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1.
Alice J Hausman Ph.D. M.P.H. Howard Spivak M.D. Deborah Prothrow-Stith M.D. James Roeber M.S. 《The Journal of adolescent health》1992,13(8):668-675
This paper describes the implementation of a community-based youth violence prevention project that utilized an educational curriculum and a mass media campaign. The extent of penetration of the intervention into target areas and the degree of contamination of control areas are assessed, and the most frequently contacted forms of educational outreach are identified. Two sources of data, provider interviews and a random digit dialed telephone survey, were used to track the source and extent of teens' exposure to the intervention. Agency provider data revealed that 40% of the 92 contacted agencies actually conducted violence prevention education, reaching 22% of the target area teens. Approximately one-half of the surveyed teens reported some exposure to the program, with 13% of the teens in target areas reporting participation in interactive educational activities associated with the project. The most common source of exposure was the media campaign. Most teens report a single exposure, usually to the media campaign, although 29% report contact with more than one form of violence prevention education. While the project did not achieve community saturation, the data show that the community-based model of intervention for violence prevention is feasible and effective in reaching teenagers. This research highlights some difficulties in evaluating prevention programs, including reconciling community ownership with project identification, the ethics of curtailing services for control purposes, and factors influencing recall of participation. 相似文献
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Gesine Respondek MD Sigrun Roeber MD Hans Kretzschmar MD Claire Troakes PhD Safa Al‐Sarraj FRCPath Ellen Gelpi MD Carles Gaig MD Wang Zheng Chiu MD John C. van Swieten MD Wolfgang H. Oertel MD Günter U. Höglinger MD 《Movement disorders》2013,28(4):504-509
Autopsy is the diagnostic gold standard for progressive supranuclear palsy (PSP). The National Institute of Neurological Disorders and Stroke and Society for Progressive Supranuclear Palsy (NINDS‐SPSP) criteria for the clinical diagnosis of “probable” PSP are thought to possess high specificity and low sensitivity. The NINDS‐SPSP criteria for “possible” PSP are considered to increase sensitivity at the expense of specificity. The Neuroprotection and Natural History in Parkinson Plus Syndromes (NNIPPS) criteria are intended to improve sensitivity while maintaining high specificity. The aim of this study was to conduct a clinicopathological evaluation of the NINDS‐SPSP and NNIPPS criteria in tertiary neurological centers. Defined clinical features and their year of onset were recorded by chart review in neuropathologically diagnosed patients with PSP, Parkinsons's disease (PD), MSA parkinsonism and corticobasal degeneration from four European brain banks. Fulfilment of the clinical diagnostic criteria was verified for each year after disease onset and for the final antemortem record. We analyzed 98 PSP patients and 46 disease controls. The NINDS‐SPSP “probable” criteria yielded shorter time to diagnosis, slightly higher specificity and positive predictive value (PPV), and similar sensitivity, compared with the NNIPPS criteria. Unexpectedly, the NINDS‐SPSP “possible” criteria yielded the lowest sensitivity, specificity, and PPV. A combination of NINDS‐SPSP possible and probable criteria yielded the highest sensitivity. We suggest that the NINDS‐SPSP probable criteria might be preferred for recruitment of patients for clinical trials, where an early and specific diagnosis is important. For routine clinical care, where high sensitivity is crucial, a combination of NINDS possible and probable criteria might be preferred. © 2013 Movement Disorder Society 相似文献
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Urte Zurbuchen Joern Groene Susanne D. Otto Martin E. Kreis Stefanie Maerzheuser 《International journal of colorectal disease》2014,29(10):1297-1302
Purpose
The aim of this study was to evaluate both the feasibility and effectiveness of sacral neuromodulation for fecal incontinence and constipation in adult patients who had undergone surgical repair of anorectal malformations (ARM).Methods
Patients with ARM with or without sacral dysgenesis who presented with fecal incontinence, constipation, or combined symptoms were treated with sacral nerve stimulation (SNS). Success of SNS was assessed by scores preoperatively and after a 3-week test period: Cleveland Clinic Incontinence Score (CCI), Surgical Working Group for Coloproctology (CACP) continence score, German version of the Fecal Incontinence Quality of Life Scale, and Cleveland Clinic Constipation Score (CCCS). The follow-up results of the patients who received a definitive pacemaker were used to evaluate the long-term effect of SNS in patients with ARM.Results
Four patients with fecal incontinence and one patient with constipation (two males, three females; median age 24 years [13; 31]) were treated with SNS between May 2012 and May 2013. Four patients had a normal sacrum; one patient had a sacral dysgenesis. Preoperatively and after the test phase, median CACP continence scores were 8 [1; 10] and 11.5 [3; 16], median CCI 14 [12; 19] and 13 [11; 17], and median Fecal Incontinence Quality of Life Scale improved in all categories. For constipation, CCCSs were 16 and 7.Conclusion
Sacral neuromodulation is a feasible treatment modality for adult patients with ARM with a normally developed sacrum. Patients with sacrum dysgenesis are not suited for SNS because a definitive quadripolar electrode could not be anchored in the absence of a sacral bone. 相似文献6.
Gesine Respondek MD Max-Joseph Grimm MD Ines Piot MD Thomas Arzberger MD Yaroslau Compta MD Elisabet Englund MD Leslie W. Ferguson MD Ellen Gelpi MD Sigrun Roeber MD Armin Giese MD Murray Grossman MD David J. Irwin MD Wassilios G. Meissner MD PhD Christer Nilsson MD Alexander Pantelyat MD Alex Rajput MD John C. van Swieten MD Claire Troakes PhD MSc Günter U. Höglinger MD for the Movement Disorder Society–Endorsed Progressive Supranuclear Palsy Study Group 《Movement disorders》2020,35(1):171-176
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If stimulation occasionally contains distracting information, behavioral responses to task-relevant aspects of the stimulation are prolonged and more error prone. Additionally, event-related potentials (ERPs) acquired in an auditory distraction paradigm show that the distracting information elicits the components mismatch negativity (MMN), P3a and reorienting negativity (RON). Here, we assess to what extent sequential dependencies in the stimulation influence such indicators of distraction. Data of four experiments were reanalyzed for response repetition and response change trials separately. Behavioral performance on Deviants suggests markedly smaller distraction effects in change compared to repetition trials. However, the presence of MMN-P3a-RON in both response repetition and response change trials shows that sequential features in stimulation do not dissolve distraction, but might substantially contribute to the (behavioral) effects measured in distraction paradigms and should be controlled for. 相似文献
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Background
The influence of ageing on the density of the functional entities of the papillae containing nutritive capillaries, here in terms as the papillary index, and the effect of topically applied vitamin C were investigated by confocal laser scanning microscopy (CLSM) in vivo. 相似文献10.