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991.
This study presents educators’ attitudes and beliefs towards the sexuality of adolescents and adults with developmental disabilities.
Open-ended, structured interviews were conducted with five Teachers in a School Program and five Instructors in an Adult Day
Services Program at an educational facility for individuals with medically complex developmental disabilities. Results indicate
that educators hold a positive view towards providing sexuality education and access to sexual expression for persons with
developmental disabilities. Educators viewed sexuality as a basic human right, yet expressed concerns regarding capacity to
consent to and facilitation of sexual activity. This study is an initial step to understanding barriers preventing the delivery
of sexuality education to this underserved population. 相似文献
992.
Claudia Travassos Josué Laguardia Priscilla M Marques Jurema C Mota Celia L Szwarcwald 《International journal for equity in health》2011,10(1):35
Background
This paper aims to compare the classification of race/skin color based on the discrete categories used by the Demographic Census of the Brazilian Institute of Geography and Statistics (IBGE) and a skin color scale with values ranging from 1 (lighter skin) to 10 (darker skin), examining whether choosing one alternative or the other can influence measures of self-evaluation of health status, health care service utilization and discrimination in the health services. 相似文献993.
Anas El Turabi Michael Hallsworth Tom Ling Jonathan Grant 《Health research policy and systems / BioMed Central》2011,9(1):13
Background
The National Institute for Health Research (NIHR) was established in 2006 with the aim of creating an applied health research system embedded within the English National Health Service (NHS). NIHR sought to implement an approach for monitoring its performance that effectively linked early indicators of performance with longer-term research impacts. We attempted to develop and apply a conceptual framework for defining appropriate key performance indicators for NIHR. 相似文献994.
Susanna Mört Sanna Salanterä Jaakko Matomäki Toivo T. Salmi Päivi M. Lähteenmäki 《Quality of life research》2011,20(5):787-797
Purpose
The purpose of this Finnish total cohort survey was to assess and compare the self-reported health-related quality of life (HRQL) in childhood cancer survivors to that of matched controls, to analyse demographic and disease-related factors explaining survivors’ HRQL, and to compare the results of two different HRQL instruments, 16D/17D and PedsQL™. 相似文献995.
996.
Yuli R Tak Rinka MP Van Zundert Rowella CWM Kuijpers Boukje S Van Vlokhoven Hettie FW Rensink Rutger CME Engels 《BMC public health》2012,12(1):21
Background
The incidence of depressive symptoms increases during adolescence, from 10.0% to 24.5% at age 11 to 15, respectively. Experiencing elevated levels of depressive symptoms increases the risk of a depressive disorder in adulthood. A universal school-based depression prevention program Op Volle Kracht (OVK) was developed, based on the Penn Resiliency Program, aimed at preventing the increase of depressive symptoms during adolescence and enhancing positive development. In this study the effectiveness of OVK will be tested and possible mediators of program effects will be focus of study as well. 相似文献997.
998.
Dziedzom K de Souza Charles Quaye Lydia Mosi Phyllis Addo Daniel A Boakye 《BMC infectious diseases》2012,12(1):8
Background
Buruli ulcer (BU), a neglected tropical skin disease caused by Mycobacterium ulcerans, has been reported in over 30 countries worldwide and is highly endemic in rural West and Central Africa. The mode of transmission remains unknown and treatment is the only alternative to disease control. Early and effective treatment to prevent the morbid effects of the disease depends on early diagnosis; however, current diagnosis based on clinical presentation and microscopy has to be confirmed by PCR and other tests in reference laboratories. As such confirmed BU diagnosis is either late, inefficient, time consuming or very expensive, and there is the need for an early diagnosis tool at point of care facilities. In this paper we report on a simple, quick and inexpensive diagnostic test that could be used at point of care facilities, in resource-poor settings. 相似文献999.
Over the past few decades, a number of coronary artery disease (CAD) and cardiovascular disease (CVD) risk factors have been identified. The predictive power of “conventional” risk factors have been validated by observational, prospective and intervention studies. Nevertheless, all attempts to exactly predict the individual risk for CAD have failed, biased by a large number of incorrectly risk-classified subjects. To improve cardiovascular (CV) risk prediction, a large number of genetic and/or non-genetic biomarkers have been discovered and tested against the “classical” risk factors for their power to predict CV risk. Only few of them had a significant improvement over the predictive models. In this paper, the most investigated biomarkers will be discussed and the evidence of their use as predictors of CV will be questioned. 相似文献
1000.
Michael Christian Sulz Markus Sagmeister Martin Schelling Janek Binek Jan Borovicka Hanno Ulmer Christa Meyenberger 《Central European Journal of Medicine》2012,7(1):9-19
Quality assurance becomes an increasingly important part of clinical medicine and of the field of endoscopy. Endoscopic sphincterotomy
is associated with a fairly high complication rate. We aimed to assess our quality of sphincterotomy for benchmarking by using
a prospective electronic database registry, and to identify potential risk factors for post-interventional complications.
Over 2 years, 471 sphincterotomies were performed in a single tertiary referral centre. Patient- and procedure-related variables
were prospectively recorded with the support of a multi-centre international sphincterotomy registry. Multivariate analysis
was performed. The overall post-interventional complication rate was 9.3%. Pancreatitis happened in 5.5%, bleeding in 2.1%,
perforation in 1.3%, and cholangitis in 0.4%. In the multivariate analysis following variables remained highly significant
and predictive for complications: ‘papilla only in lateral view’ (p=0.001), antiplatelet therapy (p=0.024), and opacification
with contrast up to the pancreatic tail (p=0.001). The primary success rate of sphincterotomy was 95.1%. The rate of post-interventional
pancreatitis did not differ significantly regardless of the presence of prophylactic pancreatic stent (p=0.56). The outcome
of sphincterotomy in our centre matches with literature data. The extent of pancreatic duct opacification has an influence
on the pancreatitis rate. Prevention of pancreatitis by inserting pancreatic stents is not confirmed. 相似文献