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BACKGROUND Heart failure is an escalating health problem around the world. Despite significant scientific advances, heart failure patients experience multiple physical and psychological symptoms that can impact the quality of life. AIMS To determine the (1) symptom prevalence, severity, distress and symptom burden in patients with heart failure; (2)(More)
Using the threshold equalizing noise (TEN) test, 49 subjects with at least two pure-tone thresholds per ear greater than 50 dB HL and none greater than 80 dB HL were evaluated for the presence or absence of dead regions. The purpose of this study was to (1) assess the prevalence of cochlear dead regions in this clinical population, (2) measure whether(More)
BACKGROUND Key factors in successful long-term exercise maintenance are not well understood. The Relapse Prevention Model (RPM) may provide a framework for this process. PURPOSE The purpose of this study was to examine the relationships among characteristics of exercise high-risk situations, components of the RPM relevant to exercise slips, and follow-up(More)
The aim of this study was to evaluate the clinical characteristics of patients with familial adenomatous polyposis (FAP) undergoing surgical treatment over a 10-year period and specifically to evaluate the incidence and clinical outcome of patients treated for duodenal adenomas. Patients with FAP who underwent surgical treatment for colonic polyposis at the(More)
STUDY OBJECTIVE To determine if teaching cricothyrotomy with fresh cadavers improves confidence with neck anatomy, patient positioning, procedural steps, and familiarity with a cricothyrotomy kit. DESIGN Prospective pre- and post-educational. SETTING University medical center. SUBJECTS 16 anesthesiology residents, one certified registered(More)
BACKGROUND This study examines the effects of the Eden Alternative (EA), a systematic introduction of pets, plants, and children into a nursing home, on the quality of life of nursing home residents. METHODS Two nursing homes run by the same organization participated. The study site began implementing the EA in November 1998. The control site continued(More)
An increasing body of research evidence supports the use of 12-step program affiliation as an effective adjunct and aftercare for formal treatment. Recently, three brief (9- or 10-item) measures of affiliation have been developed. However, the brief scales are difficult to interpret, and the question of exactly what is affiliation (or disaffiliation)(More)
IMPORTANCE Knowledge of the risk factors for oropharyngeal hemorrhage after chemoradiation therapy will guide clinicians in monitoring high-risk patients in order to prevent a life-threatening complication. OBJECTIVE To determine risk factors for the development of oropharyngeal hemorrhage following chemoradiation therapy without surgery for oropharyngeal(More)
BACKGROUND The role of residents as teachers is recognized as an important part of medical education. However, residents may not possess the practical skills needed to teach medical students effectively. AIM In response to a Liaison Committee on Medical Education citation concerning surgery residents' teaching skills, the University of Louisville School(More)
Although medical schools are encouraging the use of personal digital assistants (PDAs), there have been few investigations of attitudes toward their use by students or residents and only one investigation of the public's attitude toward their use by physicians. In 2006, the University of Louisville School of Medicine surveyed 121 third- and fourth-year(More)