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SISTER MARY RUTH 《Hospital progress》1948,29(10):337-339
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HOFFMANN NORMAN G.; HARRISON PATRICIA ANN; NINONUEVO FRED 《Alcohol and alcoholism (Oxford, Oxfordshire)》1988,23(6):451-453
Medical patients (N = 108) were administered a brief screeninginstrument (LAMSI) and a structured diagnostic interview (SUDDS).Twenty-five patients met DSM-III criteria for an alcohol usedisorder, 20 current, five in remission. The four-item scaleembedded in the screen identified the alcoholics with 88% sensitivityand 96% specificity. 相似文献
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Benign positional vertigo is a potentially disabling condition characterized by episodic vertigo following certain provocative head movements. In most patients it is self limiting; however, in a few it may prove intractable, causing considerable social morbidity. In these patients surgery may be considered. Surgery previously involved section of the vestibular or singular nerves, involving a significant risk to hearing and to the facial nerve. Ablation of the labyrinth may even be considered. The new surgical technique of occlusion of the posterior semicircular canal has proved to be curative in most patients with benign positional vertigo with little risk to hearing. This paper describes our experience of fenestration and occlusion of the posterior semicircular canal in four patients. 相似文献
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Oral rehydration solutions (ORS) are widely promoted as a treatmentfor the dehydration associated with childhood diarrhoea. Manynational and global programmes have adopted ORS use rates derivedfrom surveys as their principal indicator of programme success.However, such widespread reliance on ORS use rates is ill-advised.The rate is very sensitive to the way the survey questions areasked. Discussed here are the terms identifying diarrhoeal episodes,the length of the reference period, and the ordering of questionsabout treatment practices. Furthermore, ORS rates are frequentlyused inappropriately, often in situations in which treatmentof a proportion of all diarrhoeal episodes is not the principalobjective. 相似文献
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KEVIN R. BISHOP MSN ARNP MOLLY DOUGHERTY Ph D ARNP RUTH MOONEY Ph D ARNP PHYLLIS GIMOTTY Ph D BRADFORD WILLIAMS MD 《Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG》1992,21(5):401-406
OBJECTIVE: To examine factors that affect pelvic muscle response to 12 weeks of pelvic muscle exercise. DESIGN: Repeated measures design in which intravaginal pressures during pelvic muscle contractions were recorded at baseline and after four exercise levels. SETTING: College of Nursing research site in Gainesville, Florida. PARTICIPANTS: Eighty-five parous, community-dwelling women, aged 35-78 years and without incontinence as a primary concern. INTERVENTIONS: A 12-week graded program of regular (three times per week, every other day) pelvic muscle exercise at home. MAIN OUTCOME MEASURES: The hypotheses were that younger age, lower parity, higher baseline intravaginal pressures, and adherence to the pelvic muscle exercise program each would result in significant improvement in maximum intravaginal pressures. RESULTS: The only factor showing significance in predicting a successful outcome was age (t = -2.29, df = 41, one-tail probability = .0136). CONCLUSIONS: Regular, graded exercise over several weeks is needed to build pelvic muscles, and some women who exercise do not improve. Although the reasons for not improving are unclear, age is a significant factor. 相似文献
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ANN G. MARTIN CASSANDRA C. WEAVER C. J. COCKERELL T. G. BERGER 《The British journal of dermatology》1992,126(6):617-620
The development of pityriasis rubra pilaris (PRP) in three patients with human immunodeficiency virus (HIV) infection is described. Two of the patients had onset of severe generalized cystic acne concomitant with their development of PRP. PRP and acne conglobata should be added to the group of cutaneous disorders that can present in a more virulent manner in the setting of HIV infection. The association of cystic acne with PRP and their response to treatment are discussed. 相似文献