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Rufus Adesoji Adedoyin Matthew OB Olaogun Oluwatosin Olutola Fagbeja 《Physiotherapy》2002,88(8):493-499
The primary purpose of this study was to assess the effect of interferential current stimulation on osteo-arthritic knee pain in the black Nigerian population.Thirty patients with a history of not less than three months' knee pain with radiographic confirmation of osteo-arthritis took part in the study. Patients were allocated alternately into an interferential current stimulation group and a placebo group.All the patients participated in a baseline exercise therapy programme with dietary advice. They received a total of eight 20-minute treatment sessions in four weeks. The treatment group received interferential current stimulation at a frequency of 100 Hz and pulse length of one-thirtieth of a second for the first 15 minutes of their treatment session. The stimulus was then reduced to 80 Hz for the next five minutes while other parameters remained unchanged. For the placebo group the electrodes of the stimulator were positioned appropriately but the stimulator was not tuned.The analysis of variance demonstrated a significant result (P < 0.01). Post hoc analysis revealed differences between initial and final pain values in the interferential current stimulation group. Similar results were observed in the placebo group, but the pain rating in the interferential current stimulation group was found to be significantly better than that for the placebo group.It was concluded that interferential current stimulation is more effective than a placebo in relieving osteo-arthritic knee pain in black Nigerian patients with symptomatic hypermobility. 相似文献
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Jeffrey Viau Division Officer/Clinic Manager Internal Med Nursing Case Management Program Coordinator Adriana de Savorgnani Nursing Services Assistant Director Sally Bulla Same Day Surgery Unit Post Anesthesia Care Unit Division Officer Sharon Gladden Health Education Coordinator Leon Sanders Internal Medicine Clinic Division Officer Victoria Perez Pediatric Clinic Manager Constance Evans OB/GYN Clinic Nurse Manager 《The Case Manager》1995,6(5)
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Ruth T. Mielke CNM PhD Deborah Kaiser CNM MSN RNC‐MNN Rhonda Centuolo CNM MSN RNC‐OB 《Journal of Midwifery & Women's Health》2013,58(3):303-312
The diagnosis of gestational diabetes mellitus (GDM) signals greater pregnancy risk but also increased lifelong risk of developing diabetes and cardiovascular disease. In women with GDM, insulin resistance exceeds that observed in normal pregnancy and to varying degrees may persist or worsen after birth. Therefore, during postpartum and interconception periods, women with a history of GDM must be monitored for manifestations of increasing insulin resistance, hyperglycemia, dyslipidemia, hypertension, and increased adiposity. Care of women with prior GDM in the postpartum and interconception periods affords clinicians a unique opportunity for targeted screening and health promotion. The objective of this review was to synthesize evidence related to interconception care for women following a pregnancy complicated by GDM and to suggest principles of care: 1) case finding and multiple patient/clinician reminders for women with prior GDM are necessary so that screening occurs in the postpartum through interconception periods; 2) monitoring of metabolic (glucose) and cardiovascular risk (lipids, blood pressure, adiposity) should occur at regular intervals and more often in women with additional risk factors such as insulin use during pregnancy, early diagnosis of GDM, obesity, prediabetes, and dyslipidemia; 3) breastfeeding and use of long‐term contraception should be encouraged; and 4) lifestyle modifications that are effective in preventing and delaying disease should be encouraged. 相似文献
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Ivica Zalud Associate Professor OB/GYN Imaging Division 《The Ultrasound Review of Obstetrics & Gynecology》2006,6(1):20-26
This review aims to provide the reader with an overview of the potential clinical applications in 3D Doppler ultrasound for the evaluation of vascularity and blood flow within the placenta. Significant innovations have recently occurred, improving the visualization and evaluation of placental vascularity, resulting from enhancements in delineation of tissue detail through electronic compounding and harmonics, as well as enhancements in signal processing of frequency- and/or amplitude-based color Doppler ultrasound. Spatial representation of vascularity can be improved by utilizing 3D processing. Greater sensitivity of 3D Doppler ultrasound to macro- and microvascular flow has provided improved anatomicand physiologic assessment throughout pregnancy. The rapid development of these new sonographic techniques will continue to enlarge the scope of clinical applications in placental studies. Three-dimensional Doppler sonography is a unique ultrasound technique that enables assessment of vascular signals within the whole investigated area. Homodynamic changes included in the process of placentation are one of the most exciting topics in the investigation of early human development. 相似文献
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目的 探讨应用PCR分子生物学方法产前诊断Down综合征(Down syndrome,DS)。方法 取产前诊断病例:羊水100例,绒毛16例。提取DNA,PCR扩增21号染色体的6个多态位点,电泳,膜转移,等位基因位点分析,诊断。结果 正常人为两种带型:杂合型显示两条带,纯合型一条带。Down综合征患者为三种带型:完全杂合型显示三条带,半杂合型两条带(信号增强的2:1带),纯合型一条带。100例羊水中2例阳性,16例绒毛标本中1例阳性,3例患者,至少有2个位点检出三个等 基因,患者为2个位点时,表现2:1带型;无一例正常检出三个等位基因。所有结果均与细胞染色体核型检查相符。结论 本分子生物学方法产前诊断DS简便、快速、可行,是一种值得推广的方法。 相似文献
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An epidemiological analysis of Stenotrophomonas maltophilia strains in a university hospital 总被引:1,自引:0,他引:1
Caylan R Kaklikkaya N Aydin K Aydin F Yilmaz G Ozgumus B Koksal I 《Japanese journal of infectious diseases》2004,57(2):37-40
The aim of this investigation was to evaluate the epidemiology of Stenotrophomonas maltophilia in a university hospital of Turkey. From June 2000 to December 2001, S. maltophilia strains were collected, clinical presentations were noted, and MIC determinations were performed by means of E-test. Enterobacterial repetitive intergenic consensus sequences-PCR (ERIC-PCR) was used for molecular typing of the strains. Forty-four strains of S. maltophilia were isolated from 41 hospitalized patients in a teaching hospital. The majority of specimens were from the blood and respiratory tract. Antimicrobial sensitivities of these strains were as follows: 97.7 % trimethoprim-sulfamethoxazole, 15.9% ticarcillin, and 95.4% ticarcillin- clavulanate. The strains were evaluated using the ERIC-PCR method. It was of interest to note that epidemiological typing revealed three small outbreaks that were caused by a total of 12 strains. The remaining isolates generated singular DNA patterns. DNA amplification was possible in 38 isolates and yielded 26 different patterns in a period of 20 months, leading to the suggestion that commensal bacteria becomes selected in the presence of a suitable host. 相似文献
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