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排序方式: 共有520条查询结果,搜索用时 173 毫秒
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Donaldson MG Khan KM Davis JC Salter AE Buchanan J McKnight D Janssen PA Bell M McKay HA 《Archives of gerontology and geriatrics》2005,41(3):311-317
We wanted to determine whether women aged 70 years and older, who presented to the emergency department (ED) with a fall and injury, received guideline care within 18 months of presentation. Women aged 70 years and older who presented to the ED with a fall were recorded prospectively from August 1, 2001 to May 1, 2002 (n=226). Structured telephone interviews were performed 18 months after the ED fall to obtain details of patient management (n=63). The most frequently reported referral was to the family physician (32%) and to physiotherapy (24%). We concluded that most older women who presented to the ED with a fall did not appear to be receiving current guideline care. We propose that future research use a prospective study design to assess whether or not guideline care is being delivered by a variety of health care providers after the patients leave the ED. 相似文献
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Melissa K. Deck Erica S. Anderson Rebecca J. Buckner Georgia Colasante Thomas E. Davis James M. Coull Benjamin Crystal Phyllis Della Latta Martin Fuchs Deanna Fuller Will Harris Kevin Hazen Lisa L. Klimas Daniel Lindao Michelle C. Meltzer Margie Morgan Janeen Shepard Sharon Stevens Fann Wu Mark J. Fiandaca 《Diagnostic microbiology and infectious disease》2014
The performance of a diagnostic method for detection and identification of Enterococcus spp. directly from positive blood culture was evaluated in a clinical study. The method, Enterococcus QuickFISH BC, is a second-generation peptide nucleic acid (PNA) fluorescence in situ hybridization (FISH) test, which uses a simplified, faster assay procedure. The test uses fluorescently labeled PNA probes targeting 16S rRNA to differentiate Enterococcus faecalis from other Enterococcus spp. by the color of the cellular fluorescence. Three hundred fifty-six routine blood culture samples were tested; only 2 discordant results were recorded. The sensitivities for detection of Enterococcus faecalis and non-faecalis Enterococcus were 100% (106/106) and 97.0% (65/67), respectively, and the combined specificity of the assay was 100%. The combined positive and negative predictive values of the assay were 100% (171/171) and 98.9% (185/187), respectively. 相似文献
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Ingrid Waldron Brannon Senger Jacob Cookey Margie Crown Phil Tibbo 《Revue canadienne de psychiatrie》2023,68(3):200
ObjectivesThe purpose of this study was to gain an in-depth understanding of perceptions of mental illnesses (especially psychosis), help-seeking, barriers to help-seeking, and opportunities to facilitate help-seeking in the African Nova Scotian Community.MethodsA qualitative interpretive narrative approach, using the focus group method, was employed to engage African Nova Scotians in discussions on their perceptions and beliefs about mental illnesses and help-seeking in their communities. Youth in Early Intervention services, their caregivers, youth in the community, their caregivers, community leaders, and health service providers, were recruited from four locations in the Halifax Regional Municipality. A total of 75 individuals (37 female, 38 male) participated in the study. Narrative emplotment was used to analyse data from focus groups.ResultsFindings from focus groups were categorized based on four areas of discussion: (a) perceptions about psychosis and other mental illnesses among youth, caregivers, service providers and community leaders (b) beliefs about help-seeking among youth, caregivers, services providers and community leaders; (c) barriers and facilitators to seeking help for mental illnesses; and (d) the content and format of educational resources to educate and support youth, families and communities.ConclusionsStigma surrounding mental illnesses in the community, lack of knowledge of illness and available services, concerns regarding negative involvement with police, or dismissal of difficulties by health care providers represent significant barriers to help-seeking in this community. Additionally, barriers include a lack of trust in health care services and a dearth of African Nova Scotian service providers. Bolstering capacity of community organizations to support and educate individuals around illness as well as fostering collaboration between health services and community organizations could reduce barriers to care. Future research should focus on examining ways to engage African Nova Scotians in collaboration with existing community organizations. 相似文献
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Margie I. Mayfield 《Early child development and care》1986,24(3):181-195
Multidisciplinary infant stimulation programs for native Indian children and their parents in North America have been developed in response to serious health, educational and social conditions. The common characteristics of the programs typically include local initiation and development in response to local needs, a preventive rather than compensatory focus, multidisciplinary content, use of para-professional staff, and the active involvement of parents and community elders. The implications of these programs and their development for policy-making and early childhood program planning are discussed in terms of the use of community initiation and involvement, the problem of conflicting administrative jurisdiction, the need for adequate funding, the difficulty in disseminating information about the programs, and the nature and role of evaluation. Locally-initiated multidisciplinary programs for Native Indian children are one option for fostering the optimal development of children in their earliest years. 相似文献
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Margie K. Kitano 《Early child development and care》1990,63(1):19-31
Recent literature on the nature of intelligence, young children's learning, affective characteristics of the gifted, and the needs of diverse learners has implications for identifications and instruction of young gifted children. A Developmental Model is proposed that integrates this knowledge with the Developmental Curriculum approach supported by The National Report on Identification #opRichert, Alvino, & McDonnel, 1982#cp. The model serves as both an approach to identification and appropriate practice for preschool and primary-age gifted children. Suggestions are offered for implementation. 相似文献
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