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排序方式: 共有843条查询结果,搜索用时 15 毫秒
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Gregor McWalter MA MSc Hugh Toner MA DipCouns MSc CPsychol Alison Corser BSc MPhil CPsychol Jenny Eastwood MBChB DipSocMed FRCPsych Mary Marshall MA DSA DASS Tony Turvey BSc MAppSci CPsychol 《Health & social care in the community》1994,2(4):213-219
The concept of need and the practice of needs assessment are both subject to a wide range of interpretations, to the likely detriment of individual assessments and to multidisciplinary working. Clear definition is important for individual assessment, for the development of multidisciplinary tools and in gathering planning information. The concept of need is clarified, firstly by distinguishing between need and the difficulties that engender it, and secondly through a taxonomy of need. These assist clear definitions of both need and needs assessment when linked with a consideration of the current help a person receives and a specification of the type of help required by a person to meet their needs. Such definitions have implications for the role of needs assessment in individual assessment, service evaluation, service management and planning and in the development of multidisciplinary needs assessment tools. 相似文献
3.
B B Toner E Koyama P E Garfinkel K N Jeejeebhoy I Di Gasbarro 《International journal of psychiatry in medicine》1992,22(1):99-103
The Marlowe-Crowne Social Desirability Scale, a 33-item self-report questionnaire, was administered to an age-matched sample of twenty-five irritable bowel syndrome (IBS) patients, twenty-four psychiatric patients meeting a diagnosis of major depression, and nineteen controls. As predicted, planned comparisons analysis showed a significant group effect: IBS group scores were significantly higher than both depressed and control group scores (p less than .05). Implications of this social desirability response set for the psychological assessment and treatment of IBS are discussed. 相似文献
4.
Realities in ossiculoplasty 总被引:2,自引:0,他引:2
The results of ossiculoplasty are frequently reported in terms of closure of the air-bone gap. This parameter is a reliable indicator of the degree of technical success, and is useful in comparing different materials and types of reconstructions. However, assessment of the operated ear alone does not evaluate the effect of surgery on binaural hearing ability, leading to the situation where sub-optimal advice may be given to patients pre-operatively. This article advocates a more patient orientated method of assessing the results of ossiculoplasty. Previous studies have indicated that the operated ear must reach an air conduction level of 30 dB for the speech frequencies, or be within 15 dB of the other ear, to ensure that the patient will gain significant benefit. A graphical method for the prediction of patient benefit is presented, and compared to the rule of thumb quoted above. The implications for surgeons and patients considering ossiculoplasty are obvious. Many statements routinely made to patients prior to surgery for conductive hearing loss are unduly optimistic and unrelated to the realities of reported results. There is a need to determine what types of such hearing losses can be helped surgically, and more importantly to what extent the patients hearing disability can be relieved. 相似文献
5.
6.
N. Leonard C. McCreary S. F. Flint M. J. E. M. F. Mabruk F. Mulcahy M. Toner 《Journal of oral pathology & medicine》1997,26(5):244-247
An extensive examination of the tongue was performed at autopsy in 20 consecutive patients who had died with AIDS. Abnormalities in the tongue were detected in 18 (90%) of the cases; the commonest lesions were ulceration (11), candidosis (8) and small foci of hyperkeratosis (10). The most extensive lesions were caused by Aspergillus infection (1), non-Hodgkin's lymphoma juxtaposed with Kaposi's sarcoma (1), herpetic infection (1) and candidosis (5). The disease causing death was identified in the tongue in two cases. There was a surprisingly low prevalence of oral hairy leukoplakia. which may be related to anti-viral or retroviral therapy. 相似文献
7.
Emotional abuse, self-blame, and self-silencing in women with irritable bowel syndrome 总被引:5,自引:0,他引:5
Ali A Toner BB Stuckless N Gallop R Diamant NE Gould MI Vidins EI 《Psychosomatic medicine》2000,62(1):76-82
OBJECTIVE: The purpose of this study was to investigate the presence of emotional abuse and two psychosocial constructs (self-blame and self-silencing) in a sample of women diagnosed with irritable bowel syndrome (IBS) relative to a comparison sample of women diagnosed with inflammatory bowel disease (IBD). METHODS: Women diagnosed with IBS (N = 25) were compared with women diagnosed with IBD (N = 25) on measures of history of abuse, self-blame, and self-silencing. RESULTS: It was found that women in the IBS sample scored significantly higher on emotional abuse, self-blame, and self-silencing than did women in the IBD sample. These three variables were also found to be significantly intercorrelated in both the IBS and IBD samples. Finally, emotional abuse was significantly higher in IBS patients than in IBD patients beyond the differences accounted for by physical and/or sexual abuse history. CONCLUSIONS: These findings empirically demonstrate an association between IBS and emotional abuse, as well as a possible connection with psychosocial variables, that may mediate the connection between emotional abuse and functional bowel symptoms. We suggest that these variables be further evaluated in the context of clinically relevant research on IBS. 相似文献
8.
9.
William D. McArdle Michael M. Toner John R. Magel Robert J. Spinal Kent B. Pandolf 《European journal of applied physiology》1992,65(3):265-270
Summary The influence of exercise intensity on thermoregulation was studied in 8 men and 8 women volunteers during three levels of arm-leg exercise (level I: 700 ml oxygen (O2) · min–1; level II: 1250 ml O2 · min–1; level III: 1700 ml O2 · min–1 for 1 h in water at 20 and 28°C (T
w). For the men inT
w 28°C the rectal temperature (T
re) fell 0.79°C (P<0.05) during immersion in both rest and level-I exercise. With level-II exercise a drop inT
re of 0.54° C (P < 0.05) was noted, while at level-III exerciseT
re did not change from the pre-immersion value. AtT
w of 20°C,T
re fell throughout immersion with no significant difference in finalT
re observed between rest and any exercise level. For the women at rest atT
w 28°C,T
re fell 0.80°C (P<0.05) below the pre-immersion value. With the two more intense levels of exercise,T
re did not decrease during immersion. InT
w 20°C, the women maintained higherT
re (P<0.05) during level-II and level-III exercise compared to rest and exercise at level I. TheT
re responses were related to changes in tissue insulation (I
t) between rest and exercise with the largest reductions inI
t noted between rest and level-I exercise acrossT
w and gender. For men and women of similar percentage body fat, decreases inT
re were greater for the women at rest and level-I exercise inT
w 20°C (P< 0.05). With more intense exercise, the women maintained a higherT
re than the men, especially in the colder water. These findings indicate that exercise is not always effective in offsetting the decrease inI
t and facilitated heat loss in cool or cold water compared to rest. The factors of exercise intensity,T
W, body fat, and gender influence the thermoregulatory responses. 相似文献
10.
Malignant fibrothecomatous tumour of the ovary: diagnostic value of anti-inhibin immunostaining 总被引:1,自引:0,他引:1
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Malignant ovarian tumours of the fibrothecoma group are rare. The clinicopathological features of a case of ovarian malignant fibrothecoma in which there was metastatic disease in the small intestine and peritoneum at presentation are described. A number of differential diagnoses were considered but positive immunohistochemical staining of the resected ovarian and small intestinal neoplasms with anti-inhibin was of value in confirming a sex cord-stromal tumour and in excluding other lesions. The two tumours were also ultrastructurally identical. Classical malignant fibrothecomas are said to show four or more mitotic figures per 10 high power fields (HPF). Although the intestinal secondary was mitotically active, the primary ovarian tumour contained only one to two mitoses per 10 HPF, showing that formal mitotic counts are not an absolute indicator of malignant behaviour in this group of tumours. 相似文献