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41.
James D. Chalmers 《Chest》2017,151(6):1204-1206
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本文提出基于循证医学、针对胎儿及新生儿血友病的管理指南,包括妊娠、分娩及新生儿早期血友病管理,并就分娩方式与颅内及颅外出血风险之间的关系进行了专门讨论. 相似文献
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R. D. Harris J. P. Chalmers P. J. Henschke A. Tonkin P. Y. Popplewell A. M. Stewart A. J. Radford K. P. O'Brien M. J. Bond M. G. Harris R. J. Turnbull G. Champion E. R. Hobbin G. R. Andrews 《Internal medicine journal》1991,21(2):230-234
The aim of this study was to identify differences in the medical management and clinical outcome in a group of elderly patients admitted to a designated geriatric assessment unit (GAU) or to two general medical units (GMUs). A prospective randomised controlled trial was undertaken in 267 patients aged 70 years and over (mean age = 78.3 years). Following discharge from hospital, patients were followed up at three monthly intervals for a total of 12 months. At the time of discharge, no significant differences were found in inpatient management, length of stay, mortality rates, discharge rates to institutional care or utilisation of community services in patients admitted to the GAU and the GMUs. Similarly, no significant differences were found at three, six, nine, and 12 month follow up in case fatality, activities of daily living indices, mental health status, rates of institutional referral and the level of community service support in patients admitted to the GAU and the GMUs studied. These findings do not show any advantage for the unselected 70 + acutely ill elderly patient who is admitted to a designated geriatric assessment unit rather than to a general medical unit. Therefore, an admission policy to GAU, based solely on age 70 + is medically inappropriate and cost-inefficient. Evidence from other sources suggests that an age cohort of acutely admitted patients beyond 80 years may well have returned more optimistic findings for the GAU. In future, GAUs will require a more selective admission policy to maximise the benefits of their rehabilitative and interdisciplinary approach. (Aust NZ J Med 1991; 21: 230–234.) 相似文献
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Lindsay M. Aarseth David N. Suprak Gordon R. Chalmers Lonnie Lyon Dylan T. Dahlquist 《Journal of Athletic Training》2015,50(8):785-791
Context
Joint position sense (JPS) is a key neuromuscular factor for developing and maintaining control of muscles around a joint. It is important when performing specialized tasks, especially at the shoulder. No researchers have studied how Kinesio Tape (KT) application affects JPS.Objective
To investigate the effects of KT application and no tape on shoulder JPS at increasing shoulder elevations in athletes.Design
Cross-sectional study.Setting
University laboratory.Patients or Other Participants
A total of 27 healthy athletes who did not participate in overhead sports (age = 20.44 ± 1.05 years, height = 175.02 ± 11.67 cm, mass = 70.74 ± 9.65 kg) with no previous pathologic shoulder conditions volunteered for the study. All participants were from 1 university.Intervention(s)
Shoulder JPS was assessed at increasing elevations with and without KT application. Participants attempted to actively replicate 3 target positions with and without the KT and without visual guidance.Main Outcome Measure(s)
We examined absolute and variable repositioning errors at increasing shoulder-elevation levels with and without KT application.Results
Data revealed an interaction between tape and position for absolute error (F2,52 = 4.07, P = .02); simple effects revealed an increase in error, with KT demonstrating a 2.65° increase in error at 90° of elevation compared with no tape (t26 = 2.65, P = .01). The effect size was medium (ω2 = .135). Variable error showed no interaction of tape and position (F2,52 = .709, P = .50). Further analysis of simple effects was not needed. However, we still calculated the effect size and observed small effect sizes for tape (ω2 = .002), position (ω2 = .072), and tape by position (ω2 = .027).Conclusions
At 90° of elevation, shoulder JPS was impaired by the application of KT.Key Words: proprioception, taping, shoulder, neuromuscular, rehabilitationKey Points
- Short-term Kinesio-Tape application to the shoulder reduced joint position sense acuity at 90° of elevation but did not affect JPS at 50° or 110°.
- Kinesio Tape may negatively affect shoulder joint position sense, especially as the shoulder position approaches 90° of elevation.
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