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Der Freie Zahnarzt - 相似文献
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Kari Gire Dahl Astrid Klopstad Wahl Kristin Hjorthaug Urstad Ragnhild S. Falk Marit Helen Andersen 《Patient education and counseling》2021,104(7):1814-1822
ObjectivesThe study aimed to identify changes in health literacy (HL) and associated variables during the first year following a kidney transplantation.MethodsA total of 196 transplant recipients were included in a prospective follow-up study. The patients answered the Health Literacy Questionnaire (HLQ) at 5 days, 8 weeks, 6 and 12 months following the kidney transplantation. Mixed linear models were used to analyze changes in HL and backward elimination was used to identify variables associated with HL.ResultsTwo main patterns of change were identified: a) HL increased during the first 8 weeks of close follow-up and b) in several domains, the positive increase from 5 days to 8 weeks flattened out from 5 days to 6 and 12 months. Self-efficacy, transplant-related knowledge, and general health were core variables associated with HL.ConclusionsOverall, HL increased during the 8 weeks of close follow-up following the kidney transplantation, while 6 months seem to be a more vulnerable phase. Furthermore, low self-efficacy, less knowledge, and low self-perceived health may represent vulnerable characteristics in patients.Practical implicationsFuture kidney transplant care should take into account patients’ access to and appraisal of health information and social support, and draw attention to potentially vulnerable groups. 相似文献
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Martin Freesmeyer Christian Kühnel Falk Gühne Philipp Seifert 《Journal of ultrasound in medicine》2019,38(12):3311-3319
Fine‐needle aspiration cytology using a novel ultrasound needle guidance system on the basis of standard needle magnetization was consecutively performed in 30 (15 in‐plane and 15 out‐of‐plane) suspicious thyroid nodules. Nondedicated, commercially available needles were used. The technical effectiveness and safety of the system were satisfying; system failures were observed in 2 cases. The needle tip could be (at least occasionally) visualized inside the thyroid nodule in 96%, and the subjective procedure ratings were excellent in 57%. The out‐of‐plane technique was significantly superior in both respects (P = .021 and .027, respectively). Standard needle magnetization ultrasound needle guidance was easy to apply and cost‐effective and has the potential to improve fine‐needle aspiration cytology performance. 相似文献
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Fast,sensitive and specific diagnosis of infections with Leishmania spp. in formalin‐fixed,paraffin‐embedded skin biopsies by cytochrome b polymerase chain reaction 下载免费PDF全文
M. Gebhardt B. Ertas T.M. Falk N. Blödorn‐Schlicht D. Metze A. Böer‐Auer 《The British journal of dermatology》2015,173(5):1239-1249
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Höfer Juliana Hoffmann Falk Dörks Michael Kamp-Becker Inge Küpper Charlotte Poustka Luise Roepke Stefan Roessner Veit Stroth Sanna Wolff Nicole Bachmann Christian J. 《Journal of autism and developmental disorders》2022,52(2):540-552
Journal of Autism and Developmental Disorders - Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385... 相似文献
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Restrictive Transfusion Practice During Extracorporeal Membrane Oxygenation Therapy for Severe Acute Respiratory Distress Syndrome 下载免费PDF全文
Maria T. Voelker Thilo Busch Sven Bercker Falk Fichtner Udo X. Kaisers Sven Laudi 《Artificial organs》2015,39(4):374-378
Recommendations concerning the management of hemoglobin levels and hematocrit in patients on extracorporeal membrane oxygenation (ECMO) still advise maintenance of a normal hematocrit. In contrast, current transfusion guidelines for critically ill patients support restrictive transfusion practice. We report on a series of patients receiving venovenous ECMO (vvECMO) for acute respiratory distress syndrome (ARDS) treated according to the restrictive transfusion regimen recommended for critically ill patients. We retrospectively analyzed 18 patients receiving vvECMO due to severe ARDS. Hemoglobin concentrations were kept between 7 and 9 g/dL with a transfusion trigger at 7 g/dL or when physiological transfusion triggers were apparent. We assessed baseline data, hospital mortality, time on ECMO, hemoglobin levels, hematocrit, quantities of packed red blood cells received, and lactate concentrations and compared survivors and nonsurvivors. The overall mortality of all patients on vvECMO was 38.9%. Mean hemoglobin concentration over all patients and ECMO days was 8.30 ± 0.51 g/dL, and hematocrit was 0.25 ± 0.01, with no difference between survivors and nonsurvivors. Mean numbers of given PRBCs showed a trend towards higher quantities in the group of nonsurvivors, but the difference was not significant (1.97 ± 1.47 vs. 0.96 ± 0.76 units; P = 0.07). Mean lactate clearance from the first to the third day was 45.4 ± 28.3%, with no significant difference between survivors and nonsurvivors (P = 0.19). In our cohort of patients treated with ECMO due to severe ARDS, the application of a restrictive transfusion protocol did not result in an increased mortality. Safety and feasibility of the application of a restrictive transfusion protocol in patients on ECMO must further be evaluated in randomized controlled trials. 相似文献
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Number of teeth, prevalence of caries and periapical lesions in insulin-dependent diabetics 总被引:2,自引:0,他引:2
Ninety-four long and 86 short duration diabetics and 86 non-diabetics, aged 20-70 yr, participated in the study. The clinical and radiographic examination comprised recordings of the number of teeth, carious lesions, restorations, endodontically treated teeth and periapical lesions. There were no significant differences between long and short duration diabetics and non-diabetics in the number of teeth and the total number of decayed and filled tooth surfaces (DFS %). However, long duration diabetics exhibited more decayed proximal tooth surfaces (D %) than non-diabetics. There were no significant differences between long and short duration diabetics and non-diabetics in the mean number of endodontically treated teeth and periapical lesions. Women with long diabetes duration, however, exhibited more endodontically treated teeth with periapical lesions than women with short diabetes duration and women without diabetes. Long duration diabetics exhibited teeth with periapical lesions to a greater extent than the other groups. On the whole, diabetics and non-diabetics exhibited a similar caries frequency but among the diabetics there was a group of individuals who had more periapical lesions than the non-diabetics. 相似文献