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These authors provide a review of the Integrative Behavioral Couple Therapy (IBCT) research program written from the research informed clinical perspective. Research informed clinicians attempt to integrate scientific research into real world clinical practice. Therefore, determining the clinical implications and relevance of the IBCT research program is the focus of this review. The IBCT intervention, developed by Andrew Christensen and Neil Jacobson, integrates the change-based strategies of traditional behavioral couple therapy with emotional acceptance, tolerance building, empathy, and mindfulness techniques. The IBCT research program's research methodology is among the most rigorous in the field of couple therapy, increasing confidence in research findings that have shown IBCT to be a beneficial treatment for highly distressed couples. Because these promising outcomes are founded in strong research methodology, research informed clinicians should be compelled to consider the use of IBCT with those chronically and highly distressed couples who seek treatment in real world clinical settings. [ABSTRACT FROM PUBLISHER]

ISABEL is a web-based clinical decision-support system for use by healthcare professionals. The Web site has been developed by the ISABEL Medical Charity. The system has come to the attention of the Department of Health, which is examining its potential effectiveness in the wider clinical context and exploring options for promoting its wider use in the NHS. The objectives of the work reported here were to review the existing use of ISABEL and to identify impediments to its development. A questionnaire was sent by e-mail to selected users of the system. Based on an analysis of the results ( n = 518), we found ISABEL to be a useful tool with many users. We believe that there is evidence of its success sufficient to support its continued availability and development. However, the largest hurdles to its increased use are systemic ones within the NHS and the way services are delivered. [ABSTRACT FROM AUTHOR]

Following the well-publicized problems with paediatric cardiac surgery at the Bristol Royal Infirmary, there is wide public interest in measures of hospital performance. The Kennedy report on the BRI events suggested that such measures should be meaningful to the public, case-mix-adjusted, and based on data collected as part of routine clinical care. We have found that it is possible to predict in-hospital mortality (a measure readily understood by the public) using simple routine data—age, mode of admission, sex, and routine blood test results. The clinical data items can be obtained at a single venesection, are commonly collected in the routine care of patients, are already stored on hospital core IT systems, and so place no extra burden on the clinical staff providing care. Such risk models could provide a metric for use in evidence-based clinical performance management. National application is logistically feasible. [ABSTRACT FROM AUTHOR]

This paper reviews some recent developments in the technology of the Internet, and shows how they may affect the way in which healthcare is provided. Starting with a brief technical history of the Internet, the paper discusses some of the technical developments that have taken place or been proposed in recent years, and speculates on the realities of their adoption within the next five years. The paper also discusses trends in public accessibility to the Internet and the development of Internet services. Finally, the impact of the technological developments on the way in which new healthcare services may be provided is discussed. Our conclusions are that the growth rate in Internet access and the improvements in performance resulting from the new technologies will make the Internet the focus of many new healthcare developments, in particular in the areas of telemedicine and in communication between patient and healthcare professionals. Increasingly, the Internet will be used to convey more 'real-time' information. [ABSTRACT FROM AUTHOR]

Synthesis and characterization of the bifunctional sensor receptor ligand N-([2,2′:6′,2″-terpyridine]-4′-yl)methyl)-N-propylacrylamide (1) and the model ligand N-([2,2′:6′,2″-terpyridine]-4′-yl)methyl)-N-propylisobutyramide (2) are described. Ligand 1 is a receptor for Cu(II) that is copolymerizable with N-isopropylacrylamide giving a ratiometric sensor of weakly bound Cu(II) in environmental waters. Ligand 2 is a model for copolymerized 1 whereby the reactive acrylamide group is replaced by isobutyramide. Solution speciation of complexes of Cu(II) and Zn(II) with 2 were investigated spectroscopically and their solid-state structures were studied through single-crystal X-ray diffraction. Solution UV–vis and fluorescence studies show a preference of 2 toward Cu(II) over Na(I), Zn(II), Cu(II), Co(II), Mn(II), Ni(II), Cd(II), and Pb(II) in accord with the Irving–Williams series and other coordination principles. Solution speciation determined in a weakly coordinating aqueous-organic (60 : 40 DMF/H2O) medium indicates 1 : 1 Cu(II):2 binding as desired in that formation of [Cu(2)2]2+ would crosslink the polymer sensor. The crystal structures of [Cu(2)(NO3)2] and [Zn(2)(NO3)2]·MeOH·1/2Et2O display distorted octahedral geometries where 2 coordinates meridionally and two nitrate groups occupy the remaining sites around the metal center. [ABSTRACT FROM AUTHOR]

The analysis of the genetic basis of phenotypic traits is moving towards the complex diseases prevalent in wealthy populations. There is an increasing requirement for the detection of different types of sequence variation, particularly single-nucleotide polymorphisms (SNPs). SNPs occur about once every 100 to 300 bases. High-density SNP maps will help to identify the multiple genes associated with complex diseases such as cancer, diabetes, vascular disease, and some forms of mental illness. [ABSTRACT FROM AUTHOR]