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排序方式: 共有75条查询结果,搜索用时 31 毫秒
1.
Layland Eric K. Caldwell Linda L. Ram Nilam Smith Edward A. Wegner Lisa Jacobs Joachim J. 《Prevention science》2022,23(7):1251-1263
Prevention Science - An earlier trial of a school-based, preventative intervention, HealthWise South Africa, demonstrated some efficacy in preventing adolescent drinking and smoking in the Western... 相似文献
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Layland Eric K. Ram Nilam Caldwell Linda L. Smith Edward A. Wegner Lisa 《Archives of sexual behavior》2021,50(6):2383-2394
Archives of Sexual Behavior - Sex during adolescence is normative; however, there are substantial individual differences in the timing and context of sexual debut. Leisure boredom is an... 相似文献
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Lauren Molloy Elreda J. Douglas Coatsworth Scott D. Gest Nilam Ram Katharine Bamberger 《Prevention science》2016,17(8):925-936
Although the majority of evidence-based programs are designed for group delivery, group process and its role in participant outcomes have received little empirical attention. Data were collected from 20 groups of participants (94 early adolescents, 120 parents) enrolled in an efficacy trial of a mindfulness-based adaptation of the Strengthening Families Program (MSFP). Following each weekly session, participants reported on their relations to group members. Social network analysis and methods sensitive to intraindividual variability were integrated to examine weekly covariation between group process and participant progress, and to predict post-intervention outcomes from levels and changes in group process. Results demonstrate hypothesized links between network indices of group process and intervention outcomes and highlight the value of this unique analytic approach to studying intervention group process. 相似文献
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Liu MD Uaje MB Al-Ghazi MS Fields D Herman J Kuo JV Milne N Nguyen TH Ramsinghani NS Tokita KM Tsai FY Vajgrt DJ Imagawa DK 《The American surgeon》2004,70(11):947-953
This is a retrospective analysis of a new treatment modality, intra-arterial administration of Yttrium-90 TheraSphere, for unresectable hepatocellular carcinoma (HCC). Patients with HCC not amenable to surgical treatment who had satisfactory physiological function without comorbid disease or significant pulmonary shunting were eligible for treatment. Patients were categorized into complete, partial, or no response based on serum alpha-fetoprotein (AFP) levels and CT or MRI imaging. Fourteen patients were considered candidates for treatment. Three patients were excluded due to significant hepatopulmonary shunting. Eleven patients were treated with TheraSphere. One patient (9%) had a complete response, eight patients (78%) had a partial response, and two patients (18%) showed no response. Partial and complete responders with AFP-associated HCC demonstrated a median decrease in AFP levels of 79 per cent at 73 days. No patients developed liver toxicity nor died due to treatment. Five patients (45%) died of progressive disease at a median of 7 months post-treatment. Six patients (54%) were alive at a median of 11 months (range, 9 to 20 months). Okuda stage 2 and 3 patients showed a median survival of 11 months and 7 months, respectively. Yttrium-90 TheraSphere treatment for unresectable hepatocellular carcinoma is well tolerated and appears to extend survival. 相似文献
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Golob JF Fadlalla AM Kan JA Patel NP Yowler CJ Claridge JA 《Journal of the American College of Surgeons》2008,207(2):164-173
BACKGROUND: We developed a prototype electronic clinical information system called the Surgical Intensive Care-Infection Registry (SIC-IR) to prospectively study infectious complications and monitor quality of care improvement programs in the surgical and trauma intensive care unit. The objective of this study was to validate SIC-IR as a successful health information technology with an accurate clinical data repository. STUDY DESIGN: Using the DeLone and McLean Model of Information Systems Success as a framework, we evaluated SIC-IR in a 3-month prospective crossover study of physician use in one of our two surgical and trauma intensive care units (SIC-IR unit versus non SIC-IR unit). Three simultaneous research methodologies were used: a user survey study, a pair of time-motion studies, and an accuracy study of SIC-IR's clinical data repository. RESULTS: The SIC-IR user survey results were positive for system reliability, graphic user interface, efficiency, and overall benefit to patient care. There was a significant decrease in prerounding time of nearly 4 minutes per patient on the SIC-IR unit compared with the non SIC-IR unit. The SIC-IR documentation and data archiving was accurate 74% to 100% of the time depending on the data entry method used. This accuracy was significantly improved compared with normal hand-written documentation on the non SIC-IR unit. CONCLUSIONS: SIC-IR proved to be a useful application both at individual user and organizational levels and will serve as an accurate tool to conduct prospective research and monitor quality of care improvement programs. 相似文献
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Exposure and peritraumatic response as predictors of posttraumatic stress in children following the 1995 Oklahoma City bombing 总被引:1,自引:0,他引:1
Drs. Betty Pfefferbaum MD JD Mr. Debby E. Doughty Chandrashekar Reddy Drs. Nilam Patel Dr. Robin H. Gurwitch Drs. Sara Jo Nixon Mr. Rick D. Tivis 《Journal of urban health》2002,79(3):354-363
Studies have demonstrated a positive relationship between exposure and posttraumatic stress, but one's subjective appraisal
of danger and threat at the time of exposure may be a better predictor of posttraumatic stress than more objective measures
of exposure. We examined the role of peritraumatic response in posttraumatic stress reactions in over 2,000 middle school
children 7 weeks after the 1995 Oklahoma City, Oklahoma, bombing. While many children reported hearing and feeling the blast
and knowing direct victims, most were in school at the time of the explosion and therefore were not in direct physical proximity
to the incident. Physical, interpersonal, and television exposure accounted for 12% of the total variance in our measure of
posttraumatic stress when peritraumatic response was ignored. Peritraumatic response and television exposure accounted for
25% of the total variance, and physical and interpersonal exposure were not significant in this context. These findings suggest
the importance of peritraumatic response in children's reactions to terrorism. These carly responses can be used to help determine
which children may experience difficulty over time. 相似文献
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