SEQUenCE: a service user-centred quality of care instrument for mental health services.

Objective: To develop a quality of care instrument that is grounded in the service user perspective and validate it in a mental health service.

Design: The instrument (SEQUenCE (SErvice user QUality of CarE)) was developed through analysis of focus group data and clinical practice guidelines, and refined through field-testing and psychometric analyses.

Setting: All participants were attending an independent mental health service in Ireland.

Quality of care in psychosis and bipolar disorder from the service user perspective.

According to the recovery model of mental health care, service development should incorporate the expert knowledge of service users. To date, there has been limited research into conceptualizations of mental health care quality among services users diagnosed with bipolar disorder or psychosis. To investigate service user perspectives on quality of care, we conducted six focus groups (N = 29) with inpatients and outpatients of an independent Irish mental health service.

Separation of aliphatic and aromatic acids, aromatic sulfonates, quaternary ammonium compounds, and chelating agents on a reversed-phase column without ion pairing.

Cleaning products contain a wide variety of components. These include inorganic materials, weak acids, anionic surfactants, cationic surfactants, amphoteric compounds, and nonionic materials. The separation of these generally requires the use of multichromatographic modes.

Exercise left ventriculography utilizing intravenous digital angiography.

Exercise left ventriculography has been shown to be a sensitive and specific tool for the detection of coronary artery disease. At the present time, such studies require radionuclide-base methods. Computer-based techniques recently have been shown to provide high resolution images of the left ventricle when the levophase of an intravenous injection of radiopaque contrast medium is imaged with fluoroscopy.

Digital angiography in the pediatric patient with congenital heart disease: comparison with standard methods.

Digital subtraction angiography (DSA) permits high-resolution cardiac imaging with relatively low doses of contrast medium and reduced radiation exposure. These are potential advantages in children with congenital heart disease. Computer-based DSA (30 frames/sec) and conventional cutfilm angiography (6 frames/sec) or cineangiography (60 frames/sec) were compared in 42 patients, ages 2 months to 18 years (mean 7.