Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

<p>Abstract</p> <p>Background</p> <p>Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices.</p> <p>Methods</p> <p>Internet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages.</p> <p>Results</p> <p>The key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT.</p> <p>Conclusions</p> <p>Patients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.</p

Genetic, abiotic and social influences on sex differentiation in cichlid fishes and the evolution of sequential hermaphroditism

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73799/1/j.1467-2979.2005.00184.x.pd

Preferential orientation of short chain vapor deposited polyaniline thin films on gold

Vapor deposited short chain polyaniline thin films were studied using angle-resolved photoemission spectroscopy. Films grown on two different substrates, oxidized Si surfaces and Au, show distinctly different properties. Some indication of preferential molecular orientation was observed for ultrathin films deposited on Au substrates, but not on the Si substrates with the native oxide surface. Clear indication of metallic character was observed for some of the polyaniline ultrathin films, consistent with recent theory suggesting that alignment of chains parallel with a metal substrate enhance metallicity

Production of a spin-polarized, metastable He(23 S) beam for studies in atomic and surface physics

Baum G, Raith W, Steidl H. Production of a spin-polarized, metastable He(23 S) beam for studies in atomic and surface physics. Z.Phys. D. 1988;10(2-3):171-178.This beam was developed as a target for a crossed-beam electron-atom scattering experiment on the interaction of a polarized spin-1/2 electron with a polarized spin-1 atom. In the future this beam will be used in "Spin-Polarized Metastable Atom Deexcitation Spectroscopy" (SPMDS) for studying ferromagnetic surfaces without and with adsorbate layers. We use a discharge source for producing a beam of metastable helium atoms, a permanent sextupole magnet with a central stop at its exit for selecting He(2^3 S) atoms in the Zeeman substate ms=+1, a zero-field spin flipper for reversing the atomic beam polarization with respect to a magnetic guiding field, and a Stern-Gerlach magnet for analyzing the atomic polarization. At a distance of 90 cm beyond the exit of the sextupole, in the "interaction region" of an experiment, the polarized beam has a circular cross section of about 6 mm FWHM and a particle density of 1·10^7 atoms/cm^3. The reversible spin polarization was determined asP=0.90±0.02. A possible contamination of the beam with metastable singlet atoms is included within this value; the ground-state He atoms are not considered to be part of the polarized beam. An observed contamination with long-lived Rydberg atoms can easily be destroyed by applying a high electric field