Patient enablement requires physician empathy: a cross-sectional study of general practice consultations in areas of high and low socioeconomic deprivation in Scotland

<b>Background</b> Patient 'enablement' is a term closely aligned with 'empowerment' and its measurement in a general practice consultation has been operationalised in the widely used patient enablement instrument (PEI), a patient-rated measure of consultation outcome. However, there is limited knowledge regarding the factors that influence enablement, particularly the effect of socio-economic deprivation. The aim of the study is to assess the factors influencing patient enablement in GP consultations in areas of high and low deprivation.<p></p> <b>Methods</b> A questionnaire study was carried out on 3,044 patients attending 26 GPs (16 in areas of high socio-economic deprivation and 10 in low deprivation areas, in the west of Scotland). Patient expectation (confidence that the doctor would be able to help) was recorded prior to the consultation. PEI, GP empathy (measured by the CARE Measure), and a range of other measures and variables were recorded after the consultation. Data analysis employed multi-level modelling and multivariate analyses with the PEI as the dependant variable.<p></p> <b>Results</b> Although numerous variables showed a univariate association with patient enablement, only four factors were independently predictive after multilevel multivariate analysis; patients with multimorbidity of 3 or more long-term conditions (reflecting poor chronic general health), and those consulting about a long-standing problem had reduced enablement scores in both affluent and deprived areas. In deprived areas, emotional distress (GHQ-caseness) had an additional negative effect on enablement. Perceived GP empathy had a positive effect on enablement in both affluent and deprived areas. Maximal patient enablement was never found with low empathy.<p></p> <b>Conclusions</b> Although other factors influence patient enablement, the patients' perceptions of the doctors' empathy is of key importance in patient enablement in general practice consultations in both high and low deprivation settings

Exhaust-nozzle characterisitcs for a twin-jet variable-wing-sweep fighter airplane model at Mach numbers to 2.2

A wind-tunnel investigation has been conducted to determine the exhaust-nozzle aerodynamic and propulsive characteristics for a twin-jet variable-wing-sweep fighter airplane model. The powered model was tested in the Langley 16-foot transonic tunnel and in the Langley 4-foot supersonic pressure tunnel at Mach numbers to 2.2 and at angles of attack from about minus 2 to 6 deg. Compressed air was used to simulate the nozzle exhaust flow at values of jet total-pressure ratio from approximately 1 (jet off) to about 21. Effects of configuration variables such as speed-brake deflection, store installation, and boundary-layer thickness on the the nozzle characteristics were also investigated

Effects of an in-flight thrust reverser on the stability and control characteristics of a single-engine fighter airplane model

The changes in thrust minus drag performance as well as longitudinal and directional stability and control characteristics of a single-engine jet aircraft attributable to an in-flight thrust reverser of the blocker-deflector door type were investigated in a 16-foot transonic wind tunnel. The longitudinal and directional stability data are presented. Test conditions simulated landing approach conditions as well as high speed maneuvering such as may be required for combat or steep descent from high altitude

