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991.
Beitz J Gerlach M Ginsburg P Ho M McCann E Schafer V Scott V Stallings B Turnbull G 《Ostomy/wound management》2010,56(10):22-38
The number of ostomy care clinician experts is limited and the majority of ostomy care is provided by non-specialized clinicians or unskilled caregivers and family. The purpose of this study was to obtain content validation data for a new standardized algorithm for ostomy care developed by expert wound ostomy continence nurse (WOCN) clinicians. After face validity was established using overall review and suggestions from WOCN experts, 166 WOCNs self-identified as having expertise in ostomy care were surveyed online for 6 weeks in 2009. Using a cross-sectional, mixed methods study design and a 30-item instrument with a 4-point Likert-type scale, the participants were asked to quantify the degree of validity of the Ostomy Algorithm's decisions and components. Participants' open-ended comments also were thematically analyzed. Using a scale of 1 to 4, the mean score of the entire algorithm was 3.8 (4 = relevant/very relevant). The algorithm's content validity index (CVI) was 0.95 (out of 1.0). Individual component mean scores ranged from 3.59 to 3.91. Individual CVIs ranged from 0.90 to 0.98. Qualitative data analysis revealed themes of difficulty associated with algorithm formatting, especially orientation and use of the Studio Alterazioni Cutanee Stomali (Study on Peristomal Skin Lesions [SACS? Instrument]) and the inability of algorithms to capture all individual patient attributes affecting ostomy care. Positive themes included content thoroughness and the helpful clinical photos. Suggestions were offered for algorithm improvement. Study results support the strong content validity of the algorithm and research to ascertain its construct validity and effect on care outcomes is warranted. 相似文献
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Renata MB Peres Cláudia RC Costa Paula D Andrade Sandra HA Bonon Dulcinéia M Albuquerque Cristiane de Oliveira Afonso C Vigorito Francisco JP Aranha Cármino A de Souza Sandra CB Costa 《BMC infectious diseases》2010,10(1):147
Background
Human cytomegalovirus (CMV) infection still causes significant morbidity and mortality after allogeneic hematopoietic stem cell transplantation (HSCT). Therefore, it is extremely important to diagnosis and monitor active CMV infection in HSCT patients, defining the CMV DNA levels of virus replication that warrant intervention with antiviral agents in order to accurately prevent CMV disease and further related complications. 相似文献993.
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Intergenerational relationships and the media influence young persons' attitudes about aging. The authors analyzed 20 contemporary adolescent novels with intergenerational relationships using Allport's (1954) contact theory to assess whether the relationships demonstrated conditions that foster positive attitudinal change toward outgroups. When tenets were met, characters strengthened relationships, demonstrated resilience, and gained insight and respect for the other generation as they cooperated to resolve crises. Adolescent characters' attitudes toward elders often started out negative but tended to improve over the course of the stories. With these findings, educators, librarians, and parents can realistically inform older children's ideas about aging and elders. 相似文献
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Gonzalez JR Laudano MA McCann TR McKiernan JM Benson MC 《World journal of urology》2008,26(5):475-480
High-risk, localized prostate cancer represents a complex and diverse disease with many available treatment modalities. Patients
are often deemed high risk because they are at increased risk for biochemical failure after primary intervention. However,
these “high-risk” men may not be at significant risk of dying from their cancer. In this review, an attempt will be made to
better define high-risk patients and help identify men at increased risk for mortality, not simply biochemical failure, after
a diagnosis of localized prostate cancer. A review of available monotherapies as well as previously successful multimodality
treatments will also be presented. Finally, this review will provide a glimpse into the future direction of high-risk prostate
cancer multimodal therapy by providing a synopsis several current randomized clinical trials using effective systemic adjuvant
therapies following local treatment. 相似文献
1000.
Haney JC Shortell CK McCann RL Lawson JH Stirling MJ Stone DH 《Annals of vascular surgery》2008,22(5):681-683
Fusiform dilation of the jugular vein, or jugular venous phlebectasia, is a rare clinical entity, with an etiology of cervical swelling. We present a case of a 15-year-old male with no antecedent history of trauma and an enlarging right neck mass. Pertinent literature and relevant diagnostic and therapeutic modalities are reviewed. While conservative management is usually prescribed, ligation and resection may be performed safely when intervention is warranted. 相似文献