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《Australian critical care》2019,32(6):540-559
ObjectivesThe objective of this review was to describe cardiovascular risk (CVR) assessment methods and to identify evidence-based practice recommendations when dealing with population at risk of developing cardiovascular diseases.Review methods and data sourcesA literature review following the Arksey and O'Malley scoping review methodology was conducted. By using appropriate key terms, literature searches were conducted in PubMed, SciELO, Cochrane Library, Dialnet, ENFISPO, Medigraphic, ScienceDirect, Cuiden, and Lilacs databases. A complementary search on websites related to the area of interest was conducted. Articles published in English or Spanish in peer-review journals between 2010 and 2017. Critical appraisal for methodological quality was conducted. Data was extracted using ad-hoc tables and qualitatively synthesized.ResultsAfter eliminating duplicates, 55 325 records remained, and 1432 records were selected for screening. Out of these, 88 full-text articles were selected for eligibility criteria, and finally, 67 studies were selected for this review, and 25 studies were selected for evidence synthesis. In total, 23 CVR assessment tools have been identified, pioneered by the Framingham study. Qualitative findings were grouped into four thematic areas: assessment tools and scores, CVR indicators, comparative models, and evidence-based recommendations.ConclusionsIt is necessary to adapt the instruments to the epidemiological reality of the population. The most appropriate way to estimate CVR is to choose the assessment tool that best suits individual conditions, accompanied by a comprehensive assessment of the patient. More research is required to determine a single, adequate, and reliable tool. 相似文献
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Nurse perceptions of the Nursing Delirium Screening Scale in two palliative care inpatient units: a focus group study 下载免费PDF全文
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《Paediatrics & Child Health》2019,29(8):339-344
Von Willebrand Disease is a common cause of excessive bruising and bleeding in children. This short article gives advice on diagnosis and management for paediatricians. Given its prevalence and presenting symptoms, VWD should always be considered in the assessment of children suspected of non-accidental injury. Its diagnosis can be challenging, not only because of the various subtypes of the disorder but because of the considerable overlap between VWD and normal individuals. Laboratory diagnosis requires a range of quantitative and qualitative tests of the VWF protein, with targeted gene analysis increasingly used to confirm the diagnosis of type 2 and type 3 VWD. Bleeding Assessment Tools may be helpful in directed laboratory testing but are often less so in young children who have had limited haemostatic challenges. Treatment for VWD includes the use of antifibrinolytic drugs, vasopressin or VWF-containing clotting factor concentrates. Treatment is often on-demand for individual bleeding episodes but there are specific indications for the use of prophylactic treatment in children. 相似文献
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Christian Miel 《L'évolution Psychiatrique》2002,67(2):326
In this article we shall see how using drugs disturbs the activity of projective identification and symbolical processes. The addict clinic makes known the early difficulties of expression of projective identification in correction with mother object apprehended like persecuting or idealizing. Because of real trauma or difficulties to realize the process of separation-individuation, the repression has not succeeded to put up or has become insufficient. In the same way, the psychic work of projection and introjection has been put in parentheses by the drug. This one, by activating a narcissistic libido to hold the representations of destructive instincts, substitutes an incorporation act to introjection, signs the breaking off the object relation and compromises the process of symbolization. The incorporation act expresses a traumatic experience, which has not been symbolized in an incorporation fantasy. It’s going on by a process of demetaphorisation. Contrary to psychotic personality, the stop of the projective identification avoids the loss of the identity feeling. The percept system is distorted to accuse the destabilising effects of an external and internal reality. 相似文献
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M.D. Nithin MD Assistant Professor B.M. Balaraj MD DFM Professor HOD B. Manjunatha MD Associate Professor Shashidhar C. Mestri MD Professor 《Journal of Forensic and Legal Medicine》2009,16(8):460-463
Identification of an individual plays a vital part of any medicolegal investigation. Fingerprint is considered to be the most accurate and reliable indicator in identification.The present study was conducted on 500 South Indian subjects to determine the individuality and the predominant fingerprint pattern among South Indian population. Two-hundred and fifty males and 250 females of South Indian origin were included for this study and rolled prints were taken from all the 10 digits and the same were stored on a proforma.The most frequent fingerprint pattern was ulnar loop in the total population, as well as in the sex wise distribution. 相似文献
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竹叶柴胡化学成分的研究 总被引:3,自引:0,他引:3
目的:为了开发利用竹叶柴胡(Bupleurum marginatum Wall.ex DC.)天然资源,阐明其有效成分,对竹叶柴胡根进行了化学成分研究。方法:运用层析手段和波谱方法分离并鉴定化合物。结果:分离并鉴定13个化合物,它们的结构分别被鉴定为( )-anomalin(Ⅰ),白花前胡丙素(( )-praeruptorin A)(Ⅱ),(4),( )3’-angeloyloxy-4’-keto-3’,4’-dihydroseselin(Ⅲ),木糖醇(xyhtol)(Ⅳ),柴胡色原酮A(saikoehromone A)(Ⅴ),6”-O-乙酰基柴胡皂苷d(6”-O-acetylsaikosaponin d)(Ⅵ),柴胡皂苷b4(saikosaponin b4)(Ⅶ),柴胡皂苷a(saikosaponina)(Ⅷ),柴胡皂苷d(saikosaponin d)(Ⅸ),柴胡皂苷b2(saikosaponin b2)(Ⅹ),柴胡皂苷c(saikosaponin c)(Ⅺ),此外还有β-谷甾醇,β-胡萝卜甙。结论:化合物Ⅰ,Ⅱ,Ⅲ,Ⅳ,Ⅴ,Ⅵ,Ⅷ,Ⅹ均为首次从竹叶柴胡中分得,其中化合物Ⅱ和Ⅲ为首次从该属植物中分得。 相似文献