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排序方式: 共有4993条查询结果,搜索用时 15 毫秒
91.
Surendra Karki Gillian Land Stacey Aitchison Jacqueline Kennon Paul D. R. Johnson Susan A. Ballard Karin Leder Allen C. Cheng 《Journal of clinical microbiology》2013,51(10):3374-3379
Contact precautions are recommended in hospitals to prevent the transmission of vancomycin-resistant enterococci (VRE); however, there is no clear policy for how long patients should be under contact precautions due to a lack of information on the duration of carriage of these organisms. We conducted a retrospective cohort study to understand the duration of carriage of VRE (by screening of a single stool culture) and associated factors among patients who had been identified with VRE infection and/or colonization since the year 2000 at our health facilities. Of the 345 eligible participants, 136 did not respond, 90 declined to participate, and 16 did not send in the required specimens. Of the 103 remaining participants, 13 were found to have current VRE fecal carriage. The proportion of colonized patients fell from 40% (2/5) in the first year to 23.3% (7/30) in year 4. None of the 40 patients who had VRE detected >4 years prior were found to be colonized at the time of the study. The longest duration of detected VRE positivity was 46.5 months. Univariate analysis revealed that recent exposure to any antibiotics (P = 0.016), multiple antibiotics (P = 0.001), amoxicillin-clavulanic acid (P = 0.021), piperacillin-tazobactam (P = 0.007), glycopeptides (P < 0.001), meropenem (P = 0.007), aminoglycosides (P = 0.021), or fluoroquinolones (P = 0.021), being the index case in a clinical specimen (P = 0.016), and recent hospitalization (P < 0.001) were significantly associated with continued carriage on follow-up. In the surviving outpatients, a significant proportion appeared to clear VRE carriage. Our results suggest that in the absence of recent risk factors, such as hospitalization or antibiotic use, patients with a remote history of colonization (>4 years) may no longer require contact isolation precautions. 相似文献
92.
Ramnath Santosh Ramanathan Dolora Wisco Daniel Vela-Duarte Atif Zafar Ather Taqui Stacey Winners A Blake Buletko Fredrick Hustey Andrew Reimer Andrew Russman Ken Uchino M Shazam Hussain 《Journal of stroke and cerebrovascular diseases》2021,30(7):105801
ObjectivesMobile stroke unit (MSU) has been shown to rapidly provide pre-hospital thrombolysis in acute ischemic stroke (AIS). MSU encounters neurological disorders other than AIS that require emergent treatment.Methods/MaterialsWe obtained pre-hospital diagnosis and treatment data from the prospectively collected dataset on 221 consecutive MSU encounters. Based on initial clinical evaluation and neuroimaging obtained on MSU, the diagnosis of AIS (definite, probable, and possible AIS, transient ischemic attack), intracranial hemorrhage, and likely stroke mimics was made.ResultsFrom July 2014 to April 2015, 221 patients were treated on MSU. 78 (35%) patients had initial clinical diagnosis of definite/probable AIS or TIA, 69 (31%) were diagnosed as possible AIS or TIA, 15 (7%) had intracranial hemorrhage while 59 patients (27%) were diagnosed as likely stroke mimics. Stroke mimics encountered included 13 (6%) metabolic encephalopathy, 11 (5%) seizures, 9 (4%) migraines, 3 (1%) substance abuse, 2 (1%) CNS tumor, 3 (1%) infectious etiology and 3 (1%) hypoglycemia. Fifty-four (24%) patients received non-thrombolytic treatments on MSUConclusionAbout one third of MSU encounters were not AIS initially, including intracranial hemorrhage and stroke mimics. MSU can be utilized to provide pre-hospital treatments in emergent neurological conditions other than AIS. 相似文献
93.
Sonja K. Schoenwald Tara G. Mehta Stacey L. Frazier Elisa S. Shernoff 《Clinical psychology》2013,20(1):44-59
The role of clinical supervision in the larger‐scale implementation of effective mental health treatments has begun to attract attention in effectiveness research and implementation science. Clinical supervision approaches demonstrated to support the implementation of effective treatments could provide a fruitful basis for adaptation to the contours and implementation of other interventions. The adaptation of the Multisystemic Therapy supervision model to support the implementation of an innovative, experimental mental health service model called Links to Learning is described. An observational study provides the platform for consideration of the extent to which the Links supervision model was implemented as intended and of challenges to Links implementation illuminated by the supervision process. Implications are considered for research on supervision as a tool to effect the implementation and outcomes of effective treatment and service models in community practice contexts. 相似文献
94.
