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HARVEY WF 《Edinburgh medical journal》1948,55(7):412; passim
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PHILIPP ROBIN; HARVEY KELLY; FLETCHER GILL; HUGHES ANTHONY; JOLLY KATE 《Occupational medicine (Oxford, England)》1987,37(1):128-129
The worth of influenza immunization for employees in U.K. industryhas been debated for more than a decade. In this study no evidencecould be found of a protective effect for sickness absence patterns.Other evidence is also cited that suggests routine influcnzalimmunization programmes for healthy adults of working age areno longer justilied.
*Requests for reprints should be addressed to: Dr Robin Philipp, Department of Epidemiology and Community Medicine, University of Bristol, Bristol BS8 2PR. 相似文献
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COMPUTER CONTROLLED INFUSION OF PROPOFOL 总被引:26,自引:0,他引:26
TACKLEY R. M.; LEWIS G. T. R.; PRYS-ROBERTS C.; BOADEN R. W.; DIXON J.; HARVEY J. T. 《British journal of anaesthesia》1989,62(1):46-53
A computer controlled infusion pump was used to deliver propofolto two groups of eight patients undergoing body surface surgery.The patients were premedicated with morphine sulphate i.m. andanaesthesia was supplemented with 66% nitrous oxide in oxygen.Patients in group 1 breathed spontaneously, whereas patientsin group 2 underwent artificial ventilation to a normal Paco2.The computer program was designed to achieve and maintain ablood concentration of propofol 3 µg ml1 as rapidlyas possible, basing calculations on a three-compartment pharmacokineticmodel. Mean blood propofol concentrations were found to be closeto the predicted target from 10 to 120 min in group 1, but were520% higher from 20 min in group 2.
*Department of Anaesthetics, Royal Devon and Exeter Hospital(Wonford), Barrack Road, Exeter, Devon.
Department of Anaesthetics, Weston General Hospital, WestonGeneral Hospital, Weston Super Mare, Devon. 相似文献
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Sources and incidence of airborne Aspergillus fumigatus (Fres) 总被引:10,自引:0,他引:10
Specific surveys of the air for Aspergillus fumigatus were carried out in rural and urban situations over a 2-year period. Overall, low concentrations of spores were recorded with a higher incidence during the ‘winter’ months. Counts in the open air and in a hospital ward showed similar fluctuations, the indoor counts being consistently lower. Plant debris in the form of compost heaps and stacks of hay and straw baled with a high moisture content in which self-heating occurs, produces large numbers of spores which may be liberated into the air causing high but localized counts if disturbed. The widespread distribution of decaying leaves following leaf fall represents a potential source of smaller concentrations of spores but over a much larger area. This availability of decaying plant debris with high water content fulfils the growth requirements of Aspergillus fumigatus and is the probable explanation of its winter seasonality. 相似文献
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Australia commenced a nationally coordinated transformation of its public and private mental health services in 1993. This paper presents an overview of the changes in mental health service delivery using data from the 2004 Australian National Mental Health Report. In the 10 years from 1993 to 2002, government spending on mental health increased 65 percent in real terms, with a 145 percent growth in expenditure for community-based services. Government subsidies to the private psychiatrist sector have declined. Consumer and carer participation in service planning and delivery increased, measures to improve quality introduced and patient level outcome measures are being adopted widely. However, some consumers with specific needs have been neglected and the transformation has not been implemented uniformly across the country. 相似文献
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KENDALL R.; WASTI A.; HARVEY A.; HILL J.; CHAPMAN C.; NORFOLK D. R.; PULLAR T. 《Rheumatology (Oxford, England)》1993,32(3):204-208
Previous studies of the erythropoietin response to anaemia inRA have yielded conflicting findings. Some have found the responseto be impaired and others have found a normal response. We havecompared erythropoietin (EPO) levels measured by radioimmunoassay,in 54 anaemic rheumatoid patients and 55 patients with irondeficiency anaemia but no inflammatory disease. The erythropoietin response in the rheumatoid patients was impairedcompared with the control group (P < 0.025) but only sevenrheumatoid patients showed a response which fell below the 95%confidence intervals predicted for the control group. Rheumatoidpatients who fell within the highest quartile for serum ferritinconcentrations (i.e. those most likely to have anaemia of chronicdisease) had significantly lower EPO levels compared with thecontrol group (P < 0.01). EPO levels in rheumatoid patientswithin the lowest quartile for ferritin (i.e. those with irondeficiency anaemia) were not significantly different from thecontrol group (P = 0.670). The difference in EPO response betweenthe RA patients in the upper and lower quartile for ferritinapproached but did not achieve significance (P = 0.056). Ina second study 15 anaemic RA patients were given a 5-day courseof oral prednisolone 1.5 mgkg-1. Haemoglobin did not rise significantlyuntil day 4 but EPO levels fell by day 1 (P < 0.005) andremained lower than pretreatment values throughout the study.Thus, in RA patients, anaemia of chronic disease is associatedwith inappropriately low EPO concentrations but this does notappear to be the major cause of the anaemia and Hb responseto prednisolone does not depend upon an increase in EPO concentration. KEY WORDS: Rheumatoid arthritis, Anaemia of chronic disease, Erythropoietin, Prednisolone 相似文献
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PAUL CLASSMAN DDS HARVEY BRODY DDS ELLIOTT FEIGENBAUM MD 《Special care in dentistry》1988,8(3):109-110
This article describes a seminar series for general practice residents dealing with communication, interpersonal relations, self-image, and patient-dentist interactions. Objectives, content, and methods of evaluation are presented. 相似文献