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101.
Vivien Kemp Colleen Fisher Sharon Lawn Malcolm Battersby Mohan K. Isaac 《International Journal of Mental Health Promotion, The》2013,15(2):97-112
Physical health promotion for people with mental illness is vital if the life expectancy of this population group is to be improved. While there is promising evidence of physical health promotion initiatives in the literature in this population group, it is unclear whether these have resulted in long-term gains and actually reduced morbidity and mortality. We aimed to identify which physical health promotion strategies and resources were most likely to resonate with people who have long-term mental health problems and live in the community. We facilitated three focus groups in metropolitan Perth with 27 participants who experienced long-term serious mental health problems for this qualitative study. Participants were clear about which health promotion resources and approaches they did or did not consider would engage them. Participants wanted health messages that were positive, clear and not too wordy. They tended to dislike pamphlets and preferred DVDs. They also preferred to participate in health promotion activities in groups. Participants were aware of the need to engage in health protective behaviours but were often overwhelmed by their mental health problems. Health promotion for this population group ought to capitalise on therapeutic alliances with staff and informal peer networks already established in drop-in centres and clubhouses. 相似文献
102.
Chiou-Tan FY Kemp K Elfenbaum M Chan KT Song J 《American journal of physical medicine & rehabilitation / Association of Academic Physiatrists》2001,80(4):280-285; quiz 286-8
OBJECTIVE: To characterize the differences between injuries to the lumbosacral (LS) plexus caused by gunshot wounds (GSW) and motor vehicle crashes (MVC) with regard to the location and extent of involvement. DESIGN: A retrospective review of electrophysiologic data from an electromyography laboratory of a county hospital. Nineteen patients with GSW and ten patients with MVC diagnosed by electromyography with an LS plexopathy were included in the study. Injuries were categorized by the number of anatomic quadrants of the LS plexus: upper anterior, upper posterior, lower anterior, and lower posterior. Comparison of upper vs. lower portions and bilaterality of LS plexus involvement was also made. Statistical analyses were performed with two-tailed Fisher's exact and general association tests. RESULTS: Lower portions of the plexus were involved more frequently in patients with MVC compared those observed in patients with GSW. Upper portions of the LS plexus were more involved compared with the lower portions in patients with GSW injuries. More sections of the plexus were involved in patients with MVC compared with those in patients with GSW. CONCLUSIONS: Compared with patients with MVC, patients with GSW had a greater chance of involvement of the upper portion of the plexus. The reverse was true for the lower portion. Hopefully this information will aid the electromyographer and rehabilitation team in the diagnosis and treatment of traumatic plexopathies caused by different etiologies. 相似文献
103.
104.
Kemp DE Malhotra S Franco KN Tesar G Bronson DL 《Cleveland Clinic journal of medicine》2003,70(9):745-6, 749-50, 752-4 passim
Evidence is mounting that depression is a risk factor for the development of cardiovascular disease and portends a worse outcome in cardiac patients. Depression can be easily diagnosed and safely treated in cardiac patients, but it is undertreated. 相似文献
105.
Kee F; McDonald P; Kirwan JR; Patterson CC; Love AH 《QJM : monthly journal of the Association of Physicians》1997,90(11):669-676
To determine the factors that influenced doctors' prioritization and
decisions on safe waiting time for coronary artery bypass surgery, 50
'paper patients', based on a random sample of cases who actually had
surgery, were assessed by 33 clinicians. We used linear regression models
to reflect the impact of clinical and non-clinical 'cues' on safe waiting
time and priority decisions. The benefits of surgery tended to be
over-estimated. For example, the average perceived gain in life expectancy
for patients with left main-stem disease was 6.74 years. However, models
incorporating only the perceptions of benefit as independent variables
(i.e. the anticipated symptom reduction, MI risk reduction and life
expectancy extension), had only modest explanatory power (mean R2 was 0.55
for safe waiting time, and 0.56 for priority decisions). Models which
incorporated perceptions of benefit and the cases' clinical and
non-clinical characteristics had generally much higher explanatory power
(mean R2, 0.83 and 0.86, respectively). Lifestyle and demographic variables
had much less impact on the doctors' judgements than the major clinical
cues of angina severity and left main-stem stenosis. Demographic and
lifestyle cues had different impacts on safe waiting time and priority for
about 25% of doctors.
