Monica Escher

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OBJECTIVE To determine what influences doctors' decisions about admission of patients to intensive care. DESIGN National questionnaire survey using eight clinical vignettes involving hypothetical patients. SETTING Switzerland. PARTICIPANTS 402 Swiss doctors specialising in intensive care. MAIN OUTCOME MEASURES Rating of factors influencing decisions(More)
BACKGROUND Primary health care providers are expected to be directly involved in the genetic testing for cancer susceptibility. This study assessed physicians' knowledge, attitude and perception of their role towards testing for hereditary breast ovarian cancer. DESIGN A mail-in survey was sent to all general practitioners, internists,(More)
Kava, the rhizome of the pepper plant Piper methysticum, has been widely used in the South Pacific as a narcotic drink. Lactones, the major constituents of kava, are considered to be pharmacologically active and are sold in Europe and the United States as standardised extracts for anxiety and tension. A 50 year old man presented to his doctor because of(More)
QUESTION UNDER STUDY Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease with a poor prognosis. Survival and quality of life of ALS patients have improved through the implementation of multidisciplinary approaches, the use of percutaneous gastrostomy and of noninvasive (NIV) or invasive ventilation. The question of whether or not(More)
Reasons for drinking, and past and present drinking patterns among the elderly in rural Arizona were examined. Interviews were conducted with 444 individuals (219 women) aged 65 +. Responses to a list of 20 reasons for drinking wee divided into six groups: social, mood change, food, health, personal coping and interpersonal coping. Respondents were grouped(More)
BACKGROUND Buprenorphine is used as an analgesic for postoperative and chronic pain. The usual sublingual dose is 0.2 to 0.8 mg, and the usual parenteral dose is 0.3 mg for acute postoperative pain. The pharmacokinetic and related pharmacodynamic properties of buprenorphine at these doses have not been characterized. OBJECTIVE The aim of this study was to(More)
PURPOSE The objective of the study was to determine if mouthwashes with a morphine-containing solution decrease oral pain associated with radiotherapy- and/or chemotherapy-induced oral mucositis (OM). METHODS Randomized double-blinded crossover study to evaluate the effect of topical oral application of 2 per thousand morphine solution in patients(More)
CONTEXT Advance directives or proxy designations are widely recommended, but how they affect doctors' decision making is not well known. OBJECTIVES The aim of this study was to quantify the influence of advance directives and proxy opinions on doctors' decisions. METHODS We mailed to all the generalists and internists in French-speaking Switzerland (N =(More)
OBJECTIVE When a patient is incompetent, the family is often considered to be a natural surrogate. The doctors' responsiveness to family wishes may vary. We explored if doctors' personal characteristics were associated with responsiveness to the relatives' wishes when admission to the intensive care unit (ICU) is considered. METHODS In a mail survey, we(More)