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排序方式: 共有2166条查询结果,搜索用时 109 毫秒
141.
Weiping M. Tan MD PhD CCFP Michael C. Klein MD FAAP FCFP ABFP Lee Saxell RM MA Sahba Eftekhary Shirkoohy MD MPH MHA Getnet Asrat MD MHSc 《分娩》2008,35(3):220-229
ABSTRACT: Background: Current practice guidelines recommend active management of the third stage of labor. We compared practices of three maternity care provider disciplines in management of third‐stage labor and the justifications for their approach. Methods: This study is a cross‐sectional survey of maternity practitioners in usual practice settings in British Columbia. All 199 obstetricians, all 82 midwives, and a random sample of family physicians practicing intrapartum maternity care (one‐third, or 346) were surveyed The three main outcome measures by discipline were the method preferred in managing third‐stage labor, the reasons given for the chosen method, and views on the appropriateness of the current third‐stage labor guideline. Results: The overall response rate was 57.8 percent. Response rates indicating that the participants were “aware of guideline” were the following: obstetricians, 85.3 percent; family physicians, 53.7 percent; and midwives, 97.8 percent. Response rates indicating that the participants “agreed with guideline” were the following: obstetricians, 95.2 percent; family physicians, 97.6 percent; and midwives, 51.2 percent. Response rates indicating that “oxytocin should be given with anterior shoulder” were the following: obstetricians, 71.1 percent; family physicians, 68.3 percent; and midwives, 26.7 percent. Response rates indicating that “routine active management of third stage of labor should be the norm” were the following: obstetricians, 79.2 percent; family physicians, 60.2 percent; and midwives, 17 percent. All results were statistically significant (p < 0.01). Conclusions: A major difference was found between physicians and midwives in the management of third‐stage labor. Physicians routinely implemented active management of the third stage of labor; midwives preferred expectant approaches, principally based on women’s preference. Provincial data did not show differences in postpartum hemorrhage or transfusion rates by practitioner type. (BIRTH 35:3 September 2008) 相似文献
142.
PL.RM. Palaniappan Selvi Sabhanayakam N. Krishnakumar M. Vadivelu 《Food and chemical toxicology》2008,46(7):2440-2444
Catla catla fingerlings were reared in freshwater and exposed to 15.5 ppm concentration of lead for 60 days. The morphological changes on the gill of the C. catla fingerlings due to lead intoxication and the effect of DMSA (meso 2,3-dimercaptosuccinic acid) on the affected tissues were observed using Scanning Electron Microscope. It has been found that the lead treated gill tissues showed certain marked changes, such as cell hypertrophy, alteration in the lamellar surfaces, epithelial hyperplasia and the fusion of adjacent lamellae. The antidote DMSA treatment reduces the toxic effects and helps the recovery of gill tissue and its return to the level of the control/normal. 相似文献
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Ann Wilson RGN RM DipN RCNT RNT BA MPhil Nurse Tutor Richard Startup MA LLB PhD Senior Lecturer 《Journal of advanced nursing》1991,16(12):1478-1486
A comparative study was conducted of the professional socialization process of student nurses in three nurse education centres in South Wales. Patterns and problem areas can be identified of relevance to issues in role theory and with practical implications for the more effective implementation of Project 2000. Three cohorts of students were interviewed using a semi-structured interview schedule whilst in the introductory block and at the end of the first year. The teaching and ward staff directly involved in the socialization process were also interviewed so that their views could be compared with those of the students. There were differences between the types of ward in the opportunities they offered for role modelling. It was doubtful whether the three categories of students, teaching staff and ward staff were all employing a single conception of 'the good nurse'. The student has to find her own pathway through the divergent and often conflicting values and philosophies of the teaching staff and those in authority on the wards. It is recommended that a more unified approach be adopted to reduce the conflict which learners experience. In accordance with Project 2000, the teaching staff should act as practitioners and thereby be perceived as a professional role model with clinical credibility. 相似文献
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Spondylometaphyseal dysplasia, corner fracture type: a heritable condition associated with coxa vara
Langer LO Jr; Brill PW; Ozonoff MB; Pauli RM; Wilson WG; Alford BA; Pavlov H; Drake DG 《Radiology》1990,175(3):761-766
The authors present the radiographic features of a previously incompletely delineated bone dysplasia, which they call spondylometaphyseal dysplasia, corner fracture type. This is a dominant heritable condition associated with short stature and developmental coxa vara. The progressive hip deformity usually causes significant disability requiring surgical correction. Developmental coxa vara, simulated corner fractures of long tubular bones, and vertebral body abnormalities result in a diagnostic constellation. Knowledge of these distinctive radiologic features allows accurate diagnosis, which in turn should lead to appropriate genetic counseling and possibly to earlier, more efficacious surgical treatment of the coxa vara. 相似文献
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149.
Anthropomorphic radiologic phantoms 总被引:1,自引:0,他引:1
A technique is being developed for the design and fabrication of anthropomorphic phantoms for diagnostic x-ray imaging. Anatomic information extracted from actual patient radiographs is incorporated into the phantoms using computer image processing and computer-assisted machining methods. In this paper, the technique is described as applied to a breast phantom, and preliminary images that closely mimic human anatomy on radiographs are shown. 相似文献
150.
Califf RM 《岭南心血管病杂志》1999,5(2)
标题 Flolan国际随机存活试验(FIRST);最后的结果作者 CaliffRM,etal.JAmCollCardiol,1996,27:141A(英文) 研究疾病:末期心力衰竭。目的:评估epoprostenol(前列环素)对末期心衰患者之病死率和发病率的影响。 设计:随机对照式。病人资料:471例(预定875例),平均年龄为(65±10)岁,左心室射血分数<25%,充血性心衰,NYHAⅢ或Ⅳ级,肺毛细血管楔压>15mmHg,心功能指数<2-5L/min·m2。随访:12个月;6个月评估… 相似文献