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排序方式: 共有4808条查询结果,搜索用时 62 毫秒
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Ammara A. Watkins Manuel Castillo-Angeles Rodrigo Calvillo-Ortiz Camila R. Guetter Mariam F. Eskander Eiman Ghaffarpasand Luis Anguiano-Landa Jennifer F. Tseng Arthur J. Moser Mark P. Callery Tara S. Kent 《HPB : the official journal of the International Hepato Pancreato Biliary Association》2019,21(7):923-927
BackgroundPatients undergoing pancreatic resection frequently require rehabilitation facilities after hospital discharge. We evaluated the predictive role of validated markers of frailty on rehabilitation facility placement to identify patients who may require this service.MethodsSingle-center retrospective cohort study of patients who underwent pancreatic resection from 2010 to 2015. 90-day morbidity and mortality were calculated. Postoperative validated markers of frailty (Activities of Daily Living scale, Braden scale [assesses pressure ulcer risk, lower scores = higher risk] and Morse fall scale) were evaluated via multivariate regression to identify predictors of discharge to rehabilitation facility.Results470 patients with complete data were included. Mean age was 62 and 49.2% were male. Postoperative median length of stay (LOS) was 8 (IQR 7–10). 92 (19.66%) patients were discharged to rehabilitation facilities and 138 (29.49%) patients were readmitted within 90 days. On multivariate analysis, age, sex, LOS > 8 days, inpatient Comprehensive Complication Index (CCI) and initial Braden scale were predictive of rehabilitation placement.ConclusionA marker of frailty routinely collected daily by nursing staff, the Braden scale, is available to help surgeons predict the need for postoperative rehabilitation placement after pancreatic resection. Engaging discharge planning services for at-risk patients may help prevent delayed hospital discharge and should be further evaluated. 相似文献
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Who should donate blood? Policy decisions on donor deferral criteria should protect recipients and be fair to donors 下载免费PDF全文
S. R. Brailsford D. Kelly H. Kohli A. Slowther N. A. Watkins 《Transfusion medicine (Oxford, England)》2015,25(4):234-238
An important element in the development of voluntary blood donation schemes throughout the world has been the attention given to minimising the risk to recipients of donated blood, primarily the risk of transfusion transmitted infections. In response to the appearance of human immunodeficiency virus (HIV) in the 1980s a range of national policies emerged that excluded populations at high risk of contracting HIV from donating blood, with a particular focus on men who have sex with men (MSM), the primary reason being the protection of recipients of donated blood. Recently some countries, including the UK, have revised their policies, informed by advances in screening tests, epidemiological evidence of transmission rates and an increasing concern about unfair discrimination of specific groups in society. Policy makers face a difficult task of balancing safety of recipients; an adequate blood supply for those who require transfusion; and societal/legal obligations to treat everyone fairly. Given that no transfusion is risk free, the question is what degree of risk is acceptable in order to meet the needs of recipients and society. Decisions about acceptance of risk are complex and policy makers who set acceptable risk levels must provide ethically justifiable reasons for their decisions. We suggest it is possible to provide a set of reasons that stakeholders could agree are relevant based on careful evaluation of the evidence of all relevant risks and explicit acknowledgement of other morally relevant values. We describe using such a process in the Safety of Blood Tissue and Organs (SaBTO) review of donor deferral criteria related to sexual behaviour. 相似文献
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Brandmeir Nicholas J. Davanzo Justin R. Payne Russell Sieg Emily P. Hamirani Ashiya Tsay Annie Watkins Jeffrey Hazard Sprague W. Zacko J. Christopher 《Neurocritical care》2020,32(2):400-406
Neurocritical Care - The objective of this study was to compare the relative number of complications from peripherally inserted central venous catheters (PICC) and centrally inserted central venous... 相似文献
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Ashley Budu-Aggrey Sarah H. Watkins Ben Brumpton Mari Løset Jess Tyrrell Ellen H. Modalsli Gunnhild Åberge Vie Tom Palmer Lars G. Fritsche Jonas Bille Nielsen Pål Richard Romundstad George Davey Smith Bjørn Olav Åsvold Lavinia Paternoster Sara J. Brown 《The Journal of allergy and clinical immunology》2021,147(1):400-403
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Tharindu A. Ranathunge Dilan Karunathilaka Duong T. Ngo Nuwan H. Attanayake Phillip Brodgon Jared H. Delcamp R. M. Gamini Rajapakse Davita L. Watkins 《Macromolecular chemistry and physics.》2019,220(21)
Thienothiadiazole‐bisthiophene (TTDT2) and diketopyrrolo–pyrrole–bisthiophene (DPPT2) are successfully electro‐copolymerized with terthiophene (T3) as an initiator and linker at low oxidative potentials. AC impedance analysis, absorption spectroscopy, and elemental composition via SEM‐EDX support the formation of donor–acceptor (D–A) type alternating block copolymers, poly(T3‐TTDT2), and poly(T3‐DPPT2). Unique optical properties that span into the near infrared‐II(>1000 nm) region and inherent electrical conductivity at the p‐type regime, n‐type regime, and in between the two regimes (i.e., typical insulator region) are observed. This study showcases the advantages of electro‐polymerization toward tailoring of next generation opto‐electronic materials. 相似文献
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John B. Watkins 《Value in health》2018,21(3):280-282
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Ryan C. Lewis John D. Meeker Niladri Basu Alison M. Gauthier Alejandra Cantoral Adriana Mercado-García Karen E. Peterson Martha Maria Téllez-Rojo Deborah J. Watkins 《International journal of hygiene and environmental health》2018,221(4):609-615
Personal care product use is a potential source of metals exposure among children, but studies have been limited. We measured urinary concentrations of 10 metals (aluminum, arsenic [As], barium [Ba], cadmium, cobalt [Co], lead [Pb], manganese [Mn], molybdenum [Mo], nickel, and zinc [Zn]) in third trimester pregnant women (n?=?212) and their children at 8–14 years of age (n?=?250). Demographic factors (child sex, age, socioeconomic status, and maternal education), body mass index (BMI) z-score, and child personal care product use in the 24?h prior to urine collection were examined as predictors of urinary metal concentrations. Metals were detected in 80–100% of urine samples, with significant differences in maternal versus childhood levels. However, metal concentrations were not strongly correlated within or between time points. In linear regression models including all demographic characteristics, BMI z-score, and specific gravity, age was associated with higher Co (6% [95% CI: 2, 10]), while BMI z-score was associated with lower Mo (-6% [95% CI: -11, -1). In addition, significantly higher metal concentrations were observed among users of colored cosmetics (Mo: 42% [95% CI: 1, 99]), deodorant (Ba: 28% [3, 58]), hair spray/hair gel (Mn: 22% [3, 45]), and other toiletries (As: 50% [9, 108]), as well as with an increasing number of personal care products used (As: 7% [3, 11]) after adjustment for child sex, age, total number of products used, and specific gravity. However, significantly lower metal concentrations were noted for users of hair cream (As and Zn: -20% [-36, -2] and -21% [-35, -2], respectively), shampoo (Pb: -40% [-62, -7]), and other hair products (Pb: -44% [-65, -9]). We found that personal care product use may be a predictor of exposure to multiple metals among children. Further research is recommended to inform product-specific exposure source identification and related child health risk assessment efforts. 相似文献