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31.
Belinda Joy Deal Rebecca A Fountain Carol Ann Russell-Broaddus Melinda Stanley-Hermanns 《Disaster Management & Response》2006,4(4):100-105
Hurricanes Katrina and Rita forced many individuals along the coast of Texas and Louisiana to seek shelter inland. Among the evacuees were residents with special needs and residents of nursing homes and group homes caring for mentally retarded and physically disabled persons. Many nurses volunteered to provide health care for those in need. This article discusses challenges and opportunities that were encountered by nurses volunteering in special-needs shelters. Issues related to human and physical resources, patient care, and confidentiality are discussed including lessons learned. As nurses who cared for evacuees in the shelter, it is hoped some of the lessons learned can be utilized in future disasters. 相似文献
32.
33.
D. M. Niall P. G. Murphy E. E. Fogarty F. E. Dowling D. P. Moore 《Irish journal of medical science》1997,166(2):98-101
Eleven children with Pseudomonas aeruginosa infection complicating foot puncture wounds were reviewed. Delay in presentation
(mean 2 days) and diagnosis (mean 9 days) due to a paucity of clinical signs of deep infection was characteristic of this
condition. Septic arthritis (5 patients) and osteomyelitis (3 patients) were frequent complications. Treatment involved multiple
surgical debridements and prolonged intravenous antibiotic therapy. The clinical outcome was good although long-term radiographic
changes were common. 相似文献
34.
35.
In his autobiography, Dr. Wilder Penfield relates the medical history of his sister, Mrs. Ruth Inglis, who developed a right frontal oligodendroglioma. Penfield performed the initial craniotomy on her, and after her death, reported the case in a paper on frontal lobe function in humans. Although Penfield has provided more than adequate information on certain aspects of his sister's illness, little has been published concerning her subsequent operation performed by Dr. Harvey Cushing at the Peter Bent Brigham Hospital. We feel this case is significant for several reasons. First, it sheds some light on Penfield's personal relationship with Cushing and his sister; it also shows the deep interest that Dr. Cushing took in his patients. Second, this case nicely illustrates how Cushing used his postoperative drawings to make his operative notes more precise. Finally, we see a sample of the work done by Dr. Louise Eisenhardt as pathologist at the Peter Bent Brigham Hospital. 相似文献
36.
The effect of currently available contact lens disinfection systems on Acanthamoeba castellanii and Acanthamoeba polyphaga 总被引:6,自引:0,他引:6
R E Silvany J M Dougherty J P McCulley T S Wood R W Bowman M B Moore 《Ophthalmology》1990,97(3):286-290
Contact lens disinfection systems were evaluated for their effectiveness in killing Acanthamoeba castellanii and Acanthamoeba polyphaga trophozoites and cysts. Amoebae were inoculated into commercially available contact lens cleaning and soaking solutions. At intervals varying from 30 minutes to 24 hours, solutions were filtered. The filters were removed and cultured for Acanthamoeba organisms. Striking differences were observed in the abilities of the different disinfecting solutions to kill the organisms. Solutions containing chlorhexidine were effective at very short exposure times. Solutions containing benzalkonium chloride required slightly longer exposure times but were faster than solutions containing only thimerosal. Solutions containing sorbate, polyaminopropyl biguanide, or polyquaternium-1 were not effective at killing Acanthamoeba organisms in the time allotted for the experiment. Solutions containing hydrogen peroxide were quite effective if the agent was not prematurely catalyzed. A. polyphaga generally required longer exposure to disinfectants than did A. castellanii for complete inhibition to occur. 相似文献
37.
Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia 总被引:3,自引:0,他引:3
A J Weiland A P Weiss J R Moore V T Tolo 《The Journal of bone and joint surgery. American volume》1990,72(5):654-662
Free vascularized fibular bone grafts were used in nineteen children, seen consecutively, who had congenital pseudarthrosis of the tibia. The average age was 5.1 years (range, 1.4 to 11.4 years). Sixteen of the patients had been treated with electrical stimulation for at least one year, and the tibia had not united. All but four patients had had at least one previous operative procedure. At an average follow-up of 6.3 years (range, 2.0 to 11.0 years), eighteen (95 per cent) of the nineteen pseudarthroses had healed. The leg-length discrepancy averaged 1.6 centimeters (range, 0 to 4.0 centimeters), but ten tibiae had residual or progressive valgus or anteroposterior malalignment despite bracing. There was minimum morbidity at the donor site. 相似文献
38.
39.
Melinda S. Lantz 《Current Psychosis and Therapeutics Reports》2004,2(1):7-12
Depressive symptoms in older adults are common, but the minority of elderly meet criteria for major depressive disorder. This
has led to confusion regarding the recognition of diagnosis, approach to treatment, and monitoring of outcomes in this needy
population. Few depressed older adults are willing to seek treatment from psychiatrists or mental health specialists. Treatment
approaches to the depressive spectrum of disorders in late life, which encompasses major and minor depressive disorder, dysthymic
disorder, and mood disorders related to medical conditions, must include evidence-based algorithms that can be delivered in
a variety of health care settings. Several recent multisite trials have advanced the use of collaborative care models and
the systematic stepwise approach to the treatment of depression and anxiety states in older adults. This offers the ability
to provide effective treatment of depression for older adults, consistent with current guidelines, in primary care and specialized
health care settings. 相似文献
40.