Hatchard Taylor Byron-Alhassan Aziza Mioduszewski Ola Holshausen Katherine Correia Stacey Leeming Allison Ayson Gladys Chiasson Carley Fried Peter Cameron Ian Smith Andra 《International journal of mental health and addiction》2021,19(6):2485-2486
International Journal of Mental Health and Addiction - The caption for Fig. 1 was incorrect in this article as originally published. 相似文献
95.
Rubins Daniel J Meng Xiangjun McQuade Paul Klimas Michael Getty Krista Lin Shu-An Connolly Brett M. O’Malley Stacey S. Haley Hyking Purcell Mona Gantert Liza Holahan Marie Lindgren Joel Eklund Pär Ekblad Caroline Frejd Fredrik Y. Hostetler Eric D. González Trotter Dinko E. Evelhoch Jeffrey L. 《Molecular imaging and biology》2021,23(2):241-249
Molecular Imaging and Biology - In vivo imaging of programmed death ligand 1 (PD-L1) during immunotherapy could potentially monitor changing PD-L1 expression and PD-L1 expression heterogeneity... 相似文献
96.
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98.
FP Robertson D Tsironis BR Davidson 《Annals of the Royal College of Surgeons of England》2015,97(5):e77-e78
Diaphragmatic lesions are usually congenital bronchogenic cysts. A patient with a known diaphragmatic cyst presented with new onset right upper quadrant pain. Repeat imaging showed enlargement of the cyst, the CA19–9 cancer marker was raised at 312iu/ml (normal: <27iu/ml) and positron emission tomography combined with computed tomography showed focally increased uptake in the cystic wall. In view of symptoms and risk of neoplasia, the lesion was excised. Histology showed a benign epidermoid cyst. Features falsely suggesting neoplasia have been reported previously with benign splenic cysts but not with a benign diaphragmatic epidermoid cyst. 相似文献
99.
Rebecca E. Graff Andreas Pettersson Rosina T. Lis Natalie DuPre Kristina M. Jordahl Elizabeth Nuttall Jennifer R. Rider Michelangelo Fiorentino Howard D. Sesso Stacey A. Kenfield Massimo Loda Edward L. Giovannucci Bernard Rosner Paul L. Nguyen Christopher J. Sweeney Lorelei A. Mucci 《The Prostate》2015,75(9):897-906
100.
Eisenman DP Meredith LS Rhodes H Green BL Kaltman S Cassells A Tobin JN 《Journal of general internal medicine》2008,23(9):1386-1392
Background Little is known about how Latinos with post-traumatic stress disorder (PTSD) understand their illness and their preferences
for mental health treatment.
Objective To understand the illness beliefs and treatment preferences of Latino immigrants with PTSD.
Design Semi-structured, face-to-face interviews.
Participants Sixty foreign-born, Latino adults recruited from five primary care centers in New York and New Jersey and screened for PTSD.
Approach Content analytic methods identified common themes, their range, and most frequent or typical responses.
Results Participants identified their primary feelings as sadness, anxiety, nervousness, and fear. The most common feeling was “sad”
(triste). Other words frequently volunteered were “angry” (enojada), “nervous” (nerviosa), and “scared” (miedo). Participants viewed their PTSD as impairing health and functioning. They ascribed their somatic symptoms and their general
medical problems to the “stress” from the trauma and its consequences on their lives. The most common reason participants
volunteered for their work and school functioning being impaired was their poor concentration, often due to intrusive thoughts.
Most expressed their desire to receive mental health treatment, to receive it within their primary care center, and preferred
psychotherapy over psychotropic medications. Among participants who did not report wanting treatment, most said it was because
the trauma was “in the past.”
Conclusions Clinicians may consider enquiring about PTSD in Latino patients who report feeling sad, anxious, nervous, or fearful. Our
study suggests topics clinicians may include in the psychoeducation of patients with PTSD. 相似文献