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81.
Creating empowering meaning: an interactive process of promoting health with chronically ill older Canadians 总被引:2,自引:1,他引:1
McWilliam C; Stewart M; Brown J; McNair S; Desai K; Patterson M; Del Maestro N; Pittman B 《Health promotion international》1997,12(2):111-123
Many health promotion approaches afford education about disease prevention
and enhancement of one's health status. But strategies for enabling older
people with chronic illness to better mobilize their resources for everyday
living still require development. This practical action research study
explored the experiences of 13 purposefully selected older persons who
participated in a health promotion intervention premised on the adult
education theory of perspective transformation. Findings illuminate health
promotion through a holistic interactive process in which professional and
chronically ill older person together evolved a caring relationship and
enhanced conscious awareness of life and health experiences. Five
health-promoting strategies were identified: building trust and meaning;
connecting; caring; mutual knowing; and mutual creating. Researchers
suggest several important directions to refine professional practice
approaches and health care delivery systems in order to promote the health
of older persons with chronic conditions. 相似文献
82.
A significant number of patients undergoing lumbar spine surgery do not obtain pain relief. Such patients with chronic low
back or lower extremity pain may be difficult to treat. A frequent component of therapy is the use of spinal cord stimulation
to help control pain. With careful patient selection, many patients can achieve reasonable levels of pain relief. We review
recent clinical reports, including prospective and randomized studies, that demonstrate up to three quarters of patients implanted
with a spinal cord stimulator for the treatment of failed back surgery syndrome may benefit from its use. This technology
must not be indiscriminately applied. Careful patient selection and a period of trial stimulation are vital to the successful
use of spinal cord stimulation as treatment for chronic pain. 相似文献
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86.
Molecular biology of urological tumours 总被引:1,自引:0,他引:1
87.
V G Matassa F J Brown P R Bernstein H S Shapiro T P Maduskuie L A Cronk E P Vacek Y K Yee D W Snyder R D Krell 《Journal of medicinal chemistry》1990,33(9):2621-2629
The dissociation constants (KB) at the LTD4 receptor on guinea pig trachea of a series of monocyclic and bicyclic cyclopentylurethane and cyclopentylacetamide N-arylsulfonyl amides have been measured. The KB was found to be remarkably tolerant of changes in the electronic constitution and lipophilicity of the bicyclic ring system (template). Thus, N-[4[[6-[[(cyclopentyloxy)carbonyl]amino]benzimidazol-1- yl]methyl]-3-methoxybenzoyl]benzenesulfonamide (11a) and N-[4-[[5-[[(cyclopentyloxy)carbonyl]amino]benzo[b]thien-3- yl]methyl]-3-methoxybenzoyl]benzene-sulfonamide (25a) had closely similar affinities (pKB, 9.20 and 9.31, respectively; LTE4 as agonist). It has been shown that the hetero-ring of the template need not be aromatic in order to achieve high affinity, since indoline 31 and 2,3-dihydrobenz-1,4-oxazines 37a-c had pKBs greater than 9. Further, it has been shown that an o-aminophenone (see 42 and Figure 3) can function as a template; the template in 42 [see iii] is bicyclic by virtue of the presence of an intramolecular hydrogen bond. In contrast, when the template is a phenyl ring (48), receptor affinity is markedly reduced. These findings support the notion that central bicyclic ring system in this family of peptidoleukotriene antagonists is a molecular feature which helps to preorganize the acylamino and acidic chains and thereby facilitate the molecular recognition event. 相似文献
88.
Carol J. Mohar 《Child & youth care forum》1988,17(4):221-238
This paper reviews the evidence of inborn temperament individuality in children, which affects the child-caretaker interaction and can be a source of differential treatment approaches. Focus on the dynamic interaction between individual characteristics and environmental demands views the child as a contributor to his or her own development and parent behavior as often reactive rather than the cause of various childhood disturbances.When this article was written, the author was with the Department of Sociology, Social Work, and Anthropology at Utah State University. 相似文献
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