Self-Management of Older Adolescents with Inflammatory Bowel Disease: A Pilot Study of Behavior and Knowledge as Prelude to Transition
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Abstract:
Objective: Patients gradually assume responsibility for self-management. This study sought to determine whether adolescents with inflammatory bowel disease (IBD) have developed key skills of self-management prior to the age at which many transfer to adult care. Patients and Methods: Adolescents aged 16 to 18 years old in the Children’s Hospital Boston IBD database (94 total) received a mailed survey assessing knowledge and confidence of their own health information and behaviors. Results: Respondents (43%) could name medication and dose with confidence but had very poor knowledge of important side effects. Most patients deferred responsibility mostly or completely to parents for scheduling appointments (85%), requesting refills (75%), or contacting provider between visits (74%). Conclusions: Older adolescents with IBD have good recall of medications but not of side effects. Parents remain responsible for the majority of tasks related to clinic visits and the acquisition of medications.Keywords:
Self-Management
Inflammatory Bowel Disease (Ulcerative Colitis, Crohn's Disease): Early History, Current Concepts, and 21st Century Directions Joseph B. Kirsner Epidemiology of Inflammatory Bowel Disease Charles N. Bernstein and James F. Blanchard Etiology and Pathogenesis of Inflammatory Bowel Disease James J. Farrell and Bruce E. Sands Genetics of Inflammatory Bowel Disease Judy Cho Presentation and Diagnosis of Inflammatory Bowel Disease Themistocles Dassopoulos and Stephen Hanauer Radiological Findings in Inflammatory Bowel Disease Peter M. MacEneaney and Arunas E. Gasparaitis Inflammatory Bowel Disease Markers Marla C. Dubinsky and Stephan R. Targan Medical Therapy of Inflammatory Bowel Disease Todd E. H. Hecht, Chinyu G. Su, and Gary R. Lichtenstein Surgical Management of Inflammatory Bowel Disease Roger D. Hurst Ostomy Care Janice C. Colwell Inflammatory Bowel Disease in Children and Adolescents Ranjana Gokhale and Barbara S. Kirschner Nutritional/Metabolic Issues in the Management of Inflammatory Bowel Disease Jeanette Newton Keith and Michael Sitrin Extraintestinal Manifestations of Inflammatory Bowel Disease Elena Ricart and William J. Sandborn Cancer in Inflammatory Bowel Disease William M. Bauer and Bret A. Lashner Gender-Specific Issues in Inflammatory Bowel Disease Sunanda V. Kane Economics of Inflammatory Bowel Disease Russell D. Cohen Pathologic Features of Inflammatory Bowel Disease John Hart Index
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Actuated phases of modern traffic signal controllers are provided with several recall modes. When any recall is ON, it calls that phase to Green or Green-Walk regardless of an actual detector actuation. Conventional recalls operate every cycle, even soft recall when traffic is light. The most common recalls are: (1) Vehicle Recall, (2) Pedestrian Recall, (3) Maximum Recall, and (4) Soft Recall. This article explains recall -- its applications, how recall delay works, advantages of delayed recall, purchasing delayable recall controllers.
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When people recall together in a collaborative group they recall less than their potential. This phenomenon of collaborative inhibition is explained in terms of retrieval disruption. However, collaborative recall also re-exposes individuals to items recalled by others that they themselves might otherwise have forgotten. This re-exposure produces post-collaborative benefits in individual recall. The current study examined whether reduced retrieval disruption during group recall is related not only to less collaborative inhibition, but also to greater post-collaborative recall benefits. To test this we devised a paradigm to calculate the extent to which each individual experienced retrieval disruption during group recall. We also included two types of collaborative groups, one of which was expected to experience greater retrieval disruption than the other. Results suggest that the relationship between retrieval disruption and recall performance depends on the level at which retrieval disruption is measured. When retrieval disruption was assessed at the individual level, then minimising retrieval disruption was associated with higher recall (i.e., less collaborative inhibition and greater post-collaborative individual recall). However, when retrieval disruption was assessed at the group level there was no relationship with recall. Furthermore, the findings from this design suggest a role of cross-cueing in modulating group recall levels.
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It is an established assumption that pattern-based models are good at precision, while learning based models are better at recall. But is that really the case? I argue that there are two kinds of recall: d-recall, reflecting diversity, and e-recall, reflecting exhaustiveness. I demonstrate through experiments that while neural methods are indeed significantly better at d-recall, it is sometimes the case that pattern-based methods are still substantially better at e-recall. Ideal methods should aim for both kinds, and this ideal should in turn be reflected in our evaluations.
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Abstract Objectives : This study investigates information recall in unaccompanied and accompanied older cancer patients and their companions. Methods : One hundred cancer patients (aged ⩾65 years) and 71 companions completed a recall questionnaire after a nursing consultation preceding chemotherapy treatment. Recall was checked against the actual communication in video‐recordings of the consultations. Patients also completed measures of anxiety and memory‐related beliefs. Results : Findings revealed that recall in patient and companion couples together was higher than their separate recall scores (both proportional and absolute), indicating that they supplement each other. Proportionally, unaccompanied patients recalled almost as much as couples, whereas their absolute recall scores were lower. Younger age and higher education were associated with higher recall in both patients and companions. Patients' memory‐related beliefs predicted the recall scores of their companions rather than their own recall score. When patients reported memory complaints, recall was lower in their companion. In contrast, when patients indicated that they did not understand all information, their companion recalled more. Conclusions : These findings indicate that, although an interrelationship exists between recall in patients and their companions, accompanied patients are likely to benefit from the extra information that their companions remember. Copyright © 2009 John Wiley & Sons, Ltd.
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Aims Colonoscopy is of utmost importance in the management of inflammatory bowel disease(IBD). Most studies on inadequate bowel preparation(IBP) have not specifically evaluated the impact of IBD on the quality of bowel preparation. We aimed to identify disease and non-disease related factors for IBP in patients with IBD submitted to colonoscopy.
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