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991.
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993.
Linda Sarna Ada M. Lindsey Mary-Lynn Brecht Hannah Dean Ruth McCorkle 《Research in nursing & health》1994,17(5):371-379
The pattern of weight change (at five 6-week intervals beginning 2 months after diagnosis of advanced disease) is described in adults with progressive lung cancer (N = 60). Weight loss of 10% or more at study entry occurred in 35% of subjects; 37% lost weight at three or more intervals; and 25% lost weight at only one interval. Pre-illness weight loss was moderately correlated with subsequent decreased functional status (Enforced Social Dependency Scale) at Times 1, 2, and 3 (r = ?.49, r = ?.43, r = ?.48, p < .001). Weight loss correlated with subsequent increased symptom distress (Symptom Distress Scale, SDS) at three times (Times 2,4, and 5: r = ?.34, r = ?.30, r = ?.43, p < .05). Chemotherapy (50% of subjects) and smoking (25% at study entry) predicted weight loss from Time 1 to 5, explaining 28% of the variance. 相似文献
994.
995.
Mario Magana M.D. Ruth Vazquez M.D. Jorge Fernández-Díez M.D. Rebeca Flores-Villa M.D. Jorge Cazarín M.D. 《Pediatric dermatology》1994,11(3):227-230
Abstract: Congenital giant juvenile xanthogranuloma is an uncommon lesion that apparently has benign biologic behavior in most reported patients. In one of our three patients it was necessary to perform histochemical reactions with CD 1 (-), MAC 387, and electron microscopy to rule out Langerhans cell histiocytosis. The other patients had a typical histologlc picture, with foamy histiocytes and Touton cells in association wtth lymphocytes and eosinophils. Comments about treatment are also made. 相似文献
996.
997.
Ruth A. Smith Janet S. Ross Anthony C. Branfoot David Asboe David C. Shanson Brian G. Gazzard Christopher B. Bunker 《Journal of the European Academy of Dermatology and Venereology》1995,4(2):166-169
A 27 year old female with acquired immunodeficiency syndrome (AIDS) developed tender erythematous nodules on her thighs. A skin biopsy of the lesions showed septal panniculitis and venulitis and Pseudomonas species was cultured from both the urine and the skin biopsy tissue. The lesions resolved on antibiotic therapy. Panniculitic nodules may represent an early stage of ecthyma gangrenosum which is a well recognised cutaneous complication of pseudomonas septicaemia. 相似文献
998.
999.
Michael K Matthews Jr Robert Koenigsberg Barbara Schindler Kenneth Podell Dilip Ramchandani Nathan K Blank Ruth Lamden & Ana Nunez 《Medical education》1998,32(1):95-99
Increasing emphasis on interdisciplinary medical treatment and education suggests that something valuable has arisen from medical specialization beyond the further development of specialty knowledge: an integration of specialty knowledge that compliments and extends the integrating aspects of the primary care approach to medicine. Several educational models have been described which serve this function. In this paper the authors describe interdisciplinary clinical teaching, and research team linking neurology, neuroradiology, psychiatry and neuropsychology. The team provides neurobehavioural evaluations and sponsors monthly Neurobehaviour Rounds, an interdisciplinary patient conference that is the main formal teaching vehicle for the programme. After the model had been in place for 1 year, eight of nine neurology residents had Residency In-Service Training Examination scores in behavioural neurology that exceeded their overall average scores. This suggests that encouraging neurology residents to see patients through the eyes of different specialists may have contributed to improvement in their performance on a test of interdisciplinary knowledge. A neurobehavioural programme anchored to a formal neurobehaviour conference may encourage interdisciplinary learning within the related disciplines of neurology, neuropsychology and psychiatry. 相似文献
1000.
Leif C. Andersson Ruth Wegelius Georg H. Borgström Carl G. Gahmberg 《European journal of haematology》1980,24(2):115-121
Acute leukaemia was diagnosed in a 3-month-old boy. Initial blood leucocyte count was 97 × 109/1, 92% of the cells were morphologically small lymphoblasts which according to surface marker analysis were of the common ALL (non-T non-B) type. Remission was achieved with initial treatment. During relapse 5 months later a morphologically different leukaemic cell appeared in the bone marrow, blood and liquor. This cell type which dominated during the terminal stage of the disease was larger and had an abundant bosophilic cytoplasm which contained PAS-positive granulae. Sudan, myeloperoxidase and benzidine staining gave negative results. Neither T nor B lymphocyte markers were seen but a strong surface expression of glycophorin A was found by indirect immunofluorescence with specific rabbit anti-glycophorin A antiserum. The cells showed a unique surface glycoprotein pattern. Bone marrow karyotype analysis gave in about 80%: 47,XY, + 8,t(4:11) indicating that this blast cell represented a malignant clone. As glycophorin A is expressed exclusively on erythroid cells and their precursors, this finding indicates a change from a ‘lymphoid’ to an erythroid phenotype of the leukaemic cells during the course of the disease. 相似文献