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71.
Developing systems of care for children with emotional disorders requires changes in the organization and delivery of services.
Using concept mapping, the authors conducted a study to define factors of a community’s readiness to make such changes. Participants
were from 25 of 27 federally-funded, advanced sites, plus a panel of experts. The participants completed three tasks: brainstorming,
rating, and sorting. This process produced eight factors: Leadership, Network of Local Partners, Shared Goals, Collaboration,
Families and Youth as Partners, Accountability, Evaluation, and Plans to Expand Services. Understanding factors that contribute
to successful implementation should help communities identify and make needed changes. 相似文献
72.
Lenore R. Wilkas 《Journal for specialists in pediatric nursing》2001,6(3):149-151
Scientific Inquiry provides a forum to facilitate the ongoing process of questioning and evaluating practice, presents informed practice based on available data, and innovates new practices through research and experimental learning. 相似文献
73.
C Hehrlein J J DeVries T A Wood S D Haller A Arab A C Kloostra M A Lauer T A Fischell 《Catheterization and cardiovascular interventions》2001,53(4):474-8; discussion 479
Although manufacturers' compliance tables of stent delivery balloons indicate the diameter of the balloon at a given inflation pressure, it is unclear whether these data correlate with in vivo true intracoronary balloon diameters (TBDs). The TBDs of two new-generation balloon-expandable stent delivery systems (Duet and NIR) were measured by quantitative coronary analysis (QCA) in 100 consecutive patients. The manufacturers' stated balloon diameter (BD) of the stent delivery systems overestimated the TBD in 94% +/- 4% of patients receiving both Duet or NIR stent implantations. In only 6% of the patients, the TBD matched the manufacturers' stated balloon diameter. There was no underestimation of TBDs by both manufacturers' compliance tables. The Duet tables overestimated TBDs by 14% +/- 8% (range, 1%-36%), the NIR tables by 18% +/- 8% (range, 1%-41%), P < 0.05, Duet vs. NIR, respectively. When the manufacturers' data were corrected for the differences in reporting data from in vitro tests, i.e., balloon compliance data with or without the stent, the degree of overestimation of diameters was similar for Duet and NIR stent delivery balloons (14% +/- 8% vs. 13% +/- 7%, Duet vs. NIR; P = NS). Manufacturers' compliance tables of both the Duet and NIR stent delivery balloon systems significantly overestimate the true intracoronary balloon diameter. The manufacturers' of stent delivery balloons should clearly state on the box, if balloon compliance data were derived from in vitro bench testing, which phantoms were used for compliance analysis, and that the tables may overestimate the true intracoronary balloon diameter. The findings of the present study have important clinical implications with respect to performing coronary stent implantation with precision. 相似文献
74.
75.
Rama Arab Behrouz Kassai Roubi Kilo Catherine Cornu Elisabete Gomes Tristan Dagonneau 《Thérapie》2022,77(4):445-452
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76.
77.
Arwa?Arab Mogeda?El Keshky Julie?A.?HadwinEmail author 《Child psychiatry and human development》2016,47(4):554-562
This paper examined the reliability, convergent validity and factor structure of the self-report Screen for Child Anxiety Disorders (SCARED; Birmaher et al. in J Am Acad Child Adolesc Psychiatry 36:545–553, 1997) in a large community sample of children and adolescents in Saudi Arabia. The questionnaire showed moderate to high internal consistency and satisfactory test–retest reliability over a 2 week period. In addition, there were significant positive correlations between reported anxiety symptoms with parent report behavioural difficulties. The five factor structure model of the SCARED also had a good model fit in this population. The results showed that self-report anxiety symptoms decreased with age (for boys and not girls) and were higher in adolescent girls. The results suggest that the SCARED could be useful in this population to identify individuals who are at risk of developing anxiety disorders in childhood with a view to implementing prevention and intervention methods to ensure positive developmental outcome over time. 相似文献
78.
79.
K. Najafizadeh M. Arab S. Pojhan A. Deneshvar H.R. Khoddami-Vishteh G. Abbasi-Dezfuli 《Transplantation proceedings》2009,41(7):2720-2722
Objectives
To define the prevalence of various ranges of the ratio of partial arterial oxygen tension to fraction of inspired oxygen (Pao2/Fio2) and to determine correlative and predictive variables of donor lung Pao2/Fio2.Material and Methods
From the brain death database of Masih Daneshvari Hospital Organ Procurement Center, we extracted demographic data, cause of injury, patient clinical condition, and laboratory findings as independent data. Donor lung suitability was determined with an oxygen challenge test, with results of 400 mm Hg considered ideal; 300 to 399 mm Hg, good; 200 to 299 mm Hg, borderline; and less than 200 mm Hg, not acceptable.Results
Using the Pao2/Fio2 cutoff points, 6.7% of donor lungs were considered ideal; 26.7%, good; 40%, borderline; and 26.7%, unacceptable. Mean (SD; range) Pao2/Fio2 was 266.6 (85.6; 110-460). The Pao2/Fio2 was significantly correlated with age (r = −0.35; P = .02). After entering the study variables into a linear regression model, age (−2.3; P = .008) and sex (51.5; P = .04) were significant predictors of donor lung suitability (R2 = 0.95; P < .001).Conclusion
Results of oxygen challenge tests demonstrated better suitability of lungs from male and younger brain-dead donors. This finding is independent of other variables including cause of brain death and clinical and paraclinical data. 相似文献80.
Administrative issues related to operating child and adolescent psychiatry programs or child mental health centers are substantially
different than their adult counterpart programs. The increasing demands from managed care and other regulatory agencies make
these programs difficult to operate. The smaller scale of these programs and the fewer existing programs make managing access
to care more complicated. The administrators and clinicians in these programs have to be vigilant of legal responsibilities
and reporting mandates that child practitioners and agencies that treat children need to abide by. In order to continue thriving,
programs need to be efficient and fiscally viable. Issues such as building the continuum of care and finding the qualified
personnel to staff these services are discussed in this article. 相似文献