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71.
Inflammatory bowel disease. 总被引:1,自引:0,他引:1
R M Beattie N M Croft J M Fell N A Afzal R B Heuschkel 《Archives of disease in childhood》2006,91(5):426-432
Twenty five per cent of inflammatory bowel disease presents in childhood. Growth and nutrition are key issues in the management with the aim of treatment being to induce and then maintain disease remission with minimal side effects. Only 25% of Crohn's disease presents with the classic triad of abdominal pain, weight loss, and diarrhoea. Most children with ulcerative colitis have blood in the stool at presentation. Inflammatory markers are usually although not invariably raised at presentation (particularly in Crohn's disease). Full investigation includes upper gastrointestinal endoscopy and ileocolonoscopy. Treatment requires multidisciplinary input as part of a clinical network led by a paediatrician with special expertise in the management of the condition. 相似文献
72.
Endovascular versus open approach to aortic aneurysm repair surgery: rates of postoperative delirium
Konrad Salata BHSc Rita Katznelson MD W. Scott Beattie MD PhD Jo Carroll RN Thomas F. Lindsay MD George Djaiani MD 《Journal canadien d'anesthésie》2012,59(6):556-561
Purpose
Our objective was to compare open and endovascular aortic aneurysm repair with respect to postoperative delirium.Methods
After Institutional Ethics Review Board approval, we conducted a retrospective review of all patients who underwent abdominal and thoraco-abdominal aortic aneurysm repair surgery at Toronto General Hospital during June 2006 to December 2007. Patients were classed into either the OPEN or the endovascular (EVAR) group based on the type of surgery and were assessed for the presence of delirium after surgery. The NEECHAM Confusion Scale and the validated chart review instrument were used for diagnosis of delirium. Patients with dementia and/or abnormal levels of consciousness preoperatively were excluded.Results
There were 256 patients included in the study, 149 (58%) in the OPEN group and 107 (42%) in the EVAR group. Patients in the EVAR group were considerably older, 74 (10) yr vs 68 (9) yr, and they had shorter duration of surgery, 150 [119, 180] min vs 200 [165, 260] min, respectively, P?<?0.0001. Postoperative delirium was present in 43 (29%) patients in the OPEN group and 14 (13%) patients in the EVAR group (95% confidence interval [CI], 22 to 36 vs 95% CI, 7 to 19, respectively; P?=?0.003). Hospital length of stay was 8.3 [6.6, 13.4] days in the OPEN group and 4.5 [3.1, 6.4] days in the EVAR group, P?<?0.0001.Conclusions
Perioperative management of patients undergoing endovascular aortic aneurysm repair was associated with lower rates of delirium after surgery than that of patients undergoing open aortic aneurysm repair. 相似文献73.
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75.
Using action research to develop midwives’ skills to support women with perinatal mental health needs 下载免费PDF全文
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Patricia Leahy‐Warren PhD MSc BSc Hdip PHN RPHN RM RGN Mary Rose Day DN MA BSc Hdip PHN RPHN RM RGN Kari Glavin PhD M.Sc PHN RN MEANS Edith Roth Gjevjon PhD MSc RN MEANS Anne Kjersti Myhrene Steffenak PhD MSc PHN RN Live S. Nordhagen MSc PHN RN Hilde Egge MSc PHN RN Elizabeth Healy MSc PHN RGN 《Public health nursing (Boston, Mass.)》2018,35(4):307-316
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Transition from an open‐plan to a two‐cot neonatal intensive care unit: a participatory action research approach 下载免费PDF全文
Margaret Broom BaN RN RM Anne Gardner Dr med FRACP PhD AFRACMA SFHEA Zsuzsoka Kecskes Dr med FRACP PhD AFRACMA Sue Kildea RN RM BaHSc PhD 《Journal of clinical nursing》2017,26(13-14):1939-1948