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151.
Little attention has been directed toward inappropriate social and sexual approaches by patients with dementia diagnoses and
organic disorders of the brain. A female student who approached patients who had dementia and organic brain disorders was
frequently approached and touched in a sexual manner that was distressing to her and led her to believe that she was behaving
in a manner that elicited these responses. It is recommended that students and volunteers be prepared for experience in settings
with patients with these diagnoses through individual or group discussion, training and role playing as a way of enhancing
their experiences and avoiding unnecessary feelings of guilt and embarrassment. 相似文献
152.
Hypoplasia of the Posterior Leaflet as a Rare Cause of Congenital Mitral Insufficiency 总被引:1,自引:0,他引:1
Afksendiyos Kalangos M.D. Ph.D. Ingrid Oberhansli M.D. Ary Baldovinos M.D. Maurice Beghetti M.D. Beat Friedli M.D. Bernard Faidutti M.D. 《Journal of cardiac surgery》1997,12(5):339-342
A bstract A rare case of congenital mitral insufficiency characterized by the hypoplasia of the posterior leaflet is reported. At operation, the mitral valve was successfully repaired by a ring annuloplasty, which created a satisfactory surface of coaptation between the anterior leaflet and the bulky posterior muscular structure. The presence of this posterior muscular structure represents a developmental arrest at the stage of conversion from muscular chordae and leaflets to thin connective structures. 相似文献
153.
Abstract Home visiting is a central, long-standing, and yet theoretically underdeveloped public health nursing process. The general aim of this study was to expand and refine a preliminary model of home visiting A stylized field research investigation was conducted in the area of maternal-child health with one nurse in a visiting nurse association in New England. A specific type of home visiting, identified as child focused, emerged, with phases labeled as surveying and designating; selling and scheduling; approaching the home and the visit; entering the home; gaining permission to ask questions and access the infant—starting with the mother's expressed concerns; making the caregiving judgment—asking questions and weighing and examining the infant; and ending the visit. "Haunting and telling" was an additional phase for certain visits. The nurse conducted child-focused home visiting in three patterns. The single pattern is described in this article. Potential maternal, child, interactive, and environmental consequences were identified, as were factors influencing the process of maternal-child home visiting. Social exchange theory emerged as useful in describing how the nurse initiated, maintained, and ended the home visiting process, and in describing attendant client consequences. 相似文献
154.
Zusammenfassung. Vom 1. 1. 1985 bis zum 31. 12. 1995 wurde bei 386 Patienten mit einem Rectumcarcinom im UICC-Stadium I–III nach konventionell
chirurgischen Eingriffen und R0-Resektion des Tumors der Einflu? der Zahl der dissezierten Lymphknoten auf Tumorstaging und
Lokalrezidivrate retrospektiv untersucht. In der univariaten Analyse fanden wir einen signifikanten Zusammenhang zwischen
der Zahl der dissezierten und der Zahl der befallenen Lymphknoten, und damit einhergehend eine signifikante Zunahme des UICC-Stadiums
III (p = 0,013) und der pTxpN2-Kategorie (p = 0,000). Eine signifikante Senkung der Lokalrezidivrate in Abh?ngigkeit von der Zahl der dissezierten Lymphknoten konnte
nur für das UICC-Stadium I und II nachgewiesen werden. Im Gesamtkrankengut und in der multivariaten Analyse hatte die Zahl
der dissezierten Lymphknoten keinen Einflu? auf die Lokalrezidivrate. Unsere Ergebnisse zeigen, da? die Senkung der Lokalrezidivrate
im UICC-Stadium I und II nicht auf einen therapeutischen Effekt, sondern auf eine Stadienverschiebung im Rahmen eines exakteren
Tumorstagings zurückzuführen ist. Dies weist auf den Einflu? anderer chirurgisch beeinflu?barer Faktoren, insbesondere die
totale mesorectale Excision für die Entstehung eines locoregion?ren Rezidivs hin.
相似文献
155.