Flamingo Vol. III N 3

Anonymous. Cover. Picture. 0. Anonymous. But We Go on Forever. Picture. 4. J.V.A. Hold the Line, Boy!. Prose. 5. Anonymous. Escape. Poem. 7. C.H.C. My Room-Mates. Poem. 7. G.W.B. LA VIE EST VAINE. Poem. 7. W.A.V. Dreams. Poem. 7. G.W.B. Impressions. Poem. 7. Anonymous. DOWNJECTED AND DECAST— I PROPOSED TO KATE LAST NIGHT BUT SHE REFUSED TO LISTEN TO ME. ROOMMATE— TUT, TUT! IT WILL TURN OUT ALL RIGHT. A WOMAN\u27S \u27NO\u27 OFTEN MEANS \u27YES\u27. D. AND D.— PERHAPS IT DOES, BUT THIS WOMAN DIDN\u27T SAY \u27NO,\u27 SHE SAID \u27RATS\u27. Picture. 8. Anonymous. How to Get A\u27s. Prose. 8. Anonymous. Untitled. Prose. 8. Anonymous. Untitled. Prose. 8. Anonymous. Untitled. Prose. 8. Anonymous. Untitled. Prose. 8. Anonymous. Things to Sob Over. Prose. 8. Anonymous. Untitled. Prose. 8. Anonymous. YOUR FACE IS LIKE A POEM. HOW THRILLING! WHAT ONE? OH, ONE OF BROWNING\u27S—THERE ARE SOME HARD LINES ABOUT IT. Picture. 8. Anonymous. Goofism. Prose. 9. Anonymous. Watch Your Step. Poem. 10. Anonymous. The Four Ages f Hair. Prose. 10. Anonymous. Untitled. Prose. 10. Anonymous. Alice— Don\u27t you think Betty made a very suitable mate? Phyllis— Yes, indeed; you know what a nervous, excitable girl she was? Well, she married a composer. Picture. 10. Anonymous. Untitled. Prose. 10. Anonymous. Untitled. Prose. 10. Anonymous. DON\u27T KEEP PESTERING ME. THEN YOU WON\u27T MARRY ME? I WOULDN\u27T EVEN BE ENGAGED TO YOU AT A SUMMER RESORT. Picture. 10. Anonymous. Untitled. Prose. 10. Anonymous. The Fall of Silas. Prose. 10. Anonymous. WHY GIRLS LEAVE HOME—AT 4:00 A. M. Picture. 11. Anonymous. Untitled. Prose. 11. Anonymous. Sparks From History. Prose. 11. Anonymous. Untitled. Prose. 11. K.K.H. Horace, Book III, Ode 9. Prose. 11. Anonymous. Untitled. Prose. 11. E.B. THE BEST OF FRIENDS MUST PART. Picture. 12. Anonymous. AESOP\u27S FABLES. Prose. 12. Anonymous. Untitled. Prose. 12. Anonymous. CRUEL— DO YOU THINK TWO CAN LIVE AS CHEAPLY AS ONE? HOPEFUL— YES, DEL, YES! I CERTAINLY DO. CRUEL— HOW SAD! AND STILL WOMEN THINK. THEY ARE MENTALLY QUALIFIED FOR THE BALLOT. Picture. 12. Anonymous. Untitled. Prose. 12. Anonymous. Untitled. Prose. 13. Anonymous. For the Cosmopolitan. Prose. 13. Anonymous. Untitled. Prose. 13. Anonymous. Untitled. Prose. 13. Mercer, Hod. A LIGHT THIRTY-SIX; SPORT MODEL \u2722. Picture. 13. W.G.M. One Precious Reputation. Prose. 15. Anonymous. Alumni, Ect. Picture. 15. Anonymous. Untitled. Prose. 15. Bridge. Denison Comics. Picture. 16. T.C.K. Untitled. Picture. 18. M. Gore. Prose. 18. Anonymous. Just Before the Battle. Prose. 18. Anonymous. Untitled. Prose. 18. Anonymous. One B. Fairfax Mislaid. Prose. 18. Anonymous. Untitled. Prose. 18. Anonymous. Untitled. Prose. 18. Anonymous. Working in Cuba-Dircections for Beginners. Prose. 19. W.A.V. ANd We Call Ourselves Modern. Prose. 19. Anonymous. Untitled. Prose. 19. Anonymous. Untitled. Prose. 19. Anonymous. Untitled. Prose. 19. Anonymous. Untitled. Prose. 19. Anonymous. Untitled. Prose. 19. Clyde. DOESN\u27T THAT GIRL OVER THERE LOOK LIKE HELEN BROWN? I WOULDN\u27T SAY HER DRESS WAS BROWN. Picture. 19. Sun Dodger. Untitled. Prose. 22. Malteaser. Untitled. prose. 22. Life. Untitled. Prose. 22. Pitt. Panther. Untitled. Prose. 22. Jester. Untitled. Prose. 22. Life. Untitled. Prose. 22. Judge, Untitled. Prose. 24. Ghost. Cutting. Prose. 24. Purple Cow. Untitled. Prose. 24. Record. Untitled. Prose. 24. Beanpot. Untitled. Prose. 24. Showme. Untitled. Prose. 24. Anonymous. We Trust Marshall Joe Will Have a Profitable Summer. Picture. 25. Youngstown Telegram. The Slamback. Prose. 25. Humbug. Untitled. Prose. 25. Scalper. Untitled. Prose. 25. Record. Untitled. Prose. 25. Gargoyle. Untitled. Prose. 26. Malteaser. Untitled. Prose. 26. Awgwan. Untitled. Prose. 26. Goblin. Untitled. Prose. 26. Sun Dial. Take Your Choice. Prose. 27. Drexerd. Untitled. Prose. 27. Frivol. Hard Times. Prose. 27. Purple Cow. Untitled. Prose. 27. Anonymous. Benny Says. Prose. 27. Anonymous. Its Annual Appearance. Prose. 28. Anonymous. Untitled. Prose. 28. Anonymous. Untitled. Prose. 28. K.K.H. TRY THIS ON YOUR PIANO- Rhapsodic Granvillianeuse. Prose. 28. The Y\u27s Guy. Untitled. Prose. 30. Lemon Punch. An African Hand. Prose. 30. Purple Cow. Untitled. Prose. 30. Lampoon. Untitled. Prose. 30. Jack-O-Lantern. Untitled. Prose. 30. American Legion Weekly. Zowie. Prose. 30. Pelican. Untitled. Prose. 31. Gargoyle. Untitled. Prose. 31. Orange Peel. Untitled. Prose. 31

