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An overwhelming need for change in the U.S. healthcare delivery system, coupled with the need to improve clinical and financial outcomes, has prompted hospitals to direct renewed efforts toward achieving high quality and cost-effectiveness. Additionally, with the dawn of accountable care organizations and increasing focus on patient expectations, hospitals(More)
This study was conducted to determine the effects of age, sex, personality adjustment, and analgesic administration on the magnitude of pain experienced by 74 cardiac and abdominal vascular surgical patients during their first few postoperative days. The relationship of pain magnitude to postoperative complications was also examined. Pain intensity was(More)
The purpose of this study was twofold: to determine (1) the degree to which specific qualities of maternal touch may contribute to the low birth weight infant's emotional and be-havioural problems as well as social adaptation, and (2) the relationship between maternal touch and a mother's other caregiving behaviour. The sample included 114 socioculturally(More)
The aim of this study was to determine the validity and reliability of the Collaborative Practice Scales, two distinct self-report measures that assess the degree to which the interactions of nurses (Scale 1) and physicians (Scale 2) enable synergistic influence of patient care. Ninety-five nurses and 94 physicians completed test-retest versions of the(More)
OBJECTIVE To examine the efficacy of an interactive, child-centred and family-based program in promoting healthy weight and healthy lifestyles in Chinese American children. DESIGN A randomized controlled study of a culturally sensitive behavioral intervention. SUBJECTS Sixty-seven Chinese American children (ages, 8-10 years; normal weight and(More)
The objective of this study is to explore risk factors associated with overweight and high blood pressure in Chinese American children. Students and their parents were recruited from Chinese language schools in the San Francisco Bay Area. Data were collected on 67 children and their mothers, and included children’s weight, height, waist and hip(More)
PURPOSE To examine the feasibility and efficacy of a theory-driven and family-based program delivered online to promote healthy lifestyles and weights in Chinese American adolescents. METHODS A randomized controlled study of a web-based intervention was developed and conducted in 54 Chinese American adolescents (ages, 12-15 years) and their families. Data(More)
PURPOSE The purpose of this article is to describe the effects of traumatic stress on brain structure and function, and the relationship of these neurobiological changes to symptoms experienced after trauma. CONCLUSIONS Exposure to traumatic stress is associated with changes in the limbic system, the hypothalamic-pituitary-adrenal axis, and key monoamine(More)
OBJECTIVE Wider use of written advance directives may prevent many ethical dilemmas about life-sustaining interventions for patients who have lost decision-making capacity. We investigated whether a simple educational intervention increased patient completion of the durable power of attorney for health care. DESIGN A randomized, controlled trial. (More)
BACKGROUND Buffy-coat processing allows for the use of platelet additive solutions (PASs). PASs reduce plasma-associated transfusion reactions and conserve plasma for transfusion or fractionation. Platelet (PLT) storage in plasma was compared to storage in three commercially available PASs compared to assess their influence on in vitro laboratory variables.(More)