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31.
Objective
Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia.Method
The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12). Statistical analysis was conducted using the Wilcoxon test, paired t test, and Kruskal-Wallis test.Results
A significant difference in the oxygen saturation level was found among the three groups, particularly in the semirecumbent group. No significant difference was observed on the comfort level in all groups.Conclusions
The semirecumbent position can be applied to improve the oxygenation status of children under five with pneumonia. Therefore, nurses should teach the family how to position the children with pneumonia during their hospitalization. 相似文献32.
Lisa Romero Karen Pazol Lee Warner Lorrie Gavin Susan Moskosky Ghenet Besera Ana Carolina Loyola Briceno Tara Jatlaoui Wanda Barfield 《MMWR. Morbidity and mortality weekly report》2015,64(13):363-369
Background
Nationally, the use of long-acting reversible contraception (LARC), specifically intrauterine devices (IUDs) and implants, by teens remains low, despite their effectiveness, safety, and ease of use.Methods
To examine patterns in use of LARC among females aged 15–19 years seeking contraceptive services, CDC and the U.S. Department of Health and Human Services’ Office of Population Affairs analyzed 2005–2013 data from the Title X National Family Planning Program. Title X serves approximately 1 million teens each year and provides family planning and related preventive health services for low-income persons.Results
Use of LARC among teens* seeking contraceptive services at Title X service sites increased from 0.4% in 2005 to 7.1% in 2013 (p-value for trend <0.001). Of the 616,148 female teens seeking contraceptive services in 2013, 17,349 (2.8%) used IUDs, and 26,347 (4.3%) used implants. Use of LARC was higher among teens aged 18–19 years (7.6%) versus 15–17 years (6.5%) (p<0.001). The percentage of teens aged 15–19 years who used LARC varied widely by state, from 0.7% (Mississippi) to 25.8% (Colorado).Conclusions
Although use of LARC by teens remains low nationwide, efforts to improve access to LARC among teens seeking contraception at Title X service sites have increased use of these methods.Implications for public health practice: Health centers that provide quality contraceptive services can facilitate use of LARC among teens seeking contraception. Strategies to address provider barriers to offering LARC include: 1) educating providers that LARC is safe for teens; 2) training providers on LARC insertion and a client-centered counseling approach that includes discussing the most effective contraceptive methods first; and 3) providing contraception at reduced or no cost to the client. 相似文献33.
G. Adriana Perez Karen Moomaw Rose Billy A. Caceres Wanda Spurlock Barbara Bowers Barbara Lutz Cynthia Arslanian-Engoren Karin Reuter-Rice Toby Bressler Mona Wicks Diana Taylor Versie Johnson-Mallard Elizabeth Kostas-Polston Teresa Hagan Desiree Bertrand Susan C. Reinhard 《Nursing outlook》2018,66(3):337-340
34.
Orally administered novel cyclic pentapeptide P‐317 alleviates symptoms of diarrhoea‐predominant irritable bowel syndrome 下载免费PDF全文
35.
Dr. Ernesto Piccigallo MD Lennox J. Jeffers MD K. Rajender Reddy MD Maria Wanda Caldironi MD Anna Parenti MD Eugene R. Schiff MD 《Digestive diseases and sciences》1988,33(5):633-638
Summary A retrospective study of 10 cases of malignant peritoneal mesothelioma from two centers is reported. All cases were initially diagnosed between 1967 and 1986 utilizing laparoscopy and the histologic interpretation of laparoscopic biopsy samples. Subsequently, the original diagnosis was confirmed by two independent pathologists employing both histological and histochemical techniques. In five cases immunohistochemical studies were also performed. The clinical findings and course of the disease were similar to other reported series. Laparoscopic findings of mesothelioma were indistinguishible from metastatic peritoneal neoplasms. However, the presence of homogeneous spreading of nodules, plaques, or fleshy masses on both parietal and visceral peritoneum; the absence of direct or indirect signs of other abdominal neoplasms; and the absence of hepatic metastases or the possible presence of nodules or plaques on Glisson's capsule without any parenchymal involvement, when observed, allowed the laparoscopist to suspect the disease in four of 10 cases. Laparoscopy may be useful in detecting mesothelioma. The diagnosis is mainly morphological, but even morphology has its inherent limitations. Further studies are necessary to improve the diagnostic accuracy of this tumor.A part of this study was presented during the 12th International Congress of Gastroenterology and the 5th International Congress of Gastrointestinal Endoscopy in Lisbon, Portugal, September 16–22, 1984. 相似文献
36.
37.
Paul A. Wanda Michael S. Fine Heidi M. Weeks Andrew M. Gross Jenny L. Macy Kurt A. Thoroughman 《Experimental brain research. Experimentelle Hirnforschung. Expérimentation cérébrale》2013,226(3):407-420
We have exposed human participants to both full-movement and pulsatile viscous force perturbations to study the effect of force duration on the incremental transformation of sensation into adaptation. Traditional views of movement biomechanics could suggest that pulsatile forces would largely be attenuated as stiffness and viscosity act as a natural low-pass filter. Sensory transduction, however, tends to react to changes in stimuli and therefore could underlie heightened sensitivity to briefer, pulsatile forces. Here, participants adapted within perturbation duration conditions in a manner proportionate to sensed force and positional errors. Across perturbation conditions, we found participants had greater adaptive sensitivity when experiencing pulsatile forces rather than full-movement forces. In a follow-up experiment, we employed error-clamped, force channel trials to determine changes in predictive force generation. We found that while participants learned to closely compensate for the amplitude and breadth of full-movement forces, they exhibited a persistent mismatch in amplitude and breadth between adapted motor output and experienced pulsatile forces. This mismatch could generate higher salience of error signals that contribute to heightened sensitivity to pulsatile forces. 相似文献
38.
Jay PortnoyGinger L. Chew ScD Wanda PhipatanakulP. Brock Williams PhD Carl GrimesKevin Kennedy MPH Elizabeth C. MatsuiJ. David Miller PhD David BernsteinJoann Blessing-Moore MD Linda CoxDavid Khan MD PhD David LangRichard Nicklas MD John OppenheimerChristopher Randolph MD Diane SchullerSheldon Spector MD Stephen A. TillesDana Wallace MD James SeltzerJames Sublett MD 《The Journal of allergy and clinical immunology》2013
39.
Satoshi Inoue Zhenyue Hao Andrew J. Elia David Cescon Lily Zhou Jennifer Silvester Bryan Snow Isaac S. Harris Masato Sasaki Wanda Y. Li Momoe Itsumi Kazuo Yamamoto Takeshi Ueda Carmen Dominguez-Brauer Chiara Gorrini Iok In Christine Chio Jillian Haight Annick You-Ten Susan McCracken Andrew Wakeham Danny Ghazarian Linda J.Z. Penn Gerry Melino Tak W. Mak 《Genes & development》2013,27(10):1101-1114
40.
Hein J. Verberne Wanda Acampa Constantinos Anagnostopoulos Jim Ballinger Frank Bengel Pieter De Bondt Ronny R. Buechel Alberto Cuocolo Berthe L. F. van Eck-Smit Albert Flotats Marcus Hacker Cecilia Hindorf Philip A. Kaufmann Oliver Lindner Michael Ljungberg Markus Lonsdale Alain Manrique David Minarik Arthur J. H. A. Scholte Riemer H. J. A. Slart Elin Trägårdh Tim C. de Wit Birger Hesse 《European journal of nuclear medicine and molecular imaging》2015,42(12):1929-1940