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OBJECTIVE The Patient Activation Measure (PAM) is a 22-item measure that assesses patient knowledge, skill, and confidence for self-management. The measure was developed using Rasch analyses and is an interval level, unidimensional, Guttman-like measure. The current analysis is aimed at reducing the number of items in the measure while maintaining adequate(More)
BACKGROUND Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients. OBJECTIVES We describe a process for conceptualizing and operationalizing what it means to be "activated" and delineate the process we used to develop a measure for assessing "activation," and the(More)
Brainstem auditory-evoked responses (BAERs) were elicited from 64 neurologically and audiometrically normal adults and 77 normal, full-term neonates with broadband rarefaction or condensation clicks at sensation levels (hearing levels in neonates) of 30 to 70 dB and at rates of ten and 80 clicks per second. In addition to the known effects of rate,(More)
This study evaluates the impact on quality improvement of reporting hospital performance publicly versus privately back to the hospital. Making performance information public appears to stimulate quality improvement activities in areas where performance is reported to be low. The findings from this Wisconsin-based study indicate that there is added value to(More)
An ectopic carotid artery is rare. Its first symptoms may be neurological and could bring the patient to the neurologist during the initial evaluation. However, more often, the neurologist examines a patient in whom serious neurological deficit has occurred after transtympanic exploration of an undiagnosed vascular mass. Because diagnosis can be(More)
Short-latency auditory evoked responses were recorded in over 100 neurologic patients. Abnormalities of each response component were correlated with postmortem or radiologic localization of different brain stem lesions. These findings suggested that waves I-VII largely reflect activity at the following levels of the auditory pathway: acoustic nerve (I),(More)
Central pontine myelinolysis was suspected in two chronic alcoholics who developed and recovered from a progressive spastic paresis of all muscles, that derived innervation at and below the level of the pons. In both cases, short-latency auditory-evoked responses aided in the diagnosis by indicating a slowing of conduction in the pontine auditory pathway,(More)
We have determined the nucleotide sequence of gene 23 of bacteriophage T4 by the methods of Maxam and Gilbert and of Sanger. The identities of approximately 80% of the amino acid residues of the major capsid protein which is encoded by gene 23 were determined additionally by Edman degradation of the intact protein and its peptides. Fifteen gene 23 amber(More)
I n recent years, a number of authors have commented on the relationship of planning to public health and speculated that sprawling patterns of urban development are harmful to individuals' physical health. Specifically, as shown in Figure 1, it is suggested that the physical structure of sprawling development, by encouraging a greater reliance on(More)