of objects such as...

This paper considers the ways in which proximity benefits informal communication and relationship development and how technologies can create virtual proximity. We present an “encounters” framework for understanding how proximity shapes opportunities for interpersonal communication and relationship development and then examine how dimensions of encounters influence informal communication in an ...

INTRODUCTION The degree to which individual patients use multiple emergency departments (EDs) is not well-characterized. We determined the degree of overlap in ED population between three geographically proximate hospitals. METHODS This retrospective cohort study reviewed administrative hospital records from 2003 to 2007 for patients registered to receive ED services at an urban academic, urb...

BACKGROUND Epidemiologic studies of skin and soft tissue infections (SSTIs) depend upon accurate case identification. Our objective was to evaluate the positive predictive value (PPV) of electronic medical record data for identification of SSTIs in a primary care setting. METHODS A validation study was conducted among primary care outpatients in an academic healthcare system. Encounters durin...

Mandatory or voluntary reductions in ship speed are a common management strategy for reducing deleterious encounters between large ships and large whales. This has produced strong resistance from shipping and marine transportation entities, in part because very few studies have empirically demonstrated whether or to what degree ship speed influences ship-whale encounters. Here we present the re...

To assess amount of drug overuse we studied drug prescribing for common childhood problems by 65 general practitioners (GPs) and 29 paediatricians. A total of 2433 encounters between GPs or paediatricians and children under five years of age were observed. The presenting complaints were fever in 18%, cough in 9%, both fever and cough in 21%, vomiting in 20% and diarrhoea in 41% of encounters. A...