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21.
Nancy J. Fishwick RN PhD CS 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》1998,27(6):661-670
Nearly 4 million women in the United States were physically hurt by their husbands or boyfriends in 1994. The health and well-being of these women and their children, as well as the women who are overlooked in these statistics, are jeopardized by past and current experiences with abuse within intimate relationships. Strategies for nurses in women's health care settings to screen women for current or past abuse within their intimate personal relationships, guidelines for effective responses to disclosure of abuse, and supportive interventions are described. 相似文献
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Preliminary experience with new bioactive prosthetic material for repair of hernias in infected fields 总被引:15,自引:5,他引:10
Surgisis (Cook Surgical, Bloomington, Ind., USA) is a new four-ply bioactive, prosthetic mesh for hernia repair derived from
porcine small-intestinal submucosa. It is a naturally occurring extracellular matrix which is easily absorbed, supports early
and abundant new vessel growth, and serves as a template for the constructive remodeling of many tissues. As such, we believe
that Surgisis mesh is ideal for use in contaminated or potentially contaminated fields in which ventral, incisional, or inguinal
hernia repairs are required. From November 2000 through May 2002, 25 patients (11 male, 14 female) underwent placement of
Surgisis mesh for a variety of different hernia repairs. A total of 25 hernia repairs were performed in our patient population.
Fourteen procedures (56%) were performed in a potentially contaminated setting (i.e. with incarcerated/strangulated bowel
within the hernia or coincident with a laparoscopic cholecystectomy/colectomy). Eleven repairs (44%) were performed in a grossly
contaminated field, including one in which an infected polypropylene mesh from a previous inguinal hernia repair was replaced
with Surgisis and one in which necrotic bowel was discovered within the hernial sac. Median follow-up was 15 months with a
range of 1–20 months. Of the 25 total repairs, there was one wound infection complicated by enterocutaneous fistula in a patient
originally operated on for ischemic bowel. The fistula was in a location independent of the Surgisis mesh. There were no mesh-related
complications or recurrent hernias in our early postoperative follow-up period. Surgisis mesh appears to be a promising new
prosthetic material for hernia repair, especially in contaminated or potentially contaminated fields. Obviously, long-term
follow-up is still required.
Electronic Publication 相似文献
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In 260 asbestos-exposed individuals evaluated by means of computed tomography (CT), 43 unsuspected pulmonary masses were found in 27 individuals. The masses included fissural pleural plaques (n = 10), dense fibrotic bands (n = 3), round atelectasis (n = 11), carcinomas (n = 3), and other presumed benign masses (n = 16). The most helpful features in the diagnosis of rounded atelectasis with CT were (a) contiguity to areas of diffuse pleural thickening, (b) a lentiform or wedge-shaped outline, (c) evidence of volume loss in the adjacent lung, and (d) a characteristic "comet tail" of vessels and bronchi sweeping into the margins of the mass. Less advanced areas of focal atelectasis had fewer classic features. Intrafissural pleural plaques were readily identified with high-resolution CT. In asbestos-related masses, the demonstration of stability over time is necessary. Careful interpretation of CT and high-resolution CT features and close surveillance can obviate the need for biopsy in the majority of instances. 相似文献
29.
Although pilomatrixomas are well known to dermatologists and dermatopathologists, surgeons encountering these lesions over the parotid gland frequently do not consider this benign neoplasm in the differential diagnosis. Presentation of a subcutaneous preauricular lesion, coupled with an erroneous cytologic diagnosis of malignancy, can potentially result in histologic "overdiagnosis" and more aggressive therapy than is required for these benign hair follicle neoplasms. A case is reported to illustrate this potential diagnostic trap, and a series of 206 cases collected at the University Hospital of Zurich from 1975 to 1987 is reviewed. 相似文献
30.
R A Franklin 《The Nursing clinics of North America》1992,27(3):631-642
Cigarette smoking remains a major health problem in not only the United States but the world. The dependency-producing effects of nicotine are well documented. Primary prevention, preventing the initiation of smoking, is receiving increased attention in the field of health education. Secondary prevention, smoking cessation, is showing promising results. Perhaps the goal of a smoke-free America by 2000 is not a "pipe dream" after all. 相似文献