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排序方式: 共有97条查询结果,搜索用时 31 毫秒
81.
Ritesh G. Menezes MD Diplomate NB Tanuj Kanchan MD G. Pradeep Kumar MD P.P. Jagadish Rao MD Diplomate NB Stany W. Lobo MSc PhD Selma Uysal MD Kewal Krishan MSc PhD Sneha G. Kalthur MS K.R. Nagesh MD Sunder Shettigar PUC 《Journal of Forensic and Legal Medicine》2009,16(8):441-443
Estimation of stature is one of the important initial steps during forensic analysis of human skeletal remains. The aim of the present study was to derive a linear regression formula for estimating stature of adult South Indian males from the length of the sternum. The study included 35 male sternums of South Indian origin dissected from cadavers during medico-legal autopsies. The linear regression equation [Stature = 117.784 + (3.429 × Sternal length)] was derived to estimate the stature from the length of the sternum. The correlation coefficient was 0.638. The standard error of the estimate was 5.64 cm. This preliminary study concludes that the length of the sternum can be used as a tool for stature estimation in adult South Indian males. 相似文献
82.
长期应用埃索美拉唑是维持已愈合糜烂性食管炎疗效及控制胃食管反流症状的有效方法 总被引:3,自引:0,他引:3
要确保糜烂性食管炎的治愈效果 ,长期抑制胃酸是一项必要措施。在不使用维持治疗时 ,已治愈的反流性或溃疡性食管炎 ,在 1年左右有近 80 %的病人会再出现食管黏膜的破损。 1年中奥美拉唑 2 0mg或兰索拉唑 30mg每天 1次治疗 ,可使复发率降至 30 %或更低。H2 受体阻滞剂 (H2 RA)维持治疗的效果不及PPI。H2 RA 1年维持治疗的效果约为 50 %。奥美拉唑的S 异构体———埃索美拉唑是第一个发展为同分光学异构体的质子泵抑制剂 (PPI)。埃索美拉唑 2 0或40mg剂量的血浆浓度时间曲线下面积 (AUC值 )明显大于奥美拉唑 2 0mg … 相似文献
83.
Barbara Wilkinson Mustafa Ascha Emily Verbus Mary Montague Jane Morris Brian Mercer Kavita Shah Arora 《Contraception》2019,99(1):32-35
Objective
We sought to evaluate the impact of insurance type on receipt of an interval postpartum LARC, controlling for demographic and clinical factors.Study design
This is a retrospective cohort study of 1072 women with a documented plan of LARC for contraception at time of postpartum discharge. This is a secondary analysis of 8654 women who delivered at 20 weeks or beyond from January 1, 2012, through December 31, 2014, at an urban teaching hospital in Ohio. LARC receipt within 90 days of delivery, time to receipt, and rate of subsequent pregnancy after non-receipt were compared between women with Medicaid and women with private insurance. Postplacental LARC was not available at the time of study completion.Results
One hundred eighty-seven of 822 Medicaid-insured and 43 of 131 privately insured women received a LARC postpartum (22.7% vs 32.8%, P=.02). In multivariable analysis, private insurance status was not significantly associated with LARC receipt (OR 1.29, 95% C.I. 0.83–1.99) though adequate prenatal care was (OR 2.33, 95% C.I. 1.42–4.00). Of women who wanted but did not receive a LARC, 208 of 635 (32.8%) Medicaid patients and 19 of 88 (21.6%) privately insured patients became pregnant within 1 year (P=.02).Conclusion
Differences in receipt of interval postpartum LARC were not significant between women with Medicaid insurance versus private insurance after adjusting for clinical and demographic factors. Adequate prenatal care was associated with LARC receipt. Medicaid patients who did not receive a LARC were more likely to become pregnant within one year of delivery than those with private insurance.Implications
While insurance-related barriers have been reduced given recent policy changes, access to care remains an important determinant of postpartum LARC provision and subsequent unintended pregnancy. 相似文献84.
85.
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87.