Poisoning by Common Household Products

The danger of poisoning, especially of children, is widespread. In Greater Cleveland, Ohio alone, during 1957 (excluding deaths from automobile accidents) 43 children were accidentally killed. Eleven of those deaths were due to poisoning; all of the children being in the age group from one year to six years. In a recent six-month period the Poison Information Center of The Academy of Medicine of Cleveland received 1,535 calls concerning treatment for accidental poisoning of children. This figure by no means indicates the total number of cases of poisoning that actually occurred. These terrible statistics can be sharply reduced by proper labeling of products, and by common sense handling and storage of dangerous products. Advertising of such products also should contain warnings of danger where such warnings are desirable for the public protection

An Analysis Of The Position Of Assistant Principal Of The Year In Indiana: An Analysis Of What Is Really Important

This work is an analysis of the alignment between schools associated with an Indiana Assistant Principal of the Year, as selected by the Indiana Association of School Principals, and increases in academic performance of those schools on state mandated “high stakes” academic tests.  The focus was on school improvement using annual school report card data. Using a design looking for association and a Chi Square analysis, a significant positive correlation was identified.  The results shed some light on the potential excellent practices of assistant-principals and student academic achievement gains.  Although a positive correlation was found, the results can only give ideas for leadership consideration.  They are not considered predictive because of the ex-post facto nature of the data allowing for no manipulation of variables

The development of direct payments in the UK: implications for social justice

Direct payments have been heralded by the disability movement as an important means to achieving independent living and hence greater social justice for disabled people through enhanced recognition as well as financial redistribution. Drawing on data from the ESRC funded project Disabled People and Direct Payments: A UK Comparative Perspective, this paper presents an analysis of policy and official statistics on use of direct payments across the UK. It is argued that the potential of direct payments has only partly been realised as a result of very low and uneven uptake within and between different parts of the UK. This is accounted for in part by resistance from some Labour-controlled local authorities, which regard direct payments as a threat to public sector jobs. In addition, access to direct payments has been uneven across impairment groups. However, from a very low base there has been a rapid expansion in the use of direct payments over the past three years. The extent to which direct payments are able to facilitate the ultimate goal of independent living for disabled people requires careful monitoring