RESUMO
To investigate how practice guidelines or recommendations can be applied in the assessment of quality of care, 72 subjects beginning specialty treatment for panic disorder were enrolled. The Panic Outcomes Module assessed symptoms, health status, and treatment at baseline and after 8 weeks. Using published guidelines, the authors developed specific criteria to rate whether subjects' reports reflected appropriate treatment, including antipanic medication or three or more subsequent visits that involved antipanic behavioral therapy elements. Sixty-nine subjects (96%) completed the Panic Outcomes Module at both baseline and follow-up. Improvement in symptoms and health status was not different between subjects receiving appropriate and inappropriate care.
Assuntos
Avaliação de Processos e Resultados em Cuidados de Saúde , Transtorno de Pânico/terapia , Qualidade de Vida , Adolescente , Adulto , Idoso , Ansiolíticos/uso terapêutico , Arkansas , Terapia Comportamental/métodos , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Programas de Assistência Gerenciada/normas , Serviços de Saúde Mental/normas , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do TratamentoRESUMO
A cost-utility analysis was performed to evaluate the relative importance of each of the various elements in the current circumcision debate. Elements used in the analysis included the cost of the procedure, the pain associated with the procedure, the risk of urinary tract infections, and the risk of penile cancer. The net, discounted lifetime dollar cost of routine circumcision is $102 per person, while the net, discounted lifetime health cost is 14 hours of healthy life. These results suggest that the financial and medical advantages and disadvantages of routine neonatal circumcision cancel each other and that factors other than cost or health outcomes must be used in decision making.
Assuntos
Circuncisão Masculina/economia , Qualidade de Vida , Atividades Cotidianas , Circuncisão Masculina/efeitos adversos , Circuncisão Masculina/psicologia , Análise Custo-Benefício , Análise Fatorial , Honorários e Preços , Custos de Cuidados de Saúde , Política de Saúde/economia , Humanos , Incidência , Recém-Nascido , Relações Interpessoais , Masculino , Neoplasias Penianas/economia , Neoplasias Penianas/epidemiologia , Neoplasias Penianas/prevenção & controle , Resultado do Tratamento , Infecções Urinárias/economia , Infecções Urinárias/epidemiologia , Infecções Urinárias/prevenção & controleRESUMO
The Fv-1 gene, which regulates sensitivity of mouse cells to infection by naturally occurring host-range types of murine leukemia virus, was shown to be located on linkage group VIII (chromosome 4), 39 map units from b.