Robert A. Schnoll Ph.D. James Calvin B.A. Michael Malstrom B.S. Randi L. Rothman B.A. Hao Wang M.S. James Babb Ph.D. Suzanne M. Miller Ph.D. John A. Ridge M.D. Ph.D. Benjamin Movsas M.D. Corey Langer M.D. Michael Unger M.D. Melvyn Goldberg M.D. 《Annals of behavioral medicine》2003,25(3):214-221
Even though continued smoking by cancer patients adversely affects survival and quality of life, about one third of patients
who smoked prior to their diagnosis continue to smoke after their diagnosis. The implementation of smoking cessation treatments
for cancer patients has been slowed by the lack of data on correlates of tobacco use in this population. Thus, this longitudinal
study assessed demographic, medical, addiction, and psychological predictors of tobacco use among 74 head, neck, and lung
cancer patients. Multivariable binary logistic regression analyses, with outcome categorized as smoker or nonsmoker, indicated
that the likelihoodthat patients would be a smoker was associated with lower levels of perceived risk and a higher level of
quitting cons. Multivariable nominal logistic regression, with outcome classified as continuous smoker, continuous quitter,
relapser, or follow-up quitter, indicated that: (a) patients categorized as continuous smokers reported significantly lower
quitting self-efficacy than follow-up quitters and continuous quitters, (b) relapsers reported a significantly lower level
of quitting self-efficacy than either follow-up quitters or continuous quitters, and (c) continuous smokers exhibited a significantly
lower level of risk perceptions than continuous abstainers. These findings can be useful for the development and evaluation
of treatments to promote smoking cessation among cancer patients.
Support for this study was provided by National Institutes of Health Grants CA57708, CA06927, CA88610, CA95678, and CA76644. 相似文献
156.
157.
Alice J Hausman Ph.D. M.P.H. Howard Spivak M.D. Deborah Prothrow-Stith M.D. James Roeber M.S. 《The Journal of adolescent health》1992,13(8):668-675
This paper describes the implementation of a community-based youth violence prevention project that utilized an educational curriculum and a mass media campaign. The extent of penetration of the intervention into target areas and the degree of contamination of control areas are assessed, and the most frequently contacted forms of educational outreach are identified. Two sources of data, provider interviews and a random digit dialed telephone survey, were used to track the source and extent of teens' exposure to the intervention. Agency provider data revealed that 40% of the 92 contacted agencies actually conducted violence prevention education, reaching 22% of the target area teens. Approximately one-half of the surveyed teens reported some exposure to the program, with 13% of the teens in target areas reporting participation in interactive educational activities associated with the project. The most common source of exposure was the media campaign. Most teens report a single exposure, usually to the media campaign, although 29% report contact with more than one form of violence prevention education. While the project did not achieve community saturation, the data show that the community-based model of intervention for violence prevention is feasible and effective in reaching teenagers. This research highlights some difficulties in evaluating prevention programs, including reconciling community ownership with project identification, the ethics of curtailing services for control purposes, and factors influencing recall of participation. 相似文献
158.
Takehisa Akiyama M.D. Nobutaka Osawa M.D. Kaoru Shimanuki M.D. Kimio Yashiro M.D Tadashi Oyake Ph.D. 《Pediatrics international》1991,33(1):20-26
As a model system for mucocutaneous lymph node syndrome (MCLS), we have advocated and used mice which had been rendered tolerant to Streptococcus pyogenes-associated antigens by neonatal infection with group A fteta-hemolytic streptococci, because these mice have shown a variety of peculiar bioimmunological characteristics bearing a striking resemblance to those of MCLS patients. The results of our current investigations reaffirmed the reliability of the animal model by indicating that mice subjected to neonatal infection with 5. pyogenes , or inoculation with streptococcal pyrogenic exotoxin (SPE) in Freund's adjuvant, were perfect counterparts of patients with MCLS on account of their platelet activation and hyperaggregability in response to provocative treatment, which are familiar findings in this disease. 相似文献
159.
160.
J. Hernández Quero M.D. Ph.D. N. Ortego Centeno M.D. R. Castillo Amaro M.D. J. M. Higuera Torres-Puchol M.D. Ph. D. 《Infection》1991,19(6):440-441
Summary Pyomyositis is an acute bacterial infection of striated muscle. It is common in the tropics, but rarely reported in temperate climates. We present two cases in patients with the acquired immune deficiency syndrome (AIDS), one an active homosexual, and one an intravenous drug user. A brief review of the clinical findings and diagnostic procedures is included. We conclude that pyomyositis should be included in the list of locations of pyogenic infections that can occur in AIDS patients.
Spontane Pyomyositis und AIDS: ein seltenes Zusammentreffen
Zusammenfassung Die Pyomyositis ist eine akute bakterielle Infektion der quergestreiften Muskulatur. Im Gegensatz zu den Tropen, wo sie häufig auftritt, wird die Pyomyositis in gemäßigten Klimazonen nur selten beobachtet. Wir stellen zwei Patienten mit Pyomyositis und AIDS vor: der eine Patient ist Homosexueller, der andere intravenös drogenabhängig. Klinische Befunde und diagnostisches Vorgehen werden kurz dargestellt. Nach unserer Meinung sollte die Pyomyositis in die Liste pyogener Infektionslokalisationen bei AIDS-Patienten eingereiht werden.相似文献