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《Disability and health journal》2022,15(3):101319
BackgroundChildren and youth with intellectual and developmental disabilities (IDD) experience health disparities. What is unknown is if data collected from children and youth with IDD who participate in Special Olympics is representative of children and youth with IDD who do not.ObjectivesAim 1: determine the feasibility of matching a database of registrants from Special Olympics Ontario (SOO), with population-based health services databases in Ontario, Canada housed at ICES. Aim 2: evaluate the differences between the database sources with regards to demographic variables and clinical status.MethodsUsing deterministic and probabilistic matching, registration data from SOO were matched to administrative health databases. Established algorithms were used to determine the prevalence of asthma, diabetes, and mental disorder in addition to demographic variables.ResultsThe matching rate was over 90%; 8404 were attributed to children and youth between the ages of 0–19 years. When comparing SOO participants with IDD to non-SOO participants with IDD, children and youth who participate in SOO were, on average, older with no further differences between groups on clinical or demographic variables. When comparing those previously not identified in the health services databases (from SOO) to those with IDD identified by ICES, the SOO participants appear to use the health system less, possibly indicating a better health status.ConclusionsResearch conducted on child and youth who participate in Special Olympics Ontario can be generalized to the broader population of children and youth with IDD in Canada when adjusted for age; however, care should be taken when comparing levels of overall morbidity. 相似文献
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吴颢昕 《南京中医药大学学报》2001,17(6):346-348
将《内经》中有关瘀血治不的内容概括为:①攻下逐瘀法,用于治疗瘀血邪热在内,且病情较重之证;②温经化瘀法,代表方为四乌骨一芦茹丸,用于治疗精血枯竭、月经闭止之证;③活血利水法,代表方为鸡失醴,用于治疗瘀血水停之证;④散寒化瘀法,代表方为熨方,本法适用于寒邪外袭、瘀血内停之证。《内经》有关瘀血治法的内容对后世中医瘀血之治疗具有重要的指导意义。 相似文献
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《American journal of surgery》2021,221(1):141-148
BackgroundPatients undergoing esophagectomy often receive jejunostomy tubes (j-tubes) for nutritional supplementation. We hypothesized that j-tubes are associated with increased post-esophagectomy readmissions.Study designWe identified esophagectomies for malignancy with (EWJ) or without (EWOJ) j-tubes using the 2010–2015 Nationwide Readmissions Database. Outcomes include readmission, inpatient mortality, and complications. Outcomes were compared before and after propensity score matching (PSM).ResultsOf 22,429 patients undergoing esophagectomy, 16,829 (75.0%) received j-tubes. Patients were similar in age and gender but EWJ were more likely to receive chemotherapy (24.2% vs. 15.1%, p < 0.01). EWJ was associated with decreased 180-day inpatient mortality (HR 0.72 [0.52–0.99]) but not with higher readmissions at 30- (15.2% vs. 14.0%, p = 0.16; HR 0.9 [0.77–1.05]) or 180 days (25.2% vs. 24.3%, p = 0.37; HR 0.94 [0.79–1.10]) or increased complications (p = 0.37). These results were confirmed in the PSM cohort.ConclusionJ-tubes placed in the setting of esophagectomy do not increase inpatient readmissions or mortality. 相似文献
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中医内科急症概论(下) 总被引:1,自引:1,他引:0
内科急症的辨证要点在于辨外感与内伤、辨脏腑病位、辨病理因素、辨标本主次、辨病势传变与顺逆、辨证与辨病。急症的治疗当以急则治标、综合救疗、证病合治、祛邪扶正、防传杜变、严密监护为基本原则。 相似文献
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陈俊生 《南通大学学报(哲学社会科学版)》2000,(2)
激励在学校管理中具有十分重要的意义。目标激励、物质激励、精神激励、榜样激励是学校管理中经常运用的激励方法。适时、适度 ,公平、公正 ,物质与精神并重 ,是学校管理中必须坚持的科学的激励原则 相似文献