K. K. Ramalingam MB FRCS DLO Ravi Ramalingam MB MS Dip NB Kanchan Dhote MB DLO Sreenivasa Murthy T.M. MB DLO 《Indian journal of otolaryngology and head and neck surgery》2005,57(3):252-255
The endoluminal presence of thyroid tissue in the trachea is a rare cause of airway obstruction. Only 14 well documented cases of intratracheal ectopic thyroid tissue have been reported in English Literature since 1966. These lesions are mostly benign and nearly all patients present with symptoms of respiratory obstruction. We present a case of ectopic thyroid in cervical trachea presenting with symptoms of airway obstruction. Thorough clinical examination and investigations were carried out. A right hemithyroidectomy and excision of a part of the tracheal wall through a tracheotomy was performed for removal of the ectopic thyroid tissue from trachea. The clinicians & radiologists must be aware of this entity to avoid mistaking it for evidence of invasion by a malignant neoplas, and hence this report. 相似文献
88.
Kavita Shah Arora Barbara Wilkinson Emily Verbus Mary Montague Jane Morris Mustafa Ascha Brian M. Mercer 《Contraception》2018,97(6):559-564
Objective
We sought to assess fulfillment of sterilization requests while accounting for the complex interplay between insurance, clinical and social factors in a contemporary context that included both inpatient and outpatient postpartum sterilization procedures.Study design
This is a retrospective single-center cohort chart review study of 1331 women with a documented contraceptive plan at time of postpartum discharge of sterilization. We compared sterilization fulfillment within 90 days of delivery, time to sterilization and rate of subsequent pregnancy after nonfulfillment between women with Medicaid and women with private insurance.Results
A total of 475 of 1030 Medicaid-insured and 100 of 154 privately insured women received postpartum sterilization (46.1% vs. 64.9%, p<.001). Women with Medicaid had a longer time from delivery to completion of the sterilization request (p<.001). After adjusting for age, parity, gestational age, mode of delivery, adequacy of prenatal care, race/ethnicity, marital status and education level, private insurance status was not associated with either sterilization fulfillment [odds ratio 0.94, 95% confidence interval (CI) 0.54–1.64] or time to sterilization (hazard ratio 1.03, 95% C.I. 0.73–1.34). Of the 555 Medicaid-insured women who did not receive a postpartum sterilization, 267 (48.1%) had valid Title XIX sterilization consent forms at time of delivery. Of women who did not receive sterilization, 132 of 555 Medicaid patients and 5 of 54 privately insured patients became pregnant within 1 year (23.8% vs. 9.3%, p=.023).Conclusion
Differences in fulfillment rates of postpartum sterilization and time to sterilization between women with Medicaid versus private insurance are similar after adjusting for relevant clinical and demographic factors. Women with Medicaid are more likely than women with private insurance to have a short interval repeat pregnancy after an unfulfilled sterilization request.Implications
Efforts are needed to ensure that Medicaid recipients who desire sterilization receive timely services. 相似文献89.
M Reiff K Ross S Mulchandani KJ Propert RE Pyeritz NB Spinner BA Bernhardt 《Clinical genetics》2013,83(1):23-30
Chromosomal microarray analysis (CMA) has improved the diagnostic rate of genomic disorders in pediatric populations, but can produce uncertain and unexpected findings. This article explores clinicians' perspectives and identifies challenges in effectively interpreting results and communicating with families about CMA. Responses to an online survey were obtained from 40 clinicians who had ordered CMA. Content included practice characteristics and perceptions, and queries about a hypothetical case involving uncertain and incidental findings. Data were analyzed using nonparametric statistical tests. Clinicians' comfort levels differed significantly for explaining uncertain, abnormal, and normal CMA results, with lowest levels for uncertain results. Despite clinical guidelines recommending informed consent, many clinicians did not consider it pertinent to discuss the potential for CMA to reveal information concerning biological parentage or predisposition to late‐onset disease, in a hypothetical case. Many non‐genetics professionals ordering CMA did not feel equipped to interpret the results for patients, and articulated needs for education and access to genetics professionals. This exploratory study highlights key challenges in the practice of genomic medicine, and identifies needs for education, disseminated practice guidelines, and access to genetics professionals, especially when dealing with uncertain or unexpected findings. 相似文献
90.