相似文献
106.
This series is based on the Infectious Diseases section of the web site Refugee Health ∼ Immigrant Health, available on the World Wide Web at http://www.baylor.edu/~Charles_Kemp/refugee_health.htm . The site was developed through a contract with the Texas Department of Health as part of an ongoing effort to improve the health of refugees and immigrants. 相似文献
107.
MA Kemp A Mitra T Mendes da Costa RF Spencer 《Annals of the Royal College of Surgeons of England》2013,95(4):266-270
Introduction
Soft tissue reactions following metal-on-metal (MoM) arthroplasty of the hip have been under considerable discussion. These reactions are seen following both hip resurfacing and MoM total hip arthroplasty (THA). The phenomenon may arise owing to shedding of metal particles in high wear states, hypersensitivity with normal metal wear rates or a combination of the two.Methods
Three patients were identified who had developed a soft tissue reaction (pseudotumour) following MoM hip resurfacing procedures. The prostheses were revised to ceramic-on-ceramic (CoC) THA with only minimal debridement of the pseudotumour. Pre and postoperative magnetic resonance imaging was performed to assess the size of the lesions.Results
Progressive and satisfactory resolution of the associated pseudotumours was identified following revision of the prostheses to CoC THA.Conclusions
In the early stages of pseudotumour formation following MoM hip resurfacing, this potentially devastating condition can be managed adequately with revision to a CoC bearing THA with minimal soft tissue excision. 相似文献108.
Ward J Ashley M Kemp A Buckley A Baur LA Thompson C 《Metabolism: clinical and experimental》2001,50(4):380-381
In a group of 12 normal-weight, normotensive, nondiabetic adult females, the intramyocellular lipid (IMCL) to creatine ratio of the soleus muscle was determined using localized (1)H-magnetic resonance spectroscopy ((1)H-MRS) and related to skeletal muscle blood (and oxygen) supply (as assessed by near infrared spectroscopy [NIRS] of the forearm). A significant positive association was found between IMCL content and reoxygenation rate of forearm muscle hemoglobin (Hb) after 1 minute of ischemic exercise (r = .70, P = .01). The relative efficiency of skeletal muscle oxygen supply may be a determining factor of IMCL content in skeletal muscle. 相似文献
109.
贺晓新 《结核与肺部疾病杂志》2007,2(1):1-6
目的:为马拉维国家结核病控制规划(NTP)发展对局部地区适用的贫穷测量指标,通过建立现有结核病人的社会-经济学结构图,以评价不同社会-经济学群组对结核病服务的利用程度.设计:通过对1998年马拉维综合家庭调查的数据进行回归分析,建立关于贫穷的定量测量替代指标.通过对利隆圭城区贫民区和非贫民区进行关于贫穷的定量评价,以建立社会-经济学状态的关键指标.采用定量和定性指标对参与横断面研究的179名结核病人进行社会-经济学状态的评价.结果:贫穷的替代测量指标和定性指标显示了相似的对病人贫穷状态评价的能力.利用定量和定性指标对病人进行贫穷评价的贫穷率分别是78%和70%.地理分析显示60%的病人来自非贫民区,只有15%(26/139)来自贫民区.结论:本研究建立了利用贫穷替代测量指标和定性指标监测结核病服务利用可及性的策略.这对于发展循证的贫民优先的公平结核病服务而言,是关键的第一步. 相似文献
110.
Yuh B Lau C Kernstine K 《JSLS, Journal of the Society of Laparoendoscopic Surgeons》2012,16(1):173-177