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101.
DIANNE S. MOORE CNM MN PAULINE R. BINGHAM KN MN OLGA KEESLING RN MS 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》1981,10(3):188-194
A review of pregnancy and diabetes and a discussion of nursing in relation to pregnancy, mental health, and diabetes are presented. The various complications of a chronic disease complicated by pregnancy are discussed, including emotional tensions, family life, sexual changes, and financial responsibilities. The authors propose collaboration of team members with a clinical nurse specialist as central to care continuity, education to help the diabetic woman fulfill the medical plan of therapy, counseling to assist her in adjusting to pregnancy, and nonseparation of pregnancy and diabetes for purposes of nursing and medical care. 相似文献
102.
103.
Kidney changes after extracorporeal shock wave lithotripsy: appearance on MR imaging 总被引:2,自引:0,他引:2
Baumgartner BR; Dickey KW; Ambrose SS; Walton KN; Nelson RC; Bernardino ME 《Radiology》1987,163(2):531-534
The occurrence of changes in the kidneys after extracorporeal shock wave lithotripsy (ESWL) was evaluated with magnetic resonance (MR) imaging in 34 patients, utilizing T1-weighted spin-echo pulse sequences. Five of the 34 patients underwent bilateral ESWL therapy before MR imaging. Of the 39 kidneys studied, 29 (74%) showed one or more changes on MR imaging: subcapsular or perinephric fluid (n = 10), focal (n = 16) or diffuse (n = 8) loss of the corticomedullary junction (CMJ), and focal areas of increased (n = 7) or decreased (n = 3) signal intensity. The CMJ changes were more prominent with increasing numbers of shock waves administered during the procedure. These relatively subtle changes detected on MR imaging may not be apparent with other imaging techniques. The long-term clinical significance of these findings is not yet known, although no apparent serious renal pathologic condition was detected. 相似文献
104.
105.
Background
Small incision cataract surgery came into practice with the advent of phacoemulsification. However, manual small incision cataract surgery (SICS) is a useful alternative for those who do not have access to phacoemulsification machine.Method
A total of 69 cases of cataract were undertaken for manual incision cataract surgery and intra ocular lens (IOL) implantation using 6mm straight incision. The surgical technique and postoperative results are compared with the results of phacoemulsification and IOL implantation.Result
Average postoperative astigmatism was ± 0.75 dioptres. Postoperative uncorrected visual acuity (UCVA) of 6/18 or better was observed in 51(71.9%) cases after first week of the surgery.Conclusion
The study concludes that both phacoemulsification and small incision cataract surgery with intraocular lens (IOL) implantation are effective methods. However SICS with IOL implantation is a useful alternative in the absence of phacoemulsification machine.Key Words: Manual Small Incision Cataract Surgery (SICS), Extra Capsular Cataract Extraction (ECCE), Phacoemulsification, Intraocular lens implantation 相似文献106.
KN?FountoulakisEmail author A?Iacovides F?Fotiou M?Karamouzis A?Demetriadou G?Kaprinis 《Annals of general psychiatry》2004,3(1):15
Background
The present study aimed to investigate the relationship between dexamethasone suppression test, personality disorder, stressful life events and depression. 相似文献107.
108.
109.
BACKGROUND
The pneumonia severity index (PSI) accounts for many comorbidities, but not immunosuppression.OBJECTIVES
To document the utility of the PSI to predict mortality in immunocompromised patients (IP) with community-acquired pneumonia (CAP).METHODS
Charts of 284 patients with immunosuppression and CAP were reviewed, and these patients were compared with a contemporary sample of non-IP with CAP. The ability of the PSI to predict mortality was assessed by using multiple logistic regression. Discrimination of the PSI was studied by using the concordance index.RESULTS
Thirty-nine of 284 IP died. Mortality varied according to the etiology of the immunosuppression. Patients with HIV, solid organ transplantation or treatment with immunosuppressive drugs (n=118) had a low in-hospital mortality (4.3%) and were classified as low risk. IP with hematological malignancies, chemotherapy, chest radiation or marrow transplantation (n=166) had a high mortality (20%) and were classified as high risk. Compared with non-IP, low-risk IP had similar PSI-controlled mortality (OR=0.9, P=0.80), whereas high-risk IP had significantly greater mortality (OR=2.8, P<0.0001). The concordance index revealed similar discrimination for the PSI in low-risk IP (0.77) and in non-IP (0.7), but inferior discrimination in high-risk patients (0.6).CONCLUSIONS
Patients with CAP and immunosuppression can be divided into low-risk and high-risk groups. The low-risk IP have mortality similar to non-IP and can be risk stratified by using the PSI. 相似文献110.
A Albanese GD Kewley A Long KN Pearl DG Robins R Stanhope 《Archives of disease in childhood》1994,71(4):315-317
Thirty three boys (mean 14.6 years old, range 12.8-16.2 years) with constitutional delay of growth and puberty were randomised into two groups to determine which form of oral treatment would give the better anthropometric response. The two drugs were administered by mouth (one tablet/day) for a mean of 3.5 months (range 3-7 months). At randomisation, 17 boys received testosterone undecanoate (40 mg/day) and 16 oxandrolone (2.5 mg/day). At the start of treatment they were prepubertal or in early puberty, their height SD score was -1.97 in boys treated with testosterone and -2.21 in those treated with oxandrolone, and their growth rates were 4.3 and 4.2 cm/year respectively. Both sex steroid and anabolic steroid treatments induced a significant growth acceleration in all patients except four (three treated with testosterone and one with oxandrolone). When treated with the alternative sex steroid, all four non-responders had a significant anthropometric response. In all boys the induced growth acceleration was sustained when treatment was interrupted. There was no significant difference in the induced growth spurt and bone maturation between the two groups. Spontaneous progress into puberty was achieved in all boys with an increase in testicular volume from a mean of 4.6 to 8.5 ml. The rate of development in secondary sexual characteristics was also similar in the two groups. These data suggest that oral testosterone and oxandrolone are equally effective in the treatment of growth delay in boys with constitutional delay of growth and puberty. 相似文献