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81.
82.
This review of recent literature explores the similarities and differences between the work of community psychiatric nurses and their mental handicap counterparts. The comparisons which have been made between groups of nurses are related to the authors own research studies. These included an observations study of one community mental handicap nursing team and a national survey of all such teams in England and Wales. The importance of trade union membership, the place of the Community Psychiatric Nursing Association and the implication of joint training courses are discussed. The emergence of a new professional role that of the 'community mental health nurse' is discussed and the implications which this might have for the future organization of community psychiatric nursing services is outlined. 相似文献
83.
Sense of coherence among elderly somatic patients: predictive power regarding future needs of care 总被引:2,自引:0,他引:2
G. LARSSON PhD I. JOHANSSON RN E. HAMRIN RN BM DMSC 《Journal of nursing management》1995,3(6):307-311
The main aim was to study the predictive power of sense of coherence regarding future needs of care among elderly patients evaluated as medically ready for discharge from somatic emergency care. A secondary aim was to study the consistency of sense of coherence over time among patients with this kind of experience. The sample consisted of 53 Swedish patients (mean age 82.8 years, SD = 6.6 years) who had completed their medical treatment at surgical or orthopaedic departments. The predominant diagnosis was lower limb fractures. Sense of coherence was assessed twice, on the day the patient was evaluated as medically ready for discharge and 1 month later. On the second assessment occasion, 28 patients had returned to their homes, 17 were staying at institutions, and eight had died. Patients who returned to their homes reported the strongest sense of coherence while still in hospital. Patients who were staying at institutions scored lowest on the overall sense of coherence scale and on the comprehensibility subscale. Patients who died before the second measurement occasion scored lowest on the meaningfulness subscale. A correlation of 0.51 was noted between the two assessments of sense of coherence, indicating a moderate temporal consistency. 相似文献
84.
In the community, acute hypoglycaemia is commonly caused by therapies for
diabetes mellitus or the excessive consumption of alcohol. Although most
episodes do not require admission to hospital, little information is
available on the causes and outcome of those that do. We retrospectively
surveyed adult patients admitted to a large urban teaching hospital with
acute hypoglycaemia in a 12-month period, identifying 56 admissions of 51
patients. Forty-one had diabetes mellitus, 33 (80%) of whom were receiving
treatment with insulin. The others had hypoglycaemia induced by excessive
consumption of alcohol or by deliberate self-poisoning with insulin. A
history of psychiatric illness and/or chronic alcoholism was common.
Neurological manifestations of hypoglycaemia were the principal reason for
admission, observed on 50 occasions (89%), and 11 events (20%) had
precipitated convulsions. Although many patients (59%) had received
treatment for hypoglycaemia before admission, hypoglycaemia recurred in 16%
of patients in hospital. Four patients (7%) died following admission, but
in only one case was this the direct result of hypoglycaemia. However,
within 15 months of the index hypoglycaemia event, a further six patients
(11%) had died, mostly of causes unrelated to hypoglycaemia. Patients who
require hospital admission for treatment of hypoglycaemia have a high
incidence of neurological manifestations, a high rate of mental illness and
other medical disorders, and may represent a high-risk subgroup with a poor
long-term prognosis.
相似文献
85.
86.
87.
Replacement therapy for congenital Factor × deficiency 总被引:2,自引:0,他引:2
We studied a young woman with severe (less than 1%) congenital factor X deficiency during a 2-year period in order to document the levels of factor X required to provide hemostasis for vaginal bleeding, epistaxis, and hemarthroses, as well as during surgery. Factor X levels of 9 to 17 percent, achieved with fresh-frozen plasma (FFP) were satisfactory for minor bleeding. Hemostasis was achieved during emergency surgery for hemoperitoneum by increasing the factor X level to 35 percent with a Factor IX concentrate, followed with infusions of FFP to maintain levels between 10 and 20 percent for 6 days postoperatively. These data suggest that factor X levels of 10 to 20 percent are sufficient for hemostasis in factor X-deficient patients even in the immediate postoperative period. 相似文献
88.
Patients with a history of epistaxis, menorrhagia or excessive bleeding after dental or surgical procedures may have von Willebrand's disease. Although screening coagulation tests may be normal, many patients with this disease will have excessive bleeding after surgical procedures if the disorder has not been recognized and appropriately treated. Patients with von Willebrand's disease may be treated with a medication that stimulates an increase in von Willebrand's factor, allowing them to avoid the need for blood product support. 相似文献
89.
Christina Kleiser Angelika Schaffrath Rosario Gert BM Mensink Reinhild Prinz-Langenohl B?rbel-Maria Kurth 《BMC public health》2009,9(1):46
Background
Obesity among children and adolescents is a growing public health problem. The aim of the present paper is to identify potential determinants of obesity and risk groups among 3- to 17-year old children and adolescents to provide a basis for effective prevention strategies. 相似文献90.
Baohua Zhu MD Chengjiang Liu MD Ph.D Lan Zhang MD Jun Wang MS Mingling Chen MD Yuegang Wei BM 《Journal of Cosmetic Dermatology》2023,22(3):1083-1098